Attachment J8 - FDA Form 3398.pdf
PDF 273 KB Posted
- Attached to
- Amendment 1 -Construction of Production Water Well at NCTR Federal contract opportunity
- Solicitation number
- FDA-SOL-1224382
About this file
This document contains an employee agreement and related federal contract opportunity. The employee agreement is a commitment form for individuals to protect non-public information released by the Food and Drug Administration under contract. It requires the signature of the employee and a witness agreeing to non-disclosure provisions of relevant laws.
The related federal contract opportunity is a solicitation by the FDA to install a new water well at its National Center for Toxicological Research in Jefferson, Arkansas. The Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services is listed as the contracting agency. The opportunity type is a solicitation and descriptions provided include the installation of a new production water well on-site. No further details on response dates, award amounts, or other contractual requirements are included in this document.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 1_rdw.pdf | ||
| FDA_SOL_75F40120R00024 .pdf | ||
| Attachment J6 - Past Performance Evaluation Questionnaire.pdf | ||
| Attachment J11 - COVID19 Visitor Questionnaire at JL.pdf | ||
| Attachment J2 - Drawings.pdf | ||
| Attachment J7 - FORM FDA 3391.pdf | ||
| Attachment J5 - Sample Client Letter.pdf | ||
| Attachment J10 - Statement of Work.pdf | ||
| Attachment J4 - Wage Detemination AR.pdf | ||
| Attachment J9 - Certification of Current Arkansas State Contractors License.pdf | ||
| Attachment J1 - Project Manual.pdf | ||
| Attachment J3 - Cost Proposal Bid Schedule.pdf |
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Text version
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer
I, on this day of , 200 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360(j), 18 USC. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360(j), 18 USC. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature: Date:
Type or Print Name:
Witnessed by: Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/03)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090 EF
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer I, on this day of , 200 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360(j), 18 USC. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360(j), 18 USC. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature:
Date:
Type or Print Name:
Witnessed by:
Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/03)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090
EF
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