CERTIFICATE OF CONFORMANCE 4005-6036.docx

DOCX document 13 KB Posted

Attached to
HOSE Federal contract opportunity
Solicitation number
N4215824QE030
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document is a solicitation for a firm fixed-price contract to procure 400 feet of hose. The solicitation number is N4215824QE030 and is being issued by the Norfolk Naval Shipyard Contracting Office. The hose requirement is sole sourced to Saint Gobain or its authorized distributors, with no other manufacturers to be considered. The North American Industry Classification System code is 332999 and the size standard is 750 employees. This is an unrestricted procurement. Quotes are to be emailed to the point of contact by the specified deadline. The successful awardee must be registered in the System for Award Management database. Responsibility determinations and inspections are the supplier's responsibility unless otherwise specified in the order.

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File Type Posted
Addendum TO 52.212-1.docx DOCX document
40056036-SOLE SOURCE -signed.pdf PDF
TECHNICAL CAPABILITIES 4005-6036.docx DOCX document

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Text version

CERTIFICATE OF COMPLIANCE

Requisition Number N42158-4005-6036

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ORDER NO __N42158-4005-6036

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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