ATTACHMENT_5_SMW_REPORT.pdf
PDF 112 KB Posted
- Attached to
- Lever, Remote Control
- Solicitation number
- FA812124Q0020
About this file
This document is a Surplus Materiel Worksheet (AFMC Form 813) dated May 17, 2022. It evaluates the acceptability of surplus NSN 3040012677734NZ, Part Number 4067415, for the F100-PW-220/229 application. The evaluation criteria include part number verification, prior government ownership, 100% end item inspection, testing and verification, verifiable dimensions, location inspection, and initial acceptability. The surplus items must meet specific requirements outlined in the "Remarks" section, such as being in the original unopened package, with no evidence of corrosion. The document is signed by the evaluator, Cyle R. Fabrie, on July 12, 2022.
The related federal contract opportunity is Solicitation Number FA812124Q0020 for the New Manufacture of Lever, Remote Control. The solicitation is issued by the Department of the Air Force Materiel Command Air Force Sustainment Center, and quotes are due by the closing date stated on the bottom of page 2.
View the file
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| ATTACHMENT_1_DI-NDTI-81307A.pdf | ||
| EXHIBIT_A_CDRL1_REPORT.pdf | ||
| FA812124Q0020.pdf | ||
| ATTACHMENT_2_DI-NDTI-80809B.pdf | ||
| ATTACHMENT_3_PKGRQMT_REPORT.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
17 MAY 2022
I. REQUEST FOR EVALUATION
NSN
3040012677734NZ
PART NUMBER
4067415
CAGE
77445
APPLICATION
F100-PW-220/229
IMS
Swain, Adam T
OFFICE SYMBOL
421 SCMS / GUMAD
PHONE
405-734-1759
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 77445(AFMCFARS 5352.211-9011) MFG 4067415P/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 N/A
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 77445
DRAWING NUMBER 4067415
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS 0(AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
N/A
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
N/A
OTHER SPECIAL REQUIREMENTS (Explain)
Fabrie, Cyle RNAME: 12 JUL 2022DATE:
Surplus Offerors shall complete and return the "Required Information for Surplus Material Evaluation" form, attached, in accordance with FAR 11.302(b). The Contracting Officer shall obtain approval/ disapproval from the Cognizant Engineer based on the completed form returned by the surplus offeror prior to accepting or rejecting the surplus offer.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
Surplus items that do not conform to all of the above requirements, including those in the REMARKS section, are not acceptable. Misrepresentation of any item by the offeror shall be cause for rejection and return of all items to the offeror at no cost to the government.
- The part shall be in the original unopened package, labeled with the correct part number and NSN.
- Misrepresentation of any item by the surplus vendor shall be cause for rejection.
- Damage to packaging shall be cause for rejection as these parts are susceptible to corrosion.
- Any evidence of corrosion shall be cause for rejection of part.
- Rejected parts will be returned to the vendor at no cost to the government.
EVALUATOR
Fabrie, Cyle R
OFFICE SYMBOL
AFLCMC / LPSEA
PHONE
405-582-5574 / 852-5574
COMPLETE DATE
12 JUL 2022
Page 1 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 10Generated by PRPS using Jasper Reports on 30 Nov 2023
SURPLUS MATERIEL WORKSHEET
DATE
17 MAY 2022
SIGNATURE
//SIGNED// Fabrie, Cyle R
USER TYPE
Engineer
SIGNATURE DATE
12 JUL 2022
Page 2 of 2AFMC FORM 813, 20000323 (IMT-V1) Version 10Generated by PRPS using Jasper Reports on 30 Nov 2023
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