Attachment E - Appendix C - Completion of Inscription Services.pdf
PDF 82 KB Posted
- Solicitation number
- 36C78626Q0063
About this file
This document is a completion certification form for on-site inscription services related to government-furnished headstones, markers, and niche covers. It serves as an appendix to a Veterans Affairs contract and functions as a template for documenting completed inscription work.
The form requires certification from cemetery personnel confirming that inscriptions have been completed per contract specifications. Cemetery personnel must provide their printed name, signature, and date, then indicate quantities for ten different types of inscribed products that have been completed and are ready for inspection: Memorial Wall Markers in marble or granite, standard markers in marble, niche covers in granite or marble, thin flat markers in granite, small flat markers in granite, and upright headstones in granite, marble, or combination marble-granite. The form includes a section to list any rejected items by type and quantity. A VA contractor representative must then certify receipt of the headstones, markers, or niche covers and verify the quantity of items received, providing their printed name, signature, and date. This form establishes accountability and documentation of inscription service completion within the VA cemetery headstone contract.
View the file
Other files
Show all 13
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
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: ______
(F1) Marker, Marble, Inscribed Quantity: ______
(H1) Niche Cover, Granite, Inscribed Quantity: ______
(I1) Niche Cover, Marble, Inscribed Quantity: ______
(J1) Thin Flat Marker, Granite, Inscribed Quantity: ______
(L1) Small Flat Marker, Granite, Inscribed Quantity: ______
(W1) Headstone, Upright, Granite, Inscribed Quantity: ______
(U1) Headstone, Upright, Marble, Inscribed Quantity: ______
(V1) Headstone, Upright, Marble, 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 .