CERTIFICATE OF COMPLIANCE.pdf
PDF 362 KB Posted
- Attached to
- NNSY HOSE ASSEMBLY "Titeflex" Federal contract opportunity
- Solicitation number
- N4215825QE105
About this file
This document is a Certificate of Compliance form for a naval shipyard contract. The form is associated with Requisition Number N42158-5217-7325 and Contract/Order Number N4215825QE105, which is to be shipped to Norfolk Naval Shipyard in Portsmouth, VA. The certificate requires a quality assurance official to attest that all items furnished under the contract are in full compliance with contract requirements, and to complete and sign off on material identification details and inspection/test reports. The form provides specific instructions for shipping and includes blank fields for documenting manufacturer information, stock numbers, serial numbers, and lot/heat numbers.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF 1449 - N4215825QE105.pdf | ||
| TECHNICAL CAPABILITIES STATEMENT.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 N42158-5217-7325
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO. N4215825QE105
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 .