Section J Attachment B - Non-Disclosure Agreement.pdf

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Attached to
HRSA Evaluation IDIQ
Solicitation number
75R60224R00003
Issued by

About this file

This document contains a non-disclosure agreement template for contractors supporting the Health Resources and Services Administration. The non-disclosure agreement requires contractors to protect privileged information accessed through HRSA information technology systems in accordance with laws such as 18 U.S.C. 641, 18 U.S.C. 1905, 18 U.S.C. 2071, and Public Law 96-511. Contractors must sign and date the non-disclosure agreement to acknowledge their understanding of applicable criminal penalties for violations.

The related federal contract opportunity is a solicitation issued by the Health and Human Services Department's Health Resources and Services Administration seeking evaluation services through an indefinite delivery/indefinite quantity contract vehicle. The solicitation number is 75R60224R00003 and is titled "HRSA Evaluation IDIQ."

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HRSA Evidence-Building and Evaluation Services IDIQ

Section J Attachment B

HRSA CONTRACTOR NON-DISCLOSURE AGREEMENT

This NDA is to be completed by a contractor upon award of contract.

Information Technology Systems Security Contractor Non-Disclosure Agreement

The following statement is to be completed by all contractor employees who may be involved in the performance of contract work.

Access to privileged information from HRSA information technology systems is required in the performance of my official duties under Contract # XXXXX between the Health Resources and Services Administration (HRSA) and my employer (XXXXX).

I, _________________________________, ON THIS _____DAY __________ OF ____, hereby agree that I shall not release, publish, or disclose such information to unauthorized personnel, and I shall protect such information in accordance with the provision of 18 U.S.C. 641, 18 U.S.C.

1905, 18 U.S.C. 2071, Public Law 96-511, and other pertinent laws and regulations governing the confidentiality of privileged information.

I understand the provision of 18 U.S. C. 641, 18 U. S. C. 1905, 18 U. S. C. 2071 and Public law 96-511, and that I am subject to criminal penalties prescribed by law for any violations thereof.

Signed: ___________________

Date: ___________________

Witnessed by: ___________________

Date: ___________________

Cc:

Contracting Specialist

COR

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