Attachment_3_-_RFV-LKE-BR01.pdf
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- Attached to
- SOLICITATION FOR H-1 Blade Fold Rack Sets
- Solicitation number
- N68335-15-R-0042
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| File | Type | Posted |
|---|---|---|
| N68335-15-R-0042-0007.docx | DOCX document | |
| N68335-15-R-0042-0006.docx | DOCX document | |
| N68335-15-R-0042-0005.docx | DOCX document | |
| N68335-15-R-0042-0004.docx | DOCX document | |
| N68335-15-R-0042-0003.docx | DOCX document | |
| N68335-15-R-0042-0002.docx | DOCX document | |
| N68335-15-R-0042-0001.docx | DOCX document | |
| Exhibit_A01_-_CDRL_A01_Request_for_Deviation.pdf | ||
| Attachment_2_-_Past_Performance_Questionnaire.pdf | ||
| Attachment_1_-_CPARS_Update_Questionnaire.pdf | ||
| SOLICITATION_N68335-15-R-0042.docx | DOCX document |
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Text version
REQUEST FOR VARIANCE
(RFV)
BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY
24. ORIGINATOR
23. CONTRACTING
OFFICER
22. CONTRACT
INFORMATION
12. CLASSIFICATION
OF DEFECT(S)
8. SYSTEM
INFORMATION
1. DATE PREPARED
(DD-MMM-YYYY)
OMB No.
0704-0188
2. PROCURING ACTIVITY NUMBER (PAN):
3. RFV NUMBER:
a. NAME: b. ADDRESS (Street, City, State and ZIP Code):
6. VARIANCE PRE-OR POST-PRODUCTION:
Pre-Production Post-Production
5. RFV PRIORITY:
E - Emergency U - Urgent R - Routine
7. BASELINE AFFECTED:
a. MODEL/TYPE DESIGNATION (ex: M-16):
c. END ITEM CAGE CODE:
ProductAllocatedFunctional
11.a. OTHER EXTERNAL SYSTEM AFFECTED:
Yes No
4. TITLE OF VARIANCE:
a. CONTRACTOR:
b. SYSTEM/CONFIGURATION ITEM NOMENCLATURE (ex.: Rifle):
c. DOCUMENT DEFINING DEFECT CLASS:b. DEFECT NO.:a. DEFECT CLASSIFICATION:
MajorCritical Minor
9. AFFECTED ITEM NOMENCLATURE (ex: Bracket): 10. PART NUMBER(S). OF AFFECTED ITEM(S):
18. EFFECTIVITY (Quantity affected, Lot Number affected, Serial Numbers, Dates) :
19. PER UNIT COST IMPACT:
17. RECURRING VARIANCE:
NoYes
21. EFFECT ON DELIVERY SCHEDULE IF REJECTED:
16. EFFECT ON PERFORMANCE, FUNCTION, RELIABILITY, DURABILITY, INTEGRATED LOGISTICS SUPPORT, INTERFACE OR SOFTWARE:
13. DESCRIPTION OF VARIANCE:
14. NEED FOR VARIANCE:
15. CORRECTIVE ACTION TAKEN:
25.a. SUBMITTING ACTIVITY: b. NAME AND TITLE: c. AUTHORIZED SIGNATURE:
DD FORM 1694, MAR 2013
20. TOTAL COST IMPACT:
c. RFV ORIGINATOR CAGE CODE: d. TELEPHONE:
e. E-MAIL:
b. CONTRACT NO. AND LINE ITEM:
b. TELEPHONE: c. E-MAIL:a. NAME:
b. IF BLOCK 11.a. IS YES, LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED:
Adobe Designer 9.0
DISTRIBUTION STATEMENT:
d. SIGNATUREc. DATE SIGNED
(DD-MMM-YYYY)
b. NAME AND TITLE:
26.a. RECOMMENDATIONS Approval DisapprovalApproval with Modification
d. SIGNATUREc. DATE SIGNED
(DD-MMM-YYYY)
b. NAME AND TITLE 27.a. DISPOSITION (Configuration Change Authority) Approved DisapprovedApproved with Modification
The public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 2 OF THIS FORM.
DD Form 1694, Request for Variance (RFV), March 2013
WHS/ESD/IMD
REQUEST FOR VARIANCE
(RFV)
BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY
24. ORIGINATOR
23. CONTRACTING
OFFICER
22. CONTRACT
INFORMATION
12. CLASSIFICATION
OF DEFECT(S)
8. SYSTEM
INFORMATION
1. DATE PREPARED
(DD-MMM-YYYY)
OMB No.
0704-0188
2. PROCURING ACTIVITY NUMBER (PAN):
3. RFV NUMBER:
a. NAME:
b. ADDRESS (Street, City, State and ZIP Code)
6. VARIANCE PRE-OR POST-PRODUCTION:
Pre-Production Post-Production
5. RFV PRIORITY:
E - Emergency U - Urgent R - Routine
7. BASELINE AFFECTED:
a. MODEL/TYPE DESIGNATION (ex: M-16)
c. END ITEM CAGE CODE:
Product Allocated Functional 11.a. OTHER EXTERNAL SYSTEM AFFECTED:
Yes No
4. TITLE OF VARIANCE:
a. CONTRACTOR:
b. SYSTEM/CONFIGURATION ITEM NOMENCLATURE (ex.: Rifle)
c. DOCUMENT DEFINING DEFECT CLASS:
b. DEFECT NO.
a. DEFECT CLASSIFICATION:
Major Critical Minor
9. AFFECTED ITEM NOMENCLATURE
(ex: Bracket)
10. PART NUMBER(S). OF AFFECTED ITEM(S):
18. EFFECTIVITY
(Quantity affected, Lot Number affected, Serial Numbers, Dates)
19. PER UNIT COST IMPACT:
17. RECURRING VARIANCE:
No Yes
21. EFFECT ON DELIVERY SCHEDULE IF REJECTED:
16. EFFECT ON PERFORMANCE, FUNCTION, RELIABILITY, DURABILITY, INTEGRATED LOGISTICS SUPPORT, INTERFACE OR SOFTWARE:
13. DESCRIPTION OF VARIANCE:
14. NEED FOR VARIANCE:
15. CORRECTIVE ACTION TAKEN:
25.a. SUBMITTING ACTIVITY:
b. NAME AND TITLE:
c. AUTHORIZED SIGNATURE:
DD FORM 1694, MAR 2013
20. TOTAL COST IMPACT:
c. RFV ORIGINATOR
CAGE CODE:
d. TELEPHONE:
e. E-MAIL:
b. CONTRACT NO. AND LINE ITEM:
b. TELEPHONE:
c. E-MAIL:
a. NAME:
b. IF BLOCK 11.a. IS YES, LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED:
Adobe Designer 9.0
DISTRIBUTION STATEMENT:
d. SIGNATURE
c. DATE SIGNED
(DD-MMM-YYYY)
b. NAME AND TITLE:
26.a. RECOMMENDATIONS Approval Disapproval Approval with Modification
d. SIGNATURE
c. DATE SIGNED
(DD-MMM-YYYY)
b. NAME AND TITLE 27.a. DISPOSITION (Configuration Change Authority) Approved Disapproved Approved with Modification The public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 2 OF THIS FORM.
R pre prod No min Yes app app
| 1. Date prepared (2 digit day-3 letter month-4 digit year).: 14-MAY-2015 |
| 2. Procuring Activity Number (PAN).: N68335 |
| 3. Request for Variance (RFV) number.: RFV-LKE-BR01 |
| 4. Title of variance.: Clarification of 449-092-054 Drawing notes and requirements. |
| 27a. Disposition (Configuration change authority). (To be completed by the approving activity). X first box if approved, second if disapproved, third if approved with modification.: |
| 8. System information. a. Model/type designation (e.g., M-16).: 449-210-020-101 |
| b. System/configuration item nomenclature (e.g., rifle).: Blade Fold Rack Set |
| c. End item CAGE code.: 97499 |
| 9. Affected item nomenclature (e.g., bracket).: Jack Assy |
| 10. Part number(s) of affected item(s).: 449-092-054-101 |
| If yes, list other systems or configuration items affected.: |
| b. Defect number.: N/A |
| c. Document defining defect class.: N/A |
| 13. Description of variance.: To provide clarification of notes on drawing 449-092-054 that reference Bell Helicopter. Drawing Note 9, B1 states "STORAGE AND USE (TO BE TESTED AT BELL HELICOPTER). Drawing Note 10 states "THE JACK SHALL HAVE GALVANIC PROTECTION BETWEEN FAYING SURFACES AND DISSIMILAR MATERIALS AND SHALL BE APPROVED BY BELL. |
| 14. Need for variance.: The Government owns the rights to the Blade Fold Rack Data Package and will be the approval authority for the Jack Assy. Testing and approval at Bell Helicopter will not be required. A new development Jack Assy will require the offerer to provide, detailed cost and risk related to the design, manufacture and testing necessary to show the new item meets the envelope drawing requirements. |
| 15. Corrective action taken.: Note 9 Clarification: Testing at Bell Helicopter will be not required. An offerer will be required to provide to the Government any design data, analysis and test results to show the Jack Assy will fulfill the Note 9 requirements. Note 10 Clarification: An offerer will be required to provide to the Government any design data, analysis and test results to show the Jack Assy will fulfill the Note 10 requirements. |
| 16. Effect on performance, function, reliability, durability, integrated logistics support, interface or software.: N/A. Related information: This variance takes precedence over the drawing Note call outs that refer to Bell Helicopter. The Government will not conduct 449-092-054 qualification testing. A First Article Test will be conducted on the Blade Fold Rack as an end item. Drawing update is not possible at this time. |
| 19. Effectivity (Quantity, lot number, serial number, date).: All pre-production and production units. |
| 19. Per unit cost impact.: N/A |
| 20. Total cost impact.: N/A |
| 21. Effect on delivery schedule if rejected.: N/A |
| 22. Contract information. a. Contractor.: TBD |
| b. Contract number and line item.: TBD |
| 23. Contracting officer. a. Name (first, middle initial, last).: Marybeth Kacek |
| b. Telephone number.: 732-323-2061 |
| c. E-mail address.: marybeth.kacek@navy.mil |
| b. Name (first, middle initial, last).: Jeremy Street |
| c. Address (include zip code).: Hwy 547, Lakehurst, NJ 08733 |
| 24. Originator. a. CAGE code.: 30003 |
| d. Telephone number.: 732-323-1406 |
| e. E-mail address.: jeremy.street@navy.mil |
| 25.a. Submitting activity.: NAWCAD Lakehurst |
| b. Name and title.: Jeremy Street, SE Design Engineer |
| c. Authorized signature.: |
| b. Name and title.: |
| d. Date signed (2 digit day-3 letter month-4 digit year).: |
| c. Signature.: |
| b. Name and title.: John Newcomer, H-1 SE Engineer Lead |
| d. Date signed (2 digit day-3 letter month-4 digit year).: 18-May-2015 |
| c. Signature.: |
| Distribution statement.: |
File details come from the government source that posted it. Updated .