CERTIFICATE OF COMPLIANCE.pdf
PDF 72 KB Posted
- Attached to
- MIL-S-16216 HY-80 Steel Plate
- Solicitation number
- N4215826QE068
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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SF 1449 Solicitation - N4215826QE068.pdf | ||
| FAR 52.212-2.pdf | ||
| FAR 52.212-2 (Delivery).pdf | ||
| FAR 52.212-2 Attachment (A) N4215826QE068.pdf |
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
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 .