SOW Att. A - Non-Disclosure Agreement.pdf

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Attached to
COVID-19 Coverage Assistance Fund (CAF) Program Federal contract opportunity
Solicitation number
75R60222R00001
Issued by
Department of Health and Human Services Health Resources and Services Administration Headquarters

About this file

This document contains a non-disclosure agreement template and information about a related federal contract opportunity from the Department of Health and Human Services. The non-disclosure agreement template is to be completed by contractor employees working on Contract 75R60220C00006 between HHS and United HealthCare Services, Inc. It requires signatories to agree not to disclose or use for personal benefit any privileged information accessed under the contract, in accordance with laws governing confidential information.

The related federal contract opportunity is solicitation number 75R60222R00001 from the Health Resources and Services Administration to process and distribute reimbursement to healthcare providers for COVID-19 vaccine administration fees and testing costs not fully covered by individuals' health plans. The purpose is to assist providers and individuals during the COVID-19 pandemic.

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Text version

SOW Attachment A

Contractor Non-Disclosure Agreement (NDA)

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 obtain under the performance under contract 75R60220C00006 between the Department of Health and Human Services (HHS) and my employer United

HealthCare Services, Inc., will not be disclosed or used for any benefit of myself or my employer.

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 Officer Representative (COR)

Contract Specialist (CS)

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