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MANUFACTURING QUALIFICATION REQUIREMENTS

NSN: 6130-01-585-9805

P/N: 580717 Noun: LV Power Supply Application: F-16 Head-Up-Display Electronics Unit

2-Mar-22 Section C 1/3

SECTION C:

1. QUALIFICATION REQUIREMENTS THAT MUST BE SATISFIED TO BECOME A QUALIFIED SOURCE

a. Prequalification Notice/Sources Sought: The offeror shall notify the appropriate government Small Business Office or, if responding to a solicitation, the contracting officer in the appropriate government contracting office, of intent to qualify as a source for this LV Power Supply.

b. Facilities, Testing, and Inspection Capabilities: The offeror must certify to the government that they have, or have access to, the required facilities and equipment to manufacture, inspect, test, package, and store the item. The offeror shall make their facilities, equipment, tooling, and personnel available for evaluation and inspection by the government.

c. Data Verification: The offeror must verify that he has a complete data package. This verification must include a complete list of all procedures, drawings, and specifications, including change notices, in the offeror’s possession including, at a minimum BAE (K0656) drawing 229-030417, 229-026330, 7506-00098, 7506-00104 and Shigamo Development, Inc (0LRG2) drawing 580717.

The offeror may also be required to produce copies of all applicable procedures, drawings, or specifications.

a. Manufacture/Process Verification: The offeror must manufacture this item to conform to the government requirements as prescribed within the ESA-approved engineering/technical data package. The offeror must show compliance with Unique Identification (UID) requirements in accordance with DFARS 211.274 as prescribed within the ESA-approved engineering/technical data package. The offeror must provide, at their own expense, data showing the results of all quality, performance, and environmental evaluations conducted by the offeror to show compliance with the government requirements as prescribed by 416SCMS/GUEAA. The offeror shall also identify its sources for materials and its standards for internally used processes.

b. Test and Evaluation and/or Verification: The offeror, at their own expense, shall prepare and submit to 416SCMS/GUEAA for their prior approval, a qualification test plan/procedure detailing how they intend to verify compliance with all performance, environmental, mechanical, and quality assurance requirements identified by Drawing 229-030417. After completion of the approved qualification testing, the offeror shall be required to submit a complete test report of the results to 416SCMS/GUEAA for their review and approval prior to the contract award. The government retains the right to exercise the option to inspect the testing processes, including on-site witnessing of any or all documented testing. To allow accomplishing this, the offeror shall notify the government at least 30 days in advance of the occurrence of any testing that will be used as a basis for qualification. The offeror’s facilities shall be made available for government inspection during these tests.

c. Qualification Article Verification: The offeror must provide, at their own expense, a pre-contract award qualification article for evaluation by the government. This article must comply with all of the requirements of drawing 229-030417. This article shall be subjected to a form, fit, and

P/N: 580717

2-Mar-22 Section C 2/3 function evaluation to demonstrate compatibility with the weapon system and to evaluate the manufacturing capability of the offeror. Offerors will be notified whether or not their qualification article passed or failed the required qualification testing within 90 days of submitting a product for qualification testing. Note that successful completion of the qualification testing does not guarantee any contract award. If the offeror is deemed qualified and awarded the contract, a post-contract award first article exhibit may be required to verify production capability.

d. Qualification Requirement Cost Estimate: Estimated likely costs for testing and evaluation, which will be incurred by the potential offering party to become qualified: $40,000.00

e. Qualification Time Completion Estimate: It is the estimate of the engineering support activity that completion of this qualification effort should require 365 days. This is based on complexity of the LV Power Supply and other factors.

f. Qualification Time Limitation: An offeror may not be denied the opportunity to submit and have considered an offer for a contract if the offeror can demonstrate to the satisfaction of the contracting officer that the offeror (or its product) meets these standards for qualification or can meet them before the date specified for award of the contract. The award will not be delayed to provide the vendor with an opportunity to demonstrate its ability to meet the standards specified in this qualification requirement.

g. Evaluation of Proposals Not Previously Qualified: The offeror must be fully qualified in order to be eligible for a contract award. Therefore, the offeror must fulfill all of the requirements stated, in writing, in the qualification requirement before the date specified for award of the contract. Once all requirements are met, the offeror will be listed as an approved source for this item. Approval, however, does not guarantee subsequent contract award.

P/N: 580717

2-Mar-22 Section C 3/3

2. SOURCE QUALIFICATION WAIVER REQUIREMENTS

Sources who meet any of the following source Qualification Waiver Criteria (QWC) may apply for a waiver of all or part of the qualification requirements. If a waiver is granted and the offeror is awarded a contract, the offeror may still be required to provide a post-contract award first article exhibit to verify production capability:

a. QWC1: The potential source submits written certification that the articles have been supplied to the government or original equipment manufacturer (e.g., DD Form 250, Material Inspection and Receiving Report, Purchase Order invoice, etc).

b. QWC2: N/A

c. QWC3: A source qualified to provide an assembly is usually qualified to provide subassemblies, major components, and items of that assembly.

d. QWC4: A source qualified to provide earlier dash numbers of a basic P/N may be qualified to provide other dash numbers of that same basic P/N, provided there is no increase in complexity, criticality, or other relevant requirements.

e. QWC5: A source qualified to provide a similar or like item can be qualified to provide the required item. However, for approval, the engineering authority must verify that there is no increase in complexity, criticality, or other requirements over that of the similar item. At a minimum, the source shall provide a complete set of drawings for the similar item and written proof, such as purchase orders, shipping documents, etc., to show that the similar item was provided to the original equipment manufacturer or DoD.

f. QWC6: A source previously qualified to provide an item, but which has been purchased, sold, merged, absorbed, reformed, split, etc., may qualify if it can be established that the qualification is currently with the requester and that the requester has the same or equivalent facilities, tooling, equipment, personnel, and utilizes the original forging, castings, etc., in the manufacturing process.

ENGINEERING DATA LIST

DATE:

02 DEC 2021

REVISION: 3 *HISTORY*

CAGE:

0LRG2

PAGE:

NSN:

6130015859805WF

DATA TECH:

Lawson, Brian D

END ITEM:

F-16

ORGANIZATION/OFFICE SYMBOL:

429 SCMS GUMACA/

MANUFACTURER NAME:

SHIGAMO DEVELOPMENT, INC.

REFERENCE NUMBER:

580717

NOUN:

POWER SUPPLY

LINE/

SUB CAGE

ENG DRAWING NUM/ ACCOMP

DOC NUM REV

NR

SHEETS

FURN

CODE

DIST

CODE NOUN REMARKS

L 98747 HILL AFB FORM 462 X ENGINEERING DATA RQMTS.

(ATT-A)

L 98747 200733803 D S D LABEL, UNIQUE

IDENTIFICATION (UID)

Lawson, Brian D 02 DEC 2021

W/EO'S 10A1433-H, 10A1486-H

NAME: DATE:

L 0LRG2 580717 S D LOW VOLTAGE POWER

SUPPLY

W/EO 12C3281-H

STANDARD ENGINEERING TEXT

RELEASE OF THIS DATA TO A FOREIGN OWNED, CONTROLLED OR INFLUENCED COMPANY IS DEPENDENT UPON THE APPROVAL OF THE FOREIGN DISCLOSURE OFFICE.

C - CLASSIFIED DOCUMENT.

S - FURNISHED WITH SOLICITATION.

M - STABLE BASE DRAWING REQUIRED; FURNISHED WITH

CONTRACT AWARD.

X - DATA SUPPLIED (NOT IN JEDMICS).

R - FURNISHED BY PCO UPON REQUEST.

P - PARTIAL DOCUMENT FURNISHED.

V - VENDOR DRAWING; (NOT PROVIDED).

G - GOV'T DOCUMENT.

O - OTHERS, CONTRACTOR MUST ACQUIRE.

A- DATA NOT AVAILABLE.

FURNISHED METHOD CODE LEGEND:

Page 1 of 1EDL Version 3Generated by PRPS using Jasper Reports on 05 Dec 2022

REV: ENGINEERING DATA REQUIREMENTS

(ATTACHMENT “A”)

NOTE: MILITARY SPECIFICATIONS / STANDARDS WILL NOT BE FURNISHED IN THE BID SET.

1. THE FOLLOWING INSTRUCTIONS ARE FURNISHED FOR THE MANUFACTURE OF:

LOW VOLTAGE POWER SUPPLY

2. PART NUMBER:

580717

3. NATIONAL STOCK NUMBER:

6130-01-585-9805WF

PREPARED BY:

JED FOY

OFFICE SYMBOL:

416 SCMS/GUMA

DATE:

4/1/2016

HILL AFB FORM 462 Page 1 of 1

4. THE FOLLOWING SPECIFICATIONS/STANDARDS, ETC., WILL BE USED IN LIEU OF THE DATA INDICATED. THE

SUPERSEDED DATA WILL NOT BE FURNISHED UNLESS SO INDICATED.

5. THE SOURCE/MATERIAL IF LISTED ON THE STANDARDS, SPECIFICATION AND DRAWINGS ARE THE ONLY

SOURCE/MATERIALS FOR THOSE ITEMS.

6. IUID (ITEM UNIQUE IDENTIFIER) REQUIREMENTS AND EXPECTATIONS WHICH THE CONTRACTOR MUST ENSURE ARE

COMPLIED WITH.

7. CONTRACTORS DRAWINGS SHALL BE CHANGED OR SUPPLEMENTED BY CONTRACTOR FOR IUID COMPLIANCE.

A. LABEL SHALL CONTAIN ALL DATA ON EXISTING LABEL, (IF EXISTING LABEL IS TO BE REPLACED), ONLY DELETE

EXISTING LABEL WITH GOVERNMENT ENGINEERING PERMISSION.

B. USE HRI (HUMAN READABLE) AND MACHINE READABLE MATRIX. (USAF NOT EQUIPED TO READ BARCODE).

C. IUID MATRIX NEEDS TO BE HIGHLY VISIBLE, IN A LOCATION EASILY ACCESSIBLE.

D. IUID MARKING MUST BE PERMANENT.

E. MIL-STD-130, ANSI/AIM BCII, ISO 15434, ISO 15415, AND ISO 15418

F. IUID MARKING SPECIFICATIONS.

1. MINIMUM 1/8 INCH LETTERING ON HUMAN READABLE TO INCLUDE:

A. CAGE (17V)

B. P/N (1P)

C. SERIAL NUMBER (IS)

2. MINIMUM 1/4 INCH SQUARE ON MACHINE READABLE 2D MATRIX -CONSTRUCT 2 - TO INCLUDE

A. CAGE (17V)

B. P/N (1P)

C. SERIAL NUMBER (IS)

11. Counterfeit Prevention Plan (CPP). Contractors that supply electronic parts or systems that contain electronic parts shall establish policies and procedures to avoid, detect, mitigate and disposition counterfeit electronic parts to prevent such parts from entering the USAF/DoD supply chain. These policies and procedures shall be documented in a CPP for submission and approval in accordance with Data Item Description (DID) DI-MISC-81832 and accomplished for all specified contract items. DI-MISC-81832 is applicable to Parts, Material and Processes Selection (PMPS) associated with delivery of systems and assemblies to the USAF and DoD. The requirements established by DI-MISC-81832 also apply to electronics components procured in sustainment of such systems and assemblies. The requirements of the recently DoD-adopted SAE 5553, Aerospace Standard, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition shall also apply.

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM: E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY: (Data Manager) H. DATE I. APPROVED BY: (Engineer) J. DATE

Page of Pages

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, AUG 96

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

Page2: 2 of_pages:

Reset:

xtm: Off

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Counterfeit Prevention Plan

3_SUBTITLE: CPP

4_AUTHORITY_Data_Acquisit: DI-MISC-81832

5_CONTRACT_REFERENCE: CLIN for Data

6_REQUIRING_OFFICE: 416 SCMS/GUEAA

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ONE/R

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 416 SCMS/ draft1:

reg1: 1 repro1:

addressee2: GUEAA draft2:

reg2:

repro2:

addressee3: 6070 Gum LN draft3:

reg3:

repro3:

addressee4: Bldg. 1213 draft4:

reg4:

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reg5:

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reg6:

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total_draft: 0 total_repro: 0

16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: Contractor Format Acceptable.

2. Blocks 7, 8, 14: The contractor shall submit a Letter of Transmittal and send the Contractors Counterfeit Protection Plan (CPP) via e-mail to: jed.foy@us.af.mil

3. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the Counterfeit prevention Plan (CPP) NLT thirty (30) calendar days after contract award. The Government comments will be provided to the contractor within fourteen (14) calendar days after receipt. The contractor shall resubmit the CPP if requested NLT seven (7) calendar days after receipt of Government comments.

4. Block 9: Distribution Statement, Export Control Warning and Destruction Notice shall be IAW DoD Instruction 5230.24

The following Distribution Statement shall be placed on the first sheet of each document and/or associated lists.

DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (December 2022). Other requests for this document shall be referred to (416 SCMS/GUEAA, Hill AFB, UT 84056-5826).

EXPORT CONTROL WARNING: All printed and electronic, including digital, technical documents that determined to contain export-controlled technical data shall be marked with the following statement:

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 01 Dec 2022

1_APPROVED_BY:

J_DATE: 01 Dec 2022

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER: MISC

DSYSTEMITEM: Power Supply

E_CONTRACTPR_NO: FD2020-23-00173

FCONTRACTOR:

of_pages: 2

Reset:

xTM: Off

16_REMARKS_Continued: DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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