N3904026Q5283_ Attachment 1_ CDRLS.pdf
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- Attached to
- Various Countersunk Cap Screws
- Solicitation number
- N3904026Q5283
About this file
This is a contract continuation sheet and attachment specifying requirements for self-locking socket flat countersunk head cap screws. The solicitation document covers three line items with the following specifications: Item 1 requires 150 each of 7/8-9UNC-3A x 1-3/4 inch screws; Item 2 requires 600 each of 7/8-9UNC-3A x 1-1/2 inch screws; and Item 3 requires 600 each of 7/8-9UNC-3A x 2-1/2 inch screws. All items must comply with FF-S-86H Type IV shape specifications, be manufactured from steel with a minimum 12% elongation in four diameters, incorporate MIL-DTL-18240F Type N self-locking mechanisms, and be marked with six dots (approximately 0.032" diameter) raised or depressed on the screw head. The fasteners must be uncoated and furnished with thread protectors that are neither yellow nor magenta in color.
The contract data requirements outlined in Exhibit A (DD Form 1423) mandate that vendors provide certificates of compliance for each of the three items covering three distinct specifications: minimum 12% elongation, MIL-DTL-18240F compliance, and FF-S-86H compliance. Certificates must be submitted with material shipments and include the vendor quality assurance official's signature, title, and material identification (lot, batch, part number, etc.). All inspection and test reports required for traceability to each contract item must accompany the signed compliance statement, with distribution to code 410 via mail without DD Form 250 required.
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Other files
| File | Type | Posted |
|---|---|---|
| N3904026Q5283_ Attachment 2_ OPSEC.pdf | ||
| N3904026Q5283_ Combined Synopsis.pdf |
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Text version
REQ DOC NO. - 53498291, 5346E026, 5346E031 ATTACHMENT
CONTINUATION SHEET CONTRACT NO. - _______________ PAGE OF 13
NAME OF OFFER OR/CONTRACTOR
1 SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP SCREW 82O:
150 EA
2 SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP SCREW 82O:
600 EA ______
3 SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP SCREW 82O:
600 EA
C. DESCRIPTION/SPECIFICATIONS:
C.1 (ITEM 1) - SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP
SCREW 82O:
C.1.1 SIZE: 7/8 – 9UNC – 3A X 1-3/4 INCH LONG
C.1.2 QUANTITY: 150 EA
C.2 (ITEM 2) - SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP
SCREW 82O:
C.2.1 SIZE: 7/8 – 9UNC – 3A X 1-1/2 INCH LONG
C.2.2 QUANTITY: 600 EA
C.3 (ITEM 3) - SELF-LOCKING SOCKET FLAT COUNTERSUNK HEAD CAP
SCREW 82O:
C.3.1 SIZE: 7/8 – 9UNC – 3A X 2-1/2 INCH LONG
C.3.2 QUANTITY: 600 EA
C.4. ALL ITEMS (1 – 3)
C.4.1. SHAPE: FF-S-86H TYPE IV
C.4.2. MATERIAL: STEEL
C.4.3. 12% MINIMUM ELONGATION IN 4 DIAMETERS
ITEM # SUPPLIES/SERVICES QTY U/I
C.4.4. SELF-LOCKING: MIL-DTL-18240F TYPE N
C.4.5. MARK WITH 6 DOTS (~0.032” DIA) RAISED OR DEPRESSED,
(~0.010) ON HEAD TOP OR SIDE,
C.4.6. COATING: UNCOATED
D.1. PACKAGING REQUIREMENTS:
D.1.1. FURNISH EACH FASTENER WITH THREAD PROTECORS. (NO YELLOW
OR MAGENTA)
E.1. DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTCHMENT #1:
E.1. CERTIFICATION OF COMPLIANCE FOR EACH ITEM; EXHIBIT A
SEQUENCE A001AA, A002AA, A003AA:
E.1.1. MINIMUM 12% ELONGATION IN 4 DIAMETERS
E.2. CERTIFICATION OF COMPLIANCE FOR EACH ITEM; EXHIBIT A
SEQUENCE A001AB, A002AB, A003AB:
E.2.1. MIL-DTL-18240F
E.3. CERTIFICATION OF COMPLIANCE FOR EACH ITEM; EXHIBIT A
SEQUENCE A001AC, A002AC, A003AC:
E.3.1. FF-S-86H
EXHIBIT A
(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)
CONTRACT DATA REQUIREMENTS LIST
SYSTEM/ITEM: SLF LCKG SCKT FLT CNTRSNK HD CP SCRW 82O CATEGORY ____________
ITEM NO 1 CONTRACTOR
01 SEQ NO A001AA
02 DATA DESC CERTIFICATE OF COMPLIANCE
03 SUBTITLE ELONGATION
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.1.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
15 TOTAL __
16 REMARKS
SEQ. NO. A001
PREPARED BY ________________________________________________ DATE__________________ APPROVED BY ________________________________________________ DATE__________________
DD FORM 1423
01 SEQ NO A001AB
03 SUBTITLE MIL-DTL-18240
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.2.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
15 TOTAL __
01 SEQ NO A001AC
03 SUBTITLE FF-S-86H
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.3.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
ITEM NO 2 CONTRACTOR
01 SEQ NO A002AA
03 SUBTITLE ELONGATION
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.1.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
SEQ. NO. A002
01 SEQ NO A002AB
03 SUBTITLE MIL-DTL-18240
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.2.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
01 SEQ NO A002AC
03 SUBTITLE FF-S-86H
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.3.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
ITEM NO 3 CONTRACTOR
01 SEQ NO A003AA
03 SUBTITLE ELONGATION
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.1.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
SEQ. NO. A003
01 SEQ NO A003AB
03 SUBTITLE MIL-DTL-18240
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.2.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
01 SEQ NO A003AC
03 SUBTITLE FF-S-86H
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. E.3.
06 TECH OFFICE 2320.4
07 DD 250 REQ DD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)
ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)
CONTRACT/SOLICITATION ________________________________________________________________
ITEM ___________________________________________ (DATE FOR ITEM) ___________________
REQUIRED CERTIFICATION
A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL.
CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS OUTLINED IN
PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL TESTS, ANALYSES,
INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY THE CONTRACT AND
SPECIFICATIONS WHETHER CERTIFICATIONS ARE REQUIRED OR NOT.
CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM STATEMENT OR
COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART)
"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH
ALL CONTRACT REQUIREMENTS".
B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:
1. THE CERTIFICATION OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND TITLE OF
THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY ASSURANCE.
2. THE MATERIAL IDENTIFICATION (E.G. LOT, BATCH, PART #, ETC.) SHALL BE INCLUDED
ON THE CERTIFICATE OF COMPLIANCE.
CERTIFICATE OF COMPLIANCE
COMPANY NAME
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ______________ ORDER NO. ________________ ITEM NO. ____________________ NATIONAL/LOCAL STOCK NO. NSN/LSN ____________________________________________________ MANUFACTURER’S PART NO. _____________________________________________________________ MANUFACTURER’S SERIAL NO. ___________________________________________________________ DRAWING AND PIECE NO. _________________________________________________________________
MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL _________________________
ALL INSPECTIONS AND TEST REPORTS REQUIRED BY ATTACHMENT I TO EXHIBIT A (DD FORM
1423) FOR TRACEABILITY TO EACH CONTRACT ITEM MUST ACCOMPANY THIS SIGNED
STATEMENT:
THE INSPECTION AND TEST REPORTS (AS APPLICABLE) PROVIDED REPRESENT THE ACTUAL
ATTRIBUTES OF THE ITEMS FURNISHED ON THIS CONTRACT AND INDICATE FULL
COMPLIANCE WITH ALL CONTRACT REQUIREMENTS. I ATTEST ALL ITEMS FURNISHED ON
THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS.
SIGNATURE ___________________________________________________ DATE _______________
QUALITY ASSURANCE OFFICIAL
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