1085V001 LARGE SHEAR BLOCK CONTAINER 773 TC Attachement 1.docx
DOCX document 39 KB Posted
- Attached to
- Shear Block Containment Units Federal contract opportunity
- Solicitation number
- N3904021Q0315
About this file
This document includes an attachment to a federal contract solicitation for the manufacturing of large shear block disposal containers and related testing certifications. The solicitation requires the production of 14 large and 8 small shear blocks in accordance with supplied specifications and drawings to support maintenance on the USS Cheyenne. Deliverables include certificates of compliance, visual and magnetic particle testing certifications, and load proof test results for safety hoist rings and lifting lugs. The performance period is from September 15, 2021 to January 21, 2022. Responses are due as a firm fixed price proposal by the date specified in the attached Standard Form 1449 request for quote. The soliciting agency is the Department of the Navy Naval Sea Systems Command and the requirement is set aside for small businesses.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment to BetaSam Insert text on 52.212-2.pdf | ||
| 1085V001 LARGE SBDC 2370A0000388 REV Orig DWG.pdf | ||
| 1085V002 SMALL SBDC 2370A0000389 REV Orig DWG.pdf | ||
| N3904021Q0315 1449 - Updated Solicitation For BetaSam.pdf | ||
| 1085V002 Statement of Required Tests Small Shear Block Disposal Container 773 SOT Attachment 4.docx | DOCX document | |
| 1085V002 SMALL SHEAR BLOCK CONTAINER 773 TC Attachment 3.docx | DOCX document | |
| 1085V001 Statement of Required Tests Large Shear Block Disposal Container 773 SOT Attachement 2.docx | DOCX document |
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Text version
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
REQ DOC NO. - __1085V001 ATTACHMENT _________
CONTINUATION SHEET CONTRACT NO. - _______________ PAGE ___ OF ___
NAME OF OFFER OR/CONTRACTOR
______________________________________________________________________________ITEM # SUPPLIES/SERVICES QTY U/I
LARGE SHEAR BLOCK DISPOSAL CONTAINER 1 JO
C. DESCRIPTION/SPECIFICATIONS
C.1 LARGE SHEAR BLOCK DISPOSAL CONTAINER RF-2202, STEEL
C.1.1 14 COMPLETE UNITS
C.1.2 MANUFACTURE IN ACCORDANCE WITH PNS 2370A0000388 REV ORIG. DRAWING IS ATTACHED.
C.2 PNSY PLANS TO INSPECT THE CONTAINERS AT AN APPROXIMATE HALF WAY POINT OF CONSTRUCTION, DURING THE MAGNETIC PARTICLE TESTING AND AT COMPLETION OF CONSTRUCTION.
C.2.1 CONTRACTOR SHALL NOTIFY PNSY WITH PROJECTED WORK SCHEDULE. HALFWAY POINT OF CONSTRUCTION SHALL BE DETERMINED BY THE CONTRACTOR AND PNSY AFTER AWARD OF CONTRACT.
C.3 PERFORM A VISUAL TEST PER AWS S1.1/D.1.1M:2020; STRUCTURAL WELDING CODE – STEEL; 24TH EDITION, APPROVED 19 DECEMBER 2019.
C.4 PERFORM MAGNETIC PARTICLE TESTING PER NAVSEA TECHNICAL PUBLICATION T9074-AS-GIB-010/271 REV 1; REQUIREMENTS FOR NONDESTUCTIVE TESTING METHODS AND MIL-STD-2035A; NONDESTRUCTIVE TESTING ACCEPTANCE CRITERIA.
C.5 PERFORM LOAD/PROOF TEST ON SAFETY HOIST RING AND LIFTING LUGS PER THE INSTRUCTIONS AND REQUIREMENTS OF THE STATEMENT OF TESTS AND DRAWING. BOTH ARE ATTACHED.
C.6 GOVERNMENT INSPECTION IS REQUIRED DURING MANUFACTURE AND PRIORTO SHIPMENT FROM THIS FACILITY. UPON RECEIPT OF THIS ORDER, PROMPLTLY NOTIFY THE REPRESENTATIVE OF THE GOVERNMENT OFFICE WHO NORMALLY SERVES YOUR FACILITY SO THAT APPROPRIATE PLANNING FOR GOVERNMENT INSPECTION CAN BE ACCOMPLISHED. IN THE EVENT A REPRESENTATIVE OF THE GOVERNMENT OFFICE CANNOT BE LOCATED, THE PURCHASING AGENT SHOULD BE NOTIFIED PROMPLTLY.
C.7 DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTCHMENT #1, FOR SAFETY HOIST RING
C.7.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A001.
C.7.2 BEFORE VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A002.
C.7.3 AFTER VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A003.
C.7.4 BEFORE MAGNETIC PARTICLE TEST CERIFICATION, EXHIBIT A SEQUENCE A004.
C.7.5 AFTER MAGNETIC PARTICLE TEST CERIFICATION, EXHIBIT A SEQUENCE A005.
C.7.6 LOAD/PROOF TEST CERIFICATION, EXHIBIT A SEQUENCE A006.
C.8 DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTCHEMT #1, FOR LIFTING LUGS.
C.8.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A007.
C.8.2 BEFORE VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A008.
C.8.3 AFTER VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A009.
C.8.4 BEFORE MAGNETIC PARTICLE TEST CERTIFICATION, EXHIBIT A SEQUENCE A010.
C.8.5 AFTER MAGNETIC PARTICLE TEST CERTIFICATION, EXHIBIT A SEQUENCE A011.
C.8.6 LOAD/PROOF TEST CERIFICATION, EXHIBIT A SEQUENCE A012.
C.8.7 MATERIAL SAFETY DATA SHEETS, EXHIBIT A SEQUENCE A013.
D. PACKING/PACKAGING/MARKINGS:
D.1 FOLLOWING SATISFACTORY COMPLETION OF LOAD/PROOF TEST, PERMANENTLY MARK ITEMS AS REQUIRED PER DRAWING AND STATEMENT OF REQUIRED TESTS.
(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)
CONTRACT DATA REQUIREMENTS LIST
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A001 | |||
| 02 | DATA DESC | CERTIFICATE OF COMPLIANCE | |||
| 03 | SUBTITLE | SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.1 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A001
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
EXHIBIT A
| SYSTEM/ITEM: LARGE SHEAR DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A002 | |||
| 02 | DATA DESC | VISUAL TEST CERTIFICATION | |||
| 03 | SUBTITLE | BEFORE; SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.2 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A002
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A003 | |||
| 02 | DATA DESC | VISUAL TEST CERTIFICATION | |||
| 03 | SUBTITLE | AFTER: SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.3 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A003
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | |
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A004 | |||
| 02 | DATA DESC | MAGNETIC PARTICLE TEST | |||
| 03 | SUBTITLE | BEFORE: SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.4 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A004
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A005 | |||
| 02 | DATA DESC | MAGNETIC PARTICLE TEST | |||
| 03 | SUBTITLE | AFTER: SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.5 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A005
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A006 | |||
| 02 | DATA DESC | LOAD PROOF TEST CERIFICATION | |||
| 03 | SUBTITLE | SAFETY HOIST RING | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.7.6 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A006
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A007 | |||
| 02 | DATA DESC | CERTIFICATE OF COMPLIANCE | |||
| 03 | SUBTITLE | LIFTING LUGS | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.1 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A007
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A008 | |||
| 02 | DATA DESC | VISUAL TEST CERIFICATION | |||
| 03 | SUBTITLE | BEFORE: LIFTING LUGS | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.2 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A008
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A009 | |||
| 02 | DATA DESC | VISUAL TEST CERTIFICATION | |||
| 03 | SUBTITLE | AFTER: LIFTING LUGS | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.3 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A009
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A010 | |||
| 02 | DATA DESC | MAGNETIC PARTICLE TEST | |||
| 03 | SUBTITLE | BEFORE: LIFTING LUGS | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.4 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A010
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A011 | |||
| 02 | DATA DESC | MAGNETIC PARTICLE TEST | |||
| 03 | SUBTITLE | AFTER: LIFTING LUG | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.5 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A011
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A012 | |||
| 02 | DATA DESC | LOAD/PROOF TEST CERTIFICATION | |||
| 03 | SUBTITLE | LIFTING LUGS | |||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.6 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A012
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
| SYSTEM/ITEM: LARGE SHEAR BLOCK DISPOSAL CONTAINER | CATEGORY ____________ | ||
| ITEM NO | CONTRACTOR |
| 01 | SEQ NO | A013 | |||
| 02 | DATA DESC | MATERIAL SAFETY DATA SHEETS | |||
| 03 | SUBTITLE | ||||
| 04 | DID NUMBER | PER ATTACHMENT 1 TO EXHIBIT A | |||
| 05 | CONTRACT REF | PARA. C.8.7 | |||
| 06 | TECH OFFICE | 2370.1 | |||
| 07 | DD 250 REQ | SD | |||
| 08 | APP CODE | ||||
| 09 | IAC INPUT | ||||
| 10 | FREQUENCY | O-TIME | |||
| 11 | AS OF DATE | ||||
| 12 | DATE 1ST SUBM | WITH MATERIAL | |||
| 13 | DATE SUB SUBM | ||||
| 14 | DISTRIBUTION | 410 | __/ | 0 VIA MAIL (N0 DD 250 REQD) | |
| 15 | TOTAL | __ | |||
| 16 | REMARKS |
SEQ. NO. A013
| PREPARED BY ________________________________________________ | DATE__________________ | |
| APPROVED BY ________________________________________________ | DATE__________________ | |
| DD FORM 1423 |
CONTRACT __________________
PRINTED 13 APRIL 2021 PAGE _______
CONTRACT/SOLICITATION ________________________________________________________________ ITEM ___________________________________________ (DATE FOR ITEM) ___________________
REQUIRED CERTIFICATION
A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL. CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS OUTLINED IN PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL TESTS, ANALYSES, INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY THE CONTRACT AND SPECIFICATIONS WHETHER CERTIFICATIONS ARE REQUIRED OR NOT.
CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM STATEMENT OR COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART)
"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS".
B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:
1. THE CERTIFICATION OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND TITLE OF THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY ASSURANCE.
2. THE MATERIAL IDENTIFICATION (E.G. LOT, BATCH, PART #, ETC.) SHALL BE INCLUDED ON THE CERTIFICATE OF COMPLIANCE.
CERTIFICATE OF COMPLIANCE
COMPANY NAME
MATERIL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ______________ ORDER NO. ________________ ITEM NO. ____________________ NATIONAL/LOCAL STOCK NO. NSN/LSN ____________________________________________________ MANUFACTURER’S PART NO. _____________________________________________________________ MANUFACTURER’S SERIAL NO. ___________________________________________________________ DRAWING AND PIECE NO. _________________________________________________________________
MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL _________________________
ALL INSPECTIONS AND TEST REPORTS REQUIRED BY ATTACHMENT I TO EXHIBIT A (DD FORM 1423) FOR TRACEABILITY TO EACH CONTRACT ITEM MUST ACCOMPANY THIS SIGNED STATEMENT:
THE INSPECTION AND TEST REPORTS (AS APPLICABLE) PROVIDED REPRESENT THE ACTUAL ATTRIBUTES OF THE ITEMS FURNISHED ON THIS CONTRACT AND INDICATE FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS. I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS.
| SIGNATURE ___________________________________________________ | DATE _______________ | |
| QUALITY ASSURANCE OFFICIAL |
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