Attachment_L_Non-Disclosure_Agreement.docx

Naval Facilities Engineering Command – South East Jacksonville, FL March 2014

NON-DISCLOSURE AGREEMENT MIL-STD-767/2041

CONTRACTOR:

ADDRESS:

CAGE CODE:

DATA CUSTODIAN (Person receiving and disseminating information):

NAME/TITLE:

PHONE/EMAIL:

The undersigned hereby certifies that:

A. The undersigned is a citizen of the United States.

B. MIL-STD-767 and 2041 are needed to prepare a proposal in response to Naval Facilities Engineering Command Southeast (NAVFAC SE) Solicitation N69450-14-R-1756.

C. The undersigned acknowledges all responsibilities under applicable U.S. export control laws and regulations, and agrees not to disseminate MIL-STD-767 and 2041 in any manner that would violate applicable U.S. export control laws and regulations.

D. The undersigned will not provide access to MIL-STD-767/2041 to persons other than employees or eligible persons designated by the company to act on their behalf unless such access is expressly authorized in writing by NAVFAC SE.

E. No person employed by or designated by the company to act on their behalf, who will have access to MIL-STD-767/2041, is disbarred, suspended, or otherwise ineligible to perform on U.S. Government contracts or has violated U.S. export control laws.

F. The undersigned is not debarred, suspended, or otherwise ineligible to perform on U.S. Government contracts, and has not violated U.S. export control laws.

The undersigned further acknowledges that:

A. The information contained within MIL-STD-767 and 2041 shall be used only for the purpose of preparing the proposal and shall in no case be transmitted outside the company or to any foreign national or representative of a foreign interest within the company.

B. The information contained within MIL-STD-767 and 2041 shall be protected from unauthorized observation and shall be kept secure so as to preclude access by any persons who do not have a legitimate need to view them.

C. The information contained within MIL-STD-767 and 2041 shall not be copied unless done in conformance with the detailed guidance provided as part of the solicitation instructions, if any.

D. Following notification of an unsuccessful proposal, or if the offeror declines to submit a proposal, all of the documents contained within MIL-STD-767 and 2041 shall be promptly returned in their entirety or certified to have been destroyed.

E. Subcontractors and vendors with a need to obtain access to MIL-STD-767 and 2041 must follow the same process and must execute a similar non disclosure agreement prior to obtaining copies of the documents.

CONTRACTOR CERTIFICATION

I certify that the information and certifications made by me are true, complete, and accurate to the best of my knowledge and belief and are made in good faith. I understand that a knowing and willful false statement on this form can be punished by fine or imprisonment or both. (See US. Code, Title 18, Section 1001).

Name/Title:

Signature:

Date:

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