3844280_SMW_REPORT.pdf

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Attached to
F100-229 Tube Assembly, Metal
Solicitation number
FD20302500095
Issued by

About this file

This Surplus Materiel Worksheet (AFMC Form 813) dated 18 January 2024 evaluates a potential surplus material procurement for a specific military part. The document details an evaluation for NSN 4710013166545NZ, Part Number 4070030, with a CAGE code of 77445 and application for 2J-F100-229, associated with a military tube assembly. The worksheet indicates the item is a new/unused surplus material from government inventory, with specific evaluation criteria including part number verification, prior government ownership check, end item inspection, and testing requirements using Tech Order 2J-F100-54.

The document outlines strict acceptance criteria, noting that surplus items must be in original unopened packaging, correctly labeled, and free from any corrosion. The evaluation was conducted by Benjamin M. Bray from AFLCMC/LPEA2, with a complete date of 19 January 2024. Surplus offerors are required to complete a "Required Information for Surplus Material Evaluation" form in accordance with FAR 11.302(b), and the Contracting Officer must obtain approval from the Cognizant Engineer before accepting or rejecting the surplus offer. Any misrepresentation or packaging damage will result in automatic rejection and return of items to the vendor at no cost to the government.

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Text version

SURPLUS MATERIEL WORKSHEET

DATE

18 JAN 2024

I. REQUEST FOR EVALUATION

NSN

4710013166545NZ

PART NUMBER

4070030

CAGE

77445

APPLICATION

2J-F100-229

IMS

Cantrell, William E

OFFICE SYMBOL

421 SCMS / GUMAD

PHONE

405-736-2034

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 4070030P/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 2J-F100-54

VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 77445

DRAWING NUMBER 4070030

LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)

INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE

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)

Bray, Benjamin MNAME: 19 JAN 2024DATE:

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

Bray, Benjamin M

OFFICE SYMBOL

AFLCMC / LPEA2

PHONE

405-734-7558 / 884-7558

COMPLETE DATE

19 JAN 2024

SIGNATURE

//SIGNED// Bray, Benjamin M

USER TYPE

Engineer

SIGNATURE DATE

19 JAN 2024

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