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

70 KB Posted

Attached to
L099--Off-Site Inscription Services for NCA Districts
Solicitation number
36C78625Q0094
Issued by

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Appendix B is a transfer form for government-furnished blank headstones, markers, and niche covers used in Veterans Affairs (VA) National Cemetery Administration (NCA) projects. The form documents the transfer of blank memorial items between cemetery personnel and a VA contractor, requiring detailed tracking of specific item types including:

  • Memorial Wall Markers (Marble and Granite)
  • Niche Covers (Granite and Marble)

The form provides spaces for printed names, signatures, dates, and quantity verification, with a section to list any rejected items during transfer. This document serves as an accountability mechanism for tracking government-furnished materials during off-site inscription services for NCA districts, specifically related to solicitation 36C78625Q0094.

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Other files

File Type Posted
Combined Synopsis Solicitaton - Districts - Revised 17 July 2025.docx DOCX document
36C78625Q0094 0002.docx DOCX document
36C78625Q0094 0001.docx DOCX document
Combined Synopsis Solicitaton - Districts - Revised.docx DOCX document
Attachment B - Statement of Work - Inscription Services - Districts - Revised 15 July 2025.pdf PDF
Attachment J - Sample Review Forms.pdf PDF
Attachment G - CDR.pdf PDF
Attachment F - Drawings PDF Portfolio.pdf PDF
Attachment E - Appendix C - Completion of Inscription Services.pdf PDF
Attachment B - Statement of Work - Inscription Services - Districts.pdf PDF
36C78625Q0094.docx DOCX document
Attachment A - Price-Cost Schedules - Off-Site Inscription Services - Districts.xlsx XLSX spreadsheet
Attachment L - FAR 52.204-20.pdf PDF
Attachment K - Past Performance Questionnaire.docx DOCX document
Attachment I - CDR.pdf PDF
Attachment H - Weekly Status Report Sample.pdf PDF
Attachment C - Appendix A - Cemetery Info - Districts.pdf PDF
Show all 17

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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: ______

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 .