CMS-07-021/023 - Los Angeles County Department of Children and ...

EXHIBIT D
Cont.
I understand that I may not discuss, disclose, or disseminate anything to anyone not specifically authorized by law or by
order of the appropriate court which could potentially identify an individual who is the subject of or referenced to in any
way in any CONFIDENTIAL DATA, INFORMATION, AND RECORDS.
I further agree to keep confidential all CONFIDENTIAL DATA, INFORMATION, AND RECORDS pertaining to persons and/or
entities receiving services from the County, design concepts, algorithms, programs, formats, documentation, Contractor proprietary
information and all other original materials produced, created, or provided to or by me under the above-referenced contract. I agree
that if proprietary information supplied by other County vendors is provided to me during this employment, I shall keep such
information confidential.
I further agree to report to my immediate supervisor any and all violations of this agreement by myself and/or by any other person of
whom I become aware. I agree to return all CONFIDENTIAL DATA, INFORMATION, AND RECORDS to my immediate supervisor
upon completion of this contract or termination of my employment with my employer, whichever occurs first.
I understand and acknowledge that the unauthorized discussion, disclosure, or dissemination, in any manner or form, of
CONFIDENTIAL DATA, INFORMATION, AND RECORDS may subject me to civil and/or criminal penalties.
SIGNATURE: DATE: _____/_____/_____
PRINTED NAME: __________________________________________
POSITION: __________________________________________