Draft Technical Exhibit B - Non-Disclosure Agreement.docx

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Attached to
Pre-Solicitation Industry Day - USMEPCOM Accession Medical Services (Fee Basis Providers Services)
Solicitation number
W81K0424R0004
Issued by

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This document contains a non-disclosure agreement and information about a related pre-solicitation industry day for medical services. The non-disclosure agreement requires individuals granted conditional access to sensitive but unclassified United States Military Entrance Processing Command information to protect privacy act and personally identifiable information in accordance with pertinent laws. Access is only permitted for authorized purposes, and any unauthorized use, release or disclosure may result in administrative or legal actions.

The pre-solicitation industry day notice is for accession medical services to be provided on a fee basis to the United States Military Entrance Processing Command. The Department of the Army Medical Command is the contracting agency. The industry day will provide information on upcoming requirements for these medical services prior to release of a solicitation.

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Text version

Conditional Access to United States Military Entrance Processing Command

(USMEPCOM)

Sensitive but Unclassified Information Non-Disclosure Agreement

You are required to be aware of, and comply with all applicable laws, regulations, not limited to the Privacy Act of 1974, Computer Fraud and Abuse Act of 1988 and the USMEPCOM Acceptable Usage Policy.

I, ____________________________________________ , hereby consent to this agreement in consideration for my being granted conditional access containing sensitive but unclassified information, personally identifiable information and privacy act information concerning financial, acquisition, travel, human resources, real or personal property, budget and other areas. Information may be in the form of system data, files and records, contract data, analyses, memos, meeting content, conversations, or any other form. I understand and agree to the following terms and conditions:

I am being granted access contingent upon my execution of this Agreement for the sole purpose of providing services within contract . This approval will permit me access to certain information, pertaining to information and other proprietary data such as, documents, memoranda, reports, deliberations, and/or to attend meetings in which such information is discussed or otherwise made available to me.

I will only access, or attempt to access, sensitive but unclassified information systems for which I am granted conditional access authorization and have a “need to know/access”.

I will not disclose or extract any confidential data, Privacy Act / PII data, Personal Health Information, (PII) employee information, or bureau specific sensitive but unclassified information which could adversely affect the Government’s interest or the privacy to which individuals are entitled.

I will not use, release, or disclose any sensitive but unclassified information, in any form whatsoever, to any person or entity other than authorized individuals without written authorization. Note: Individuals providing services under contractual arrangements cannot share information with their company/organization nor with any other external individual, corporation, business, or organization.

I will protect sensitive but unclassified information in accordance with the provisions of the Privacy Act, OMB M06- 16 (PII) and other pertinent laws and regulations governing the confidentiality of privileged information. If I become aware of any improper use, extract, release or disclosure of Privacy Act / PII data or non-public information, I will advise USMEPCOM management and complete the USMEPCOM IT Security Incident Reporting Form as soon as possible..

I understand that any unauthorized use, release or disclosure of non-public information in violation of this agreement may subject me to administrative actions that range from a verbal or written warning, removal of system access, reassignment of duties, and/or termination of employment or contract, depending on the severity of the violation.

The information and data, if disclosed to unauthorized sources, could violate the Privacy Act, OMB M06-16, Personally Identifiable Information (PII) and DoD Privacy Program and/or result in financial loss or adverse legal actions.

The contractor shall not disclose, or release to other than government authorized persons or activities, the content of any government software, procedures or information provided to the contractor. The contractor personnel shall have experience working with and safeguarding Privacy Act data. The contractor agrees to comply and assumes responsibility for compliance by their employees.

Signed: ____________________________________________ Date: _______________________

File details come from the government source that posted it. Updated .