Surplus Material Worksheet.pdf

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Attached to
RFQ Cancellation
Solicitation number
SPRWA1-25-Q-0007
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The Surplus Material Worksheet is a detailed evaluation document for a hydraulic system component (NSN 4320008728798GA, Part Number 204-076-006-1) intended for potential surplus material procurement. The document, dated 03 May 2024, indicates that surplus materials may be considered for fulfilling government needs, with specific evaluation criteria focusing on government and commercial surplus categories. Only new/unused government surplus items manufactured by Eaton Aerospace (CAGE: 62983) will be acceptable, with requirements for 100% end item inspection and traceability to an approved design listed on the 204-076-006 Qualified Products Listing (QPL).

The worksheet is associated with a Defense Logistics Agency (DLA-Aviation) solicitation (SPRWA1-25-Q-0007) for procuring nine (9) TH-1H Helicopter Axial Pumps, to be delivered within 30 days after receipt of order. The evaluation is performed in accordance with AFMC FAR Supplement Part 5352, with specific attention to part number verification, prior government ownership, and initial acceptability. The document was prepared by Andrew L. Danielson from AFLCMC/WIUED, who noted that only products listed on the QPL have demonstrated satisfactory compliance with procurement specification requirements.

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SPRWA125Q0007 0001 Cancellation Amendment.pdf PDF
Transportation.pdf PDF
SPRWA125Q0007.pdf PDF
Packaging.pdf PDF

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SURPLUS MATERIEL WORKSHEET

DATE

03 MAY 2024

I. REQUEST FOR EVALUATION

NSN

4320008728798GA

PART NUMBER

204-076-006-1

CAGE

97499

APPLICATION

Hydraulic System

IMS

Danielson, Andrew L

OFFICE SYMBOL

AFLCMC / WIUED

PHONE

478-926-5668

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

N

N

N

Y 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 97499(AFMCFARS 5352.211-9011) MFG 204-076-006-1P/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

VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY

DRAWING NUMBER

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

TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)

OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)

OTHER SPECIAL REQUIREMENTS (Explain)

Danielson, Andrew LNAME: 03 MAY 2024DATE:

Items must provide traceability to an approved design. Approved designs are listed on the 204-076-006 Qualified Products Listing (QPL), by part number and manufacturer.

Surplus units manufactured by Eaton Aerospace (CAGE: 62983) will be accepted.

100% end item inspection for condition

REMARKS

JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL

Only products listed on the QPL have demonstrated satisfactory compliance with all requirements of the procurement specification.

EVALUATOR

Danielson, Andrew L

OFFICE SYMBOL

AFLCMC / WIUED

PHONE

478-926-5668 / 468-5668

COMPLETE DATE

03 MAY 2024

SIGNATURE

//SIGNED// Danielson, Andrew L

USER TYPE

Engineer

SIGNATURE DATE

03 MAY 2024

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