CERTIFICATE OF COMPLIANCE.pdf

101 KB Posted

Attached to
MTRA Disposal Box
Solicitation number
N4215826QE069
Issued by

About this file

Written by GovTribe AI ·

This is a Certificate of Compliance form for federal contract solicitation N4215826QE069 issued by Norfolk Naval Shipyard. The form serves as a template for contractors to attest that materials or items delivered under a contract meet all specified contract requirements. Contractors must complete applicable material identification fields including contract number, order number, item number, National/Local Stock Number (NSN/LSN), manufacturer's part number, serial number, drawing and piece number, and manufacturer's lot/heat numbers as marked on the material.

The certificate requires two separate attestations by Quality Assurance Officials. The first attestation confirms that all items furnished are in full compliance with all contract requirements and must be signed and dated by a Quality Assurance Official with title. The second attestation, which is marked as not applicable (N/A) in the provided template, certifies that inspection and test reports provided represent the actual attributes of items furnished and indicate full compliance with contract requirements. Upon shipment, contractors must complete the certification and return one copy with the material to Norfolk Naval Shipyard, Code 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000. This documentation expedites receipt and payment processing.

View the file

Other files

File Type Posted
Solicitation Amendment N4215826QE0690001 SF 30.pdf PDF
FAR 52.212-2 Attachment - Technical Capabilities Form.pdf PDF
Attachment (B)_MTRA Disposal Box Supplemental Requirements for Solicitation.pdf PDF
Attachment (A)_2370.2-7407V REV D for Solicitation.pdf PDF
FAR 52.212-1 Addendum.pdf PDF
Solicitation N4215826QE069.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

CERTIFICATE OF COMPLIANCE

SOLICITATION # N4215826QE069

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

ENCLOSURE (1)

File details come from the government source that posted it. Updated .