4049624_SMW_REPORT.pdf
PDF 113 KB Posted
- Attached to
- Fuel Pressurizer Valve
- Solicitation number
- FA812126R0013
About this file
This is an AFMC Form 813 Surplus Material Worksheet dated 23 November 2024 evaluating the acceptability of surplus government materiel for potential use in fulfilling federal procurement needs.
The evaluation concerns part number 4062056 (NSN 2915012309488NZ) manufactured by CAGE code 77445, applicable to the F100 aircraft system. The requesting activity is AFLCMC/LPSBE, with Nicholas A. Peterman identified as the IMS contact. The evaluation criteria mark "P/N and MFG Verification" and "Prior Government Ownership" as acceptable (marked "Y") for both government and commercial surplus categories, with all other criteria marked "N" as not applicable. Surplus evaluation specifics include part number verification against manufacturer 77445 and part number 4062056, design activity verification through CAGE 77445, drawing number 4062056, and test and verification requirements per Tech Order 6J15-14-16-3. The remarks section establishes mandatory requirements for surplus acceptance: parts must be in original unopened packages labeled with correct part number and NSN; misrepresentation by the surplus vendor constitutes grounds for rejection; packaging damage is cause for rejection due to corrosion susceptibility; any evidence of corrosion results in part rejection; and rejected parts are returned to the vendor at no cost to the government. Engineer Austin T. Skaggs (AFLCMC/LPSBE) completed the evaluation on 19 December 2024, with Contracting Officer Charles M. Lindgren (dated 6 December 2024) noting that surplus offerors must complete the "Required Information for Surplus Material Evaluation" form, with the Cognizant Engineer providing approval or disapproval prior to acceptance of the surplus offer.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
23 NOV 2024
I. REQUEST FOR EVALUATION
NSN
2915012309488NZ
PART NUMBER
4062056
CAGE
77445
APPLICATION
F100
IMS
Peterman, Nicholas A
OFFICE SYMBOL
AFLCMC / LPSBE
PHONE
405-734-8773
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 4062056P/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 6J15-14-16-3
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 77445
DRAWING NUMBER 4062056
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)
Skaggs, Austin TNAME: 19 DEC 2024DATE:
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.
Lindgren, Charles MNAME: 06 DEC 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.
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 10Generated by PRPS using Jasper Reports on 20 Apr 2026
SURPLUS MATERIEL WORKSHEET
DATE
23 NOV 2024
-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
Skaggs, Austin T
OFFICE SYMBOL
AFLCMC / LPSBE
PHONE
580-670-1140 / 884-3308
COMPLETE DATE
19 DEC 2024
SIGNATURE
//SIGNED// Skaggs, Austin T
USER TYPE
Engineer
SIGNATURE DATE
19 DEC 2024
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 10Generated by PRPS using Jasper Reports on 20 Apr 2026
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