CERTIFICATE OF CONFORMANCE- 3212-6016.docx
DOCX document 12 KB Posted
- Attached to
- HOSE ASSEMBLY Federal contract opportunity
- Solicitation number
- N42158-23-Q-E074
About this file
This document is a Certificate of Compliance template to be completed by a contractor and submitted with shipments under Navy contract N42158-3212-6016 for an unspecified item or items. The template requires the contractor to certify that all items furnished comply fully with all contract requirements and includes spaces to provide the contract and order numbers, item number, national/local stock number, manufacturer's part and serial numbers, drawing and piece numbers, and manufacturer's lot/heat numbers as marked on the materials. It also provides for signatures of the quality assurance official certifying full compliance and that inspection and test reports represent the actual attributes of the items furnished. Upon shipment, the contractor is instructed to complete the certification, return one copy with the materials, and mail one copy to the specified Navy address at the Norfolk Naval Shipyard to expedite receipt and payment.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Technical Capabilities.docx | DOCX document | |
| N42158-23-Q-E074.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N4215832126016
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO __N42158-3212-6016_____________________
ITEM NO. _______________________
NATIONAL/LOCAL STOCK NUMBER 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 _________________________________
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.
REQ’D N/A
[ ] [ X ]
SIGNATURE _________________________________ DATE _________
QUALITY ASSURANCE OFFICIAL
TITLE ________________________________
“NOTE”: WHEN ITEM(S) HAVE BEEN SHIPPED, PLEASE COMPLETE CERTIFICATION(S) AND RETURN. THIS WILL EXPEDITE RECEIPT AND PAYMENT.
MAIL TO:
NORFOLK NAVAL SHIPYARD
ATTN: CODE 2305.6, EXPEDITING SECTION
BLDG. 297
PORTSMOUTH, VA 23709-5000
DELIVER ONE (1) COPY WITH MATERIAL
ENCLOSURE (1
File details come from the government source that posted it. Updated .