Form 807_3231.pdf

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Attached to
A10 Frame Structures Federal contract opportunity
Solicitation number
FA821222R0022
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1560010363231FJ

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Sarah, Coleman G / 801-586-2883

6. EQUIPMENT SPEC / PHONE

Midkiff, Casey / 801-586-2585

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Meredith, Jaime MNAME: 11 JUN 2021DATE:

Component requires inspection and acceptance at source due to the following criteria as defined by AFMCI 23-102:

-Significant Technical Requirements to ensure the configurational baseline -Critical Production Features to ensure Safety of Flight

Defense Contract Management Agency (DCMA) will provide the necessary technical and administrative oversight to ensure the requirements of the Technical Data Package are met. The following criteria shall be considered by in the evaluation by DCMA:

-Material Certifications -Corrosion inhibiting application & Certifications -Dimensional inspection to ensure form/fit/function -Heat Treat Certifications

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 AF FARS 5323)

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

Meredith, Jaime M

ORGANIZATION / SYMBOL

416 SCMS / GUEAA

PHONE

801-586-5743 / 586-5743

DATE

11 JUN 2021

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 06 Dec 2021

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