N39040Q6036V238 Attachment 1 to Exhibit A_6036V240 - MockupBase.pdf
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- Solicitation number
- N39040Q6036V238
About this file
This document is a required certification template for federal contract N39040Q6036V240, specifically Attachment 1 to Exhibit A (DD Form 1423), which establishes quality assurance and compliance requirements for material shipments under this Navy contract.
The vendor must provide a Certificate of Compliance with each shipment of material, attesting that "all items furnished on this contract are in full compliance with all contract requirements." The certification must be signed by the vendor official designated responsible for quality assurance and must include material identification details such as 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. All required inspection and test reports must accompany the signed compliance statement, with these reports representing the actual attributes of furnished items and confirming full compliance with contract requirements. The vendor is liable for conducting all tests, analyses, inspections, and examinations as specified by the contract and specifications, regardless of whether certifications are explicitly required. The document provides both a verbatim statement option and a detailed form template for vendors to complete and submit with each shipment.
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Text version
CONTRACT/SOLICITATION: N39040Q6036V240
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
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: N39040Q6036V240
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 .