Solicitation_Attachment_0010_TDPL.pdf

09/25/2015 AMCOM MAINTENANCE AND OVERHAUL TDPL PAGE 1

NEEDS REVIEW REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

IMMC 4 ID IS EMPTY

IMMC 4 DATE COMPLETE IS EMPTY

ENVIRONMENTAL ID IS EMPTY

ENVIRONMENTAL DATE COMPLETE IS EMPTY

COMPETITION MGT OFC ID IS EMPTY

COMPETITION MGT OFC DATE COMPLETE IS EMPTY

ITEMS NEEDING REVIEW OR REVALIDATION:

PT CCCCC 020-56399-032 NO SOURCE INFORMATION

PT CCCCC 029-73272-105-4 NO SOURCE INFORMATION

PT CCCCC 043-68787 NO SOURCE INFORMATION

PT CCCCC 052-46666 NO SOURCE INFORMATION

PT CCCCC 052-46668 NO SOURCE INFORMATION

PT CCCCC 060-45620-7 NO SOURCE INFORMATION

PT CCCCC 060-45620-8 NO SOURCE INFORMATION

PT CCCCC 070-07549-007 NO SOURCE INFORMATION

PT CCCCC 071-45196 NO SOURCE INFORMATION

PT CCCCC 071-46669 NO SOURCE INFORMATION

PT CCCCC 072-07531 NO SOURCE INFORMATION

PT CCCCC 072-20939 NO SOURCE INFORMATION

PT CCCCC 072-24619 NO SOURCE INFORMATION

PT CCCCC 080-04273-391 NO SOURCE INFORMATION

PT CCCCC 080-04273-44 NO SOURCE INFORMATION

PT CCCCC 080-04273-51 NO SOURCE INFORMATION

PT CCCCC 080-04273-60 NO SOURCE INFORMATION

PT CCCCC 090-07621 NO SOURCE INFORMATION

PT CCCCC 090-45099C8H14 NO SOURCE INFORMATION

PT CCCCC 090-64369 NO SOURCE INFORMATION

PT CCCCC 092-26769 NO SOURCE INFORMATION

PT CCCCC 093-49832-4 NO SOURCE INFORMATION

PT CCCCC 093-49832-9 NO SOURCE INFORMATION

PT CCCCC 102-06892-13 NO SOURCE INFORMATION

PT CCCCC 102-06892-14 NO SOURCE INFORMATION

PT CCCCC 102-06892-15 NO SOURCE INFORMATION

PT CCCCC 102-06892-16 NO SOURCE INFORMATION

PT CCCCC 102-06892-17 NO SOURCE INFORMATION

PT CCCCC 102-06892-18 NO SOURCE INFORMATION

09/25/2015 AMCOM M&O TDPL PAGE 2

NEEDS REVIEW REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

PT CCCCC 102-06892-19 NO SOURCE INFORMATION

PT CCCCC 102-06892-20 NO SOURCE INFORMATION

PT CCCCC 102-06892-21 NO SOURCE INFORMATION

PT CCCCC 102-06892-22 NO SOURCE INFORMATION

PT CCCCC 102-06892-23 NO SOURCE INFORMATION

PT CCCCC 102-06892-24 NO SOURCE INFORMATION

PT CCCCC 102-06892-25 NO SOURCE INFORMATION

PT CCCCC 102-56391-010 NO SOURCE INFORMATION

PT CCCCC 102-56391-015 NO SOURCE INFORMATION

PT CCCCC 102-56391-020 NO SOURCE INFORMATION

PT CCCCC 102-56391-025 NO SOURCE INFORMATION

PT CCCCC 102-56391-030 NO SOURCE INFORMATION

PT CCCCC 102-56391-035 NO SOURCE INFORMATION

PT CCCCC 102-56391-040 NO SOURCE INFORMATION

PT CCCCC 102-56391-045 NO SOURCE INFORMATION

PT CCCCC 102-56391-050 NO SOURCE INFORMATION

PT CCCCC 102-56391-055 NO SOURCE INFORMATION

PT CCCCC 102-56391-060 NO SOURCE INFORMATION

PT CCCCC 102-56391-065 NO SOURCE INFORMATION

PT CCCCC 110-46808-1 NO SOURCE INFORMATION

NS 77272 1650-01-119-3372 NO SOURCE INFORMATION

PT 77272 173HS113-2 NO SOURCE INFORMATION

5/9/2016https://amcom1.redstone.army.mil/reports/rwservlet/getjobid565281?server=repsrv

PT CCCCC 355-122-6352 NO SOURCE INFORMATION

PT 94697 A01404-200 NO SOURCE INFORMATION

PT 94697 A01404-204 NO SOURCE INFORMATION

PT 94697 A20409-4-4C NO SOURCE INFORMATION

PT 94697 A21724-1 NO SOURCE INFORMATION

PT 94697 A21792-001 NO SOURCE INFORMATION

PT 94697 A21795-1 NO SOURCE INFORMATION

PT 94697 A21795-2 NO SOURCE INFORMATION

PT 94697 A21795-3 NO SOURCE INFORMATION

PT 94697 A21795-4 NO SOURCE INFORMATION

PT 94697 A21795-5 NO SOURCE INFORMATION

PT 94697 A21795-6 NO SOURCE INFORMATION

PT 94697 A21795-7 NO SOURCE INFORMATION

PT 94697 A21795-8 NO SOURCE INFORMATION

PT 94697 A21795-9 NO SOURCE INFORMATION

PT 94697 A21808-002 NO SOURCE INFORMATION

09/25/2015 AMCOM M&O TDPL PAGE 3

NEEDS REVIEW REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

PT 94697 A22254-1 NO SOURCE INFORMATION

PT 94697 A22375-1 NO SOURCE INFORMATION

PT 94697 A31249 NO SOURCE INFORMATION

PT 94697 A50375-1 NO SOURCE INFORMATION

PT 94697 A50376-1 NO SOURCE INFORMATION

PT 94697 A50377-1 NO SOURCE INFORMATION

CP 81349 M83723/83-R1005N NO SOURCE INFORMATION

DEFICIENT DOCUMENTS:

09/25/2015 AMCOM MAINTENANCE AND OVERHAUL TDPL PAGE 4

W-A-R-N-I-N-G ! THIS PACKAGE CONTAINS ITEMS WITH RESTRICTED SOURCES

NO ODS SPECIFICATIONS FOUND

W-A-R-N-I-N-G ! THIS PACKAGE CONTAINS DISTRIBUTION STATEMENTS OTHER THAN 'A'

W-A-R-N-I-N-G! PACKAGE CONTAINS TECHNICAL DATA FOR WHICH EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT

+ PRID NUMBER : M351-01 PRON NUMBER : AX6M0043AX +

+ NSN : 1650-01-119-3372 PART NUMBER : 173HS113-2 +

+ DMWR NUMBER : DMWR-55-1650-405 STATUS : ROUTINE +

+ NOMENCLATURE : VALVE, HOIST CONTROL +

+ PVA REQD IAW AMCOM FAR CLAUSE 52.209-4723 +

+ IMMC 1 ID : vldigest IMMC 1 DATE COMPLETE : 08/10/2015 + + AVN ENGINEER DIR 1 ID : clmayha AVN ENGINEER DIR 1 DATE COMPLETE : 08/24/2015 + + AVN ENGINEER DIR 2 ID : hhernand ADEQUATE DMWR? : Y AVN ENGINEER DIR 2 DATE COMPLETE : 08/24/2015 + + STATUS ACCOUNTING ID : pbogo STATUS ACCOUNTING DATE COMPLETE : 08/26/2015 + + PACKAGING ID : tfunder PACKAGING DATE COMPLETE : 08/24/2015 + + QUALITY ID : theflin QUALITY DATE COMPLETE : 09/09/2015 + + SNRR/TAMMSA ID : astaggs SNRR/TAMMSA DATE COMPLETE : 08/25/2015 + + IMMC 2 ID : vldigest IMMC 2 DATE COMPLETE : 09/10/2015 + + DATA MANAGEMENT ID : cmayhall DATA MANAGEMENT DATE COMPLETE : 09/18/2015 + + TRANSPORTATION ID : cllove TRANSPORTATION DATE COMPLETE : 09/18/2015 +

+ COMPETITION MGT OFC ID : = COMPETITION MGT OFC DATE COMPLETE : = +

+ IMMC 3 ID : vldigest IMMC 3 DATE COMPLETE : 09/21/2015 + + AVN ENGINEER DIR 3 ID : hhernand AVN ENGINEER DIR 3 DATE COMPLETE : 09/22/2015 +

+ BUDGET ID : rkeck BUDGET DATE COMPLETE : 09/24/2015 + + ENGINEERING ID : arose ENGINEERING DATE COMPLETE : 09/02/2015 +

+ ENVIRONMENTAL ID : = ENVIRONMENTAL DATE COMPLETE : = +

+ IMMC 4 ID : = IMMC 4 DATE COMPLETE : = +

+ ACQUISITION ID : * ACQUISITION DATE COMPLETE : * +

NOTE: '=' INDICATES REQUIRED DATA IS MISSING. '*' INDICATES MISSING DATA IS NOT MANDATORY

'N/A' INDICATES MISSING DATA IS NON-APPLICABLE.

09/25/2015 AMCOM M&O TDPL PAGE 5

USAGE REMARKS

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

++++++++++++++++++++++++++++++++++++++ AVIATION ENGINEERING DIRECTIVE 1 +++++++++++++++++++++++++++++++++++++ + AEM SUSTAINMENT HAS VERIFIED THE CSI/NST DATA PER THE ARISE CIM DATABASE ON 8/10/2015 AND + + THE COMPONENT IS NON-CSI AND NON-NST.JC - CONFER, JEFFERY / 256-955-6823 / 10-AUG-15 + ++++++++++++++++++++++++++++++++++++++ AVIATION ENGINEERING DIRECTIVE 2 +++++++++++++++++++++++++++++++++++++ + AEM SUSTAINMENT HAS VERIFIED THE CSI/NST DATA PER THE ARISE CIM DATABASE ON 8/10/2015 AND + + THE COMPONENT IS NON-CSI AND NON-NST.JC - CONFER, JEFFERY / 256-955-6823 / 10-AUG-15 + +++++++++++++++++++++++++++++++++++++++++++++ STATUS ACCOUNTING +++++++++++++++++++++++++++++++++++++++++++++

+ THE FOLLOWING SPECS ARE CANCELLED WITH REPLACEMENTS: +

+ AMCOM-R-702-2 REPLACEDY BY AMRDEC-POLICY-06-04 +

+ ANSI/ASQC-A8402 REPLACED BY ANSI/ASQ-A8402 +

+ ANSI/ASQ-A8402 REPLACED BY ASQ-Q9000 +

+ ASTM-E1444 REPLACED BY ASTM-E1444/E1444M +

+ - STANLEY, SHAMIKA / 256-842-1278 / 25-AUG-15 - WOOD, MARY SHANNA / 256-313-1670 / 26-AUG + + -15 +

++++++++++++++++++++++++++++++++++++++++++++++++ SNRR/TAMMSA ++++++++++++++++++++++++++++++++++++++++++++++++ + PRID: M351-01, NSNS: 1650-01-119-3372, PN: 173HS113-2 DOES NOT REQUIRE TAMMS-A. - STAGGS, +

+ AMANDA C. / 256-313-2438 / 25-AUG-15 +

++++++++++++++++++++++++++++++++++++++++++++ UNKNOWN REMARKS TYPE +++++++++++++++++++++++++++++++++++++++++++ + AED NOTES: AEM SUSTAINMENT HAS RECERTIFIED THE CSI AND NST DATA THROUGH ARISE CIM DATABASE + + ON 09/21/2015. COMPONENT IS STILL NON-CSI AND NON-NST. THERE ARE NO CHANGES TO THE DATA. +

+ MW. - WAGNER, MICHAEL / 256-842-1332 / 21-SEP-15 +

++++++++++++++++++++++++++++++++++++++++++++++++++ BUDGET +++++++++++++++++++++++++++++++++++++++++++++++++++ + THE PROJECT IN LMP IS AX16NBM351AXAX - KECK, RHONDA / 256-842-6628 / 24-SEP-15 +

09/25/2015 AMCOM M&O TDPL PAGE 6

USAGE REMARKS

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

++++++++++++++++++++++++++++++++++++++++++++++++ ENGINEERING ++++++++++++++++++++++++++++++++++++++++++++++++ + REVIEWED PARTS LISTED ON TDPL FOR RESTRICTED SOURCES WITH THE FOLLOWING COMMENTS: + + ALL PARTS LISTED WITH CAGE CCCCC. HAYSTACK AND LMP RESEARCHED. SUSPECT CAGE SHOULD BE OE + + M 94697. THESE PARTS WILL REMAIN LISTED ON TDPL WITH CAGE CCCCC UNTIL DMWR AND/OR CONFIGU +

+ RATION UPDATED. +

+ P/N 102-56391-025 REPLACED BY 102-56391-030 PER LMP PROVISIONING. +

+ P/N 102-56391-035 REPLACED BY 102-56391-040 PER LMP PROVISIONING. +

+ P/N 102-56391-045 REPLACED BY 102-56391-050 PER LMP PROVISIONING. +

+ P/N 102-56391-060 REPLACED BY 102-56391-065 PER LMP PROVISIONING. +

+ - ROSE, ANNETTE D. / 256-313-2632 / 31-AUG-15 +

09/25/2015 AMCOM M&O TDPL PAGE 7

OZONE DEPLETING CHEMICALS STATEMENT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

A technical review of the Technical Baseline provided has been performed in accordance with the National Defense Authorization Act for Fiscal Year 1993, and based on the information provided, no specifications or standards contain Ozone Depleting Chemicals.

09/25/2015 AMCOM M&O TDPL PAGE 8

DMWR COMPONENT LISTING

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT CCCCC 020-56399-032 01/01/2015 NO SOURCE INFORMATION

ORIFICE ASSEMBLY

PT CCCCC 029-73272-105-4 01/01/2015 NO SOURCE INFORMATION

ARMATURE FLEXURE SLEEVE ASSEMBLY

PT CCCCC 043-68787 01/01/2015 NO SOURCE INFORMATION

CAP,END

PT CCCCC 052-46666 01/01/2015 NO SOURCE INFORMATION

STOP, PISTON

PT CCCCC 052-46668 01/01/2015 NO SOURCE INFORMATION

STOP, PISTON

PT CCCCC 060-45620-7 01/01/2015 NO SOURCE INFORMATION

COIL

PT CCCCC 060-45620-8 01/01/2015 NO SOURCE INFORMATION

COIL

PT CCCCC 070-07549-007 01/01/2015 NO SOURCE INFORMATION

NOZZLE ASSEMBLY

PT CCCCC 071-45196 01/01/2015 NO SOURCE INFORMATION

TUBE, FILTER

PT CCCCC 071-46669 01/01/2015 NO SOURCE INFORMATION

RETAINER, FILTER

PT CCCCC 072-07531 01/01/2015 NO SOURCE INFORMATION

MAGNET

09/25/2015 AMCOM M&O TDPL PAGE 9

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT CCCCC 072-20939 01/01/2015 NO SOURCE INFORMATION

POLEPIECE, BOTTOM

PT CCCCC 072-24619 01/01/2015 NO SOURCE INFORMATION

POLEPIECE, TOP

PT CCCCC 080-04273-391 01/01/2015 NO SOURCE INFORMATION

PACKING

PT CCCCC 080-04273-44 01/01/2015 NO SOURCE INFORMATION

O-RING

PT CCCCC 080-04273-51 01/01/2015 NO SOURCE INFORMATION

PACKING

PT CCCCC 080-04273-60 01/01/2015 NO SOURCE INFORMATION

PACKING

PT CCCCC 090-07621 01/01/2015 NO SOURCE INFORMATION

SCREW, MOTOR

PT CCCCC 090-45099C8H14 01/01/2015 NO SOURCE INFORMATION

SCREW, SCH

PT CCCCC 090-64369 01/01/2015 NO SOURCE INFORMATION

SCREW

PT CCCCC 092-26769 01/01/2015 NO SOURCE INFORMATION

WASHER

PT CCCCC 093-49832-4 01/01/2015 NO SOURCE INFORMATION

PLUG

09/25/2015 AMCOM M&O TDPL PAGE 10

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT CCCCC 093-49832-9 01/01/2015 NO SOURCE INFORMATION

PLUG

PT CCCCC 102-06892-13 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0310 THICK)

PT CCCCC 102-06892-14 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0315 THICK)

PT CCCCC 102-06892-15 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0320 THICK)

PT CCCCC 102-06892-16 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0325 THICK)

PT CCCCC 102-06892-17 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0330 THICK)

PT CCCCC 102-06892-18 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0335 THICK)

PT CCCCC 102-06892-19 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0349 THICK)

PT CCCCC 102-06892-20 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0345 THICK)

PT CCCCC 102-06892-21 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0350 THICK)

PT CCCCC 102-06892-22 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0355 THICK)

09/25/2015 AMCOM M&O TDPL PAGE 11

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT CCCCC 102-06892-23 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0360 THICK)

PT CCCCC 102-06892-24 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0365 THICK)

PT CCCCC 102-06892-25 01/01/2015 NO SOURCE INFORMATION

SPACER, MOTOR (.0370 THICK)

PT CCCCC 102-56391-010 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-015 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-020 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-025 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-030 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-035 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-040 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-045 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

09/25/2015 AMCOM M&O TDPL PAGE 12

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT CCCCC 102-56391-050 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-055 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-060 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 102-56391-065 01/01/2015 NO SOURCE INFORMATION

WASHER, SHIM

PT CCCCC 110-46808-1 01/01/2015 NO SOURCE INFORMATION

SPRING

NS 77272 1650-01-119-3372 NO SOURCE INFORMATION

PT 77272 173HS113-2 01/01/2015 NO SOURCE INFORMATION

VALVE HOIST CONTROL

PT CCCCC 355-122-6352 01/01/2015 NO SOURCE INFORMATION

WASHER

PT 94697 A01404-200 01/01/2015 NO SOURCE INFORMATION

SCREW

PT 94697 A01404-204 01/01/2015 NO SOURCE INFORMATION

SCREW

PT 94697 A20409-4-4C 01/01/2015 NO SOURCE INFORMATION

SETSCREW

09/25/2015 AMCOM M&O TDPL PAGE 13

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT 94697 A21724-1 01/01/2015 NO SOURCE INFORMATION

BALL PLUNGER

PT 94697 A21792-001 01/01/2015 NO SOURCE INFORMATION

HOUSING ASSEMBLY

PT 94697 A21795-1 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.125 DIA)

PT 94697 A21795-2 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.150 DIA)

PT 94697 A21795-3 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.175 DIA)

PT 94697 A21795-4 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.200 DIA)

PT 94697 A21795-5 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.225 DIA)

PT 94697 A21795-6 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.250 DIA)

PT 94697 A21795-7 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.275 DIA)

PT 94697 A21795-8 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.300 DIA)

PT 94697 A21795-9 01/01/2015 NO SOURCE INFORMATION

SLEEVE, STOP (.325 DIA)

09/25/2015 AMCOM M&O TDPL PAGE 14

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

PT 94697 A21808-002 01/01/2015 NO SOURCE INFORMATION

DETENT ASSEMBLY

PT 94697 A22254-1 01/01/2015 NO SOURCE INFORMATION

BODY ASSEMBLY

PT 94697 A22375-1 01/01/2015 NO SOURCE INFORMATION

PISTON

PT 94697 A31249 01/01/2015 NO SOURCE INFORMATION

LABEL, CAUTION

PT 94697 A50375-1 01/01/2015 NO SOURCE INFORMATION

STOP, SPOOL

PT 94697 A50376-1 01/01/2015 NO SOURCE INFORMATION

STOP, SPOOL

PT 94697 A50377-1 01/01/2015 NO SOURCE INFORMATION

SPOOL

CP 81349 M83723/83-R1005N NO SOURCE INFORMATION

DM 81996 DMWR-55-1650-405 01/02/2015 ADQ FOR UNLTD PROC D/C EXP

HOIST CONTROL SERVOVALVE AED-C4598

MEO-D1575

MEO-D1581

MEO-T1356 D

DU 80205 NAS410 01/01/2003 ADQ FOR UNLTD PROC * D/A

NAS CERTIFICATION & QUALIFICATION OF NONDESTRUCTIVE TE

09/25/2015 AMCOM M&O TDPL PAGE 15

DMWR COMPONENT LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT CAGE ITEM NUMBER REV DATE ITEM STATUS LEGEND

NOMENCLATURE MEO ID REV CHG

DU 80205 NAS620-C3L 01/01/2009 ADQ FOR UNLTD PROC * D/A

WASHER, FLAT, REDUCED OUTSIDE DIAMETER

PT 94697 A01403-204 01/01/2015 PROC RESTRICTED TO

SCREW 94697

PT 94697 A28666-1 01/01/2015 PROC RESTRICTED TO

BODY, SPOOL, AND PISTON ASSEMBLY 94697

PT 94697 A38410-1 01/01/2015 PROC RESTRICTED TO

SHAFT ASSEMBLY 94697

PT 94697 A38411 01/01/2015 PROC RESTRICTED TO

END CAP, ADJUSTOR 94697

09/25/2015 AMCOM M&O TDPL PAGE 16

DMWR SPECIFICATIONS AND STANDARDS LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

QPL CAGE DOCUMENT NUMBER REV AMD CHG SPL SEC SEE

NOMENCLATURE LEGEND

81996 AMCOM-R-702-2 (REPLACED BY AMRDEC-POLICY-06-04 81996)

81996 AMRDEC-POLICY-06-04 NO N D/A

AVIATION PRODUCT VERIFICATION AUDIT REQUIREMENTS

81348 GG-P-455 B 4 N * D/A

PLATES AND FOILS PHOTOGRAPHIC

06542 FED-STD-595 C N * D/A

COLORS USED IN GOVERNMENT PROCUREMENT

81349 MIL-DTL-15024 F N * D/A

PLATES, TAGS, BANDS IDENTIFICATION EQUIPMENT,

81349 MIL-DTL-5541 F N * D/A

CHEMICAL CONVERSION COATINGS ALUMINUM ALUMINUM ALLOYS

81349 MIL-DTL-83723 G 1 N * D/A

CONNECTORS, ELECTRICAL, (CIRCULAR, ENVIRONMENT RESISTI

81349 MIL-DTL-83723/83 E N * D/A

CONNECTORS, ELECTRICAL, (CIRCULAR, ENVIRONMENT RESISTI

81349 MIL-I-45607 C 5 N * D/A

EQUIPMENT, ACQUISITION, MAINTENANCE DISPOSITION

96906 DODI-5000.64 NO N * D/A

ACCOUNTABILITY AND MANAGEMENT OF DOD-OWNDED EQUIPMENT

96906 MIL-HDBK-61 A N * D/A

CONFIGURATION MANAGEMENT GUIDANCE

96906 MIL-STD-129 R N * D/A

MILITARY MARKING FOR SHIPMENT AND STORAGE

96906 MIL-STD-130 N N * D/A

IDENTIFICATION MARKING OF U.S. MILITARY PROPERTY

96906 MIL-STD-2073-1 E N * D/A

STANDARD PRACTICE FOR MILITARY PACKAGING

96906 MS16555-618 (REPLACED BY NASM16555 80205)

96906 MS28775-009 (REPLACED BY AS-28775 81343)

96906 MS28775-010 (REPLACED BY AS-28775 81343)

96906 MS28775-035 (REPLACED BY AS-28775 81343)

ZZZZZ AR-750-43 NO N * D/A

ARMY TEST, MEASUREMENT, AND DIAGNOSTIC EQUIPMENT

ZZZZZ DA-PAM-738-751 NO N * D/A

FUNCTIONAL USERS MANUAL FOR THE ARMY MAINTENANCE MANAG

09/25/2015 AMCOM M&O TDPL PAGE 17

DMWR SPECIFICATIONS AND STANDARDS LISTING

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

QPL CAGE DOCUMENT NUMBER REV AMD CHG SPL SEC SEE

NOMENCLATURE LEGEND

055M3 ANSI/ASQ-A8402 (REPLACED BY ASQ-Q9000 055M3)

3D208 ANSI/ASQC-A8402 (REPLACED BY ANSI/ASQ-A8402 055M3)

81343 AS-28775 NO N ** D/A

(R) PACKING, PREFORMED - MS28775 O-RING R(2013)

81343 AS-9132 NO N ** D/A

(R) DATA MATRIX QUALITY REQUIREMENTS FOR PARTS MARKING

055M3 ASQ-Q9000 NO N ** D/A

QUALITY MANAGEMENT SYSTEMS - VOCABULARY T812

81346 ASTM-B209 NO N ** D/A

ALUMINUM ALUMINUM-ALLOY SHEET PLATE

81346 ASTM-E1417 NO N ** D/A

STANDARD PRACTICE FOR LIQUID PENETRANT TESTING

81346 ASTM-E1444 (REPLACED BY ASTM-E1444/E1444M 81346)

81346 ASTM-E1444/E1444M NO N ** D/A

STANDARD PRACTICE FOR MAGNETIC PARTICLE TESTING

I9008 ISO-14644-1 NO N ** D/A

CLEANROOMS ASSOCIATED CONTROLLED ENVIRONMENTS - PART 1

I9008 ISO-14644-2 NO N ** D/A

CLEANROOMS ASSOCIATED CONTROLLED ENVIRONMENTS - PART 2

I9008 ISO-15434 NO N ** D/A

INFORMATION TECHNOLOGY AUTOMATIC IDENTIFICATION CAPTUR

I9008 ISO-IEC-15415 NO N ** D/A

INFORMATION TECHNOLOGY - AUTOMATIC IDENTIFICATION CAPT

80205 NASM16555 NO N ** D/A

PIN, STRAIGHT HEADLESS(DOWEL)(.0002 OVER NOMINAL SIZE)

7P725 NCSL-Z540.3 NO N ** D/A

CALIBRATION MEASURING EQUIPMENT

ZZZZZ TB-55-8100-200-24

ZZZZZ TM-1-1520-240-23&P

ZZZZZ TM-1-1520-271-23&P

ZZZZZ TM-1-1520-272-23&P

09/25/2015 AMCOM M&O TDPL PAGE 18

TDPL ITEM SUMMARY

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

TOTAL DMWR COMPONENT LISTING = 81

TOTAL DMWR SPECIFICATIONS AND STANDARDS = 39

TOTAL DMWR TEST EQUIPMENT = 0

GRAND TOTAL OF ALL DOCUMENTS IN TDPL = 120

09/25/2015 AMCOM M&O TDPL PAGE 19

TDPL LEGEND

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DESCRIPTION OF SYMBOLS

* = NOT FURNISHED - TO BE OBTAINED FROM:

DEFENSE PRINTING SERVICE DETACHMENT OFFICE (DPSDO)

STANDARDIZATION DOCUMENT ORDER DESK

700 ROBBINS AVENUE

BUILDING 4D

PHILADELPHIA, PA 19111-5094

IF NOT AVAILABLE, IMMEDIATELY ADVISE THE PROCURING CONTRACTING OFFICER.

** = NOT FURNISHED. COMMERCIAL SPECIFICATIONS AND STANDARDS MAY BE OBTAINED

FROM THE PUBLISHERS. THEY ARE NOT AVAILABLE FROM GOVERNMENT SOURCES.

D/A = DISTRIBUTION STATEMENT A - APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED.

D/C = DISTRIBUTION STATEMENT C - DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES AND

THEIR CONTRACTORS

EXP = EXPORT CONTROLLED DOCUMENT

EXPORT CONTROL STATEMENT

WARNING - THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS

EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751 ET SEQ.)OR EXECUTIVE ORDER 12470.

VIOLATION OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES.

09/25/2015 AMCOM M&O TDPL PAGE 27

WHERE USED REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT SUPPORTING ITEM SUP CAGE LGD CONTROL ITEM CTRL CAGE

PT 020-56399-032 CCCCC 173HS113-2 77272

PT 029-73272-105-4 CCCCC 173HS113-2 77272

PT 043-68787 CCCCC 173HS113-2 77272

PT 052-46666 CCCCC 173HS113-2 77272

PT 052-46668 CCCCC 173HS113-2 77272

PT 060-45620-7 CCCCC 173HS113-2 77272

PT 060-45620-8 CCCCC 173HS113-2 77272

PT 070-07549-007 CCCCC 173HS113-2 77272

PT 071-45196 CCCCC 173HS113-2 77272

PT 071-46669 CCCCC 173HS113-2 77272

PT 072-07531 CCCCC 173HS113-2 77272

PT 072-20939 CCCCC 173HS113-2 77272

PT 072-24619 CCCCC 173HS113-2 77272

PT 080-04273-391 CCCCC 173HS113-2 77272

PT 080-04273-44 CCCCC 173HS113-2 77272

PT 080-04273-51 CCCCC 173HS113-2 77272

PT 080-04273-60 CCCCC 173HS113-2 77272

PT 090-07621 CCCCC 173HS113-2 77272

PT 090-45099C8H14 CCCCC 173HS113-2 77272

PT 090-64369 CCCCC 173HS113-2 77272

PT 092-26769 CCCCC 173HS113-2 77272

PT 093-49832-4 CCCCC 173HS113-2 77272

PT 093-49832-9 CCCCC 173HS113-2 77272

PT 102-06892-13 CCCCC 173HS113-2 77272

PT 102-06892-14 CCCCC 173HS113-2 77272

PT 102-06892-15 CCCCC 173HS113-2 77272

PT 102-06892-16 CCCCC 173HS113-2 77272

PT 102-06892-17 CCCCC 173HS113-2 77272

PT 102-06892-18 CCCCC 173HS113-2 77272

PT 102-06892-19 CCCCC 173HS113-2 77272

PT 102-06892-20 CCCCC 173HS113-2 77272

PT 102-06892-21 CCCCC 173HS113-2 77272

PT 102-06892-22 CCCCC 173HS113-2 77272

PT 102-06892-23 CCCCC 173HS113-2 77272

PT 102-06892-24 CCCCC 173HS113-2 77272

PT 102-06892-25 CCCCC 173HS113-2 77272

09/25/2015 AMCOM M&O TDPL PAGE 28

WHERE USED REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT SUPPORTING ITEM SUP CAGE LGD CONTROL ITEM CTRL CAGE

PT 102-56391-010 CCCCC 173HS113-2 77272

PT 102-56391-015 CCCCC 173HS113-2 77272

PT 102-56391-020 CCCCC 173HS113-2 77272

PT 102-56391-025 CCCCC 173HS113-2 77272

PT 102-56391-030 CCCCC 173HS113-2 77272

PT 102-56391-035 CCCCC 173HS113-2 77272

PT 102-56391-040 CCCCC 173HS113-2 77272

PT 102-56391-045 CCCCC 173HS113-2 77272

PT 102-56391-050 CCCCC 173HS113-2 77272

PT 102-56391-055 CCCCC 173HS113-2 77272

PT 102-56391-060 CCCCC 173HS113-2 77272

PT 102-56391-065 CCCCC 173HS113-2 77272

PT 110-46808-1 CCCCC 173HS113-2 77272

NS 1650-01-119-3372 TOP ITEM

PT 173HS113-2 77272 1650-01-119-3372

PT 355-122-6352 CCCCC 173HS113-2 77272

PT A01403-204 94697 173HS113-2 77272

PT A01404-200 94697 173HS113-2 77272

PT A01404-204 94697 173HS113-2 77272

PT A20409-4-4C 94697 173HS113-2 77272

PT A21724-1 94697 173HS113-2 77272

PT A21792-001 94697 173HS113-2 77272

PT A21795-1 94697 173HS113-2 77272

PT A21795-2 94697 173HS113-2 77272

PT A21795-3 94697 173HS113-2 77272

PT A21795-4 94697 173HS113-2 77272

PT A21795-5 94697 173HS113-2 77272

PT A21795-6 94697 173HS113-2 77272

PT A21795-7 94697 173HS113-2 77272

PT A21795-8 94697 173HS113-2 77272

PT A21795-9 94697 173HS113-2 77272

PT A21808-002 94697 173HS113-2 77272

PT A22254-1 94697 173HS113-2 77272

PT A22375-1 94697 173HS113-2 77272

PT A28666-1 94697 173HS113-2 77272

PT A31249 94697 173HS113-2 77272

09/25/2015 AMCOM M&O TDPL PAGE 29

WHERE USED REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT SUPPORTING ITEM SUP CAGE LGD CONTROL ITEM CTRL CAGE

PT A38410-1 94697 173HS113-2 77272

PT A38411 94697 173HS113-2 77272

PT A50375-1 94697 173HS113-2 77272

PT A50376-1 94697 173HS113-2 77272

PT A50377-1 94697 173HS113-2 77272

NC AMCOM-R-702-2 81996 DMWR-55-1650-405 81996

RS AMRDEC-POLICY-06-04 81996 R AMCOM-R-702-2 81996

RS ANSI/ASQ-A8402 055M3 R ANSI/ASQC-A8402 3D208

NC ANSI/ASQC-A8402 3D208 DMWR-55-1650-405 81996

NC AR-750-43 ZZZZZ DMWR-55-1650-405 81996

RS AS-28775 81343 R MS28775-009 96906

RS AS-28775 81343 R MS28775-010 96906

RS AS-28775 81343 R MS28775-035 96906

NC AS-9132 81343 DMWR-55-1650-405 81996

RS ASQ-Q9000 055M3 R ANSI/ASQ-A8402 055M3

NC ASTM-B209 81346 DMWR-55-1650-405 81996

NC ASTM-E1417 81346 DMWR-55-1650-405 81996

NC ASTM-E1444 81346 B ASTM-E1444/E1444M 81346

NC ASTM-E1444 81346 DMWR-55-1650-405 81996

RS ASTM-E1444/E1444M 81346 R ASTM-E1444 81346

NC DA-PAM-738-751 ZZZZZ DMWR-55-1650-405 81996

DM DMWR-55-1650-405 81996 173HS113-2 77272

DM DMWR-55-1650-405 173HS113-2 77272

NC DODI-5000.64 96906 DMWR-55-1650-405 81996

NC FED-STD-595 06542 DMWR-55-1650-405 81996

NC GG-P-455 81348 DMWR-55-1650-405 81996

NC ISO-14644-1 I9008 DMWR-55-1650-405 81996

NC ISO-14644-2 I9008 DMWR-55-1650-405 81996

NC ISO-15434 I9008 DMWR-55-1650-405 81996

NC ISO-IEC-15415 I9008 DMWR-55-1650-405 81996

CP M83723 81349 B M83723/83-R1005N 81349

CP M83723/83-R1005N 81349 173HS113-2 77272

NC MIL-DTL-15024 81349 DMWR-55-1650-405 81996

NC MIL-DTL-5541 81349 DMWR-55-1650-405 81996

NC MIL-DTL-83723 81349 B MIL-DTL-83723/83 81349

NC MIL-DTL-83723/83 81349 173HS113-2 77272

09/25/2015 AMCOM M&O TDPL PAGE 30

WHERE USED REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

DT SUPPORTING ITEM SUP CAGE LGD CONTROL ITEM CTRL CAGE

NC MIL-HDBK-61 96906 DMWR-55-1650-405 81996

NC MIL-I-45607 81349 DMWR-55-1650-405 81996

NC MIL-STD-129 96906 DMWR-55-1650-405 81996

NC MIL-STD-130 96906 DMWR-55-1650-405 81996

NC MIL-STD-2073-1 96906 DMWR-55-1650-405 81996

DU MS16555-618 96906 173HS113-2 77272

DU MS28775-009 96906 173HS113-2 77272

DU MS28775-010 96906 173HS113-2 77272

DU MS28775-035 96906 173HS113-2 77272

DU NAS410 80205 DMWR-55-1650-405 81996

DU NAS620-C3L 80205 173HS113-2 77272

RS NASM16555 80205 R MS16555-618 96906

NC NCSL-Z540.3 7P725 DMWR-55-1650-405 81996

TD TB-55-8100-200-24 ZZZZZ DMWR-55-1650-405 81996

TD TM-1-1520-240-23&P ZZZZZ DMWR-55-1650-405 81996

TD TM-1-1520-271-23&P ZZZZZ DMWR-55-1650-405 81996

TD TM-1-1520-272-23&P ZZZZZ DMWR-55-1650-405 81996

WHERE USED LEGEND

B = BASIC FOR

R = REPLACEMENT FOR

RS IN 'DT' COLUMN INDICATES A REPLACEMENT SPEC

09/25/2015 AMCOM M&O TDPL PAGE 31

QUALITY ASSURANCE

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

| AVIATION SYSTEMS BRANCH |

| CONTRACT QUALITY CLAUSE/DATA SELECTION WORKSHEET |

| RDMR-SEQ |

| PRID: M351-01 | NSN: 1650-01-119-3372 | P/N: 173HS113-2 | STATUS: ROUTINE |

| NOMENCLATURE: VALVE, HOIST CONTROL | WSC: A-BK |

| THE FOLLOWING QUALITY REQUIREMENTS ARE TO BE INCLUDED IN THE CONTRACT: |

| X | INSPECTION OF SUPPLIES (FAR 52.246-2) |

| X | TERMINOLOGY / CALIBRATION: ISO 8402 (TERMINOLOGY); AND ANSI/NCS; Z540-1-1994 OR 10012-1-1992 |

| | (CALIBRATION) (USAAMCOM 52.246-4003) |

| X | HIGHER LEVEL CONTRACT QUALITY REQUIREMENT (FAR 50.246-11); ISO 9001:2000 OR EQUIVALENT | | X | IF GOVT FURNISHED MATERIAL (GFM) WILL BE SUPPLIED, INCLUDING DID DI-QCIC-80736 AS A CDRL |

| | CERTIFICATE OF CONFORMANCE (FAR 52.246-15) |

| 3 | FIRST ARTICLE TESTING QUANTITY |

| ORIGIN | LOCATION OF INSPECTION |

| ORIGIN | LOCATION OF ACCEPTANCE |

| YES | PRODUCT VERIFICATION AUDIT REQUIRED IAW AMRDEC POLICY 06-04 (USAAMCOM 52.209-4723) |

| | ES7030 STANDARD |

| THE FOLLOWING ARE REQUIRED FOR CRITICAL SAFETY ITEMS: |

| | QE-STD-2 (M&O CSI QUALITY SYSTEMS REQUIREMENTS) USAAMCOM 52.209-4012 OR AMCOM APPROVED EQUIVALENT |

09/25/2015 AMCOM M&O TDPL PAGE 32

QUALITY ASSURANCE

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

| REMARKS: |

| THE AMRDEC QUALITY MANAGEMENT DIVISION RECOMMENDS A PVA REQUIREMENT BE FULFILLED IF THIS IS AWARDED TO A FIRST |

| TIME PRODUCER. |

| SIGNATURE & DATE : STEWART, JESSICA L. 08/28/2015 | PHONE : (256)842-2591 |

| TEAM LEADER & DATE : HEFLIN, TIMOTHY RUSSELL 09/09/2015 | PHONE : (256)842-8986 |

09/25/2015 AMCOM M&O TDPL PAGE 33

REQUIREMENT JUSTIFICATION AND CERTIFICATION

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

PEO AVIATION Date: 08/05/2015 Status: ROUTINE Memorandum for AMSAM-MMC-AV SUBJECT: Requirement Justification and Certification for Maintenance and Overhaul Data Package

1. Request M&O Data Call package be prepared for ITEM: VALVE, HOIST CONTROL, NSN: 1650-01-119-3372, P/N: 173HS113-2, SYSTEM: CH-47

Product or Service Code: 336413

2. The following information is provided:

a. DMWR: DMWR-55-1650-405, Revision Date: 01/02/2015 has been identified for this requirement.

Original Equipment Manufacturer (if no DMWR):

b. Minimum/Maximum quantities for a 5 year requirement are 5 Min and 60 Max.

c. Materiel Requirements Planning (MRP)

(1) MRP, dated 08/05/2015 which supports a total US quantity of: 50 5 for FY 17 10 for FY 20 10 for FY 18 15 for FY 21 10 for FY 19

(2) Foreign Military Sales (FMS) Quantities:

0 for FY 17 2 for FY 20 2 for FY 18 4 for FY 21 2 for FY 19

(3) Quantity and schedule requirements identified on the PWD and the MRP above were generated as a result of the LMP MRP recommendation or other Supply circumstances which require PWD activity IAW provisions of AR 710-1, Centralized Inventory Management of the Army Supply System.

09/25/2015 AMCOM M&O TDPL PAGE 34

REQUIREMENT JUSTIFICATION AND CERTIFICATION

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

d. I certify there are currently 2 unserviceable reparable assets available.

Asset generation is .5 per month.

e. Proposed input and output NSN and P/N is/are:

Input NSN P/N

1650-01-119-3372 173HS113-2

Output NSN P/N

1650-01-119-3372 173HS113-2

f. Output NSN is not listed as a Critical Safety Item.

g. Contract is required for Overhaul.

h. Required production schedule is at the rate of 2 per month.

i. Return serviceable assets to Plant: 7002, DODAAC: W25G1U, RIC: AN5.

j. Repair Bill of Materials (RBOM) to support this requirement is not attached (not required if sole source).

k. Overhaul Consumption Data (OCD) is not required.

l. Current Replacement Cost is $ 22,830 and 65 percent of Replacement Cost that overhaul cost cannot exceed is $ 14,839 without AMCOM approval.

(NOTE. If the latest new procurement is greater than 5 years old, an informal market survey is required to upgrade the Replacement Cost and Maintenance Expenditure Limit.)

m. Estimated scrap rate is 0 percent.

n. See attached Packaging Data Requirements Sheet.

o. GFP/GFE will not be provided (if provided, complete GFP/GFE sheet).

p. Previous Contractor and Cage and any Special instructions/information.

Remarks

09/25/2015 AMCOM M&O TDPL PAGE 35

REQUIREMENT JUSTIFICATION AND CERTIFICATION

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

CONTRACTOR WILL FURNISH CONTAINERS, CURRENT CONTRACT IN PLACE ABLE ENGINEERING AND

COMPONENT SVS INC CAGE 1QCB8 SMALL BUSINESS SETASIDE

q. Market Survey Activity:

This item has been published in the Competition Advocate's Shopping List (CASL), (or)

3. Point of Contact is DIGESTI, VICTOR L. Org: Phone: (256)313-0554

4. I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my knowledge and belief.

Approval Rep Phone Date

DIGESTI, VICTOR L. (256)313-0554 08/10/2015

Remarks:

PER JENNIFER BISHOP THIS ITEM DOES MEET THE REQUIREMENTS FOR IUID. THE CONTRACTOR WILL

USE THE DFAR 252.211-7003 AND MIL-STD130(W/LATEST REVISION).

09/25/2015 AMCOM M&O TDPL PAGE 36

FUNCTIONAL REQUIREMENT AUTHENTICATION BOARD (FRAB)

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

Status: ROUTINE

MANAGEMENT, FUNCTIONAL DISCIPLINE, AND DATA REQUIREMENTS, AND FUNCTIONAL SUPPORT TEMPLATE CERTIFICATION STATEMENT In accordance with AMCR 70-16, the management, functional discipline, and data requirements contained in the Request for Proposal for NSN: 1650-01-119-3372 PRID: M351-01 Part Number: 173HS113-2 are essential, cost effective, and value added. Functional support templates were used in developing proposal requirements.

An Organizational FRAB was conducted ( ) YES (XX) NO

DIGESTI, VICTOR L.

PEO AVIATION

MILLER, RUSSELL F.

for

RUSSELL F. MILLER

AMCOM and PEO Aviation Standards Executive (for M&O)

09/25/2015 AMCOM M&O TDPL PAGE 37

STATEMENT OF WORK

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

Status: ROUTINE

a. The Contractor, as an independent Contractor, and not as an agent or employee of the Government, shall furnish all services, facilities, labor, parts, materials, equipment, tools and data (other than Government Furnished Property), necessary to accomplish the inspection and overhaul for VALVE, HOIST CONTROL that is required to return the items as specified in Section B, to condition code A as defined by Army Regulation 725-50. The input/output configuration shall be as defined in Section B herein. Upon completion of the overhaul, as applicable, the items shall be packaged as defined in each individual delivery order of the contract and shipped to the destination(s) specified in each individual delivery order.

b. Prior to commencement of overhaul, the Contractor shall disassemble and inspect the item to the extent necessary to determine if the item is physically unrepairable or has suffered abnormal or catastrophic damage. If the latter conditions exist, the Contractor shall notify the Procuring Contracting Officer (PCO) through the cognizant Administration Contracting Officer (ACO) and shall stop work on the item(s) until given further instructions or disposition of the item(s) by the PCO.

c. In the event the PCO determines that certain items should be scrapped, the contractor shall scrap such items at the fixed unit price in Section B hereof and make disposition in accordance with (IAW) the Contractor's approved Government property procedures. Such scrapped items shall count toward the quantities ordered hereunder.

d. Overhaul shall be accomplished IAW Depot Maintenance Work Requirement (DMWR)

DMWR-55-1650-405,

e. Critical Safety Item: N/A

f. Upon receipt of the reparables, containers shall be reviewed for serviceability. Containers shall be considered serviceable unless one or more of the following conditions exist: (1) containers are structurally damaged to include damage to the suspension system, cracks or holes to the container hull, hull deformity to the extent the container cannot be closed (or sealed where required), or dents that will interfere with the item envelope;

(2) corrosion has progressed to the point where fit, function or the life of the container is affected. Items received without containers or containers determined to be unserviceable shall be processed IAW the Contractor's locally approved Government Property procedures. Components received improperly packaged, damaged with corrosion/deterioration or those with shipping discrepancies shall be reported IAW DI-MGMT-80503.

09/25/2015 AMCOM M&O TDPL PAGE 38

STATEMENT OF WORK

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

g. Any Contractor paint facility which is used in the performance of this contract shall comply with the Environmental Protection Agency and Occupational Safety and Health Administration standards for painting as implemented by TM 55-1500-345-23, CH12Painting and Markings of Army Aircraft.

h. Data and reports shall be submitted IAW the Contract Data Requirements List, DD Form 1423, Exhibit A. Data shall be packed and marked as necessary to assure safe delivery to the addresses indicated on the DD Form(s) 1423.

i. Product Verification Audit (PVA): The contractor shall conduct PVA in accordance with AMCOM FAR CLAUSE 52.209-4723 as specified in the solicitation/contract attachments.

j. The Army Maintenance Management System - Aviation (TAMMS-A): The Contractor shall complete the forms and records as specified in DA PAM 738-751.

k. Serial Number Report Requirement (SNRR): N/A

l. The items the Contractor shall overhaul are identified below:

m. The overhaul planned quantity for 5 years is minimum 5, maximum 60. Input will be 30 days after receipt of order (ARO). Output shall be as specified in the solicitation/contract schedule. Serviceable assets shall be returned to W25G1U.

(1) 1st year qty 5 (2) 2nd year qty 12

(3) 3rd year qty 12 (4) 4th year qty 12

(5) 5th year qty 19

n. Inventory Transactions - The contractor shall provide a Depot Maintenance Production Report IAW DI-ALSS-80728.

o. Foreign Military Sales (FMS): These total requirements meet or exceed the requirements for the Security Assistance Management Directorate (SAMD) per the Acquisition Center Directorate IAW SAMD and Integrated Material Management Center (IMMC) Method of Understanding (MOU) document dated 4 December 2004. The IMMC is responsible for conducting Weapon System Team (WST) reviews of SAMD's FMS Aviation hardware, allowing 20% over the Army's maximum quantity during the life of the contract specifically for FMS requirements. SAMD and IMMC will negotiate provisions for FMS critical items that exceed the standard 20% on case-by-case basis.

09/25/2015 AMCOM M&O TDPL PAGE 39

STATEMENT OF WORK

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

p. The replacement cost is $22,830 for the subject item. When price of overhaul exceeds $14,839, a review of disposition will be made by AMCOM.

q. The Government reserves the right to replace any items scrapped.

r. Overhaul Repair Report: N/A

s. Quality Deficiency Report: The Contactor shall prepare the Quality Deficiency Report IAW DI-QCIC-80736.

t. Supplies Interface and Oversight: N/A

u. Shipping Containers NSN: 8110-00-254-5708, P/N: MS24347-5 shall be utilized. If containers are not reparable or if assets are not delivered in the approved containers, the containers shall be Contractor Furnished Material. Shipment: The method of shipment must use a procedure so that the package can be tracked in case the shipment is not received by AMCOM.

Remarks: Per AED the applicable DMWR contains detailed procedures regarding IUID requirements for this component. These procedures can be found in MEO D1575.

09/25/2015 AMCOM M&O TDPL PAGE 40

DEFINITION OF DOCUMENT CATEGORIES

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

CONTRACTORS ARE ENCOURAGED TO OFFER SUGGESTIONS, COMMENTS, OR ALTERNATIVES TO THE DOCUMENTS CITED HEREIN.

TAILORING, CATEGORY OF APPLICATION, REVISION LEVELS, AND THE DOCUMENTS CITED ARE ALL CANDIDATES.

DEFINITION OF DOCUMENT CATEGORIES :

1. Category 0 (Cat. 0). The requirements contained in the directly cited document are non-mandatory and are for reference or information only.

2. Category 1 (Cat. 1). The requirements contained in the directly cited document are contractually applicable to the extent specified. All requirements contained in reference and subsequently referenced documents are contractually for information only unless otherwise specified in the solicitation, contract, or contract modification.

3. Category 2 (Cat. 2). The requirements contained in the directly cited document are contractually applicable to the extent specified. All requirements contained in referenced documents are also imposed to the extent specified. All requirements contained in subsequently referenced documents are contractually for information only unless otherwise specified in the solicitation, contract or contract modification.

DEFINITION OF DD FORM 1423 :

Blocks 10, 11, 12, 13 : 'Submit' means to deliver to the Government as specified in the shipping instructions for data which are located in section F of the contract.

Block 14 : Regular/Repro Copies Regular Copy - Blueline, Blackline, Xerographic, (originals of reports, plans, or routine data also fall into this definition).

Repro Copy - Multilith, Vellum, photographic negatives, etc. (originals of drawings, engineering change proposals (ECPs), engineering release records (ERRs), or technical publications). Note : Type of electronic media, e.g., diskette, CD-ROM, may be designated in Block 16.

CONTRACTUAL REQUIREMENTS OF DATA ITEM DESCRIPTION (DID) :

DD Form 1664, Block 10 : Preparation Instructions. This block contains the only portion of the DID that represents a contractual requirement imposed on the contractor. All other blocks are for Government use and for reference and information only

ALL REFERENCES TO SOURCE DOCUMENTS IN BLOCK 10 OF THIS DID ARE USED FOR REFERENCE AND INFORMATION ONLY.

09/25/2015 AMCOM M&O TDPL PAGE 41

DOCUMENT SUMMARY LIST

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

NOUN : VALVE, HOIST CONTROL STATUS: ROUTINE

DOCUMENT ID TITLE DATE

CATEGORY

DI-ALSS-80728A DEPOT MAINTENANCE PRODUCTION REPORT 01/24/1997

DI-MGMT-80503 REPORT OF SHIPPING (ITEM) AND PACKAGING DISCREPANCY 12/30/1987

DI-QCIC-80736 QUALITY DEFICIENCY REPORT 01/17/1989

AR-725-50 REQUISITIONING, RECEIPT, AND ISSUE SYSTEM 11/15/1995

DA-PAM-738-751 FUNCTIONAL USERS MANUAL FOR THE ARMY MAINTENANCE MANAGEMENT SYSTEM-AVIATION 02/28/2014

(TAMMS-A) 1

DMWR-55-1650-405 HOIST CONTROL SERVOVALVE, P/N A23772-001 (173HS113-2), NSN 1650-01-119-337 02/01/2015 2 2

TM-55-1500-345-23W/C PAINTING AND MARKING OF ARMY AIRCRAFT 01/10/2011

CH12 1

09/25/2015 AMCOM M&O TDPL PAGE 42

CDRL MAILING ADDRESSES

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

MAILING ADDRESSES

FOR THE OFFICE SYMBOLS USED IN BLOCK 14 OF THE DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST (CDRL).

AMCOM

COMMANDER

US ARMY AVIATION AND MISSILE COMMAND

AMCOM ATTN:

AMSAM-MMM-TP

AMSAM-MSC-CLP

SEE BLK 16

REDSTONE ARSENAL, AL 35898

09/25/2015 AMCOM M&O TDPL PAGE 43

CONTRACT DATA REQUIREMENTS LIST (CDRL)

REPORT OF SHIPPING AND PACKAGING DISCREPANCY

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

| CONTRACT DATA REQUIREMENTS LIST (1 Data Item) | | PRID: M351-01 | Part Number: 173HS113-2 | Status: ROUTINE |

| A. CONTRACT LINE ITEM NO. | B. EXHIBIT | C. CATEGORY: |

| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR |

| VALVE, HOIST CONTROL | | |

| NSN: 1650-01-119-3372 | | |

| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |

| A001 | Report of Shipping (Item) and Packaging Discrepancy | | | 4. Authority (Data Acquisition Doc No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE |

| DI-MGMT-80503 | SOW, PARA F | AMSAM-MMM-TP |

| 7. DD 250 REQ | 9. DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST | 14. DISTRIBUTION |

| | REQUIRED | | SUBMISSION +----------------+----------------+

| LT | | SEE BLK 16 | SEE BLK 16 | | b. COPIES | | 8. APP CODE | A | 11. AS OF DATE | 13. DATE OF SUBSEQUENT | a. ADDRESSES | DRAFT| FINAL |

| | | | SUBMISSION | | +---+-----+

| N/A | | N/A | SEE BLK 16 | | |REG|REPRO|

| 16. REMARKS: |AMSAM-MMM-TP | 0 | 1 | 0 |

| BLOCK 10, 12, & 13: | | | | |

| a. FOR WRONG components received submit a Shipping Supply | | | | |

| Discrepancy Report (SDR). | | | | | | b. For components received improperly packaged in containers, packaged in | | | | | | unserviceable containers, or packaged without containers (when a container | | | | | | is required), submit a packaging SDR. | | | | |

09/25/2015 AMCOM M&O TDPL PAGE 44

CONTRACT DATA REQUIREMENTS LIST (CDRL)

REPORT OF SHIPPING AND PACKAGING DISCREPANCY

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

| 16. REMARKS CONTINUED: | | | | |

| c. When there is a packaging discrepancy and the wrong component is received | | | | | | submit a dual shipping and packaging SDR. | | | | | | d. For packaging discrepancies discovered upon induction of the item to | | | | | | repair/overhaul (hidden discrepancies), submit the SDR form within ten | | | | | | (10) days of discovery of the discrepancy. | | | | | | e. If the packaging discrepancy appears to have caused deterioration of the | | | | | | item, include an estimated cost to repackage the asset in Block 12 of the | | | | | | SF form 364. | | | | | | f. Report by letter the number of excess reusable containers made available | | | | | | through scrap out of items, to addresses in block 14(A). | | | | |

| POC: | | | | |

| PHONE: | | | | |

| | 15. TOTAL | 0 | 1 | 0 |

| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE |

| DIGESTI, VICTOR L. | 09/10/2015 | DIGESTI, VICTOR L. | 09/10/2015 |

| 17. PRICE GROUP | 18. ESTIMATED TOTAL PRICE |

AMSRD-AMR-SE-TD-ST/DM CONCUR: MAYHALL, CONNIE

LOG # 708

DATE: 09/18/2015

09/25/2015 AMCOM M&O TDPL PAGE 45

CONTRACT DATA REQUIREMENTS LIST (CDRL)

DEPOT MAINTENANCE PRODUCTION REPORT

PRID : M351-01

NSN : 1650-01-119-3372

DMWR : DMWR-55-1650-405

PRON : AX6M0043AX

| CONTRACT DATA REQUIREMENTS LIST (1 Data Item) | | PRID: M351-01 | Part Number: 173HS113-2 | Status: ROUTINE |

| A. CONTRACT LINE ITEM NO. | B. EXHIBIT | C. CATEGORY: |

| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR |

| VALVE, HOIST CONTROL | | |

| NSN: 1650-01-119-3372 | | |

| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |

| A002 | Depot Maintenance Production Report | |

| 4. Authority (Data Acquisition Doc No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE |

| DI-ALSS-80728A | SOW, PARA N | AMSAM-MMM-OM |

| 7. DD 250 REQ | 9. DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST | 14. DISTRIBUTION |

| | REQUIRED | | SUBMISSION +----------------+----------------+

| LT | | MTHLY | SEE BLK 16 | | b. COPIES | | 8. APP CODE | A | 11. AS OF DATE | 13. DATE OF SUBSEQUENT | a. ADDRESSES | DRAFT| FINAL |

| | | | SUBMISSION | | +---+-----+

| N/A | | 0 | NLT 10 DAEOM | | |REG|REPRO|

| 16. REMARKS: |SEE BLK 16 | 0 | 1 | 0 |

| Block 12: The first report is due 3 working days after receipt of reparable | | | | | | item(s). | | | | | | Block 14: The contractor shall provide data in digital format to: | | | | | | usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil | | | | | | Report should be sent in electronic Excel format to the following email addre |