IBWC Form 358A Nondisclosure Agreement Release SBU.pdf

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Attached to
Retamal Dam Building and Generator
Solicitation number
191BWC26R0005
Issued by

About this file

This is a template form for the International Boundary & Water Commission (IBWC) that serves as a Nondisclosure Agreement Release and Certification of Destruction of Sensitive But Unclassified (SBU) Information.

The form consists of two primary sections. The first section, Release of Nondisclosure Agreement, documents the USIBWC's release of the prime contractor from their Nondisclosure Agreement (IBWC Form 359) related to a specific contract, RFP/Solicitation, or Task Order. This section requires signature and date from an authorized USIBWC releasing representative, along with printed name and title. The form emphasizes that only USIBWC may release the prime contractor, while the prime contractor is responsible for releasing subcontractors and suppliers/vendors from flow-down nondisclosure agreements. The second section, Certification of Destruction of SBU Data, requires the contractor to certify that all SBU data has been destroyed in a manner precluding recognition or reconstruction, unless written permission per IBWC Form 358 15.a. was granted for retention or USIBWC Form 358 15.b. applies to data storage by USIBWC. This certification must be signed by an authorized company representative with their printed name, title, company name, company address, phone number, and email. The form must be printed to PDF prior to submission to USIBWC.

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Text version

IBWC Form 358A(COND) Updated 9/29/2022 Page 1 of 1 www.ibwc.gov

INTERNATIONAL BOUNDARY & WATER COMMISSION

NONDISCLOSURE AGREEMENT RELEASE

Certification of Destruction of Sensitive But Unclassified (SBU) Information

Project: Contract Number:

Prime Contractor:

NOTE: All references to "Contract" also apply to the associated RFP/Solicitation or Task Order, as appropriate.

Agreements signed during the RFP/Solicitation period do not need to be re-signed once Contract is awarded.

Release of Nondisclosure Agreement The company noted below is released from their Nondisclosure Agreement (IBWC Form 359) in relation to this Contract.

Signature of Releasing Representative Date Signed

Printed Name of Releasing Representative Representative's Title

Only the USIBWC may release the Prime Contractor from their Nondisclosure Agreement.

The Prime Contractor shall release their subcontractors and suppliers/vendors from flow-down Nondisclosure Agreements.

Certification of Destruction of SBU Data

1. Prior to signing this form, note if either of the following apply to this Contract.

Written permission has been granted allowing retention of SBU data per IBWC Form 358 15.a.

USIBWC has been provided SBU data to store per IBWC Form 358 15.b.

2. With my signature below, I certify that my company and all subcontractors and suppliers/vendors to whom the data was issued have destroyed all SBU data in a manner to preclude recognition or reconstruction unless written permission was granted to keep a copy of the SBU data.

Signature Date Signed

Information of Person Completing Form

Printed Name:

Title:

Company Name:

Company Address:

Phone Number: Email:

The person completing this form is completing it as a representative of the company stated whether that company is an individual, partnership, joint venture, LLC, or corporation.

Project:
Contract Number:
Prime Contractor:
Printed Name 1:
Printed Name 2:
Company Name:
Company Address:
Phone Number:
Email:
Button:
Data: Off
Permission: Off
Signature:
Click here to add signature image to form: Click below to add signature image to form
Check: No
Date:
Button2:
Print:
Note: Form must be "printed" to pdf prior to submittal to USIBWC.
buttonClear:
Printed Name of Accepting Representative:
Representatives Title:
Signature2:
Click2 here to add signature image to form: Click below to add signature image to form
Date2:
Note2: Use signature image
Check2: No
Note1: Use digital signature
Button3:

File details come from the government source that posted it. Updated .