CERTIFICATE OF COMPLIANCE.pdf

PDF 360 KB Posted

Attached to
NITROGEN SUPPLY PANEL Federal contract opportunity
Solicitation number
N4215825QE053
Issued by
Department of the Navy Naval Sea Systems Command

About this file

The document is a Certificate of Compliance form for a Navy contract related to a Nitrogen Supply Panel. The form is associated with Requisition Number N42158-5072ZN01 and Contract/Order Number N4215825QE053. The certificate requires a quality assurance official to attest that all items furnished under the contract fully comply with all contract requirements.

The form provides space to document critical material identification details such as national/local stock number, manufacturer's part number, serial number, drawing and piece number, and lot/heat numbers. The completed certificate must be returned to Norfolk Naval Shipyard's Expediting Section when items are shipped, with one copy delivered alongside the material. The document serves as a formal quality assurance verification mechanism to expedite receipt and payment processes for the Navy procurement.

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Other files for this federal contract opportunity

Other files attached to NITROGEN SUPPLY PANEL, newest first.
File Type Posted
TECHNICAL CAPABILITY STATEMENT.pdf PDF
CONTINUATION REPORT.pdf PDF
Solicitation - N4215825QE053.pdf PDF

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Text version

CERTIFICATE OF COMPLIANCE

Requisition Number N42158-5072ZN01

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ORDER NO. N4215825QE053

ITEM NO. _______________________

NATIONAL/LOCAL STOCK NUMBER NSN/LSN ________________________

MANUFACTURER’S PART NO. ____________________________

MANUFACTURER’S SERIAL NO. __________________________

DRAWING AND PIECE NO. ______________________________

MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL:

I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL

CONTRACT REQUIREMENTS.

SIGNATURE _________________________________ DATE _______

QUALITY ASSURANCE OFFICIAL

TITLE _________________________________

THE INSPECTION AND TEST REPORTS (AS APPLICABLE) PROVIDED REPRESENT THE ACTUAL

ATTRIBUTES OF THE ITEMS FURNISHED ON THIS CONTRACT AND INDICATE FULL COMPLIANCE

WITH ALL CONTRACT REQUIREMENTS.

REQ’D N/A

[ ] [ X ]

SIGNATURE _________________________________ DATE _________

QUALITY ASSURANCE OFFICIAL

TITLE ________________________________

“NOTE”: WHEN ITEM(S) HAVE BEEN SHIPPED, PLEASE COMPLETE CERTIFICATION(S) AND

RETURN. THIS WILL EXPEDITE RECEIPT AND PAYMENT.

MAIL TO:

NORFOLK NAVAL SHIPYARD

ATTN: CODE 2305.6, EXPEDITING SECTION

BLDG. 297

PORTSMOUTH, VA 23709-5000

DELIVER ONE (1) COPY WITH MATERIAL

ENCLOSURE (1

File details come from the government source that posted it. Updated .