3931259_SMW_REPORT.pdf
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This is a Surplus Materiel Worksheet (AFMC Form 813) for evaluating surplus materiel availability for NSN 2915012240746NZ, Part Number 351008, CAGE 06848, for Controls applications. The evaluation, dated May 19, 2024, indicates that only new/unused government surplus items will be considered acceptable, requiring part number verification, prior government ownership, and 100% end item inspection.
The worksheet specifies strict acceptance criteria including that parts must be in original unopened packaging labeled with correct part number and NSN. Any damage to packaging or evidence of corrosion will result in rejection, with rejected parts returned to the vendor at no cost to the government. Testing requirements reference Tech Order 2J-F100-24, with design activity 06848 and drawing number 351008. The evaluation was completed by Ronald P. Vanvelsor of AFLCMC/LPSBE on May 29, 2024, and requires surplus offerors to complete and return a "Required Information for Surplus Material Evaluation" form in accordance with FAR 11.302(b).
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
19 MAY 2024
I. REQUEST FOR EVALUATION
NSN
2915012240746NZ
PART NUMBER
351008
CAGE
06848
APPLICATION
Controls
IMS
Swain, Adam T
OFFICE SYMBOL
421 SCMS / GUMAD
PHONE
405-734-1759
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 06848(AFMCFARS 5352.211-9011) MFG 351008P/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-F100-24
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 06848
DRAWING NUMBER 351008
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)
Vanvelsor, Ronald PNAME: 29 MAY 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
Vanvelsor, Ronald P
OFFICE SYMBOL
AFLCMC / LPSBE
PHONE
405-734-8773 / 884-8773
COMPLETE DATE
29 MAY 2024
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 9Generated by PRPS using Jasper Reports on 28 Oct 2024
SURPLUS MATERIEL WORKSHEET
DATE
19 MAY 2024
SIGNATURE
//SIGNED// Vanvelsor, Ronald P
USER TYPE
Engineer
SIGNATURE DATE
29 MAY 2024
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 9Generated by PRPS using Jasper Reports on 28 Oct 2024
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