Attachment 4- Section 208 Compliance Certificate.pdf

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Pure Storage as a Service
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2026-R-023
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This document is an Original Equipment Manufacturer (OEM) Statement of Compliance form related to limitations on telecommunications equipment procurement. The statement certifies compliance with Section 208 of the Legislative Branch Appropriations Act, 2020, which prohibits acquiring certain telecommunications equipment and high-impact or moderate-impact information systems as defined by the National Institute of Standards and Technology (NIST) Federal Information Processing Standard Publication 199. The form provides a template for an OEM representative to sign and attest to their compliance with these procurement restrictions, with spaces for the certifying officer's name, title, date, and signature. Version 3 of this document is dated February 2022.

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OEM Statement of Compliance on Limitation on Telecommunications Equipment Procurement V3 | February 2022

Original Equipment Manufacturer (OEM) Statement of Compliance

LIMITATION ON TELECOMMUNICATIONS EQUIPMENT PROCUREMENT

The OEM represents that, to the best of its knowledge and belief, it is in compliance with Section 208 of the Legislative Branch Appropriations Act, 2020, located within the Further Consolidated Appropriations Act, 2020 (P.L. 116-94) which prohibits the acquisition of certain telecommunications equipment as well as high-impact or moderate-impact information systems, as defined for security categorization in the National Institute of Standards and Technology's (NIST) Federal Information Processing Standard Publication I99, "Standards for Security Categorization of Federal Information and Information Systems”.

Name and Title of Certifying Officer Date

Signature of Certifying Officer

Name and Title of Certifying Officer:
Date:

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