STATEMENT_OF_WORK_70Z03820QH0000001.docx

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STATEMENT OF WORK -- Overhaul

STATEMENT OF WORK (SOW)

FOR OVERHAUL

1.0 GENERAL

1.1 BACKGROUND

The U.S. Coast Guard (USCG) Aviation Logistics Center (ALC) requires overhaul services for the applicable Part Numbers (P/N), National Stock Numbers (NSN), and quantity estimates as specified on the Schedule of Supplies/Services (Schedule). The Contractor shall be required to overhaul components to be returned to USCG in a ready for issue (RFI) condition.

The Long Range Surveillance Product Line Division (LRS) supports the HC-130H or HC-130J aircraft by providing logistics, inventory management, and sustainment support for USCG aviation assets utilized by Air Stations geographically located in and outside the continental United States. As part of this responsibility, the LRS has a requirement for sustainment of numerous components used on the aircraft.

Estimated overhaul quantities have been determined using generally accepted logistic and inventory management practices based on past usage, future HC-130H or HC-130J program projections, repair factors, rates, forecasts, and various statistical methods.

1.2 SCOPE

Subject to the Government’s need and availability of funds, the components listed in the Schedule will be furnished to the Contractor for overhaul at the prices established at award. All overhaul actions shall be In Accordance With (IAW) the applicable technical directive or alternate standard approved in writing by USCG LRS Contracting Officer. Components furnished hereunder shall be returned by the Contractor in an airworthy condition and in all respects suitable for installation on the HC-130H or HC-130J aircraft. Certification and documentation requirements apply.

Overhaul shall be performed using the following:

1. Component test jigs listed in Table 1, or

2. Alternate component test jigs approved in writing by Lockheed Martin, or

3. Alternate component test jigs approved in writing by the United States Air Force (USAF).

Lockheed Martin or USAF approved test jigs must meet all functional and operational standards stated in the applicable overhaul manual listed in Table 2. Upon request of the USCG, the contractor shall provide written proof of Lockheed Martin or USAF approval when alternate test jigs are used. The USCG will reject any component overhauled using a test jig that does not meet these specific requirements. Table 1 below provides the specific test jig part numbers approved for use by the USCG.

Table 1

Component Description
Jig Part Numbers
Aileron Booster Assy
338528-TCA

NSN:1650-01-134-4415

P/N: 374455-7 or

NSN: 1650-00-784-9692

P/N: 374455-3 or 374455-2

Rudder Boost Assy
354153-TCA

NSN: 1650-01-132-3641

P/N: 372021-11 or

NSN: 1650-00-304-1521

P/N: 372021-7 or

NSN: 1650-00-651-4180

P/N: 372021-5

Elevator Booster Assy
339814-TCA

NSN: 1650-00-784-9693

P/N: 374461-5 or

NSN: 1650-00-659-4718

P/N: 374461-601

Elevator Booster Assy
339814-TCA

NSN: 1680-01-472-5564

P/N: 374461-11

Firm fixed pricing for overhauls are fully burdened. The Contractor shall supply all parts, labor, and materials required to restore these components to RFI condition. Incorporation of Service Bulletins (SB) or repairs for Unusual Damage will be priced separately.

The technical requirements in the SOW are identified as the minimum acceptable standards of performance to define an operationally effective system. The Contractor must have access to the applicable technical directives cited in SOW 1.4. In addition to these directives, the Contractor must have access to all performance/test/acceptance criteria and necessary data to ensure the items specified in the Schedule are overhauled, calibrated, and operating IAW the applicable technical directives. The Contractor shall deliver all components overhauled IAW the appropriate technical directives.

The work required by this SOW is not limited to the installation of overhaul kits, if any, mandated by the applicable technical directives. The Contractor shall perform a complete overhaul and correct all additional deficiencies found discovered during teardown. The firm fixed price shall include the installation and replacement of parts specified in the technical directives and in Attachments 1-3 and removal of any foreign matter or corrosion.

1.3 OBJECTIVE

This contract will provide an acquisition vehicle for the USCG to maintain an inventory of RFI components to supply depot level maintenance and the field units. It will continue to enhance the USCG’s ability to perform the congressionally mandated missions such as search and rescue, law enforcement, international ice patrol, marine environmental protection, and marine resource conservation. With such a demanding operational tempo, aircraft condition and availability are essential to mission success.

1.4 APPLICABLE DOCUMENTS

1.4.1 Technical Directives

The following documents provide technical directives, specifications, standards, or guidelines that must be complied with in order to meet the requirements of this contract/task order/purchase order:

Table 2

Component Description
Overhaul TO
IPB TO

Aileron Booster Assy

NSN:1650-01-134-4415
9H2-4-96-13, 1 Feb 2017
9H2-4-96-14, Change 5, 1 July 2013

P/N: 374455-7 or

NSN: 1650-00-784-9692
9H2-4-96-13, 1 Feb 2017
9H2-4-96-14, Change 5, 1 July 2013

P/N: 374455-3 or 374455-2

Rudder Boost Assy

NSN: 1650-01-132-3641
9H2-4-96-23, 15 Feb 2017
9H2-4-96-24, 1 June 2018

P/N: 372021-11 or

NSN: 1650-00-304-1521
9H2-4-96-23, 15 Feb 2017
9H2-4-96-24, 1 June 2018

P/N: 372021-7 or

NSN: 1650-00-651-4180
9H2-4-96-23, 15 Feb 2017
9H2-4-96-24, 1 June 2018

P/N: 372021-5

Elevator Booster Assy

NSN: 1650-00-784-9693
9H2-4-44-23, 1 July 2018
9H2-4-44-24, 1 October 2018

P/N: 374461-5 or

NSN: 1650-00-659-4718
9H2-4-44-23, 1 July 2018
9H2-4-44-24, 1 October 2018

P/N: 374461-601

Elevator Booster Assy

NSN: 1680-01-472-5564
OEM Commercial Maintenance Manual
OEM Commercial Maintenance Manual

P/N: 374461-11

1.4.2 Availability of Documents

The Contractor must have access to the most current editions of all applicable documents and manuals. The USCG does not maintain nor release the technical directives required to overhaul these components.

1.4.3 Source of Component Maintenance Manuals

The contact at the address below is provided for information about obtaining the technical directives.

406 SCMS/GUEE

Tinker AFB, Oklahoma 73145-3029

1.4.4 U.S. Federal Specifications and Standards

U.S Government specifications, standards, and handbooks are available from the Standardization Document Order Desk, 700 Robbins Avenue, Building 4D, Philadelphia PA 19111-5094. Other Government activities, contractors, and other private concerns must procure copies from the American Society for Testing and Materials, 100 Barr Harbor Dr., West Conshohocken PA 19428-2959.

2.0 SPECIFIC REQUIREMENTS/TASKS

2.1 The contractor is required to be certified and maintain a quality system that complies with the requirements of SAE International Standard AS9100 (prefer), ISO 9001-2008, or equivalent Quality Management System.

2.2 The technical directives listed in SOW 1.4.1 are the basic directives to be used in the parts replacement requirement. Replacement parts shall conform to the configurations stipulated in the technical directives and instructions contained herein. Parts replacement shall be confined to those parts determined to be Beyond Economical Repair (BER) unless otherwise specified. Original design or functional capabilities of the component and parts thereof shall not be changed unless authorized or directed by the requirements of this SOW. (See SOW 2.8)

2.3 A DD Form 1577-2, Unserviceable Tag-Material, or a CG-1577-A (11-90), Unsatisfactory Report Tag, describing faults will be attached to each Not Ready for Issue (NRFI) component received by the Contractor.

2.4 Reporting Requirements

2.3.1 Receipt of Components

Within ten (10) business days of receipt of components, the Contractor shall notify the Contracting Officer in writing providing the following information: (1) date the components were received at the Contractor’s facility, (2) Confirmation of P/N and S/N, and any discrepancy with the P/N or S/N shown on the contract and/or the Significant Component History Report (SCHR) and Component Repair Record (CRR). Notification of discrepancies may be sent to the Administrative Contract Specialist named herein. The Government reserves the right to have discrepant equipment returned “as is”, therefore the Contractor shall not start work on discrepant equipment. Correction of discrepancies and/or disposition instructions will be provided via modification to the contract. Failure to acknowledge receipt of the components specified in the Schedule may result in the Government’s assumption that the components were received at the Contractor’s facility within seven (7) days of the date on the contract.

2.4.2 Monthly Status Report

The Contractor shall submit a monthly status report to the Contracting Officer via the Contract Specialist not later than the 10th calendar day of each month. The report shall contain the following information for each component issued for overhaul: the P/N and S/N, contract number, date received at Contractor’s facility, date inducted for overhaul, current status of work in process to include any issues or parts delays, projected completion date, and date shipped to USCG when complete.

2.5 The Contractor shall provide all necessary parts, material, labor, tooling, test equipment, and facilities to evaluate and overhaul the components listed in the Schedule for the USCG fleet of HC-130H or HC-130J aircraft, as necessary to conform with the requirements of this SOW at the firm-fixed-pricing established in the contract schedule. The cost for parts that are replaced systematically during overhaul are listed in Attachments 1-3 and shall be included in the firm-fixed prices established in the schedule. The Contractor shall provide the data and documentation requirements specified as part of this SOW.

2.6 The work shall be IAW technical directives specified in SOW 1.4.1; latest change revision shall apply and shall be used when performing the overhaul requirements within this contract except where noted herein. The Contractor must have access to all required maintenance, repair and overhaul manuals and performance/test/acceptance criteria and data to ensure that equipment is overhauled, calibrated and operating IAW the technical directive specifications.

2.7 Corrosion

The Contractor shall perform a visual and technical inspection IAW technical directives specified in SOW 1.4.1 and correct all additional deficiencies found. This shall include replacement of broken parts and the removal of any foreign matter or corrosion. USCG aircraft operate primarily in a saltwater environment and are subject to corrosion. Corrosion is expected on components to be overhauled under this contract.

2.7.1 During inspection and functional test, the presence of corrosion in any component or subcomponent thereof shall constitute reason for a more thorough disassembly and inspection. Should corrosion be found, disassembly shall be made only to the extent necessary to remove corrosion or replace the part(s) affected. Corroded parts shall be replaced except in those cases where removal of corrosion from a part will not impair efficiency or safe operation of the part. Corrosion removal and treatment of affected areas will be accomplished IAW technical directive specifications and Federal Aviation Administration (FAA) Advisory Circular AC 43-4A, dated 07/24/1991, Corrosion Control for Aircraft.

2.8 Replacement Parts

Replacement parts shall be in new condition and traceable to the OEM. In cases where new parts are no longer manufactured, replacement parts determined “serviceable” or “repaired” and meeting the requirements of the specified technical directives are acceptable as authorized by the Contracting Officer. A copy of the Contractor's work order, listing all replacement parts, shall be provided for each component. The Contractor shall maintain a copy of replacement part certification documentation for inspection by the Government for a minimum of twenty four (24) months after delivery. Unless otherwise directed in writing, defective parts removed from the component shall be rendered unusable for their intended purpose(s) and disposed of at Contractor’s facility IAW standard procedure for parts disposal.

In addition to the parts that must be replaced per the Technical Directives (SOW 1.4.1), the USCG mandates all parts listed in Attachments 1-3 shall be replaced at overhaul regardless of condition.

The contractor may submit a quote for over and above costs for damaged major components that are not identified for replacement by the Technical Directives. Such components shall be inspected, repair costs determined, and authorization to proceed obtained from the Contracting Officer prior to commencement of work. Once notified of a possible exclusion, the Contracting Officer will make a written determination within thirty (30) days as to exclusion validity. The Contracting Officer may approve the quote, decline the quote and have the item returned as-is, or consider the item BER.

2.8.1 Upon receipt of the items specified by the schedule, the contractor’s initial evaluation shall determine if items received contain actuators or valve assemblies manufactured by National Waterlift (CAGE 93835). Any items received containing National Waterlift actuators or valve assemblies shall require replacement of the actuators/valve assemblies with factory new replacement valves and/or actuators. Replacement parts shall be documented as traceable to the OEM as specified by the applicable technical directives. Only OEM replacement parts as authorized by the applicable technical directives are authorized for use in this situation. Firm fixed prices for replacement valves and actuators are shown in the Schedule. The contractor shall notify the Contracting Officer, in writing, of the existence of any National Waterlift part requiring replacement with any pre-priced replacement and stop work pending written authorization and funding. Note that photographic evidence may be required to support the contractor’s determination.

2.9 In all cases inspection, overhaul, and test procedures must meet or exceed technical directive specifications. Components delivered to the Government shall be certified to be airworthy and ready for field level (USCG Air Station) installation on a USCG aircraft, including final paint.

2.10 The Contractor shall remove the unserviceable tag DD Form 1577-2 from the overhauled component upon completion of overhaul.

2.11 Service Bulletins or Other Modifications

Upon receiving a written notice of a SB or other modification by either the Government or OEM, the Contractor shall submit within thirty (30) calendar days, a firm fixed priced proposal of an incremental charge to be assessed each time the SB or change is incorporated in a component. The proposal shall contain a breakdown of material and labor cost based upon the firm fixed labor rates and material factors. The incremental charge agreed to for incorporation of a SB shall apply only to those components into which the Contractor incorporates a required SB, not those into which the SB has been previously incorporated. Upon agreement of the incremental charge and issuance of a contract modification to reflect this change, the SB shall be incorporated into each subsequent component received at the Contractor’s facility if said SB has not already been incorporated. When SB incorporation changes the component’s part number, the new part numbers will be added to the contract. The Contractor shall update the components’ data plate, if applicable, to denote the new part number and/or modification number.

2.12 Obsolete Parts or Processes

The Contractor shall use new parts meeting the requirements of the specified technical directives, specifications and drawings. In the event certain parts or processes become obsolete the Contractor shall, within fifteen (15) calendar days after receipt of the assembly or component, notify the Contracting Officer and submit 1) rationale and verification of any obsolete part or process, and 2) a written estimate of the effort required to make the repair. Such estimates shall include nomenclature, part number, cost and quantity of replacement parts, and total labor hours. The Contractor shall verify cost of parts with invoices or catalogs. The Contractor’s delivery obligation for the component(s) identified shall be suspended as of the date of the notice to the Contracting Officer. The Contracting Officer will, within thirty (30) calendar days of receipt of the Contractor’s written estimate, make a written determination as to the disposition of the component. After receipt of the Contracting Officer’s disposition instruction, the Contractor shall have sixty (60) calendar days for delivery.

3.0 OTHER APPLICABLE CONDITIONS

3.1 Period of Performance

The period of performance for this contract is a one (1)-year base period followed with two (2) one-year option periods as follows:

Table 3

Base Year
Date of award thru the following one year period
Option Period One
One year period following the base period
Option Period Two
One year period following option period one

3.2 Place of Performance

The primary place of performance will be the Contractor’s facilities or other USCG approved location, if applicable.

3.3 Turn-around Time/Delivery Schedule

The required turn-around time for overhaul is 90 days after receipt of material (ARM) at the contractor’s facility. Turn-around time is defined as beginning at the time of receipt of component at the Contractor’s facility and ending at the time of delivery to ALC Elizabeth City, NC.

The USCG desires early deliveries therefore early shipments are encouraged as long as no additional costs are incurred by the USCG. All requests for time extensions shall be submitted to the Contracting Officer in writing and shall include substantiation of the need for such time extension(s) IAW FAR 52.212-4 (f) excusable delays. If nonperformance is not covered by an excusable delay, the Contractor and the Contracting Officer shall negotiate the consideration for the approval of the extended delivery date at which time a modification to the task order will be issued to reflect the consideration and the extension. The Contractor may also propose a staggered delivery schedule based on plant capability for large quantity task orders.

3.3.1 Delivery – Dock to dock; no customs, duties and government will not provide assistance or take responsibility for customs clearance of government material. The government has no preference in freight forwarders; the contractor’s delivery obligation shall remain unchanged.

3.4 Accelerated Turn-around Time and Delivery

In the event an accelerated turn-around time and delivery is needed, the Contractor shall be entitled to compensation for additional labor hours and expedited freight costs necessary to complete performance earlier than the required turn-around time and delivery schedule established in the task order. After receiving a written request from the Contracting Officer for an accelerated turn-around time and delivery, the Contractor shall provide a written response within two (2) business days advising if an accelerated turn-around time and delivery can be accomplished and include any additional costs necessary for the accelerated performance. Accelerated performance will be authorized in writing via a task order modification.

3.5 Urgent Requirements

Aircraft on the Ground (AOG) status necessitates a special schedule. In the event an AOG status occurs, the Contractor will be notified of the condition and requested to provide a response within twenty four (24) hours of the request. The Contractor’s response shall provide status of the component(s) needed to satisfy the AOG condition that includes what USCG items in-house for overhaul are closest to completion under normal working conditions and an estimate of the labor hours needed to accelerate overhaul completion. The Contracting Officer will issue a task order modification authorizing overtime premium if necessary with a not-to-exceed price for the work and provide shipping instructions. Upon completion of overhaul, the Contractor shall submit actual pricing for the AOG requirement and a modification will be issued by the Contracting Officer to definitize pricing for the work.

3.6 Warranty

The Contractor’s standard commercial warranty as stated in the contract shall apply to this SOW. Pursuant to the requirements of FAR 46.706(b)(5), the Contractor shall stamp or mark the supplies delivered or otherwise furnish notice with the supplies of the existence of the warranty. Markings may be brief but should include:

a) A brief statement that a warranty exists.

b) The substance of the warranty.

c) Its duration.

d) Who to notify if the supplies are found to be defective.

For commercial items, the Contractor’s trade practice in warranty marking is acceptable if sufficient information is presented for Government personnel and users to identify the warranted services/supplies.

3.7 Environmental requirements

All parts must be thoroughly cleaned IAW applicable technical directives or FAA Advisory Circular 43-205, Guidance for Selecting Chemical Agents and Processes for Depainting and General Cleaning of Aircraft and Aviation Products, to ensure they are as free as practicable of all hazardous dust to include hexavalent chromium, cadmium, lead, etc., prior to being returned to ALC. ALC may take random samples of parts to ensure they are free as practicable of all hazards. Information on these hazards can be found in Occupational Safety and Health Standards 1910-1025 (lead), 1910.1026 (Hexavalent Chromium) and 1910-1027 (Cadmium).

3.8 Unusual Damage

The USCG intends that ALL components specified in the Schedule will be overhauled within the firm fixed prices established in the contract. Occasionally, components may be received in a condition outside the confines of the applicable technical directives and may be determined Unusually Damaged. In order to be determined Unusually Damaged, a component must be received for routine overhaul and upon evaluation any one of the following conditions are discovered:

· Obvious misuse

· Cannibalization

· Crash damage

Note: Only components meeting one or more of the above criteria may be considered as Unusually Damaged. All other components shall be overhauled IAW the firm fixed prices established at award.

3.8.1 Unusual Damage Report Requirements

When a component is processed for Unusual Damage Evaluation, the Contractor shall, within thirty (30) calendar days of receipt of the component, submit an inspection condition report, photographs if requested, and price proposal for the additional work. The price proposal shall contain the task order number, line item number, NSN, P/N, S/N, nomenclature and pricing for all materials and labor needed to return the component to RFI condition. The hourly labor rate will be charged at the firm fixed hourly labor rate contained in the Schedule. The Contractor’s delivery obligation shall stop from the date of notification that a component has been determined to be a candidate for Unusual Damage evaluation. The delivery obligation will be specified in a task order modification and will apply only to those items specifically addressed by the modification. The Contractor is obligated to deliver all other components not individually addressed by the modification under the original delivery date specified on the task order.

The proposal shall not include the work involved in the teardown and inspection already performed, as this is covered by the firm fixed price specified in the Schedule. Within thirty (30) calendar days, the Contracting Officer will either initiate negotiations for a firm fixed price with the Contractor or deny authorization for the overhaul based on information in the report and any other information which may be available. Upon mutual agreement as to price and delivery, a task order modification will be issued to require the additional work at the agreed upon terms. If the additional work is not desired, the Contracting Officer shall provide the Contractor with disposition instructions for the un-overhauled component. In the event an item is returned to the USCG in a disassembled condition, the Contractor shall be entitled only to compensation for the Evaluation Fee.

3.8.2 Cannibalized Components

Firm fixed prices in the Schedule for overhaul shall not include assemblies and components which have been cannibalized for repairable parts. These components shall be evaluated at the firm fixed price specified in the Schedule for Inspection/No Fault Found. In the event any of the components listed in the Schedule are received in a condition that represents cannibalization, immediate notification to the Contracting Officer is required.

This notification shall include a detailed description of the noted deficiencies and shall reference the task order number, line item number, NSN, P/N, and S/N, and is subject to the discretion of the Contracting Officer.

3.8.3 Beyond Economical Repair

In the event an entire component is determined BER, the Contractor shall provide written notification to the Contracting Officer. In this notification, the Contractor shall list the task order number, line item number, NSN, P/N, and S/N, with a brief description supporting the determination. The Contracting Officer shall provide disposition instructions via modification to the contract/task order/purchase order. The USCG will make all final BER determinations. The Contractor shall be entitled to compensation for teardown and evaluation at the firm fixed price established for “Evaluation Fee” in the Schedule.

3.8.4 Evaluation Fee

Evaluation fee will include teardown, test and inspection. Should the component be determined to be non-repairable, the Contractor shall immediately notify the Contracting Officer and await disposition instructions for the Booster(s). A modification will be provided to the vendor for disposition of the property. In this instance, the Contractor will be entitled to the Evaluation Fee only and ALC will dispose of the property.

3.8.5 Inspection/No Fault Found

Components received which, when tested, indicate a “no fault found” situation shall be thoroughly inspected to ensure they meet current minimum functional performance and test specifications as designated by the applicable technical directives. S/N tracked items shall be documented on the Component Repair Record (CRR) as required in paragraph 6.2. The work shall be invoiced IAW, the applicable “Inspection/No Fault Found” charge indicated in the Schedule.

4.0 RESERVED

5.0 PRODUCT QUALITY/AIRWORTHINESS

5.1 Ready for Issue

ALC considers components RFI upon acceptance. Components determined to be NRFI upon aircraft installation shall be returned to the Contractor under warranty with deficiencies described in a Product Quality Deficiency Report.

5.2 Product Quality Deficiency Report

Overhauled or modified components found to have deficiencies will be returned to the Contractor via a no-cost task order and accompanied by Standard Form “SF 368 Product Quality Deficiency Report” (PQDR). The Contractor shall report findings of their investigation to the Contracting Officer within thirty (30) calendar days after receipt of the PQDR and component. If the parties agree that the component’s deficiencies are not related to previous work, the Contractor’s report of findings shall include a detailed proposal that includes a breakdown of parts and labor necessary to return the component to an RFI status. The breakdown shall be IAW the fixed hourly labor rate established in the Schedule. The Contracting Officer will either initiate negotiations for the work or accept the Contractor’s proposal and issue a task order modification. The standard terms and conditions, specifically for delivery obligations, of the task order shall apply to items submitted via PQDR evaluation.

5.3 Airworthiness and Required Certification

Failure to comply with these requirements may result in refusal to accept and pay for services.

5.3.1 Airworthiness and Suitability

All aircraft parts ordered, serviced, modified, or overhauled shall be traceable to the OEM and certified airworthy and suitable for installation on USCG aircraft.

a. Each returned component shall be tagged with a DD Form 1574 Serviceable Condition Code Tag or a FAA Form 8130-3, Airworthiness Approval Tag (preferred), completed in its entirety. The Contractor shall provide documentation to verify that they have OEM and FAA approval or USCG approval to service the component.

b. If an Airworthiness Certificate cannot be provided, an alternate document submitted with the Contractor’s proposal/quote and approved by USCG ALC Engineering shall be provided for each component. If the component is overhauled IAW an AFTO, a USAF certificate is acceptable. The certificate must be signed and dated by an authorized official representing the approved Contractor.

c. Replacement part certification documentation must be maintained by the Contractor for inspection for a minimum of twenty four (24) months after delivery of component to USCG.

5.3.2 Certificate of Conformance

A Certificate of Conformance prepared IAW FAR 52.246-15 is required for each overhauled component (sample at Attachment 4). The COC shall be affixed to the outside of the shipping container. Failure to submit the appropriate certificate will delay acceptance of components and invoice payment.

5.3.3 Quality Assurance

The Contractor shall be either a FAA Repair Facility or OEM Certified Repair Facility to perform overhaul services on the components listed in the Schedule.

5.3.4 Quality Assurance System

The Prime Contractor and all potential Sub- contractors shall be in possession of an FAA or OEM certification in the applicable category for the items listed in the Schedule. The Contractor shall maintain a Quality Assurance System, including test component calibration system requirements, and documentation of said requirements, sufficient to ensure that overhaul services conform to OEM or TO specifications and requirements of this contract.

6.0 ASSET COMPUTERIZED MAINTENANCE SYSTEM

6.1 Asset Computerized Maintenance System

Asset Computerized Maintenance System (ACMS) is the management information system used to schedule and record all USCG aircraft maintenance. The Contractor’s responsibility within ACMS shall include submission of the appropriate reports within five (5) working days of completion of work. Tracked components will be shipped to the Contractor with a SCHR and a blank CRR for each tracked component. USCG will provide the appropriate forms with each component as follows:

SCHR The document which contains the maintenance history of the serial numbered tracked component. It remains with its corresponding component until the component is reinstalled on an aircraft or annotated “Scrapped”.

CRR Records the maintenance performed by the Contractor on a serial number tracked component. The Contractor may request that their in-house technical action report be accepted to fulfill the CRR requirement if it contains all of the information required on the USCG provided CRR (sample at Attachment 5). The Contracting Officer will provide a written determination in response to the request.

6.2 The Contractor is responsible for the following disposition of CRRs for each component overhauled or scrapped:

The original CRR shall be packed with the component at completion of overhaul for return to USCG.

Mail one completed copy to the following address within five (5) working days of completion of component overhaul.

USCG Aviation Logistics Center

ACMS – Bldg 78
1664 Weeksville Rd.

Elizabeth City, NC 27909-5001

6.3 The Contractor shall maintain a copy of each completed CRR for a period of one (1) year.

HSCG38-17-Q-301302

ATTACHMENT 2

Attachment 1

P/N 374455 AILERON BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
LS4893-4
RETAINER
14
338432
WASHER
1
344886-3
SHIM
2
348465-3
PIN
1
348465-4
PIN
1
348654
NAMEPLATE
4
348657
NAMEPLATE
2
348658
NAMEPLATE
2
351826
PIN
1
364578-1
WASHER
2
364795-1
ARM, DAMPER
2
5100-143-S-PP
RETAINING RING
1
695228
FILTER ELEMENT
2
7216-FT-160-T
GT RING
4
AN173H6A
BOLT
2
AN175C26A
BOLT
2
AN176H37
BOLT
1
AN316-4R
NUT
1
AN4-23A
BOLT
4
AN4-24A
BOLT
2
AN502-10-4
SCREW
2
AN6235-4A
FILTER ELEMENT
2
AN6H17A
BOLT
4
AN6H37A
BOLT
1
AN960C416
WASHER
4
AN960D10
WASHER
24
C5787-18
SLEEVE
1
C5787-24
CAP
1
C5787-26
GUIDE
1
C5787-27
NAMEPLATE
1
C5787-41
BOLT
1
C5791-21
SLEEVE
3
C5791-28
NAMEPLATE
1
C5791-29-1
SHIM
6

P/N 374455 AILERON BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
C5791-29-2
SHIM
6
C5791-29-3
SHIM
6
C5791-30
PISTON RING SET
2
C5791-32
RETAINER
2
C5791-35
INSERT
2
2752-048
BARREL NUT
14
LS35307-4M
WASHER
5
LS5940-3
SHIM
4
M73FS6323C
SCREW
2
M83461/1-012
O-RING, BUNA N
8
M83461/1-110
O-RING, BUNA N
2
M83461/1-113
O-RING, BUNA N
7
M83461/1-142
PACKING
2
M83461/1-214
O-RING
2
M83461/1-222
O-RING
6
M83461/1-228
O-RING
2
M83461/1-231
O-RING
2
M8791/1-222
RING, BU
12
M8791/1-228
RING
4
MB538FS160
BEARING
2
MS15001-1
LUBE FITTING
1
NAS51-150
RING
1
NAS51-18
RING
4
NAS669-62
RETAINER RING
2
MS17826-10
NUT
1
MS17826-4
NUT
1
MS20002C4
WASHER
17
MS20004-16
BOLT
6
MS20004-36
BOLT
6
NAS144DH-30
BOLT
4
AN365-1032
NUT
28
MS21042-4
NUT
5
MS21042-5
NUT
2
AN364-624
NUT
2
MS24464-10
BEARING
1

P/N 374455 AILERON BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
MS24665-134
PIN, COTTER
3
MS24665-292
PIN, COTTER
1
MS24665-357
PIN
1
MS27576-4-14
BOLT
1
MS27577-4-18
BOLT
1
MS20201KP10A
BEARING
2
MS20202KP25B
BEARING
2
MS28774-012
BACK-UP RING
12
MS28774-024
BACK-UP RING
4
MS28774-142
RING, B/U TEFLON
4
MS28774-224
RING, B/U TEFLON
8
MS28775-012
O-RING, BUNA N
6
MS28775-019
O-RING, BUNA N
13
MS28775-024
O-RING, BUNA N
2
MS28775-026
O-RING, BUNA N
2
MS28775-114
O-RING, BUNA N
1
MS28775-121
O-RING, BUNA N
1
MS28775-128
O-RING, BUNA N
2
MS28775-218
O-RING, BUNA N
1
MS28775-224
O-RING, BUNA N
4
MS28778-12
GASKET
4
MS28778-2
GASKET
6
MS28778-6
GASKET
4
MS51029-26
SET SCREW
2
NAS6203-6
BOLT
22
AN960D10
WASHER
4
AN960D416L
WASHER
3
AN960D416
WASHER
4
AN960D616
WASHER
6
AN960D1016
WASHER
10
NAS516-1
LUB FITTING
3
NAS1104-16
BOLT
1
NAS1104-20D
BOLT
1
NAS1104-96D
BOLT
1
NAS623-3-30
SCREW
4
RS602-10
INSERT
1

Attachment 2

P/N 372021 RUDDER BOOSTER ASSEMBLY PARTS KIT

PART NO.
NOMENCLATURE
QTY
340942
WASHER
1
348654
NAMEPLATE
4
351827
PIN
1
352681
TUBE
2
352723
PLUG
4
353391
FILTER ASSEMBLY
1
2752-048
BARREL NUT
6
2752-054
NUT, BARREL
1
2752-064
BARREL NUT
4
344886-5
SHIM
1
344886-6
SHIM
2
344886-8
SHIM
2
348465-3
PIN
1
352682-3
NUT
2
352682-4
NUT
2
354478-4
PIN
1
361647-1
BOLT-RUDDER
1
364795-1
ARM, DAMPER
2
374592-1
SPACER-TERMINAL, RUDDER BOOST
1
695481-3
STRAINER
2
7214-FT-160-T
RING SEAL SET
4
AN173H6A
BOLT
2
AN174-12
BOLT
2
AN175-13A
BOLT
4
AN316-4R
NUT
1
AN364-624
NUT
2
AN4-23A
BOLT
4
AN502-10-4
SCREW
2
AN502-516-12
SCREW
2
AN5-13
BOLT
1
AN5H14A
BOLT
1
AN5H21A
BOLT
1
AN6235-3A
FILTER ELEMENT
2

P/N 372021 RUDDER BOOSTER ASSEMBLY PARTS KIT

PART NO.
NOMENCLATURE
QTY
AN6H23A
BOLT
4
AN735D8
CLAMP
2
AN814-2DL
PLUG
6
AN814-2DL
PLUG, BLEEDER
1
AN960-516
WASHER
4
AN960C416
WASHER
4
AN960D10
WASHER
6
AN960D10
WASHER
24
AN960D10L
WASHER
1
AN960D416
WASHER
8
AN960D516
WASHER
10
AN960D616
WASHER
4
C5787-24
CAP
1
C5787-26
GUIDE
1
C5787-28
NAMEPLATE
1
C5787-41
BOLT
1
C5792-21
SLEEVE
3
C5792-30
PISTON RING SET
2
C5792-32
RETAINER
2
C5792-35
INSERT
2
C5792-40
COVER
1
C5792-53
NAMEPLATE
1
LS4564-4
RING, BACK UP
2
LS4565-23
RING, BACK UP
8
LS4893-4
RETAINER
6
LS4893-5
RETAINER
1
LS4893-6
RETAINER
4
M73FS6323C
SCREW
2
M83461/1-136
O-RING
2
MB538FS160
BEARING
2
MS15001-4
FITTING
1
MS17825-4
NUT
3
MS17826-14
NUT
1
MS20002-14
WASHER
1
MS20002-22
WASHER
2
PART NO.
NOMENCLATURE
QTY
MS20002-6
WASHER
2
MS20002C6
WASHER
2
MS20004-36
BOLT
5
MS20004-40
BOLT
1
MS20004C4
WASHER
10
MS20006-20
BOLT
2
MS21042-3
NUT
30
MS21042-5
NUT
10
MS24464-8
BEARING
1
MS24665-132
PIN, COTTER
1
MS24665-134
PIN, COTTER
5
MS24665-291
PIN, COTTER
1
MS24665-292
COTTER PIN
1
MS27576-4-14
BOLT
1
MS27577-4-18
BOLT
1
MS27641-16
BEARING
2
MS27642-21
BEARING
3
MS27642-25
BEARING
1
MS28774-011
RING, BACK UP
12
MS28774-020
RING, BACK UP
4
MS28774-127
RING, BACK UP
6
MS28774-132
RING, BACK UP
6
MS28774-133
RING, BACK UP
2
MS28774-136
RING, BACK UP
4
MS28775-011
O-RING
6
MS28775-012
O-RING
10
MS28775-019
O-RING
13
MS28775-020
O-RING
2
MS28775-026
O-RING
2
MS28775-110
O-RING
2
MS28775-114
O-RING
1
MS28775-121
O-RING
1
MS28775-124
O-RING
2
MS28775-127
O-RING
3
MS28775-132
O-RING
3

P/N 372021 RUDDER BOOSTER ASSEMBLY PARTS KIT

PART NO.
NOMENCLATURE
QTY
MS28775-133
O-RING
1
MS28775-212
O-RING
2
MS28775-218
O-RING
6
MS28775-218
O-RING
1
MS28775-226
O-RING
2
MS28775-231
O-RING
2
MS28778-10
PACKING, BUNA N
2
MS28778-2
PACKING, BUNA N
6
MS28778-6
PACKING, BUNA N
4
MS51023-18
SET SCREW
2
NAS1103-6
BOLT
22
NAS1104-10D
BOLT
1
NAS1104-14
BOLT
1
NAS1105-26D
BOLT
4
NAS1197-416L
WASHER
1
NAS1197-516
WASHER
1
NAS144DH-30
BOLT
4
NAS221-13
SCREW
2
NAS516-1
LUBE FITTING
4
NAS623-3-30
SCREW
2
NAS623-3-42
SCREW
2
NAS669-200
RETAINER
1
NAS669-50
RING
2
NAS670-131
RING
1
NAS670-156
RING
1
NAS670-18
RING
2
RS602-10
INSERT
1

Attachment 3

P/N 374461 ELEVATOR BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
AN386-1- 14A
PIN, THREADED TAPER
4
AN975-3
WASHER
4
MS21042-3
NUT
31
AN386-3- 16A
PIN, THREADED TAPER
1
AN975- 4
WASHER
1
MS21042-4
NUT
9
340942
WASHER
2
341339
SHAFT
1
341357-3
HOUSING
2
NAS516- 1A
LUBE FITTING
2
342741
NUT
2
NAS509-10
NUT
2
344886-4
SHIM
2
344886-7
SHIM
2
348465-4
PIN
4
348474-4
LINK
2
352562
NAME PLATE
1
MS20005-32
BOLT
2
MS20005-22
BOLT
2
MS20002- C5
WASHER
4
MS20202KP21B
BEARING
4
MS16625- 1206
SNAP RING
2
LS4893-5
RETAINER
4
2752-054
NUT, BARREL
4
364577-1
PLATE
1
341403
CASE HYD FILTER
2
348654
NAME PLATE
2
348658
NAME PLATE
2
348657
NAME PLATE
4
364795-1
ARM, DAMPER, VISCOUS BOOST VALVE
2
AN173H6A
BOLT
2
AN502- 10- 4
SCREW
2
M83461/1- 110
O- RING, BUNA N
2
M83461/1- 231
O- RING
2

ELEVATOR BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
NAS1103-6
BOLT
22
M73FS6323C
SCREW
2
695228
FILTER ELEMENT
2
M83461/1- 113
O- RING, BUNA N
15
M83461/1- 114
O- RING, BUNA N
6
M83461/1- 222
O- RING
8
AN6235- 2A
ELEMENT ASSY
2
LS4634-6
O- RING
4
LS4634-12
O- RING
2
AN960D10
WASHER
30
NAS623-3-8
SCREW
6
MS20002C4
WASHER
29
M8791/1- 222
RING, B/U
16
LS4634-8
O- RING
4
LS4634-3
O- RING
6
LS4634-4
ORING
1
2752-048
BARREL NUT
14
M8791/1- 114
RING, BACK - UP
2
C5788-17
NAMEPLATE
1
C5787- 18
SLEEVE
2
C5787- 24
CAP
2
C5787- 25
COVER
2
C5787- 26
GUIDE
2
RS602- 10
INSERT
2
C5787- 41
BOLT
2
AN4-23A
BOLT
8
AN960C416
WASHER
8
AN316- 4R
NUT
2
NAS144DH-16
BOLT
8
NAS144DH-30
BOLT
8
MS28775-019
O- RING, BUNA N
10
MS28775-026
O- RING, BUNA N
4
MS28775-114
O- RING, BUNA N
2
MS28775-218
O- RING, BUNA N
2
MS28775-220
O- RING, BUNA-N
2

P/N 374461 ELEVATOR BOOSTER ASSEMBLY PARTS LIST

PART NO.
NOMENCLATURE
QTY
MB538FS160
BEARING
4
364578-1
WASHER
2
AN960- 416L
WASHER
5
MS20004-16
BOLT
6
MS20004-36
BOLT
8
C5788-16
NAMEPLATE
1
2752-048RET
RETAINER
10
350981-1
ROD
1
346169
SHAFT
1
346170
SPACER
1
MS16625-1100
RETAINING RING
2
AN4H4A
BOLT
4
AN4H7A
BOLT
2
AN500A8- 8
BOLT
2
AN960D416
WASHER
12
AN960D516
WASHER
2
AN960-D8
WASHER
2
MS16624-1018
RING
8
MS16625-1375
RETAINING RING
2
MS17826-4
NUT
10
MS17826-5
NUT
2
MS20202KP33B
BEARING
2
MS24665-134
PIN, COTTER
8
MS28775-128
O- RING, BUNA N
4
C5803-17
NAME PLATE
1
C5791-30
PISTON RING SET
2
MS28774-224
RING, B/U, TEFLON
16
MS28775-224
O- RING, BUNA N
8
7214-FT-160-T
RING SEAL SET
4
NAS1104-14D
BOLT
2
NAS1104-16D
BOLT
2
NAS1104-15D
BOLT
1
NAS1104-17D
BOLT
1

Attachment 4

CERTIFICATE OF CONFORMANCE IN ACCORDANCE WITH

FAR 52.246-15 (APR 1984)

“ I certify that on ________________ (Date), the ________________________________ (’s Name) furnished supplies or services called for by Contract Number __________________________ via ___________________________________ (Carrier) on ___________________________ (Bill of Lading/Shipping Document) in accordance with all applicable requirements. I further certify that the supplies and services are of the quality specified and conform in all respects with the contract requirements, including specifications, drawings, preservation, packaging, marking requirements, and physical item identification (Part Number), are in the quantity shown in this or on the attached acceptable document.”

Date of Execution: ______________________________________

Signature: _____________________________________________

Title: _________________________________________________

Attachment 5

SAMPLE

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