AFMC_FORM_807.pdf
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- Attached to
- FA8212-25-Q-0006 F-16 CIRCUIT CARD ASSEMBLY
- Solicitation number
- FA8212-25-Q-0006
About this file
This is an AFMC Form 807 detailing Quality Assurance Provisions and Special Inspection Requirements for an F-16 Circuit Card Assembly (NSN: 5998016295711WF). The form specifies that inspection must be performed at the destination due to it being a critical F-16 component with significant technical manufacturing, repair, and testing requirements.
The form indicates a Certificate of Conformance (FAR 52.246-15) is required and confirms no Class I Ozone Depleting Substances are required for the contract. The item is listed as a previous source contract (not new source), with Point of Inspection at destination per DFARS 246.402. Key personnel include Kolter R Bryan as Item Manager and Kelly Birchmier as Equipment Specialist. The technical authority signature is from Kacey J Abbott of the 416 SCMS/GUEAA organization, dated June 24, 2020. The form uses Quality Codes of I&A:1 and CQR:A.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998016295711WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Bryan, Kolter R / 801-586-7942
6. EQUIPMENT SPEC / PHONE
Birchmier, Kelly / 801-586-0517
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
X CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
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
Grove, Gary BNAME: 07 AUG 2019DATE:
Inspection must be accomplished at the destination due to it being a critical item on the F-16 and the significant technical requirements for the manufacture, repair, and test of this item.
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
X PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
A
11. SIGNATURE OF TECHNICAL AUTHORITY
Abbott, Kacey J
ORGANIZATION / SYMBOL
416 SCMS / GUEAA
PHONE
801-777-8778 / 777-8778
DATE
24 JUN 2020
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 9Generated by PRPS using Jasper Reports on 03 Jan 2025
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