36C78620Q0009-002.docx
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- FY 20 New - MPS Pacific District - Tahoma Natl Cemetery - Off-site Blank/Inscription Program
- Solicitation number
- 36C78620Q0009
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36C78620Q0009 Attachment B- SOW_Tahoma NC _Dedicated Inscription Program.docx
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B.3 STATEMENT OF WORK/SPECIFICATION
1.0 Background
The Department of Veterans Affairs (VA), National Cemetery Administration (NCA) furnishes headstones, markers and niche covers (monuments) for deceased veterans worldwide. Memorial monuments are also furnished to memorialize veterans whose remains are non-recoverable.
2.0 Purpose
1.0 The purpose of this contract is to provide multi-year contract.
Tahoma National Cemetery 18600 Southeast 240 Street Kent, WA 98042-4868 POC: Thomas L. Yokes, Director Jennifer Dehorty, Asst. Director
This service includes all labor and materials necessary to provide and deliver, F.O.B. Destination, inscribed flat granite markers within a radius of 90 miles of the cemetery’s address noted in section 2 (per MapQuest). This contract covers the period from October 1, 2019 through September 30, 2021 with four (1) year options to extend the term of the contract through September 30, 2024.
3.0 General
The purpose of this contract is to provide blank flat granite markers and inscription services to the cemetery listed in (2.0) above. Contractor is responsible for the following:
| 1. | Provide all labor and material necessary to manufacture or purchase blank granite markers under a multi-year contract. |
| 2. | Provide all labor and materials necessary to process inscription order on the blank markers stated above. |
| 3. | Provide all labor and materials needed to package and palletize, if necessary, shipments of inscribed markers. |
| 4. | Provide all labor and equipment to unload pallets or singles markers off transportation carrier’s vehicle. |
3.1 Performance period: The contractor shall have (10) business days, excluding federal holidays, as counted from the date following the day an order is sent to the contractor until the monuments are produced and made available to the cemetery for receiving inspection and acceptance.
Based Period: October 1, 2019 through September 30, 2020 Option Year One: October 1, 2020 through September 30, 2021 Option Year Two: October 1, 2021 through September 30, 2022 Option Year Three: October 1, 2022 through September 30, 2023 Option Year Four: October 1, 2023 through September 30, 2024
3.2 Unit Price: The unit price is all-inclusive and covers the complete inscription ordered, regardless of the total number of lines or characters. The unit price shall be the total price paid for each monument inscribed, FOB Destination.
3.3 Government Furnished Property (Niche Covers)
This service includes all labor and materials necessary to provide and deliver, FOB Destination, inscription on government furnished blank marble niche covers to the cemetery. The contractor must provide all labor, equipment, and materials necessary to pick-up government-furnished niche covers and deliver completed covers to the cemetery. This contractor must use covers provided by the cemetery for this contract.
The contractor is responsible for pick-up and packaging and to prevent damage during shipment, palletizing if necessary, handling and returning niche covers to the cemetery. The cemetery is responsible only for making blank niche covers available to the contractor and is not responsible for packing the blank niche covers. The contractor must regularly pickup blanks from the cemetery to ensure work is completed with the required performance period. The contractor is not responsible for unwrapping, crating, or installing completed niche covers.
Should a contractor have multiple cemetery contracts, it is essential that the blank niche covers inventoried for each cemetery are segregated, and the inventoried stock shall be used solely for that cemetery.
The contractor shall be responsible for the security and protection of government furnished property to the contractor in connection with the This contract. All niche covers that do not meet the specification following inscription will be considered scrap and the quantity will need to be reported to the cemetery and MPS. The contractor is responsible for the disposal of scrapped niche covers at their facility.
4.0 Material Specification
4.1 Description: W1, Inscriptions for Upright Granite Headstones (13” x 42”x 3”)
4.1.1 Product Code: W1
4.1.2 Drawing No.: A-W1-1, Rev. - , dated 01/29/14
A-W1-2, Rev. - , dated 01/29/14
4.2 Description: L1, Inscriptions for Flat Granite Markers (12” x 18” x 3”)
4.2.1 Product Code: L1
4.2.2 Drawing No.: A-L1, Rev. - , dated 01/29/14
4.3 Description: Niche Covers Inscriptions (15-3/4” x 11-1/4” x ¾”)
4.3.1 Product Code: I1
4.3.2 Drawing No.: A-NCIS- 1 thru 2, dated 11/18/13
4.4 Material: Granite shall be sound and compact, free from cracks, spalls, chips, holes, calcite lines more than two inches in length, open seams, pits or other defects that would impair its strength, durability or appearance.
4.5 Color: Granite must be a uniform shade of light grey color of (N6 or N8.5) as judged against the (Munsell Neutral Value Scale, Matte 31 - step scale.
4.6 Finishing: The front, back, top and sides of each monument must be uniformly machine honed with an 80-grit pad, or stone, to a smooth satin finish, free of scratches, saw marks, rust spots and skips. The bottom shall be a smooth sawn finish.
4.7 Source of supply: All stone shall be obtained from quarries within the United States having adequate capacity and facilities to meet the specified requirements. Cutting and finishing shall be done by a manufacturer equipped to process the material promptly and in accordance with these specifications.
Note: If the contractor changes from the original approved quarry to another quarry during the contract term, an additional sample shall be submitted to the MPS Program Support Unit for approval prior to using the new stone to produce blanks. (Refer to 6.0)
4.8 Workmanship: Each monument shall be free from defects in workmanship.
· Chips, cracks, open seams, or abraded edges shall not be permitted and the repair or patching of any such defects is prohibited and shall be cause for rejection.
· Monuments shall be free of ink, oil, crayon marks, dirt, coatings, sealers and stone dust.
· Inscriptions shall be free from defects due to broken or blown out lettering.
· Workmanship and production shall be in accordance with industry standards, practices, and regulatory safety requirements
4.9 Testing: Stone supplied under this contract shall conform to the following specifications and physical requirements. Stone shall be tested, as listed below, by an approved testing laboratory and test results shall be submitted to the Memorial Products Service (MPS), Program Support Unit for approval prior to the production of the sample. Testing is required only once and shall be from a representative sample of the quarry. Testing results are required for new sources of stone.
NOTE: Testing results are not required for sources in the following areas:
· Washington County, Vermont
· Elberton County, Georgia
· Madera County, California
· Surrey County, North Carolina
5.0 Granite Testing Specifications
5.1.1 Abrasive hardness:
Granite shall have an abrasive hardness value (Ha) of not less than 25 when tested as specified in ASTM C241.
5.1.2 Absorption:
Granite absorption shall be 0.15 percent maximum, by weight when tested for a 48-hour period as specified in ASTM C97.
5.1.3 Compressive strength:
Granite shall have a minimum compressive strength of 7,500 psi when tested as specified in ASTM C170.
5.1.4 Modulus of rupture:
Granite shall have a minimum modulus of rupture of 1000psi when tested as specified in ASTM C99.
5.2 Applicable Publications
5.2.1 Munsell Neutral Value Scale, Matte (31 - step scale)
617 Little Britain Road, New Windsor, NY Refer to X-Rite, Inc or Pantone LLC for Munsell Color Scale
5.2.2 ASTM, Sections C97, C99, C170, C241
American Society for Testing and Materials 100 Barr Harbor Drive PO Box C700 West Conshohocken, PA 19428-2959
5.2.3 Dimension Stones of the World
Granite Institute of America (MIA + BSI) 380 E. Lorain Street, Oberlin, OH 44074
6.0 Inscription Specification
6.1 Reference Drawings
· A-LFN&OC-1 through, dated June 13, 2016, Letters, Fonts, Numbers, & Other Characters
· A-EM 1 through 5, dated 06/27/14, Emblems
6.2 Product: The contractor shall inscribe all information as contained on the headstone order. The end or limit of each line shall be indicated on a line-by-line basis as shown on the order. If any deviation from this is encountered, contact the MPS Program Support Unit at MPSProgSupport@va.gov.
Inscriptions shall be made using an air blast abrasion method. The inscription shall be a depth consistent with the technical drawing and shall conform to the character and dimensions of letter, numbers and emblems shown in the technical drawings. Inscription layouts shall conform to scenarios in the contract drawings.
6.3 Lithichrome Application
Lithichrome shall be used on inscriptions provided under this contract. Whenever Lithichrome is not required, “NO LITHICHROME” shall be notated in the remarks box of the order. When Lithichrome is applied, it shall be N4 or lower as judged against the Munsell Neutral Value Scale, Matte (31-step scale
7.0 Submittal by Potential Offerors
Potential offerors shall submit at contractor expense one upright granite sample (12” x 24” x 3/4”), one flat granite sample (12” x 24” x ¾”) and one marble niche inscription sample (15 ¾” x 11 ¼” x ¾”) representative of the light grey granite to be used in the production of monuments under the contract. The granite samples must conform to government specifications and must be submitted for approval. Mark each sample on the back with permanent marker to show: contractor’s name and solicitation number, physical & email address and cemetery name. Any sample which arrives damaged will not be accepted. MPS will refuse delivery of any full-size headstone or marker at the address listed below. Potential bidders will be responsible for any transportation charges for the return of the refused delivery
The samples must be manufactured, inscribed, and packaged to prevent any damage during shipment.
Samples must be accompanied by a statement identifying the brand name and grit rating for the pad or stone used to produce the final finish. The following inscription shall be used for these samples’ submission. (Refer to section 5.1 for drawings for lines, spacing and dimensions):
Inscription for W1 samples:
Emblem # 33 (Presbyterian Church (USA))
JOSÉ
RAFAEL
QUIÑÓNEZ
2ND LT
US AIR FORCE
AFGHANISTAN
SEP 14 1967
AUG 31 2015
BSM PH & OLC
BELOVED HUSBAND
AND DAD
Inscription for L1 samples:
JOSÉ RAFAEL QUIÑÓNEZ
2ND LT US AIR FORCE
AFGHANISTAN
SEP 14 1967 AUG 31 2015
BSM W/ V PH & OLC
BELOVED HUSBAND & DAD
Inscription for I1 sample:
QUIŃOZĒS
JOSÉ RAFAEL
2ND LT USAF
1937 2015
BSM PH POW
BELOVED HUSBAND
AND DAD
Failure to meet any of the requirements shall result in the rejection of the sample.
The sample shall establish the acceptable product for all inscriptions under this contract and shall be the basis for comparison of all inscription services provided under this contract.
Samples must be received by Memorial Programs Service (MPS) prior to closing date. If one or more of the samples are disapproved by MPS, you shall receive notification by MPS (Program Support Unit) and have until the closing date of the solicitation to resubmit another sample.
NO samples shall be accepted after closing date.
Once submitted, samples become the property of the Department of Veterans Affairs and shall not be returned. Submit sample and test results to the following address:
Department of Veteran Affairs Memorial Products Services Program Support Unit, Rm. 600 1575 Eye Street, NW Washington, DC 20005
6.1 Full size copies of drawings are available upon request at no additional charge to potential vendors. The request should be e-mailed to the NCA Memorial Products Service (MPS) Program Support Unit at MPSProgSupport@va.gov and shall include the contractor’s name, mailing address, phone number, e-mail address, and the name / drawing number of the drawing(s). If hard copies of the drawings are desired, e-mail the request to MPS with sufficient time for the drawings to be mailed. MPS recommends vendors use full size drawings for determining work requirements. An extension to the solicitation’s closing date shall not be granted for failure to request the technical drawings with sufficient lead time.
7.0 Packaging and Palletizing
7.1 Materials: All monuments shall be packed in accordance with normal industry standards and commercial best practices to assure acceptance by the common carrier.
Non metal bands shall be secured around the pallet or crate for its entire height (from top to bottom) and two additional bands shall secure the pallet or crating around the width. Banding pressure shall be such that it causes no damage to the edges of the stone when packaged. Colored materials or materials capable of staining the stone (ex. uncoated cardboard, certain kinds of wood) during outdoor storage are not permitted.
The packaging and crating shall protect the monuments throughout the handling process and during shipment and comply with the National Motor Freight Classification:
· Ensure the pallet is in good condition. The quantity of monuments that can be placed on the pallet shall depend on the pallet’s quality of build and product-to-pallet dimensions.
· Ensure there is no product overhang. The pallet shall be taking the initial side impacts. Ensure that the pallet extends 1-2” away from the edges of the product.
· Corrugated board that is being used to wrap around the product shall be 350 PSI double wall corrugated board.
· Reinforce and protect edges of the monuments with corner fiber boards.
· Ensure shipments of multiple monuments are properly unitized and secured firmly to the pallet.
7.2 Single Packaging: Packaging shall consist of a two-part carton constructed of a double wall corrugated board. The front of the carton shall fit completely over the front of the monument with the top, bottom and two side flaps folding over each respective surface to protect at least half of that surface. The back of the carton shall fit completely over the back of the monument with the top, bottom and two side flaps folding over each respective surface of the monument to protect at least half of that surface. The flaps of the carton halves shall be secured with ½” plastic banding or 2” filament tape. Two bands shall be secured around the carton its entire height (from top to bottom) and two additional bands shall secure the carton around the width. Banding pressure shall be such that it causes no damage to the edges of the stone when packaged.
The packaging shall protect the headstones from shipping abuse during multiple shipments and handling and comply with the National Motor Freight Classification.
Monuments that are to be individually shipped must have two stringers or (runners) running the width of the headstone (12” dimension) beginning at 8” from either end. Material used for the stringers, runners or blocks is left up to the contractor and the contractor’s packaging specialists but should be permanently adhered to the cardboard packaging so as to remain in place until the monument is received. This requirement is for convenient pickup to avoid damage when using either a hand truck/dolly or for the forks of a forklift to move the headstone when in transit.
7.3 Palletizing: Each pallet shall not exceed 2,000 lbs. When multiple orders are being shipped to the same consignee or cemetery, headstones are to be shipped together on the same pallet, with enough non-steel banding in conjunction with stretch wrap along with individual packaging materials shall be used to prevent damage to the monuments during shipment. Banding shall be in cross-directional pairs, four per pallet ensuring that the banding is routed through the pallet to minimize any movement of the headstones while in transit. Non-staining corner cards are to be provided between the band and the monument at each corner of the banding (uncoated cardboard against the stone is unsatisfactory due to the tendency for discoloration). The following specifications shall be used in conjunction with standard 42” x 48”, 4-way wood pallets.
The weight of markers placed on the pallet must not exceed what the pallet can hold but, in all cases, shall not more be more than 20 markers per pallet.
Protruding metal fasteners must be replaced to avoid tearing the packaging or scratching the monument’s (s’) surface.
The contractor shall ensure non-coloring materials are used for packing and that packing materials are not prone to compression which may cause load shifts or damage from the ensuing loose banding.
The monuments shall be packed in such a manner that any adhesive, glue, or coloring from the packaging does not transfer and adhere to the stone during shipment or during interim storage prior to use. All monuments and packing material shall be contained within the dimensions of the pallet with no overhang. The contractor shall palletize multiple monuments on pallets in good repair with three stringers having lift access capability from all four directions.
The contractor shall replace monuments at no additional cost to the Government if damage is incurred during transport. The MPS Program Support Unit reserves the right to notify the contractor by email within 5 days of any headstones damaged during transportation. Upon notification, the contractor shall replace the damaged monuments within ten (10) calendar days from the date the e-mail was sent by MPS to the contractor.
The front and back of each individual package or on each side of a pallet shall be labeled with the words, HANDLE WITH CARE, in one-inch high red letters. Use of commercially available labels can be used for this requirement.
In addition, the contractor shall ensure the commercial bill of lading is notated with the following statements:
· “the palletized headstones must be moved to the rear of the delivery vehicle to ensure the ability of the receiving business to offload the pallet using a forklift”.
· “In case of delivery problems: call (202)-461-4132 or 202 501 2696 for guidance and follow-up notification with email to MPSProgSupport@va.gov.
· Items damaged during transport must be reported by email to MPSProgSupport and the damaged items must be positively destroyed by the transporter or transporter’s agent. The contractor shall document such monuments were, “… demolished or pulverized into small pieces and no portion of the inscription remained legible”.
7.4 Labeling: the contractor shall provide a packing list or a shipping label for all packaged monuments. The label shall be at least five (5) inches wide by four (4) inches long with the Order Number, Last Name of the Veteran, and Consignee. Labels shall be completely adhered to the front of the package and shall be over-coated with transparent adhesive tape that completely covers the label to prevent removal, smearing or blurring of the information. Shipping labels shall not be covered or obscured in any way by individual packaging or banding materials that would make the labels unreadable.
For multiple orders that have been palletized, a packing list shall be included and attached to the outside of the shrink-wrapped pallet. The packing list shall include all headstones packed on the pallet: Order Number, Last name of the Veteran and Consignee. Use of a plastic, sealable pouch for the packing list is required to help ensure the packing list is not removed or torn during transit.
For multi orders that have been palletized, a packing list shall be included and attached to the outside of the shrink-wrapped pallet. The packing list shall include at a minimum for all markers and niche inscriptions packed on the pallet: Order Number, Last name of the Veterans and Consignee. Use a plastic, sealable packing list pooch is required to ensure that the packing list is not removed or torn during transit.
8.0 Government Quality Assurance (QA)
8.1 Inspections: Quality assurance (QA) inspections of the contractor’s manufacturing facility and products may be performed by the designated COR of the Memorial Programs Service to assure satisfactory contract performance. The Government reserves the right to inspect the quality of blanks and the inscription process without prior scheduling or notifications to the contractor.
During each QA visit at production sites, a complete assessment of the contractor’s operation shall be made, to include the following areas:
· Packaging and palletizing of product that promotes damage-free shipments and compliant with all contractual requirements.
· Execution of quality control procedures.
· Maintaining QA records as required, with the records indicating the quality of the headstones as shipped.
When at the contractor’s production facility, the contractor shall assist the designated COR by providing an adequate, well lighted inspection area. Contractor personnel must aid lifting, handling and moving of product.
8.2 Quality System: The contractor must develop and maintain a written inspection system that documents the quality and timeliness of finished products. The Contractor shall provide, to the designated COR of the MPS Program Support Unit, reports on the Contractor’s processing and delivery of orders to the carrier. Weekly reports must be emailed to MPS at MPSProgSupport@va.gov, attention to the designated COR by the close of business, Tuesday of the next week. Should this day fall on a holiday, the report must be submitted no later than the next business day. Each report must include the following information:
· Date order was received
· Obligation number
· Shipment numbers
· Date shipped
· Carrier’s name
· Carrier’s tracking number
· Quantity of orders shipped
· Items damaged during transport and subsequently destroyed
· Quantity of orders pending
· Estimated ship dates for pending orders
· Number of orders cancelled
· If any order is completed late or projected to be completed beyond the contractually required due date, the contractor must identify the reason(s) for the delinquency, what actions are underway to resolve the tardiness, and the projected future date for completion (projected completion dates which are before the reporting date are unacceptable).
· Identify the number of blanks that were scrapped each week (due to blowouts, breakage, change in inscription, inscription error, etc…)
If an order is delinquent at the time that the status report is emailed to the MPS Program Support Unit, the contractor must provide, in the same email with the report, the reason(s) for the delinquency, what measures the contractor is undertaking to remedy the causes of the current delinquency, and the date the contractor expects to become current with orders.
8.3 Quality Complaints
The receipt of complaints concerning unsatisfactory quality or non-compliance with the contract specifications shall be considered reason for an immediate visit and review of the contractor’s quality assurance program. The Government reserves the right to inspect 100% of the production for an indefinite period due to quality problems. Indicative, but not all-inclusive, examples of issues meriting inspection are:
· Nonconforming product shipped to fill Government orders.
· The COR rejecting product that passed the contractor’s inspection system, but product is still awaiting shipment.
· Deficiencies that adversely affect performance of the contract in areas such as:
o Inspection system o Inspection personnel o Manufacturing process o Production control o Planning and scheduling o Employee training o Craftsmanship o Safety o Knowledge/training of processes and measuring tools o Multiple reorders of same order due to loss or damage from inadequate labeling or palletizing.
The designated COR of the MPS Program Support Unit or a designated inspector for this contract shall inform the Contractor of the deficiencies. A site inspection report shall be generated by the inspecting COR and the COR shall discuss with the contractor what corrective action(s) shall be taken and when the corrective action shall be taken. When an issue(s) arises regarding a monument not meeting the specified standards and the issue(s) cannot be resolved between the contractor and the Government, the Contracting Officer shall make a final determination as to whether the monument shall be replaced at the contractor’s expense or at the Government’s expense.
9.0 Processing of Orders and Time of Delivery:
Contractors shall provide a single email address for electronically receiving orders.
Orders shall be electronically distributed by MPS to the contractor’s provided email address, Monday thru Friday. Contractors shall manufacture and ship individual orders on a first in/first out basis. Each order for Normal Delivery shall be produced in numerical sequence, by shipment number.
9.1 Normal Delivery: All monuments shall be manufactured and placed on a transportation carrier for delivery within (10) business days following the date the order was sent by Memorial Product Services (MPS).
9.2 Accelerated Deliveries: All headstones identified for accelerated delivery (sometimes referred to as 10-day specials) shall be moved to the front of the production queue but behind any previous orders flagged as 10-day specials. The contractor shall provide this service for accelerated production at no additional cost beyond the standard unit cost offered by the vendor.
9.3 Replacement In-Kind: The intent is to replicate all or part of a pre-existing inscription. In-kind replacements must be provided at no additional cost beyond the standard unit cost offered by the vendor.
The cemetery will provide a photo to MPS to ensure the replacement reflects the inscription of the original headstone.
9.4 Inscription Corrections/Cancellations of Orders: Occasionally, it shall be necessary to request a correction, change, or cancellation be made after an order is sent to the contractor. These corrections/changes/cancellations shall be forwarded by email to the contractor only by the MPS Program Support Unit and within one (1) calendar day from the date the contractor received the order. The contractor shall be required to respond to each emailed request from the MPS Program Support Unit within one (1) business day from the date the request was sent.
10.0 FOB Destination Procedure and Responsibilities: The transportation for the product produced and shipped to consignees is the responsibility of the contractor.
10.1 Completing Appendix C
The contractor will be responsible for completing Appendix C – Completion of Inscription Service(s) form. The contractor will complete the top portion of the form, checking the appropriate box and inserting the quantity of monuments that are being returned to the specific cemetery. Shipment numbers will be inserted for each monument completed and being returned in a single shipment. The contractor will include a copy of the completed Appendix C in the return shipment and fax copies to the cemetery POC and MPS.
10.2 Once a return shipment is received, Cemetery personnel are responsible for a final inspection and acceptance of the completed monuments utilizing the Monument Order Acknowledgement Report (MOAR). Any rejects will be noted on the form (Appendix C) and the cemetery inspector will sign and date for the cemetery.
10.3 The cemetery will be responsible for scanning and emailing a copy of the Appendix C form, to the MPS COR, which will be used when certifying invoices for payment by the contractor.
NOTE: If there is a noticeable trend of damaged shipments caused by a specific transportation carrier and/or driver, MPS shall recommend that the carrier be eliminated as one of the contractor’s carriers.
11.0 Procedures (Administrative and Other)
11.1 Government Responsibilities: Notwithstanding the Contractor’s responsibility for total management during the performance of this contract, the administration of the contract shall require coordination between the Government and the Contractor. The Centralized Contracting Division shall provide, at the time of the contract’s award, the name of one or more individuals authorized to act as Contracting Officer’s Representatives (CORs) during the coordination.
11.2 Contractor Records and Files: The contractor shall maintain records and files of all documents relating to each order filled under each Government Headstone and Marker contract. These records shall include, at minimum, copies of all orders, quality assurance records, inspection results, shipping documents (bearing carrier’s name and PRO tracking numbers) and invoices. These records shall be made available, upon request, to the designated MPS Program Support Unit COR during on-site Quality Assurance inspections.
11.3 Government Headstone and Marker Drawings: The contractor shall ensure copies of all relevant Government drawings for production of monuments are maintained on file and are available to the designed COR, upon request, during on-site Quality Assurance inspections.
11.5 Completion point for invoicing products delivered FOB destination: The contractor’s responsibilities are deemed complete when satisfactorily prepared orders are delivered to the ordered destination (consignee’s address). The contractor shall bear all charges to the point of destination.
11.6 Point of Contact at MPS: E-mail to: MPSProgSupport@va.gov
END STATEMENT OF WORK
APPENDIX C – COMPLETION OF INSCRIPTION SERVICE(S)
I certify that the inscriptions have been completed per contract specifications on the government-furnished headstones, markers, or niche covers identified below.
Printed Name of VA Contractor: _______________________________________________
Signature:_________________________________________Date:___________
Check the appropriate box and enter the quantity of the type of headstone, marker or niche cover that has been completed and ready for inspection.
(W1) Upright Granite Headstones, Inscribed Quantity: ______
| (L1) Small Flat Marker, Granite, Inscribed | Quantity: ______ | |
| (I1) Niche Cover, Marble, Inscribed | Quantity: ______ |
Shipment Number(s) (required) rejects are to be marked:
I certify that the headstones, markers, or niche covers identified above were received by me and the quantity of items has been verified.
Printed Name of Cemetery:_________________________________________________
Signature:_________________________________________Date:___________
File details come from the government source that posted it.