CERTIFICATE OF COMPLIANCE (FY26).pdf
PDF 363 KB Posted
- Attached to
- NNSY AIR FLASK REFURBISHMENT FY26
- Solicitation number
- N4215826QE005
About this file
This document is a Certificate of Compliance form for a Navy contract with the following key details: The requisition number is N42158-5291-ZN01, and the contract/order number is N4215826QE005. The form is designed for a contractor to certify that materials shipped to Norfolk Naval Shipyard meet all contract requirements. The form requires the manufacturer to complete material identification details such as stock numbers, part numbers, serial numbers, and lot/heat numbers. The completed certificate must be signed by a quality assurance official and returned with the shipped material to the Norfolk Naval Shipyard's Expediting Section, located in Portsmouth, VA 23709-5000, to help expedite receipt and payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| 5291ZN01 Attachment (A) SOW.docx | DOCX document | |
| Solicitation Amendment N4215826QE0050001 SF 30.pdf | ||
| SF 1449 - N4215826QE005.pdf | ||
| SF 1449 - N4215826QE005.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-5291-ZN01
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO. N4215826QE005
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
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