AFMC_FORM_807_Qual_Assurance.pdf
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- Attached to
- FA8212-25-Q-0005 F-16 Circuit Card Assembly
- Solicitation number
- FA8212-25-Q-0005
About this file
This is an AFMC Form 807 "Recommended Quality Assurance Provisions and Special Inspection Requirements" form for a Circuit Card Assembly (NSN: 5998016536192WF). The form specifies quality assurance requirements for source inspection and acceptance, with standard inspection requirements under FAR 52.246-2,-3,-4,-5 or -6 as applicable to the contract.
The form indicates this is for a previous source, does not require a quality pre-award survey, and includes a statement confirming no Class I Ozone Depleting Substances (ODS) are required. The technical authority is from the 416 SCMS/GUEAA organization, and the form is dated November 22, 2023. Point of inspection and acceptance are both designated as "source" per DFARS 246.402. The item manager is listed as Catherine T. Marum (801-586-4346) and the equipment specialist is Charlene D. Prieto (801-775-4600).
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998016536192WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Marum, Catherine T / 801-586-4346
6. EQUIPMENT SPEC / PHONE
Prieto, Charlene D / 801-775-4600
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
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
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Allred, Justin M
ORGANIZATION / SYMBOL
416 SCMS / GUEAA
PHONE
801-775-4528 / 775-4528
DATE
22 NOV 2023
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 1Generated by PRPS using Jasper Reports on 23 Dec 2024
File details come from the government source that posted it. Updated .