SMW (AFMC Form 813).pdf
PDF 114 KB Posted
- Solicitation number
- SPRWA1-24-R-0022
- Issued by
-
Defense Logistics Agency Aviation
About this file
This document is an AFMC Form 813, Surplus Materiel Worksheet, which evaluates the acceptability of surplus government-owned material to fulfill a requirement for the UH-1N Multiple Indicator (NSN 6605-01-597-4616, P/N SN3500-010N).
The evaluation criteria include verification of the part number and manufacturer, confirmation of prior government ownership, 100% end item inspection, testing and verification, verifiable dimensions, location of inspection and testing, and initial acceptability of a sample quantity. The purchased item must also include the General Aviation Worldwide Database, NVIS capability, TACAN option, and a mounting clamp as specified in the drawing requirements. The material will be considered for use in the Defense Logistics Agency (DLA) Aviation solicitation SPRWA1-24-R-0022 to procure 40 units of the Multiple Indicator, to be delivered within 60 calendar days. The evaluation and award will be conducted under full and open competition, with evaluation factors including price, delivery schedule, and traceability to the original equipment manufacturer, Nighthawk Flight Systems (CAGE 9DBG3).
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Other files
| File | Type | Posted |
|---|---|---|
| SPRWA1-24-R-0022.pdf | ||
| 3977196_TRNSPDATA_REPORT.pdf | ||
| 3977197_PKGRQMT_REPORT.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
19 JUL 2024
I. REQUEST FOR EVALUATION
NSN
6605015974616GA
PART NUMBER
SN3500-010N
CAGE
9DGB3
APPLICATION
UH-1N
IMS
Guest, Robert C
OFFICE SYMBOL
AFLCMC / WIUEE
PHONE
478-926-7261
SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED
IAW AFMC FAR SUPPLEMENT PART 5352.
THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIEL WILL BE CONSIDERED IN THE FOLLOWING TYPES / CATEGORIES
II. EVALUATION CRITERIA (For types/categories deemed acceptable)
ACCEPT-
ABLE (Y/N)
P/N AND
MFG
VERIFI-
CATION
PRIOR
GOV'T
OWNER-
SHIP
100% END
ITEM
INSPECT
TEST AND
VERIFI-
CATION
VERIFI-
ABLE
DIMEN-
SIONS
LOCATION
INSPEC-
TION
TESTING
INITIAL
ACCEPT-
ABILITY
ITEMS
OVERHAUL
AND
CERTIFI-
CATION
OTHER
(Explain in Remarks)
Y X X X X X
N
N
N
Y X X X X
N
N
N
G O V T
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
C O M M L
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)
PART NUMBER VERIFICATION 9DGB3(AFMCFARS 5352.211-9011) MFG SN3500-010NP/N
PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)
100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)
TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER 1H-1(U)N-4
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 98752
DRAWING NUMBER 201218875 REV A
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
Drawing 201218875 REV A
- Dimension Requirements
- Weight and Form Factor reqs in Note 3.2 and 3.4 (as applicable per part number)
- Visual inspection to confirm that the part being purchased as the same physical appearance as the drawing
- Pin connector configuration: P1 and P2 are D-Sub 44 pin; P3 is D-Sub 15 pin
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
OTHER SPECIAL REQUIREMENTS (Explain)
Guest, Robert CNAME: 19 JUL 2024DATE:
The purchased item must include the General Aviation Worldwide Database; NVIS capability as required in note 3.3; the "TACAN OPTION" as required in note 5; and the mounting clamp as required in note 3.4 of drawing 201218875 REV A. All part number and CAGE codes in the Source of Supply table are acceptable.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
EVALUATOR
Guest, Robert C
OFFICE SYMBOL
AFLCMC / WIUEE
PHONE
478-926-7261 / 468-7261
COMPLETE DATE
19 JUL 2024
SIGNATURE
//SIGNED// Guest, Robert C
USER TYPE
Engineer
SIGNATURE DATE
19 JUL 2024
Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 3Generated by PRPS using Jasper Reports on 07 Aug 2024
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