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

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L099--ON-SITE INSCRIPTION SERVICES FOR FT. SNELLING NATIONAL CEMETERY
Solicitation number
36C78626Q0064
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This document is a template form for the transfer of blank government-furnished headstones, markers, and niche covers from Veterans Affairs (VA) cemetery personnel to VA contractors providing on-site inscription services.

The form documents the transfer of ten types of blank memorial products: Memorial Wall Markers in marble and granite, Markers in marble, Niche Covers in granite and marble, Thin Flat Markers in granite, Small Flat Markers in granite, and Upright Headstones in marble and granite. Cemetery personnel certify the transfer by providing their printed name, signature, and date, while specifying quantities for each product type being transferred. The form includes a section to document any rejected items by type and quantity. The receiving VA contractor verifies receipt of the specified headstones, markers, or niche covers and confirms quantity verification through printed name, signature, and date. This form serves as an accountability document ensuring proper transfer of government-furnished materials to the contractor responsible for inscribing information on these memorial products.

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Other files

File Type Posted
36C78626Q0064 0001.docx DOCX document
Attachment B - SOW - On-Site Inscription Services - Ft. Snelling.pdf PDF
36C78626Q0064.docx DOCX document
Attachment C - Appendix A - Cemetery Site Specific Info and Maps.pdf PDF
Attachment G - WD 2015-4945 Rev 31 - 13 May 2026.pdf PDF
Attachment I - CDR.pdf PDF
Attachment J Sample Review Forms.pdf PDF
Combined Synopsis Solicitaton - On-Site Inscription Services - Ft. Snelling NC.docx DOCX document
Attachment K - Past Performance Questionnaire.docx DOCX document
Attachment F - Drawings.pdf PDF
Attachment A - Price-Cost Schedule - On-Site Inscription Services - Ft. Snelling.xlsx XLSX spreadsheet
Attachment E - Appendix C - Completion of Inscription Services.pdf PDF
Attachment H - Weekly Status Report Sample.pdf PDF
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Attachment D – On-Site Inscription Services

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: ______

(F1) Marker, Marble, Blank Quantity: ______

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

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

(J1) Thin Flat Marker, Granite, Blank Quantity: ______

(L1) Small Flat Marker, Granite, Blank Quantity: ______

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

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

(W1) Headstone, Upright, 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 .