16.__2056267_FA_REPORT.pdf_-__-_01-24-2017.pdf

FIRST ARTICLE REQUIREMENTS 1. DATE

23 DEC 2016(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

2. PR / MIPR NUMBER 3. CAGE / REFERENCE NUMBER

72314 / 1291ML1

4. NSN

5821012043672

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 2 UNIT(S) OF LOT / ITEM 2

AND WILL BE: X PART OF PRODUCTION QUANTITY IN ADDITION TO PRODUCTION QUANTITY

6. ARTICLES

X WILL WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

REQUIRED X NOT REQUIRED

(See FAR 52.209-3 OR -4, alternate II)

8. SPECIAL REQUIREMENT/PRODUCTION FACILITIES (See FAR 52.209-3 OR -4 Alternate I)

X REQUIRED NOT REQUIRED

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

9. TEST / INSPECTION REQUIREMENTS

A. X

X

CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

TDP/CCONTRACT

B. The detailed technical requirements for First Article approval tests are contained in

TDP/CONTRACT

(Cite Spec and Para number)

C. TEST PLAN REQUIRED

Number of days for government approval / disapproval days.

D. Contractor's notification to ACO and

AFLCMC/WNYEDC

(Requesting Activity) of test time and location due 45 days prior to start of testing.

E. TEST REPORT REQUIRED

(1) Forwarded to

(2) Government written notice of approval / disapproval due days after receipt of contractor's report.

F. FIRST ARTICLE DELIVERY

(1) Due within 90 calendar days from date contract.

(2) Notify 20 calendar days prior to shipment.

(3) Delivered to government at

407 SCMS/GUEA

235 BYRON ST STE A

ROBINS AFB, GA 31098-1887

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 105 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$17,686.0000

Page 1 of 2AFMC IMT 260, 20020830, V-3 Version 5Generated by PRPS using Jasper Reports on 24 Jan 2017

FIRST ARTICLE REQUIREMENTS 1. DATE

23 DEC 2016(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

10. DISPOSITION OF FIRST ARTICLES

X Approved First Articles will be forwarded to

407 SCMS/GUEA

X 1 (insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles

X will be returned to the contractor will be retained by pending disposition instructions from the contractor.

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded to USAF Supply, but will be considered part of the contract quantity.

X Disapproved First Articles

X will be returned to the contractor will be retained by pending disposition instructions from the contractor.

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. Approved First Articles will be returned to the contractor for shipment with production item.

b. Disposition of disapproved First Articles will remain the same as marked above.

X Other Disposition:

RQST VND SND PREPAID SHIPN LBLS FOR USE

11. CONDITION(S) FOR WAIVER OF FIRST ARTICLE APPROVAL

a. Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD, Air Force.

b. Offerors currently in production of the same or similar article for a Government, DoD, Air Force contract and who have received First Article approval under the existing contract.

c. Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, Air Force, provided articles thus furnished, have exhibited satisfactory performance in service in the opinion of the Air Force.

d. Provided not more than months have elapsed since completion of the contract.

e. X First Article testing will not be waived.

f. See Remarks in block 12 below.

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE COGNIZANT ENGINEERING ACTIVITY WITH THE FOLLOWING INFORMATION ON THE PREVIOUSLY SUPPLIED ARTICLE:

A. PROCURING OFFICE B. CONTRACT NUMBER C. DATE OF CONTRACT D. SPECIFICATION NUMBER AND REVISION

12. REMARKS

Andrews, Troy WNAME: 23 DEC 2016DATE:

NSN 5821-01-204-3672 is only used as a placeholder until the replacement is identified. At the time the replacement is identified the Air Force will work on getting a new NSN catalogued for AF use.

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING TEST

(Name, Organization, Phone)

Benjamin, David A

AFLCMC / WN Y E D C

478-926-6117

468-6117

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Benjamin, David A

AFLCMC / WN Y E D C

478-926-6117

468-6117

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