Non disclosure Agreement W911SD-22-R-0056.pdf

Important! This Agreement concerns a matter within the jurisdiction of a United States government agency. This Agreement prohibits you from making false, fictitious, or fraudulent statements and/or certifications. If you do so, you may be subject to prosecution under 18 U.S.C §1001.

W911SD-22-R-0056

GRADUATION CLEANING OF MICHIE STADIUM

NON-DISCLOSURE AGREEMENT

AGREEMENT

1. This Agreement applies to individuals involved in Solicitation - W911SD-22-R-0056, also known as the Graduation Cleaning of Michie Stadium.

2. This Agreement contains the rules of conduct relating to this acquisition. It includes rules of conduct regarding conflicts of interest as well as rules of conduct regarding the safeguarding of confidential information.

3. Your signature on this Agreement indicates that you have read this Agreement and agree to be bound by its terms.

TERMS

4. I have read, understand and will abide by the requirements of Section 27 of the Office of Federal Procurement Policy Act, 41 USC 2102-2107 423, as implemented in Federal Acquisition Regulation (FAR) §3.104. I understand that I may request a copy of FAR 3.104 from the Contracting Officer for this acquisition.

5. Except as set forth below, I do not presently hold, and will not obtain during my participation in this acquisition, any financial interest* or affiliation** in any reasonably likely offeror or subcontractor for this acquisition.

6. To the best of my knowledge, and except as set forth below, my spouse and dependent children do not have a financial interest* or affiliation** in any reasonably likely offeror or subcontractor for this acquisition.

7. To the best of my knowledge, and except as set forth below, none of the following is a reasonably likely offeror or proposed subcontractor for this acquisition, or represents a reasonably likely offeror or proposed subcontractor with regard to this acquisition:

. any person or company with whom I have or am seeking a business, contractual or other financial relationship that involves other than a routine consumer transaction;

ꞏ any close relative;

ꞏ any person or company with whom I have been affiliated within the last year;

ꞏ any organization in which I am an active participant.

*Financial Interest - Any continuing financial interest (such as through a pension or retirement plan, shared income, continuing termination payments, or other arrangements as a result of any current or prior employment or business or professional association) or any financial interest through legal or beneficial ownership of stock, stock options, bonds, securities, or other arrangements including trusts.

**Affiliation - A relationship as an employee, officer, owner, director, member, trustee, partner, advisor, agent, representative, or consultant; or a person having any understanding, plans or pending contacts regarding such a relationship in the future.

(This includes sending resumes, making telephone inquiries or any act that reasonably could be construed as an indication of interest in a future affiliation.)

8. I understand that I may request a statement from the Contracting Officer as to whether a person or company is considered to be a reasonably likely offeror or subcontractor.

9. I will not knowingly disclose any contractor bid or proposal information or source selection information regarding this acquisition directly or indirectly to any person other than a person authorized in accordance with FAR 3.104 to receive such information.

10. I will observe the following rules during the conduct of the acquisition:

a. I will not solicit or accept, directly or indirectly, any promise of future employment or business opportunity from, or engage, directly or indirectly, in any discussion of future employment or business opportunity with, any officer, employee, representative, agent, or consultant of any reasonably likely offeror or subcontractor for this acquisition.

b. I will not ask for, demand, exact, solicit, seek, accept, receive, or agree to receive, directly or indirectly, any gratuity, favor, discount, entertainment, hospitality, loan, forbearance or other thing of value from any officer, employee, representative, agent, or consultant of any reasonably likely offeror or subcontractor for this acquisition, unless permitted under Title 5 Code of Federal Regulations Part 2635, Subpart B.

c. I will instruct members of my parent or home organization not to divulge my participation in the evaluation and source selection process or my physical location while participating in the evaluation and source selection process to unauthorized persons.

d. I understand that all communications with offerors or their subcontractors concerning this acquisition must be made by/through the Contracting Officer or his or her designee. I will divert all attempted communications by offerors' or subcontractors’ representatives or any other unauthorized person to the Contracting Officer, SSEB Chairperson, and advise Legal Counsel.

e. I will not discuss evaluation or source selection matters, including proposal information, with any unauthorized individuals (including Government personnel), even after the announcement of the successful contractor, unless authorized by proper authority. All discussions of evaluation/source selection matters with other SSEB members shall be conducted solely in those areas designated for deliberations.

11. I realize that my actions in connection with my participation in this evaluation and source selection are subject to intense scrutiny and I will conduct myself in a way that will not adversely affect the confidence of the public in the source selection process. I will avoid any action, whether or not prohibited, that could result in or create the appearance of my losing independence or impartiality. I will not use my public office for private gain, and I agree not to engage in any personal business or professional activity, or enter into any financial transaction, that involves or appears to involve, the direct or indirect use of "inside information" to further a private gain for myself or others.

12. I understand that my obligations under this certification are of a continuing nature, and if anything takes place which would cause a change to any statement, or create a violation of any representation or rule of conduct herein, I will immediately bring such matter to the attention of the Chairperson of the SSEB, or the Contracting Officer.

CERTIFICATION

13. I agree to the Terms of this Agreement and certify that I have read and understand the above Agreement. I further certify that the statements made herein are true and correct.

Signature Date

Name (Printed)

Organization