Other Than New Material Worksheet.doc
DOC document 54 KB Posted
- Attached to
- Engine, Diesel w/Container
- Solicitation number
- SPRDL1-25-R-0237
About this file
This is a CUI Other Than New Material Worksheet, a required submission form for offerors proposing used, reconditioned, remanufactured, or surplus materials in response to federal solicitations. The worksheet template establishes the framework for vendors to document and justify the use of other-than-new items, which requires explicit Contracting Officer authorization. Submissions must include detailed supporting documentation and be submitted on company letterhead with an authorized company agent signature by the quote or offer due date, or within timeframes specified by the Contracting Officer for additional requests.
The worksheet requires offerors to provide comprehensive information across six sections: current acquisition details (solicitation number, NSN, part number, drawing references); identification of the material source (whether from government or commercial sources with dates and contract information); description of the material type with specific details on reconditioning, recovery, remanufacturing, residual inventory, or surplus status; shelf life documentation for all applicable parts with replacement dates; packaging information detailing original or alternative protective measures and inspection protocols; and storage conditions (indoor or outdoor with protection methods). The form mandates that vendors certify the accuracy of all statements and provide contact information, company CAGE code, and authorized signature. This template is controlled by DLA Weapons Support and applies to solicitations like SPRDL1-25-R-0237 for diesel engines under NSN 2815-01-517-1809.
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Text version
CUI
OTHER THAN NEW MATERIAL WORKSHEET
(Request for information and supporting documentation) This information/supporting documentation is part of your quote/offer. It must be submitted on Company letterhead and signed by an agent of the Company.
1. CURRENT ACQUISITION INFORMATION:
Buyer's Name: ______________________________________________________
Solicitation No.: ____________________________________________________
NSN: ________________________________________________________________
Noun: _______________________________________________________________ P/N: ________________________________________________________________ Drawing No./Revision: ___________________________________________
2. SUBMISSION. The submitter shall provide supporting documentation as necessary to demonstrate that the OTHER THAN NEW material offered meets solicitation requirements. Used, reconditioned, or remanufactured items shall not be used unless the Contracting Officer has authorized their use. In order for the Contracting Officer to make that determination, the submitter shall provide certain information along with supporting documentation on or before the date that the quote/offer is due, or within the timeframe specified by the Contracting Officer if additional documentation is requested after submission of the quote/offer.
3. ACQUIRED FROM. Items were acquired as OTHER THAN NEW from one of the following sources:
GOVERNMENT SOURCE
Government (Selling) Agency: _______________________________________
Address: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Government Contract Number: _________________________________________ Government Contract Date: ____________________________________________
Date Acquired: _______________________________________________________
OTHER THAN A GOVERNMENT SOURCE
Source Obtained From: _______________________________________________
Source Address: ________________________________________________________________________ ________________________________________________________________________________________________________________________________________________
Date Acquired From Source:__________________________________________ Government Contract Number: _______________________________________ Government Contract Date: __________________________________________
4. DESCRIPTION: Check as appropriate and provide information and supporting documentation. For information concerning definitions, please see Federal Acquisition Regulation (FAR) 52.211-5, Material Requirements.
( ) RECONDITIONED
a. Source of Reconditioning: include name of company, address, and phone number.
b. Summary of Reconditioning (provide full details):
( ) RECOVERED MATERIAL:
a. Source of Material:
b. Summary of Material:
( ) REMANUFACTURED:
a. Source of Remanufacture:
b. Summary of Remanufacture:
( ) RESIDUAL INVENTORY:
a. Source:
b. Summary/pertinent information:
( ) UNUSED FORMER GOVERNMENT SURPLUS:
a. Source of surplus material:
b. Summary/pertinent information:
5. ADDITIONAL INFORMATION REQUIRED FOR ALL SUBMISSIONS:
SHELF LIFE. Items being offered to the government that have any associated parts with a shelf life must be identified. Please list those items along with whether or not they have been replaced with new parts.
Item: _____________________________________________________________
Shelf Life: ________________________________________________________
Replacement Date: ______________________________________________
Item: _____________________________________________________________
Shelf Life: ________________________________________________________
Replacement Date: _______________________________________________
Item: _____________________________________________________________
Shelf Life: ________________________________________________________
Replacement Date: _______________________________________________
PACKAGING.
( ) The offered material is in its original package. Describe packaging:
( ) The offered material is not in its original packaging. Describe packaging:
Unless the solicitation states otherwise, submitters of other than new material are authorized to open packages, inspect material, and reseal packages. Each time this is done, the submitter's authorized representative or inspector must sign the packages where they were resealed and annotate the date of inspection.
STORAGE - Items were stored:
1. Outside. State how stored/protected: ________________________________________________________________________________________________________________________________________________
2. Inside. State how stored/protected:
6. SUBMISSION. The submitter, by signing the below, certifies that the above statements are true and correct. Please provide printed name, signature, company address, and phone number where you can be reached. Again, the signer must be an agent of the company.
Signature: ____________________________________________________________
Printed Name: ________________________________________________________
Title: _________________________________________________________________
Company Name: ______________________________________________________
Company Address: ________________________________________________________________________________________________________________________________________________________________________________________________________________________
Phone Number: _______________________________________________________
CAGE Code: _______________
Controlled by: DLA Weapons Support (Columbus)
Controlled by: DLA Weapons Support (Warren)
CUI Category: Privacy/SSEL
Distribution/Dissemination Control: FEDCON
POC: PCO E-Mail @dla.mil
CUI
File details come from the government source that posted it. Updated .