Attach F - Non-Disclosure Agreement.docx
DOCX document 16 KB Posted
- Solicitation number
- Solicitation75R60123R00001NHDPACC
About this file
This solicitation requests proposals for outpatient Hansen's disease services. Health care providers are invited to submit proposals to provide diagnosis, screening, outpatient treatment, case management, and follow-up care for patients located throughout the United States. The Health Resources and Services Administration's National Hansen's Disease Program will award contracts to qualified small and large businesses. Interested parties should carefully review the solicitation and check the System for Award Management for any amendments. A vendor question form is included to submit inquiries. Proposals are due based on the timeline outlined in the solicitation document.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 4 75R60123R0000.pdf | ||
| AMEND 3 75R60123R00001.pdf | ||
| AMENDMENT 2 75R60123R00001.pdf | ||
| Attach E - Past Performance Questionnaire.docx | DOCX document | |
| Attachment I - Cost Template.docx | DOCX document | |
| AMENDMENT 1 Attach J Vendor Questions Responses.pdf | ||
| Attach D - Disclosure of Lobbying Activities.docx | DOCX document | |
| AMENDMENT 1 75R60123R00001 NHDP ACC.pdf | ||
| Vendor Question Form.xlsx | XLSX spreadsheet | |
| Solicitation 75R60123R00001.pdf |
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Text version
NHDP ACC
ATTACHMENT F
ATTACHMENT F - HRSA CONTRACTOR NON-DISCLOSURE AGREEMENT
This NDA is to be completed by a contractor upon award of contract.
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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