<< GX005A01 >> LRLUI~F~ ~Lr2~ CLASSIFIED INFORMATION NONDISCLOSURE AGREEME.NT AN AGRBEb~{ENT ~ETWEBN I. LEUS LI~ AND TH~ UNITED STATES r~ ~ndiu~dw~I — Prmntcd c~r typ~) 1. In;enc1in~ to be ~egaUy bounds I hereby o~copt tho obli~tions oontame.cJ in this Agreemern in consideration of my being granted access to classified inIorm~ion. As used i~ ~hi; A~reemant. cbssified information i& marked or unmarked cl~ssifie~ information, including oral communications, that is classified under the svandard~ of Executive Order 12356, or under any other Executive order or statute that prohibits the unauthonaed disclosure ~4 information in the interest of national securit~: and unclassified information thin rnee~s the standards for classification and is in the process of a classification determination ai provided in Sections 1.2 and l.2Cel of £xecutive Order 12356, or under any other Exectitive order or statute that requires protection for such information in the interest of notional security, understand and accept that by being ~r~nted access to classified information, special confidepce and trust shall be placed in me by the United States Government. 2. 1 hereby acknowledge that I have received a security indoctrination concerning the nature and protection of classified .information, including the procedures to be fcllowed in ascerttiining whether other persons to whom I contemplate disclosing this information have been approved for access to it, and that I understand these procedures. 3. 1 have been advised that the tw.authorized disclosure, unauthorized retention, or negligent handling of classifThd information by me could cause damage or irreparable iniury to the United States or could be used to advantage by a foreign nation I hereby agree that I will nePer divulge classified ipformation to anyone unless: (a~ I have officially verified that the recipient has been properly authorized by the United States Government to receive it~ or (b) I have been given prior written notice of authorization from the UnIted States Government Department or Agency (hereinafter Department or Agency) responsible for the classification of the information or last gr~tnting me a security clearance that such disclosure is permitted. I understand that if .1 am uncertain about the classification status of information, I am required to confirm fram an authorized official that the information is unclassified before I may disclose it, except to a person as provided in (a) or (b), above. I further understand, that I am obligated to comply with laws and regulations that prohibit the unauthoriaed disclosure of classified information. 4. I have been advised that any breach of this Agreement may result in the termination of any security clearances I hold, removal from any position of special confidence and tmsr requiring such clearances; or the termination of my employment or other relationships with the Departments or Agencies that granted my security clearance or clearances. In addition, I have been advised that any unauthorized disclosure of classified information by me may constitute a violation, or violations, of United states criminal laws, including the provisions of Sections 641, 793, ‘794, 79S, and 952. Title 18, United States Code, the provisions of Section 783(b), Title 50, United States Code, and the provisions of the Intelligence Identities Protection Act of ~9S2. I recognime that nothing in this Agr~aement constitutes a waiver by the United States of the right to prosecite me for any statutory violation. 5. I hereby assign to the United States Government all royalties, remunerations, end emoluments that have resulted. will result or may result from any disclosure, publication, or revelation of classified information not consistent with the terms of this Agreement. 6. I understand that the United States Government may seek any remedy available to it to enforce this Agreement including, but not limited to, application for a court order prohibiting disclosure of information in breach of this Agreement. 7. 1 understand that all classified information to which I have access or may obtain access by signing this Agreement is now and will remain the property of, or under the control of the United States Government unless and until otherwise determined by a~ authorized official or final ruling of a court of law. I agree that I shall return all classified materials which have, or may come into my possession or for which I am responsible because of such access: (a) upon demand by an authorized representative of the United States Government; (b) upop the conclusion of my employment or other relationship with the Department or Agency that last granted me a security clearance or that provided me access to classified information; or (c) upon the conclusion of my employment or other relationship that requires access to classified information. If I do not return such materials upon request, I understand that this may be a violation of Section 793, Title 18, United States Code, a United States criminal law. 8. Unless and until I am released in v~riting by an authorized representative of the United States Government, I understand that all conditions and obligations imposed r~pon me by this Agreement apply during the time I am granted access to classified information, and at all times thereafter. 9. Each provision of this Agreement is severable. If a court shotild find any provision of this Agreement to be unenforceable, all other provisions of this Agreement shall remain in full force and effect, 10. These restrictions are consistent with and do not supersede. conflict with or otherwise alter the employee obligations, rights or liabilities created by Executive Order 1356: Section 7211 of Title 5, United States Code (governing disclosures to Congress); Section l03~l of Title 10, United States Code, as amended by the Military Whistleblower Protection Act (governing disclosure to Congress by members of the military); Section 23Cl2(b)~8,l of Title 5, United States Code, as amended by the Whistleblower Protection Act (governing disclostires of illegality, waste, fraud, abuse or public health or safety threets); the intelligence Identities Protection Act of 2932 (50 U.S.C 421 et seq.) (governing disclosures that could, expose confidential Government agents), and the statutes which protect ~gainst disclosure that may compromisc the national securIty, including Sections 641, 793, 794, 798, and 952 of Title 18. United States Code, and Section 4(b) of the Subversive Activities Act of 1950 (50 U.S.C. Section 783(b)). The definitions requirements, obligations, rights, sanctions and liabilities created by said Executive Order and ltsted statutes are incoi~orated into this Agreement and are controlling. 009726 Continue on revorse. I 3 2.~ii STANDARD FORM 312. (REV. 1-91) Tv~rilv~i1 h’. ~eJv~nn OCT-20-2005 09:05 P.02 4J5 c~. LLOO4-09010 << GX005A02 >> ii. I have read tbis Agreeihent ~aretuJIy and my questions, if any, have been answered~ I acknowledge that the ~rieE~ig officer has made available to rue the Executive order and statutes referenced in this Agreement and its. ini~p1emepring regulation (32 CFR ~ecdon 2OQ~.2O) so that I m~y read them at thi,s time, if I so choose. S1GNATUI~ OATS SOCIAL SECUIUTY NUM~iBIi 7 / / 23 CPNThAOTOS, 4~”~E OIGA4~2.flOx ~ GR.~.4ThS oe AGS~qr, ~I~OV~flE: 2~.ME, ~aat~s, ~vw, W A~P~cABl.S, PEOB~AI. ‘Stfl~PLY coos N4~k) O~~E 01? ~E . WJIfl~rE$S. ACCEPTANCE .TI1~ E~C1JTIQN QF THIS AGREEMENT WAS WITNE$SE~• THE U!WERS1GNEP ACCEPTED ThiS AOR~~~NT ON ~Y TH~ ~1NDE~SIGN~D, BEHALF OF THE UNITED STATES GOVERNMENT. SIONATU1~S •, t~ATh. LIONATURS OATS’ ~ A~O~S55 ‘CTyp~ or NAMS AN~O AflD5~5 ~Ti’I~ or ?rlIiI) a I . . .1 l.’~ .~6’ •s~ct~:c~ P~F~I~{~ KNQ D.~EA~ZNr 6 6• . •6’ ~aazurm II1a~ tht~. prOViZlQuS of L5~ eRpiooa~e Jaws, aihef red.~raJ ~rimji4~ Jgw~ ~nd c~e~tIve orders a~plIdabIe to Ihe ~t~r~in~ of ~l~sst~Ie~ informailon he.~ beei~ m~4~ evalle’ple ~o ii~e;~that I .ha’~e re1t~rn~e all c1ass~fied lnTom~atJon ~n my cu~ody; that I will iiol comnn~nicato o~ tran~mIi cJe~lfl~d lnf~yu ~ ~flY. Un thPri2eA ~5O~4 ~.r o ~t1.qn; ~at ~ will .~routp~4y report .lp I~.e ~e~er~t ~ureau of ~rlves1lgRElonarty atLen~pt by an t~J~autxls~d person W soil~ cslesslfJed~ lnf9: ~;Jni~ I ~vo,. ~ave not) ~prrP~e, .~it tpapprpprie.~e wor4. ~r wo~s)rec~lvad asectrsltl. S1ONATtJ~S OX’ E~,5~LOYSt~ . . , II ,I~ I I’1 4 .6 I ,. I I I I’ I~,.’ ,~, Ill I ‘‘I I • 6 • 6.”.l~’ . .1 $ NAMS QP WlTW~55 lry~or pPln~) •. . ‘I 5ToNATIJ~OPWlTNEsS I I I . • I’ •II 6 flI. I ‘~PO9727 .66, 6 • II I. ., ~I’~6 • ‘ .. I .6, • I I I~ I I 6 Th~ Prlvq~y A~LI S1J.~.C.$5~, ~ ihs~ Ird~r~l 4~~ri~ l~ rmlr$4Ivl~t~b, ac ~ ilne. I~for ~ll~n ~l~tlC~tod (rcm c~t~nt wb~th~ I o~1jr~ Is w~t~~ory •IUfl1I1’~A~yWl~oL o ho ~out1lIi,1lor.n,tIo)~ ~2 tI~ltr~, ~ whoa os~.i wl~ b~Imod~ ~( ~hr I~lor1Ttflion, Yq~ er~ heraby ~dvf~$ ~ ~,thofILv Ie~ s~lj~i.~l~a yp~ir ~ r$IY4c$~r~$ Numbrr f5~) $z ~ lvc.O~$o~,~fi9~’,6Vour $$N.W1III~IIUI~ Lo .$~i~~Ilfy ~/OU’pVcCj6eIy whohII.)~ ne~~v Lo j6j ~rrLI cMryod IlOVI 5~5~& 10 L$~I lorr66llon I $r~~I sbo~’~ or 2J 4~~ro~$i~ 11101 yo’~r 0r~II 10 tl~~ Inlo flI~lt4I~Itd ~ L~0 I#~,A1~q~~ ~fi~~~so RICO .5~l.t i,a~,L m ~ ~ SRY fm~~o th~ Prec~~~Iri~ t~ ~ oFrI1rl~Llo.t~ or ~Ie1crrpjn01l9n4 qr ‘IIl~W reivit In ~ de.1Ioj ~l yo~fr ~ej,lg zrRrttr~ ~oc~n Ia niassitird lnlprmsI~~n. NO’r~FeLI-LCAab2 T’o NQh3~GOVERN1V~5N~I’ PERSONNEL SIGNING ThIS AGRESMENT. OCT-20-2005 09:05 P.03 LLOO4-0901 1