Attachment 1 Certificate of Compliance.pdf
PDF 183 KB Posted
- Attached to
- Portable Coordinate Measuring Machine Federal contract opportunity
- Solicitation number
- N4215823QE068
About this file
This document is a Certificate of Compliance form for Solicitation N4215823QE068 issued by the Department of the Navy Naval Sea Systems Command to procure a Portable Coordinate Measuring Machine. The form requires the contractor to certify that all materials furnished comply with all contract requirements by providing identifying information such as the contract and order numbers, national/local stock numbers, manufacturer's part and serial numbers, drawing and piece numbers, and manufacturer's lot/heat numbers as marked on the materials. Signatures are required from the quality assurance official certifying that all items comply with contract requirements and that any provided inspection and test reports represent the actual attributes of the furnished items and indicate full compliance. The completed form should be returned with the materials to the Norfolk Naval Shipyard.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N4215823QE068.pdf | ||
| Attachment 2 Technical Capability Statement.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Solicitation N4215823QE068 – Portable Coordinate Measuring Machine
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)
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