W912DR-08-R-0075Disclosure.pdf

FOR OFFICIAL USE ONLY

Source Selection Information

NON DISCLOSURE AGREEMENT

Certification of Personnel Involved in

Acquisition Concerning Nondisclosure and Rules of Conduct

SUBJECT: RFP No. W912DR-08-R-0075 U.S. Army Medical Research Institute of Infectious Diseases Replacement, Ft. Detrick, Maryland

NAME: ______________________________________

Organization: ______________________________________

Title: ______________________________________

I certify that:

1. I have read, understand, and will abide by the requirements of this certification.

2. I understand that this Solicitation is For Official Use Only and is solely for the purpose of providing information to prospective bidders about the USAMRIID project.

3. Upon receipt of this Solicitation, I agree to the following provisions:

a. The entire Solicitation will be provided on a numbered compact disk package. These disks may not be copied, nor may its contents be stored in electronic files. All disks must be returned to the Contracting Officer after this contract has been awarded.

b. Only persons participating in this acquisition will be allowed access to these documents. All persons having access will sign this certification. A copy of all signed certifications will be provided to the Contracting Officer as they are executed.

c. Paper copies of the compact disk may be printed for use by the responsible persons signing this agreement. Persons making paper copies will maintain a record of copies made and who received them. The responsible person will ensure all recipients sign a receipt for the paper copy of the compact disk. No copies will be provided to anyone who has not signed both the receipt and the Non-Disclosure Agreement. All copies will be destroyed when no longer needed after this contract has been awarded. The responsible person will certify their destruction of the paper copies to the Contracting Officer in writing.

d. If additional CD’s are required, they may be requested from the

USACE Contracting Officer.

4. I understand that my obligations under this certification are of a continuing nature, and if anything takes place which would cause a change to any statement, or create a violation of any representation or rule of conduct herein, I will bring such matter to the attention of the Contracting Officer.

(Signature) (Date)

THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF

AN AGENCY OF THE UNITED STATES AND THE MAKING OF A FALSE,

FICTITIOUS, OR FRAUDULENT CERTIFICATION MAY RENDER THE MAKER

SUBJECT TO PROSECUTION UNDER TITLE 18, UNITED STATES CODE,

SECTION 1001.