Attachment 1 Trasnfer of Responsibility Form.docx

DOCX document 15 KB Posted

Attached to
STC ELECTRONIC EQUIPMENT RECYCLING
Solicitation number
5400028747
Issued by
Richland County, South Carolina

About this file

The document is a Transfer of Responsibility Form for electronics recycling issued by the State of South Carolina, designed to track the transfer of electronic equipment between a governmental unit and a contractor. The form provides a structured method for documenting the pickup and removal of various electronic devices, including CRT and non-CRT televisions and monitors, intact and harvested computers and servers, hard drives, and miscellaneous electronic devices categorized by plastic content.

The form emphasizes data security, requiring that all data be removed, deleted, reformatted, degaussed, or overwritten from the equipment prior to removal. Equipment with non-removable data must be labeled for destruction. The form requires signatures from both the governmental unit representative and the contractor representative to validate the transfer, and must be retained by the contractor for audit and reporting purposes. No specific pricing, funding sources, or contract terms are detailed in this transfer document, which appears to be a procedural form for managing the logistics of electronics recycling.

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Other files

File Type Posted
Amendment #2.pdf PDF
Award Notice.docx DOCX document
Award Extension Notice.docx DOCX document
Attachment 2 Amend #1 Weighted Bid Schedule.xlsx XLSX spreadsheet
Amendment #1.pdf PDF
Solicitation.pdf PDF
Attachment 2 Weighted Bid Schedule.xlsx XLSX spreadsheet

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Text version

State of South Carolina Electronics Recycling Transfer of Responsibility Form

Date of Pickup: _____________________

Using Governmental Unit: __________________________________________

Address of Pickup Location: _________________________________________

_________________________________________
_________________________________________

County of Pickup Location: ________________________________

Line Item
Description
Notes
1
Cathode Ray Tube (CRT) containing televisions and monitors
2
Non-CRT televisions & monitors
3
Intact Computers and Servers
4
Harvested Computers & Servers
5
Hard Drives
6
Other Miscellaneous Electronics (devices consisting of 60% or more plastic)
7
Other Miscellaneous Electronics (devices consisting of less than 60% plastic)

All data should be removed, deleted, reformatted, degaussed, and/or overwritten, to include but not limited to software, folders, files, and programs in the equipment to be removed.

· All equipment that contains data which cannot be removed should be labeled for destruction.

· Both signatures below must be obtained prior to removal of equipment.

· This form must be retained by the Contractor for audit and reporting purposes.

Using Governmental Unit Representative

________________________________________________________________ ______________
Printed NameSignatureDate

Contractor Representative

________________________________________________________________ ______________
Printed NameSignatureDate

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