COC.pdf
PDF 355 KB Posted
- Attached to
- Heat Tape
- Solicitation number
- N4215825QE003
About this file
This is a Certificate of Compliance form associated with RFQ Number N42158-25-QE003 for heat tape being procured by the Norfolk Naval Shipyard. The form requires material identification details including contract number, order number, item number, NSN/LSN, manufacturer's part number, serial number, drawing/piece number, and lot/heat numbers.
The form contains two signature blocks for Quality Assurance Officials to certify that items furnished comply with all contract requirements. One section specifically addresses inspection and test reports, which is marked as "N/A" in this template. The completed certificate must be delivered with the material and mailed to Norfolk Naval Shipyard, Code 2305.6 Expediting Section, Building 297 in Portsmouth, VA to expedite receipt and payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| Heat tape Atttachemnt 1.pdf | ||
| N4215825QE003.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
RFQ Number N42158-25-QE003
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
ENCLOSURE (1
File details come from the government source that posted it. Updated .