Attachment C - Appendices A-C - Alaska-Tahoma.pdf

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L099--Off-Site Inscription Services for the State of Alaska and Tahoma NC
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36C78625Q0087
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This document contains Appendices A-C for a federal contract for Off-Site Inscription Services for the State of Alaska and Tahoma National Cemetery. Appendix A details monument types and specifications for two national cemeteries, including niche covers, headstones, and markers made of marble and granite in various sizes. The specifications include precise drawing references, product codes, and details on inscription scenarios, letter fonts, numbers, and emblems of belief.

Appendices B and C are transfer and completion forms for the inscription services. Appendix B is a transfer form for blank government-furnished headstones, markers, and niche covers, allowing cemetery personnel to document the transfer of blank monuments to a VA contractor. Appendix C is a certification form for completing inscriptions, where the VA contractor confirms that inscriptions have been completed according to contract specifications, with spaces to record quantities of small flat markers, niche covers, and upright monuments that are ready for inspection.

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Appendix A

Physical Address of the Cemetery and Contact Information

Alaska, FOB origin.

Specification of monument Types

Description: Niche Cover, Inscription Scenarios Product Code: H1 Drawings No: A-NCIS- 1 & 2, Rev C, dated 2019-08-05

Description: Headstone, Upright, Marble (13” x 42’ X 4”) Product Code: U1/R2 Drawings No: A-U1- 1 & 2, Rev-B, dated 2019-08-14

Inscription Specifications:

Description: Letters, Fonts, Numbers & Other Characters for Government, Headstones, Markers, and Niche Covers Product Code: Letters, Fonts, Numbers & Other Characters Drawings No: A-LFN&OC- 1 thru 3, Rev C, dated 2016-06-13

Description: Emblem of Belief – Cover Page, #1-20, #21-40, #41-60, #61-75, #76-MOH Product Code: EMBLEMS Drawings No:

A-EM Cover Page, Rev P, dated. 2021-10-14 A-EM-1, Rev I dated. 2017-12-23 A-EM-2, Rev H dated. 2017-12-23 A-EM-3, Rev H dated. 2017-12-23 A-EM-4, Rev H dated. 2017-12-23 A-EM-5, Rev L dated. 2021-04-13 A-EM-6, Rev P dated. 2021-10-14

Appendix A

Physical Address of the Cemetery and Contact Information

Tahoma National Cemetery 18600 Southeast 240 Street Kent, WA 98042-4868 Telephone: (425) 433-2041 Director: Thomas Yokes

ACOR: Curtis Langer

Specification of monument Types

Description: Marker, Granite, Small, Flat, Inscriptions Product Code: L1 Drawings No: A-L1, Rev-A, dated 2019-09-04

Description: Niche Cover, Inscription Scenarios Product Code: I1 Drawings No: A-NCIS- 1 & 2, Rev C, dated 2019-08-05

Description: Headstone, Upright, Granite (13” x 42’ X 3”) Product Code: W1 Drawings No: A-W1- 1 & 2, Rev-B, dated 2019-08-15

Inscription Specifications:

Description: Letters, Fonts, Numbers & Other Characters for Government, Headstones, Markers, and Niche Covers Product Code: Letters, Fonts, Numbers & Other Characters Drawings No: A-LFN&OC- 1 thru 3, Rev C, dated 2016-06-13

Description: Emblem of Belief – Cover Page, #1-20, #21-40, #41-60, #61-75, #76-MOH Product Code: EMBLEMS Drawings No:

A-EM Cover Page, Rev P, dated. 2021-10-14 A-EM-1, Rev I dated. 2017-12-23 A-EM-2, Rev H dated. 2017-12-23 A-EM-3, Rev H dated. 2017-12-23 A-EM-4, Rev H dated. 2017-12-23 A-EM-5, Rev L dated. 2021-04-13 A-EM-6, Rev P dated. 2021-10-14

APPENDIX B – TRANSFER OF BLANK GOVERNMENT-FURNISHED HEADSTONES,

MARKERS, OR NICHES

I certify that the blank headstones, markers, or niche covers specified below were transferred to the VA contractor listed at the bottom of the form.

Printed Name of Cemetery personnel:

Signature: Date:

Enter the quantity of the type of headstone, marker or niche cover transferring to the inscription contractor.

(L1) Small Flat Marker, Granite, Inscribed

(I1) Niche Cover, Marble, Inscribed

(W1) Upright, Granite, Inscribed

Quantity:

Contractor notes:

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 VA Contractor:

COR Signature: Date:

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.

(L1) Small Flat Marker, Granite, Inscribed

(I1) Niche Cover, Marble, Inscribed

(W1) Upright, Granite, Inscribed

Contractor- list completed work by Shipment Number(s), COR- annotate rejects:

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: Tahoma National Cemetery

COR Signature: Date:

Appendix A - Alaska-Tahoma
Appendix A Alaska
Appendix A - Tahoma

Appendix B_C

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