FD20202500282.pdf
PDF 103 KB Posted
- Attached to
- FA8212-25-Q-0005 F-16 Circuit Card Assembly
- Solicitation number
- FA8212-25-Q-0005
About this file
This is a Purchase Request (AFMC Form 36) for a Foreign Military Sales (FMS) requirement to Jordan for one F-16 Circuit Card Assembly (NSN: 5998-01-653-6192 WF) at an estimated unit price of $6,579.00. The request includes four line items: the circuit card assembly hardware, first article data requirements, counterfeit prevention requirements, and first article requirements (the latter three items are not separately priced).
The delivery requirement is for one unit by December 31, 2026, with early delivery acceptable. The purchase request specifies that awards cannot be made to offshore vendors without prior buy manager approval, and counterfeit prevention measures apply. The requirement is being managed by the 430 SCMS/GUID at Hill AFB, with a priority rating of 3. The related solicitation (FA8212-25-Q-0005) requires engineering source approval and manufacturing qualification requirements, with responses due by January 28, 2025 at 12:00 PM MST.
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Text version
PURCHASE REQUEST
(Central Procurement and Research Development Test and Evaluation)
PROC ACTY
FA8212
TYPE PR
PRIORITY
R
DATE
02 DEC 2024
SDN
F2DCCW4355A102
PURCHASE REQUEST NUMBER
FD20202500282
AMENDMENT NO.
IM
B
MGR DES
3B
MMAC
WF
LIFE SUPPORT
YES X NO
ASI
YES X NO
PURPOSE
BASIC PURCHASE REQUEST FOR FMS COUNTRY JORDAN TO BUY A CIRCUIT CARD ASSEMB FOR THE F-16 WEAPON SYSTEM. CRITICAL SAFETY ITEM
(CSI) DOES NOT APPLY TO THIS PI.
REMARKS
NAME: Sexton, Rachelle A ORG/OFFICE SYMBOL: 430 SCMS / GUID COMM/DSN PHONE: 801-586-0733 / 586-0733 DATE: 03 DEC 2024
THIS IS AN FMS REQUIREMENT AWARD CANNOT BE MADE TO OFFSHORE VENDOR WITHOUT
PRIOR APPROVAL OF BUY MANAGER. COUNTERFEIT PREVENTION APPLIES.
ITEM NO.
DESCRIPTION
5998016536192WF
AMC/AMSC
2 / C
RMC/RMSC QUANTITY
UNIT
EA
EST UNIT PRICE
$6,579.00
EST TOTAL PRICE
$6,579.00
DESCRIPTION
BUY AUTHORITY: FMS CUSTOMER REQUEST NOUN: CIRCUIT CARD ASSEMB REQ CATEGORY: BUY / SPARES CAGE / REFERENCE NUMBER: 35012 / 187218-001 ERRC: N REQUISITION NUMBER: DJOB5N43117803 REQ PRIORITY: 3 REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR
LINE ITEM: I&S NSN/ORDER OF USE:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Fixed SHIP TO (DODAAC): DJO002 SUPPLEMENTAL ADDRESS: DA2QDA
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) on 31 DEC 2026. Early delivery is acceptable
MARK FOR: DJOB00
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): TAC DFMS
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: 0 MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
NOT SEPARATELY PRICED: TO BE DETERMINED:
VIQ(-) PERCENT: VIQ(+) PERCENT:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: Initiate and Commit DOLLAR BREAKOUT: $6,579.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
9711X8242.0002 4FX LCSH CQDAJO 000000 00000 001 503000 F03000 ALD:AA FSR: 040929 PSR: 336170 DSR: 099276 CIN: F2DCCW4355A1020000AA
040929
FSR PSR
336170
DSR
099276
CIN: OTHER STATION FUNDS
Page 1 of 4AFMC FORM 36 Generated by PRPS using Jasper Reports on 23 Dec 2024
PROC ACTY
FA8212
TYPE PR
PRIORITY
R
DATE
02 DEC 2024
SDN
F2DCCW4355A102
PURCHASE REQUEST NUMBER
FD20202500282
AMENDMENT NO.
ITEM NO.
DESCRIPTION
5998DTG2501D3WF
AMC/AMSC RMC/RMSC QUANTITY
UNIT
LT
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: DATA LINE FOR FIRST ARTICLE PSEUDO NSN REFERENCE: RELATED NSNs:
DESCRIPTION: IAW the DD Form 1423 REQ CATEGORY: OTHER / DATA CAGE / REFERENCE NUMBER: / ERRC: REQUISITION NUMBER: REQ
PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR LINE ITEM:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Other SHIP TO (DODAAC): SUPPLEMENTAL ADDRESS:
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) IAW the DD Form 1423 . Early delivery is acceptable
MARK FOR:
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): IAW the DD Form 1423
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
NOT SEPARATELY PRICED: X TO BE DETERMINED:
VIQ(-) PERCENT: VIQ(+) PERCENT:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: Initiate and Commit DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
9711X8242.0002 4FX LCSH CQDAJO 000000 00000 001 503000 F03000 ALD:AA FSR: 040929 PSR: 336170 DSR: 099276 CIN: F2DCCW4355A1020000AA
040929
FSR PSR
336170
DSR
099276
CIN: OTHER STATION FUNDS
ITEM NO.
DESCRIPTION
5998DTG2501D4WF
AMC/AMSC RMC/RMSC QUANTITY
UNIT
LT
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: FMS COUNTRY JORDAN PSEUDO NSN REFERENCE: RELATED NSNs:
DESCRIPTION: COUNTERFEIT PREVENTION APPLIES IAW DD FORM 1423-1 REQ CATEGORY: OTHER / COUNTERFEIT PREVENTION PLAN CAGE / REFERENCE NUMBER: / ERRC: REQUISITION NUMBER: REQ PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR
LINE ITEM:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
Page 2 of 4AFMC FORM 36 Generated by PRPS using Jasper Reports on 23 Dec 2024
PROC ACTY
FA8212
TYPE PR
PRIORITY
R
DATE
02 DEC 2024
SDN
F2DCCW4355A102
PURCHASE REQUEST NUMBER
FD20202500282
AMENDMENT NO.
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Other SHIP TO (DODAAC): SUPPLEMENTAL ADDRESS:
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) COUNTERFEIT PREVENTION APPLIES IAW DD FORM 1423-1 . Early delivery is acceptable
MARK FOR:
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): COUNTERFEIT PREVENTION APPLIES IAW DD FORM 1423-1
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
NOT SEPARATELY PRICED: X TO BE DETERMINED:
VIQ(-) PERCENT: VIQ(+) PERCENT:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: Initiate and Commit DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
9711X8242.0002 4FX LCSH CQDAJO 000000 00000 001 503000 F03000 ALD:AA FSR: 040929 PSR: 336170 DSR: 099276 CIN: F2DCCW4355A1020000AA
040929
FSR PSR
336170
DSR
099276
CIN: OTHER STATION FUNDS
ITEM NO.
DESCRIPTION
5998DTG2501DAWF
AMC/AMSC RMC/RMSC QUANTITY
UNIT
LT
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: FIRST ARTICLE REQUIREMENT ACTIVITY PSEUDO NSN REFERENCE: RELATED NSNs:
DESCRIPTION: IAW the DD Form 1423 REQ CATEGORY: OTHER / FIRST ARTICLE CAGE / REFERENCE NUMBER: / ERRC: REQUISITION NUMBER:
REQ PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR LINE ITEM:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Other SHIP TO (DODAAC): SUPPLEMENTAL ADDRESS:
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) IAW the DD Form 1423 . Early delivery is acceptable
MARK FOR:
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): IAW the DD Form 1423
Page 3 of 4AFMC FORM 36 Generated by PRPS using Jasper Reports on 23 Dec 2024
PROC ACTY
FA8212
TYPE PR
PRIORITY
R
DATE
02 DEC 2024
SDN
F2DCCW4355A102
PURCHASE REQUEST NUMBER
FD20202500282
AMENDMENT NO.
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
NOT SEPARATELY PRICED: X TO BE DETERMINED:
VIQ(-) PERCENT: VIQ(+) PERCENT:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: Initiate and Commit DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
9711X8242.0002 4FX LCSH CQDAJO 000000 00000 001 503000 F03000 ALD:AA FSR: 040929 PSR: 336170 DSR: 099276 CIN: F2DCCW4355A1020000AA
040929
FSR PSR
336170
DSR
099276
CIN: OTHER STATION FUNDS
INCREASE DECREASE GRAND TOTAL
$6,579.00
PREPARED BY (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Prepared)
Sexton, Rachelle A Item Manager 430 SCMS / GUID 801-586-0733 / 586-0733 03 DEC 2024
APPROVALS (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Coordinated)
Butler, Hayley E Resource Advisor 430 SCMS / GUID 801-586-4344 / 586-4344 19 DEC 2024
(Funds Coordinated: AA)
CERTIFYING OFFICIAL (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Certified)
//DIGITALLY SIGNED IN FMSuite// I certify that funds are available The certified source document(s) for this/these purchase request(s) resides in the FMSuite database.
Rawlings, Max Financial Management Specialist FMSuite 8017775521 23 DEC 2024
COMPLETE OFFICIAL (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Completed)
//ELECTRONICALLY SIGNED//
Sexton, Rachelle A Item Manager 430 SCMS / GUID 801-586-0733 / 586-0733 23 DEC 2024
Page 4 of 4AFMC FORM 36 Generated by PRPS using Jasper Reports on 23 Dec 2024
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