ENERGY QAP E6 CERTIFICATE OF CONFORMANCE (AUG 2015).pdf

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Attached to
AVIATOR’S BEATHING OXYGEN (ABO) and LIQUID NITROGEN (LN2) PACIFIC Federal contract opportunity
Solicitation number
SPE601-20-R-0323
Issued by
Defense Logistics Agency Energy

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PDF (DLA)DLA FORM 1889, OCT 2011

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

SHEET 1 OF 2PREVIOUS EDITION IS USABLE Add Continuation Page

Print Form Email Form Clear Export Data Import Data About Check for Newer Version Contact Us

REV DESCRIPTION DATE APPROVED

0 DLA ENERGY QAP E6 AUG 2015 4 AUG 2015

REVISIONS

ENERGY QAP E6 CERTIFICATE OF CONFORMANCE. For use when the conditions of FAR 46.504 apply. As INT-E6: MFRs dated 9 Jan 04, 13 Apr 06, 06 Jul 09. As DLAD 52.246-9081: MFR dated 20 Apr

10. As Energy QAP E6: DLA FORM 1889 dated 4 Aug 15.

ENERGY QAP E6 (JUL 2015) CERTIFICATE OF CONFORMANCE

(a) When authorized in writing by the cognizant DLA Energy Contract Administration Office (CAO), the Contractor shall ship with a Certificate of Conformance (COC) any supplies for which the contract would otherwise require inspection at source. In no case shall the Government's right to inspect supplies under the inspection provisions of this contract be prejudiced. Shipments of such supplies will not be made under this contract until use of the COC has been authorized in writing by the CAO, or inspection and acceptance have occurred.

(b) When the contract requires the use of Wide Area Work Flow (WAWF), contractors shall execute COC by including the appropriate indicator in the electronic transaction rather than through inclusion or attachment of the text of the certificate. Government acceptance must still be indicated by a Government official's electronic signature on the WAWF Energy Receiving Report (ERR).

(c) When WAWF use is not required by contract or WAWF processing in unavailable, the Contractor's signed certificate shall be attached to or included on the first page of the Material Inspection and Receiving Report (DD Form 250) or other authorized document, that is distributed to the payment office (Block 12 of the DD Form 250). A copy shall also be sent with the shipment and to the CAO (Block 10 of the DD Form 250);

however, the CAO copy shall only be sent if specifically requested by the Contracting Officer.

(d) The Government has the right to reject defective supplies or services within a reasonable time after delivery by written notification to the Contractor. The Contractor shall in such event promptly replace or correct the rejected supplies or services at the Contractor's expense.

(e) The certificate shall read as follows:

"I certify that on ______________ [insert date], the ______________________________________ [insert Contractor's name] furnished the supplies or services called for by Contract No.

______________________ via ______________________ [Carrier] on ________________________ [identify the bill of lading or shipping document] in accordance with all applicable requirements. I further certify that the supplies or services are of the quality specified and conform in all respects with the contract requirements, including specifications, drawings, preservation, packaging, packing, marking requirements, and physical item identification (part number), and are in the quantity shown on this or on the attached acceptance document."

Date of Execution:_____________________________________________________

DISTRIBUTION

STATEMENT - A

APPROVED FOR

PUBLIC RELEASE

DISTRIBUTION IS

"UNLIMITED"

DATE

08/26/2015

APPROVED BY

DATEREVIEWED BY

DATEPREPARED BY

DRAWING NUMBERSCALE

CODE ID NO.

52838

SIZE

NSN

MULTIPLE

ITEM

DLA ENERGY QAP E6

DLA Land & Maritime DLA Troop Support DLA Aviation clear

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DLA Energy

PDF (DLA)DLA FORM 1889, OCT 2011

SHEET 2 OF 2PREVIOUS EDITION IS USABLE Add Continuation Page

Print Form Email Form Clear Export Data Import Data About Check for Newer Version Contact Us

REV DESCRIPTION DATE APPROVED

0 DLA ENERGY QAP E6 AUG 2015 4 AUG 2015

REVISIONS

Signature: ___________________________________________________________

Title: _______________________________________________________________

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SQAP)

DRAWING NUMBERSCALE CODE ID NO.

52838

SIZE

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

PDF (DLA)

DLA FORM 1889, OCT 2011

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

SHEET OF

PREVIOUS EDITION IS USABLE

REV

DESCRIPTION

DATE

APPROVED

REVISIONS

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

REV

DESCRIPTION

DATE

APPROVED

REVISIONS

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

Supplemental Quality Assurance Provision (SQAP) DSCC Form 2291, Feb 2004 online none standard Quality Assurance

DLA

1 + No Tech Qual Deskbook n/a No Supplemental Quality Assurance Provision (SQAP) interactive October 2011 (added Energy; updated supply center names)

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