COC 4292-ZN01.docx
DOCX document 18 KB Posted
- Attached to
- RELIEF VALVE Federal contract opportunity
- Solicitation number
- N42158-25-Q-E017
About this file
This is a Certificate of Compliance (COC) template form associated with requisition number N42158-429-ZN01 for the Norfolk Naval Shipyard. The form requires documentation of material identification details including contract number, item number, manufacturer information (part number, serial number, lot/heat numbers), and attestation of compliance with contract requirements by quality assurance officials. The form must be completed and returned with material delivery to Norfolk Naval Shipyard Code 2305.6 Expediting Section in Portsmouth, VA.
The COC is related to solicitation N42158-25-Q-E017 for a Relief Valve, being procured by the Department of the Navy Naval Sea Systems Command (NAVSEA). The form appears to be a standard template that would need to be completed by the vendor upon delivery of the relief valve to verify compliance with contract specifications.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N42158-25-Q-E017.pdf | ||
| Attachment 2 Technical Capability Statement (003).docx | DOCX document |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-429-ZN01
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-4292-ZN01
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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