QA_T0052.pdf

"Source Selection Information-See FAR 2.101 and 3.104."

PROCUREMENT DIVISION FORM 16

Revised 8/28/08 Page 1 of 2

QUALITY ASSURANCE REQUIREMENTS

Note: This form as completed by the customer shall be incorporated into the solicitation/contractual award document.

Inspection:

[ ] Inspection and Acceptance at Source

[X] Inspection and Acceptance at Destination

[ ] Initial Inspection at Source with Final Inspection and Acceptance at Destination

[ ] Inspection Timeframe: days.

Certifications:

Certifications are required for the following:

One Copy of these certs must accompany the parts upon delivery. The Container holding these documents must be legibly marked as such.

One Copy of these certs must be forwarded to:

Dennis Budd Dennis.budd@navy.mil

Part Name: CSA MK2 NEUTRALIZATION PACKET Part Number: 7552010 Revision: -N/A

Certificate of Analysis

Certificate of Compliance to

Material:

X

Hardness Test:

Hydro Test:

Heat Treat:

Welding:

Magnetic Particle Inspection:

Ultrasonic Inspection:

Radiographic Inspection:

Dye Penetrant Inspection:

Plating:

Surface Finish:

Other Procurement Division Form 16 Revised 8/28/08 Page 2 of 2

Note: Customer is to select the Special Clause(s) below as applicable. The selected clause(s) shall be incorporated into the solicitation/contractual award document.

"Source Selection Information-See FAR 2.101 and 3.104."

Special Clauses:

[X] IHD 45 – SAMPLING OF RECEIVED MATERIAL – ORDNANCE MATERIAL AND ORDNANCE

COMPONENTS (NAVSEA/IHD) FEB 2000

a. When the Indian Head Division, Naval Sea Systems Command, Indian Head, Maryland, receipt inspects Ordnance material or Ordnance components under this contract for Naval rockets or missiles, the following sampling procedures will be used:

MIL-STD-1916

Level V for Critical Dimensions

Level II N<200 Level III N>200 for majors

Level I N<100 Level II N>100 for minors

b. In all cases, the acceptance number will be zero (0), the entire lot will be rejected for any defect.

c. Notwithstanding the above, the Indian Head Division, Naval Sea Systems Command, Indian Head, Maryland, may at its discretion, accept a defect on a waiver on a case-by-case basis.

[ ] IHD 46 – SAMPLING OF RECEIVED MATERIAL – MANRATED MATERIAL (NAVSEA/IHD) FEB 2000

a. When the Indian Head Division, Naval Sea Systems Command, Indian Head, Maryland, receipt inspects man-rated material under this contract for rockets, catapults, cartridge actuated devices and their components, the following sampling procedures will be used:

MIL-STD-1916

Level VI for Critical Dimensions Level II N<200 Level III N >200 for majors Level I N<100 Level II N>100 for minors

b. In all cases, the acceptance number will be zero (0), the entire lot will be rejected for any defect.

c. Notwithstanding the above, the Indian Head Division, Naval Sea Systems Command, Indian Head, Maryland, may at its discretion, accept a defect on a waiver on a case-by-case basis