Attachment C - Appendices A-C.pdf
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- 36C78625Q0086
About this file
This document contains Appendices B and C for a federal contract related to off-site inscription services at the National Memorial Cemetery of the Pacific in Honolulu, Hawaii. The appendices are transfer and completion forms for government-furnished headstones, markers, and niche covers. Specifically, the forms allow for documenting the transfer of blank memorial items (including granite and marble memorial walls and niche covers) between cemetery personnel and a VA contractor, and certifying the completion of inscription services on these items. The forms include sections for tracking quantities of different memorial item types, requiring signatures from cemetery personnel and the VA contractor to verify receipt and completion of inscriptions according to contract specifications.
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Physical Address of the Cemetery and Contact Information
FOB Origin
National Memorial Cemetery of Pacific 2177 Puowaina Drive Honolulu, HI 966813-1729
Specification of monument Types
Description: Niche Cover, Inscription Scenarios Product Code: I1 Drawings No: A-NCIS- 1 & 2, Rev C, dated 2019-08-05
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.
(C1) Memorial Wall, Granite, Inscribed
(A1) Memorial Wall, Marble, Inscribed
(H1) Niche Cover, Granite, Inscribed
(I1) Niche Cover, Marble, 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.
(C1) Memorial Wall, Granite, Inscribed
(A1) Memorial Wall, Marble, Inscribed
(H1) Niche Cover, Granite, Inscribed
(I1) Niche Cover, Marble, 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:
COR Signature: Date:
| Appendix A - NMC Pacific |
| Attachment C - Appendices B and C |
File details come from the government source that posted it. Updated .