Attachment - Certificate of Destruction.pdf
PDF 77 KB Posted
- Attached to
- Copy Center Equipment Project State and local contract opportunity
- Solicitation number
- SRC0000036105
- Issued by
- Ohio
About this file
This is a Certificate of Destruction form template associated with the Ohio Attorney General's Office (AGO) Copy Center Equipment Project, a 60-month lease agreement for production printers and print management software solutions. The form serves as an official record documenting the destruction of records, data, and files in accordance with the contract's destruction policies and procedures. The certificate requires documentation of the destruction date, detailed description of the materials disposed of, and the specific method used, with options including burning, shredding, pulping, demagnetizing, overwriting, pulverizing, or other methods as applicable.
The form must be completed and signed by the individual performing the destruction along with their title and organization, and requires witness verification through signature and title. When destruction is conducted by a vendor, the form requires attachment of a disposal receipt or verification of destruction completion and vendor NAID AAA certification as supporting documentation. The certificate includes fields for the AGO contract number and serves as a compliance mechanism to ensure proper record management throughout the contract term.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment C - Sample Contract vfinal Ohio Buys.pdf | ||
| Attachment B - Performance Questionnaire.docx | DOCX document | |
| Exhibit 3 - IRS Publication 1075 for IT Services.pdf | ||
| Exhibit 5 - ITSSEC01 - AGO Products and Services Acknowledgement ITS - Rev. 05-30-2025.pdf | ||
| Attachment A - Copy Center Floor Plan.pdf | ||
| Copy Center Equipment Lease RFP vfinal Ohio Buys.pdf | ||
| Exhibit 4 - ITSSEC03 - Non-vendor network access acknowledgement ITS - Rev. 03-17-2025.pdf |
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Text version
Exhibit___ AGO Contract #___
ATTACHMENT 2
Certificate of Destruction
The information described below was destroyed in the normal course of business in accordance with the destruction policies and procedures outlined in the associated contract. This is to certify that all records described on this form have been completely destroyed by the individuals below, on the following date and in the following manner.
Date of destruction: ___________________________________________________________________
Description of records/data/files disposed of:
Method of destruction:
____Burning ____ Shredding ____ Pulping ____ Demagnetizing
____ Overwriting ____ Pulverizing ____Other
AGO Contract number: _______________________________________________________________
Name of individual doing the destruction: ___________________________________________________
Title of the individual doing the destruction: _________________________________________________
Name of organization the individual represents:______________________________________________
Signature of individual doing the destruction: _______________________________________________
Witness Name: ______________________________________________________________________
Witness Title: ___________________________________________________________________
Witness Signature:_____________________________________________________________________
NOTE: If the data are destroyed by a vendor, please provide the following information as an attachment to this form. (Initial and date each below, if received.)
__________ Disposal receipt/verification of completing the destruction
__________ Vendor NAID AAA certification.
Certificate of Destruction
File details come from the government source that posted it. Updated .