CERTIFICATE OF CONFORMANCE-.docx

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N42158-24-Q-E007
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This document provides a Certificate of Compliance template for material supplied under Navy contract N42158-3278-6035. The template requires the contractor to certify that all items furnished comply with all contract requirements and includes spaces for the contractor signature and date, as well as the signature and date of the quality assurance official. Inspection and test reports are to be provided if applicable. One copy of the completed certificate is to be mailed along with the material to Norfolk Naval Shipyard.

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File Type Posted
N42158-3278-6035 Sole Source.pdf PDF
N42158-23-Q-E007.pdf PDF
TECHNICAL CAPABILITIES.docx DOCX document
N42158-3278-6035 MIF Cont Sheet.docx DOCX document

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CERTIFICATE OF COMPLIANCE

Requisition Number N4215832786035

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ORDER NO __N42158-3278-6035___________________

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

File details come from the government source that posted it. Updated .