Attachment J-3 Contractor Non-Disclosure Agreement.pdf
PDF 181 KB Posted
- Attached to
- National Survey of Digital Health Companies
- Solicitation number
- 75P00124Q00051
About this file
This document is a Contractor Non-Disclosure Agreement related to a federal contract opportunity between the Department of Health and Human Services (HHS) and the contractor's employer.
The agreement states that the contractor will be provided access to sensitive, non-public, confidential, and Controlled Unclassified Information (CUI) from HHS files in order to perform their duties under contract number _________. The contractor agrees to protect this information in accordance with relevant federal laws and regulations, and understands that violation of the agreement may result in criminal and civil penalties. The agreement must be signed by the contractor and witnessed.
The related federal contract opportunity is for the "National Survey of Digital Health Companies", solicitation number 75P00124Q00051, issued by the HHS Office of the Assistant Secretary for Administration. The purpose of this contract is to develop a national survey of digital health companies.
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Text version
Contractor Non-Disclosure Agreement
Sensitive Information, Non-public Information, Confidential Information, Controlled Unclassified Information
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.
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’s Representative Contractor’s Contract Management Individual Signatory
File details come from the government source that posted it. Updated .