CERTIFICATE OF CONFORMANCE-.docx
DOCX document 12 KB Posted
- Attached to
- CIRCULATION HEATER Federal contract opportunity
- Solicitation number
- N42158-24-Q-E001
About this file
This document contains a Certificate of Compliance template for a federal contract. The template requires the contractor to certify that all items furnished under contract number N42158-3276-V218 are in full compliance with all contract requirements. The contractor must provide their signature, date, and title. If applicable, the contractor must also certify that all inspection and test reports represent the actual attributes of the furnished items and indicate full compliance with all contract requirements, and provide their signature, date, and title. The completed certification must be mailed to Norfolk Naval Shipyard, Attention: Code 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000 along with the furnished material.
The related federal contract opportunity is solicitation number N42158-24-Q-E001 for circulation heaters from the Department of the Navy, Naval Sea Systems Command.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 3276V218 - SOLE SOURCE (004).pdf | ||
| N42158-24--Q-E001.pdf | ||
| 3276V218 - CONTINUATION SHEET.docx | DOCX document | |
| Attachment 2 Technical Capability Statement.docx | DOCX document |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N421583276V218
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-3276-V218_____________________
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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