Exhibit N - Contractor Confidentiality Certificate.pdf
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- Solicitation number
- 36C25023R0072
About this file
This document is a confidentiality certificate for Request for Lease Proposals number 36C25023R0072 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The confidentiality certificate pertains to the Findlay Community Based Outpatient Clinic lease solicitation and sets forth the requirement that any contractor employees who access the physical security design standards data definitions, which are marked For Official Use Only, must sign the confidentiality certificate. By signing the certificate, the contractor agrees not to disclose the contents of the documents to any other persons or firms and to implement appropriate precautions to protect the documents from theft or inadvertent disclosure and limit access to authorized personnel.
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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
Fax number
| DATE: 6/29/2023 |
| 1: Findlay CBOC |
| 2: Exhibit N |
| RLP No: 36C25023R0072 |
| VA Lease Title: Findlay Community Based Outpatient Clinic |
| VA Contract Number: Lease# 36C25023L0032 RLP# 36C25023R0072 |
| Contractors Name: |
| Contractor Employee Name: |
| Title: |
| Date: |
| Contact information Addresstelephoneemail address: |
| Fax number: |
| Lessor: |
| Govt: |
| of: |
| Pages: |
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