3386910_SMW_REPORT.pdf

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Attached to
NSN 5841-01-432-3798 / Receiver-Transmitter (P/N 622-5132-401)
Solicitation number
SPRWA1-23-R-0014
Issued by

About this file

This document is a surplus materiel worksheet evaluating the availability and acceptability of surplus Receiver-Transmitter (NSN 5841-01-432-3798 / P/N 622-5132-401) to fulfill the government's needs. The surplus materiel evaluation finds that surplus assets for this item will be considered if they meet criteria for part number and manufacturer verification, prior government ownership, 100% end item inspection, test and verification, and verifiable dimensions. The related federal contract opportunity is solicitation SPRWA1-23-R-0014 for the acquisition of 7 units of the Receiver-Transmitter. Estimated delivery is by March 2024 to the Defense Logistics Agency Aviation, with award anticipated no later than September 2023 on an F.O.B. Origin basis.

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Text version

SURPLUS MATERIEL WORKSHEET

DATE

06 DEC 2021

I. REQUEST FOR EVALUATION

NSN

5841014323798

PART NUMBER

622-5132-401

CAGE

4V792

APPLICATION

C-135 & E-8

IMS

Carter, Peter J

OFFICE SYMBOL

407 SCMS / GUEA

PHONE

478-222-9987

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 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 4V792(AFMCFARS 5352.211-9011) MFG 622-5132-401P/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 1C-135-4-11-2_6904

VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY

DRAWING NUMBER

LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)

INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE

TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)

OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)

OTHER SPECIAL REQUIREMENTS (Explain)

Carter, Peter JNAME: 31 JAN 2022DATE:

Certificate of Conformance for each delivered asset

REMARKS

JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL

EVALUATOR

Carter, Peter J

OFFICE SYMBOL

407 SCMS / GUEA

PHONE

478-222-9987 / 472-9987

COMPLETE DATE

31 JAN 2022

SIGNATURE

//SIGNED// Carter, Peter J

USER TYPE

Engineer

SIGNATURE DATE

31 JAN 2022

Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 6Generated by PRPS using Jasper Reports on 23 Feb 2023

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