CRSAW_Report.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

09 JAN 2017

2. FORM PRIORITY

3. NSN

5985011469283WF

4. PART NUMBER

27130-1

5. PART NUMBER CAGE CODE

50643

6. NOUN

ANTENNA

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$4,444.0000

9. ANNUAL REPAIR

BUDGET VALUE

$3,999,600.00

10. FORECAST UNIT

PRICE

$17,117.0000

11. ERRC

T

12. WEAPON SYSTEM

F-16 A/B/C/D

13. END ITEM APPLICATION

LRU (NHA is the aircraft)

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

INTERNATIONAL ENTERPRISES, INC. 12 SEP 201650218 FA825116F0115

INTERNATIONAL ENTERPRISES, INC. 08 AUG 201650218 FA825116F0085

INTERNATIONAL ENTERPRISES, INC. 05 APR 201650218 FA825116F0042

INTERNATIONAL ENTERPRISES, INC. 25 MAR 201450218 FA825114D00060001

LOCKHEED MARTIN CORPORATION 16 AUG 201081755 F4262001D00580988

15. PMS SELLER NAME

Kline, Diane

CODE

HSF

OFFICE SYMBOL

416 SCMS / GUMAA

PHONE

801-777-5187

COMPLETION DATE

09 JAN 2017

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED NO YES (annotate required data and availability on RDL) X UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED NO YES (annotate required data and availability on RDL) X UNKNOWN

18. THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

X ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS NOT REQUIRED X REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE NOT REQUIRED X REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

LISTED AND ANNOTATED ON RDL X NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

X NO YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

NO X YES

28. RMC / RMSC CODE

R2 / C

29. RMC / RMSC EXPIRATION DATE

15 NOV 2022

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

The government only has partial data for repair of this item. Remanufacture of this item will require additional detailed testing procedures to meet the test specification

Additional data cannot be purchased from the origional manufacturer.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

International Enterprizes Inc 50218 15 NOV 2003

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 10Generated by PRPS using Jasper Reports on 10 Oct 2017

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

L-3 COMMUNICATIONS CORPORATION 50643 15 NOV 2003

Lockheed Martin Corp 81755 15 NOV 2005

32. ENGINEER NAME

Grove, Gary B

CODE

N/A

OFFICE SYMBOL

416 SCMS / GUEAA

PHONE

801-777-7202

COMPLETION DATE

11 JAN 2017

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Equipment Specialist NAME: Canfield, Jody E DATE: 15 NOV 2012

ORG / OFFICE SYMBOL: 416 SCMS / GUMAC COMMERCIAL PHONE: 801-777-8356 DSN PHONE: 777-8356

T.O. 8C21-30-516 AND 516C

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 10Generated by PRPS using Jasper Reports on 10 Oct 2017