OTHER THAN NEW MATERIAL WORKSHEET Request.doc
DOC document 54 KB Posted
- Attached to
- Control Box, Electrical
- Solicitation number
- SPRDL1-26-R-0037
About this file
This is a template worksheet for submitting "Other Than New Material" in response to federal contract solicitations, specifically designed for Defense Logistics Agency (DLA) Land and Maritime procurements. Contractors offering used, reconditioned, remanufactured, recovered, or surplus materials must complete and submit this form on company letterhead with a signature from an authorized company representative to demonstrate compliance with solicitation requirements.
The worksheet requires contractors to provide detailed information about the material's source (whether from government or non-government sources), acquisition date, and specific classification of the material's condition. For reconditioned, remanufactured, or recovered items, contractors must document the source of work performed and provide a comprehensive summary of all reconditioning or remanufacturing activities. Additionally, contractors must disclose shelf-life information for all components, identify any shelf-life items that have been replaced with new parts, describe current packaging and storage conditions, and certify the accuracy of all submitted information. The form also addresses whether items remain in original packaging or have been opened for inspection, with requirements for authorized representatives to sign and date resealed packages. This template applies to the current solicitation for Control Box, Electrical (NSN 1005-01-706-5658, SPRDL1-26-R-0037), where the Contracting Officer must authorize the use of any other-than-new material before acceptance.
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Other files
| File | Type | Posted |
|---|---|---|
| SPRDL126R0037-0001.pdf | ||
| SPRDL126R0037.pdf | ||
| Source Approval Program Process and Information.pdf |
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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 Land and Maritime
Controlled by: DLA Land Warren
CUI Category: Privacy/SSEL
Distribution/Dissemination Control: FEDCON
POC: Sabrina.krafft@dla.mil
CUI
File details come from the government source that posted it. Updated .