Attachment_0005_--_Limited_Distribution_Documents_Certificate_of_Destruction_(2).pdf

CERTIFICATE OF DESTRUCTION for DATA

Request for Proposal W15QKN-15-R-0240 Attachment 0005 Version 2 May 2016

The undersigned hereby certifies that the l DATA provided by the U.S. Government under Request for Proposal W15QKN-15-R-0240 has been destroyed along with any copies in any form (CD, electronic file, print, etc.) and further certifies that no copies in any form whatsoever have been retained. A Certificate of Destruction for DATA has been obtained from all subcontractors and vendors, if any, receiving a copy of the DATA contained therein, and said Certificates are attached.

__________________________________ Authorized Signature

__________________________________ Printed/Typed Name

__________________________________ Company Name

__________________________________ CAGE Code

__________________________________ Street Address

__________________________________ City, State, Zip Code

List of Subcontractors and Vendors that received a copy of the DATA, or any portion thereof, in any format, provided with Draft Request for Proposal W15QKN-15-R-0240.

Name Address