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<td colspan="3"><p><em>BPA F 1370.16e</em></p>
<p><em>(04-07)</em></p></td>
<td colspan="11"><p><strong>U.S. DEPARTMENT OF ENERGY</strong></p>
<p><strong>BONNEVILLE POWER ADMINISTRATION</strong></p></td>
<td colspan="2"><em>Electronic Form Approved by Forms Mgmt.
04/30/2007</em></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="11"><strong>NON-BPA PERSONAL COMPUTING DEVICE
AUTHORIZATION</strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="11"><em><strong>Fill out and send as an attachment to Cyber
Security-JB-3</strong></em></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="16"><p>Non-BPA personal computing device is any electronic
device not owned by or licensed to BPA which is capable of storing,
manipulating, sending and/or receiving data or images such as but not
limited to a laptop computer, a smart phone, personal digital assistant
(PDA).</p>
<p>BPA authorizes you to bring your Non-BPA Personal Computing Device
into the BPA facilities under the following restrictions and
conditions:</p>
<ol type="1">
<li><p>You are <strong>not</strong> permitted to connect your personal
computing device by cable or wireless transceiver or by any means to the
BPA administrative network. Detection of such can result in the seizure
of the computing device for examination by BPA Cyber Security and
subsequent escort from the BPA site;</p></li>
<li><p>You may not connect to any wireless services external to BPA
while inside a BPA facility. Your wireless radio must be disabled while
on site. If detected, the laptop is subject to confiscation and
examination and you will be escorted off the BPA site;</p></li>
<li><p>Use of BPA digital subscriber lines (DSL) requires prior approval
from BPA Cyber Security. You may not plug your Non-BPA personal
computing device into a BPA DSL without prior permission;</p></li>
<li><p>Under no circumstances are you permitted to capture and store
digital images of the BPA facility or personnel with any Non-BPA
personal computing device, which includes cell phones with digital
cameras or the like;</p></li>
<li><p>You are subject to all federal laws, regulations and policies,
and specifically all BPA Cyber Security policies;</p></li>
<li><p>BPA assumes no risk or liability for loss, damage, or theft of
your Non-BPA Personal Computing Device while in a BPA facility. You
assume all risk and responsibility.</p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="10">Full Name <em>(last, first, middle name)</em> of Device
Owner</td>
<td colspan="6">Company Name</td>
</tr>
<tr class="even">
<td colspan="10"><strong>     </strong></td>
<td colspan="6"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="10">Laptop</td>
<td colspan="6">Laptop Serial Number</td>
</tr>
<tr class="even">
<td colspan="10"><strong>     </strong></td>
<td colspan="6"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="16"><strong>Note: Indicate other devices
here:</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4">Cell / Smart Phone Number</td>
<td colspan="7"><strong>     </strong></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td></td>
<td>PDA</td>
<td colspan="2"></td>
<td colspan="2">Flash Drive</td>
<td></td>
<td colspan="2">Other</td>
<td colspan="7"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="16"></td>
</tr>
<tr class="odd">
<td colspan="8">BPA Contact Name</td>
<td colspan="3">BPA Contact Phone Number</td>
<td colspan="4">Visit Start Date</td>
<td>Visit End Date</td>
</tr>
<tr class="even">
<td colspan="8"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td colspan="4"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="16">I have read and agree to the restrictions and
conditions above for authorization to bring my Non-BPA Personal
Computing Device into BPA facilities. I certify that I am a U.S. Citizen
or I have legal authority to be in the U.S.</td>
</tr>
<tr class="even">
<td colspan="13">Signature</td>
<td colspan="3">Date</td>
</tr>
<tr class="odd">
<td colspan="13"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="16"><strong>Notice:</strong> There is no expectation of
privacy when you bring your personal computing device onto BPA property.
All BPA and non-BPA equipment is subject to seizure and search.</td>
</tr>
<tr class="odd">
<td colspan="13"><strong>Distribution:</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="13"><strong>Original: Cyber Security – JB</strong></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="13"><strong>1st-Copy: Device Owner</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="13"><strong>2nd-Copy: Office of Security and Emergency
Management - GT</strong></td>
<td colspan="3"></td>
</tr>
</tbody>
</table>