Attachment (3) - Certificate of Compliance.pdf
PDF 413 KB Posted
- Attached to
- TUNGSTEN SHIELDING Federal contract opportunity
- Solicitation number
- N4215826QE031
About this file
This is a Certificate of Compliance form used for federal contract delivery and quality assurance purposes. The document is associated with Requisition Number N42158-5303-ZN01 and Contract Order Number N42158-Q-E-031 issued to Norfolk Naval Shipyard. The form requires contractors to complete material identification information including item numbers, national/local stock numbers (NSN/LSN), manufacturer's part numbers, serial numbers, drawing references, and lot/heat numbers as applicable to the items being delivered.
The certificate mandates that a Quality Assurance Official attest that all items furnished on the contract are in full compliance with contract requirements and that inspection and test reports (where applicable) accurately represent the actual attributes of delivered items. Contractors must sign and date the certification, with one copy required to be delivered with the material shipment. Upon completion, the certificate should be mailed to Norfolk Naval Shipyard, Attention CODE 2305.6 Expediting Section, Building 297, Portsmouth, VA 23709-5000 to expedite receipt and payment processing.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment (5) - Technical Capability Statement.pdf | ||
| Attachment (1) - US PATENT.pdf | ||
| RFQ N4215826QE031.pdf | ||
| Attachment (2) - Fabrication Details.pdf | ||
| Attachment (4) - Drawing.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-5303-ZN01
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO N42158-Q-E-031
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
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