Exhibit M - Contractor Confidentiality Certificate.pdf
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- Solicitation number
- 36C25024R0209
About this file
This is a Confidentiality Certificate template for a Request for Lease Proposals (RLP) issued by the Department of Veterans Affairs (VA).
The document is associated with the West Branch VA Clinic lease opportunity (RLP No. 36C25024R0209, dated 3/2/2026) and specifically references the Oscoda VA Clinic with Lease# 36C25025L0014. The certificate requires contractors and their employees to acknowledge that Physical Security Design Standards Data Definitions contained within the RLP are for Official Use Only and must not be disclosed to unauthorized parties or transmitted electronically or in hard copy. The certificate permits limited access to other firm members directly involved in the VA contract, provided they submit signed certificates with justification to the VA Project Manager (Contracting Officer's Representative) for approval. Signatories must certify that appropriate security precautions are in place to protect the documents from theft or inadvertent disclosure, with access restricted to the signing individual. The template requires completion of contractor name, employee name, signature, title, date, address, telephone number, email address, and indication of lessor and government page counts.
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Text version
REQUEST FOR LEASE
PROPOSALS (RLP)
DATE: __ _________________
RLP No. ___________________
CONFIDENTIALITY CERTIFICATE
VA Contractor
Lessor __________ Gov’t. __________ __________ of __________ Pages
VA Lease Title VA Contract Number
The Physical Security Design Standards Data Definitions are for Official Use Only. I certify that I will not disclose the contents of these documents nor transmit electronically or in hard copy the documents to any other persons or firms. A limited number of other members of your firm, directly involved on this VA contract, can request access to these documents. Prior to receipt of these documents, they must provide justification and their signed Confidentiality Certificate to the VA Project Manager (COR) for approval.
I also certify that appropriate precautions are in place to protect these documents from theft or inadvertent disclosure, and access is limited to the person signing the Certificate
Contractor’s Name
Contractor Employee Name Signature Title Date
Contact information: Address/telephone
Email Address
| DATE: 3/2/2026 |
| 1: West Branch VA Clinic |
| 2: Exhibit M |
| RLP No: 36C25024R0209 |
| VA Lease Title: Oscoda VA Clinic |
| VA Contract Number: Lease# 36C25025L0014 RLP# 36C25024R0209 |
| Contractors Name: |
| Contractor Employee Name: |
| Title: |
| Date: |
| Contact information Addresstelephoneemail address: |
| Fax number: |
| Lessor: |
| Govt: |
| of: |
| Pages: |
File details come from the government source that posted it. Updated .