807_8506.pdf
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1270013438506WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Peterson, Stefani / 801-586-4371
6. EQUIPMENT SPEC / PHONE
Nichols, Timothy L / 801-775-4608
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
X STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6
AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
Refahiyat, JoeNAME: 07 DEC 2022DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______,32324_____, 26269_______, OTHER REMARKS/COMMENTS:
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 AF FARS 5323)
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
Refahiyat, Joe
ORGANIZATION / SYMBOL
416 SCMS / GUEAA
PHONE
801-775-4602 / 775-4602
DATE
07 DEC 2022
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 28 Apr 2023
File details come from the government source that posted it. Updated .