Attachment_0005_-_CERTIFICATE_OF_DESTRUCTION.doc

CERTIFICATE OF DESTRUCTION

The undersigned hereby certifies that the technical data in CD-ROM or other format provided by the U.S. Government under Solicitation W15QKN-17-B-0002 have been destroyed along with any copies in any form (CD-ROM, print, etc) and further certify that no copies in any form whatsoever have been retained. Listed below, if applicable, is a list of subcontractors and vendors that received a copy of the technical data, or any portion thereof, in any format.

_______________________________ Authorized Signature

_______________________________ Company Name

_______________________________ Street Name

_______________________________ City, State, Zip Code

List of Subcontractors and Vendors that received a copy of the technical data, or any portion thereof, in any format, provided with the above referenced solicitation.

Name Address