813_SURPLUS MATERIEL WORKSHEET.pdf
PDF 115 KB Posted
- Attached to
- CIRCUIT CARD ASSEMBLY Federal contract opportunity
- Solicitation number
- FA8538-24-Q-0007
About this file
This document is a Surplus Materiel Worksheet that evaluates the acceptability of surplus government-owned parts to potentially fulfill a federal contract requirement. The worksheet indicates that the government is seeking to procure three (3) Circuit Card Assemblies, Part Number 616180-1, to support repairs on the F-15 Weapon Systems. The evaluation criteria include verifying the part number, confirming prior government ownership, inspecting the items, and testing and verifying the parts. The worksheet also outlines requirements for new/unused surplus parts, such as ensuring the quote matches the requirements, the parts are in original packaging, and the original manufacturer is an approved source. The related federal contract opportunity is a one-time, firm-fixed price procurement with a 30-day delivery requirement after receipt of order. The procurement is a 100% small business set-aside.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| DD FORM 1348-1A.pdf | ||
| 158_PACKAGING REQUIREMENTS.pdf | ||
| FA8538-24-Q-0007.pdf | ||
| 1653_TRANSPORTATION DATA.pdf | ||
| 807_QUALITY ASSURANCE PROVISIONS.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
21 JUN 2024
I. REQUEST FOR EVALUATION
NSN
5998003073022TP
PART NUMBER
616180-1
CAGE
07217
APPLICATION
F-15C/D
IMS
Stauffer, Karl G
OFFICE SYMBOL
422 SCMS / GUEAB
PHONE
405-582-5343
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 07217(AFMCFARS 5352.211-9011) MFG 616180-1P/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
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY
DRAWING NUMBER
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)
OTHER SPECIAL REQUIREMENTS (Explain)
Stauffer, Karl GNAME: 21 JUN 2024DATE:
Items were previously owned by the Government must be evidenced by the item marking contained on the original shipping containers or name plate.
Items must show no signs of rust, corrosion, or other deterioration due to age or improper packaging/preservation.
New/unused surplus parts shall be considered for procurement only if they meet these requirements:
1.Quote must clearly match requirements of request 2.Parts are new and unused 3.Parts shall be in original unopened package labeled with original contract number 4.The original manufacturer must be an approved source 5.The offering surplus vendor must show when and where the parts were obtained as surplus.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
Misrepresentation of the item by the vendor shall be cause for rejection and return of the item to the vendor at no cost to the government.
EVALUATOR
Stauffer, Karl G
OFFICE SYMBOL
422 SCMS / GUEAB
PHONE
405-582-5343 / 852-5343
COMPLETE DATE
21 JUN 2024
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 1Generated by PRPS using Jasper Reports on 21 Jun 2024
SURPLUS MATERIEL WORKSHEET
DATE
21 JUN 2024
SIGNATURE
//SIGNED// Stauffer, Karl G
USER TYPE
Engineer
SIGNATURE DATE
21 JUN 2024
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 1Generated by PRPS using Jasper Reports on 21 Jun 2024
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