J.9 Non-Disclosure Statement.docx
DOCX document 24 KB Posted
- Solicitation number
- 75FCMC19R0041
About this file
This document includes a non-disclosure statement and information about a federal contract solicitation. The non-disclosure statement concerns proprietary information that will be provided by the government or its contractors to support proposal preparation for the Durable Medical Equipment Medicare Administrative Contractor jurisdiction C contract. It requires employees and subcontractor employees to only use the information for proposal purposes, prevent disclosure to outside parties, and destroy or return the information to the Centers for Medicare and Medicaid Services after proposal submission.
The federal contract solicitation is for Durable Medical Equipment Medicare Administrative Contractor services to provide specified health insurance benefit administration and Medicare claims processing and payment support for Jurisdiction C, which covers the states of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, and the U.S. Virgin Islands. The solicitation is issued by the Centers for Medicare and Medicaid Services within the Department of Health and Human Services.
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Text version
Attachment J.9 Non-Disclosure Statement
RFP # 75FCMC19R0041
NON-DISCLOSURE STATEMENT
References: 48 Code of Federal Regulations (CFR) (Federal Acquisition Regulation) Sections 3.104, 5.401, and relevant corresponding sections of the Health and Human Services Acquisition Regulation.
Non-disclosure of proprietary data
Certain information of a proprietary nature will be provided to you by the government and/or its contractors. It is understood that the information is required for proposal preparation in response to a CMS solicitation for Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) services. Accordingly, employees, including Subcontractor employees, agree to use and examine this information exclusively as part of the proposal preparation process and to take the necessary steps to prevent disclosure of such information to any party outside the government, as long as it remains proprietary. It is also agreed that the information will be destroyed or returned to the Centers for Medicare & Medicaid Services (CMS) upon submission of the proposal requiring the information.
The contractor and any subcontractors agree to indoctrinate their affiliates who will have access to this information as to the proprietary nature of the information and the relationship under which they have possession of the information. Affiliates will also be informed that they may not engage in any other actions, venture or employment where this information will be used for the profit of any party other than the party furnishing this information. The contractor and subcontractors will restrict access to proprietary information to the minimum number of employees necessary for the preparation of a proposal in response to a CMS solicitation for MAC services.
Affirmation
I, the undersigned, recognize that information provided by the government and/or its contractors may be proprietary and confidential. Further, I do understand the requirements of the nondisclosure statement and agree to refrain from discussing or disclosing any sensitive data or information obtained or generated in the process of preparing a proposal in response to a CMS solicitation for MAC services. I further understand that if I have any questions concerning this matter, I should consult the CMS Contracting Officer assigned to Solicitation 75FCMC19R0041.
Signature Date
Print Name and Title
| Witness | Date | |
| January 10, 2019 | Page 1 of 1 |
File details come from the government source that posted it. Updated .