N39040Q53448288_Attachment 1 to Exhibit A_TC - CAPSCREW HX HD2.pdf
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- Solicitation number
- N39040Q53448288
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This document is Attachment 1 to Exhibit A (DD Form 1423) for federal contract N39040Q53448288, establishing certification requirements for hexagonal head capscrews supplied under this contract.
The vendor is required to provide a Certificate of Compliance with each shipment of material, attesting that all items furnished are in full compliance with all contract requirements. The certification must be signed and dated by the vendor's Quality Assurance official and include the official's title. Material identification information must be documented on the certificate, including contract number, order number, item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, manufacturer's serial number, drawing and piece number, and manufacturer's lot/heat numbers as marked on the material. The vendor remains fully liable for conducting all tests, analyses, inspections, and examinations specified by the contract and specifications, regardless of whether certifications are required. The document provides both verbatim certification language and an optional form template for vendors to complete and submit with each shipment.
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Text version
CONTRACT N39040Q53448288
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
CONTRACT/SOLICITATION __N39040Q53448288_______________________
ITEM __Capscrew Hex HD_ (DATA 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 N39040Q53448288
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
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 ___________
I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL
CONTRACT REQUIREMENTS.
SIGNATURE _______________________________ DATE ________
QUALITY ASSURANCE OFFICIAL
TITLE ______________________________________________
| EACH |
| CAPSCREW, HEX HEAD |
| C. DESCRIPTION/SPECIFICATIONS. |
| C.1 3/8-16UNC-2A X 1-3/8" LONG, MIL-DTL-1222 (REV J), GRADE B7, MIL-B-857 (A/R), TY III, 688-1864 (REV J). |
| C.2 C528 SPECIFICATION CHANGES. |
| C.3 DATA REQUIREMENTS: |
| C.3.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A001. |
| D. PRESERVATION/PACKAGING/PACKING. |
| D.1 D4 PREPARATION FOR DELIVERY (COMMERCIALLY PACKAGED). |
File details come from the government source that posted it. Updated .