Attachment 2 - Vendor Market Research Response Form.docx

Market Research Vendor Response Form Name of Requirement: Honolulu Pkg 192 Anti-Gravity Treadmill Requirement Identifier: Package 192

NAICS: 339920

NAICS Size Standard: 750 Employees

PSC: 6515

SBA Non-Manufacturer Waiver Issued? No Deadline for Response: 29 December 2022, 10:00 Eastern

Please answer the following questions related to the above requirement and return to roberto.dejesus2@va.gov before the deadline listed above. The information provided will be used for market research purposes and help the VA determine an appropriate set-aside and acquisition strategy for this requirement. Thank you in advance for your time and assistance!

1. The NAICS identified above is appropriate for this requirement. Choose an item.

Click or tap here to enter text.

2. Small Business Requirements: Choose an item.

3. Manufacturer/Authorized Distributor Verification: Choose an item.

4. If your company is not the manufacturer of the proposed item(s), please answer the following:

a. Name(s) of the manufacturer: Click or tap here to enter text.

b. Is this product made in the US? Choose an item. If not, in what country is the item manufactured? Click or tap here to enter text.

5. Are there any specifications for individual items that you believe may be too restrictive when taking into consideration industry standards (see draft Statement of Work)? Choose an item.. Click or tap here to enter text.

6. Are there accessories for any equipment item(s) that are normally separately priced? Choose an item. Click or tap here to enter text.

7. Are there any items that you would recommend be purchased separately? Choose an item. Click or tap here to enter text.

8. Lead time: In approximately how many days would you be able to deliver all items in this requirement after the government places an order? Click or tap here to enter text.

11. Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services under the same or a related NAICS code: Click or tap here to enter text.

12. Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services that are registered under the same or a related NAICS code with the Center for Veterans Enterprise (CVE); provide the certification type (SDVOSB/VOSB), Federal Identification Number, and state of incorporation for each: Click or tap here to enter text.

13. Do you plan on responding to a solicitation for this requirement with a Joint Venture utilizing multiple owned companies as majority or non-majority owner? Choose an item.. If yes, please identify which companies are considering a Joint Venture and the ownership of each company: Click or tap here to enter text.

14. Please provide any additional information, comments, or questions that might assist us in our market research: Click or tap here to enter text.

Company Information:

Company Name: Click or tap here to enter text.

Company Point of Contact Name: Click or tap here to enter text.

Company Point of Contact Email: Click or tap here to enter text.

Company Point of Contact Phone: Click or tap here to enter text.

Company DUNS Number: Click or tap here to enter text.

My company has a GSA schedule under which these items can be purchased. Choose an item. Click or tap here to enter text.

My company is eligible for set-asides under the following small business programs:

☐Vets First Program – Service Disabled Veteran-owned small business ☐Vets First Program – Veteran-owned small business ☐8(a) Business Development Program participant ☐HUBZone small business ☐Economically Disadvantaged Woman-owned small business ☐Woman-owned small business ☐Small business

Additional Optional Information:

Pricing Information (Optional): If available, please attach a price list for these items (some or all) to illustrate typical pricing in the marketplace. Do not attach a quote or offer. The price list is for market research purposes only and will not be used to make an award.

Equal Items (Optional): If intending to provide “equal” items to the manufacturer/model specified, please attach cut sheets or other information so the government can verify the items meet the government’s salient characteristics.

Authorized Distributor (Optional): If your company qualifies as a non-manufacturer of these items, please provide documentation that your company is authorized by the OEM to distribute these items.