RIX Industries Flow Downs

3/14/17

Description:

CERTIFICATE OF COMPLIANCE

Clause:

Change from Revision C001 – Editorial change to reformat to current standard.Quantity: One (1) copyForm 4885, Certificate of Compliance, which is attached to this order shall be providedwith each shipment of material. The following items must be entered in the appropriatespaces on the form:A) Company nameB) Purchase order and item number(s) of material being shipped.C) Date of signingD) Signature of authorized representativeIn addition, for items requiring material traceablility (Traceback I.D.) the certificatesmust correlate to the traceability identification of the material.Only one (1) Form 4885 is supplied by NNS with each purchase order; therefore, thevendor shall be responsible to reproduce Form 4885 to fulfill his need to supply acertificate of compliance with each shipment of material.At the vendor's option, he may use his own form. If he uses a form other than Form4885, the certificate shall be signed and dated by the vendor's authorizedrepresentative. The certificate shall be furnished for each shipment of material on thisorder.When the vendor provides the certification form, it shall state the following:"All items furnished in the shipment are in full compliance with all purchaseorder and specification requirements."When test reports are required to be furnished by the purchase order, the certificateshall also state:"Test reports represent the actual attributes of the items furnished and the testresults are in full compliance with all applicable specifications and purchaseorder requirements."Certification that the test reports represent the actual attributes of the items furnishedmeans that the values shown on the reports represent the actual values obtainedduring testing, using the sample selection and test methods specified in the applicablematerial specification.The certification statements may be on the individual test reports or may be on aseparate form provided the purchase order to which the statements apply is identified.