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® Secmiry <br />e <br />Rcunty sCouncil <br />Section 3: Validation and Attestation Details <br />Part 3. PCI DSS Validation <br />This AOC is based on results noted in the ROC dated 29 Jun 2021. <br />Based on the results documented in the ROC noted above, the signatories identified in Parts 3b-3d, as <br />applicable, assert(s) the following compliance status for the entity identified in Part 2 of this document <br />(check one): <br />® Compliant: All sections of the PCI DSS ROC are complete, all questions answered affirmatively, <br />resulting in an overall COMPLIANT rating; thereby Bluefin Payment Systems LLC has demonstrated <br />full compliance with the PCI DSS. <br />❑ Non -Compliant: Not all sections of the PCI DSS ROC are complete, or not all questions are <br />answered affirmatively, resulting in an overall NON -COMPLIANT rating, thereby Bluefin Payment <br />Systems LLC has not demonstrated full compliance with the PCI DSS. <br />Target Date for Compliance: <br />An entity submitting this form with a status of Non -Compliant may be required to complete the Action <br />Plan in Part 4 of this document. Check with the payment brand(s) before completing Part 4. <br />a <br />Compliant but with Legal exception: One or more requirements are marked "Not in Place" due to a <br />legal restriction that prevents the requirement from being met. This option requires additional review <br />from acquirer or payment brand. <br />If checked, complete the following: <br />Affected Requirement <br />Details of how legal constraint prevents <br />requirement being met <br />N/A <br />N/A <br />Part 3a. Acknowledgement of Status <br />Signatory(s) confirms: <br />(Check all that apply) <br />® <br />The ROC was completed according to the PCI DSS Requirements and Security Assessment <br />Procedures, Version 3.2.1, and was completed according to the instructions therein. <br />® <br />All information within the above -referenced ROC and in this attestation fairly represents the results of <br />my assessment in all material respects. <br />❑ <br />I have confirmed with my payment application vendor that my payment system does not store <br />sensitive authentication data after authorization. <br />® <br />1 have read the PCI DSS and I recognize that I must maintain PCI DSS compliance, as applicable to <br />my environment, at all times. <br />® <br />If my environment changes, I recognize I must reassess my environment and implement any <br />additional PCI DSS requirements that apply. <br />PCI at�✓Ej(jAk*tation of Compliance for Onsite Assessmeffi4--S4.12ice Providers, Rev. 1.0 2/7/2-0262018 <br />© 2006-2018 PC/ Security Standards Council, LLC. All Rights Reserved. Page 10 <br />