3 QAIRQMT_REPORT.pdf

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Pump Assemblies
Solicitation number
FA851725RRepairofMechanicalTransmissionAssembly
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This is an AFMC Form 807 that specifies quality assurance provisions and special inspection requirements for NSN 4320012169809VX, a pump assembly component. The form indicates that both inspection and acceptance will occur at source rather than destination, as specified under DFARS 246.402 due to specific product features requiring government quality assurance at source.

The document specifies Standard Inspection requirements under FAR 52.246-2,-3,-4,-5 or -6 as applicable. The form confirms this is for a previous source, not requiring a quality pre-award survey, with codes I&A=1 and CQR=C. The technical authority, Steven J. Fazzini from 410 SCMS/GUEA, certified that the requirement does not involve Class I Ozone Depleting Substances. Key points of contact include Daniel S. Reeves as Item Manager and Charles Wheeler as Equipment Specialist. The form was completed on August 30, 2019.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

4320012169809VX

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Reeves, Daniel S / 478-222-1651

6. EQUIPMENT SPEC / PHONE

Wheeler, Charles / 478-222-1392

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

Fazzini, Steven JNAME: 30 AUG 2019DATE:

In accordance with DFAR 246.402, this product being acquired has specific features identified that make Government contract quality assurance at source necessary.

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

Fazzini, Steven J

ORGANIZATION / SYMBOL

410 SCMS / GUEA

PHONE

478-327-2790 / 497-2790

DATE

30 AUG 2019

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 30 Jan 2025

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