Attachment_B_NDA_07312018.pdf

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Attached to
Examine the Ecosystem of Title IV Health Care Entities
Solicitation number
18-250-SOL-00161
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Attachment B - Non-Disclosure Agreement

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Attachment B

Contractor Non-Disclosure Agreement

Information Technology Systems Security Contractor Non-Disclosure Agreement

Access to sensitive information (such as personally identifiable information [PII]), non-public information, confidential information, and/or Controlled Unclassified Information (CUI) from the files of the Department of Health and Human Services (HHS) is required in the performance of my official duties, under contract number____________ between (HHS I/C Name or

Component) and my employer (Employer’s

Name) . I agree that I shall not release, publish, or disclose such information to unauthorized personnel, and I shall protect such information in accordance with relevant federal laws, regulations, and guidelines.

I affirm that I have received a written and/or verbal briefing by my company concerning my responsibilities under this agreement. I understand that violation of this agreement may subject me to criminal and civil penalties.

Signed:

Type or Print Name:

Date:

Witnessed by:

Date:

Copies are to be retained by: HHS Contracting Officer Representative

Contractor’s Contract Management

Individual Signatory

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