North Atlantic SOW Niche Memorial Wall Marker Inscription-NA District Offsite FY2021.docx

STATEMENT OF WORK/SPECIFICATION

1.0 Background

The Department of Veterans Affairs (VA), National Cemetery Administration (NCA) furnishes headstones, markers and niche covers (monuments) for deceased veterans worldwide. Memorial monuments are also furnished to memorialize veterans whose remains are non-recoverable.

2.0 Purpose

The purpose of this contract is to perform Off-Site Inscription Services on cemetery furnished monuments listed below for the North Atlantic District:

· (A1) – Marker, Memorial Wall, Marble

· (C1) – Marker, Memorial Wall, Granite

· (H1) – Niche Cover, Granite

· (I1) – Niche Cover, Marble

3.0 General

This contract shall provide and include all labor, materials and transportation necessary to: pick-up or schedule a pick-up, utilizing a transportation carrier chosen by the contractor, of government-furnished blank niche covers and memorial wall markers from the cemeteries listed in Attachment A; segregate blank niche covers and memorial wall markers by cemetery at contractor’s facility; perform off-site inscription service at the contractor’s location per orders received; then package and deliver inscribed monument to the appropriate cemeteries. All transportation for pick-up of blanks and delivery of inscribed monuments will be the responsibility of the contractor.

Note: The Government reserves the right to add additional cemeteries or remove cemeteries from Attachment A.

3.1 Government Furnished Property

The contractor shall be responsible for the security and protection of Government Furnished Property provided to the contractor in connection with this contract. The contractor will be responsible for all monuments that do not meet the specifications following the inscription. The rejected monuments shall be considered scrap and the quantity shall be reported to cemetery personnel and to MPSProgSupport@va.gov. The contractor is responsible for disposing of monuments which are scrapped at the contractor’s location.

3.1.1 Cemetery Responsibility

Upon receipt of the crate, inspect and package the blank monuments in the crate using the contractor provided packaging. Prepare the Appendix B and place a signed copy inside the crate. Forward a signed copy to MPSProgSupport@va.gov and the assigned MPS COR.

3.2 Performance period - Initial

The contractor shall have seven (7) business days following the day the contract is awarded to forward packaging material to the cemeteries listed on Attachment A and pick-up or arrange transportation to pick-up the blanks for delivery to the contractor’s location.

3.2.1 Performance Period - Initial Order

The contractor shall have 25 calendar days, excluding federal holidays, as counted from the date following the day the first order is sent to the contractor and until the monuments are produced and delivered to the cemetery, FOB Destination.

3.3 Performance Period – On-Going

The contractor shall have 15 calendar days, excluding federal holidays, as counted from the date following the day an order is sent to the contractor and until the monuments are produced and delivered to the cemetery, FOB Destination.

3.4 Unit Price

The unit price is all-inclusive and covers the complete inscription ordered, regardless of the total number of lines or characters. The unit price will be the total price paid for each monument inscription by the contractor, FOB Destination to include packaging and pick-up of blank monuments from the cemetery and the return of inscribed monuments.

4.0 Material Specification

4.1 Description: Marker, Memorial Wall, Marble, Inscriptions

4.1.1 Monument Code: A1

4.1.2 Drawing No.: A-MW-1-3, Rev. B, dated 2019/08/20

4.2 Description: Marker, Memorial Wall, Granite, Inscriptions

4.2.1 Monument Code: C1

4.2.2 Drawing No.: A-MW-1-3, Rev. B, dated 2019/08/20

4.3 Description: Niche Cover, Granite, Inscriptions

4.3.1 Monument Code: H1

4.3.2 Drawing No.: A-NCIS-1&2, Rev. C, dated 2019/08/05

4.4 Description: Niche Cover, Marble, Inscriptions

4.4.1 Monument Code: I1

4.4.2 Drawing No.: A-NCIS-1&2, Rev. C, dated 2019/08/05

5.0 Scope of Work

5.1 Contract Period

This contract covers the period from Date of Award through September 30, 2020 with four (4) 1-year options, if exercised, to extend the term of the contract through September 30, 2024.

5.2 Contract

This contract includes all labor, materials, equipment and transportation necessary to pick-up government furnished blank niche covers and memorial wall markers from the cemeteries listed on Attachment A, entitled FOB Destination. It is essential that the contractor provide inscriptions on the covers specifically provided for each cemetery. The contractor shall segregate niche covers and wall markers, so the blanks provided for each cemetery are used solely for that cemetery.

The contractor is responsible for forwarding packaging to each cemetery that will prevent damage during shipment, palletizing if necessary, handling and returning niche covers to the cemetery. Transportation can be performed directly by the contractor or through commercial transportation carriers, FOB Destination.

The cemetery is responsible for inspecting blank niche covers prior to packaging in contractor-supplied crates and eliminating blanks that are chipped, cracked, or stained. The cemetery is also responsible for ensuring the blanks are free of ink, oil, crayon marks, dirt, and coatings prior to packaging and forwarding to contractor.

5.3 Workmanship

Inscribed niche covers and memorial wall markers shall be free from defects due to broken or blown out lettering. Inscription layout should be centered on the niche cover or memorial wall marker in accordance to drawing specifications. Repairs or patching of any such defects is not allowed and will be cause for rejection. Inscribed niche covers and memorial wall markers shall be free of oils, glue, crayon marks, adhesives and dust. Any inscribed niche cover or memorial wall marker that is delivered broken to the cemetery shall be replaced at contractor expense.

6.0 Inscription Specification

6.1 Reference Drawings

· A-LFN&OC-1 through 3, Rev. C, dated 6/13/2016, Letters, Fonts, Numbers, & Other Characters

· A-EM Cover Page, Rev. K, dated 2019/09/10, Emblems

· A-EM-1, Rev. I dated 2017/12/23

· A-EM-2 thru 4, Rev. H dated 2017/12/23

· A-EM-5, Rev. K dated 2019/09/10

· A-EM-6, Rev K dated 2019/09/04

6.2 Monument

The contractor shall inscribe all information as contained on the marker order. The contractor’s proposed pricing in the Schedule is an all-inclusive price. This all-inclusive price includes all items as shown on drawings listed in Sections 4.0 and 6.1. The end or limit of each line shall be indicated on a line-by-line basis as shown on the order. If any deviation from this is encountered, contact the MPS Program Support Unit at MPSProgSupport@va.gov.

Inscriptions shall be made using an air blast abrasion method. The inscription shall be a depth consistent with the technical drawing and shall conform to the character and dimensions of letter, numbers and emblems shown in the technical drawings. Inscription layouts shall conform to scenarios in the contract drawings.

6.3 Lithichrome Application

When placing an order, each cemetery shall notate in the Remarks box or on the last line of the inscription, whether lithichrome is required or not. Cemetery shall enter “ADD LITHICHROME” or “NO LITHICHROME” for all orders. When lithichrome is applied, it shall be N4 or lower as judged against the Munsell Neutral Value Scale, Matte (31-step scale). If any order is received without lithichrome instructions stated, then the order shall be e-mailed to the MPSProgSupport@va.gov for clarification.

If a response is not received within 3 calendar days, then the order will be cancelled and the shipment annotated on the weekly status report as “CANCELLED, LITHO INSTRUCTIONS NOT INCLUDED”.

7.0 Submittal by Potential Offerors

Potential offerors shall submit at contractor expense four samples as noted below. The samples shall conform to government specifications and shall be submitted for approval. Contractor shall mark each sample on the back with a permanent marker to show: contractor’s name, telephone number, solicitation number, cemetery name/district location and contractors email address. Any sample which arrives damaged or not clearly marked will not be considered for review. At that point the contractor’s sample would have failed to have met the submittal requirements for this solicitation and will not be further considered for the bidding process. The samples must be manufactured, inscribed, and packaged to prevent any damage during shipment. All samples are best and final, and the offerors will not be allowed to submit another sample if a sample is deemed unacceptable.

The following inscriptions shall be used for the sample submissions - refer to drawings for font style, special marks, inscription depths, and spacing.

Failure to meet any of the requirements shall result in the rejection of the sample. The sample shall establish the acceptable monument for all inscriptions under this contract and shall be the basis for comparison of all inscription services under this contract.

Samples must be received by Memorial Monuments Service (MPS) prior to closing date of solicitation.

All samples submitted must be approved for further consideration of vendor quote/proposal.

NO samples shall be accepted after solicitation closing date.

Note: All samples should be submitted using the dimensions noted above

Once submitted, samples become the property of the Department of Veterans Affairs and shall not be returned. Submit sample and test results to the following address:

National Cemetery Administration Memorial Products Service 5109 Russell Road Quantico, VA 22134

7.1 PDF Copies

PDF copies of drawings that can be enlarged to clearly show key details can be forwarded to potential vendors upon request. The request should be e-mailed to the NCA Memorial Products Service (MPS) Program Support Unit at MPSProgSupport@va.gov and shall include the contractor’s name, mailing address, phone number, e-mail address, and the name / drawing number of the drawing(s). MPS recommends vendors use full size drawings for determining work requirements. An extension to the solicitation’s closing date shall not be granted for failure to request the technical drawings with enough lead time.

8.0 Packaging and Palletizing

8.1 Single shipment materials: The packaging of single or small orders are to be secured with appropriate (Styrofoam sheets, bubble wrap, etc.) protection against possible damage.

8.2 Bulk shipment materials

All monuments shall be packed in accordance with the following requirements:

· Non metal bands shall be secured around the pallet or crate for its entire height (from top to bottom) and two additional bands shall secure the pallet or crating around the width. Banding pressure shall be such that it causes no damage to the edges of the stone when packaged. Colored materials or materials capable of staining the stone (ex. uncoated cardboard, certain kinds of wood) during outdoor storage are not permitted.

· Ensure the pallet is in good condition. The quantity of monuments that can be placed on the pallet shall depend on the pallet’s quality of build and monument-to-pallet dimensions.

· Ensure there is no monument overhang. The pallet shall be taking the initial side impacts. Ensure that the pallet extends 1-2” away from the edges of the monument.

· Corrugated board that is being used to wrap or cushion the monument shall be 350 PSI double wall corrugated board.

· Reinforce and protect edges of the monuments with corner fiber boards.

· Ensure shipments of multiple monuments are properly unitized and secured firmly to the pallet.

· Protruding metal fasteners must be replaced to avoid tearing the packaging or scratching the monument’s (s’) surface.

· The contractor shall ensure non-coloring materials are used for packing and that packing materials are not prone to compression which may cause load shifts or damage from the ensuing loose banding.

· The monuments shall be packed in such a manner that any adhesive, glue, or coloring from the packaging does not transfer and adhere to the stone during shipment or during interim storage prior to use.

· The contractor shall replace monuments at no additional cost to the Government if damage is incurred during transport. The MPS Program Support Unit reserves the right to notify the contractor by email within 5 days of any markers damaged during transportation. Upon notification, MPS will direct the cemetery to place a re-order in BOSS and a new shipment order # will be generated. MPS will inform the contractor of the new shipment order # and the contractor shall inscribe and re-ship at no cost to the government.

· The front and back of each individual package or on each side of a pallet shall be labeled with the words, HANDLE WITH CARE, in one-inch high red letters. Use of commercially available labels can be used for this requirement, or

· A label similar to below shall be used for each shipment returning to the cemetery:

ATTENTION

OBSERVE THAT THIS IS DEPARTMENT OF

VETERANS AFFAIRS CARGO AND A MEMORIAL

TO A U.S. ARMED FORCES VETERAN.

Please give exceptional consideration, care, and courtesy when handling.

· In addition, the contractor shall ensure the commercial bill of lading is notated with the following statements:

· “the palletized markers must be moved to the rear of the delivery vehicle to ensure the ability of the receiving business to offload the pallet using a forklift”.

· “In case of delivery problems: call (202)-461-4132 or 202-501-2696 for guidance and follow-up notification with email to MPSProgSupport@va.gov.

· All inscribed monuments will be received and accepted by the cemetery.

9.0 Government Quality Assurance (QA)

9.1 Inspections

Quality assurance (QA) inspections of the contractor’s manufacturing facility and monuments may be performed by the designated COR of the Memorial Programs Service to assure satisfactory contract performance. The Government reserves the right to inspect the quality of blanks and the inscription process without prior scheduling or notifications to the contractor.

During each QA visit at production sites, a complete assessment of the contractor’s operation shall be made, to include the following areas:

· Packaging and palletizing of monument that promotes damage-free shipments and compliant with all contractual requirements.

· Execution of quality control procedures.

· Maintaining QA records as required, with the records indicating the quality of the headstones or markers as shipped.

When at the contractor’s production facility, the contractor shall assist the designated COR by providing an adequate, well lighted inspection area. Contractor personnel must aid lifting, handling and moving of monument.

9.2 Quality System

The contractor must submit a quality assurance plan and maintain a written inspection system that documents the quality and timeliness of finished monuments. The Contractor shall provide, to the designated COR of the MPS Program Support Unit, reports on the Contractor’s progress and delivery of orders. Report must include number of blowouts, and number stones damaged upon receipt to facility. Please see Attachment B for the acceptable format of the weekly status report that must be maintained and forwarded. Weekly reports must be emailed to MPS at MPSProgSupport@va.gov, attention to the designated COR by the close of business, Tuesday of each the next week. Should this day fall on a holiday, the report must be submitted no later than the next business day. Each report must include the following information:

Weekly Status Report:

· Location (cemetery name)

· First Name

· Last Name

· CBL Number

· Delivery Order #

· Shipment #

· Date order was received

· Date Est Comp (15 days) example

· Date Cancelled (e-mail response date)

· Date Completed

· Carrier’s name & tracking number

· Delivery Date (delivered to location)

· Received by (who signed for the delivery)

· If any order is completed late or projected to be completed beyond the contractually required due date, the contractor must identify the reason(s) for the delinquency, what actions are underway to resolve the tardiness, and the projected future date for completion (projected completion dates which are before the reporting date are unacceptable).

· Identify the number of blanks that were scrapped each week (due to blowouts, breakage, change in inscription, inscription error, etc.…)

· If an order is delinquent at the time that the status report is emailed to the MPS Program Support Unit, the contractor must provide, in the same email with the report, the reason(s) for the delinquency, what measures the contractor is undertaking to remedy the causes of the current delinquency, and the date the contractor expects to become current with orders.

Blank Inventory Tracking:

· Date/Quantity Received (blanks received)

· Type

· Cemetery Name

· Date/Quantity used (orders processed)

· Date/Quantity scrapped (unusable blanks-blowouts, broken, etc.)

· Date/Quantity balance

Example:

· The above inventory tracking report for blanks should be turned in on a weekly basis along with the order tracking report.

9.3 Quality Complaints

The receipt of complaints concerning unsatisfactory quality or non-compliance with the contract specifications shall be considered reason for an immediate visit and review of the contractor’s quality assurance program. The Government reserves the right to inspect 100% of the production for an indefinite period due to quality problems. Indicative, but not all-inclusive, examples of issues meriting inspection are:

· Nonconforming monument shipped to fill Government orders.

· The COR rejecting a monument that passed the contractor’s inspection system, but the monument is still awaiting shipment.

· Deficiencies that adversely affect performance of the contract in areas such as:

o Inspection system o Inspection personnel o Manufacturing processes o Production control o Planning and scheduling o Craftsmanship o Safety o Knowledge/training of processes and measuring tools o Multiple reorders of same order due to loss or damage from inadequate labeling or palletizing.

The designated COR of the MPS Program Support Unit or a designated inspector for this contract shall inform the Contractor of the deficiencies. A site inspection report shall be generated by the inspecting COR and the COR shall discuss with the contractor what corrective action(s) shall be taken and when the corrective action shall be taken. When an issue(s) arises regarding a monument not meeting the specified standards and the issue(s) cannot be resolved between the contractor and the Government, the Contracting Officer shall make a final determination as to whether the monument shall be replaced at the contractor’s expense or at the Government’s expense.

10.0 Performance Evaluation

a. Normally, the COR will verbally advise or give a written inspection report to the Contractor of discrepancies the first time they occur and ask the Contractor to correct the problem. A notation will be made on the COR checklist of the date and the time the deficiency was discovered and the date and time the Contractor was notified.

b. If the Government created any of the discrepancies, these will not be counted against the Contractor's performance. When the Government has caused the Contractor to perform in an unsatisfactory manner, the COR will forward a written notice to the responsible organizational element requesting corrective action be taken.

c. When the Contractor is not meeting the acceptable limits of satisfactory performance, a Contract Discrepancy Report (CDR) will be issued to the Contractor. The seriousness of the failures should govern whether to issue CDR at the end of the period, or as soon as the limits of satisfactory performance are exceeded.

When a CDR is issued for a service, the Contracting Officer and/or the COR may exercise any contractual remedy available for non-performance, in accordance with FAR 52.212-4, “Inspection and Acceptance”. When a CDR is received, the Contractor shall complete the applicable CDR blocks. The Contracting Officer will evaluate the Contractor's explanation and determine the next course of action.

d. The issuance of a Contract Discrepancy Report (CDR), found in Attachments, may be cause for the scheduling of a meeting among the Contractor, Contracting Officer, and the COR. A mutual effort will be made to resolve all problems identified. The Government will prepare written minutes of the meeting. The Contractor, Contracting Officer, and the COR will sign minutes of the meeting(s).

e. Should the Contractor not concur with the minutes, they will so state their objections in writing to the Contracting Officer, within ten calendar days, and also explain the reasons for non-concurrence. The Contracting Officer will review and consider the reasons submitted for the Contractor's non-concurrence and make a decision to revise or uphold the comments as written. The Contracting Officer will notify the Contractor of the decision in writing within ten calendar days of submission of any objections.

f. After a CDR is given and the vendor's plan accepted by the CO/MPS COR the vendor shall have 1 month to carry-out the plan. After 30 calendar days, if there are any examples of missed standards then a remedy shall apply.

g. If the Contractor does not achieve satisfactory performance by the end of the next period or agreed suspense date, further actions may be considered including, but not limited to termination for default. If the Contractor only achieves a partial satisfactory performance by the end of the next period or agreed suspense date, other remedies including penalties may be applied.

11.0 Employee Requirements

a. The Contractor shall be responsible to ensure Contractor employees providing work on this contract are fully trained and completely competent to perform the required work. All work performed shall be done in a first-class manner and in accordance with good commercial practices.

b. Small Business set-aside: all of the awardee’s managerial/supervisory employees including those on site in supervisory roles shall be direct hires of the Prime Contractor. Labor shall be employed such that 50% of the actual salaries and wages for time attributed on this contract are from actual Prime Contractor employees.

c. Labor Force and Equipment: The Contractor shall be aware of the intensive labor and equipment requirements needed to meet contract specifications. Contractor shall be responsible to provide all labor and equipment as necessary to meet deadlines. The Contractor shall provide all necessary resources to complete the efforts assigned under the scope of this contract.

12.0 Processing of Orders and Time of Delivery

Contractors shall provide a single email address for electronically receiving orders. Orders shall be electronically distributed by MPS to the contractor’s provided email address, Sunday thru Thursday. Contractors shall manufacture and ship individual orders on a first in/first out basis. Each order for Normal Delivery shall be produced in numerical sequence, by shipment number.

12.1 Accelerated Deliveries

All monuments identified for accelerated delivery (sometimes referred to as 10-day specials) shall be moved to the front of the production queue but behind any previous orders flagged as 10-day specials. The contractor shall provide this service for accelerated production at no additional cost beyond the standard unit cost offered by the vendor.

12.2 Replacement In-Kind

The intent is to replicate a pre-existing inscription. In-kind replacements must be provided at no additional cost beyond the standard unit cost offered by the vendor. The cemetery will provide a photo to MPS to ensure the replacement reflects the inscription of the original headstone.

12.3 Inscription Corrections/Cancellations of Orders

Occasionally, it shall be necessary to request a correction, change, or cancellation be made after an order is sent to the contractor. These corrections/changes/cancellations shall be forwarded by email to the contractor only by the MPS Program Support Unit and within one (1) calendar day from the date the contractor received the order. The contractor shall be required to respond to each emailed request from the MPS Program Support Unit within one (1) business day from the date the request was sent.

13.0 Use of Appendix B – Transfer of Government-Furnished Headstones, Markers or Niche Covers and Appendix C – Completion of Inscription Service(s) (Process Responsibilities) (Reference Addendum 3)

13.1 The cemetery is responsible for inspecting niche covers or memorial wall markers prior to packing for pick-up by the contractor or their transportation carrier. The contractor is NOT responsible for the inspection of blanks at initial pick-up.

13.2 Cemetery personnel will be responsible for completing Appendix B – Transfer of Government-Furnished Headstones, Markers or Niche Covers form (NCA Handbook 3320), stating the quantity of blanks for each type that has been inspected for pick-up by the contractor. A copy of Appendix B should be included in the shipment, a copy retained by the cemetery and a final copy emailed to the contractor and MPS.

13.3 Cemetery personnel must complete the top portion of the form, check the appropriate box and insert the quantity that is being transferred to the contractor.

13.4 If the contractor is on-site at the cemetery to pick-up the blanks, they shall confirm the quantity of blanks being transferred and accept and sign the bottom of the form. Both the contractor and the cemetery should retain a copy of the transfer for their records.

13.5 If the contractor is not on-site, as soon as the shipment of blanks is received by the contractor, the quantity should be confirmed from the Appendix B copy in the shipment or the email received from the cemetery and the bottom of the form should be completed and returned to the cemetery with a copy of MPS.

13.6 The contractor takes possession and is responsible for the care and protection of blanks following the receiving inspection. The contractor shall be responsible for the cost of damage to blanks or inscribed monuments while in their custody.

13.7 The contractor processes inscription orders on a first in, first out basis. Completed orders shall be inspected for quality and errors and prepared to be shipped back to the appropriate cemeteries daily.

13.8 The contractor will be responsible for completing Appendix C – Completion of Inscription Service(s) form. The contractor will complete the top portion of the form, checking the appropriate box and inserting the quantity of monuments that are being returned to the specific cemetery. Shipment numbers will be inserted for each monument completed and being returned in a single shipment. The contractor will include a copy of the completed Appendix C in the return shipment and fax copies to the cemetery POC and MPS. Once a return shipment is received, Cemetery personnel are responsible for a final inspection.

14.0 FOB Destination Procedure and Responsibilities

The transportation for the monument produced and shipped to consignees is the responsibility of the contractor.

NOTE: If there is a noticeable trend of damaged shipments caused by a specific transportation carrier and/or driver, MPS shall recommend that the carrier be eliminated as one of the contractor’s carriers.

14.0 Procedures (Administrative and Other)

16.1 Government Responsibilities

Notwithstanding the Contractor’s responsibility for total management during the performance of this contract, the administration of the contract shall require coordination between the Government and the Contractor. The Contracting Service shall provide, at the time of the contract’s award, the name of two or more individuals authorized to act as Contracting Officer’s Representatives (CORs) during the coordination.

16.2 Contractor Records and Files

The contractor shall maintain records and files of all documents relating to each order filled under each Government Headstone and Marker contract. These records shall include, at minimum, copies of all orders, quality assurance records, inspection results, shipping documents (bearing carrier’s name and PRO tracking numbers) and invoices. These records shall be made available, upon request.

16.3 Government Headstone and Marker Drawings

The contractor shall ensure copies of all relevant Government drawings for production of monuments are maintained on file and are available.

16.4 Completion point for monuments delivered FOB destination The contractor’s responsibilities are deemed complete upon acceptance by the Government.

16.5 Invoicing

Invoicing in arrears after acceptance. The contractor shall bear all charges to the point of destination.

Point of Contact at MPS: E-mail to: MPSProgSupport@va.gov

END STATEMENT OF WORK

ATTACHMENT A – List of Cemeteries under this contract.

NORTH ATLANTIC DISTRICT

TOTALS 5 for A1; 5 for C1; 4,178 for H1; 1,452 for I1

Following are the states which make up the North Atlantic District

ATTACHMENT B – Weekly Report Format

Sample Review (A1/C1)

PREPARED BY:

OFFEROR:

CEMETERY:

SOLICITATION #:

DATE RECEIVED:

SHIPPED BY:

SHIPPING TRACKING #'S:

INSCRIPTION (Line by Line)

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

Inter-Line Spacing

Refer to Drawing

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

INSCRIPTION QUALITY

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

REVIEWED BY: (e-sig)

CONCURRANCE: (e-sig)

PREPARED BY:

OFFEROR:

CEMETERY:

SOLICITATION #:

DATE RECEIVED:

SHIPPED BY:

SHIPPING TRACKING #'S:

INSCRIPTION (Line by Line)

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

Inter-Line Spacing Niche Inscriptions Refer to Drawing

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

INSCRIPTION QUALITY

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

□ Accepted □ Unaccepted

REVIEWED BY: (e-sig)

CONCURRANCE: (e-sig)

APPENDIX B - TRANSFER OF BLANK GOVERNMENT-FURNISHED HEADSTONES, MARKERS, OR NICHE COVERS

I certify that the blank headstones, markers, or niche covers specified below were transferred to the VA contractor listed at the bottom of the form.

Printed Name of Cemetery Personnel: _________________________________________________

Signature: _________________________________________ Date: _________________________

Check the appropriate box and insert the quantity for the type of headstone, marker or niche cover being transferred to the on-site contractor.

(A1/6) Memorial Wall Marker, Marble, Blank Quantity: ______

List any rejects below, include type and quantity:

I certify that the headstones, markers, or niche covers specified above were received by me and the quantity of items has been verified.

Printed Name of VA Contractor: ____________________________________________

Signature: _________________________________________ Date: _______________

APPENDIX C – COMPLETION OF INSCRIPTION SERVICE(S)

I certify that the inscriptions have been completed per contract specifications on the government-furnished headstones, markers, or niche covers identified below.

Printed Name of VA Contractor: _______________________________________________

Signature: _________________________________________ Date: __________________

Check the appropriate box and enter the quantity of the type of headstone, marker or niche cover that has been completed and ready for inspection.

(A1/6) Memorial Wall Marker, Marble, Inscribed Quantity: ______

Shipment Number(s) (required) rejects are to be marked:

I certify that the headstones, markers, or niche covers identified above were received by me and the quantity of items has been verified.

Printed Name of Cemetery:_________________________________________________

Signature: _________________________________________ Date: ________________ image1.emf image2.emf