Exhibit O-36C25026R0006 Contractor Confidentiality Cert.pdf
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- Attached to
- X1DB--Kalamazoo Clinic RFI Response #4
- Solicitation number
- 36C25026R0006
About this file
This is a Confidentiality Certificate template for a Request for Lease Proposals (RLP) issued by the Department of Veterans Affairs (VA) for the Kalamazoo Clinic (Exhibit O). The document is identified as RLP No. 36C25026R0006 and corresponds to Lease No. 36C25026L0001.
The certificate establishes confidentiality requirements for contractors and lessors receiving Physical Security Design Standards Data Definitions marked as "Official Use Only." Signatories must certify they will not disclose document contents electronically or in hard copy to unauthorized persons or firms. Limited access may be granted to other firm members directly involved in the VA contract, provided they submit 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 implemented to protect documents from theft or inadvertent disclosure, with access restricted to the individual signing the certificate. The certificate requires completion of contractor name, employee name, signature, title, date, and contact information including address, telephone, email address, and fax number.
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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
Fax number
| DATE: |
| 1: Kalamazoo Clinic |
| 2: Exhibit O |
| RLP No: 36C25026R0006 |
| VA Lease Title: Kalamazoo clinic |
| VA Contract Number: Lease# 36C25026L0001 RLP# 36C25026R0006 |
| 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 .