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First Article report

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FIRST ARTICLE REQUIREMENTS 1. DATE

06 JAN 2016(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

2. PR / MIPR NUMBER 3. CAGE / REFERENCE NUMBER

82918 / 458-56182-1

4. NSN

1620011500027

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 1 UNIT(S) OF LOT / ITEM EA

AND WILL BE: X PART OF PRODUCTION QUANTITY IN ADDITION TO PRODUCTION QUANTITY

6. ARTICLES

WILL X WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

X REQUIRED NOT REQUIRED

(See FAR 52.209-3 OR -4, alternate II)

8. SPECIAL REQUIREMENT/PRODUCTION FACILITIES (See FAR 52.209-3 OR -4 Alternate I)

X REQUIRED NOT REQUIRED

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

9. TEST / INSPECTION REQUIREMENTS

A.

X

CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

Conformance with all drawings, specifications, and all other documents in the technical data package.

B. The detailed technical requirements for First Article approval tests are contained in

Conformance with all drawings, specifications, and all other documents in the technical data package.

(Cite Spec and Para number)

C. TEST PLAN REQUIRED

Number of days for government approval / disapproval days.

D. Contractor's notification to ACO and

(Requesting Activity) of test time and location due days prior to start of testing.

E. X TEST REPORT REQUIRED

(1) Forwarded to

809 MXSS/MXDEB

BLDG 849

Attn: Non Accountable Bay

Hill AFB, UT 84056-5713

(2) Government written notice of approval / disapproval due 120 days after receipt of contractor's report.

F. FIRST ARTICLE DELIVERY

(1) Due within 200 calendar days from date contract.

(2) Notify 15 calendar days prior to shipment.

(3) Delivered to government at

809 MXSS/MXDEB

BLDG 849

Attn: Non Accountable Bay

Hill AFB, UT 84056-5713

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 90 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$2,000.0000

Page 1 of 3AFMC IMT 260, 20020830, V-3 Version 2Generated by PRPS using Jasper Reports on 27 Jul 2016

06 JAN 2016(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

10. DISPOSITION OF FIRST ARTICLES

X Approved First Articles will be forwarded to supply

(insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles will be returned to the contractor will be retained by pending disposition instructions from the contractor.

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded to USAF Supply, but will be considered part of the contract quantity.

X Disapproved First Articles will be returned to the contractor

X will be retained by 809 MXSS/MXDEB pending disposition instructions from the contractor.

X On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. Approved First Articles will be returned to the contractor for shipment with production item.

b. Disposition of disapproved First Articles will remain the same as marked above.

Other Disposition:

11. CONDITION(S) FOR WAIVER OF FIRST ARTICLE APPROVAL

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD, X Air Force.

b. X Offerors currently in production of the same or similar article for a Government, DoD, X Air Force contract and who have received First Article approval under the existing contract.

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, X Air Force, provided articles thus furnished, have exhibited satisfactory performance in service in the opinion of the Air Force.

d. X Provided not more than 36 months have elapsed since completion of the contract.

e. First Article testing will not be waived.

f. See Remarks in block 12 below.

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE COGNIZANT ENGINEERING ACTIVITY WITH THE FOLLOWING INFORMATION ON THE PREVIOUSLY SUPPLIED ARTICLE:

A. PROCURING OFFICE B. CONTRACT NUMBER C. DATE OF CONTRACT D. SPECIFICATION NUMBER AND REVISION

12. REMARKS

Humpherys, JamesNAME: 06 JAN 2016DATE:

THE CRITICAL NATURE OF THE PART REQUIRES A FIRST ARTICLE FROM A CONTRACTOR WHO HAS NEVER PRODUCED THE ITEM OR HAS NOT PRODUCED THE ITEM FOR AN EXTENDED PERIOD OF TIME. THE GOVERNMENT RESERVES THE RIGHT TO ASSURE ALL MATERIALS AND PROCESS CERTIFICATIONS ARE CORRECT AND TO TEST THE ITEM TO ANY OR ALL DRAWINGS, SPECIFICATIONS AND OTHER CONTRACT REQUIREMENTS. A VENDOR WILL NORMALLY BE ALLOWED ONLY ONE ATTEMPT TO RECEIVE FULL OR CONDITIONAL APPROVAL. FAILURE TO RECEIVE APPROVAL OF FIRST ARTICLE INSPECTION WILL, AT THE DISCRETION OF THE GOVERNMENT, RESULT IN TERMINATION OF THE CONTRACT. THE CONTRACTOR SHALL PRODUCE A REPORT ON THE SUBJECT ITEM WITH ALL DIMENSIONS AND TOLERANCES SPECIFIED ON THE MANUFACTURING DATA LISTED IN ONE COLUMN AND THE ACTUAL CORRESPONDING READING OBTAINED FROM THE INSPECTION OF THE PART LISTED IN ANOTHER COLUMN.

MATERIALS UTILIZED IN THE MANUFACTURE OF FIRST ARTICLE ITEMS SHALL BE IDENTIFIED AND CERTIFIED ALONG WITH A COPY OF MATERIAL PURCHASE REQUESTS AS CONFORMING TO APPLICABLE DATA REQUIREMENTS. MATERIAL PROCESSING, INCLUDING FINISH REQUIREMENTSPLATING, CASTING, FORGING, HEAT TREATMENT, WELDING, INSPECTING, ANODIZE, PAINTING, ETC-UTILIZED IN THE MANUFACTURE OF FIRST ARTICLE ITEMS SHALL BE IDENTIFIED AND CERTIFIED ALONG WITH A COPY OF MATERIAL PURCHASE REQUESTS AS

CONFORMING TO APPLICABLE

DATA REQUIREMENTS. A COPY OF THE PURCHASE ORDER CERTIFYING THE PROCESS ACCOMPLISHED AT OTHER THAN THE CONTRACTOR'S

FACILITY SHALL BE INCLUDED.

FIRST ARTICLE WAIVER APPROVALS AS WELL AS SIMILAR ITEM DETERMINATION ARE SOLELY THE RESPONSIBILITY OF THE COGNIZANT

ENGINEERING ORGANIZATION.

THE COGNIZANT ENGINEERING ORGANIZATION SHALL DETERMINE FIRST ARTICLE TESTING REQUIREMENTS BASED ON COMPONENT CRITICALITY

AND COMPLEXITY, REGARDLESS OF PR VALUE.

Page 2 of 3AFMC IMT 260, 20020830, V-3 Version 2Generated by PRPS using Jasper Reports on 27 Jul 2016

06 JAN 2016(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING TEST

(Name, Organization, Phone)

Humpherys, James

417 SCMS/GUEA

801-777-8716

777-8716

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Page 3 of 3AFMC IMT 260, 20020830, V-3 Version 2Generated by PRPS using Jasper Reports on 27 Jul 2016

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