Attachment D12_FDA Contractor Non-Disclosure Form.pdf
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- Solicitation number
- 75F40123R00019
About this file
This document contains a Certificate of Non-Disclosure related to federal contract opportunity 75F40123R00019 for Scientific Instrument Maintenance and Repair Services. The Certificate of Non-Disclosure pertains to any confidential information received by the Federal Government in connection with the draft FDA protocol review panel participation and comments. Signatories agree not to disclose such information without written approval from the FDA Contracting Officer. They also agree not to disclose the names, identities, or numbers of Federal Government personnel and private industry participants without written approval from the FDA. Failure to comply with these non-disclosure conditions may result in Federal legal action. The opportunity is a solicitation issued by the Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services for scientific instrument maintenance and repair services under an indefinite delivery/indefinite quantity contract.
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ATTACHMENT D-12
CERTIFICATE OF NON-DISCLOSURE
I understand that in the course of my duties and responsibilities, I may have access to information received by the Federal Government in confidence in connection with Food and Drug (FDA) information in response to 75F40123R00019 (Scientific Instrument Maintenance and Repair Services) including, but not necessarily limited to the: the draft FDA protocol review panel participation and comments. I agree not to disclose such information to any individual or organization without the FDA Contracting Officer (CO) written approval.
I further agree not to disclose to any individual or organization without written approval from the FDA the names, identities, or numbers of Federal Government personnel and private industry participants.
I acknowledge that failure to comply with the conditions set forth above regarding my obligation not to disclose information may result in Federal legal action.
Signature Signature of Witness
Print Name Print Name of Witness
Title Title of Witness
Date
| ATTACHMENT J-11 |
| CERTIFICATE OF NON-DISCLOSURE |
File details come from the government source that posted it. Updated .