SPE4A518R0135__71105180.pdf

PDF 5 MB Posted Apr 2, 2018

Attached to: NSN 2840-01-534-1705, Blade Set, Turbine, A
Solicitation number: SPE4A518R0135
Issued by: Defense Logistics Agency Aviation

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ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 4. REQUISITION/PURCH REQUEST NO.3. DATE OF ORDER/CALL

(YYYYMMMDD)

5. PRIORITY

6. ISSUED BY 7. ADMINISTERED BY (If other than 6) 8. DELIVERY FOB CODE CODE

9. CONTRACTOR FACILITY CODE

NAME

AND

ADDRESS

10. DELIVER TO FOB POINT BY (Date)

12. DISCOUNT TERMS

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

Submit Invoices IAW DFARS 252.232-7003

DESTINATION

OTHER

(See Schedule if other)

11. X IF BUSINESS IS

SMALL

SMALL DISAD-

VANTAGED

WOMEN-OWNED

14. SHIP TO 15. PAYMENT WILL BE MADE BY MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

CODE

16.

TYPE

ORDER

DELIVERY/

CALL This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

PURCHASE

Reference your furnish the following on terms specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

If this box is marked, supplier must sign Acceptance and return the following number of copies:

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES

20. QUANTITY

ORDERED/ ACCEPTED* 21.UNIT 22. UNIT

PRICE

23. AMOUNT

* If quantity accepted by the Government is same as quantity ordered, indicate by X.

If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA

CONTRACTING/ORDERING OFFICERBY:

25. TOTAL

26.

DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED

ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVEc. DATE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

32. PAID BY

FINAL

PARTIAL 33. AMOUNT VERIFIED CORRECT FOR

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

a. DATE

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

DD FORM 1155, DEC 2001

37. RECEIVED

38. RECEIVED BY (Print) 39. DATE RECEIVED

PREVIOUS EDITION IS OBSOLETE.

31. PAYMENT

COMPLETE

PARTIAL

FINAL

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO.

34. CHECK NUMBER

35. BILL OF LADING NO.

SPE4A1-15-G-0006 SPE4A5-18-F-327P 2018 MAR 13 0071105180

DCMA APO PRATT AND WHITNEY EH

400 MAIN ST MS 115-62

EAST HARTFORD CT 06108-0969

USA

Criticality: C PAS: None

52661 52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

EAST HARTFORD CT 06118-1873

SEE SCHEDULE

Net 30 (Do not Use)

SEE SCHEDULE, DO NOT SHIP TO ADDRESSES ON THIS PAGE

DEF FIN AND ACCOUNTING SVC

BSM

P O BOX 182317

COLUMBUS OH 43218-2317

Offer/Quote dated 2018 MAR 08 30310169

BX: 97X4930 5CBX 001 2620 S33189 $2187091.14

$2,187,091.14

See Schedule

SPE4A5 S0708A

DO-C9

SL4701

DLA AVIATION

ASC SUPPLIER OPER OEM DIVISION

8000 JEFFERSON DAVIS HIGHWAY

RICHMOND VA 23297

USA

Local Admin: VANDETTA MCGOOGAN PARWA35 Tel: 804-279-6747 Fax: 804-279-2678 Email: VANDETTA.MCGOOGAN@DLA.MIL

CODE

Adobe Professional 8.0

663.000

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 2 OF 8 PAGES

SPE4A1-15-G-0006 - SPE4A5-18-F-327P

CONTINUED ON NEXT PAGE

All terms and conditions of Basic Ordering Agreement (BOA) SPE4A1-15-G-0006 apply to this order, and the BOA takes precedence over any conflicting information herein.

Inspection Office: Same as Block 7, Page 1 Inspection/Acceptance to be performed at Pratt & Whitney plant, vendor's plant and/or the Pratt & Whitney Georgia Distribution Center.

FOB: Origin Quantity Variance: Plus 0%/ Minus 5%.

First Destination Transportation (FDT) TAC - S8AF Second Destination Transportation (SDT) TAC - S9NA

This is a Critical Safety Item.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 3 OF 8 PAGES

SECTION B

SUPPLIES/SERVICES: 2840-01-534-1705

ITEM DESCRIPTION:

BLADE SET,TURBINE,A

RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS

(IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE

DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB

AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx. FOR

SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE

SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE

ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE

APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON

REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS.

RC001: DOCUMENTATION REQUIREMENTS FOR SOURCE APPROVAL REQUEST (SAR)

RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT

RQ001: HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS (MANUFACTURERS AND

NON-MANUFACTURERS)

RQ002: CONFIGURATION CHANGE MANAGEMENT - ENGINEERING CHANGE PROPOSAL

REQUEST FOR VARIANCE (DEVIATION OR WAIVER)

RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES

Item Unique Identification is not required by request of the Service customer. DFARS 252.211-7003(c)(1)(i) applies.

This item requires Item Unique Identification (IUID) in accordance with the enclosed/referenced IUID technical requirements and MIL-STD-130.

DFARS 252.211-7003 clause applies.

THIS IS AN AIR FORCE DESIGNATED CRITICAL SAFETY

ITEM (CSI).

ALL REQUESTS FOR WAIVERS OR DEVIATIONS MUST BE

FORWARDED TO THE DSC CONTRACTING OFFICER

FOR REVIEW AND APPROVAL.

ALL ITEMS OF SUPPLY SHALL BE MARKED IAW

MIL-STD-129. IN ADDITION, EACH UNIT PACK WILL

BE MARKED WITH LOT AND SERIAL NUMBER (IF AVAILABLE)<(>,<)>

CONTRACTOR'S CAGE CODE, ACTUAL MANUFACTURER'S

CAGE CODE AND PART NUMBER.

CRITICAL APPLICATION ITEM

UNITED TECHNOLOGIES CORPORATION 77445 P/N 4088621

IAW REFERENCE QAP 13873 QAP-E09

REVISION NR A DTD 04/27/2004

PART PIECE NUMBER:

Critical Safety Item

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 2840-01-534-1705 160.000 SE $ 3,298.78 $ 527,804.80

BLADE SET,TURBINE

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 8 PAGES

SUPPLY/SERVICE: 2840-01-534-1705 CONT'D

FOB: ORIGIN DELIVERY DATE: 2019 AUG 14

PLACE of INSPECTION for PACKAGING:

52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

PREP FOR DELIVERY:

PKGING DATA - MIL-STD-2073-1D, 15 DEC 1999

QUP:001 PRES MTHD:10 CLNG/DRY:1 PRESV MAT:00

WRAP MAT:00 CUSH/DUNN MAT:NA CUSH/DUNN THKNESS:C

UNIT CONT:E5 OPI:M

INTRMDTE CONT:E5 INTRMDTE CONT QTY:AAA

PACK CODE:U

MARKING SHALL BE IN ACCORDANCE WITH MIL-STD-129.

SPECIAL MARKING CODE:00 -00 No special marking

PALLETIZATION SHALL BE IN ACCORDANCE WITH MD00100452 REV B DATED JULY 01, 2008

each blade shall be cushioned with bubble wrap

PARCEL POST ADDRESS:

SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

FOR TRANSPORTATION ASSISTANCE SEE DLAD 52.247-9034. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD

52.247-9059 AND

CONTRACT INSTRUCTIONS INSTEAD.

FREIGHT SHIPPING ADDRESS:

SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0002 2840-01-534-1705 160.000 SE $ 3,298.78 $ 527,804.80

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 2019 SEP 05

PLACE of INSPECTION for PACKAGING:

52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 5 OF 8 PAGES

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

FOR TRANSPORTATION ASSISTANCE SEE DLAD 52.247-9034. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD

52.247-9059 AND

CONTRACT INSTRUCTIONS INSTEAD.

FREIGHT SHIPPING ADDRESS:

SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0003 2840-01-534-1705 160.000 SE $ 3,298.78 $ 527,804.80

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 2019 OCT 07

PLACE of INSPECTION for PACKAGING:

52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

FOR TRANSPORTATION ASSISTANCE SEE DLAD 52.247-9034. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD

52.247-9059 AND

CONTRACT INSTRUCTIONS INSTEAD.

FREIGHT SHIPPING ADDRESS:

DLA DISTRIBUTION DEPOT OKLAHOMA

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 6 OF 8 PAGES

3301 F AVE CEN REC BLDG 506 DR 22

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0004 2840-01-534-1705 160.000 SE $ 3,298.78 $ 527,804.80

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 2019 NOV 05

PLACE of INSPECTION for PACKAGING:

52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

FOR TRANSPORTATION ASSISTANCE SEE DLAD 52.247-9034. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD

52.247-9059 AND

CONTRACT INSTRUCTIONS INSTEAD.

FREIGHT SHIPPING ADDRESS:

SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0005 2840-01-534-1705 23.000 SE $ 3,298.78 $ 75,871.94

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 7 OF 8 PAGES

FOB: ORIGIN DELIVERY DATE: 2019 DEC 05

PLACE of INSPECTION for PACKAGING:

52661

UNITED TECHNOLOGIES CORPORATION

DBA Pratt Whitney 400 Main St

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

FOR TRANSPORTATION ASSISTANCE SEE DLAD 52.247-9034. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD

52.247-9059 AND

CONTRACT INSTRUCTIONS INSTEAD.

FREIGHT SHIPPING ADDRESS:

SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0071105180 0001 N/A N/A N/A 08/21/2018

0002 0071105180 0002 N/A N/A N/A 08/21/2018

0003 0071105180 0003 N/A N/A N/A 08/21/2018

0004 0071105180 0004 N/A N/A N/A 08/21/2018

0005 0071105180 0005 N/A N/A N/A 08/21/2018

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 8 OF 8 PAGES

SECTION I - CONTRACT CLAUSES

52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS (OCT 2016) FAR

52.204-15 SERVICE CONTRACT REPORTING REQUIREMENTS FOR INDEFINITE-DELIVERY CONTRACTS (OCT 2016) FAR

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL 2016) FAR

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016) FAR

52.204-20 PREDECESSOR OF OFFEROR (JUL 2016) FAR

As prescribed in 4.1804(d), insert the following provision:

(a) Definitions. As used in this provision - “Commercial and Government Entity (CAGE) code” means -

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

(b) The Offeror represents that it [ ] is or [ ] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code: (or mark “Unknown”) Predecessor legal name:

(Do not use a “doing business as” name)

(End of provision)

PDF (DLA)DLA FORM 13, NOV 2017 Page 1 of 5

CRITICAL SAFETY ITEMS AND SPC ITEMS AWARD CHECKLIST

Prescribed by: TQ Deskbook, Appendix B15 Sponsor: J6

Print Form Email Form Clear Export Data Import Data Check for Newer Version Contact UsAbout

The checklist is to ensure compliance with the policies and requirements:

CRITICAL ITEM MANAGEMENT (CIM):

ACQUISITION AWARD CHECKLIST

Select SPC CODE

06 AIR FORCE CSI

For Aviation CSI Items SPC 01 (coded CSI), SPC 03, SPC 04, SPC 05, SPC 06 :

Military Service designated Aviation Critical Safety Items (CSI) in accordance with DoD 4140.1-R, DoD Supply Chain Material Management Regulation and the Joint Aeronautical Logistics Commanders (JALC) and

Critical Item Management (CIM) for Critical Safety Items TQ DESKBOOK Appendix B15

For ALRE CSI/CAI SPC01:

Aircraft Launch and Recovery Equipment (ALRE) TQ DESKBOOK Appendix B16

For IRPOD SPC 02:

Individual Repair Part Ordering Data TQ DESKBOOK Appendix B17

For Chem Bio Items SPC 07:

SPC 07 JPEO Business Rules 04-09-2015

PDF (DLA)DLA FORM 13, NOV 2017 Page 2 of 5

PART I - HEADER

ALRE AMC/AMSC

3/V

REI/TDR NUMBER MATERIAL NUMBER

015341705

MATERIAL GROUP

APPROVED CAGE(s) CSI PART NUMBER

4088621

PR NO.

71105180

SOLICITATION NO.

SPE4A518R0135

OUTLINE AGREEMENT OUTLINE #

PURCHASE ORDER

SPE4A1-15-G-0006

DELIVERY ORDER

SPE4A518F327P

PIC CODE

C Critial Item Insp/Accept at Source

QCC CODE

FCP

FAT

Not Required

FAT WAIVED SOURCES

N/A

PLT

Not Required

REI/TDR EXP DATE TDP REQUIRED

MDS EXP

CSI LAST BUY DATETDP EXP

IUID REQUIRED FAA CERTIFICATION

PLT WAIVED SOURCES

The Product Specialist/Equipment Specialist shall verify all that apply:

Packaging requirements are incorporated (classification tab - packaging sub tab).

For SPC 01 ALRE; CAGE and Part Number in the TDR/REI are in agreement with the AMPL.

AMPL (CAGE and Part Number) and Service CSI database are in agreement.

Sources listed on source control drawings must be validated.

Approved sources via DLA Form 339, DLA Form 1912 and Naval Air Depot Request For Engineering Information (R-E- I) can be used as a supporting documents for purchase/delivery order award.

All Quality Assurance/Testing requirements have been updated and identified in Material Master. Technical Data is current and certified in accordance with the Service PBAs.

No adverse quality history exists (i.e. Quality Notification (QN), Engineering Investigation (EI), Material Deficiency Report

(MDR)).

ARMY CSI ONLY DD Form 1423 (Serialization / TAMMS-A) has been loaded into DMS, incorporated in solicitation / award, or confirmation from PS that it is not required.

Pre Award Survey participation is required (ALRE SPC01) and scheduled N/A

Product Specialist/Equipment Specialist Signature

PART II - PRESOLICITATION PRODUCT SPECIALIST/EQUIPMENT SPECIALIST

Item is coded Fully Competitive (AMSC of G).

TQ Requirements RQ009 "Inspection and Acceptance at Origin" and RQ001 "Higher Level Contract Quality Requirements" (Manufacturers and Non Manufacturers) (in PID/POT)

TQ Requirement RC001 "Additional Documentation Requirements for Source Approval Request - CAI & CSI" (in PID/POT) NOT for AMSC G or T

Organic Manufacturing CAGE granted approval for manufacture by cognizant ESA.

PDF (DLA)DLA FORM 13, NOV 2017 Page 3 of 5

The Acquisition Specialist shall verify the following:

INCOTERMS: E Insp & Accp at Orig FOB Orig

Awardee will furnish surplus material deemed acceptable and approved by the ESA.

Awardee is an approved CSI source.

Awardee Name and CAGE code:

Awardee is a dealer or distributor.

Award is a delivery order and clauses are incorporated in basic award.

Award is a delivery order against a preexisting outline agreement and Contractor is exempt from CSI clauses or is on the NAVAIR/ARMY waiver/exemption list.

Award is a delivery order against a Service BOA and DLAD clauses are not required.

PART III - PREAWARD ACQUISITION SPECIALIST

The following required clauses, Procurement Notes were included in the award:

FAR 52.246-2 "Inspection of Supplies - Fixed Priced"

Clauses not required:

United Technologies (52661)

The following Procurement Notes were included in the solicitation and award:

Procurement Note H04 "Sourcing for Critical Safety Items"

Procurement Note E06 "Inspection and Acceptance at Origin"

FAR 52.246-11 "Higher Level Contract Quality Requirement"

DFARS 252.209-7010 “Critical Safety Item”

DFARS 252.211-7003 “Item Unique Identification and Valuation"

Award is an approved CSI source that was reviewed, approved, added to the AMPL on this procurement.

Awardee is approved Organic Manufacturing source

Award is to an approved Organic Manufacturing source that will have no DCMA oversight for source inspection.

QALI not required due to award to approved source with no adverse quality history or Award to Organic Manufacture (all quality assurance provisions imposed by the ESA will be incorporated in the MIPR).

If awardee is a dealer or distributor: Adequate documentation that the company is an authorized dealer for the OEM is in the file. Traceability documentation reviewed prior to award and required to be presented at inspection in the QALI. (For Army send traceability documentation to: AE-K-TTS@amrdec.army.mil) QALI required for surplus and dealer/distributors.

QALI required per ALRE TDR/REI.

QALI sent to DCMA by the Product Specialist/Equipment Specialist after the Acquisition Specialist verifies funding of award and included in RM.

FAT is required for this procurement. Refer to Classification Product Assurance tab for First Article requirements.

FAT is not required for this procurement in accordance with TQ Deskbook, Appendix B08, Product Testing. Documented all appropriate comments in EBS, Material Master, Internal Comments.

DLA received ESA concurrence to waive FAT per DLA 339 case # .

Post Award Conference Required (ALRE SPC01).

Other:

PART IV - EVALUATION/PENDING AWARD PRODUCT SPECIALIST/EQUIPMENT SPECIALIST

PDF (DLA)DLA FORM 13, NOV 2017 Page 4 of 5

This checklist has been reviewed and signed by the individuals cited below, as appropriate.

Product Specialist/Equipment Specialist (Signature and Date)

Product Specialist/Equipment Specialist Review Official (Signature and Date)

Acquisition Specialist (Signature and Date)

Contracting Officer (Signature and Date) One Level Above Contracting Officer (Signature and Date)

PART V - SIGNATURES

NOTE: In accordance with DLAD 11.302-91(a)(13), award approval is required one level above the Contracting Officer to award; except that fully automated awards do not require this approval if the system is programmed to only permit a fully automated award to be made to an approved source cited in the AMPL who is offering an exact product cited in the AMPL.

NOTES

PDF (DLA)DLA FORM 13, NOV 2017 Page 5 of 5

INSTRUCTIONS

Part I - Header:

1. ALRE - Indicate if the item is an ALRE

2. AMC/AMSC - Enter current AMC/AMSC of material

3. REI/TDR - Enter REI/TDR number if applicable

4. Material Number - Enter NSN/NIIN/LSN

5. Material Group - Enter Material Group number

6. APPROVED CAGE(s) - Enter Approved Sources from listed in the AMPL

7. CSI Part Number - Enter correct part number

8. PR No. - Enter PR number checklist is being filled out for

9. Solicitation No. - Enter current solicitation number

10. Outline Agreement - Indicate if item is on an outline agreement

11. Outline # - Enter current outline agreement number if applicable

12. Purchase Order # - Enter PO number if applicable

13. Deliver Order - Enter DO number if applicable

14. PIC Code - Enter correct place of inspection code

15. QCC Code - Enter correct quality control code

16. FAT - Indicate if FAT is required

17. FAT Waived Source - Enter approved waived source(s) for FAT requirement

18. PLT Waived Source - Enter approved waived source(s) for PLT requirement

19. PLT - Indicate if PLT is required

20. REI/TDR Exp Date - Enter expiration date

21. TDP Required - Indicate if TDP is required

22. TDP Exp - Enter TDP expiration date

23. MDS Exp – Enter the MDS expiration date stated within Basic Data 1, if dates do not exist, contact PDS

24. CSI Last Buy Date - Enter last DLA CSI buy for material

Part II - Presolicitation Product Specialist/Equipment Specialist:

The Product Specialist/Equipment Specialist is required to review and verify each statement within this section. Upon verification, mark all applicable boxes. Once this section is complete, sign the form and forward to the Preaward Acquisition Specialist.

Part III - Preaward Acquisition Specialist:

The Acquisition Specialist is required to review and verify each statement within this section. Upon verification, the Acquisition Specialist will mark all applicable boxes.

Part IV - Evaluation/Pending Award Product Specialist/Equipment Specialist:

Upon receiving the checklist from the Acquisition Specialist, the Product Specialist/Equipment Specialist will review and mark each applicable statement. The Product Specialist/Equipment Specialist will complete all required steps, including the preparation of the QALI, FAT reviews, etc. Once the Product Specialist/Equipment Specialist has completed this section, sign the document below and forward the checklist to the Product Specialist/Equipment Specialist Supervisor for review and signature.

Part V - Signatures:

Upon receipt of all required signatures, a copy of the completed checklist must be filed in Records Management.

PDF (DLA)

DLA FORM 13, NOV 2017

Page of

The checklist is to ensure compliance with the policies and requirements:

CRITICAL ITEM MANAGEMENT (CIM):

ACQUISITION AWARD CHECKLIST

For Aviation CSI Items SPC 01 (coded CSI), SPC 03, SPC 04, SPC 05, SPC 06 :

Military Service designated Aviation Critical Safety Items (CSI) in accordance with DoD

4140.1-R, DoD Supply Chain Material Management Regulation and the Joint Aeronautical Logistics Commanders (JALC) and

Critical Item Management (CIM) for Critical Safety Items TQ DESKBOOK Appendix B15

For ALRE CSI/CAI SPC01:

Aircraft Launch and Recovery Equipment (ALRE) TQ DESKBOOK Appendix B16

For IRPOD SPC 02:

Individual Repair Part Ordering Data TQ DESKBOOK Appendix B17

For Chem Bio Items SPC 07:

SPC 07 JPEO Business Rules 04-09-2015

PART I - HEADER

The Product Specialist/Equipment Specialist shall verify all that apply:

Packaging requirements are incorporated (classification tab - packaging sub tab).

For SPC 01 ALRE; CAGE and Part Number in the TDR/REI are in agreement with the AMPL.

AMPL (CAGE and Part Number) and Service CSI database are in agreement.

Sources listed on source control drawings must be validated.

Approved sources via DLA Form 339, DLA Form 1912 and Naval Air Depot Request For Engineering Information (R-E-I) can be used as a supporting documents for purchase/delivery order award.

All Quality Assurance/Testing requirements have been updated and identified in Material Master. Technical Data is current and certified in accordance with the Service PBAs.

No adverse quality history exists (i.e. Quality Notification (QN), Engineering Investigation (EI), Material Deficiency Report (MDR)).

ARMY CSI ONLY DD Form 1423 (Serialization / TAMMS-A) has been loaded into DMS, incorporated in solicitation / award, or confirmation from PS that it is not required.

Pre Award Survey participation is required (ALRE SPC01) and scheduled

PART II - PRESOLICITATION PRODUCT SPECIALIST/EQUIPMENT SPECIALIST

Item is coded Fully Competitive (AMSC of G).

TQ Requirements RQ009 "Inspection and Acceptance at Origin" and RQ001 "Higher Level Contract Quality Requirements" (Manufacturers and Non Manufacturers) (in PID/POT)

TQ Requirement RC001 "Additional Documentation Requirements for Source Approval Request - CAI & CSI" (in PID/POT) NOT for AMSC G or T

Organic Manufacturing CAGE granted approval for manufacture by cognizant ESA.

1. Is the latest TDPL linked as a DWG type 'DL'?

3. Documents correctly indexed IAW policy including correct distribution statements?

2. Are the DMS-linked documents IAW the current TDPL?

4. Is there SPI loaded as DWG in DMS?

5. Data Support Tab in Classification coded if required (Export Control, License Agreements)

Product Data Specialist

PDS Supervisor

TDP Date:

Top Drawing Number:

MDS Exp Date:

Top Drawing Rev Level:

1. Is a Special Packaging Instruction (SPI) required?

6. Reviewed Outstanding NORs that may apply to the SPI

2. SPI has been identified in the Material Master Packaging Tab

3. Reviewed Form 034 for Shelf Life and Lot Numbering requirements

4. Reviewed Section D for additional requirements to update

PKG Specialist

PKG Supervisor

5.Reviewed Section E for Packaging FAT to update Inspection Text

7. Reviewed WebFLIS CIIC and updated Type of Storage (or request DLIS apply appropriate TOS)

The Acquisition Specialist shall verify the following:

INCOTERMS:

Awardee will furnish surplus material deemed acceptable and approved by the ESA.

Awardee is an approved CSI source.

Awardee Name and CAGE code:

Awardee is a dealer or distributor.

Award is a delivery order and clauses are incorporated in basic award.

Award is a delivery order against a preexisting outline agreement and Contractor is exempt from CSI clauses or is on the NAVAIR/ARMY waiver/exemption list.

Award is a delivery order against a Service BOA and DLAD clauses are not required.

PART III - PREAWARD ACQUISITION SPECIALIST

The following required clauses, Procurement Notes were included in the award:

FAR 52.246-2 "Inspection of Supplies - Fixed Priced"

Clauses not required:

The following Procurement Notes were included in the solicitation and award:

Procurement Note H04 "Sourcing for Critical Safety Items"

Procurement Note E06 "Inspection and Acceptance at Origin"

FAR 52.246-11 "Higher Level Contract Quality Requirement"

DFARS 252.209-7010 “Critical Safety Item”

DFARS 252.211-7003 “Item Unique Identification and Valuation"

Award is an approved CSI source that was reviewed, approved, added to the AMPL on this procurement.

Awardee is approved Organic Manufacturing source

Award is to an approved Organic Manufacturing source that will have no DCMA oversight for source inspection.

QALI required for surplus and dealer/distributors.

QALI required per ALRE TDR/REI.

QALI sent to DCMA by the Product Specialist/Equipment Specialist after the Acquisition Specialist verifies funding of award and included in RM.

FAT is required for this procurement. Refer to Classification Product Assurance tab for First Article requirements.

FAT is not required for this procurement in accordance with TQ Deskbook, Appendix B08, Product Testing. Documented all appropriate comments in EBS, Material Master, Internal Comments.

DLA received ESA concurrence to waive FAT per DLA 339 case # .

Post Award Conference Required (ALRE SPC01).

Other:

PART IV - EVALUATION/PENDING AWARD PRODUCT SPECIALIST/EQUIPMENT SPECIALIST

This checklist has been reviewed and signed by the individuals cited below, as appropriate.

PART V - SIGNATURES

INSTRUCTIONS

Part I - Header:

1. ALRE - Indicate if the item is an ALRE

2. AMC/AMSC - Enter current AMC/AMSC of material

3. REI/TDR - Enter REI/TDR number if applicable

4. Material Number - Enter NSN/NIIN/LSN

5. Material Group - Enter Material Group number

6. APPROVED CAGE(s) - Enter Approved Sources from listed in the AMPL

7. CSI Part Number - Enter correct part number

8. PR No. - Enter PR number checklist is being filled out for

9. Solicitation No. - Enter current solicitation number

10. Outline Agreement - Indicate if item is on an outline agreement

11. Outline # - Enter current outline agreement number if applicable

12. Purchase Order # - Enter PO number if applicable

13. Deliver Order - Enter DO number if applicable14. PIC Code - Enter correct place of inspection code15. QCC Code - Enter correct quality control code16. FAT - Indicate if FAT is required17. FAT Waived Source - Enter approved waived source(s) for FAT requirement

18. PLT Waived Source - Enter approved waived source(s) for PLT requirement19. PLT - Indicate if PLT is required20. REI/TDR Exp Date - Enter expiration date21. TDP Required - Indicate if TDP is required22. TDP Exp - Enter TDP expiration date

23. MDS Exp – Enter the MDS expiration date stated within Basic Data 1, if dates do not exist, contact PDS24. CSI Last Buy Date - Enter last DLA CSI buy for material

Part II - Presolicitation Product Specialist/Equipment Specialist:

Part III - Preaward Acquisition Specialist:

The Acquisition Specialist is required to review and verify each statement within this section. Upon verification, the Acquisition Specialist will mark all applicable boxes.

Part IV - Evaluation/Pending Award Product Specialist/Equipment Specialist:

Part V - Signatures:

Upon receipt of all required signatures, a copy of the completed checklist must be filed in Records Management.

HEADER

TECHNICAL DATA PACKAGE AND DRAWINGS REVIEW

PACKAGING REVIEW

PRODUCT SPECIALIST REVIEW

FORM 034

SECTION E

CDRL

OTHER

Line Items Required

AWARD PHASE

PRE-AWARD PHASE

1. Material Group - Enter 4 digit Federal Stock Class

2. Material - Enter 9 digit material number

3. Purchase Requisition - Enter 10 digit PR number

4. AMC/AMSC - Enter AMC/AMSC for the material

5. Cage Code - Enter cage code(s) if required (for AMSC B items)

6. PS Name - Enter PS full name

7. Date - Represents the date checklist is started by PS

8. Supply Chain - Select the appropriate DLA location

HEADER

TECHNICAL DATA PACKAGE AND DRAWINGS REVIEW

The PDS will download the checklist from the MBRT request and save the checklist in their desktop. The PDS will review the TDP and verify and complete each statement within this section. Once this section is complete, sign the form and forward to the PDS supervisor. The PDS supervisor will forward the checklist to the Packaging Specialist

Note: Each center may use a different process to route the checklist to the product data specialist due to their different job roles and responsibilities. The PS may return the checklist for rework. If so please fix accordingly and return back to the PS.

PACKAGING REVIEW

The Packaging Specialist will download the checklist from the MBRT request and save the checklist in their desktop. The PDS will review the TDP and verify and complete each statement within this section. Once this section is complete, sign the form and forward to the Packaging Specialist Supervisor. The Packaging Specialist Supervisor will forward the checklist to the Product Specialist

Note: Each center may use a different process to route the checklist to the packaging specialist due to their different job roles and responsibilities. The PS may return the checklist for rework. If so please fix accordingly and return back to the PS.

The Product Specialist saves the checklist in their desktop. The Product Specialist will verify and complete each statement within this section. Once this section is complete, sign the form and forward to the Product Specialist Supervisor. The Product Specialist Supervisor will forward the checklist to the Acquisition Specialist

Note: Each center may use a different process to route the checklist to the product specialist due to their different job roles and responsibilities.

PRODUCT SPECIALIST REVIEW

1. Date - Represents the date the acquisition specialist completes their portion of the checklist.

2. Solicitation Number - Enter the full solicitation number.

The contract specialist will review the clauses recommended based on ECBC technical requirements. Additional procurement clauses may be applicable. The supervisor will review the solicitation and make sure the required clauses are added. The acquisition supervisor will sign the solicitation when it is ready to be posted. This will lock the fields in this portion of the checklist.

Note: Each center may add additional steps in this process to ensure the solicitation is correct.

PRE-AWARD PHASE

AWARD PHASE

1. Award Number - Enter the full contract number

2. Award CAGE - Enter the cage code for the awardee

3. Date - Represent the date the checklist is been worked.

4. FAT required - Select Yes/No based on if FAT was part of the contract.

5. JCP Certification Required - Select Yes/No. 6. Line Items Required - Check mark the boxes of the required CLINs

The Contracting officer will sign the checklist and provide it to the Product Specialist Supervisor with a copy of the award document. The Product Specialist Supervisor will review the award document and if correct sign the checklist. The Product Specialist Supervisor will e-mail the checklist to the contracting specialist supervisor so they can complete the checklist.

Note: SPC 07 checklist will be loaded to SRM Records Management.

HEADER

Latest IRPOD revision verified on the BPMI website and a copy of the IRPOD is saved in Document Data as a THD

Data reviewed to ensure DLA Form 6 is established/revised IAW the current IRPOD revision

AMPL is blank or deletion indicator is checked for each entry

TOR code "E"

Basic Data 2 Drawing Data populated (Document, Document Type, Document Version)

Critical Part box in the Purchasing Tab is populated with a check mark

Standard Text Object ZQA02 is populated in Purchase Order Text

Drawings (OEM if required) and DLA Form 6 are linked in Document Data

Standard Text Object ZQT02 is populated in Internal Comments

Material Document Status set to RL and Frozen Document List contains correct documents

Release the RSW

Special Procedures Code "IRPOD" is populated (Classification, CIM Tab)

Digitally sign and forward the checklist to the Packaging Specialist

Purchase Order Text does not include wording such as "Nuclear Propulsion", "NRP", or "Nuclear Reactor"

Cataloging action accomplished

PREAWARD (PRODUCT SPECIALIST)

Release the RSW

MIL-STD-2073 packaging update

PREAWARD (PACKAGING SPECIALIST)

Complete review of the Material Master performed

Digitally sign and forward the checklist to the Product Specialist Reviewing Official

Digitally sign and E-mail the checklist to Records Management (PR, T/Q Support Documentation folder)

Normally MIL-PRF-23199 or as required by the IRPOD

PREAWARD (PRODUCT SPECIALIST REVIEWING OFFICIAL)

Ensure the PID in the award document identifies the CAGE code and part number the awardee intends to supply, and that the awardee's quote indicates the supplies offered are IAW the DLA Form 6

Ensure award includes FAR clause 52.246-2 and requires Inspection and Acceptance at Origin with Certificate of Conformance (CoC) not authorized unless PIC allows for other than I/A at Origin

Digitally sign and forward the checklist to the Acquisition Specialist Reviewing Official

Receive and review completed Award Checklist from Acquisition Specialist

Digitally sign and E-mail the checklist to Records Management (PO, Pre-Award, TQ Support Documents folder)

AWARD (ACQUISITON SPECIALIST)

Ensure a copy of the DLA Form 6 is included in the Large Purchase File (if applicable) and Records Management

AWARD (ACQUISITION SPECIALIST REVIEWING OFFICIAL)

9.0.0.2.20100902.2.720808 http://www.dla.mil/officialforms/files1/dl0013.pdf none

DL0013

acquisition, operations, quality

Critical Safety Items and SPC Items Award Checklist

MAR 2015

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spcCode2: CRITICAL SAFETY ITEMS AND SPC ITEMS AWARD CHECKLIST

Policy: Prescribed by: TQ Deskbook, Appendix B15 Sponsor: J6 spcCode: 06 AIR FORCE CSI alre:

amcSc: 3/V reiTDR:

materialNumber: 015341705 materialGroup: 2840 ampl:

csiPartNumber: 4088621 prNumber: 71105180 solicitationNumber: SPE4A518R0135 outlineAgree:

outlineAgreeBlock:

purchaseOrder: SPE4A1-15-G-0006 deliveryOrder: SPE4A518F327P picCode: C Critial Item Insp/Accept at Source qccCode: FCP fat: Not Required fatWaived: N/A plt: Not Required reiTdrExpDate:

tdpReq: NO mdsExp: N/A csiLastBuy:

tdpExp: N/A

Link MIL-STD-130 to the bidset. Select appropriate category in Classification, General, UID/RFID field in Material Master. Add STO ZD030 to POT. Ensure first position of QCC reflects Higher Level Quality Requirements. QALI required check IUID TQ TIP for QALI template. : Select

FAACERT:

pltwaived1: N/A check1: 1 check1: 0 check1: 0 check1: 1 check1: 0 check2: 0 check2: 1 check2: 1 check2: 0 check2: 0 check2: 0 higherlevelTQ: 1 check4: 0 check4: 1 check4: 1 check4: 0 check4: 0 check5: 0 check5: 0 check5: 0 check5: 0 check5: 0 check6: 0 check6: 0 check6: 0 check6: 0 check6: 0 check7: 0 check7: 1 check7: 0 check7: 0 check7: 0 check8: 1 check8: 0 check9: 0 check9: 1 check9: 0 check9: 0 check9: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11: 0 check11NA: 0 prodSpecSig:

DL: Select

Appropriate Drawing Restrictions and Distribution Statements: Select

Signature10:

Signature11:

DateField1:

DateField2:

Topdwgrev:

topdwgnum:

Use TQ Deskbook Appendix 41 to identify SPI in packaging tab. : Select

Appropriate Export Control, License Agreements codes: Select

Ensure yellow highlighted portions of section D are placed in Inspection Text. : Select

Reviewed Form 034 for Shelf Life requirements to update Inspection Text and/or PKG Tab whichever is applicable. Apply special marking code ZZ, 32 or 33 as appropriate if shelf life requirements apply. For ECBC Lot Numbering scheme (use of MIL-STD-1168), ensure STO ZD086 is placed in the Inspection text. NOTE: FOR LAND AND MARITIME ONLY COPY AND PASTE ENGINEERING EXCEPTIONS APPLICABLE TO PACKAGING ON MM/INSPECTION TEXT: Select

Signature14:

Signature16:

Look for NT and CN in the DocDataCD field for change notices that may affect packaging.: Select

Use Web FLIS CIIC codes to determine protected cargo status (controlled, sensitive, pilferable material). If protected cargo, then update special marking code "ZZ" and add STO ZD079 to Inspection Text for protected cargo. Update TOS in EBS if possible or email DLIS (Melissa.Groetsema@dla.mil, Craig.Warn@dla.mil, Justin.Voshel@dla.mil) to add appropriate TOS code (‘T’ for Secured storage which includes controlled or limited access or ‘V’ for Secured Vault) to secure stock by the appropriate method.: Select

Ensure required text for FAT is added per Appendix 41.: Select

Ensure required text for FAT is added per Appendix 41.: Select supplychain: Select incoterms: E Insp & Accp at Orig FOB Orig check3: 0 check3: 0 check3: 0 check3: 0 check10: 1 check10: 0 check1c: 0 check1c: 0 check1c: 0 check1c: 0 check1c: 1 check1c: 0 check1c: 0 cageCode: United Technologies (52661) dla339:

check10Other:

prodSpecSign:

prodSpecReviewSign:

acqSpecSign:

acqSpecReviewSign:

istLeadSign:

notes:

materialgroup:

full PR number including leading zeros:

RC001 applicable only on AMSC B or C items.:

PS Name:

DateFieldPS:

dropdowncenter:

Cage:

material:

PDS_Coments:

PKG:

PKG_Comment:

PDS:

Configuration Management STO RQ003, Ozone CS187: Select

Place STO ZD085 in Internal Comments under Procurement Data: Select

CS001 STO goes in the POT, CS003 goes in Internal Comments. Code Export Control in classification/Data Support "Yes". Please make sure all drawings in Aggregate view have all restrictions properly coded IAW Data List, supporting documentation or markings on the drawings.: Select

Ball Bearing STO A1166, Forgings/Castings STO ZD047, Specialty Metals STO ZD081, Precious Metals (Precious Metals Indicator in Basic Data 2 needs to have an appropriate indicator code), Heavy phosphate STO ZL006: Select

Per Shelf Life policy make sure the codes associated with Shelf Life in Plant data Storage are filled correctly. Also, correct STO table is added to the POT.: Select

Copy and paste Engineering Changes in the POT. NOTE: IF ENGINEERING EXCEPTIONS SECTION IS MADE OF MULTIPLE PAGES PLEASE PREPARE AN ENGINEERING CHANGES DOCUMENT AND SEND IT TO THE PDS TO BE LINKED TO THE MATERIAL.: Select

GFM requirements can be found either in FORM 034 or Section E. Change GFM code in classification industrial specialist to Yes, Place GFM requirements in Note to Buyer in Internal Comments: Select

Place of inspection in Product Assurance/Classification needs to be C-critical source inspection or 1-source inspection : Origin

Choose appropriate STO - RQ001 for tailored ISO. Enter "Tailored ISO by excluding paragraph 7.3" in the POT underneath the STO. Use STO ZDISO For full ISO. : Select

Requirements for classification/product assurance tab are provided in section E. ECBC will provide a SQAP document with additional requirements.: Select

Requirements for PLT will be provided in the SQAP: Select

Use QCC requirements in section E as guidance. This should be the minimum requirements. PS may place a more stringent requirement. NOTE: Verify QCC correlates with the requirements in Section E.: Select

SPC 07 items the validation period is 1 year. SPC 97 items have a 5 year validation period: Select

PSdocumentedinternalcomments: Select

FATPS: Select

STOs RQ006 and RT001 in POT, and place Yes on the certificate of quality compliance field in classification/product assurance. Also, link SAP Document# 6921725 into DMS.: Select

PS_Supervisor:

PS:

This clause should only be used when Section E field #1 Level of Verification is Low: Select

Per SPC 07 Business Rules sources are waived for a year after initial approval. For SPC 97 follow rules on Appendix B08 for rules on critical items.:

check_PLT: 0 check_PLT: 0 check_FAT: 0 check_FAT: 0 check_QPP: 0 check_QPP: 0

PLTPS: Select

Use CDRL templates already in the system. If FAT is required ECBC will provide document attached on section E.: Select

STO ZD063 in Internal Comments, STO ZD064 in POT and list below the STO all the required CDRLs for example: Production Lot Test, First Article Test. Also, link the required CDRL to the Bidset. NOTE: FOR LAND AND MARITIME ONLY, STO ZM008 IS ALSO REQUIRED IN THE POT.: Select

PS_comment:

List cages that are waived sources per Business Rules. Also, add cages in Material Master, Classification, Product Assurance, Waived Source.:

check_CoQC: 0 check_CoQC: 0 contractsup:

No Dashes:

FATPOSTAWARD: Select

DateFieldpostsol:

contractorjcp: Select

PS_SupPost:

contracting_sup_Post:

PostAward_Comment:

Contracting_sign:

DateFieldpresol:

No Dashes:

shelflifecheck: 0 exportcontrolcheck: 0

GFMcheck: 0 higherlevelcheck: 0

GFATcheck: 0

CPLTCheck: 0

GPLTcheck: 0

COCCheck: 0

CFATcheck: 0 insppoint: 1

CheckBox1: 0 check1a: 0

NIIN Value: 015341705

Air Force

Part Number(s) 4340821

FSC/NIIN 2840-01-534-1705

Nomenclature Blade Set - Turbine Rotor, 1st Stage

Prime CAGE 77445

Application F100 229

Consumable/Repairable

Criticality Determination Date

Item Criticality

-CSI Y

-CAI N

-Non Critical N

Critical Characteristics

-Manufacturing N

-Depot N

-Installation N

Approved Sources

Serialization

AMC/AMSC

Coordination Date

Procurable

Known CSI Sub Components

Critical Item Data Viewer https://remote3.amrdec.army.mil/csiviewer/CompareNIIN.aspx?NIIN...

1 of 1 3/8/2018 2:51 PM

PREVIOUS EDITION IS OBSOLETE. Page 1 of 2 Designer 11DD FORM 2579, AUG 2015 PREVIOUS EDITION IS OBSOLETE. Page 1 of 2 Designer 11DD FORM 2579, AUG 2015

SMALL BUSINESS COORDINATION RECORD

(See DFARS PGI 253.219-70 for form completion instructions.)

1. CONTROL

NO. (Optional)

2. PURCHASE REQUEST/

REQUISITION NO.

0071105180

3. TOTAL ESTIMATED

VALUE (With options) $2,694,385.59

4a. PIID

SPE4A518R0135

b. IDV PIID (If applicable) 5. MOD/AMDMT NO.

6a. CONTRACTING OFFICER NAME (Last, First, Middle Initial)

Davitt, Andrew, P

b. DODAAC

SPE4A5

c. OFFICE SYMBOL

DLAA-FMAC

d. E-MAIL ADDRESS

Andrew.Davitt@dla.mil

e. TELEPHONE NUMBER (Include Area Code)

804-279-5893

7a. ITEM AND/OR SERVICE DESCRIPTION NAME: Blade, Set, Turbine, A

NSN: 2840-01-534-1705

see attached PR trailer

b. PRODUCT OR SERVICE CODE

c. NAICS CODE

336413

d. SIZE STANDARD

8. PERIOD OF PERFORMANCE/DELIVERY DATES

(Including options)

9. PURPOSE OF COORDINATION (X one) Initial Coordination✖ Withdrawal Change

10. RECOMMENDATION (X all that apply)

a. SMALL BUSINESS SET-ASIDE (X one) b. SECTION 8(a) (X one)

100% Partial % Competitive Sole Source

c. HISTORICALLY UNDERUTILIZED BUSINESS ZONE zz (HUBZone) SMALL BUSINESS (X one)

d. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) (X one)

Competitive Sole Source Competitive Sole Source

e. ECONOMICALLY DISADVANTAGED WOMEN-OWNED

SMALL BUSINESS (EDWOSB) SET-ASIDE

f. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE

UNDER WOSB PROGRAM SET-ASIDE

g. OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208;

or DFARS 226.71)

h. OTHER THAN FULL AND OPEN COMPETITION NOT

PREVIOUSLY ADDRESSED✖

i. FULL AND OPEN COMPETITION (Complete block 13)

j. MULTIPLE AWARD Contract Delivery/Task Order

HUBZONE PRICE EVALUATION PREFERENCE

(Ref. FAR 19.1307)

Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)

11a. MARKET RESEARCH/ACQUISITION PLAN

b. SYNOPSIS REQUIRED (X one) c. SMALL BUSINESS PROGRESS PAYMENTS (X one)

Yes✖ No (Provide FAR 5.202 exception) Yes No✖

(NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)

12. CONSOLIDATED OR BUNDLED (X as applicable)

a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.) Yes No✖

b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.) Yes No✖

13. SUBCONTRACTING PLAN REQUIRED (X one) Yes✖ No

PREVIOUS EDITION IS OBSOLETE. Page 2 of 2 Designer 11DD FORM 2579, AUG 2015 PREVIOUS EDITION IS OBSOLETE. Page 2 of 2 Designer 11DD FORM 2579, AUG 2015

14. ACQUISITION HISTORY

a. IS THIS A NEW REQUIREMENT? (X one)

Yes (Proceed to Block 15)✖ No (Continue to Blocks a(1) through (10), marking all that apply for the immediately preceding acquisition.)

(1) SMALL BUSINESS SET-ASIDE (X one) (2) SECTION 8(a) (X one)

100% Partial % Competitive Sole Source

(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)

(4) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

(SDVOSB) (X one)

Competitive Sole Source Competitive Sole Source

(5) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL

BUSINESS (EDWOSB) SET-ASIDE

(6) WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER

WOSB PROGRAM SET-ASIDE

(7) OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or DFARS 226.71)

(8) OTHER THAN FULL AND OPEN COMPETITION NOT PREVIOUSLY

ADDRESSED

(9) FULL AND OPEN COMPETITION (Complete block 13) (10) MULTIPLE AWARD Contract Delivery/Task Order

HUBZONE PRICE EVALUATION PREFERENCE (Ref. FAR 19.1307)

Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)

b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)

(1) CONSOLIDATED Yes No✖ (2) BUNDLED Yes No✖

c. DETAILS OF PREVIOUS AWARD(S) (List details requested in instructions.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it.