Certificate of Confidentiality.pdf

PROCUREMENT SENSITIVE

FOR OFFICIAL USE ONLY Page 1

CERTIFICATE OF CONFIDENTIALITY

I, _________________________________, understand that all information related to Solicitation No.

36C25025R0010 for Battle Creek VAMC and Wyoming CBOC Reference Laboratories will be identified for “OFFICIAL USE ONLY” and will be available only to authorized Government personnel. I shall not reveal information to anyone who is not also participating in the same proceedings, and then only to the extent that such information is required in connection with such proceedings.

I understand my obligation not to divulge information received in confidence from offerors in connection with proposals, trade secrets, inventions, discoveries, and reports of financial, technical, and scientific nature, except on a need-to-know basis during the conduct of official business.

I will not divulge to other personnel, except on a need-to-know basis during the conduct of official business, any information concerning either the contents of proposals or the evaluation of the proposals which may come to my attention.

I further understand my responsibility not to disclose the identity or the number of offers, or any source selection related information, to which I have access, to personnel outside the evaluation process except as specifically approved by the Contracting Officer.

I will not reveal the ratings used during the evaluation process or remove proposals or source selection documents from their authorized locations during the evaluation process without the express approval of the Contracting Officer.

I will not identify the names of any person involved in the evaluation process to persons not directly engaged in the evaluation, except where necessary in official government communications.

I certify that if I, or any member of my family, have direct or indirect interest in any firm which might result in a real, apparent, or possible conflict of interest on any acquisition in which I am participating, I will so advise the Contracting Officer.

I certify that if I negotiate for or make arrangements concerning future employment with any firm that has been solicited or has submitted an offer on an acquisition in which I am participating, I will so advise the Contracting Officer.

I certify that if I report to the Contracting Officer on any of the above matters, I will abide by instructions he/she may give me.

Signature Date

Printed or Typed Name and Title

THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF AN AGENCY OF THE UNITED STATES AND THE MAKING OF A FALSE, FICTITIOUS, OR FRAUDULENT CERTIFICATION MAY RENDER THE

MAKER SUBJECT TO PROSECUTION UNDER TITLE 18, UNITED STATED CODE, SECTION 1001.

(End of Certification)