OTHER THAN NEW MATERIAL WORKSHEET_SPRDL1-26-R-0032.doc
DOC document 54 KB Posted
- Attached to
- Pump, Rotary
- Solicitation number
- SPRDL1-26-R-0032
About this file
This is an "Other Than New Material Worksheet" for Defense Logistics Agency (DLA) Weapons Support solicitation SPRDL1-26-R-0032, which procures Rotary Pump units (NSN 4320-01-706-5281, Part Number 12581994-3). The worksheet is a required submission template for offerors proposing used, reconditioned, remanufactured, or surplus materials rather than new items. Offerors must complete and sign the form on company letterhead, providing detailed documentation to demonstrate compliance with solicitation requirements. The worksheet requires submitters to identify the source of acquisition (government or non-government), classify the material category (reconditioned, recovered, remanufactured, residual inventory, or unused government surplus), and provide comprehensive details about the sourcing and processing history.
The worksheet mandates disclosure of critical information including shelf life status for any components with expiration dates and replacement history, packaging condition and inspection records (with dates and authorized representative signatures), and storage conditions with specific protection methods employed. Submitters must certify all statements as true and accurate by signature of an authorized company agent, including contact information and CAGE code. This documentation supports the Contracting Officer's authorization decision for acceptance of other-than-new material and is due concurrent with the quote/offer submission or within timeframes specified if additional information is requested post-submission.
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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: Sabrina Krafft Solicitation No.: SPRDL1-26-R-0032
NSN: 4320-01-706-5281
Noun: Pump, Rotary P/N: 12581994-3 Drawing No./Revision: 12581994-3
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: Sabrina.krafft@dla.mil
CUI
File details come from the government source that posted it. Updated .