Certificate of Compliance.pdf

This is a Certificate of Compliance form used for federal contract delivery and payment processing. The document is associated with Requisition Number N42158-6159-ZN01 and Contract/Order Number N42158-26-Q-E072, issued by Norfolk Naval Shipyard. The form serves as a quality assurance certification confirming that all items furnished under the contract comply with contract requirements.

The certificate requires completion of material identification information including item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, serial number, drawing and piece number, and manufacturer's lot/heat numbers. A Quality Assurance Official must attest that all items are in full compliance with contract requirements and sign and date the certification. A second Quality Assurance Official must certify that inspection and test reports provided represent the actual attributes of furnished items and indicate full compliance, with the inspection and test reports marked as either required or not applicable. The completed certification must be mailed to Norfolk Naval Shipyard, CODE 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000, with one copy delivered with the material shipment. The instructions note that prompt completion and return of certifications will expedite receipt and payment processing.