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FORMATS FOR CONTRACTOR PROPOSALS AND REPORTING

(e) Subcontracting. Percentage of subcontracting planned by dollar amount and/or percent of total effort. Justify level of planned subcontracting. To the degree possible, identify subcontractors and the items to be subcontracted. Justify reasons for not subcontracting additional work. If facilities are anticipated for subcontractors, so identify. (f) Financial Progress. Provide a 5-year summary of the contractor's financial progress as follows (by company division, if appropriate):

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(b) Financing. The contractor will justify his reasons for not financing the proposed expansion with corporate or company funds.

(i) Other Uses. State the portion or percentage of the expanded capacity that will be used by other NASA Procurement Offices, or other Federal agencies. Identify the specific items and the NASA Procurement Offices or Federal agencies.

(j) Complete Facility. If the proposed expansion does not constitute a complete facility, cite the elements that are not included and how they will be provided.

13.601-3 Format and Instructions for Submitting Equipment Requisitions--DD Form 1419

Requisition Number. The EVS coordinator will assign a requisition number to each DD Form 1419 request. When DIPEC is to be screened, [Next page is 13-6:5]

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FORMATS FOR CONTRACTOR PROPOSALS AND REPORTING

each number assigned will be coded for automatic data Processing by DIPEC. It will also identify the requiring installation and provide a serial number and date of submission for subsequent reference. The requisition number will begin with the appropriate FEDSTRIP/MILSTRIP Activity Address Code set forth below:

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NASA Resident Procurement Office-JPL.......... 809143

National Space Technology Laboratories..........804412

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Next will be a four digit entry comprised of the last digit of the current calendar year and the Julian date of the year, i.e. 9035 for February 4, 1969. The last entry will be a four digit number from 0001 to 9999, to sequentially number requisition forms prepared on the same date. For example: the ninth requisition prepared on February 1, 1969 would be 9032-0009 preceded by the FEDSTRIP/MILSTRIP Activity Address Code, an example being Langley-"803301 3032-0009". When submitting subsequent DD Forms 1419 related to the item requested, the same requisition number is to be used and alpha code added to the end of the requisition number to indicate a second or third action on the basic request. Alpha “A” would indicate a second request, "B" a third, etc. In this manner, all actions, correspondence, etc., relative to a given request can be identified at all levels of processing, by the use of the requisition number.

Section I

Item Description. It is necessary to provide a complete description of the item desired, to obtain maximum screening results. Requests for single purpose or general purpose equipment with special features must contain detailed descriptive data as to the size and capacities, setting forth special operating features or particular operations required to be performed by the item.

Block 1. Enter the complete 12 digit Production Equipment Code (PEC) (see 13.312 or Defense Industrial Plant Equipment Center Operations Manual DSAM 4215.1, Appendix 1C, Index of Industrial Plant Equipment Handbooks). If not available, enter the applicable 13 digit National Stock Number (NSN).

Block 2. Enter the manufacturer's name and Federal supply code for manufacturer (Cataloging Handbook H4-1) of the item requested.

Block 2a. Enter the manufacturer's model, style or catalog number assigned to the equipment being requisitioned. Always use the model number if available. The style number is the next preference. Insert "NONE" in this block if the model, type or catalog number is not known. Block 3. Activities using National Stock Numbers (NSN's) as the identifying number will enter that number. When the NSN is known, it will be included in all reports in addition to the commodity code.

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Block 4. Enter the 2 digit power code described in Appendix 1D of Defense Industrial Plant Equipment Center Operations Manual DSAM 4215.1. These codes designate the voltage, current, phase and cycle by which the item requested will be operated.

Block 5. Self-explanatory.

Block 6. Place an "X" in the applicable block to indicate whether physical inspection is or is not desired, prior to acceptance.

Block 7. Self-explanatory.

Block 8. Enter the complete description of the item, including the major group, class, subclass, type, subtype, size group, specifying size, etc., as selected from the appropriate directory or handbook. (See 13.312, "Index of Industrial Plant Equipment Handbooks" for descriptive information.) Continue the item description in Block 51 if additional space is required to describe the item desired.

Section II.

Block 9. Enter the NASA installation, the facility or contractor's name, street address, city, state and zip code from which the requisition is being initiated. The address should be the one to which inquiries of a technical nature are to be referred. Include the name and telephone number of the individual to be contacted concerning the item requested.

Blocks 10 and 10a. Enter the contract number or document number and the date of the document which authorizes the acquisition of the items shown in Section I. Normally this will be a facility contract number, otherwise it should be a purchase order number or purchase request number.

Block 11. Not applicable.

Block 12. Indicate if the property is for NASA in-house use or a contractor facility. Disregard the "Military" block. Show NASA contract number and program for which item is to be used.

Block 13. Enter the specific function to be performed by the equipment. When applicable, enter the tolerances, capacities, specifications, etc., which equipment must satisfy.

Block 14. Enter the date the item must be installed in place to meet production requirements. From this date deduct the estimated number of days required for installation. Enter the adjusted date in this block.

Block 15. Enter the date by which DIPEC must issue a Certificate of Non-Availability. The date will be developed by subtracting the procurement leadtime and 45 days administrative leadtime from the date shown in Block 14.

Block 16. Enter the Defense Material System Priority Rating that is assigned to the contract or anticipated purchase order.

Block 17. Place an "X" in the appropriate box. If for replacement, identify the item to be replaced and the reason for replacement.

Block 18. Enter an "X" in the appropriate box. Show the appropriation symbol if answer is "yes."

Block 19. Not applicable.

Blocks 20 and 21. In addition to the official's title and signature, enter the signing official's typed name, office symbol or name, and telephone number and extension. For contractor's requirements, the signing official should be the company representative who prepares and submits the requirement to the cognizant NASA certifying office.

Block 22. Self-explanatory.

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CFR TITLE 41 CHAPTER 18

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Block 23. Certification of need for the item requisitioned is the function of the contracting officer of the NASA installation having jurisdiction over the contract. For NASA in-house requirements certification can be made by the EVS coordinator.

Block 23a. Not applicable.

Block 236. Name and address of the installation certifying the requirement.

Block 23c. Signature of the property administrator or contracting officer at plant level.

Block 23d. Self-explanatory.

Block 23e. Signature of NASA installation official certifying the requirement.

Block 23f. Self-explanatory.

Section III.

This section is for the EVS coordinator's certification of the requirement to DIPEC.

Block 24. Self-explanatory.
Block 25. Self-expanatory.
Block 26. Self Explanatory.

Block 27. Self-explanatory.

Section IV. To be completed by DIPEC, copy is used for admittance to storage site for inspection of property offered.

Section V. To be completed by DIPEC if equipment is not available. Section VI.

Blocks 42, 43, 44 and 45. To be completed by the requesting official signing the requisition in Section II. (See Block 20.) Reasons for non-acceptance are to be shown in Section VIII-Remarks, or by separate document attached to the DD Form 1419.

Section VII.

Block 46. Enter complete name, street address, city, state and zip code of the contractor or installation to which the item is to be shipped. Indicate rail head and truck delivery points when other than the address named.

Block 47. Self-explanatory.

Block 48. Self-explanatory.

Blocks 49a and b. Insure that NASA appropriation symbols are inIcluded with work order number.

Block 49c. Enter NASA appropriation symbol chargeable for any special work ordered, i.e., rebuild, repair, accessory replacement.

Block 49d. Enter NASA installation and office symbol which will make payment for transportation and packing, crating and handling of item requisitioned.

Block 50. Self-explanatory.

Section VIII.

Block 51. This block can be used to expand or explain entries made in Blocks 1 through 50. When requisitioning equipment from excess listings, identify issuing office, list number, date, control number and item number assigned to equipment.

(c) Processing DD Form 1419.

(1) The essential information, outlined in the above instructions, covering Sections I and II, is required to be completed prior to submission of DD Form 1419 to the EVS coordinator who will review each submission

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for completeness and authenticity. Incomplete or invalid requests will be returned for correction. The original and two (2) copies of the approved DD Form 1419 will be forwarded to DIPEC for screening of inventories. Upon completion of the screening process, DIPEC will annotate the results of the screening in Section IV or V. Certification of non-availability when cited in Section V is evidence that screening has been accomplished by DIPEC. The original and one (1) copy of the request will be returned by DIPEC to the EVS coordinator of the cognizant NASA installation indicated in Section III.

(2) When a suitable item is allocated in Section IV, inspection of the equipment is recommended. Notification of acceptance or rejection of the item offered must reach DIPEC within 30 days after allocation. A copy of the DD Form 1419 will serve as the clearance document to inspect the equipment at the storage site. Acceptance or rejection of item, without inspection or after inspection is to be noted in Section VI. If it is determined that the item is acceptable, Section VII is to be executed. The NASA appropriation symbol must be cited where applicable in Section VII. In either instance, acceptance or rejection, the original of the DD Form 1419 is to be returned to DIPEC by the EVS coordinator. 13.602 Contractor Reporting of Centrally Reportable Equipment. Reporting of centrally reportable equipment (see B.306-1) to the NASA Equipment Visibility System (EVS) prescribed in NMI 4000.2B and Part 4, Section V of the NASA Equipment Management Manual (NHB 4200.1) will be accomplished on DD Form 1342. See Attachment 1 and 2 of Appendix B for format and instructions for preparing the DD Form 1342.

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