Document:

exv10w4w2

 

Exhibit 10.4.2

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT	 	1. CONTRACT ID CODE	 	 	 	PAGE OF PAGES
	 	 	 	 	                    	 	 	 	1	7
	 	 	 	 	 	 	 	 	 
	2.	 	AMENDMENT/MODIFICATION NO.	 	3. EFFECTIVE DATE  	 	4.	 	REQUISITION/PURCHASE REQ. NO.	 	5.	 	PROJECT NO. (If applicable)
	 
	 	 	 	0008	 	 	 	06/29/2006	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	6.	 	ISSUED BY	CODE   	 	00001	 	7.	 	ADMINISTERED BY (If other than Item 6)	 	 	 	CODE   	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	     FCC /Contracts and Purchasing Center	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	     445 12th St., SW,	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	     Washington, DC 20554	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 
	8.	 	NAME AND ADDRESS OF CONTRACTOR (No., street, county, State, and Zip Code)	 	(x)	 	9A.     AMENDMENT OF SOLICITATION NO.
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	     Neustar, Inc.	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	9B.     DATED (SEE ITEM 11)
	 	 	     46000 Center Oak Plaza	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	10A.   MODIFICATION OF CONTRACT/ORDER NO.
	 	 	     Sterling, VA 20166	 	(X)	 	          CON03000016
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	(X)	 	10B.   DATED (SEE ITEM 13)
	 	 	 	 	 	 	 	 	 	 	 	 
	CODE	 	FACILITY CODE	 	 	 	 	 	 	 	 	 
	 
	 	 	11. 	 	THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
	 

[  ]
The above numbered solicitation is amended as set forth in Item 14. The
hour and date specified for receipt of Offers [  ] is extended, [  ] is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the
solicitation or as amended, by one of the following methods:

(a) By completing Items 8 and 15, and returning                      copies of the amendment; (b) By acknowledging receipt
of this amendment on each copy of the offer submitted; or 
(c) By
separate letter or telegram which includes a reference to the solicitation and amendment numbers.
FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE
RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER.
If by virtue of this amendment you desire to change an offer already submitted, such
change may be made by telegram or letter, provided each telegram or letter makes reference to the
solicitation and this amendment, and is received prior to the opening hour and
date specified.

	 	 	 	 	 	 	 	 	 	 
	 	 	 	 
	12.	 	ACCOUNTING AND APPROPRIATION DATA (If required)
	 	 	No Funding Information
	 	 	 	 
	 
	 	 	 	 	 	 	13.	 	THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
	 
	 	 	 	 	 	 	 	 	IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
	 	 	 	 
	 	 	 	 	 	A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE
IN THE CONTRACT ORDER NO. IN ITEM 10A.
	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 
	 	 	 	 	 	B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES
(such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM
14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
	 	 	 	 
	 	 	 	 	 	C. THIS SUPPLEMENTAL
AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

Mutual Agreement of the Parties
	 	 	 	 
	 	 	X	 	 	D. OTHER (Specify type of modification and authority)
	 
	 	 	 	 	43.103(a), Mutual
Agreement; FAR 1.6, “Authority of the Contracting Officer”
	 	 	 	 
	E.	 	IMPORTANT:
Contractor [  ] is not, [X] is required to sign this document and return   1   copies to
the issuing office.
	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	14.	 	DESCRIPTION of AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	
The purpose of this no additional cost modification is to remove from the Contract the Clause entitled “Security and
Suitability Assessment” and replace it with and incorporate into the Contract, Clause H.9, “Suitability and Security
Processing”. Accordingly, see attached Clause H.9 and FCC Forms A-200 and A-600.
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	15A.	 	NAME AND TITLE OF SIGNER (Type or print)	 	 	16A.	 	NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
	 	 	 	 	 	 	 	 	 	 	 	 	Wilma Mooney
	 
	 	Joseph F. Franlin	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	15B.	 	CONTRACTOR/OFFEROR	 	 	15C.	 	DATE SIGNED	 	 	16B.	 	UNITED STATES OF AMERICA	 	 	16C. 	DATE SIGNED
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	/s/ Joseph F. Franlin	 	 	 	 	7/5/06	 	 	BY	 	/s/ Wilma S. Mooney	 	 	7/10/06
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	(Signature of person authorized to sign)
	 	 	 	 	 	 	 	 	 	(Signature of Contracting Officer)	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	NSN 7540-01-152-8070	 	 	 	 	 	30-105	 	 	 	 	 	STANDARD FORM 30 (Rev. 10-83)
	PREVIOUS EDITION UNUSABLE	 	 	 	 	 	 	 	 	 	 	 	 	 	Prescribed by GSA
	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	FAR (48 CFR) 53.243

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	LINE ITEM	 	Document Number	 	Title	 	 	 	 	 	Page	 
	 	SUMMARY	 	CON03000016/0008	 	NANP Administrator	 	 	 	2 of 7	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	Line Item

	 	 	 	 	Delivery Date
	 	 	 	Unit of	 	 	 	 	 	 	 
	 	Number

	   Description
	 	(Start date to End date)
	 Quantity
	 	Issue
	 	 	Unit Price
	 	 	Total Cost
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	  Questions may be addressed to Tony Wimbush @ anthony.wimbush@fcc.gov.	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	          No Changed Line Item Fields	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	Previous Total:	 	 
	 	 

	 	 	 	 	 	 	 	 	 	 	 	Modification Total:	 	 
	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	Grand Total:	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 

 

	 	 	 
	 

	 	Contract No. CONO3000016
	 

	 	Modification No. Eight (8)
	 

	 	Page 3 of 7

Clause H.7, Suitability and Security Processing

1. General

     (a) All contract personnel are subjected to background investigations for the purpose of
suitability determinations. Based on their proposed duties, some contract personnel may also be
required to have security clearance determinations. No contract personnel may be assigned to work
on the contract without a favorable initial review of the OF 306, Declaration for Federal
Employment (http://www.opm.gov/forms/pdf_fill/of0306.pdf) or a written waiver from the FCC Security
Operations Center (SOC).

     (b) Suitability, waiver, and security clearance determination investigations are currently
conducted through the FCC Security Operations Center (202- 418-7884). The individual contract
employee will be provided with a review process before a final adverse determination is made. The
FCC requires that any contract personnel found not suitable, or who has a waiver cancelled, or is
denied a security clearance, be removed by the contractor during the same business day that the
determination is made.

     (c) If the contract personnel is re-assigned and the new position is determined to require a
higher level of risk suitability than the contract personnel currently holds, the individual may be
assigned to such position while the determination is reached by the SOC. A new A-600 shall be
necessary for the new position.

     (d) Contract personnel working as temporary hires (for ninety (90) days or less) must complete
and receive a favorable initial review of the OF 306 and complete the contract personnel section of
the FCC Form A-600, FCC Contractor Record Form.” If during the term of their employment they will
have access to any FCC network application, they must also complete and sign the FCC Form A-200,
FCC Computer System Application Access Form.

2. At Time of Contract Award

     (a) The FCC Security Operations Center must receive the completed, signed OF 306 for all
proposed contractor employees at the time of contract award. Resumes for all personnel proposed
for assignment on the contract should be provided to the Security Office prior to the time of
in-take processing (see below, 2.3.2). The FCC Security Operations
Center requires up to five 

 

Contract
No. CONO3000016  

Modification No. Eight
(8)      

Page 4 of
7                                

 (5)
working days (from the date they are received) to process the OF 306 before any employee is allowed
to begin work on the contract. A written waiver from the SOC may be obtained in special
circumstances.

All contract personnel, regardless of task description, must complete this form. Without an
approved, completed OF 306 on file at the SOC, no contractor employee may begin work. An
approved OF 306 is one that has passed initial review by the SOC. During the course of the SOC
review of the OF 306, the contract personnel may be interviewed by SOC staff regarding information
on their OF 306.

     (b) In addition, the Contractor is responsible for submission of completed, signed computer
security forms for each employee prior to that person beginning work on the contract (See Appendix
No. 3, FCC Instruction 1479.1, FCC Computer Security Program Directive and sample forms.) These
forms should be submitted to the FCC Computer Security Office.

     (c) The COTR shall begin processing their section of the FCC Contract Personnel Record (FCC
Form A-600) at this time. This form, with
the COTR and CO portions completed, will be distributed at the time of contract award and
must be submitted to the SOC within ten
(10) working days.

     (d) The Office of Personnel Management (OPM) will issue a Certificate of Investigation (CIN)
following the appropriate background
investigation. The SOC notifies the CO and COTR and contract personnel who have received a
favorable adjudication so they may receive their permanent access credential.

 3. IDENTITY PROOFING, REGISTRATION AND CHECKOUT REQUIREMENTS

          3.1 Locator and Information Services Tracking (LIST) Registration

The Security Operations Center maintains a Locator and Information Services Tracking (LIST)
database, containing information for all Commission and contract employee personnel, regardless
of work location.

The
contract employee’s FCC Form A-600, FCC Contractor Record
Form” captures the
information for data entry into the LIST system.

 

	 	 	 
	 

	 	Contract No. CONO3000016
	 

	 	Modification No. Eight (8)
	 

	 	Page 5 of 7

           3.2 Intake Processing

     (a) Following the processing of the OF 306 and an  initial favorable
suitability determination, (unless otherwise waived) the contract personnel shall report to
the FCC for identity verification and access badge issuance on their first scheduled
workday.

     (b) All new contract personnel must be escorted to the SOC by either the CO or COTR
responsible for the contract. At this time the contractor personnel must present two forms of
identification; one of which must be a picture ID issued by a state, or the Federal, government.
The other piece of identification should be the original of one of the following:

U.S. Passport (unexpired or expired)

Certificate of U.S. Citizenship (Form N-560 or N-561)

Certificate of Naturalization (Form N-550 or N-570)

School ID

Voter’s registration card

U.S. Military card

Military dependent’s ID card

U.S. Coast Guard Merchant Mariner card

Native American Tribal document

U.S. Social Security card

Certification of Birth Abroad, (Form FS-545 or Form DS-1350)

Original or certified copy of a birth certificate, bearing an official seal

     (c) After identity verification, the individual shall complete the Fingerprint Card form, FD
258, the Fair Credit Report Act form, and be photographed and issued the appropriate access
badge.

     (d) At this time the contract employee will be given one of the following forms, based on the
security risk designation for the proposed support classification/position, to complete and return
to the SOC within seven (7) business days:

	 	(i)	 	Low Risk Positions - SF 85, Questionnaire for Non-Sensitive
Positions
	 
	 	(ii)	 	Moderate Risk Positions - SF 85-P, Questionnaire for Public Trust
Positions
	 
	 	(iii)	 	High Risk Positions/Secret or Top Secret Security
Clearances - Standard Form (SF) 86, Questionnaire for Sensitive Positions

 

	 	 	 
	 

	 	Contract No. CONO3000016
	 

	 	Modification No. Eight (8)
	 

	 	Page 6 of 7

      (e) For any contract employee whose name is provided to the Commission for security
investigation at (ii) or (iii) level, who subsequently leaves the subject contract, due to
Contractor or contract employee decision, within the first year, the Contractor shall reimburse the
Commission for the cost of the investigation. If the contract or task order is scheduled for
completion in under one year and the contract employee for whom a security investigation has been
done leaves prior to the work being done, the Contractor and SOC shall agree on a pro-rated amount
for reimbursement. The cost may range from approximately $400.00 (moderate risk) to $3,000.00
(high risk). The Contractor will be provided a copy of the investigation invoice with the
reimbursement request.

          3.3. Monthly Contractor Personnel Reports

The monthly report verifying contract personnel working at the FCC is a crucial element in the
agency’s compliance with Homeland Security Presidential Directive (HSPD) 12. Accurate and timely
reporting are required as part of the ongoing access control efforts as mandated by HSPD-12 and
implementing directives.

     (a) The Contractor’s Program Manager shall submit a contract personnel list to the SOC on the
first working day of each month. This report shall be identified by the contract name and FCC
number, and shall list all the contract employees working at the FCC in the immediately previous
month.

     (b) The report shall highlight or list in some way those individuals who are no longer
employed by the Contractor or who are no longer working on the subject contract. As well, any
additional contract personnel who have been successfully processed for work on the contract since
the previous report shall also be noted.

     (c) The report may be delivered electronically in MS Excel format. The covering email should
contain a statement of certification of accuracy and should originate with the Contract Program
Manager or other Contractor executive personnel. The author of the email shall be considered the
signatory.

     (d) No later than the 15th of each month, the SOC will notify the Contract Program Manager,
the author of the email covering the Monthly report (if different), the COTR and the Contracting
Officer if the report is a) received after the first working day of the month, or b) contains
errors in the listing. The notification will identify the reason for deficit in the report.

     (e) The first instance of either a) or b) above shall result in a Five Hundred Dollar
($500.00) penalty against the Contractor. The assessed penalty shall increase in Five Hundred
Dollar ($500.00) increments for each subsequent Monthly report received either late or containing
errors.

          3.4. Checkout Processing:

     (a) All contract employees no longer employed on the subject contract, or at the termination
of the contract, are required to report to the SOC and complete the sign-out portion of the FCC
A-600, Contract Personnel Record.

     (b) This process verifies the access badge has been returned to the SOC by the contract
personnel.

     (c) If the checkout processing is not completed by the contract employee, the Contractor shall
take action to ensure its accomplishment no later than thirty (30) calendar days after the
employee’s departure from the FCC.

     (d) The Contractor shall be liable to the FCC for an administrative processing charge of
$150.00 (One Hundred Fifty Dollars), for each of their employees who leaves their duty assignment
at the Commission and fails to complete the checkout processing within thirty (30) calendar days of
departure. Mellon Bank, N.A., handles collection and processing of all Commission administrative
charges and should payment become necessary, the Contractor will be provided the appropriate
directions for an EFT.

     (e) The Contractor shall be liable for any actual damages arising from a failure to ensure
that the checkout processing occurs within the thirty (30) calendar days of the contract employee’s
departure from the FCC.

 

	 	 	 
	

	 	FCC Computer System

Application Access Assignment Form

Employees and contractors who are requesting application access must have
this form completed and returned to the Application Owner. Access must be
granted in accordance with FCC Instruction 1479.2 Computer Security Program
Directive.

	 	 	 	 	 	 
	 	 	 	 	 	 
	 	USER INFORMATION

	 	(To be completed by Application Owner)

	 	 	 	 	 	 
	 	User Name (Print Last, First MI):

	 	 	User Name ID:	 
	 	 
	 	 	 	 
	 	 	 	 	 	 
	 	Bureau/Office or Contract Name:

	 	 	Date Access Required:	 
	 	 
	 	 	 	 
	 	 	 	 	 	 
	 	Major Application Access:

	 	 	Access Level:	 
	 	 
	 	 	 	 
	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 
	 	 	 
	 	APPLICATION RULES OF BEHAVIOR ACKNOWLEDGEMENT	 
	 	(To be completed by user and returned to Application Owner when Completed)	 
	 
	 	I have received a copy of the attached Application Rules of Behavior that provide information on Federal regulations, user responsibilities and the consequences of my
actions, and computer security policies and procedures. I have read and will fully comply with the rules in their entirety. I recognize that it is my responsibility to ensure that
I comply with the Federal computer security policies and procedures described in the FCC Computer Security Program Directive.

	 
	 	 
	 	 

	 	Printed Name:
	 	 	 	Organization:	 	 	 
	 	 

	 	 	 	 

	 	 	 	 
 	 
	 	 
	 	 	 	 	 	 	 	 	 
	 	 

	 	     Signature:
	 	 	 	          Date:	 	 	 
	 	 

	 	 	 	 

	 	 	 	 
 	 
	 	 	 

	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	ACCESS APPROVAL
	 
	 	 	 	 	 	 
	 	I am aware that the following access has been granted to this userID:	 	 	 	 
	 	 	 	o       Privileged, Administrative Account. o      Non-Privileged, Non-Administrative User Account	 
	 	 	 	 	 	 
	 	Supervisor or COTR (Printed Name):	 	 	 	 	 	 
	 	 
	 	 	 	 	Signature:	 	Date:	 
	 	 	 	 	 	 
	 	Application Security Custodian(Printed Name):	 	 	Signature:	 	Date:	 
	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 

Return this form to the Computer Security Officer, Room 1-A325

445 12th Street, S.W., Washington, DC 20554

Form A-200

Revised July 2002

 

APPLICATION RULES OF BEHAVIOR

Passwords:

o Passwords must be at least            characters long.

o Do not write down passwords.

o Do not share your passwords or accounts with others.

o Enable a password protective inactivity screensaver at your station.

o Passwords are to be changed every            days.

o Use paraphrases instead of dictionary words when creating passwords.

Electronic Data/Media and Paper:

o
Do not post system sensitive material in areas subject to public
traffic or viewing (offices next to windows on ground floors please
take      special note).

o Do not transport system sensitive material in an unprotected manner.

o Lock down all sensitive unclassified material when leaving your work area.

o Protect sensitive unclassified information from alteration, disclosure or loss.

o Ensure all storage media are reformatted before they are removed for storage in a protected environment

o Ensure that appropriate warning labels are printed on each and every page of the sensitive documentation.

o Prevent dumpster diving—do not discard system sensitive materials or communications in public trash containers.

o Deleting a file does not remove
its data from the media. Use utilities which delete with overwriting
before releasing media for other      assignments or to ensure its destruction.

o Access only information for which you are authorized, “need to know/access.”

o Respect the copyright on the material you reproduce.

o Backup data files at frequent intervals.

o Respect and protect the privacy and confidentiality of records and privacy act information while in your custody.

Dial in Access:

o
Dial in users must ensure that adequate safeguards are in place on
the remote computer to ensure the security of the system to which      you are dialing in to.

o Lock your terminal or log off if you must leave the work area even briefly.

Laptops:

o Login IDs, passwords and /or sensitive information should not be saved on the hard drive. Use a diskette/CD to save information.

o Protect passwords and user ID’s from hacker, electronic eavesdroppers or shoulder surfers.

Internet Usage:

o Do not transmit sensitive information via the Internet

o Keep your anti-virus software current.

o Periodically virus scan your client.

o Virus scan all e-mail attachments.

o Do not open executable attachments.

General:

o Use FCC computing resources when accessing applications in a manner consistent with its intended purpose.

o Report sensitive circumstances to the help desk.

o Politely challenge unescorted visitors in your area (request identification and purpose).

o Be alert to the risk of theft, espionage and intrusion in the areas you work in and take appropriate countermeasures.

o Attend or participate in annual information security training.

o Report violations of security policies or procedures that come to your attention.

o Prevent social
engineering–do not reset passwords for any person via telephone
until the identity of the requestor has been confirmed
     and verified.

o Do not divulge account access procedure to any unauthorized user.

o Users are not permitted to override technical and management controls.

Form A-200

Revised July 2002

 

FCC SECURITY OPERATIONS CENTER

CONTRACT PERSONNEL RECORD

(Please Read Instructions (P.2) Before Beginning)

SECTION A: TO BE COMPLETED BY CONTRACTOR’S PROJECT MANAGER

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	2. Contract Personnel Name	 	 	3. Position Title	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	4. Secret or Top Secret Security Clearance Required for Position (derived from SoW)      Yes o      No o	 	 	 	 
	 	5. Contractor Company Name	6. Sub-Contractor Company Name (If Any)	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	7.
New Contract Personnel o
                    Replacement
o
                    
Reassigned
(     ) o	 	 	 	 
	 	8. If Replacement or Reassigned, Name of Person Who Vacated the Position [Reassignment may require new A-200]	 	 	 	 
	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 

SECTION B: TO BE COMPLETED BY CONTRACTING OFFICER OR COTR

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	9. New Statement of Work?      Yes o       No o	 	10. Funding Source:	 
	 	 
	 	 	 	 	 	 	 
	 	If YES, date copy submitted to SOC	 	o  Auctions  % OR o Appropriated	 
	 	 	 	 	 	 	 	 
	 	11. Contract/Purchase Order Number(s)	    12. Task Order Number	 	13. Date of Award	 
	 	 
	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	14. Task Description (Title of Contract or Statement of Work)	 
	 	 
	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	15. Description of Duties and Estimated Length of Employment	 
	 	 
	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	16. ADP/Computer
Access? Yes o   No o	 	17. Date A-200 submitted to SOC	 
	 	If Yes, a copy of the completed, signed FCC Form A-200 must be submitted to SOC.	 	 	 	 	 
	 	 	 	 	 	 
	 	 

	 	 	 	 	 	     Phone:	 
	 	 

	 

	 

	 	 	 
	 	COTR Name (Print)

	COTR Signature
	 	COTR Bureau/Office
	 	     Date:	 
	 	 	 	 	 	 

SECTION C: TO BE COMPLETED BY CONTRACTING PERSONNEL

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 
	 	18. I understand and certify that when my work on the above-referenced contract, or any subsequent FCC contract to which I am assigned, is finished, I shall return my security badge to the Security Operations Center.	 
	 	 	 	 	 	 
	 	 
	 	 	 	 	 	FCC Location: (floor
 and
nearest room #) 
	 	 

Name (Print)

	 	 

Signature
	 	 

Date
	 	 	 
	 	 	 	 	 	 
	 	19.
	 	 	 	 	 	 	 
	 	In-Processing _________

	 	______
	 	     Out-Processing _________	 	 	 
	 	 	 	 	 	 
	 	 
	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 

Page 1 of 4

FCC A-600

April 2003

 

INSTRUCTIONS ON COMPLETING FCC Form A-600

THE FCC CONTRACT PERSONNEL RECORD

The FCC has developed this form, A-600, the FCC Contract Personnel Record, to document certain
necessary risk and sensitivity information for the FCC, Security Operations Center (SOC).

The FCC Form A-600 has three sections; to be completed by the Contractor’s Program or Project
Manager, the Contracting Officer and/or (COTR), and the Contract Personnel.

Sections A and B may be completed electronically then printed. Section C of the printed form must
be completed by the individual contractor at the time of their SOC in-processing.

	 	 	A: Program Manager:

	2.	 	Contractor Name: This should be as it will appear on the ID badge
	 
	 	 	3. Position Title: Should be exact and include levels (i.e., I, II, Ill, IV), if applicable.

	4.	 	Security Clearance Required for Position: This confirms that a Secret or Top Secret access
level is required for the position duties. Most contractor positions do not require this
access level.

	5.	 	Contractor Company Name: Must be as it appears on the contract.
	 
	6.	 	Sub-Contractor Name: If any, listed here.

	7.	 	New/Replacement/Reassigned: Check appropriate box, you must specify a date, if a
reassignment.

	 	 	B: Contracting Officer/COTR:

	9.	 	New Statement of Work? If YES, a copy must be forwarded to the SOC, specify a date.
	 
	10.	 	Funding Source: Indicate percent funded by Auctions, if any.
	 
	11.	 	Contract/Purchase Order Number(s)
	 
	12.	 	Task Order Number
	 
	14.	 	Task Description: May be the title of the contract or statement of work.
	 
	15.	 	Description of Duties: This is very important. Please be brief and to the point.

	16.	 	ADP/Computer Access: Contract Personnel must have completed FCC Form A-200 before they can
be granted access to the FCC network. A copy of the completed A-200 must be submitted to the
SOC, specify date. Their level of access will depend on the details of the task.

	17.	 	To be completed by SOC.

	 	 	C: Contractor Personnel:

	18.	 	FCC Location: The physical location, if known, of the contractor personnel.

	19.	 	Contractor Personnel Agreement to Submit to Out-Processing: Printed name and signature that
the statement has been read. To be initialed and dated at the time of In- Processing.

The SOC will complete the remaining form in order to determine final placement. SOC will confer
with the COTR and/or the Contractor’s Program/Project Manager for assistance in completing the FCC
Contractor Position Designation Record Justification form.

Page 2 of 4

FCC A-600

April 2003

 

PRIVACY ACT STATEMENT

The Federal Communications Commission (FCC or Commission) is authorized to request this
information under 5 U.S.C. Sections 1302, 2951, 3301, 3372, 4118, 8347, and Executive Orders 9397,
9830, and 12107. This form is for contract personnel working for the Commission. If necessary,
and usually in conjunction with another form or forms, this form may be used in conducting an
investigation to determine your suitability or your ability to hold a security clearance, and it
may be disclosed to authorized officials making similar, subsequent determinations.

ROUTINE USES: Any disclosure of this record or information in this record is in accordance with
routine uses found in System of Records Notice OPM/GOVT-1, General Personnel Records. The
Commission may disclose this information under the following circumstances:

	(1)	 	To the appropriate Federal, State, or local agency responsible for responsible for
investigating, prosecuting, enforcing, or implementing a statute, rule, regulation, or order,
when the FCC becomes aware of an indication of a violation or potential violation of a civil
or criminal law or regulation.

	(2)	 	To disclose information to any source from which additional information is requested (to the
extent necessary to identify the individual, inform the source of the purpose(s) of the
request, and to identify the type of information requested), when necessary to obtain
information relevant to an agency decision to hire or retain an employee, issue a security
clearance, conduct a security or suitability investigation of an individual, classify jobs,
let a contract, or issue a license, grant, or other benefits.

	(3)	 	To disclose to a Federal agency in the executive, legislative, or judicial branch of
government, in response to its request, or at the initiative of the FCC, information in
connection with the hiring of an employee, the issuance of a security clearance, the
conducting of a security or suitability investigation of an individual, the classifying of
jobs, the letting of a contract, the issuance of a license, grant, or other benefits by the
requesting agency, or the lawful statutory, administrative, or investigative purpose of the
agency to the extent that the information is relevant and necessary to the requesting agency’s
decision.

	(4)	 	To provide information to a Congressional office from the record of an individual in response
to an inquiry from that Congressional office made at the request of the individual.

	(5)	 	To disclose to another Federal agency, to a court, or a party in litigation before a court or
in an administrative proceeding being conducted by a Federal agency, when the Government is a
party to the judicial or administrative proceeding.

	(6)	 	To the Department of Justice, or in a proceeding before a court, adjudicative body, or other
administrative body before which the Commission is authorized to appear when:

	 	(a)	 	The Commission, or any component thereof; or
	 
	 	(b)	 	Any employee of the Commission in his or her official capacity; or
	 
	 	(c)	 	Any employee of the Commission in his or her individual capacity where the
Department of Justice or the Commission has agreed to represent the employee; or
	 
	 	(d)	 	The United States, when the ‘Commission determines that litigation is likely to
affect the FCC or any of its components, is a party to litigation, or has an interest in
such litigation, and the use of such records by the Department of Justice or the FCC is
deemed by the Commission to be relevant and necessary to the litigation provided,
however, that in each case it has been determined that the disclosure is compatible with
the purpose for which the records were collected.

	(7)	 	By the FCC or by the Office of Personnel Management (OPM) to locate individuals for personnel
research or survey response, and in the production of summary descriptive statistics and
analytical studies in support of the function for which the records are collected and
maintained, or for related workforce studies. When published statistics and studies do not
contain individual identifiers, in some instances, the selection of elements of data included
in the study may be structured in such a way as to make the data individually identifiable by
inference.

	(8)	 	To disclose, in response to a request for discovery or for appearance of a witness,
information that is relevant to the subject matter involved in a pending judicial or
administrative proceeding.

Page 3 of 4

FCC A-600

April 2003

 

[The 4th page of the A-600 is left intentionally blank]

Page 4 of 4

FCC A-600

April 2003

 

	 	 	 	 	 	 	 
	AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

	 	 	1. CONTRACT ID CODE
	 	 	Page

1 of 2
	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	2.	AMENDMENT/MODIFICATION
NO.
	 	 	 	3.	 	EFFECTIVE DATE	 	 	 	4.
REQUISITION/PURCHASE REQ. NO.	 	 	5. PROJECT NO. (If applicable)	 	 
	 

	0009
	 	 	 	 	 	 	 	07/09/2006	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	6.	ISSUED BY	 	 	CODE  	 	 	00001	 	7. ADMINISTERED BY (If other than Item 6)	 	CODE  	 	 	 	 	 	 
	FCC /Contracts and Purchasing Center

445 12th St., SW,

Washington, DC 20554	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 
	8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and Zip Code)	 	 	 	 	 	9A. AMENDMENT OF SOLICITATION NO.
	 	 	 	 	 	 	 	 	 
	Neustar, Inc.	 	 	 	 	 	9B. DATED (SEE ITEM 11)
	 	 	 	 	 	 	 	 	 
	46000 Center Oak Plaza	 	 	(X)	 	 	10A. MODIFICATION OF CONTRACT/ORDER
	Sterling, VA 20166	 	 	 	 	 	NO. CON03000016
	 	 	 	 	 	 	 	 	 
	 

	 	 	 	 	(X)
	 	 	10B. DATED (SEE ITEM 13)
	 	 	 	 	 	 	 
	CODE*

	 	   FACILITY CODE	 	 	 	 	 	 
	 	 	 	 	 	 	 

                        11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

	 	 	 
	 
	o

	 	The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers o is extended, o is not extended.
	 
	 	 
	 

	 	Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
	 
	 	 
	 

	 	(a) By completing Items 8 and 15, and returning ___copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the
solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment
you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date
specified.

	 	 	 	 	 	 
	 	 	 	 
	12. ACCOUNTING AND APPROPRIATION DATA (If required)

          No Funding Information
	 	 	 	 
	13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

	IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

	 	 	 	 
	CHECK ONE
	 	 	 	 	 
	 	 	 	 	 	 
	o

	 	 	A.
	 	THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority)
THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
	 	 	 	 
	o

	 	 	B.
	 	THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES
(such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14,
PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
	 	 	 	 
	o

	 	 	C.
	 	THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
	 	 	 	 
	x

	 	 	D.
	 	OTHER (Specify type of modification and authority)

43.103(a), Mutual Agreement; FAR 1.6, “Authority of Contracting Officer”
	 	 	 	 
	E. IMPORTANT: Contractor o is not, x is required to sign this document and return 1 copies to the issuing office.
	 	 	 	 
	14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings,
including solicitation/contract subject matter where feasible.)
	 
	The purpose of this modification is to extend the current period of performance of Option Period
2 from 07/09/06 through 07/31/06. Associated Travel Costs for this extension shall not exceed $3,800.00.
	 
	 
	 
	 
	 
	Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A,
as heretofore changed, remains unchanged and in full force and effect.
	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 
	15A. NAME AND TITLE OF SIGNER (Type or print)	 	 	16A.	 	NAME AND TITLE OF CONTRACTING OFFICER (Type or print) 
Wilma Mooney
	Joseph F. Franlin SR. VP	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 
	15B. CONTRACTOR/OFFEROR

	 	 	15C. DATE SIGNED
	 	16B.
	 	United States of America
	 	 	16C. DATE SIGNED
	/s/ Joseph F. Franlin

	 	 	7/10/06
	 	BY
	/s/ Wilma S. Mooney
	 	 	7/11/06
	 	 	 	 	 	 	 	 	 	 
	(Signature of person authorized to sign)

	 	 	 	 	 	 	 	(Signature of Contracting Officer)	 	 	 
	 	 	 	 	 	 	 	 	 	 

 

	 	 	 	 	 	 	 	 	 	 
	  Line Item

	 	 	Document Number
	 	 	Title
	 	 	Page
	  Summary

	 	 	CON03000016/0009
	 	 	NANP Administrator
	 	 	2 of 2
	 	 	 	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	Line Item
	 	 	 	Delivery Date
	 	 	 	Unit of	 	 	 	 
	Number
	 	Description
	 	(Start date to End date)
	 	Quantity
	 	Issue
	 	Unit Price
	 	Total Cost
	 
	  Questions may be addressed to Tony Wimbush @ anthony.wimbush@fcc.gov.

                

                

                

               No Changed Line Item Fields

                

                

                

	 	 	 	 	 
	 

	 	Previous Total:
	 	 
	 

	 	Modification Total:	 	 
	 

	 	Grand Total:	 	 
	 
	 	 	 	 
	 
	 	 	 	 
	 
	 	 	 	 

 

Exhibit 10.4.1

	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 
	AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

	 	 	 	1.	 	 	CONTRACT ID CODE
	 	 	Page
1 of 2
	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	2.

	 	AMENDMENT/MODIFICATION NO. 0010
	 	 	 	3.	 	 	EFFECTIVE DATE 08/01/2006
	 	 	 	4.	 	 	REQUISITION/PURCHASE REQ. NO.
	 	 	 	5.	 	 	PROJECT NO. (If applicable)
	 	 	 	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	6.

	 	ISSUED BY	CODE	 	 	 	00001	 	7.	 	 	ADMINISTERED BY (If other than Item 6)	CODE   	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	FCC/Contracts and Purchasing Center

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	445 12th St., SW,

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Washington, DC 20554

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 
	8.	NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and Zip Code)	 	 	 	 	 	9A. AMENDMENT OF SOLICITATION NO.
	 	 	 	 	 	 	 	 	 	 	 
	Neustar, Inc.	 	 	 	 	 	 	 	9B. DATED (SEE ITEM 11)
	 	 	 	 	 	 	 	 	 	 	 
	46000 Center Oak Plaza
Sterling, VA 20166	 	 	 	 	(X)	 	 	10A. MODIFICATION OF CONTRACT/ORDER NO. CON03000016
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	(X)	 	 	10B. DATED (SEE ITEM 13)
	 	 	 	 	 	 	 	 	 
	CODE*

	 	FACILITY CODE	 	 	 	 	 	 
	 	 	 	 	 	 	 

	 	 	 	 	 
	 

	 	11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS	 	 
	 

	 	 	 
	o

	 	The above numbered solicitation is amended as set forth in Item 14. The
hour and date specified for receipt of Offers o is extended, o is not extended.
	 
	 	 
	 

	 	Offers must acknowledge receipt of this amendment prior to the hour and date
specified in the solicitation or as amended, by one of the following methods:
	 
	 	 
	 

	 	(a) By completing Items 8 and 15,
and returning ___copies of the amendment; (b) By
acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and
amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS
PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of
this amendment you desire to change an offer already submitted, such change may be made by telegram or
letter, provided each telegram or letter makes reference to the solicitation and this
amendment, and is received prior to the opening hour and date specified.
	 
	 	 
	 

	 	 	 
	12.

	 	ACCOUNTING AND APPROPRIATION DATA (If required)
	 

	 	No Funding Information
	 

	 	 	 	 	 
	 

	 	13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.	 	 
	 

	 	IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.	 	 
	 

	 	 	 	 	 	 
	CHECK ONE	 	 	 	 	 
	o

	 	 	A.	 	THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
	 	 	 	 
	o

	 	 	B.	 	THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
	 	 	 	 
	o

	 	 	C.	 	THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
	 	 	 	 
	þ

	 	 	D.	 	OTHER (Specify type of modification and authority)
	 

	 	 	 	 	FAR 1.6, Authority of the
Contracting Officer; FAR 43.103(a)(3), Mutual Agreement
	 	 	 	 
	E. IMPORTANT:
Contractor o
is not, þ is
required to sign this document and return   1   copies to the issuing office.
	 	 	 	 
	14. DESCRIPTION OF
AMENDMENT/MODIFICATION (Organized by UCF section headings,
including solicitation/contract subject matter where feasible.)
	 
	The purpose of this
modification is to exercise Option Year 3. The Period of Performance
is from 08/01/2006 through 07/08/2007. Option Period 3 pricing is in
accordance with Contract Section B-Pricing as follows:

	
Option Year 3

	 	 	 	 	 	 	 	 	 	 
	CLIN	 	Description	 	Qty/Unit	 	Unit Price	 	Amount
	0301

	 	Automated System
Support (operation
& maintenance)
	 	xxx
	 	xxx
	 	$	144,235.00	 
	0302

	 	NANP Administration
	 	xxx
	 	xxx
	 	$	1,049,484.00	 
	0303

	 	Reporting
	 	xxx
	 	xxx
	 	$	150,696.00	 
	0304

	 	Travel, Not To
Exceed Amount
	 	xxx
	 	xxx
	 	$	24,352.00	 
	0305

	 	Data Requirements
(CDRLs)
	 	xxx
	 	xxx
	 	$	48,900.00	 
	 

	 	Total — Option
Year 3
	 	 	 	 	 	$	1,417,667.00	 

	 	 	 	 	 	 
	 
	 	 	 	 	 
	 
	 
	 	 	 	 	 
	Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	15A.	 	NAME AND TITLE OF SIGNER (Type or print)	 	16A.	NAME AND TITLE
OF CONTRACTING OFFICER (Type or print)
	 

	 	Joseph F. Franlin - Sr. VP	 	 	 	 	 	 	Wilma Mooney	 	 
	 	 	 	 	 	 	 	 	 	 	 
	15B.

	 	CONTRACTOR/OFFEROR	 	15C. DATE SIGNED	 	16B.	United States of America	 	16C. DATE SIGNED
	 
	 	/s/ Joseph F. Franlin Sr. VP	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 

	 	(Signature
of person authorized to sign) 	 	 	 	7/26/06
	 	 BY	 	/s/ Wilma Mooney	 	7/27/06
	 

	 	 	 	 	 	 	 	 	 	 	 
	 

	 	 
	 	 	 	 	 	 	(Signature of
Contracting Officer)	 	 
	 

			
	NSN 7540-01-152-8070

PREVIOUS EDITION

UNUSABLE
	 	STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR)

53.243

 

 

	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 
	Line
Item

	 	 	Document Number
	 	 	Title
	 	 	Page
	Summary

	 	 	CON03000016/0010
	 	 	NANP Administrator
	 	 	2 of 2
	 	 	 	 	 	 	 	 	 	 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	Line
Item

	 	 	 	Delivery Date
	 	 	 	Unit of	 	 	 	 
	Number

	 	Description
	 	(Start date to End date)
	 	Quantity
	 	Issue
	 	Unit Price
	 	Total Cost
	 
	Questions may be addressed to Tony Wimbush @
anthony.wimbush@fcc.gov.

     No
Changed Line Item Fields               

Previous Total:               

Modification Total:               

Grand Total:exv10w48

 

Exhibit 10.48

FORM OF

INDEMNIFICATION AGREEMENT

     This Indemnification Agreement (this “Agreement”) is made as of                     , 2005, by and
between NeuStar, Inc. (the “Company”), and [           ], an executive officer of the Company
(“Indemnitee”).

BACKGROUND

     A. The Board has determined that the Company’s ability to attract and retain qualified persons
as directors and officers is in the best interests of the Company’s stockholders and that the
Company should act to assure such persons that there will be adequate certainty of protection
through insurance and indemnification against inordinate risks of claims and actions against them
arising out of their service to and activities on behalf of the Company.

     B. The Company has adopted provisions in its Certificate of Incorporation and bylaws providing
for indemnification of its officers and directors to the fullest extent permitted by applicable
law, and the Company wishes to clarify and enhance the rights and obligations of the Company and
Indemnitee with respect to indemnification.

     C. In order to induce and encourage highly experienced and capable persons such as Indemnitee
to serve and continue to serve the Company as directors, officers and/or in any other capacity, and
to otherwise promote the desirable end that such persons will resist what they consider unjustified
lawsuits and claims made against them in connection with the good faith performance of their duties
to the Company, with the knowledge that certain costs, judgments, penalties, fines, liabilities and
expenses incurred by them in their defense of such litigation are to be borne by the Company and
they will receive the maximum protection against such risks and liabilities as may be afforded by
law, the Board has determined that the following Agreement is reasonable and prudent to promote and
ensure the best interests of the Company and its stockholders.

     D. The Company desires to have Indemnitee continue to serve as a director or officer of the
Company and/or in such other capacity with respect to the Company as the Company may request, as
the case may be, free from undue concern for unpredictable, inappropriate or unreasonable legal
risks and personal liabilities by reason of Indemnitee acting in good faith in the performance of
Indemnitee’s duty to the Company, and Indemnitee desires to continue so to serve the Company,
provided, and on the express condition, that he or she is furnished with the indemnity set forth
hereinafter.

AGREEMENT

     Now, therefore, in consideration of Indemnitee’s continued service for the Company, the
parties hereto agree as follows:

     1. Service by Indemnitee. Indemnitee will serve and/or continue to serve as a
director or officer of the Company and/or in such other capacity with respect to the Company as

 

 

the Company may request, as the case may be, faithfully and to the best of Indemnitee’s ability so long
as Indemnitee is duly elected or appointed and until such time as Indemnitee is removed as
permitted by law or tenders a resignation in writing.

     2. Indemnification. The Company shall indemnify Indemnitee to the fullest extent
permitted by the Delaware General Corporation law in effect on the date hereof or as such law may
from time to time be amended (but, in the case of any such amendment, only to the extent that such
amendment permits the Company to provide broader indemnification rights than said law permitted the
Company to provide prior to such amendment). Without diminishing the scope of the indemnification
provided by this Section, the rights of indemnification of Indemnitee provided hereunder shall
include but shall not be limited to those rights hereinafter set forth, except that no
indemnification shall be paid to Indemnitee:

     (a) to the extent expressly prohibited by applicable law or the Certificate of
Incorporation or bylaws of the Company, in each case as in effect on the date hereof or as
such law, Certificate of Incorporation or bylaws, as the case may be, may from time to time
be amended (but, in the case of any such amendment, only to the extent that such amendment
permits the Company to provide broader indemnification rights than said law, Certificate of
Incorporation or bylaws, as the case may be, permitted the Company to provide prior to such
amendment);

     (b) for which payment has actually been made to Indemnitee under a valid and
collectible insurance policy or under a valid and enforceable indemnity clause, bylaw or
agreement of the Company or any other company or organization on whose board Indemnitee
serves at the request of the Company, except with respect to any deductible (or the
equivalent) from or excess beyond the amount payable or paid under any insurance policy or
other indemnity provision;

     (c) for an accounting of profits made (i) from the purchase and sale (or sale and
purchase) by the Indemnitee of securities of the Company within the meaning of Section 16(b)
of the Securities Exchange Act of 1934, as amended, or similar provisions of state statutory
law or common law, or (ii) from any transactions prohibited under Section 306(a) of the
Sarbanes-Oxley Act of 2002;

     (d) in connection with any Proceeding (or any part of any Proceeding), including claims
and counterclaims, initiated or brought voluntarily by Indemnitee, including any Proceeding
(or any part of any Proceeding) initiated by such Indemnitee against the Company or its
directors, officers, employees or other Indemnitees in their capacity as such, but excluding
a judicial proceeding or arbitration pursuant to Section 10 to enforce rights under this
Agreement, unless the Board authorized the Proceeding (or such part of any Proceeding) prior
to its initiation; or

     (e) with respect to any action, suit or proceeding brought by or on behalf of the
Company against Indemnitee that is authorized by the Board, except as provided in Sections
4, 5 and 6 below.

2

 

     3. Action or Proceedings Other than an Action by or in the Right of the Company.
Except as limited by Section 2 above, Indemnitee shall be entitled to the indemnification rights
provided in this Section if Indemnitee is a party or is threatened to be made a party to any
Proceeding (other than an action by or in the name of the Company) by reason of the fact that
Indemnitee is or was a director, officer, employee or agent of the Company, or is or was serving at
the request of the Company as a director, officer, employee or agent or fiduciary of any other
entity (including, but not limited to, another corporation, partnership, joint venture or trust);
or by reason of anything done or not done by Indemnitee in any such capacity. Pursuant to this
Section, Indemnitee shall be indemnified against all costs, judgments, penalties, fines,
liabilities, amounts paid in settlement by or on behalf of Indemnitee, and Expenses (defined below)
actually and reasonably incurred by Indemnitee in connection with such Proceeding, if Indemnitee
acted in good faith and in a manner he or she reasonably believed to be in or not opposed to the
best interests of the Company, and with respect to any criminal Proceeding, had no reasonable cause
to believe his or her conduct was unlawful.

     4. Indemnity in Proceedings by or in the Name of the Company. Except as limited by
Section 2 above, Indemnitee shall be entitled to the indemnification rights provided in this
Section if Indemnitee was or is a party or is threatened to be made a party to any Proceeding
brought by or in the name of the Company to procure a judgment in its favor by reason of the fact
that Indemnitee is or was a director, officer, employee or agent or fiduciary of the Company, or by
reason of anything done or not done by Indemnitee in any such capacity. Pursuant to this Section,
Indemnitee shall be indemnified against all costs, judgments, penalties, fines, liabilities,
amounts paid in settlement by or on behalf of Indemnitee, and Expenses actually and reasonably
incurred by Indemnitee in connection with such Proceeding if Indemnitee acted in good faith and in
a manner Indemnitee reasonably believed to be in or not opposed to the best interests of the
Company; provided, however, that no such indemnification shall be made in respect of any claim,
issue, or matter as to which Delaware law expressly prohibits such indemnification by reason of any
adjudication of liability of Indemnitee to the Company, unless and only to the extent that the
Court of Chancery of the State of Delaware or the court in which such action or suit was brought
shall determine upon application that, despite the adjudication of liability but in view of all the
circumstances of the case, Indemnitee is entitled to indemnification for such costs, judgments,
penalties, fines, liabilities and Expenses as such court shall deem proper.

     5. Indemnification for Costs, Charges and Expenses of Successful Party.
Notwithstanding the limitations of Section 2(e), 3 and 4 above, to the extent that Indemnitee has
been successful, on the merits or otherwise, in whole or in part, in defense of any Proceeding
(including an action, suit or proceeding brought by or on behalf of the Company) or in defense of
any claim, issue or matter therein, including, without limitation, the dismissal of any action
without prejudice, or if it is ultimately determined that Indemnitee is otherwise entitled to be
indemnified against Expenses, Indemnitee shall be indemnified against all Expenses actually and
reasonably incurred in connection therewith. For purposes of this Agreement and without
limitation, the termination of any claim, issue or matter in such a Proceeding by dismissal or
withdrawal, with or without prejudice, shall be deemed to be a successful result with respect to
Indemnitee as to such claim, issue or matter. Without limiting the foregoing, if any Proceeding or
any claim, issue or matter therein is disposed of or withdrawn, on the merits or otherwise
(including a disposition without prejudice), without (i) the disposition being adverse to the
Indemnitee, (ii) an adjudication that the Indemnitee was liable to the Company, (iii) a plea of

3

 

guilty or nolo contendere by the Indemnitee, (iv) an adjudication that the Indemnitee did not act
in good faith and in a manner the Indemnitee reasonably believed to be in or not opposed to the
best interests of the Company and (v) with respect to any criminal proceeding, an adjudication that
the Indemnitee had reasonable cause to believe such Indemnitee’s conduct was unlawful, the
Indemnitee shall be considered for the purposes hereof to have been wholly successful with respect
thereto.

     6. Partial Indemnification. If Indemnitee is entitled under any provision of this
Agreement to indemnification by the Company for some or a portion of the costs, judgments,
penalties, fines, liabilities or Expenses actually and reasonably incurred in connection with any
action, suit or proceeding (including an action, suit or proceeding brought by or on behalf of the
Company), but not, however, for all of the total amount thereof, the Company shall nevertheless
indemnify Indemnitee for the portion of such costs, judgments, penalties, fines, liabilities and
Expenses actually and reasonably incurred by Indemnitee to which Indemnitee is entitled.

     7. Indemnification for Expenses of a Witness. Notwithstanding any other provision of
this Agreement, to the maximum extent permitted by applicable law, Indemnitee shall be entitled to
indemnification against all Expenses actually and reasonably incurred or suffered by Indemnitee or
on Indemnitee’s behalf if Indemnitee appears as a witness or otherwise incurs legal expenses as a
result of or related to Indemnitee’s service as a director, officer, employee or agent of the
Company (or Indemnitee’s service, at the request of the Company, as a director, officer, employee
or agent or fiduciary of any other entity, including, but not limited to, another corporation,
partnership, joint venture or trust), in any threatened, pending or completed legal,
administrative, investigative or other proceeding or matter to which, at the time such expenses
were incurred, Indemnitee neither is, nor is threatened to be made, a party.

     8. Determination of Entitlement to Indemnification. Upon written request by
Indemnitee for indemnification pursuant to Sections 3, 4, 5, 6 or 7 the entitlement of Indemnitee
to indemnification, to the extent not provided pursuant to the terms of this Agreement, shall be
determined by the following person or persons who shall be empowered to make such determination:
(a) the Board by a majority vote of Disinterested Directors (defined below), whether or not such
majority constitutes a quorum; (b) a committee of Disinterested Directors designated by a majority
vote of such directors, whether or not such majority constitutes a quorum; (c) if there are no
Disinterested Directors, or if the Disinterested Directors so direct, by Independent Counsel
(defined below) in a written opinion to the Board, a copy of which shall be delivered to
Indemnitee; or (d) the stockholders of the Company. Such Independent Counsel shall be selected by
the Board, and approved by Indemnitee. Upon failure of the Board so to select such Independent
Counsel or upon failure of Indemnitee so to approve, such Independent Counsel shall be selected
upon application to a court of competent jurisdiction. Such determination of entitlement to
indemnification shall be made not later than 30 calendar days after receipt by the Company of a
written request for indemnification. Such request shall include documentation or information which
is necessary for such determination and which is reasonably available to Indemnitee. Any Expenses
incurred by Indemnitee in connection with a request for indemnification or payment of Expenses
hereunder, under any other agreement, any provision of the Company’s bylaws or any directors’ and
officers’ liability insurance, shall be borne by the Company. The Company hereby indemnifies
Indemnitee for any such Expense and agrees to hold Indemnitee harmless therefrom irrespective of
the outcome of the determination of

4

 

Indemnitee’s entitlement to indemnification. If the person making such determination shall determine that Indemnitee is entitled to indemnification as to part
(but not all) of the application for indemnification, such person shall reasonably prorate such
partial indemnification among the claims, issues or matters at issue at the time of the
determination.

     9. Presumptions and Effect of Certain Proceedings. The Secretary of the Company
shall, promptly upon receipt of Indemnitee’s request for indemnification, advise in writing the
Board or such other person or persons empowered to make the determination as provided in Section 8
that Indemnitee has made such request for indemnification. Upon making such request for
indemnification, Indemnitee shall be presumed to be entitled to indemnification hereunder and the
Company shall have the burden of proof in making any determination contrary to such presumption.
If the person or persons so empowered to make such determination shall have failed to make the
requested determination with respect to indemnification within 30 calendar days after receipt by
the Company of such request, a requisite determination of entitlement to indemnification shall be
deemed to have been made and Indemnitee shall be absolutely entitled to such indemnification,
absent actual and material fraud in the request for indemnification. The termination of any
Proceeding described in Sections 3 or 4 by judgment, order, settlement or conviction, or upon a
plea of nolo contendere or its equivalent, shall not, of itself: (a) create a presumption that
Indemnitee did not act in good faith and in a manner which Indemnitee reasonably believed to be in
or not opposed to the best interests of the Company, or, with respect to any criminal Proceeding,
that Indemnitee had reasonable cause to believe that Indemnitee’s conduct was unlawful; or (b)
otherwise adversely affect the rights of Indemnitee to indemnification except as may be provided
herein.

     10. Remedies of Indemnitee in Cases of Determination not to Indemnify or to Pay
Expenses. In the event that a determination is made that Indemnitee is not entitled to
indemnification hereunder or if payment has not been timely made following a determination of
entitlement to indemnification pursuant to Sections 8 and 9, or if Expenses are not paid pursuant
to Section 15, Indemnitee shall be entitled to final adjudication in a court of competent
jurisdiction of entitlement to such indemnification or payment. Alternatively, Indemnitee at
Indemnitee’s option may seek an award in an arbitration to be conducted by a single arbitrator
pursuant to the rules of the American Arbitration Association, such award to be made within 60 days
following the filing of the demand for arbitration. The Company shall not oppose Indemnitee’s
right to seek any such adjudication or award in arbitration or any other claim. The determination
in any such judicial proceeding or arbitration shall be made de novo and Indemnitee shall not be
prejudiced by reason of a determination (if so made) pursuant to Sections 8 or 9 that Indemnitee is
not entitled to indemnification. If a determination is made or deemed to have been made pursuant
to the terms of Section 8 or 9 that Indemnitee is entitled to indemnification, the Company shall be
bound by such determination and is precluded from asserting that such determination has not been
made or that the procedure by which such determination was made is not valid, binding and
enforceable. The Company further agrees to stipulate in any such court or before any such
arbitrator that the Company is bound by all the provisions of this Agreement and is precluded from
making any assertions to the contrary. If the court or arbitrator shall determine that Indemnitee
is entitled to any indemnification or payment of Expenses hereunder, the Company shall pay all
Expenses actually and reasonably incurred by Indemnitee in connection with such adjudication or
award in arbitration (including, but not limited to, any appellate Proceedings).

5

 

     11. Other Rights to Indemnification. Indemnification and payment of Expenses provided
by this Agreement shall not be deemed exclusive of any other rights to which Indemnitee may now or
in the future be entitled under any provision of the bylaws or other organizational documents of
the Company, vote of stockholders or Disinterested Directors, provision of law, agreement or
otherwise.

     12. Expenses to Enforce Agreement. In the event that Indemnitee is subject to or
intervenes in any Proceeding in which the validity or enforceability of this Agreement is at issue
or seeks an adjudication or award in arbitration to enforce Indemnitee’s rights under, or to
recover damages for breach of, this Agreement, Indemnitee, if Indemnitee prevails in whole or in
part in such action, shall be entitled to recover from the Company and shall be indemnified by the
Company against any actual Expenses incurred by Indemnitee.

     13. Continuation of Indemnity. All agreements and obligations of the Company
contained herein shall continue during the period Indemnitee is a director, officer, employee or
agent of the Company or is serving at the request of the Company as a director, officer, employee
or agent or fiduciary of any other entity (including, but not limited to, another corporation,
partnership, joint venture or trust) of the Company and shall also continue after the period of
such service with respect to any possible claims based on the fact that Indemnitee was or had been
a director, officer, employee or agent of the Company or was or had been serving at the request of
the Company as a director, officer, employee or agent or fiduciary of any other entity (including,
but not limited to, another corporation, partnership, joint venture or trust). This Agreement
shall be binding upon all successors and assigns of the Company (including any transferee of all or
substantially all of its assets and any successor by merger or operation of law) and shall inure to
the benefit of the heirs, personal representatives and estate of Indemnitee.

     14. Notification and Defense of Claim. Promptly after receipt by Indemnitee of notice
of any Proceeding, Indemnitee will, if a claim in respect thereof is to be made against the Company
under this Agreement, notify the Company in writing of the commencement thereof; but the omission
so to notify the Company will not relieve the Company from any liability that it may have to
Indemnitee. Notwithstanding any other provision of this Agreement, with respect to any such
Proceeding of which Indemnitee notifies the Company:

     (a) The Company shall be entitled to participate therein at its own expense; and

     (b) Except as otherwise provided in this Section 14(b), to the extent that it may wish,
the Company, jointly with any other indemnifying party similarly notified, shall be entitled
to assume the defense thereof, with counsel satisfactory to Indemnitee. After notice from
the Company to Indemnitee of its election so to assume the defense thereof, the Company
shall not be liable to Indemnitee under this Agreement for any expenses of counsel
subsequently incurred by Indemnitee in connection with the defense thereof except as
otherwise provided below. Indemnitee shall have the right to employ Indemnitee’s own
counsel in such Proceeding, but the fees and expenses of such counsel incurred after notice
from the Company of its assumption of the defense thereof shall be at the expense of
Indemnitee unless (i) the employment of counsel by Indemnitee has been authorized by the
Company, (ii) Indemnitee shall have reasonably concluded that

6

 

there may be a conflict of
interest between the Company and Indemnitee in the conduct of the defense of such action or
(iii) the Company shall not within 60 calendar days of receipt of notice from Indemnitee in
fact have employed counsel to assume the defense of the action, in each of which cases the
fees and expenses of Indemnitee’s counsel shall be at the expense of the Company. The
Company shall not be entitled to assume the defense of any Proceeding brought by or on
behalf of the Company or as to which Indemnitee shall have made the conclusion provided for
in (ii) above; and

     (c) If the Company has assumed the defense of a Proceeding, the Company shall not be
liable to indemnify Indemnitee under this Agreement for any amounts paid in settlement of
any Proceeding effected without the Company’s written consent. The Company shall not settle
any Proceeding in any manner that would involve an admission of guilt or wrongful conduct by
Indemnitee, or impose any penalty, prohibition, restriction or limitation on, or disclosure
obligation with respect to, Indemnitee without Indemnitee’s prior written consent. Neither
the Company nor Indemnitee will unreasonably withhold such party’s consent to any proposed
settlement.

     15. Payment of Expenses.

     (a) All Expenses incurred by Indemnitee in advance of the final disposition of any Proceeding
shall be paid by the Company at the request of Indemnitee, each such payment to be made within 20
calendar days after the receipt by the Company of a statement or statements from Indemnitee
requesting such payment or payments from time to time. Indemnitee’s entitlement to such Expenses
shall include those incurred in connection with any Proceeding by Indemnitee seeking a judgment in
court or an adjudication or award in arbitration pursuant to this Agreement (including the
enforcement of this provision). Such statement or statements shall (i) reasonably evidence the
expenses and costs incurred by Indemnitee in connection therewith; provided, however, that
Indemnitee shall not be required to provide any billing detail or other information to the extent
that disclosure of such detail or information would jeopardize any attorney-client or other
applicable privilege, as determined by Indemnitee in his or her reasonable discretion; and (ii)
include or be accompanied by an undertaking, in substantially the form attached as Exhibit 1, by or
on behalf of Indemnitee to reimburse such amount if it is finally determined, after all appeals, by
a court of competent jurisdiction that Indemnitee is not entitled to be indemnified against such
Expenses by the Company as provided by this Agreement or otherwise.

     (b) Advances shall be made without making or requiring any determination or evidence as to
Indemnitee’s ability to repay the Expenses and without regard to the Indemnitee’s ultimate
entitlement to indemnification under the other provisions of this Agreement or otherwise. Advances
shall be unsecured and interest-free. Advances shall include any and all reasonable Expenses
incurred pursuing an action to enforce the right of advancement under this Agreement, including
Expenses incurred preparing and forwarding statements to the Company to support the advances
claimed. An Indemnitee shall qualify for advances solely upon the execution and delivery to the
Company of the undertaking described in Section 15(a).

     (c) Notwithstanding any other provision of this Agreement to the contrary, an Indemnitee shall
be entitled to the advancement of the Indemnitee’s Expenses incurred in connection with the
determination as to whether or not such Indemnitee is entitled to

7

 

indemnification in any instance,
including but not limited to Expenses incurred in connection with any judicial proceeding to make
such determination, even if it is ultimately determined that such Indemnitee is not entitled to
indemnification, if the Indemnitee (or the Company with respect to the Indemnitee) is nonetheless
entitled to coverage in such instance under any insurance arranged by the Company (as contemplated
by the Company’s bylaws), and any undertaking to repay advanced Expenses shall be qualified to
except the repayment of advanced Expenses in circumstances of such insurance coverage even if it is
ultimately determined that the Indemnitee is not entitled to indemnification. This Section 15(c) shall not apply to any claim made by Indemnitee for which indemnification is excluded pursuant to
Section 2, except to the extent provided in the immediately preceding sentence.

     (d) Notwithstanding anything in this Agreement to the contrary, the Company shall not be
required to advance any expenses to an Indemnitee in the event and to the extent that such
Indemnitee has entered a plea of guilty in the applicable criminal Proceeding.

     16. Contribution. To the fullest extent permissible under applicable law, if the
indemnification provided for in this Agreement is unavailable to an Indemnitee for any reason
whatsoever, the Company, in lieu of indemnifying the Indemnitee, shall contribute to the amount
incurred by Indemnitee, whether for judgments, fines (including any excise taxes), penalties,
excise taxes, amounts paid or to be paid in settlement and/or for Expenses, in connection with any
claim relating to an indemnifiable event under this Agreement, in such proportion as is deemed fair
and reasonable in light of all of the circumstances of such Proceeding in order to reflect (i) the
relative benefits received by the Company and Indemnitee as a result of the event(s) and/or
transaction(s) giving cause to such Proceeding and/or (ii) the relative fault of the Company (and
its directors, officers, employees and agents) and Indemnitee in connection with such event(s)
and/or transaction(s).

     17. Separability; Prior Indemnification Agreements. If any provision or provisions of
this Agreement shall be held to be invalid, illegal or unenforceable for any reason whatsoever (a)
the validity, legality and enforceability of the remaining provisions of this Agreement (including
without limitation, all portions of any paragraphs of this Agreement containing any such provision
held to be invalid, illegal or unenforceable, that are not by themselves invalid, illegal or
unenforceable) shall not in any way be affected or impaired thereby, and (b) to the fullest extent
possible, the provisions of this Agreement (including, without limitation, all portions of any
paragraph of this Agreement containing any such provision held to be invalid, illegal or
unenforceable, that are not themselves invalid, illegal or unenforceable) shall be construed so as
to give effect to the intent of the parties that the Company provide protection to Indemnitee to
the fullest enforceable extent. This Agreement shall supersede and replace any prior
indemnification agreements entered into by and between the Company and Indemnitee and any such
prior agreements shall be terminated upon execution of this Agreement.

     18. Headings; References; Pronouns. The headings of the sections of this Agreement
are inserted for convenience only and shall not be deemed to constitute part of this Agreement or
to affect the construction thereof. References herein to section numbers are to sections of this
Agreement. All pronouns and any variations thereof shall be deemed to refer to the masculine,
feminine, neuter, singular or plural as appropriate.

8

 

     19. Insurance. To the extent that the Company maintains insurance on behalf of any
person who is or will be a director, officer, employee or agent of the Company, or is or will be a
director or officer of the Company serving at the request of the Company as a director, officer,
employee or agent of another Company, partnership, joint venture, trust, employee benefit plan or
other enterprise against any expense, liability or loss, Indemnitee shall be covered by such policy
or policies in accordance with its or their terms to the maximum extent of the coverage thereunder
for any director, officer, employee or agent of the Company. If, at the time of the receipt of a
notice of a claim pursuant to the terms hereof, the Company has director and officer liability
insurance in effect, the Company shall give prompt notice of the commencement of such proceeding to
the insurers in accordance with the procedures set forth in the respective policies. The Company
shall thereafter take all necessary or desirable action to cause such insurers to pay, on behalf of
the Indemnitee, all amounts payable as a result of such proceeding in accordance with the terms of
such policies.

     20. Definitions. For purposes of this Agreement:

          (a) “Board” means the Board of Directors of the Company.

          (b) “Disinterested Director” means a director of the Company who is not or was not a party to
the Proceeding in respect of which indemnification is being sought by Indemnitee.

          (c) “Expenses” includes, without limitation, expenses incurred in connection with the defense
or settlement of any and all investigations, judicial or administrative proceedings or appeals,
attorneys’ fees, witness fees and expenses, fees and expenses of accountants and other advisors,
retainers and disbursements and advances thereon, the premium, security for, and other costs
relating to any bond (including cost bonds, appraisal bonds or their equivalents), and any expenses
of establishing a right to indemnification under Sections 8, 10 and 12 above but shall not include
the amount of judgments, fines or penalties actually levied against Indemnitee.

          (d) “Independent Counsel” means a law firm or a member of a law firm that neither is presently
nor in the past five years has been retained to represent: (i) the Company or Indemnitee in any
matter material to either such party, or (ii) any other party to the Proceeding giving rise to a
claim for indemnification hereunder. Notwithstanding the foregoing, the term “Independent Counsel”
shall not include any person who, under the applicable standards of professional conduct then
prevailing, would have a conflict of interest in representing either the Company or Indemnitee in
an action to determine Indemnitee’s right to indemnification under this Agreement.

          (e) “Proceeding” includes any threatened, pending or completed action, suit, arbitration,
alternate dispute resolution mechanism, investigation, inquiry, administrative or legislative
hearing or any other actual, threatened or completed proceeding, including any and all appeals,
whether brought in the right of the Company or otherwise and whether of a civil, criminal,
administrative or investigative nature, in which Indemnitee was involved, or becomes or may become
involved, as a party or otherwise, for which indemnification is not prohibited under Section 2
above, including, but not limited to, actions, suits or proceedings brought under

9

 

and/or predicated upon the Securities Act of 1933 or the Securities Exchange Act of 1934, or their respective state
counterparts or any rule or regulation promulgated thereunder, in which Indemnitee may be or may
have been involved as a party or otherwise, by reason of the fact that Indemnitee is or was a
director, officer, employee or agent of the Company, or is or was serving, at the request of the
Company, as a director, officer, employee or agent or fiduciary of any other entity, including, but
not limited to, another corporation, partnership, joint venture, trust, employee benefit plan or
other enterprise, or by reason of anything done or not done by Indemnitee in any such capacity,
whether or not Indemnitee is serving in such capacity at the time any liability or expense is
incurred for which indemnification, reimbursement or advancement of expenses can be provided under
this Agreement.

     21. Other Provisions.

          (a) This Agreement shall be interpreted and enforced in accordance with the laws of Delaware.

          (b) This Agreement may be executed in one or more counterparts, each of which shall for all
purposes be deemed to be an original but all of which together shall constitute one and the same
Agreement. Only one such counterpart signed by the party against whom enforceability is sought
needs to be produced as evidence of the existence of this Agreement.

          (c) This agreement shall not be deemed an employment contract between the Company and any
Indemnitee who is an officer of the Company, and, if Indemnitee is an officer of the Company,
Indemnitee specifically acknowledges that Indemnitee may be discharged at any time for any reason,
with or without cause, and with or without severance compensation, except as may be otherwise
provided by law or in a separate written contract between Indemnitee and the Company.

          (d) Upon a payment to Indemnitee under this Agreement, the Company shall be subrogated to the
extent of such payment to all of the rights of Indemnitee to recover against any person for such
liability, and Indemnitee shall execute all documents and instruments required and shall take such
other actions as may be necessary to secure such rights, including the execution of such documents
as may be necessary for the Company to bring suit to enforce such rights.

          (e) No supplement, modification or amendment of this Agreement shall be binding unless
executed in writing by both parties hereto. No waiver of any of the provisions of this Agreement
shall be deemed or shall constitute a waiver of any other provisions hereof (whether or not
similar) nor shall such waiver constitute a continuing waiver. Any waiver of any of the provisions
of this Agreement must be in writing and executed by the party against whom such waiver is to be
effective.

[SIGNATURE PAGE FOLLOWS]

10

 

          IN WITNESS WHEREOF, the parties hereto have executed this Agreement on and as of
the day and year first above written.

	 	 	 	 	 	 	 
	 	 	NEUSTAR, INC.	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

	 	 
	 	 	Name: Jeffrey E. Ganek	 	 
	 	 	Title: Chairman and Chief Executive Officer	 	 
	 
	 	 	 	 	 	 
	 	 	INDEMNITEE	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 

	 	Name:	 	 	 	 

SIGNATURE
PAGE TO NEUSTAR INDEMNIFICATION AGREEMENT

 

 

EXHIBIT 1

UNDERTAKING TO REPAY INDEMNIFICATION EXPENSES

     I
                                                                                , agree to reimburse the Company for all
expenses paid to me by the Company for my defense in any civil or criminal action, suit, or
proceeding, in the event, and to the extent that it is finally determined, after all appeals, by a
court of competent jurisdiction that I am not entitled to be indemnified by the Company for such
expenses, except to the extent provided for in Section 15(c) of the Indemnification Agreement
between the Company and me, dated as of                     .

	 	 	 	 	 	 	 
	 

	 	Signature	 	 	 	 
	 

	 	 	 	 

	 	 
	 

	 	Typed Name	 	 	 	 
	 

	 	 	 	 

	 	 
	 

	 	Office	 	 	 	 
	 

	 	 	 	 

	 	 

                          ) ss:

Before me                                         , on this day personally appeared                                         , known to me
to be the person whose name is subscribed to the foregoing instrument, and who, after being duly
sworn, stated that the contents of said instrument is to the best of his/her knowledge and belief
true and correct and who acknowledged that he/she executed the same for the purpose and
consideration therein expressed.

GIVEN under my hand and official seal at                     , this                      day of                     
, 200___.

	 	 	 	 	 
	 

	 	 

                    Notary Public
	 	 

My commission expires:

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