Certificate of Destruction Form - Market Survey W15QKN-25-X-1AXT.docx
DOCX document 19 KB Posted
- Attached to
- Gas Adsorbent Modules
- Solicitation number
- W15QKN-25-X-1AXT
About this file
The document is a Certificate of Destruction Form for a Market Survey (W15QKN-25-X-1AXT) related to Gas Adsorbent Modules (GAMs). The form requires authorized signatories to certify the complete destruction of technical data package materials received from the U.S. Government, including all copies in electronic, print, or other formats. The form provides space for companies to list any subcontractors or vendors who may have received copies of the technical data.
The associated federal contract opportunity is a Sources Sought Notice issued by the Army Contracting Command-New Jersey at Picatinny Arsenal for the production of Gas Adsorbent Modules. The GAMs are critical safety components for ammunition, consisting of a two-piece red plastic ring containing powdered manganese dioxide and cuprous oxide that adsorbs phosphine gas. The modules are designed to mitigate potential spontaneous combustion and health hazards by neutralizing phosphine emissions, with specific dimensional specifications including a height of 1.85 inches, an outer diameter of 3.1 inches, and an inner diameter of 2.3 inches. The market survey aims to identify capable sources for GAM production to support Fiscal Year 2026 through 2030 requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Non Disclosure Agreement GAMs Follow-On Sources Sought.docx | DOCX document | |
| TDR Questionaire.pdf | ||
| DD2345 Military Critical Technical Data Agreement.pdf |
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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-1AXT 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 .