2903452_QAIRQMT_REPORT.pdf

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Repair of NSN: 6130-01-309-3090 ZR Power Supply
Solicitation number
FA825023Q0750
Issued by

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This document is a quality assurance report recommending inspection provisions for a federal solicitation to repair a power supply with national stock number 6130-01-309-3090 ZR. The solicitation is being issued by the Department of the Air Force Materiel Command Air Force Sustainment Center to conduct repairs at the destination point. The technical authority is Jerry A. Bialek of the 415th Supply Chain Management Squadron, and the item manager is Ashley L. Underwood. Standard inspection clauses from the FAR would apply, and the technical authority must be notified if a new source is selected using acquisition method codes 3, 4 or 5. No pre-award survey or Air Force Material Command participation is recommended.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

6130013093090ZR

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Underwood, Ashley L / 801-777-6185

6. EQUIPMENT SPEC / PHONE

Pfaff, Aaron / 801-777-5576

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

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

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Bialek, Jerry A

ORGANIZATION / SYMBOL

415 SCMS / GUMBB

PHONE

801-586-6184 / 586-6184

DATE

09 OCT 2019

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 1Generated by PRPS using Jasper Reports on 13 Jun 2023

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