2815-01-230-0203 Market Survey.pdf

For Official Use Only Please understand and comply with all regulations concerning Source Selection Information per FAR 2.101 and 3.104

DLA LAND AND MARITIME - MARKET RESEARCH

Company Name: _______________________________________________

CAGE: _________

Your Name: ___________________________________________________ Phone Number: ____________________ E-Mail address: ________________________________________________ Date: ________________

REQUIREMENTS:

NSN ITEM NAME UI QTY DRAWING –or- P/N

GOVT, REQUIRED

DELIVERY

PLEASE COMPLETE THE FOLLOWING:

Do you intend to quote on this NSN? YES NO If not, why?______________

LARGE OR SMALL BUSINESS MANUFACTURER OR DEALER

Can you meet the government’s delivery? YES NO If not, what is your delivery? __________

Do You Carry This Item In Your Inventory? YES NO

Are any of these items Commercial Items per FAR 2.101(b)? YES NO

If YES to question above, above can you provide commercial sales invoices, listing in catalogs or brochures, known established price list to commercial market place, availability or announcement to the general public?

YES NO

Does This Item Contain Hazardous Material? YES NO

Is FOB Origin Acceptable? YES NO

If required is Inspection/Acceptance at Origin Acceptable? YES NO

Is There a Minimum Order Quantity? YES NO

-If “Yes” Please Provide Minimum Quantity ___________________________

Please Provide Any Recommended Economical QTY Price Breaks:

Can Your Firm Provide Cost & Price Data if Required? YES NO

The Government last paid $________ EA for this item. Is it reasonable to expect a unit price near this for the current requested quantity? This is for planning only, and is not a binding quote. YES NO

COMMENTS/FEEDBACK: