SOW Attachment A - Contractor Non Disclosure Agreement.pdf
PDF 84 KB Posted
- Attached to
- Newborn Screening Information Center
- Solicitation number
- 75R60223Q00073
About this file
This document is a contractor non-disclosure agreement template for contract number 75R60223Q00073 between the Department of Health and Human Services Health Resources and Services Administration Headquarters and an unnamed contractor. The agreement requires the contractor's employees accessing sensitive information to protect personally identifiable information, non-public information, confidential information, and controlled unclassified information from unauthorized access or disclosure in accordance with relevant laws and regulations. Employees must receive a briefing on their responsibilities and sign the agreement acknowledging they understand violating it could result in criminal or civil penalties. The agreement will be retained by both the contracting officer's representative and the contractor's contract management individual.
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Text version
SOW Attachment A - Contractor Non-Disclosure Agreement
Information Technology Systems Security Contractor Non-Disclosure Agreement
Access to sensitive information (such as personally identifiable information [PII]), non-public information, confidential information, and/or Controlled Unclassified Information (CUI) from the files of the Department of Health and Human Services (HHS) is required in the performance of my official duties, under contract number between (HHS/HRSA) and my employer (Employer’s Name) .
I agree that I shall not release, publish, or disclose such information to unauthorized personnel, and I shall protect such information in accordance with relevant laws and regulations.
I affirm that I have received a written and/or verbal briefing by my company concerning my responsibilities under this agreement. I understand that violation of this agreement may subject me to criminal and civil penalties.
Signed:
Type or Print Name:
Date:
Witnessed by:
Date:
Copies are to be retained by: HRSA Contracting Officer Representative Contractor’s Contract Management Individual Signatory
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