3307909_SMW_REPORT.pdf
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- Solicitation number
- FA812126R0017
About this file
This is an Air Force Materiel Command (AFMC) Surplus Materiel Worksheet (AFMC Form 813) dated August 11, 2021, that evaluates the acceptability of surplus material for government procurement. The document pertains to part number 351009 (NSN 2915012240747NZ), manufactured by CAGE code 06848, for application in the F100-PW-220/229 engine system. The requestor is Adam T. Swain from the 421 SCMS / GUMAD office at Tinker Air Force Base (405-734-1759).
The evaluation determined that surplus materiel may be considered for fulfilling government needs, but only for Government Surplus in the New/Unused category, marked as acceptable (Y) with requirements for part number and manufacturer verification. The surplus material must meet specific criteria including part number verification (AFMCFARS 5352.211-9011), prior government ownership confirmation, 100% end item inspection, test and verification, and verifiable dimensions per drawing 351009. Surplus offerors are required to submit a "Required Information for Surplus Material Evaluation" form for contracting officer and cognizant engineer approval before acceptance. Rejection criteria include items not in original unopened packages, misrepresentation by vendors, packaging damage, or any evidence of corrosion. The evaluation was completed by Cyle R. Fabrie (AFLCMC / LPSEA1, 405-734-8704) on August 17, 2021.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
11 AUG 2021
I. REQUEST FOR EVALUATION
NSN
2915012240747NZ
PART NUMBER
351009
CAGE
06848
APPLICATION
F100-PW-220/229
IMS
Swain, Adam T
OFFICE SYMBOL
421 SCMS / GUMAD
PHONE
405-734-1759
SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED
IAW AFMC FAR SUPPLEMENT PART 5352.
THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIEL WILL BE CONSIDERED IN THE FOLLOWING TYPES / CATEGORIES
II. EVALUATION CRITERIA (For types/categories deemed acceptable)
ACCEPT-
ABLE (Y/N)
P/N AND
MFG
VERIFI-
CATION
PRIOR
GOV'T
OWNER-
SHIP
100% END
ITEM
INSPECT
TEST AND
VERIFI-
CATION
VERIFI-
ABLE
DIMEN-
SIONS
LOCATION
INSPEC-
TION
TESTING
INITIAL
ACCEPT-
ABILITY
ITEMS
OVERHAUL
AND
CERTIFI-
CATION
OTHER
(Explain in Remarks)
Y X X X
N
N
N
N
N
N
N
G O V T
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
C O M M L
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)
PART NUMBER VERIFICATION 06848(AFMCFARS 5352.211-9011) MFG 351009P/N
PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)
100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)
TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER N/A
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 06848
DRAWING NUMBER 351009
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS 0(AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
N/A
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
N/A
OTHER SPECIAL REQUIREMENTS (Explain)
Fabrie, Cyle RNAME: 17 AUG 2021DATE:
Surplus Offerors shall complete and return the "Required Information for Surplus Material Evaluation" form, attached, in accordance with FAR 11.302(b). The Contracting Officer shall obtain approval/ disapproval from the Cognizant Engineer based on the completed form returned by the surplus offeror prior to accepting or rejecting the surplus offer.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
Justification:
Surplus items that do not conform to all of the above requirements, including those in the REMARKS section, are not acceptable. Misrepresentation of any item by the offeror shall be cause for rejection and return of all items to the offeror at no cost to the government.
- The part shall be in the original unopened package, labeled with the correct part number and NSN.
- Misrepresentation of any item by the surplus vendor shall be cause for rejection.
- Damage to packaging shall be cause for rejection as these parts are susceptible to corrosion.
- Any evidence of corrosion shall be cause for rejection of part.
- Rejected parts will be returned to the vendor at no cost to the government.
EVALUATOR
Fabrie, Cyle R
OFFICE SYMBOL
AFLCMC / LPSEA1
PHONE
405-734-8704 / 884-8704
COMPLETE DATE
17 AUG 2021
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 8Generated by PRPS using Jasper Reports on 29 Apr 2026
SURPLUS MATERIEL WORKSHEET
DATE
11 AUG 2021
SIGNATURE
//SIGNED// Fabrie, Cyle R
USER TYPE
Engineer
SIGNATURE DATE
17 AUG 2021
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 8Generated by PRPS using Jasper Reports on 29 Apr 2026
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