Attachment D - Appendix B - Transfer of GF Headstones-Markers-NC.pdf

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Attached to
L099--On-Site Inscriptions for NCA – Multiple Cemeteries
Solicitation number
36C78625Q0085
Issued by

About this file

Attachment D is an Appendix B form for transferring blank government-furnished headstones, markers, and niche covers for a Veterans Affairs (VA) National Cemetery Administration contract. The document provides a detailed tracking form for cemetery personnel to document the transfer of various types of blank memorial items to a VA contractor, including marble and granite memorial wall markers, upright headstones, and granite and marble niche covers. The form requires signatures from both cemetery personnel and the VA contractor, with spaces to record the specific quantities of each type of blank memorial item being transferred.

The form is part of solicitation 36C78625Q0085 for On-Site Inscription Services for Multiple Cemeteries (MPS), allowing precise inventory control and documentation of government-furnished materials during the transfer process. The document includes checkboxes for seven different types of blank memorial items, with dedicated fields for quantity tracking and a section to list any rejected items, ensuring comprehensive documentation of the transfer of these memorial materials.

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Other files

File Type Posted
Combined Synopsis Solicitaton - On-Site Inscription Services - Revised 18 July 2025.docx DOCX document
36C78625Q0085 0003.docx DOCX document
Attachment B - SOW - On-Site Inscription Services - Revised - 15 July 2025.pdf PDF
36C78625Q0085 0002.docx DOCX document
36C78625Q0085 0001.docx DOCX document
Combined Synopsis Solicitaton - On-Site Inscription Services - Revised.docx DOCX document
Attachment B - SOW - On-Site Inscription Services - Revised.pdf PDF
Attachment A - Price-Cost Schedules - On-Site Inscription Services - Multiple Cemeteries - Revised.xlsx XLSX spreadsheet
Attachment I - CDR.pdf PDF
Attachment G - Wage Determinations - PDF Portfolio.pdf PDF
Attachment B - SOW - On-Site Inscription Services.pdf PDF
Attachment K - Past Performance Questionnaire.docx DOCX document
Attachment J Sample Review Forms.pdf PDF
Attachment E - APPENDIX C - Completion of Inscription Services.pdf PDF
Attachment A - Price-Cost Schedules - On-Site Inscription Services - Multiple Cemeteries.xlsx XLSX spreadsheet
Attachment L - FAR 52.204-20.pdf PDF
Attachment F - Drawings PDF Portfolio.pdf PDF
Attachment H - Weekly Status Report Sample.pdf PDF
Attachment C - Appendix A - Cemetery Site Specific Info and Maps.pdf PDF
36C78625Q0085.docx DOCX document
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Attachment D – On-Site Inscription Services – 36C78625Q0085

APPENDIX B - TRANSFER OF BLANK GOVERNMENT-FURNISHED HEADSTONES,

MARKERS, OR NICHE COVERS

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: _________________________

Check the appropriate box and insert the quantity for the type of headstone, marker or niche cover being transferred to the on-site contractor.

(A1) Memorial Wall Marker, Marble, Blank Quantity: ______

(C1) Memorial Wall Marker, Granite, Blank Quantity: ______

(H1) Niche Cover, Granite, Blank Quantity: ______

(I1) Niche Cover, Marble, Blank Quantity: ______

(W1) Headstone, Upright, Granite, Blank Quantity: ______

(U1) Headstone, Upright, Marble, Blank Quantity: ______

(V1) Headstone, Upright, Marble, Granite, Blank Quantity: ______

(W1) Niche Cover, Granite, Blank Quantity: ______

List any rejects below, include type and quantity:

I certify that the headstones, markers, or niche covers specified above were received by me and the quantity of items has been verified.

Printed Name of VA Contractor:

Signature: _______________________________________________ Date: _______________

File details come from the government source that posted it. Updated .