ATTACHMENT D.4 - STATEMENT OF COMMITMENT AND UNDERSTANDING.pdf

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Attached to
Q523--Competitive | Plastic Surgery | 614 POP: 10/1/25 to 9/30/30 614-26-1-039-0003
Solicitation number
36C24925R0054
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This document is an Attachment D.4 Statement of Commitment and Understanding for VA contractors who will possess, handle, or come into contact with sensitive VA information or personal data. The document requires contractors to commit to safeguarding personal information of veterans, their families, VA employees, and applicants by completing annual General Privacy Awareness Training and VA Cyber Security Training. Contractors must understand their obligations in handling sensitive information, including the potential for civil and criminal penalties, up to and including contract termination, for non-compliance with confidentiality statutes and regulations. The form includes signature lines for the contractor to certify their understanding and commitment to protecting personal information.

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RFP # 36C24925R0054 – Plastic Surgery Physician Services

Attachment D.4 – VHA Statement of Commitment and Understanding

STATEMENT OF COMMITMENT AND UNDERSTANDING FOR VA CONTRACTORS WHO POSSESS,

HANDLE, OR COME INTO CONTACT WITH VA SENSITIVE INFORMATION OR PERSONAL DATA

As a contractor of the Department of Veterans Affairs (VA), I am committed to safeguarding the personal information that veterans and their families have entrusted to the Department. I am also committed to safeguarding the personal information which VA employees and applicants have provided.

To ensure that I understand my obligations and responsibilities in handling the personal information of veterans and their families, I have completed both the annual General Privacy Awareness Training (or

VHA Privacy Training, as applicable) and the annual VA Cyber Security Training.

I know that I should contact the Contracting Officer whom will then get in touch with the Information

Security Officer or Regional or General Counsel, when I am unsure whether or how I may gather or create, maintain, use, disclose or dispose of information about veterans and their families, and VA employees and applicants.

I further understand that if I fail to comply with applicable confidentiality statutes and regulations, I may be subject to civil and criminal penalties, including fines and imprisonment. I also recognize that VA may impose sanctions, up to and including termination of contract for violation of applicable confidentiality and security statutes, regulations and policies.

I certify that I have completed the training outlined above and am committed to safeguarding personal information about veterans and their families, and VA employees and applicants.

Contractor name [Print or type] Signature

Position Title Date

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