Attach_J-O _Export_Control _Encl_2-Certification_DRAFT.docx

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Safety and Reliability Upgrade, KSC Institutional Power Systems, Phase 2 of 4
Solicitation number
NNK16575643R
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Attach J-O Export Control Encl 2-Certification

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COMPANY LETTERHEAD

To: Mr. Randall A. Gumke (OP-ES) Contracting Officer National Aeronautics and Space Administration John F. Kennedy Space Center Kennedy Space Center

Subject: US Certification for Export Controlled Documents Acceptance (Name of Organization) has a need for the export controlled technical data for (Insert Project Title) in order to prepare a proposal for solicitation number (XXXX).

In requesting this technical data, (Name of Organization) certify that:

1. (Name of Organization) is incorporated to do business in the United States, and

2. The following Point of contact, (Insert Name), is: the designated representative for this project; an employee of the company; and is either a US citizen or lawful US permanent resident with a green card; and

3. Upon completion of (Name of Organization) need for the above-mentioned export controlled technical data, we agree to destroy the above-mentioned export controlled technical data in accordance with EAR and ITAR best practices

4. The designated Representative and (Name of Organization) agree to abide by EAR and ITAR regulations and the following statements:

"International Traffic in Arms Regulations (ITAR) Notice" This document contains information which falls under the purview of the U.S. Munitions List (USML), as defined in the International Traffic in Arms Regulations (ITAR), 22 CFR 120-130, and is export controlled. It shall not be transferred to foreign nationals in the U.S. or abroad, without specific approval of a knowledgeable NASA export control official, and/or unless an export license or a license exemption is obtained or available from the United States Department of State. Violations of these regulations are punishable by fine imprisonment, or both.

OR

“Export Administration Regulations (EAR) Notice” This document contains information within the purview of the Export Administration Regulations (EAR), 15 CFR 730-774, and is export controlled. It shall not be transferred to foreign nationals in the U.S. or abroad without specific approval of a knowledgeable NASA export control official, and/or unless an export license or a license exception is obtained or available from the Bureau of Industry and Security, United States Department of Commerce. Violations of these regulations are punishable by fine, imprisonment, or both.

Signature ______________________________________ (An original signature is required)

Signer’s Name and Title ________________________________________________________

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