COC - Certificate of Compliance - SAMPLE.doc
DOC document 26 KB Posted
- Attached to
- Differential Pressure Gages Federal contract opportunity
- Solicitation number
- N4215821QE091
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| File | Type | Posted |
|---|---|---|
| Justification for Sole Source.pdf | ||
| N4215821QE091.docx | DOCX document |
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Text version
“SAMPLE”
CERTIFICATE OF COMPLIANCE
SOLICITATION N4215821QE091
COMPANY NAME
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO.
ORDER NO ___________
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
ATTACHMENT (1)
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