Attachment16CERTIFICATE_OF_DESTRUCTION_OR_RETURN.pdf
PDF 74 KB Posted
- Solicitation number
- SPRHA1-26-R-1003
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is a Certificate of Destruction or Return of Boeing Technical Data template form used to document the disposition of proprietary Boeing technical information provided to suppliers under federal contracts.
The certificate requires a supplier to certify that all Boeing technical data received, including any materials incorporating, referencing, or containing such data, has been either destroyed or returned to the government. The certification must account for all copies in the supplier's possession or control, including electronically stored copies and any data provided to third parties, with the exception of data obtained through separate direct license from Boeing. Destruction must employ methods that protect confidentiality, such as shredding, burning, or rendering media to a non-readable form. The completed certificate requires the supplier to provide an authorized signature, name, title, company name, specification of whether data was returned or destroyed with the method used, and identification of the recipient if data was returned. The completed form must be returned to DLA Weapons Support, 6051 Gum Lane, Building 1225, Hill AFB, UT 84056.
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Text version
CERTIFICATE OF DESTRUCTION OR RETURN OF BOEING TECHNICAL DATA
The undersigned, ________ ((/SUPPLIER"), certifies that all Boeing technical data provided to SUPPLIER under the Certification for the Use of Boeing Technical Data together with any materials in any form that incorporate, reference or contain any Boeing technical data, have been destroyed or returned to GOVERNMENT. SUPPLIER certifies that this represents all Boeing Technical Data in SUPPLIER'S possession or under its control, including subsequent copies made thereof, copies electronically stored or maintained, and any data or copies that SUPPLIER provided to third parties, except for that Boeing technical data obtained by it under separate direct license from Boeing. “Destruction” of the Boeing technical data shall encompass a method that protects the confidentiality of the proprietary data, and in this regard, SUPPLIER shall employ a method of destruction such as shredding or burning or otherwise rendering the media to a non-readable form.
Date:
Authorized Signature: _
Print or Type Name: _
Title: _
Company: _
Specify Return or Method of Destruction: _
Recipient of Returned Data: _
(Name and Address): _
Return Certificate to:
DLA Weapons Support
6051 Gum Lane, Bldg 1225
Hill AFB, UT 84056
File details come from the government source that posted it. Updated .