3468081_SMW_REPORT.pdf
PDF 116 KB Posted
- Attached to
- F100 Module Kit Servo Valve
- Solicitation number
- FA812125R0026
About this file
The Surplus Materiel Worksheet dated 15 April 2022 documents an evaluation of a surplus aircraft part for potential government procurement. The specific item is a part number 351005 with NSN 2915012240753NZ, intended for F100-PW-220/229 application, manufactured by CAGE code 06848. The worksheet indicates that only new/unused government surplus items are acceptable, with strict evaluation criteria including part number verification, prior government ownership confirmation, and 100% end item inspection. Critical rejection criteria include any packaging damage, evidence of corrosion, or misrepresentation by the vendor, with rejected parts to be returned to the vendor at no cost to the government. The document was completed by Cyle R. Fabrie, an engineer with AFLCMC/LPSEA, on 12 July 2022.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
15 APR 2022
I. REQUEST FOR EVALUATION
NSN
2915012240753NZ
PART NUMBER
351005
CAGE
06848
APPLICATION
F100-PW-220/229
IMS
Shelley, Eric C
OFFICE SYMBOL
AFLCMC / LPSEA1
PHONE
405-734-0001
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 351005P/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 351005
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: 12 JUL 2022DATE:
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
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 / LPSEA
PHONE
405-582-5574 / 852-5574
COMPLETE DATE
12 JUL 2022
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 11Generated by PRPS using Jasper Reports on 08 Apr 2025
SURPLUS MATERIEL WORKSHEET
DATE
15 APR 2022
SIGNATURE
//SIGNED// Fabrie, Cyle R
USER TYPE
Engineer
SIGNATURE DATE
12 JUL 2022
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 11Generated by PRPS using Jasper Reports on 08 Apr 2025
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