2814448_QAIRQMT_REPORT.pdf
PDF 86 KB Posted
- Attached to
- F100 Circuit Card Assembly
- Solicitation number
- FD20302500228
About this file
This document is a Recommended Quality Assurance Provisions and Special Inspection Requirements form for a critical safety item related to an F100 Circuit Card Assembly. The form identifies key contract quality requirements, including ISO 9001:2000 higher-level quality standards and a certification that no ozone-depleting substances will be used. The document is dated 30 May 2019 and was prepared by Krista N. Cyr from the AFLCMC/LPSEA2 organization, with technical contact Ryan Boyer listed at 405-734-4446. The National Stock Number for the item is 5998015391742NZ, and the form indicates this is for a source and destination inspection process with no pre-award survey required.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998015391742NZ
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Boyer, Ryan / 405-734-4446
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6
AS APPLICABLE TO CONTRACT
X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
ISO 9001:2000
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
Cyr, Krista NNAME: 30 MAY 2019DATE:
This is a Critical Safety Item (CSI).
8a. OZONE DEPLETING SUBSTANCES (ODS)
X STATEMENT
"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN
ONLY BE MET BY THE USE OF A CLASS I ODS."
WAIVER (SEE AF FARS 5323)
NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.
9. QUALITY PRE-AWARD SURVEY
YES NEW SOURCE
X PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
G
11. SIGNATURE OF TECHNICAL AUTHORITY
Cyr, Krista N
ORGANIZATION / SYMBOL
AFLCMC / LPSEA2
PHONE
405-734-7682 / 884-7682
DATE
30 MAY 2019
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 5Generated by PRPS using Jasper Reports on 15 Apr 2025
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