CERTIFICATE OF COMPLIANCE.pdf
PDF 360 KB Posted
- Attached to
- NNSY REFRASIL CLOTH
- Solicitation number
- N4215825QE097
About this file
This document is a Certificate of Compliance form for a naval shipyard contract. The certificate is associated with Requisition Number N42158-5197-6005 and Contract/Order Number N4215825QE097, to be submitted to Norfolk Naval Shipyard in Portsmouth, VA. The form requires a quality assurance official to attest that all items furnished under the contract are in full compliance with contract requirements, and to complete material identification details such as manufacturer's part number, serial number, and lot/heat numbers. The document instructs the supplier to complete the certification and return it with the shipped material to expedite receipt and payment, with one copy to be delivered alongside the material itself.
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Other files
| File | Type | Posted |
|---|---|---|
| SF 1449 - N4215825QE0970001.pdf | ||
| TECHNICAL CAPABILITIES STATEMENT.pdf | ||
| Solicitation Amendment N4215825QE0970001 SF 30.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-5197-6005
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO. N4215825QE097
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
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