7004982624 market survey blank.doc

DLA LAND & MARITIME - MARKET RESEARCH

This is Not a Request for an Offer. Information required for pending RFP.

DATE: November 14, 2023

CAGE:

ATTN:

ADDRESS:

PHONE:

EMAIL:

FROM: Christy Boyer, FMT

REFERENCE: PR 7004982624

PHONE: (614) 692-7389

E-Mail: Christy.Boyer@dla.mil Please Email Completed Survey to Christy Boyer NLT November 21, 2023

REQUIREMENTS:

TE CONNECTIVITY CORPORATION 00779 P/N 2226910-1

The Defense Logistics Agency Maritime is considering a solicitation and subsequent Award of a Firm Fixed Price Contract for the item listed above. As a potential supplier of this item, we are asking that you fill out this market survey to the best of your knowledge so that we can generate a realistic and beneficial solicitation.

1. Your company size: [ ] large or [ ] *small business

*Approximately, how many employees do you currently have?

2. Your company is a: [ ] manufacturer or [ ] *dealer or [ ] *distributor

Identify source of supply if dealer/distributor: __________________________

3. If you are a dealer for the actual manufacturer of this item, approximately, how many employees does the manufacturer have?

4. Do you have a parent company? [ ] *yes [ ] no

a) *If “yes”, how many employees does your parent company have?

b) *Parent Company Name/CAGE:

5. Is this a “commercial” item per FAR 2.101(b) [ ] *yes [ ] no

“Commercial item” generally means any item, other than real property, that is of a type customarily used by the general public or by non-governmental entities for purposes other than governmental purposes, and— Has been sold, leased, or licensed to the general public; or has been offered for sale, lease, or license to the general public. See FAR 2.101(b) for a further definition of commercial items, including sections 2, 3, 4, 5, 6, 7 and 8 for more details and types of commercial items.

NOTE: *If you answered “Yes” to 5, please complete the following

a) ______% sold to the general public / private sector.

b) ______% sold to the Government

c) Provide copy of the current Price List” available and is accessible to the general public.

d) Provide copies of recent “Invoices” to the general public.

e) Provide copy of the technical specification / data sheet(s) on the item to support your commercial claim.

f) If part of a higher assembly; provide the following:

(1) Part Number & or NSN of the higher assembly.

(2) Copy of “Price List” available and accessible to the general public.

(3) Copies of “Invoices” to the general public.

(4) _____% sold to the general public / private sector.

(5) _____% sold to the Government.

(6) Copy of the technical specification / data sheet(s) on the item to support your commercial claim.

g) If item is commercial, will you comply with the solicitation clauses/

Requirements as specified in:

(1) FAR Part 12-Acquisition Of Commercial Items? [ ] yes [ ] no

(2) FAR Part 15-Contracting Negotiation (non-commercial clauses)? [ ] yes [ ] no

h) Please provide any additional data with your survey response to support your claim.

6. Is this item a catalog/price listed? [ ] *yes [ ] no

a) If “yes”, please supply a copy with this response.

7. Is this item on a GSA Schedule? [ ]*yes [ ] no

a) If “yes”, indicate GSA contract no.:

If “yes”, please supply a copy of the schedule.

8. Do you carry this item in your inventory? [ ] yes [ ] no

9. What is the estimated delivery schedule for this item? __________________________________

10. What are the most appropriate incremental quantity breaks for this item?

Please list: From ______ to ______; From ______ to ______; From ______ to ______; From ______ to ______;

11. Do you have a minimum order? [ ] yes [ ] no – state quantity:

12. Are there any salient features/cost driving factors or any materials, metals, etc. that are dominant in this item?

[ ] *yes [ ] no

If “yes”, please provide the applicable process and/or state what percentage of that process/material. Please be specific: _______________________________________________________________________________________

13. What is the approximate unit size and weight of this item?

a) Unit Weight:

b) Unit size:

14. Where is the item manufactured?

Company & CAGE:

City:

State:

Country:

15. Do you have Electronic Data Interchange (EDI) capability? [ ] yes [ ]*no

*If no, are you willing to obtain this capability? [ ] yes [ ] no

16. Is FOB Origin acceptable? [ ] yes [ ] no

Is FOB Destination acceptable? [ ] yes [ ] no

17. Is Inspection/Acceptance at Origin acceptable? [ ] yes [ ] no

Is Inspection/Acceptance at Destination acceptable? [ ] yes [ ] no

18. Has your company completed the System for Award Management (SAM) registration?

[ ] yes [ ] no Note: NAICS for this item is: 334417 *System for Award Management (SAM) registration is required for all awards.

19. Does your company have a Comprehensive Subcontracting Plans approved under the Test Program described in DFARS 219.702(a)? [ ] yes [ ] no

20. Do you currently have any active federal contracts and/or grants in excess of $10,000,000.00? [ ] yes [ ] no

Can you provide an estimated unit price for this item? $_________________________________

For contracts estimated over $2 Million Cost or Pricing Data “may” be required.

Note for dealers/distributors: If Cost or Pricing Data were required for the procurement the manufacturer and the dealer / distributor are each responsible to provide the data.

Is your company and your subcontractors (if applicable) capable of providing Cost or Pricing data? Yes [ ] No [ ] Would your company and subcontractors be willing to supply certified cost or pricing data? Yes [ ] No [ ] If you are a dealer, you will be required to obtain Cost or Pricing Data from the actual manufacturer.

· Will you be able to provide the required Cost or Pricing Data from the manufacturer? Yes [ ] No [ ]

· Have you provided Cost and Pricing Data to DLA before? Yes [ ] No [ ]

If yes, please provide the last Contract Number: ___________________________________ NOTE: Cost or Pricing data is not required for commercial items. However, it is the contracting officer’s authority to determine an item(s) commercial or not.

21. Would you be willing to submit an offer on this item pursuing a Firm Fixed Price Contract for the above item?

[ ] yes [ ] *no

a) If “no”, why?

Additional Comments:

Source Selection Information - See FAR 2.101 and 3.104