Exhibit M - Contractor Confidentiality Certificate.pdf
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- Attached to
- X1AA--Annex-Pre-Proposal - Questions and Answers
- Solicitation number
- 36C25025R0016
About this file
This is a Confidentiality Certificate template for a Request for Lease Proposals (RLP) issued by the Department of Veterans Affairs for the Oscoda VA Clinic facility. The specific RLP is numbered 36C25025R0016, dated February 24, 2026, and corresponds to Lease number 36C25025L0017 for the Saginaw - Auburn Annex (Exhibit M).
The certificate serves to restrict access to Physical Security Design Standards Data Definitions, which are classified as Official Use Only. Signatories certify they will not disclose the documents electronically or in hard copy to unauthorized persons or firms. Other firm members directly involved in the VA contract may request access only upon providing written justification and their own signed Confidentiality Certificate to the VA Project Manager (Contracting Officer's Representative) for approval. Signatories must also affirm that appropriate security precautions are in place to protect the documents from theft or inadvertent disclosure, with access limited to the individual signing the certificate. The form requires entry of contractor name, employee name, signature, title, date, contact information including address, telephone, and email address, along with lessor and government entity information and total page count.
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Text version
REQUEST FOR LEASE
PROPOSALS (RLP)
DATE: __ _________________
RLP No. ___________________
CONFIDENTIALITY CERTIFICATE
VA Contractor
Lessor __________ Gov’t. __________ __________ of __________ Pages
VA Lease Title VA Contract Number
The Physical Security Design Standards Data Definitions are for Official Use Only. I certify that I will not disclose the contents of these documents nor transmit electronically or in hard copy the documents to any other persons or firms. A limited number of other members of your firm, directly involved on this VA contract, can request access to these documents. Prior to receipt of these documents, they must provide justification and their signed Confidentiality Certificate to the VA Project Manager (COR) for approval.
I also certify that appropriate precautions are in place to protect these documents from theft or inadvertent disclosure, and access is limited to the person signing the Certificate
Contractor’s Name
Contractor Employee Name Signature Title Date
Contact information: Address/telephone
Email Address
| DATE: 2/24/2026 |
| 1: Saginaw - Auburn Annex |
| 2: Exhibit M |
| RLP No: 36C25025R0016 |
| VA Lease Title: Oscoda VA Clinic |
| VA Contract Number: Lease# 36C25025L0017 RLP# 36C25025R0016 |
| Contractors Name: |
| Contractor Employee Name: |
| Title: |
| Date: |
| Contact information Addresstelephoneemail address: |
| Fax number: |
| Lessor: |
| Govt: |
| of: |
| Pages: |
File details come from the government source that posted it. Updated .