Quality Assurance.pdf

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1630015253372LE

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Hart, Stacee A / 801-586-0282

6. EQUIPMENT SPEC / PHONE

Seitz, Mitchell A / 801-775-2599

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

AS 9100

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Child, Dallan JNAME: 30 JUN 2021DATE:

This component requires inspection and acceptance at source and meets the following criteria in accordance with AFMCI 20-102.

Quality Assurance Letter of Instruction (QALI):

-Significant Technical Requirements to ensure configuration baseline -Critical production features to ensure safety of flight aspects of this component -Contract is awarded to manufacturer of this item

Defense Contract Management Agency (DCMA) will provide the necessary technical and administrative oversight to ensure the requirements of section 8 and the Technical Data Package (TDP) provided by the contract are complied with as directed by the 'Landing Gear QALI letter' for CSI and CAI inspection requirements.

AS 9100 is listed as required, but equivalent is acceptable.

The manufacturer of this item is believed not to require Ozone-Depleting Substances (ODS), reference selection below. However, contract clause 52.223-11 will be added to solicitations in the event that ODS usage occurs.

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

PREVIOUS SOURCENO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Child, Dallan J

ORGANIZATION / SYMBOL

417 SCMS / GUEA

PHONE

801-586-1867 / 586-1867

DATE

30 JUN 2021

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