Attachment E - APPENDIX C - Completion of Inscription Services.pdf
PDF 81 KB Posted
- Solicitation number
- 36C78625Q0085
About this file
Attachment E is a completion certification form for on-site inscription services for the Department of Veterans Affairs National Cemetery Administration, related to contract number 36C78625Q0085. The document serves as an official verification form for cemetery personnel and VA contractors to document the completion and inspection of inscribed headstones, markers, and niche covers.
The form provides detailed checkboxes for various types of memorial markers and headstones, including marble and granite materials for memorial wall markers, niche covers, and upright headstones. It requires the cemetery personnel to certify that inscriptions have been completed according to contract specifications, and allows for listing the quantity of each type of inscribed item. The form also includes spaces for signatures, printed names, and dates, with a section to list any rejected items, enabling precise tracking and documentation of inscription services performed.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment E – On-Site Inscription Services – 36C78625Q0085
APPENDIX C – COMPLETION OF INSCRIPTION SERVICE(S)
I certify that the inscriptions have been completed per contract specifications on the government-furnished headstone, markers, or niche covers identified below:
Printed Name of Cemetery Personnel:
Signature: ____________________________________ Date: _________________________
Check the appropriate box and insert the quantity for the type of headstone, marker or niche covers that has been completed and ready for inspection:
(A1) Memorial Wall Marker, Marble, Inscribed Quantity: ______
(C1) Memorial Wall Marker, Granite, Inscribed Quantity: ______
(H1) Niche Cover, Granite, Inscribed Quantity: ______
(I1) Niche Cover, Marble, Inscribed Quantity: ______
(W1) Headstone, Upright, Granite, Inscribed Quantity: ______
(U1) Headstone, Upright, Marble, Inscribed Quantity: ______
(V1) Headstone, Upright, Marble, Granite, Inscribed Quantity: ______
(W1) Niche Cover, Granite, Inscribed 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 .