Attachment (1) - Certificate of Compliance.pdf
PDF 436 KB Posted
- Attached to
- HYDROTESTING PANEL
- Solicitation number
- N4215826QE036
About this file
This is a Certificate of Compliance form used by contractors to attest that materials furnished under a federal contract meet all contractual requirements.
The document applies to Contract No. N42158-Q-E-036, Requisition Number N42158-5337-ZN01, and requires contractors to complete material identification information including item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, serial number, drawing and piece number, and manufacturer's lot/heat numbers. The form contains two attestation sections: the first requires a Quality Assurance Official signature certifying that all items furnished are in full compliance with contract requirements, and the second requires attestation that inspection and test reports represent actual attributes of furnished items and indicate full compliance. The inspection and test reports section is marked as "N/A" (not applicable). Upon shipment, contractors must complete the certification and return one copy with the material to Norfolk Naval Shipyard, CODE 2305.6 Expediting Section, Building 297, Portsmouth, VA 23709-5000. The instruction note emphasizes that prompt completion and return of certifications will expedite receipt and payment.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFQ - N4215826QE036.pdf | ||
| Attachment (2) - Technical Capability Statement.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-5337-ZN01
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO N42158-Q-E-036
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
ENCLOSURE (1
File details come from the government source that posted it. Updated .