N39040Q5333V266 Attachment 1 to Exhibit A_DISPOSAL CONTAINERS - TC.pdf
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- Attached to
- Various Nuclear Disposal Containers
- Solicitation number
- N39040Q5333V266
About this file
This is a Certificate of Compliance form (DD Form 1423, Attachment 1 to Exhibit A) for federal contract N39040Q5333V266. The document is a template that outlines certification requirements vendors must follow when furnishing materials under this contract.
The form requires vendors to supply a Certificate of Compliance with each shipment of material, attesting that all items furnished are in full compliance with all contract requirements. The certificate must be signed and dated by the vendor's Quality Assurance Official and include complete material identification information, such as contract number, order number, item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, serial number, drawing and piece number, and manufacturer's lot/heat numbers. All inspection and test reports required for traceability to each contract item must accompany the signed statement. The vendor is responsible for conducting all tests, analyses, inspections, and examinations as specified by the contract and specifications, regardless of whether certifications are explicitly required.
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Text version
CONTRACT/SOLICITATION: N39040Q5333V266
ATTACHMENT 1 TO EXHIBIT A (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.
CONTRACT/SOLICITATION: N39040Q5333V266
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
CERTIFICATE OF COMPLIANCE
COMPANY NAME
MATERIL 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 .