CERTIFICATE OF CONFORMANCE-.docx
DOCX document 12 KB Posted
- Attached to
- HEAT TRACING STRIPS Federal contract opportunity
- Solicitation number
- N4215823QE046
About this file
This document is a Certificate of Compliance template to be completed by a contractor supplying materials or items against Navy contract N42158-3145-6021. The template requires the contractor to certify that all items furnished comply fully with all contract requirements by providing identifying information such as the material identification, contract and order numbers, item numbers, national/local stock numbers, manufacturer's part and serial numbers, drawing and piece numbers, and manufacturer's lot/heat numbers as marked on the material. Space is also provided for the contractor's signature, date, and title, as well as certification that any inspection and test reports submitted represent the actual attributes of the items furnished and indicate full compliance with all contract requirements. Upon shipment of items, the contractor is instructed to complete the certification and return it to the Navy's Norfolk Naval Shipyard to expedite receipt and payment.
The related federal contract opportunity is solicitation number N4215823QE046 for the supply of heat tracing strips by the Department of the Navy Naval Sea Systems Command.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 31456021- CONT SHEET (LL-R91-0267).docx | DOCX document | |
| N42158-23-Q-E046.docx | DOCX document |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N4215831456021
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-3145-6021_____________________
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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