Attachment D - Appendix B - Transfer of GF Headstones-Markers-NC.pdf
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- Solicitation number
- 36C78626Q0124
About this file
This is an appendix to a VA contract for on-site inscription services that serves as a transfer document for blank government-furnished headstones, markers, and niche covers. The form is used to document the handoff of inventory from VA cemetery personnel to the VA contractor performing inscription services under contract 36C78626Q0060.
The document specifies eight categories of blank items that may be transferred: Memorial Wall Markers in marble or granite, Niche Covers in granite or marble, and Headstones (Upright) in granite, marble, or a combination of marble and granite. Cemetery personnel must certify the transfer by providing printed name, signature, and date, along with the quantity of each item type being transferred. A section is provided to document any rejected or defective items by type and quantity. The VA contractor receiving the items must then verify receipt and confirm that quantities have been verified, with printed name, signature, and date. This form establishes accountability and chain of custody for government-furnished materials used in the inscription services performed on-site at VA cemeteries.
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Text version
Attachment D – On-Site Inscription Services – 36C78626Q0060
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 .