**SAMPLE NONDISCLOSURE STATEMENT**

**ACQUISITION SUPPORT SERVICES**

I understand that in connection with my participation in this task order
\[INSERT TASK ORDER SERVICES HERE\], I may acquire or have access to
information relating to any and all aspects of the acquisition. I hereby
agree that I will not discuss with or reveal to any representative of
any governmental entity, business organization, other entity, or any
individual person (except persons specifically authorized by the
Procuring Contracting Officer (PCO)), either within or outside the U.S.
Government, any aspect of the acquisition. The term "any aspect of the
acquisition" includes, but is not limited to, information contained (or
to be contained) in any acquisition documentation created by or on
behalf of the United States Government pursuant to FAR Subpart 7.1,
requests for quotations/proposals, requests for quotation (RFQ), source
selection information (as that term is defined in FAR § 2.101), trade
secrets and other proprietary information (18 U.S.C. §§ 1832, 1905), the
number and identity of Government personnel involved, and the schedule
of key technical and acquisition events in the acquisition process.
Except as specifically authorized by the PCO, release of such
information is not authorized. I agree that this obligation shall
continue both during the period of my current participation and
thereafter.

I recognize that a significant factor in the successful and proper
completion of the acquisition is the strict confidentiality observed by
all participants in the various evaluations, review, and discussion
groups concerning all of the activities and procedures involved in
acquisition development, and that failure to comply with these
requirements may compromise the award decision. I acknowledge that the
unauthorized release of acquisition information may result in the
termination of my participation in this acquisition. Furthermore, I am
aware that the unauthorized release of such information may subject me
to criminal and civil penalties.

In the event that I release any information described above or become
aware that such information has been released by someone else, I agree
to so advise the PCO. When so advising the PCO, I will provide the PCO
with the following information: (1) the business organization or other
entity, or individual person, to whom the information in question was
divulged, (2) the identity of the person that disclosed the information,
and (3) the content of the information.

I further affirm that if I am notified of the identity of offerors,
their subcontractors, joint venture partners, and team members by
whatever means, I will (1) disclose to the PCO and to \[insert the
ordering agency's\] Office of Counsel whether I or any member of my
immediate family\* have any holdings or interest whatsoever in any
offeror, their subcontractors, joint venture partners, or team members,
and (2) if I or a member of my immediate family\* acquire holdings or
interest in any offeror, their subcontractors, joint venture partners,
or team members, notify the PCO and will not participate in any aspect
of the acquisition unless authorized to do so by the PCO and Office of
Counsel.

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Signature and Date

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Printed Name Phone Number & e-mail

\* The interest of a spouse, minor child, or other member of the
employee's immediate household is reported in the same manner as an
interest of the employee.