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Get DD 1718 2019

POSITION TITLE h. SIGNATURE DD FORM 1718 AUG 2012 i. DATE SIGNED YYYYMMDD PREVIOUS EDITION IS OBSOLETE. Reset Page 1 of Pages Adobe Professional 8. OMB No* 0704-0487 OMB approval expires Mar 31 2015 CERTIFICATION OF QUALIFIED PRODUCTS To be completed by manufacturer or manufacturer s representative The public reporting burden for this collection of information is estimated to average 30 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 4800 Mark Center Drive Alexandria VA 22350-3100 0704-0487. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION* RETURN COMPLETED FORM TO THE ADDRESS BELOW* Please complete a separate form for each plant location producing products qualifying to the specification listed in Block 1. Please certify that the products listed in Block 2 are available and the conditions in Block 5 are still accurate. After completion please print and sign the form then either scan and email it - or fax it - to the Qualifying Activity for the document in Block 1 to 1. GOVERNING SPECIFICATION/STANDARD Include revision/ amendment number if applicable 2. MANUFACTURER S DESIGNATION S If more space is needed continue in Block 4 Remarks. 3. COMPANY DATA a* LEGAL BUSINESS NAME b. POINT OF CONTACT 1 NAME Last First Middle Initial 3 TELEPHONE Include Area Code 2 ADDRESS Include ZIP Code 4 FAX Include Area Code c* PLANT PHYSICAL ADDRESS AND CAGE CODE For the plant manufacturing the products in Block 2 CAGE CODE 5 EMAIL ADDRESS d. MAILING ADDRESS AND CAGE CODE If different from 3. c* Commercial and Government Entity CAGE Code A CAGE Code is required to be listed on an electronic QPL or QML* To register for a CAGE Code go to www. sam*gov* If you experience problems call toll free 1-866-606-8220. 4. REMARKS Attach additional pages as needed* Please indicate at the top of each page the governing specification/standard company name and CAGE Code. 5. THE UNDERSIGNED A RESPONSIBLE OFFICIAL OF MANAGEMENT HEREBY CERTIFIES TO THE FOLLOWING STATEMENTS EXCEPT AS MODIFIED UNDER REMARKS* a* Listed product s is are still manufactured at the plant address shown in 3. c* above. b. Plant is under same management. c* Product s is are being manufactured under the same conditions as originally qualified i*e* same process materials construction design and manufacturer s designation* d. Product s will meet the requirements and tests of latest effective issue of specification/standard.

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