Updated762.pdf

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Repair of NSN: 4120-01-560-9122
Solicitation number
FA825025Q0474
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This is a Contract Repair Screening Analysis Worksheet (AFMC Form 762) dated February 26, 2025, for the repair of an air conditioner (NSN 4120015609122ZR, Part Number AC-242-36-31B) used in the AN/TRC-214 weapon system. The form analyzes repair requirements and sourcing for a single unit with an annual repair budget of $11,416.72 and a forecast unit price of $37,000.

The analysis indicates this is a sole-source repair requirement, with Applied Companies (CAGE: 54080) being the only approved source since December 14, 2018. The item requires special tools, special test equipment, and special facilities, but no government furnished material. Previous contract repairs were performed by Applied Companies under three contracts from 2020-2021. The item requires precontract qualification and engineering source approval, cannot be commercially repaired under FAR Part 12, and is not designated as a critical safety item. The RMC/RMSC code is R1/C with an expiration date of May 2, 2027. Additional technical data and engineering approval are required for any new sources to qualify for repair work.

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CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

26 FEB 2025

2. FORM PRIORITY

3. NSN

4120015609122ZR

4. PART NUMBER

AC-242-36-31B

5. PART NUMBER CAGE CODE

54080

6. NOUN

AIR CONDITIONER

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$11,416.7200

9. ANNUAL REPAIR

BUDGET VALUE

$11,416.72

10. FORECAST UNIT

PRICE

$37,000.0000

11. ERRC

T

12. WEAPON SYSTEM

AN/TRC-214

13. END ITEM APPLICATION

5895015464885

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

APPLIED COMPANIES 04 AUG 202154080 FA825021P0056

APPLIED COMPANIES 20 MAY 202154080 FA825021P0032

APPLIED COMPANIES 09 APR 202054080 FA825020P0021

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED NO X YES (annotate required data and availability on RDL) UNKNOWN

18. THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

X ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS NOT REQUIRED X REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE NOT REQUIRED X REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

X LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

X NO YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

NO X YES

28. RMC / RMSC CODE

R1 / C

29. RMC / RMSC EXPIRATION DATE

02 MAY 2027

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

This part requires engineering source approval by the design control activity in order to maintain the quality of the part. Existing unique engineering skills, and repair knowledge by the qualified source require repair of the part by the approved source. The approved source retain repair knowledge or technical data that are not economically available to the Government, and the data or knowledge is essential to maintaining the quality of the part.

An alternate source must qualify in accordance with the design control activity's procedures as approved by the cognizant Government engineering activity.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

APPLIED COMPANIES 54080 14 DEC 2018

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 13Generated by PRPS using Jasper Reports on 27 Feb 2025

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

32. ENGINEER NAME

Dam, Nghia T

CODE

N/A

OFFICE SYMBOL

415 SCMS / /GUEA

PHONE

801-864-8625

COMPLETION DATE

26 FEB 2025

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Engineer NAME: Dam, Nghia T DATE: 26 FEB 2025

ORG / OFFICE SYMBOL: 415 SCMS / /GUEA COMMERCIAL PHONE: 801-864-8625 DSN PHONE: 864-8625

Sole Source - We were unable to find alternative Repair Sources

USER TYPE: Equipment Specialist NAME: Mickey, Richard J DATE: 08 JAN 2020

ORG / OFFICE SYMBOL: 415 SCMS / GUMAB COMMERCIAL PHONE: 801-777-7551 DSN PHONE: 777-7551

Organic repair TYAD

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 13Generated by PRPS using Jasper Reports on 27 Feb 2025

File details come from the government source that posted it. Updated .