CERTIFICATE OF COMPLIANCE.pdf
PDF 47 KB Posted
- Attached to
- Microbulk Tank
- Solicitation number
- N4215827QE001
About this file
This is a Certificate of Compliance form for federal contract solicitation N4215827QE001 issued by Norfolk Naval Shipyard. The form serves as a quality assurance attestation document that vendors must complete and return upon shipment of materials to certify full compliance with all contract requirements.
The certificate requires vendors to provide complete material identification information, 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. Two Quality Assurance Officials must sign the document: the first attesting that all furnished items comply with contract requirements, and the second confirming that inspection and test reports accurately represent the actual attributes of items furnished and indicate full compliance. The form notes that inspection and test reports are not required (N/A is marked). Vendors must deliver one copy of the completed certification with the shipped material and mail additional copies to Norfolk Naval Shipyard, Attn: CODE 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000. The instructions emphasize that prompt return of completed certifications will expedite receipt and payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation N4215827QE001.pdf | ||
| FAR 52.212-2 Attachment (A).pdf | ||
| FAR 52.212-1 Addendum.pdf | ||
| Attachment (A)_Microbulk Liquid Nitrogen Tank Specs.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
SOLICITATION # N4215827QE001
VENDOR NAME
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)
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