Attachment 2-Certificate of Compliance.pdf
PDF 104 KB Posted
- Attached to
- HOSE Federal contract opportunity
- Solicitation number
- N4215824QE041
About this file
This document is a Certificate of Compliance related to Solicitation N4215824QE041 for a commercial HOSE contract opportunity. The solicitation is a 100% Small Business Set-Aside for a brand name product from the Original Equipment Manufacturer, Randolph Austin Company. The required documents include a Technical Capability Statement, representations and certifications, pricing, delivery date, and technical specifications. The solicitation closes on 04/02/2024. Award will be made to the technically acceptable item or combination of items resulting in the lowest aggregate price to the Government. The Certificate of Compliance attests that the items furnished are in full compliance with all contract requirements and includes signature by a Quality Assurance Official.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N4215824QE041.pdf | ||
| Attachment 1-Technical Capability Statement.pdf |
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Text version
Attachment 2 – SOLICITATION# N4215824QE041
HOSE
CERTIFICATE OF COMPLIANCE
SAMPLE
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO ___________
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
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