Attachment12_QUALITYASSURANCE.pdf
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- Attached to
- Repair of NSN 5996-00-572-1617
- Solicitation number
- FA825025R0363
About this file
This is an AFMC Form 807 detailing Quality Assurance Provisions and Special Inspection Requirements for NSN 5996005721617ZR. The document specifies source inspection and acceptance requirements, with both designated as "source" rather than "destination" per DFARS 246.402.
The form indicates Standard Inspection requirements under FAR 52.246-2,-3,-4,-5 or -6 will apply. It includes an Ozone Depleting Substances statement confirming no Class I ODS are required. The document indicates this is for a previous source (not a new source), with codes I&A=1 and CQR=C. The technical authority is from the 415 SCMS/GUEA organization, with approval date of July 25, 2024. The form specifies no quality pre-award survey is needed since this is a previous source, and AFMC participation is not recommended.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5996005721617ZR
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Shepherd, Jennie M / 385-888-0479
6. EQUIPMENT SPEC / PHONE
Schiff, Matthew / 801-586-5650
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY FOR INSPECTION
FAR 52.246-15
X STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS FAR 52.246-11
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 DAFFARS 5323.8)
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
Dam, Nghia T
ORGANIZATION / SYMBOL
415 SCMS / /GUEA
PHONE
801-864-8625 / 864-8625
DATE
25 JUL 2024
Page 1 of 1Prescribed by: AFMCI20-102 Version 4Generated by PRPS using Jasper Reports on 06 Feb 2025
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
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