CERTIFICATE OF CONFORMANCE- 3220ZN02.docx
DOCX document 13 KB Posted
- Attached to
- HOSE ASSEMBLIES Federal contract opportunity
- Solicitation number
- N42158-23-Q-E076
About this file
This document is a Certificate of Compliance template for requisition numbers N421583220ZN02 and ZN03. The template requires suppliers to certify that all items furnished under the contract are in full compliance with all requirements. Suppliers must provide the contract and order numbers, item numbers, national/local stock numbers, manufacturer part and serial numbers, drawing and piece numbers, and manufacturer's lot/heat numbers as marked on the materials. The supplier's quality assurance official must sign and date the certificate, and certify that any provided inspection and test reports represent the actual attributes of the furnished items and indicate full compliance with all contract requirements. Completed certifications should be returned to Norfolk Naval Shipyard, Attention: Code 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000.
The related federal contract opportunity is solicitation number N42158-23-Q-E076 for hose assemblies from the Department of the Navy Naval Sea Systems Command. Suppliers are required to comply with the terms of the Certificate of Compliance template when bidding on or fulfilling this contract for hose assemblies.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N42158-23-Q-E076.pdf | ||
| Technical Capabilities -3202-ZN02.docx | DOCX document | |
| 3220ZN02- SOLE SOURCE- PDF- Digital Sign.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N421583220ZN02 & ZN03
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-3220-ZN02 & ZN02_____________________
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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