Combined_QAIRQMT_Report.pdf
PDF 398 KB Posted
- Attached to
- Repair of AN/APG 68 F-16 C/D Multi SRU Repair
- Solicitation number
- FA825125R0005
About this file
These documents are Recommended Quality Assurance Provisions and Special Inspection Requirements (AFMC Form 807) forms for multiple National Stock Numbers (NSNs) related to equipment and component repairs. The forms consistently indicate standard inspection requirements under FAR 52.246-2 through 52.246-6, with components requiring inspection and acceptance at the source due to critical product features/characteristics. The documents are primarily for radar and aircraft-related components, with most forms dated between 2014-2025 and associated with the 416th Supply Chain Management Squadron (SCMS) under the Air Force Materiel Command.
The forms cover various NSNs for component repairs, with technical authorities like Derrick Beatty, Christopher Bradshaw, and Bryan Nance signing off on the quality assurance provisions. Each form includes a standard statement confirming that the components do not require Class I Ozone Depleting Substances (ODS), and most are for previous sources rather than new sources. The approved standard item repair sources typically include CAGE codes 97942 and 50218, with inspection points set at the source location and guided by SAF/ACQ Contract Policy Memo 03-C-16 for contracts under $250,000.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FA825125R0005 Amendment 1.pdf | ||
| CDRLs.pdf | ||
| WD.pdf | ||
| Section_L_Proposal_Instructions_SRUs.pdf | ||
| Section_M_Evaluation_Factors_for_Award_SRUs.pdf | ||
| Combined_ITMDESC_Report.pdf | ||
| SOW.pdf | ||
| PACKAGING REQUIREMENTS.pdf | ||
| Combined_QUALRQMT.pdf | ||
| Combined_RDL_Report.pdf | ||
| TRNSPDATA_REPORT.pdf | ||
| Combined_UIIEC_Report.pdf | ||
| Special_Packaging_Instruction.pdf | ||
| PWS.pdf | ||
| FA825125R0005.pdf |
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RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012031936WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____V_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
Page 1 of 1Prescribed by: AFMCI20-102 Version 3Generated by PRPS using Jasper Reports on 20 May 2025
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998013035872WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
LeFevre, Steven RNAME: 09 OCT 2015DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria: Critical product features/ characteristics.
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
Page 1 of 1Prescribed by: AFMCI20-102 Version 4Generated by PRPS using Jasper Reports on 20 May 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012428035WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 17 JAN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218, 18323
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012478169WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
Page 1 of 1Prescribed by: AFMCI20-102 Version 2Generated by PRPS using Jasper Reports on 20 May 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012885420WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____V_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998014644241WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
LeFevre, Steven RNAME: 09 OCT 2015DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria: Critical product features/ characteristics.
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012744648WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____V_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998013069224WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
LeFevre, Steven RNAME: 12 MAY 2023DATE:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria:
Critical product features/ characteristics.
NAME: Anderson, Roger S DATE: 17 JAN 2014 The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
Anderson, Roger SNAME: 17 JAN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218, 18323
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012428034WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____V_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012651040WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Beatty, Derrick D / 801-775-3807
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
Anderson, Roger SNAME: 04 JUN 2014DATE:
The following is effective for the above NSN through 4 June 2017, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 4 contract, 4 June 2017.)
AAC: _____V_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): 97942, 50218
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Beatty, Derrick D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-775-3807 / 775-3807
DATE
22 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1270011945732WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 JAN 2011DATE:
Authority: Components requires inspection and acceptance at source because of the following criteria as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03, which rescinds Memo 03-C-12, dated 21 May 03 for contracts under $250,000.00.
Reason: Contract technical requirements are significant.
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1270012088409WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 JAN 2011DATE:
Authority: Components requires inspection and acceptance at source because of the following criteria as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03, which rescinds Memo 03-C-12, dated 21 May 03 for contracts under $250,000.00.
Reason: Contract technical requirements are significant.
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998011958634WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012325232WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998014314658WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012325233WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012786462WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012989139WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998014390667WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998014657637WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012785983WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998011963759WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Nance, Bryan KNAME: 21 JAN 2025DATE:
Refahiyat, JoeNAME: 14 MAY 2019DATE:
The following is effective for the above NSN through 31 Dec 2026, unless the technical authority annotates a different date here: ____________________ (This date will not exceed the life of the PROS 5 contract, 31 Dec 2026.)
AAC: _____C_____ AMSC: ____C______
LIST OF APPROVED STANDARD ITEM REPAIR SOURCES (BY CAGE CODE): _____97942____, ___50218______, 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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
6625011260097WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Ercanbrack, Amber R / 801-586-7323
6. EQUIPMENT SPEC / PHONE
Nance, Bryan K / 801-586-1208
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
Refahiyat, JoeNAME: 14 JAN 2011DATE:
Authority: Components requires inspection and acceptance at source because of the following criteria as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03, which rescinds Memo 03-C-12, dated 21 May 03 for contracts under $250,000.00.
Reason: Contract technical requirements are significant.
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
PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Nance, Bryan K
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-586-1208 / 586-1208
DATE
21 JAN 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998012124130WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Bradshaw, Christopher D / 801-777-4197
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
Chacon, Manuela ENAME: 27 JUN 2019DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12 dates 21 May 03) for contracts under $250,000
Criteria:
Critical Product features/characteristics
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
Bradshaw, Christopher D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-777-4197 / 777-4197
DATE
05 FEB 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998011325763WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Bradshaw, Christopher D / 801-777-4197
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
Chacon, Manuela ENAME: 27 JUN 2019DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria:
Critical product features/ characteristics
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
Bradshaw, Christopher D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-777-4197 / 777-4197
DATE
05 FEB 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998011954132WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Bradshaw, Christopher D / 801-777-4197
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
Chacon, Manuela ENAME: 27 JUN 2019DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria:
Critical product features/ characteristics
Evans, Stephen BNAME: 02 JUL 2013DATE:
NAME Evans, Stephen B DATE 2 JUL 2013
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria:
Critical product features/ characteristics
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
Bradshaw, Christopher D
ORGANIZATION / SYMBOL
416 SCMS / GUMAD
PHONE
801-777-4197 / 777-4197
DATE
05 FEB 2025
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5998011957400WF
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
6. EQUIPMENT SPEC / PHONE
Bradshaw, Christopher D / 801-777-4197
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
Chacon, Manuela ENAME: 27 JUN 2019DATE:
Authority:
Components require inspection and acceptance at source. This is justified by the following criteria, as required in SAF/ACQ Contract Policy Memo 03-C-16, dated 19 Nov 03 (rescinds Memo 03-C-12, dated 21 May 03) for contracts under $250,000.
Criteria:
Critical product features/ characteristics
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…
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