Declaration of Confidentiality. If County has access to computer files or any data confidential by statute, including identification of eligible Members, County agrees to sign a declaration of confidentiality in accordance with the applicable Government Contract and in a form acceptable to CalOptima and DHCS, DMHC MRMIB and/or CMS, as applicable.
Declaration of Confidentiality. 22.1 By signing this Framework Agreement, the Contractor confirms that it is aware of the contents of the Declaration of Confidentiality as attached hereto as Schedule 2 and that it will arrange for any subcontractor, persons or auxiliary persons (including employees) that it engages for the Services to sign this declaration and send it to FMO.
Declaration of Confidentiality. In consideration of us agreeing to make available to you certain information by your signature of a copy of this letter you agree as follows:
Declaration of Confidentiality. I confirm that I have read, understood and accepted the code of conduct for experts established in Annex 2 to the contract sent by EFSA. I also confirm that I will keep all matters entrusted to me confidential being aware and reminded that there are legal consequences in case of violation of the confidentiality provisions hereby set out. I confirm I will process the personal data I receive only for the purposes of the performance of the present contract. If unnecessary or excessive personal data are contained in the documents submitted during the implementation of the contract, I will not process them further or take them into account for the implementation of the contract. I confirm I will not communicate outside any confidential information that is revealed to me or that I have discovered. I will not make any misuse of information given to me. I understand that I am responsible for maintaining the confidentiality of any documents or electronic files sent to me and for returning, erasing or destroying all confidential documents or files upon completing the assignment unless otherwise instructed by EFSA. Expert: Date: Signature:
Declaration of Confidentiality. I have read and understand the foregoing confidentiality policy and procedures of NeighborImpact and understand that violation of this policy may result in termination of employment or volunteer services, or in the case of independent contractors, contract termination. Signature Date Print name
Declaration of Confidentiality. As a condition of obtaining access to information concerning procedures or other data records utilized/ maintained by the Department of Health Care Services (“DHCS”) and XXXXXXX. COUNTY MEDI-CAL MANAGED CARE COMMISSION, a public entity doing business as Gold Coast Health Plan, I, __________________ agree not to divulge any information obtained in the course of my assignment to unauthorized persons, and I agree not to publish or otherwise make public any information regarding persons receiving Medi-Cal services such that the persons who receive such services are identifiable. Access to such data shall be limited to Gold Coast Health Plan authorized employees who require the information in the performance of their duties, State and federal personnel who require the information in the performance of their duties, and to such others as may be authorized by Gold Coast Health Plan. I acknowledge that I have received a copy of Exhibit G of Client’s contract with DHCS, and I agree to the restrictions and conditions therein. I recognize that unauthorized release of confidential information may subject me to civil and criminal sanctions pursuant to the provisions of the Welfare and Institutions Code Section 14100.2. ATTACHMENT G DISCLOSURE FORM (Welfare and Institutions Code Section 14452(a)) Name of Subcontractor ________________________ The undersigned hereby certifies that the following information regarding (the “Organization”) is true and correct as of the date set forth below. 1. Officers/Directors General Partners: 2. Co-Owners: 3. Stockholders owning more than ten percent (10%) of the stock of the Organization: 4. Major creditors holding more than five percent (5%) of Organization’s debt: 5. Form of Organization (Corporation, Partnership, Sole Proprietorship, Individual): 6. If not already disclosed above, is Organization, either directly or indirectly, related to or affiliated with the Health Plan? Explain: By: Print Name: Dated: Title ATTACHMENT H CERTIFICATE OF OWNERSHIP ATTACHMENT I OVERSIGHT FOR TRANSPORTATION AGREEMENTS
Declaration of Confidentiality. All the information you receive in conjunction with XXX evaluation process is strictly confidential. Please insert your name and signature below, indicating that you will handle all information you received in conjunction with this evaluation process strictly confidential. date name signature Declaration of Conflict of Interest (confidential) Evaluator Pre- proposal number Coordinator Project title Conflict of interest yes no You should refrain from reviewing the above listed applications if a conflict of interest exists or could be perceived to exist. There is a conflict of interest if you stand to profit professionally, financially or personally from approval or rejection of the application. You should also refrain from reviewing the application if you have published together with the applicant or the co-workers. In either case please inform the XXX Secretariat. If you cooperate or have cooperated with the applicant or the co-workers but the cooperations do not relate at all to the present application, please mention this fact and review the application. Your declaration will be treated in strict confidence by the XXX Secretariat and will under no circumstances be passed on to anybody else. There is no need to mention normal scientific contacts, for example at conferences or workshops. Please mark the pre-proposals in the list, indicating a conflict of interest or not and return this declaration via XXX In addition, please bring the originally signed form to the first evaluation meeting XXX. If you are not participating in the meeting please send the form by XXX
Declaration of Confidentiality. It is confirmed that during participation in the tender competition and signing of the contract, the duty of confidentiality in accordance with section 27 of The Act relating to Innovation Norway and section 121 of the Norwegian Penal Code shall be complied with. This applies, among other things, to the following: • Services or work performed for Innovation Norway require a sense of responsibility and loyalty • The provisions set forth in section 27 of the Act relating to Innovation Norway stipulate a duty of confidentiality with regard to what one becomes aware of, in connection with service or work, concerning others’ business-related or private affairs • All information shall be treated in a satisfactory and, for unauthorised parties, inaccessible manner and otherwise in accordance with Innovation Norway's guidelines currently in force • The duty of confidentiality also applies to employees of Innovation Norway who do not have a need to know the information for their work • The duty of confidentiality also applies after the end of my service or work for Innovation Norway • Breach of the duty of confidentiality may entail criminal liability, liability for damages and/or termination of my service or work for Innovation Norway.
