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This document is a Contract Repair Screening Analysis Worksheet for the repair of an A-10 aircraft Display Keyboard Interface Circuit Card Assembly (DKI CCA). The item requires repair due to failures in the field, with an annual repair quantity of 20 units and an estimated repair cost of $8,000 per unit. The circuit card is used in the A-10C weapon system and Thunderbolt II aircraft. The government has substantial but incomplete repair data for the item, as the original equipment manufacturer no longer has the required expertise or equipment. Potential repair contractors will need to demonstrate the ability to verify completed repairs. Eligible repair sources listed are Elbit System of America, L3 Technologies MAS, and T2 Engineering. The solicitation number for bids to repair the DKI CCA is FA825123Q0003, issued by the Department of the Air Force Materiel Command Air Force Sustainment Center. Repair contractors must be qualified prior to contract award.

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CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

08 MAY 2023

2. FORM PRIORITY

3. NSN

5998219140195FJ

4. PART NUMBER

10-46110-01

5. PART NUMBER CAGE CODE

09691

6. NOUN

CIRCUIT CARD ASSEMB

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$8,000.0000

9. ANNUAL REPAIR

BUDGET VALUE

$160,000.00

10. FORECAST UNIT

PRICE

$8,000.0000

11. ERRC

T

12. WEAPON SYSTEM

A-10C

13. END ITEM APPLICATION

A-10

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

ENSIL TECHNICAL SERVICES INC. 30 SEP 202052GG4 FA825120P0002

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

18. X THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE X NOT REQUIRED REQUIRED

GOVERNMENT FURNISHED MATERIAL IS NOT REQUIRED X REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

Fee, Patrick T

CODE

KV

OFFICE SYMBOL

416 SCMS / GUMBC

PHONE

801-777-4673

COMPLETION DATE

09 MAY 2023

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

X LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

X NO YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

X NO YES

28. RMC / RMSC CODE

R1 / C

29. RMC / RMSC EXPIRATION DATE

24 JUL 2030

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

The data the government has is substantial but not complete. The OEM no longer has the necessary equipment and expertise to repair this item. Potential repair sources will need to develop a way to verify repairs. We have to verify that a potential source has the expertise to meet that requirement.

The low quantity makes developing repair data uneconomical and it would also be time intensive.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

Elbit System of America, Talladega 50218 30 JUL 2020

L3 TECHNOLOGIES MAS INC 09691

T2 Engineering 6VK01 30 JUL 2020

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 4Generated by PRPS using Jasper Reports on 26 Jun 2023

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

32. ENGINEER NAME

Reveal, Charles A

CODE

N/A

OFFICE SYMBOL

416 SCMS / GUEAB

PHONE

801-777-7406

COMPLETION DATE

10 MAY 2023

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Engineer NAME: Reveal, Charles A DATE: 24 JUL 2020

ORG / OFFICE SYMBOL: 416 SCMS / GUMBC COMMERCIAL PHONE: 801-777-7406 DSN PHONE: 777-7406

The data the government has is substantial but not complete. The OEM no longer has the necessary equipment and expertise to repair this item. Potential repair sources will need to develop a way to verify repairs.

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 4Generated by PRPS using Jasper Reports on 26 Jun 2023

File details come from the government source that posted it. Updated .