3784696_QAIRQMT_REPORT.pdf
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- Solicitation number
- FA812125Q0005
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This is an AFMC Form 807 detailing quality assurance provisions and special inspection requirements for a Module Kit, Servo Valve (NSN 2915012240746NZ). The document specifies source inspection and acceptance points in accordance with DFARS 246.402, with inspection to be performed at source rather than destination.
The form indicates higher-level contract quality requirements of ISO 9001:2015 compliance. It includes an Ozone Depleting Substances (ODS) statement confirming the contract does not require use of Class I ODS. The document is signed by Technical Authority Cyle R. Fabrie from AFLCMC/LPSEA on October 11, 2023, with equipment specifications managed by James Roush and item management by Barbara A. Bland. No quality pre-award survey is required as this is for a previous source. The form includes codes I&A: 1 and CQR: I.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
2915012240746NZ
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Bland, Barbara A / 405-734-9816
6. EQUIPMENT SPEC / PHONE
Roush, James / 405-734-8716
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6
AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
X OTHER (Describe in Block 8)
8. REMARKS
Fabrie, Cyle RNAME: 11 OCT 2023DATE:
Contract Quality Requirement / Special Inspection Requirements:
Higher Level Contract Quality Requirements: ISO 9001:2015
8a. OZONE DEPLETING SUBSTANCES (ODS)
X STATEMENT
"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN
ONLY BE MET BY THE USE OF A CLASS I ODS."
WAIVER (SEE AF FARS 5323)
NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.
9. QUALITY PRE-AWARD SURVEY
YES NEW SOURCE
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
I
11. SIGNATURE OF TECHNICAL AUTHORITY
Fabrie, Cyle R
ORGANIZATION / SYMBOL
AFLCMC / LPSEA
PHONE
405-582-5574 / 852-5574
DATE
11 OCT 2023
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 7Generated by PRPS using Jasper Reports on 28 Oct 2024
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