1905363_FA_REPORT_00001.pdf

FIRST ARTICLE REQUIREMENTS 1. DATE

04 MAY 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

97942 / 578R611H04

4. NSN

5865000076950EW

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 2 UNIT(S) OF LOT / ITEM 1

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

6. ARTICLES

WILL X WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

REQUIRED X 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

X

CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

Contract, Tech Data Package, and all QA provisions of vendor drawings

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

Contract, Tech Data Package, and Government approved test procedures

(Cite Spec and Para number)

C. X TEST PLAN REQUIRED

Number of days for government approval / disapproval 45 days.

D. Contractor's notification to ACO and

408th SCMS/GUEA

(Requesting Activity) of test time and location due 15 days prior to start of testing.

E. X TEST REPORT REQUIRED

(1) Forwarded to

408th SCMS/GUEA

Matthew.moorman.3@us.af.mil lisa.morris@robins.af.mil

(2) Government written notice of approval / disapproval due 60 days after receipt of contractor's report.

F. FIRST ARTICLE DELIVERY

(1) Due within 270 calendar days from date contract.

(2) Notify 10 calendar days prior to shipment.

(3) Delivered to government at

408th SCMS/GUEA

ATTN: Matt Moorman

280 Byron Street, BLDG 229

Robins AFB, GA 31098

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 60 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$7,500.0000

Page 1 of 2AFMC IMT 260, 20020830, V-3 Version 2Generated by PRPS using Jasper Reports on 17 May 2017

FIRST ARTICLE REQUIREMENTS 1. DATE

04 MAY 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

Approved First Articles will be forwarded to

X 2 (insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles will be returned to the contractor

X will be retained by LCMC/WNYEAA 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

X will be returned to the contractor will be retained by pending disposition instructions from the contractor.

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

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

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

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

e. First Article testing will not be waived.

f. X 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

Moorman, Matthew BNAME: 04 MAY 2016DATE:

Only approved source that is allow to exempt first article requirements is Rodelco Electronics Corp. (CAGE: 59926) This exemption is only valid if units are produced within the next 3 years, or by 5/31/2019. Any other exemptions must be approved by Requirements office (AFLCMC/WNYEAA).

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING TEST

(Name, Organization, Phone)

Morris, Lisa A

AFLCMC/WNYEAA

478-222-4362

472-4362

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Morris, Lisa A

AFLCMC/WNYEAA

478-222-4362

472-4362

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