COC.pdf
PDF 358 KB Posted
- Attached to
- RUBBER SHEET Federal contract opportunity
- Solicitation number
- N4215825QE012
About this file
This is a Certificate of Compliance form associated with requisition number N42158-4283-7310 for the Norfolk Naval Shipyard. The form requires documentation of material identification details including contract/order number, item number, NSN/LSN, manufacturer's part number, serial number, drawing/piece number, and lot/heat numbers.
The form must be signed by a Quality Assurance Official to attest that all items furnished comply with contract requirements. It includes sections for both material compliance certification and inspection/test report verification, with the latter marked as "N/A" in this case. The completed form must be delivered with the material and mailed to Norfolk Naval Shipyard's Expediting Section in Portsmouth, VA. This document appears to be a standard quality control form used for material deliveries under contract N42158-4283-7310, which relates to a rubber sheet procurement for the Department of the Navy Naval Sea Systems Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N42158-25-Q-E012.pdf | ||
| Attachment 2 Technical Capability Statement (003).docx | DOCX document |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-4283-7310
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-4283-7310
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 .