3791052_QAIRQMT_REPORT.pdf

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F100 Module Kit Servo Valve
Solicitation number
FA812125R0026
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This document is an AFMC Form 807 detailing Recommended Quality Assurance Provisions and Special Inspection Requirements for a federal contract opportunity. The form specifies higher-level contract quality requirements under ISO 9001:2000 and includes a key statement regarding Ozone Depleting Substances (ODS), confirming that the contract does not require the use of Class I ODS. The form is dated 30 OCT 2023 and was generated by the Air Force Life Cycle Management Center (AFLCMC), with technical authority from Shai G. Cunningham in the LPSBE organization. The National Stock Number for the item is 2915012240753NZ, with point of contact personnel including Barbara A. Bland (Item Manager) and James Roush (Equipment Spec), both reachable at phone numbers with a 405-734 area code.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

2915012240753NZ

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

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

ISO 9001:2000

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

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

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Cunningham, Shai G

ORGANIZATION / SYMBOL

AFLCMC / LPSBE

PHONE

405-736-7901 / 336-7901

DATE

30 OCT 2023

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 9Generated by PRPS using Jasper Reports on 08 Apr 2025

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