N3904026Q5424 Exhibit A.docx

DOCX document 22 KB Posted Mar 6, 2026

Attached to: 100 STUDS, CONTINUOUS THREAD (PNSY) Federal contract opportunity
Solicitation number: N3904026Q5424
Issued by: Department of the Navy Naval Sea Systems Command

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Written by GovTribe AI · Mar 6, 2026

This is an Exhibit A document containing the Contract Data Requirements List (CDRL) and certification requirements for a federal procurement of 100 continuous thread studs (part number referenced as PNSY). The document specifies that two Certificates of Compliance must be submitted with each shipment of material—one referencing specification MIL-DTL-1222 and another referencing specification QQ-N-286. Both certificates must be submitted one-time with the material delivery and distributed via mail without requiring DD Form 250 documentation.

The Certificate of Compliance requirements mandate that a quality assurance official sign and date the certification, attesting that all items furnished are in full compliance with contract requirements. The certificate must include material identification details such as lot number, batch, part number, contract number, order number, item number, National Stock Number (NSN), manufacturer's part number, serial number, drawing reference, and manufacturer's lot/heat numbers. All required inspection and test reports referenced in the DD Form 1423 attachment must accompany the signed statement to ensure traceability to each contract item and verify that the actual attributes of furnished items meet all contract specifications.

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File	Type	Posted
N3904026Q5424 Combined Synopsis Solicitation.docx	DOCX document	Mar 6, 2026
N3904026Q5424 Attachment 1 - TCs.docx	DOCX document	Mar 6, 2026

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CONTRACT __________________

PRINTED 7 MARCH 2025 PAGE _______

ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

SYSTEM/ITEM: STUD			CATEGORY ____________
	ITEM NO	0001		CONTRACTOR

01	SEQ NO		A001AA
02	DATA DESC		CERTIFICATE OF COMPLIANCE
03	SUBTITLE		MIL-DTL-1222
04	DID NUMBER	PER ATTACHMENT 1 TO EXHIBIT A
05	CONTRACT REF	PARA. C.3.1
06	TECH OFFICE	2310.3
07	DD 250 REQ		DD
08	APP CODE
09	IAC INPUT
10	FREQUENCY	O-TIME
11	AS OF DATE
12	DATE 1ST SUBM	WITH MATERIAL
13	DATE SUB SUBM
14	DISTRIBUTION	410		__/	0 VIA MAIL (N0 DD 250 REQD)
15	TOTAL				__
16	REMARKS

SEQ. NO. A001

PREPARED BY ________________________________________________	DATE__________________
APPROVED BY ________________________________________________	DATE__________________
		DD FORM 1423

CONTRACT __________________

PRINTED 7 MARCH 2025 PAGE _______

EXHIBIT A

(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM: STUD			CATEGORY ____________
	ITEM NO	0001		CONTRACTOR

01	SEQ NO		A001AB
02	DATA DESC		CERTIFICATE OF COMPLIANCE
03	SUBTITLE		QQ-N-286
04	DID NUMBER	PER ATTACHMENT 1 TO EXHIBIT A
05	CONTRACT REF	PARA. C.3.2
06	TECH OFFICE	2320.3
07	DD 250 REQ		DD
08	APP CODE
09	IAC INPUT
10	FREQUENCY	O-TIME
11	AS OF DATE
12	DATE 1ST SUBM	WITH MATERIAL
13	DATE SUB SUBM
14	DISTRIBUTION	410		__/	0 VIA MAIL (N0 DD 250 REQD)
15	TOTAL				__
16	REMARKS

SEQ. NO. A001

PREPARED BY ________________________________________________	DATE__________________
APPROVED BY ________________________________________________	DATE__________________
		DD FORM 1423

CONTRACT/SOLICITATION ________________________________________________________________ ITEM ___________________________________________ (DATE FOR ITEM) ___________________

REQUIRED CERTIFICATION

A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL. CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS OUTLINED IN PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL TESTS, ANALYSES, INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY THE CONTRACT AND SPECIFICATIONS WHETHER CERTIFICATIONS ARE REQUIRED OR NOT.

CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM STATEMENT OR COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART)

"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS".

B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:

1. THE CERTIFICATION OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND TITLE OF THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY ASSURANCE.

2. THE MATERIAL IDENTIFICATION (E.G. LOT, BATCH, PART #, ETC.) SHALL BE INCLUDED ON THE CERTIFICATE OF COMPLIANCE.

CERTIFICATE OF COMPLIANCE

COMPANY NAME

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ______________ ORDER NO. ________________ ITEM NO. ____________________ NATIONAL/LOCAL STOCK NO. NSN/LSN ____________________________________________________ MANUFACTURER’S PART NO. _____________________________________________________________ MANUFACTURER’S SERIAL NO. ___________________________________________________________ DRAWING AND PIECE NO. _________________________________________________________________

MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL _________________________

ALL INSPECTIONS AND TEST REPORTS REQUIRED BY ATTACHMENT I TO EXHIBIT A (DD FORM 1423) FOR TRACEABILITY TO EACH CONTRACT ITEM MUST ACCOMPANY THIS SIGNED STATEMENT:

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. I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS.

SIGNATURE ___________________________________________________	DATE _______________
		QUALITY ASSURANCE OFFICIAL

File details come from the government source that posted it. Updated Mar 6, 2026.