Exhibit N - Contractor Confidentiality Certificate.pdf
PDF 80 KB Posted
- Attached to
- X1DB--Coldwater Clinic Lease
- Solicitation number
- 36C25025R0030
About this file
The document is a Confidentiality Certificate for a VA Lease Request for Lease Proposals (RLP) associated with the Kalamazoo Clinic, with RLP number 36C25025R0031 and Lease number 36C25025L0011. The certificate requires the contractor to maintain strict confidentiality of the Physical Security Design Standards Data Definitions, which are designated as Official Use Only. The document mandates that the contractor will not disclose or transmit these documents electronically or in hard copy to any unauthorized persons, and must implement appropriate precautions to protect the documents from theft or inadvertent disclosure. Only a limited number of firm members directly involved in the VA contract may request access, and they must first obtain approval from the VA Project Manager by providing justification and a signed Confidentiality Certificate.
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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: |
| 1: Kalamazoo Clinic |
| 2: Exhibit N |
| RLP No: 36C25025R0031 |
| VA Lease Title: Kalamazoo clinic |
| VA Contract Number: Lease# 36C25025L0011 RLP# 36C25025R0031 |
| Contractors Name: |
| Contractor Employee Name: |
| Title: |
| Date: |
| Contact information Addresstelephoneemail address: |
| Fax number: |
| Lessor: |
| Govt: |
| of: 1 |
| Pages: 1 |
File details come from the government source that posted it. Updated .