Certificate of Destruction Form - Market Survey W15QKN-25-X-117Y (MACS LAP).docx

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Attached to
M231/M232A2, Modular Artillery Charge System (MACS) Load, Assemble, and Pack (LAP)
Solicitation number
W15QKN-25-X-117Y
Issued by

About this file

This is a Certificate of Destruction form template related to Market Survey W15QKN-25-X-117Y for the Modular Artillery Charge System (MACS) Load, Assemble, and Pack program. The form requires contractors who received Technical Data Packages (TDP) to certify that all copies of the technical data have been destroyed in all formats (electronic, CD-ROM, print, etc.) and that no copies have been retained. The form includes fields for authorized signature, company information, and requires listing any subcontractors or vendors who received copies of the technical data.

The form is associated with a pre-solicitation notice from the Army Contracting Command-New Jersey seeking manufacturers capable of producing M231/M232A2 MACS at rates up to 80,000 units per month with surge capacity to 445,000 units monthly. The TDPs referenced in the destruction certificate are marked Distribution F and require contractors to submit DD Form 2345, AMSTA-AR Form 1350, and an NDA before receiving the technical data. The certificate must be submitted when the source sought notice closes.

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Text version

CERTIFICATE OF DESTRUCTION

The undersigned hereby certifies that the Technical Data Package (TDP) received via SAM provided by the U.S. Government under Market Survey W15QKN-25-X-117Y have been destroyed along with any copies in any form (electronic data, 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

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