J.4_Contractor Non Disclosure Agreement.pdf
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- Solicitation number
- 75P00122R00001
About this file
This document contains a contractor non-disclosure agreement and related federal contract opportunity solicitation. The solicitation is to obtain contractor services to conduct rapid medical and dental examinations for Commissioned Corps applicants and to perform pre- and post-deployment health assessments on Public Health Service officers. The requirement supports the COVID-19 pandemic and other public health activities and is issued by the Department of Health and Human Services Program Support Center in support of the Office of the Assistant Secretary for Health Commissioned Corps Headquarters. Contractors would be required to sign a non-disclosure agreement to access sensitive information such as personally identifiable information, non-public information, confidential information, and controlled unclassified information from HHS files to perform the contracted services.
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Text version
Attachment J.4 75P00122R00001 TITLE: Rapid Medical Examinations for Commissioned Corps Accessions
APPENDIX F
Contractor Non-Disclosure Agreement (NDA) (to be completed upon contract award)
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. [OpDiv, insert applicable laws if any.]
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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