CERTIFICATE OF COMPLIANCE.pdf

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Attached to
MIL-S-16216 HY-80 Steel Plate
Solicitation number
N4215826QE068
Issued by

About this file

This is a Certificate of Compliance form for federal contract solicitation N4215826QE068 issued by Norfolk Naval Shipyard. The form serves as a quality assurance document that suppliers must complete and return upon shipment of materials or items to certify full compliance with all contract requirements.

The certificate requires completion of material identification information including contract number, order number, item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, serial number, drawing and piece number, and manufacturer's lot/heat numbers as marked on the material. A Quality Assurance Official must attest that all items furnished are in full compliance with contract requirements by providing their signature, date, and title. Additionally, a second Quality Assurance Official must certify that inspection and test reports (when applicable) represent the actual attributes of items furnished and indicate full compliance, with a checkbox indicating whether inspection reports are required or not applicable. The completed form must be mailed to Norfolk Naval Shipyard, ATTN: CODE 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000, with one copy delivered alongside the material shipment to expedite receipt and payment processing.

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Other files

File Type Posted
SF 1449 Solicitation - N4215826QE068.pdf PDF
FAR 52.212-2.pdf PDF
FAR 52.212-2 (Delivery).pdf PDF
FAR 52.212-2 Attachment (A) N4215826QE068.pdf PDF

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Text version

CERTIFICATE OF COMPLIANCE

SOLICITATION # N4215826QE068

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ORDER NO ___________

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 .