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AVN Form S53, AUG 2015 FOR OFFICIAL USE ONLY 2

AMSC K.

AMSC L.

AMSC M.

AMSC N.

This part must be produced from class 1 castings under MIL-STD-2175.

The annual buy value of this part falls below the screening threshold established by DoD.

Manufacture of this part requires use of master or coordinated tooling.

Manufacture of this part requires special test and/or inspection facilities to maintain function or system integrity.

☐ AMSC P. The rights to use the data needed to purchase this part from additional source(s) are not owned by the Government and cannot be purchased, developed, or otherwise obtained.

X AMSC Q. The Government does not have adequate data, lacks rights to data, or both. It is not economical to buy the data or rights to the data.

☐ AMSC R. The Government does not own the data or rights to the data needed to purchase this part from another source. It is not economical to procure the data or rights to the data.

☐ AMSC S. Acquisition of this item is restricted to Government approved source(s) because the item involves military sensitive technology.

☐ AMSC U. The cost to the Government to breakout this part and acquire it competitively has been determined to exceed the projected savings over the life span of the part.

☐ AMSC V. This part has been designated a high reliability part. Probability of failure would be unacceptable. The engineering activity has determined that data to define and control reliability limits cannot be obtained.

☐ AMSC Y. The design of this part is unstable. Engineering, manufacturing, or performance characteristics indicate that the required design objectives have not been achieved.

☐ AMSC Z. This part is a commercial/no-developmental/off-the-shelf item.

☐ Other:

6. Efforts to ensure that offers are solicited from as many sources as practicable are:

X The acquisition will be synopsized on or about 10/28/15 and any firm requesting a solicitation copy will be provided one.

A synopsis exception cited in FAR 5.202 applies: (Explain)

☐ Manufacturers of similar products identified in the market survey will be solicited.

☐ Dealers of the manufacturers will be solicited.

X Other: (Explain) ) Sources sought synopsis was issued on 10/25/15

7. I hereby determine that the anticipated cost to the Government will be fair and reasonable. (Explain) The overall cost of this acquisition will be fair and reasonable to the Government. In accordance with FAR 15.404, it is anticipated that negotiations will be conducted using information other than cost and pricing data from the contractor. Thorough price analysis will be conducted using available information and approved pricing techniques that will support the contracting office in making a determination that the price paid to the contractor is fair and reasonable to the Government. Based on the foregoing, the Contracting Officer hereby determines the anticipated cost to the Government will be fair and reasonable.

8. A market survey as defined by FAR 10:

x was conducted, and firms indicating an interest in the acquisition will be solicited. Market research efforts, include:

Market research conducted in the form of Sources Sought, contract history reviewed for available potential sources, and a synopsis posted.

☐ was not conducted due to:

SOURCE SELECTION INFORMATION SEE FAR 2.101 & 3.104