4154168_QAIRQMT_REPORT.pdf
PDF 83 KB Posted
- Attached to
- Armature and Pivot Assy, PN 787-100-1, QTY: 1 ea
- Solicitation number
- FA820625Q0763
About this file
The document is an AFMC Form 807 detailing Recommended Quality Assurance Provisions and Special Inspection Requirements for a federal contract opportunity. The form specifies standard inspection requirements under FAR 52.246-2 through -6, with a National Stock Number of 1680ND100000GFJ for an Armature and Pivot Assembly (Part Number 787-100-1). The procurement involves a quantity of 1 unit to be delivered to Hill AFB, Utah by 23 June 2025, with inspection and acceptance to occur at the destination. The technical authority is Jennifer C. West from the 406 SCMS/GULAC organization, and the item manager is Jamiika C. King, with contact number 801-586-0915. The form includes a standard statement confirming that the requirement does not necessitate the use of Class I Ozone Depleting Substances.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1680ND100000GFJ
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
King, Jamiika C / 801-586-0915
6. EQUIPMENT SPEC / PHONE
BUCKEY, DAVID / 405-852-5266
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY FOR INSPECTION
FAR 52.246-15
X STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS FAR 52.246-11
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 DAFFARS 5323.8)
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
C
11. SIGNATURE OF TECHNICAL AUTHORITY
West, Jennifer C
ORGANIZATION / SYMBOL
406 SCMS / GULAC
PHONE
801-775-2591 / 775-2591
DATE
23 APR 2025
Page 1 of 1Prescribed by: AFMCI20-102 Version 1Generated by PRPS using Jasper Reports on 25 Apr 2025
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
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