FD2020600725-QA.pdf
PDF 86 KB Posted
- Attached to
- Microwave Isolator
- Solicitation number
- FA822626Q0725
About this file
This document is an Air Force Quality Assurance Provisions and Special Inspection Requirements form (AFMC Form 807) that establishes inspection and acceptance criteria for a specific contract requirement.
The form addresses quality assurance procedures for National Stock Number 1680ND102202GXM under PR/MIPR number 1680ND102202GXM. Inspection will occur at the destination point, while acceptance will also take place at the destination. Jackson T. Lefevre serves as the Item Manager (801-777-6724) and Harris as the Equipment Specification contact (801-497-5057). The contract quality requirements specify standard inspection procedures under FAR 52.246-2, -3, -4, -5, or -6 as applicable. A member of the 406 SCMS will conduct inspection and acceptance/rejection at dear John Bay and notify contracting officer Jackson LeFevre at jackson.lefevre@us.af.mil. The technical authority, Jennifer C. West (406 SCMS/GULAC, 801-775-2591), signed the document on 19 May 2026. The form confirms that the requirement does not necessitate use of Class I ozone-depleting substances and that a quality pre-award survey is not required since this involves a previous source. The Inspection & Acceptance code is 2, and the Contract Quality Requirement code is C.
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Other files
| File | Type | Posted |
|---|---|---|
| FA822626Q0725 Solicitation.pdf | ||
| Ombudsman-ODS_Note.pdf | ||
| FD2020600725-Form1348.pdf | ||
| FD2020600725-Transportation.pdf | ||
| FD2020600725-Packaging.pdf |
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1680ND102202GXM
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Lefevre, Jackson T / 801-777-6724
6. EQUIPMENT SPEC / PHONE
HARRIS, HARRIS / 801-497-5057
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, Jackson TNAME: 19 MAY 2026DATE:
A member of the 406 SCMS will inspect and accept/reject at the dear John Bay and notify the contracting officer Jackson LeFevre jackson.lefevre@us.af.mil
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
West, Jennifer C
ORGANIZATION / SYMBOL
406 SCMS / GULAC
PHONE
801-775-2591 / 775-2591
DATE
19 MAY 2026
Page 1 of 1Prescribed by: AFMCI20-102 Version 1Generated by PRPS using Jasper Reports on 20 May 2026
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
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