Signed Letter RFP SPRTA122R1152.pdf

DEFENSE LOGISTICS AGENCY

AVIATION AT OKLAHOMA CITY

3001 STAFF DRIVE SUITE 2B-95

TINKER AIR FORCE BASE, OKLAHOMA 73145-3015

25 July 2022

IN REPLY

REFER TO: DLA Aviation at Oklahoma City/ AOAA

MEMORANDUM FOR: PRATT & WHITNEY

400 MAIN STREET

EAST HARTFORD CT 06108-0969

SUBJECT: Letter Solicitation, SPRTA1-22-R-1152

Subject solicitation is issued for acquiring supplies identified on page 2 of this letter.

Please provide your best price and delivery proposal for the required part number based on the best estimated quantities (BEQ) listed. Price and delivery proposals will be negotiated upon closing of this solicitation. Electronic submission (E-mail) of your proposal is preferred.

This correspondence constitutes a letter solicitation as these items are intended to be awarded as a firm fixed-price, fixed quantity order against the Pratt & Whitney Basic Ordering Agreement (BOA), SPE4A1-21-G-0001. Be advised, this requirement has been advertised in the Federal Business Opportunities (FedBizOpps) for viewing by the general public.

Please provide your proposal at your earliest convenience, but no later than 25 August

2022. If you have any questions or need more information, please contact me at (405) 855-7112, or email Jeremy.bryant@us.af.mil.

Jeremy Bryant Contracting Officer TF-33 and F-100 Engines Contracting Branch mailto:Jeremy.bryant@us.af.mil

The information listed below is in support of this requirement, SPRTA1-22-R-1152:

a) BEQ: 99 EA (Minimum: 25 EA; Maximum: 149 EA)

b) PR: FD2030-22-01152

c) Cage Code: 52661

d) P/N: 4084477-01

e) NSN: 2840-01-619-3223NZ

f) Noun: Vane Segment, Compre

g) Item Unique Identification (IUID): DFARS 252.211.7003

h) Critical Safety Item (CSI): Yes

i) IUID Marking: (See attached)

j) Inspection/Acceptance: Origin

k) FOB: Origin

l) Quality Assurance: Higher level quality requirements; ISO 9001:2008 or higher

m) Proposal Validity: 120 days after submission

n) Progress Payments: Proposals >SAT ($250K) shall identify if progress payments are requested (IAW FAR 15.232-16 Alt III)

o) Requested Deliveries: Early and partial shipments are authorized

CLIN 0001: BEQ 99 EA / Delivery: 99 EA on or before 21 May 2024; Destination:

SW3211

p) Ship To / Mark-For: SW3211; see attached Transportation Requirements (DD Form

1653)

q) Attachments:

1) IUID Checklist; 6 May 2021, 1 page

2) Transportation Data; DD 1653, 10 June 2022, 1 page

3) Packaging Requirements; AFMC 158, 10 June 2022, 1 page

4) Qualification Requirements; MQR-PSD-1, 29 Oct 2019, 31 pages

ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

I. IUID DETAILS: DFARS 252.211.7003

SECTION (c) (1) (ii) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

2840016193223NZ

VERSION NUMBER

NOUN

VANE SEGMENT,COMPRE

INITIATOR

Olsson, James D

ORGANIZATION CODE / OFFICE SYMBOL

AFLCMC / LPEA2

COMMERCIAL PHONE

405-622-7829

DSN PHONE

892-7829

CAGE / REFERENCE NUMBER

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Recommended Marking Instruction

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE

Direct Part Mark

MARKING METHOD

Elect Etched

DESCRIPTION / LOCATION

Mark per drawing 4089077-01

REMARKS

Olsson, James DNAME: 06 MAY 2021DATE:

Mark per drawing 4089077-01

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 2840016193223NZ

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

Page 1 of 1IUID Version 4Generated by PRPS using Jasper Reports on 24 Jun 2022

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20302201152-00

DATE INITIATED:

10 JUN 2022

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53 Contact DCMA Transportation Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB:

Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

Vendor Transportation Instructions

IAW BASIC CONTRACT FD20302201152-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 642 47GT 15380F 01N000 00000 000000 503000 F03000 FSR: 013352 PSR: K28690

First Destination Transportation Account Code: FRS2

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 2840016193223NZ

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3211

Mark For: ACCT: 09

Ship To (Address): DLA DISTRIBUTION DEPOT OKLAHOMA

TINKER AFB OK 73145-8000

73145 - 8000

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

3301 F AVE CEN REC BLDG 506 DR 22

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Respert, Woodnell M

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-3412 / 497-3412

SIGNATURE

//SIGNED//Respert, Woodnell M

DATE

10 JUN 2022

Page 1 of 1DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 24 Jun 2022

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20302201152-00 VERSION: 1

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAA MIL Long Line Packaging MIL B

ITEM(S):

2840016193223NZ

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

1 AAA 41 1 00 EA NA B ED EC B 17 3.70 4.3 4.3 12.5 0.133 O

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Real, Billy S

PHONE NUMBER:

405-582-9721 / 852-9721

SIGNATURE:

//SIGNED//Real, Billy S

DATE:

22161 - 10 JUN 2022

Page 1 of 1AFMC 158 Version 1Generated by PRPS using Jasper Reports on 24 Jun 2022

29 October 2019 MQR-PSD-1

Revision 2

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MANUFACTURE QUALIFICATION REQUIREMENTS (MQR) FOR

PROPULSION CRITICAL SAFETY ITEMS (CSI) & CRITICAL

APPLICATION ITEMS (CAI)

1. APPLICATION

2. SCOPE

3. SUBMITTAL CONSIDERATION

4. TECHNICAL DATA REQUEST

5. FORMAT FOR ALL SUBMITTED DOCUMENTATION

6. USE OF PROPRIETARY DATA

7. COMPANY PROFILE

8. SOURCE APPROVAL REQUEST (SAR)

9. DOCUMENT SUBMITTAL

10. EVALUATION METHODS

11. APPROVAL DURATION

12. SOURCE RESUBSTANTIATION REQUEST (SRR)

13. PROCESS CHANGE REQUEST (PCR)

APPENDIX A: SELF-ASSESMENT CHECKLIST (SAC)

APPENDIX B: SIGNIFICANT INDUSTRIAL PROCESS FORM

APPENDIX C: COVER LETTER REQUIREMENTS

APPENDIX D: SOURCE OF SUPPLY MATRIX FOR MODULES/ASSEMBLIES

APPENDIX E: TECHNICAL DATA RIGHTS CERTIFICATION LETTER

APPENDIX F: SIMILAR ITEM COMPARISON MATRIX

APPENDIX G: PROCESS CHANGE REQUEST (PCR) / SOURCE RESUBSTANTIATION REQUEST (SRR)

APPENDIX H: DEFINITIONS

Page | 2

1. APPLICATION

1.1. This MQR applies to CSI and CAI with an Acquisition Method Suffix Code (AMSC) of C, D, K, M, N, P, Q, R, S, V, and Z within the Propulsion Sustainment Division. This MQR does not apply to items with an AMSC of G, A, B, H, L, U, and Y.

1.2. This MQR establishes technical requirements, which Potential Sources (PS) must satisfy in order to obtain Engineering Support Activity (ESA) approval to manufacture propulsion items.

2. SCOPE

2.1. The PS must have a valid Company Profile on record with the ESA in order to gain source approval status. If one does not exist the PS must submit one. Company Profile requirements are described in section 7.

2.2. In order to gain source approval status, the PS must submit a SAR. The SAR requirements are described in section 8.

2.3. The Company Profile and SAR will be reviewed by the ESA and the PS will either be made an approved source, or denied source approval. See section 10.

2.4. Source approval status expires after 3 years for CSI, and 7 years for CAI. Sources that deliver parts on government contract, maintain source approval status. See section 11.

2.5. Approved sources shall submit a Source Resubstantiation Request (SRR) prior to expiration of the current approval period (recommended 60 days) in order to renew the approval status duration. See section 12.

2.6. Any time a change to the SAR documentation occurs, the approved source must submit a Process Change Request (PCR) for review by the ESA. See section 13.

2.7. The ESA may revoke the approval status of a PS at any time per FAR 9.207.

3. SUBMITTAL CONSIDERATION

3.1. The PS should consider submitting a SAR for evaluation after determining that the USAF is in need of the subject item. This can be done by considering the following:

3.1.1. Has the United States Air Force (USAF) listed a requirement in the System for

Award Management (SAM) at https://beta.sam.gov or DLA Bid Board System

(DIBBS) at https://www.dibbs.bsm.mil?

https://beta.sam.gov/ https://www.dibbs.bsm.mil/

Page | 3

3.1.2. Has the procurement history for the item been researched and determined to be active?

3.1.3. Is the subject item listed in the Requirement Projection on the Web (RPOW)?

3.1.3.1. The RPOW can be found on the Strategic Alternative Sourcing Program

Office (SASPO) website: www.tinker.af.mil/Home/429SCMSSASPO/.

3.1.3.2. The forecasts contained on the RPOW may or may not generate due to variability in customer demands and priorities. The forecast data is for planning purposes only and does not constitute an invitation for bid or request for proposal and is not a commitment by the government to purchase the described items.

3.2. Any questions regarding SAR submission or the RPOW should be directed to either the

Air Force Small Business Office (SBO) or SASPO.

4. TECHNICAL DATA REQUEST

4.1. Requests related to any procurement announcement should be submitted to the announcing Contracting Officer.

4.2. If no procurement announcement exists, requests should be submitted to the Tinker

Engineering Drawing Public Sales Office at the following address/email:

AFLCMC/LZPEF

Tinker Engineering Drawing Public Sales

3001 Staff Drive, Suite 1AB82A

Tinker AFB, OK 73145-3041

Phone: 405-736-4676

Email: OCALC.LGLDO.PUBLIC@US.AF.MIL

4.3. Requests should identify the specific drawing(s) and specification(s) being requested, along with the solicitation information (if a procurement announcement exists).

4.4. Requests should be made on company letterhead along with an approved DD Form

2345 or Export Control License.

http://www.tinker.af.mil/Home/429SCMSSASPO/ mailto:OCALC.LGLDO.PUBLIC@US.AF.MIL

Page | 4

5. FORMAT FOR ALL SUBMITTED DOCUMENTATION

5.1. All financial data must be redacted from submitted documentation.

5.2. Packages should be submitted on a Compact Disk-Recordable (CD-R), Digital Versatile

Disc Recordable (DVD-R), or through an approved government file transfer system, in a

.pdf file format.

5.2.1. The package can be a single .pdf file with indexes linked to each element, or a series of files/folders for each element.

5.2.2. If the PS is submitting Company Profile documents at the same time as a SAR package, the Company Profile documents should be provided in a separate .pdf file and/or in a separate and clearly identified folder.

5.2.3. All documents should be scanned for viruses prior to submission.

5.2.4. If the CD-R is encrypted or password protected, provide a point of contact that can give access to the documentation. Zip files cannot be encrypted.

5.3. Packages submitted on a Compact Disk-Rewritable (CD-RW), Digital Versatile Disc

Rewritable (DVD-RW), or flash drive will not be accepted.

5.4. Company Profile and SAR packages must follow the order called out in Tables 1 and 2.

5.5. For all Company Profile and SAR submissions, a table of contents is expected.

5.6. Certain elements may not be required depending on the circumstances of the submittal. If an element is not applicable, the PS must provide a statement explaining why this is the case. Do not leave any element blank.

6. USE OF PROPRIETARY DATA

6.1. The PS is not to utilize intellectual property (IP) of any third parties without appropriate authorization of the IP owner. The PS is cautioned that no part of the government MQR is intended to endorse or encourage the improper use of IP developed by the Original

Equipment Manufacturer (OEM) or any other third party.

Page | 5

7. COMPANY PROFILE

Note: Any PS seeking source approval must have a valid Company Profile on record with the ESA.

Initial submission of a Company Profile should include all of the requirements listed in Table 1 and described in Elements 1-9. Company Profiles can be submitted at any time, standalone or in conjunction with a SAR. All information provided in the Company Profile may be kept by the ESA for use in future SAR reviews. A Company Profile is required for each unique CAGE code.

Company Profile Requirements

ELEMENT 1. Company Brochure/Website

ELEMENT 2. Quality Assurance Certificate (QAC)

ELEMENT 3. Self-Assessment Checklist (SAC)

ELEMENT 4. Quality Assurance System (QAS) Manual

ELEMENT 5. Equipment List

ELEMENT 6. DD Form 2345 or Export Control License

ELEMENT 7. Quality History

ELEMENT 8. Significant Industrial Process (SIP) Certifications

ELEMENT 9. Sub-Tier Supplier Info.

1. List of all Sub-Tier Suppliers (STS)

2. All STS Quality Assurance Certifications

3. Any STS Significant Industrial Process Certifications

Table 1. Company Profile Requirements

7.1. Element 1, COMPANY BROCHURE/WEBSITE

7.1.1. Provide a company brochure and/or website.

7.2. Element 2, QUALITY ASSURANCE CERTIFICATE (QAC)

7.2.1. Provide one of the following QAC with a valid expiration date: ISO 9001, AS9100, or NATO AQAP-2070.

7.3. Element 3, SELF-ASSESMENT CHECKLIST (SAC)

7.3.1. The PS must complete and submit a SAC (Appendix A).

7.3.2. The SAC must be signed by an authorized binding company official (i.e. President, Owner, or Facility General Manager).

7.3.3. If artifacts are used to support any of the items on the checklist, they can be attached to the checklist. However, not all items require artifacts.

Page | 6

7.4. Element 4, QUALITY ASSURANCE SYSTEM (QAS) MANUAL

7.4.1. Provide a copy of the PS’s QAS manual and all supporting/referenced documentation.

7.5. Element 5, EQUIPMENT LIST

7.5.1. Provide a complete list of all equipment owned and used for the manufacturing and repair of parts by the PS.

7.6. Element 6, DD FORM 2345 OR EXPORT CONTROL LICENSE

7.6.1. If located within the United States or Canada, provide a copy of the PS’s DD Form

2345 with a valid expiration date.

7.6.2. If not located within the United States or Canada, provide a copy of the PS’s

Export Control License with a valid expiration date.

7.7. Element 7, QUALITY HISTORY

Note: Nonconformance is not necessarily perceived as an increase in risk when considering source approval. Identification of nonconformance can illustrate a successful quality assurance program.

7.7.1. Provide a PS quality history summary of Deficiency Reports (DR) experienced for the last 36 months including but not limited to: internal deficiencies, commercial deficiencies, FAA Service Bulletins, Maintenance Review Board (MRB) actions, Quality Deficiency Reports (QDR), Laboratory Quality Review Orders (LQRO), Offeror Report of Nonconformance (ORON), Supplier Reports of Non-conformance (SRON), Material Deficiency Reports (MDR), statistical reports of nonconformance and nonconforming material rejection reports. If the PS facilities have not experienced any quality deficiencies within the last 36 months, provide a document stating as such.

7.7.1.1. If government source inspections were conducted, the Government Quality

Assurance Representative will coordinate on the summary. Otherwise, an authorized binding company official (i.e. President, Facility General

Manager, or Quality Assurance Manager) must coordinate on the summary.

7.7.1.2. The summary will include the following data: part number, nomenclature, feature, deficiency, quantity, date, and corrective action.

Page | 7

7.7.2. Provide an example corrective action request and corrective action plan or resolution for an identified deficiency, if one exists.

Note: Elements 8 and 9 may be reviewed during the SAR, SRR, and PCR evaluation processes. If the PS claims the use of a SIP or STS in any of these requests, the referenced SIP or STS must be included in, or added to the Company Profile at that time.

7.8. Element 8, SIGNIFICANT INDUSTRIAL PROCESS (SIP) CERTIFICATIONS

7.8.1. Provide any SIP certifications possessed by the PS with a valid expiration date.

7.8.2. SIP certification is required for those processes denoted by grey highlight in

Appendix B. Methods of certification include:

7.8.2.1. National Aerospace & Defense Contractors Accreditation Program

(NADCAP) certification.

7.8.2.2. OEM Certification and/or audit.

7.8.2.3. Department of Defense (Air Force, DCMA, Navy, or Army) certification and/or audit.

7.8.2.4. Other external audit and/or certification.

7.8.2.4.1. Requires the submission of documents showing the process and procedure used for certification to be reviewed by the ESA in order to determine acceptability of alternative certification.

7.9. Element 9, SUB-TIER SUPPLIER (STS) INFORMATION

7.9.1. Provide a complete list of all STS that the PS is currently using for government contracts, or may use in future source approval requests. List must include the

STS company name and CAGE code.

7.9.2. For each STS, provide one of the following QAC with a valid expiration date: ISO

9001, AS9100, NATO AQAP-2070, or Aerospace Quality System (AQS) NADCAP.

7.9.3. Provide any SIP certifications possessed by each STS listed, with a valid expiration date. See Section 7.8.2 for requirements.

Page | 8

7.10. COMPANY PROFILE EVALUATION

Note: The Company Profile does not have an inherent expiration date. However, elements within the profile do expire and must be updated to maintain a valid Company Profile.

7.10.1. The initial review of the Company Profile includes the examination of all elements described in sections 7.1-7.7.

7.10.2. During the review of any future SAR, SRR, or PCR submitted by the PS, the

Company Profile will be reviewed in order to determine if the following requirements are met:

7.10.2.1. All certificates must not be expired.

7.10.2.1.1. Elements 2 and 6 have inherent expiration dates that, if expired, must be renewed before source approval status can be granted.

7.10.2.1.2. If a SIP requiring certification is identified in the request, a valid certificate must be included in either Elements 8 or 9.

7.10.2.2. Any STS identified in the request must be included in Element 9 with a valid

QAC provided.

7.10.3. If any deficiency in the Company Profile is identified at the time of review, the PS may be issued a conditional approval letter pending resolution of these issues.

See section 10 for details on corrective actions.

7.11. COMPANY PROFILE AMENDMENTS

Note: It is encouraged for the PS to maintain a valid and up to date Company Profile at all times in order to expedite the SAR evaluation process.

7.11.1. At any time, the PS may submit amendments or updates to the Company Profile.

7.11.1.1. Common updates include: Replacing expired certificates (QAC, SIP, DD

Form 2345), adding a new STS, or notification of a significant change to any element of the Company Profile.

7.11.2. Company Profile amendments can be submitted per section 9.

7.11.3. If the PS is bought or sold by a third party the PS must submit a novation letter detailing the specifics of this change in company makeup/structure.

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8. SOURCE APPROVAL REQUEST (SAR)

Note: Any PS seeking source approval must have a valid Company Profile on record with the ESA.

If one does not exist, the PS cannot be awarded source approval. See section 7 for details.

8.1. SAR Categories Determination

8.1.1. CATEGORY I (Actual Item)

8.1.1.1. This category covers PS who manufacture the exact subject item, using

OEM technical data, for the prime contractor, OEM, DOD, civil agency, foreign government, or the civil sector under Federal Aviation

Administration (FAA).

8.1.2. CATEGORY II (Similar Item)

8.1.2.1. This category covers PS who have not previously manufactured the exact subject item, but have manufactured other items similar in material, coatings, design features, industrial processes, etc. for the prime contractor, OEM, DOD, civil agency, foreign government, or the civil sector under FAA. Multiple similar items may be used to demonstrate relevant experience. Similarity is not limited to aerospace applications.

Note: Category III (No Experience) and IV (Reverse Engineering) SARs as defined by the AFMCI

23-113 are not covered by this QR document. The ESA will direct sources when a need arises for reverse engineered components and will provide relevant requirements at that time. Category

III and IV SARs submitted under this QR will not be evaluated.

8.2. A SAR consists of two (2) packages of information:

8.2.1. SUBJECT ITEM PACKAGE (Elements A-I)

8.2.1.1. Includes all of the required engineering data, proposed manufacturing plan, and other legal documents required to manufacture the subject item.

8.2.2. DEMONSTRATION PACKAGE (Elements J-M)

8.2.2.1. Demonstrates that the PS has recently manufactured and delivered either the subject item, or part(s) of similar complexity compared to the subject item.

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8.2.2.1.1. For Category II SARs, if more than one similar item is required to demonstrate relevant experience, the PS must submit a demonstration package for each unique similar item.

8.3. ASSEMBLY SAR REQUIREMENTS

8.3.1. Any SAR package submitted for an assembly, module, or whole engine must meet all of the additional requirements called out in Appendix D. Submit the source of supply matrix in Element A along with the cover letter.

8.4. SAR WAIVERS

8.4.1. The ESA may decide to waive certain requirements in special circumstances. If the

PS has a letter from the ESA waiving them of certain SAR requirements, provide this letter in place of said requirements.

Section Element Title

Subject Item Package

A Cover Letter

Engineering Data B Subject Item Technical Data

Manufacturing

Plan

C Proposed Production Documents

D Sub-Tier Supplier (STS) List

E Significant Industrial Processes (SIP)

F Calibrated Equipment List

Licensing/Legal

Documents

G Technical Data Rights Certification Statement

H License Agreements

I Government Quality Assurance Compliance

Demonstration Package

J Similarities/Differences Summary*

K Similar Item Technical Data*

L Demonstration Production Documents

M Purchase Orders and Shipping Documents

Table 2. SAR Requirements Outline *N/A for Category I SARs

8.5. Element A, COVER LETTER

8.5.1. Provide a cover letter (Appendix C).

8.5.2. For assemblies, modules or whole engine SAR packages provide the Source of

Supply Matrix (Appendix D).

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8.6. Element B, SUBJECT ITEM TECHNICAL DATA

8.6.1. Provide the subject item Engineering Data List (EDL).

8.6.1.1. The EDL is the complete list of all technical data required to manufacture an item. This may include drawings (casting, forging, source control, master, assembly, detail, schematic, airfoil data, etc.), specifications, parts lists, etc.

8.6.2. Provide the latest legible revision of all technical data listed on the EDL.

8.6.2.1. For specifications, only the title page is required.

8.6.2.2. Proprietary technical data may be redacted to only reveal the drawing/ specification number, title, revision, and proprietary statement.

8.7. Element C, PROPOSED PRODUCTION DOCUMENTS

Note: Proposed Production Documents consist of Travelers, Process Operation Sheets (POS) and

Inspection Method Sheets (IMS). Together, these documents must demonstrate that the PS has an adequate manufacturing plan and that traceability of the work being performed is achieved.

8.7.1. All Proposed Production Documents must meet the following requirements:

8.7.1.1. Must be created and owned by the PS.

8.7.1.2. Must include any and all proprietary production documents.

8.7.1.2.1. The process description may be redacted for proprietary processes.

8.7.1.3. Must establish traceability.

8.7.1.3.1. Proper traceability connects the work being performed to the facility, performing operator, specific part, and the date that the work is being performed.

8.7.1.3.2. An example of adequate traceability is the use of page numbers along with a unique document number that is present on each page. On the first page of the document, the date, company name, cage code is present, and the travelers have stamp blocks that allow the operator to indicate the work that is accomplished by the specific operator.

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8.7.1.4. Any sub-vended process listed must identify the STS by name and CAGE at each applicable operational step with clearly identified process or procedure.

8.7.1.4.1. Any STS referenced in the production documents must be included in

Element D, and the PS Company Profile.

8.7.2. TRAVELERS

8.7.2.1. Travelers are a detailed step-by-step account of the proper sequenced procedures necessary to manufacture the subject item.

8.7.2.2. Must include the following:

8.7.2.2.1. The operation number, process description, location, software data file name, etc. necessary to control the manufacture operations.

8.7.2.2.2. Signature blocks for in-process operator and/or inspector signing or stamping.

8.7.2.2.3. Tracked disposition of all parts during the entire manufacturing operation to include rejects and laboratory samples.

8.7.2.2.4. References to specific IMS or POS in applicable steps.

Note: Travelers enclosed in this section are not to be considered a replacement for detailed

Process Operation Sheets (POS). Lack of detailed POS pertaining to manufacture may be cause for disapproval of the PS’s SAR.

8.7.3. PROCESS OPERATION SHEETS (POS)

8.7.3.1. POS are a detailed description of the process being performed.

8.7.3.2. POS should include an identification of the equipment/tooling used in the process, material handling procedures, set-up procedures, necessary safety precautions, any process specific drawings/graphics and a description of the in-process parameters used (i.e. speed and feed rates).

8.7.4. INSPECTION METHOD SHEETS (IMS)

8.7.4.1. IMS are a detailed step-by-step account of the proper sequenced procedures necessary to inspect the subject item.

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8.7.4.2. Must include part number(s), exact dimensions and proper units.

8.7.4.3. Pass/Fail dimensions are not acceptable, except when using a part specific

“go-no-go” gage. This type of gage must be included in Element F.

8.7.4.4. If a sampling plan is used, provide the sampling plan to be reviewed.

8.8. Element D, SUB-TIER SUPPLIER (STS) LIST

Note: All STS identified in this section must be included in the PS Company Profile, or the SAR will not be approved until the issue is resolved. If a new STS must be added to the PS Company Profile, submit a Company Profile amendment per sections 7.9 and 7.11 of this document.

8.8.1. Provide a matrix, Table 3, with the CAGE, Company Name, and a short description of any work being performed by STS.

Sub-Tier Suppliers Used to Manufacture Subject Item

CAGE: Company Name: Description of support:

XXXXX Example Company #1 Provides raw material

YYYYY Example Company #2 Performs SIP for the PS (See Element E)

Table 3. Example of Sub-Tier Supplier Matrix

8.9. Element E, SIGNIFICANT INDUSTRIAL PROCESSES (SIP)

Note: Any SIP that requires quality certification, identified in this section, must be included in the

PS Company Profile or the SAR will not be approved until the issue is resolved. If a new SIP certification must be added to the PS Company Profile, submit a Company Profile amendment per sections 7.8 and 7.11 of this document.

8.9.1. Provide a matrix (Appendix B) indicating the performing cage code (PS or STS) for any and all SIP performed during the manufacturing of the subject item.

8.10. Element F, CALIBRATED EQUIPMENT LIST

8.10.1. Provide a matrix listing all equipment/tooling requiring calibration to include:

part number, serial number, location, and date of calibration and expiration for each item used in the manufacturing of the subject item.

8.10.1.1. This includes any “go-no-go” gages referenced in section 8.7.4.

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8.11. Element G, TECHNICAL DATA RIGHTS CERTIFICATION STATEMENT

8.11.1. The PS must provide a certification of rights to use technical data in the format and wording provided in Appendix E, signed on company letterhead by an authorized binding company official (i.e. President, Owner, or Facility General

Manager).

8.11.2. This Certificate states that the technical data was obtained by legal means and the company has the rights to use the data supplied in the SAR for manufacture purposes.

8.11.3. It is acceptable for the certificate to address multiple PN/NSN on a single certificate.

8.12. Element H, LICENSE AGREEMENTS

8.12.1. For an item where proprietary data is used, or with an AMSC code of V, provide an ownership statement or a copy of the licensee agreement between the PS and the data owner.

8.12.2. If a STS owns a proprietary process, the PS will provide a letter of support from the STS. The letter should state the duration of the proprietary process support, availability and capacity.

8.12.3. MASTER TOOLING CERTIFICATION

8.12.3.1. Provide certification of the right to use, and access the following, as applicable to the latest item technical data and/or drawing(s) required for manufacture: any required master tooling, special tooling/test equipment, mylars (stable base drawings), glass layout, loft data, and contour data.

8.13. Element I, GOVERNMENT QUALITY ASSURANCE COMPLIANCE

8.13.1. Provide a statement that the PS will comply with all government imposed quality assurance provisions, testing requirements, etc. as identified in the solicitation or contract for the subject item.

Note: For Category I SAR submittals, Elements J and K are not required.

Note: For Category II SAR submittals, if more than one similar item is required to demonstrate relevant experience, multiple demonstration packages consisting of elements J-M must be submitted.

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8.14. Element J, SIMILARITIES AND DIFFERENCES BETWEEN SUBJECT AND SIMILAR ITEM(S)

8.14.1. Provide a comparison matrix (Appendix F) identifying the specific similarities and differences in materials, coatings, design features, industrial processes, etc.

between the subject and similar item(s).

8.14.1.1. If more than one similar item is being used to demonstrate relevant experience, the comparison matrix should include a column for each item being compared in a single matrix. Provide a copy of this matrix in each demonstration package submitted.

8.15. Element K, SIMILAR ITEM TECHNICAL DATA

8.15.1. Provide all technical data used in the manufacturing of the similar item.

8.16. Element L, DEMONSTRATION PRODUCTION DOCUMENTS

8.16.1. Provide copies of all demonstration travelers, POS, and IMS used in the manufacturing of the demonstration item. Blank documents do not meet this requirement.

8.17. Element M, PURCHASE ORDERS AND SHIPPING DOCUMENTS

8.17.1. Provide copies of the purchase orders and shipping documents that demonstrate that the PS manufactured and delivered the demonstration item.

8.17.1.1. These documents must be from the same contract as the demonstration production documents provided in Element L.

8.17.1.2. Contracts must be with the Prime/OEM, DOD, foreign government, or other commercial customers.

8.17.1.3. These documents must be from a date within three (3) years for CSI, and seven (7) years for CAI, as evidenced by the latest shipping document provided. The threshold will be evaluated against the date that the SBO receives the SAR.

8.17.1.3.1. Highlight the date on all documents in this section.

8.17.1.4. All financial information must be removed, else the SAR may be returned.

8.17.1.5. If a contract was terminated, state the reason for the termination.

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9. DOCUMENT SUBMITTAL

9.1. If the part is AF managed, documents should be submitted to:

AFSC/SB

Solicitation Number: (If known)

3001 Staff Drive, Suite 1AG85A

Tinker AFB, OK 73145-3009

Email: afsc.sb.workflow@us.af.mil

9.2. If the part is DLA managed, documents should be submitted to:

DLA Aviation Richmond

ATTN: Small Business Office/DU

SAR Program Manager

Solicitation Number: (If known)

8000 Jefferson Davis Highway

Richmond, VA 23297

9.3. All Company Profile documents should be submitted to the SBO per section 9.1.

10. EVALUATION METHODS

10.1. The ESA will evaluate the submitted SAR package using the criteria specified within this requirements document.

10.1.1. If the ESA identifies any issues, missing data, or discrepancies during the evaluation of the submitted package, the ESA will provide the PS with a list of issues that need to be resolved.

10.1.1.1. The PS will be given a Data Submission Date (DSD) of 5 working days to provide the requested data. A longer DSD may be provided upon the PS request, if determined acceptable by the ESA.

10.1.1.1.1. If the DSD is met and the PS provides all missing/required data then the ESA will approve the package per section 10.1.2.

10.1.1.1.2. If the DSD is not met, or the PS cannot provide the required missing data, then the ESA will complete the evaluation and forward a disapproval letter with a list of issues that need to be resolved. The

PS will be encouraged to resubmit the request once all identified issues have been resolved.

mailto:afsc.sb.workflow@us.af.mil

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10.1.2. If the PS provides all of the specified data in the required format, the ESA will issue an approval letter with an expiration date in accordance with section 11 and update the approved source list accordingly.

10.2. All transactions required to evaluate the approval request will be documented. All necessary artifacts will be recorded and retained in an ESA designated information system.

10.3. The PS is responsible for retaining all disposition letters received from the government.

10.4. The ESA retains the right to request an on-site audit of the vendor’s facility during

Company Profile, SAR, SRR, or PCR evaluation, or at any time during the vendor’s approval period.

11. APPROVAL DURATION

11.1. ESA source approval expiration is three (3) years for CSI and seven (7) years for CAI. The expiration date will be based off of the date printed on the ESA approval letter.

11.2. Prior to source approval expiration, the approved source must submit an SRR in accordance with section 12 in order to renew their approval status.

11.3. Sources that are delivering the subject item on a government contract maintain their approval status and do not require source resubstantiation until there is a lapse in delivery/contract award of greater than three (3) years for CSI and seven (7) years for

CAI.

11.4. The ESA may decide to revoke source approval status at any time per FAR 9.207.

12. SOURCE RESUBSTANTIATION REQUEST (SRR)

Note: Only sources that are currently approved to manufacture the subject item (must have been approved through the USAF SAR process and be listed on the AFMC Form 761) may submit an

SRR. Sources that are delivering the subject item on government contract maintain their approval status and do not require source resubstantiation until there is a lapse in delivery/contract award of greater than three (3) years for CSI and seven (7) years for CAI (this does not include sources who were awarded government contracts without going through the USAF SAR process).

12.1. The SRR provides an approved source the opportunity to renew the approval status of a previously approved SAR through the review of any and all changes to the contents of the referenced SAR since the time of approval.

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12.2. Provide the SRR (Appendix G).

12.2.1. Describe any and all changes made to the contents of the referenced SAR package since the time of approval.

12.2.2. The original SAR approval letter should be attached to the SRR.

12.2.3. The SRR must be in the format provided in Appendix G and signed on company letterhead by an authorized binding company official (i.e. President, Owner, or

Facility General Manager).

12.2.4. Any SAR element identified as “Updated” must be submitted for review.

12.2.4.1. All changes within the submitted documents should be highlighted.

12.3. For sources that previously delivered the subject item on a government contract, submit the quality history, any DRs, and the latest purchase orders and shipping documents from the referenced contract.

12.4. Upon review of the SRR, the ESA may request additional information and documentation for review.

12.5. If the changes are determined to be acceptable, the ESA will issue a new approval letter.

13. PROCESS CHANGE REQUEST (PCR)

13.1. The approved source is responsible for submitting a PCR any time a change to the contents of the Subject Item Package occurs.

13.1.1. This may include, but is not limited to: changes to the STS list, using different equipment/tooling, and/or changing the sequence of operations on the travelers.

13.1.2. Failure to provide a formal PCR when a significant change occurs could result in a revocation of the source’s approval status.

13.2. Provide the PCR (Appendix G) in accordance with section 12.2.

13.3. Upon review of the PCR, the ESA may request additional information and documentation for review.

13.4. If the changes are determined to be acceptable, the ESA will issue a new approval letter.

29 October 2019

This document reviewed and signed by:

Competition Advocate AFSC/PZCAB Competition Advocate DLA Aviation/AOCA

Head of Contracting DLA Aviation /AO Head of Contracting AFSC/PZA

Chief Engineer Fighter Engines AFLCMC/LPE Chief Engineer Tanker/Bomber Engines AFLCMC/LPE

Small Business Office AFSC/SB SASPO Office AFSC/429 SCMS

Signatures kept on file by AFLCMC/LPE

For a copy of the signatures, please contact AFLCMC.LPE.SourceEvalTeam@us.af.mil.

MQR-PSD-1

Revision 2

Page | 19

The authority granted by the signatures for qualification requirement shall not exceed seven (7) years past the signed date. Qualification requirements shall be examined and revalidated if the last signed date is over seven (7) years old per FAR 9 .202(f).

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APPENDIX A:

SELF-ASSESMENT CHECKLIST (SAC)

1. Complete the SAC using the checklist below.

1.1. In the references and artifacts column, identify the location within the PS QAM, or other documentation, where the requirement is met.

1.2. If other documentation is used to cover items on this list, provide the specified document.

Item No. Review Item References and Artifacts Pass

1. Production Engineering and Planning

1.1. Government furnished data

1.1.1.

Are contractor’s procedures adequate to verify currency of depot/Naval Air Systems Command

(NAVAIR)/Army Aviation and Missile Command

(AMCOM)/Air Force Material Command (AFMC) technical publications, Local Engineering

Specifications (LES)/Local Process Specifications

(LPS)/Engineering Change Proposals (ECP), Maintenance Engineering Orders (MEO), Manual

Change Revisions (MCR), and Engineering

Drawings

2. Production Control

2.1. Delivered non-conforming CSIs

2.1.1.

Is there a procedure for notification to the Administrative and Procuring Contract Officers (ACO & PCO) of any delivered non-conforming as soon as practicable, but no later than 72 hours

2.1.2.

Do procedures require that the contract, part, and serial numbers be identified if non-conforming parts are delivered

2.2. Purchasing Records

2.2.1.

Do vendor purchase orders (POs) reference QE- STD-1 and/or other applicable Critical Item program documents

2.2.2.

Are POs available for review by the appropriate Government Official ☐

2.3.

Government Furnished Material (GFM)

2.3.1.

Do the contractor’s procedures include the following

☐ Yes ☐ No

2.3.1.1.

Examination upon receipt to detect transit damage

2.3.1.2. Inspection for completeness and proper type ☐

2.3.1.3.

Periodic inspection and precautions to assure adequate storage conditions are maintained, to guard against damage from handling and deterioration during storage, and to segregate it in a secure, controlled area

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2.3.1.4.

Functional testing, as required by contract, to determine satisfactory operation

2.3.1.5.

Identification and protection from improper use or disposition

2.3.1.6. Verification of Quantity ☐

2.3.1.7.

Procedures to report damaged/non-conforming GFM and to segregate it in a secure, controlled area pending disposition instructions

3. Production Methods and Processes:

3.1.

List of in-house processes (e.g. MPI, LPI, x-ray, brazing, welding, heat treat, shot peen, metallurgical lab, chemical lab, plating processes (identify), other coating capabilities (identify), etc.)

3.2. Material Review Board Actions

3.2.1.

Do you have separate secured MRB storage areas (Gov/Civ)

4. Facility Test Equipment and Tooling

4.1. Tooling

4.1.1.

Who manufactures your special tools and fixtures?

4.1.2.

Is any tooling within the facility owned by the Government

4.1.2.1.

If yes, how is the tooling stored and segregated?

5. Configuration Management

5.1.

Do government and commercial products require segregation?

5.2.

If yes, are government and commercial products segregated

6. Packing, Storage, and Delivery

6.1. Packing

6.1.1.

Are military packaging tests performed when required by contract and documented

6.1.2. Are military packaging test results documented ☐

7. Non-conforming Material and Corrective Action

7.1. Material

7.1.1.

Is action taken to promptly document and correct all conditions of non-conforming materials to the government

(Signature) (Date) (Typed or printed name & title)

This document must be signed by the Company President, Owner, or Plant Manager

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APPENDIX B:

SIGNIFICANT INDUSTRIAL PROCESS FORM

1. Complete and provide this table in Element E of the SAR.

1.1. If any of the listed SIP are required to manufacture the subject item, indicate the CAGE code of the performing company (PS or STS).

1.2. The processes shown in grey require NADCAP, OEM/Prime, DOD, or other approved certification and/or audit and must have a certificate included in the PS Company

Profile.

1.2.1. See sections 7.8 and 7.11 for details on updating the Company Profile.

# SIGNIFICANT INDUSTRIAL PROCESSES NADCAP

Performing

CAGE:

1 Casting /Forging Processes NA

2 Other Forming Processes NA

3 Blending/Reworking NA

4 Heat Treating: 7102

4a Carburizing 7102

4b Nitriding 7102

4c Hot Isostatic Pressing 7102

4d Sintering 7102

5 Brazing 7102/7110

6 Chemical Processes: 7108

6a Chemical Cleaning/Surface Treatment/- Passivation

6b Anodizing 7108

6c Conversion/Phosphate Coatings 7108

6d Paint/Dry Film Coatings 7108

6e Stripping 7108

6f Chemical Milling 7108

6g Electroplating 7108

6h Electroless Plating 7108

6i Etching (Nital/Pre-Penetrant/Temper/- Macrostructure/Blue Etch Anodize)

7 Vapor Deposition 7108/7109

8 Coatings: 7109

8a Thermal Spray 7109

8b Diffusion Coatings 7109

9 Welding: 7110

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9a Flash 7110

9b Resistance 7110

9c Fusion 7110

9d Laser 7110

9e Rotational Friction 7110

9f Diffusion 7110

9g Percussion Stud 7110

10 Nonconventional Machining: 7116

10a Electrochemical Machining 7116

10b Electrochemical Grinding 7116

10c Electrical Discharge Machining 7116

10d Laser Beam Machining 7116

10e Laser Part Marking 7116

10f Spark Erosion Grinding 7116

10g Abrasive Water Jet Machining 7116

11 Blasting Processes NA

12 Peening: 7117

12a Computer Controlled 7117

12b Automated 7117

12c Forming 7117

12d Flapper 7117

12e Manual 7117

13 Soldering 7120

14 Conventional Machining as a Special Process 7126

14a Broaching 7126

14b Substantial Grinding (not to include spot-grinding) 7126

15 Surface Finishing Processes: NA

15a Honing NA

15b Sutton Barrel NA

16 Non-Destructive Inspections: 7114

16a Fluorescent Penetrant 7114

16b Magnetic Particle 7114

16c Eddy Current 7114

16d Ultrasonic 7114

16e Radiography 7114

16f Laser Holography NA

17 Measurement and Inspection: 7130

17a Coordinate Measuring Machines 7130

17b Laser Trackers 7130

17c Optical Systems 7130

17d Mass Airflow 7130

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APPENDIX C:

COVER LETTER REQUIREMENTS

The following information is required for the cover letter:

Solicitation Number (if applicable):

Contracting Officer POC (if applicable):

Engine Type:

Company Name:

Company CAGE:

Company Address:

Primary Company POC: Name, phone, fax and email

Secondary Company POC: Name, phone, fax and email

Company Size: (Large or Small)

Qualification Requirement Designation and Revision: (i.e. MQR-PSD-1, Rev 1)

Technical Data Proprietary: No, Yes or Partial (Select One)

NSN(s):

PN(s):

Nomenclature:

ERRC Code (if known):

Assembly/Module/Whole Engine SAR: (Yes or No)

SAR Waiver Included: (Yes or No)

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APPENDIX D:

SOURCE OF SUPPLY MATRIX FOR MODULES/ASSEMBLIES

1. SAR package submissions for parts that are made up of multiple embedded items, such as modules or assemblies, must include a matrix (see table below) that describes the PS’s method of procurement for all of the embedded items. Approved methods include:

1.1. Organic – The PS is an approved source of supply or has submitted a SAR package for the embedded item. Provide the SAR approval letter or SAR control number.

1.2. OEM – The PS will purchase the embedded item from the OEM. Provide the company name and CAGE code along with an offer letter, on company letterhead, stating that the parts are available for procurement to the PS.

1.3. USAF Approved Source – The PS will purchase the embedded item from a SAR approved source (must be listed on the AFMC Form 761). Provide the company name and CAGE code along with an offer letter, on company letterhead, stating that the parts are available for procurement to the PS.

1.4. Common Part – The embedded item is common and does not have any critical design elements requiring procurement from an approved source and is readily available.

2. The Assembly SAR does not qualify the PS to manufacture any of the embedded items. If the

PS wishes to become an approved source of supply for any of the embedded items, a unique

SAR package must be submitted for each embedded item.

3. Include the matrix in Element A of any SAR submitted for a Module/Assembly.

Assembly PN: XXXXXXXX

Part Number Noun/Nomenclature Source of Supply Details

XXXXXXX Embedded Item #1 Organic

SAR submitted for review on

(DD MM YY). SAR control number: XXXXXXXX

XXXXXXX Embedded Item #2 Organic

The PS is already an approved source. See attached ESA approval letter

XXXXXXX Embedded Item #3 OEM See attached letter of support from OEM (CAGE: XXXXX)

XXXXXXX Embedded Item #4 USAF Approved

Source

See attached letter of support from Approved Source (CAGE:

XXXXX)

XXXXXXX Embedded Item #5 Common Part Part is standard/common

*Example Source of Supply Matrix for Modules/Assemblies

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APPENDIX E:

TECHNICAL DATA RIGHTS CERTIFICATION LETTER

I am an officer and employee of the above name legal entity with the responsibility for investigating the facts upon which this certification is made. To the best of my knowledge and information obtained from my recent investigation:

I certify that the technical data submitted as a part of my company's request for approval as potential source for the purpose of obtaining a contract were obtained by legal means by my company, without breach of any contractual or confidential relations pertaining to said technical data by my company, its current or recent employees; and

I certify that my company, its current or recent employees did not obtain or receive any technical data marked with a company's proprietary rights legend or a Government limited rights legend from any U.S. Governments agency or employee or other third parties that were used in the preparation of or were incorporated into the request for approval or its supporting technical data other than as described herein; and

I certify that my company has the legal right to use said technical data to manufacture/repair the below identified part for…