CERTIFICATE OF COMPLIANCE.pdf
PDF 47 KB Posted
- Attached to
- COMPOSITE
- Solicitation number
- N4215827QE005
About this file
This document is a Certificate of Compliance form for federal contract solicitation N4215827QE005 issued to ECOMASS TECHNOLOGIES, LP by Norfolk Naval Shipyard. The form serves as a quality assurance certification template that contractors must complete and return upon shipment of materials to attest that all items furnished comply with contract requirements. The certificate requires 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 as marked on the material.
The form contains two attestation sections requiring signatures from Quality Assurance Officials. The first section certifies that all items furnished are in full compliance with all contract requirements. The second section confirms that inspection and test reports provided represent the actual attributes of items furnished and indicate full compliance, with an option to mark as "Not Applicable" (N/A is checked on this template). Contractors must deliver one copy of the completed certification with the material shipment to Norfolk Naval Shipyard, Attention CODE 2305.6, Expediting Section, Building 297, Portsmouth, VA 23709-5000. The instructions note that prompt return of completed certifications will expedite receipt and payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| FAR 52.212-1 Addendum.pdf | ||
| FAR 52.212-2 Attachment (A).pdf | ||
| Solicitation N4215827QE005.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
SOLICITATION # N4215827QE005
ECOMASS TECHNOLOGIES, LP
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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