DOR_ATT_A_DESTRUCTION_CERT.doc

DOC document 21 KB Posted

Attached to
MASSTAX2 Legal Counsel
Solicitation number
S110391-vCurrent
Issued by
Suffolk County, Boston City, Chelsea City, Massachusetts

About this file

This document is a Certificate of Destruction completed by the Department of Revenue (DOR) and the contractor hired to destroy confidential records. The DOR transferred a specified number of containers of confidential records to the contractor for destruction using shredding, de-inking, and pulping methods. The contractor confirmed that all required security and confidentiality precautions were followed during the destruction process. The completed certificate must be returned to the DOR Records Management Unit.

The document does not contain any information about a state or local contract opportunity. It solely focuses on the process for the destruction of confidential records by the DOR and the contractor. There are no details provided about pricing terms, set asides, incumbents, funding requirements, or other salient information related to a contract opportunity.

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Text version

ATTACHMENT A

CERTIFICATE OF DESTRUCTION

TO BE COMPLETED BY DOR

The following number of containers_______________________of confidential records were transferred by DOR at its office located at ___________________________ to _________________________________(company name), for destruction by the following methods: shredding, de-inking and pulping.

Signed:

Title:

Date:

TO BE COMPLETED BY CONTRACTOR

The following number of containers______________________ of confidential records that were transferred by DOR at its office located at ___________________to _______________(Company Name) for destruction, were destroyed by __________(Company Name) on _____________ by the following methods:

_____________(Company Name) confirms that all required security and confidentiality precautions were in effect for the duration of the destruction process.

Signed by ____________(Company Name) driver:

Signed by _______(Company Name) General Manager:

Please return a copy of the completed Certificate to: Department of Revenue, Records Management Unit, Carolyn Waller, Director, 25 Arlington Street, Chelsea, MA 02150, Fax: (617) 887-4809.

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