3703503_SMW_REPORT.pdf
PDF 112 KB Posted
- Solicitation number
- FA8121-23-Q0026
About this file
This document is a surplus materiel worksheet evaluating the acceptability of surplus items to fulfill a federal contract opportunity for F100 containment hardware spares. The contract opportunity is issued by the Department of the Air Force Materiel Command Air Force Sustainment Center for NSN 2840016028421NZ under solicitation number FA8121-23-Q0026. Surplus items will be considered and must meet evaluation criteria including part number and manufacturer verification, prior government ownership, 100% end item inspection, test and verification, and verifiable dimensions. Acceptable surplus items must be in original unopened packaging labeled with the correct part number and NSN, and without any evidence of corrosion or damage. Any misrepresentation by a surplus vendor or failure of items to meet the criteria specified will result in rejection of the items. The completed evaluation found surplus materiel could be considered if evaluation requirements are met.
The document provides evaluation of surplus items to fulfill a federal contract for aircraft containment hardware spares. Acceptable surplus must meet criteria on part verification, prior ownership, inspection, testing, and dimensions. Items must be sealed, undamaged, and free of corrosion, and any misrepresentation will lead to rejection.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
17 MAY 2023
I. REQUEST FOR EVALUATION
NSN
2840016028421NZ
PART NUMBER
4081980
CAGE
77445
APPLICATION
F100-PS-220/229
IMS
Jacobs, Jon C
OFFICE SYMBOL
421 SCMS / GUMAD
PHONE
405-582-1903
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 77445(AFMCFARS 5352.211-9011) MFG 4081980P/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 77445
DRAWING NUMBER 4081980
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: 05 JUN 2023DATE:
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
05 JUN 2023
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 5Generated by PRPS using Jasper Reports on 24 Aug 2023
SURPLUS MATERIEL WORKSHEET
DATE
17 MAY 2023
SIGNATURE
//SIGNED// Fabrie, Cyle R
USER TYPE
Engineer
SIGNATURE DATE
05 JUN 2023
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 5Generated by PRPS using Jasper Reports on 24 Aug 2023
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