Attachment 1 Certificate of Compliance.pdf
PDF 85 KB Posted
- Attached to
- Air Compressor and Air Purifier Federal contract opportunity
- Solicitation number
- N4215825QE029
About this file
This is a Certificate of Compliance form for Solicitation N4215825QE029 for an Air Compressor & Air Purifier procurement by the Norfolk Naval Shipyard. The form requires material identification details including contract number, order number, item number, NSN/LSN, manufacturer's part number, serial number, drawing/piece number, and lot/heat numbers.
The form requires two separate attestations from Quality Assurance Officials: 1) confirmation that all items furnished comply with contract requirements, and 2) verification that inspection and test reports represent actual attributes and indicate full compliance. The completed certification must be mailed to Norfolk Naval Shipyard's Code 2305.6 Expediting Section in Portsmouth, VA, with one copy to be delivered with the material. The form is marked as Attachment (1) and includes checkbox options for "REQ'D" which is marked with an X, and "N/A" which is unmarked.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment A Technical Capability Statement.docx | DOCX document | |
| Conformed Copy N4215825QE029-0001.pdf | ||
| Attachment 1 Certificate of Compliance.docx | DOCX document | |
| Amendment N4215825QE029-0001.pdf | ||
| N4215825QE029.pdf | ||
| Attachment A Technical Capability Statement.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Solicitation N4215825QE029 – AIR COMPRESSOR & AIR PURIFIER
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO ___________
ITEM NO. _______________________
NATIONAL/LOCAL STOCK NUMBER NSN/LSN ________________________
MANUFACTURER’S PART NO. ____________________________
MANUFACTURER’S SERIAL NO. __________________________
DRAWING AND PIECE NO. ______________________________
MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL:
I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH
ALL CONTRACT REQUIREMENTS.
SIGNATURE _________________________________ DATE _______
QUALITY ASSURANCE OFFICIAL
TITLE _________________________________
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.
REQ’D N/A
[ X ] [ ]
SIGNATURE _________________________________ DATE _________
QUALITY ASSURANCE OFFICIAL
TITLE ________________________________
“NOTE”: WHEN ITEM(S) HAVE BEEN SHIPPED, PLEASE COMPLETE CERTIFICATION(S) AND
RETURN. THIS WILL EXPEDITE RECEIPT AND PAYMENT.
MAIL TO:
NORFOLK NAVAL SHIPYARD
ATTN: CODE 2305.6, EXPEDITING SECTION
BLDG. 297
PORTSMOUTH, VA 23709-5000
DELIVER ONE (1) COPY WITH MATERIAL
ATTACHMENT (1)
File details come from the government source that posted it. Updated .