SAW_3010.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

12 MAY 2021

2. FORM PRIORITY

3. NSN

5840016593010FD

4. PART NUMBER

91103-1

5. PART NUMBER CAGE CODE

3Z966

6. NOUN

TRANSMITTER,RADAR

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$87,750.0000

9. ANNUAL REPAIR

BUDGET VALUE

$438,750.00

10. FORECAST UNIT

PRICE

$135,000.0000

11. ERRC

T

12. WEAPON SYSTEM

JTE

13. END ITEM APPLICATION

AN/TSQ-T10

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

X NO YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

15. PMS SELLER NAME

Bodin, Christine A

CODE OFFICE SYMBOL

415 SCMS / GUMAA

PHONE

801-775-2385

COMPLETION DATE

12 MAY 2021

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED NO X YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED NO X YES (annotate required data and availability on RDL) UNKNOWN

18. X THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS NOT REQUIRED X REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE NOT REQUIRED X REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

Hardy, Terrance L

CODE

3B

OFFICE SYMBOL

415 SCMS / GUMAA

PHONE

801-586-1442

COMPLETION DATE

12 MAY 2021

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

LISTED AND ANNOTATED ON RDL X NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

NO X YES

26. PRECONTRACT QUALIFICATION

REQUIRED

X NO YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

X NO YES

28. RMC / RMSC CODE

R4 / R

29. RMC / RMSC EXPIRATION DATE

31 MAY 2026

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

Engineering knowledge regarding the manufacture and repair of this part is limited to OEM. OEM has expressed no interest in selling data to the government.

Continually conducting market research to expand list of qualified vendors and performing efforts to obtain complete technical data to repair this item.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

APPLIED SYSTEMS ENGINEERING, INC. 3Z966 31 MAY 2019

32. ENGINEER NAME

Hornsby, Kendric R

CODE

N/A

OFFICE SYMBOL

415 SCMS / GUMBB

PHONE

801-777-2444

COMPLETION DATE

13 MAY 2021

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 4Generated by PRPS using Jasper Reports on 02 Jun 2021

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Equipment Specialist NAME: Hardy, Terrance L DATE: 12 MAY 2021

ORG / OFFICE SYMBOL: 415 SCMS / GUMAA COMMERCIAL PHONE: 801-586-1442 DSN PHONE: 586-1442

TLH 12 May 2021.

USER TYPE: Equipment Specialist NAME: Hardy, Terrance L DATE: 12 MAY 2021

ORG / OFFICE SYMBOL: 415 SCMS / GUMAA COMMERCIAL PHONE: 801-586-1442 DSN PHONE: 586-1442

TLH 12 May 2021.

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 4Generated by PRPS using Jasper Reports on 02 Jun 2021