Attachment 3-Contractor's Vital Statistics Submission Cover Page-Final 31Jan2014.docx

Contractor Name:

1. CLINs proposed:

2. Years in business:

3. Ownership structure:

4. Business size:

5. Annual revenue (total for most recent three fiscal years):

6. Total number of employees:

7. Total number of locations:

8. Website address:

9. Is your company publicly traded? If yes, what is the ticker trade symbol?

10. Do you have a website ordering portal? If so list web link:

Socioeconomic Overview

11. Please indicate (with yes/no) whether your company is classified as:

· Small business (SB)

· Small disadvantaged business (SDB)

· 8a certified small business

· HUB Zone small business (HUBZ)

· Women-owned small business (WOSB)

· Service-Disabled Veteran-Owned Small Business (SDVOSB)

· Veteran-owned small business (VOSB)

· Other Unrestricted: (List Large, Non-Profit, Consortium, etc as appropriate) __________________ Operations Overview

12. Is your company a sole proprietorship or have affiliations (DBA)?

13. Does your company own distribution assets? If yes, please describe.

14. Does your company carry inventory? If yes, please list your inventory locations.

15. Please list the primary geographic areas served (cities/states/regions), CONUS and OCONUS.

16. Please provide the number of current customers served annually.

17. Please provide the number of orders filled annually and the average number of lines on each order.

18. Please provide the dollar value of the average order.

Attachment 3 OS3 Contractor’s Vital Statistics Submission Cover Page- RFP

Sales Overview

19. Total revenue percentage from:

20. Please list the Government agencies you currently supply and the percentage of current revenues each agency represents.

21. Please list the 5 largest Original Equipment Manufacturers (OEMs) your company resells.

Company

% of 2012/13 Revenue

22. Financial Overview Please provide the following income statement data for YR2012, or the most recent full year of reported financial performance:

Revenues

100%

Cost of goods sold

Gross margin

Operating costs, including depreciation and amortization

Operating income

Interest expense

Taxes

Net income

List Current ratio:

List Working Capital:

CAPABILITY AND CAPACITY FOR OFFICE SUPPLIES:

FSS Catalog Price Proposal

GSA anticipates the OS3 program will generate very significant sales volumes under this contract, which will result in significant savings to the vendor from orders received through GSA’s various ordering systems. In consideration for the opportunity afforded the successful vendor, GSA expects vendors to further reduce their respective negotiated Schedule contract or commercial retail prices. If a contractor has a Multiple Award Schedule (MAS), GSA will not award a contract to a contractor whose price proposal in response to this solicitation exceeds the schedule price or current pricing listed on GSA Advantage! for their like items. At all times, throughout the resulting OS3 contract, the price must lower than or equal to the price shown on GSA Advantage! for their MAS contract, if the contractor has an existing Schedule contract.

Reminder: For each item the contractor will submit proposed price for each part number, UPC-A code in Attachment 1 as well as demonstrated capability to provide Point of Sale data and Level III reporting. See SOW for additional requirements, terms and conditions and applicable notices.

NOTE: CONTRACTORS MAY USE THEIR OWN DOCUMENT FORMATTING TO SUBMIT THIS INFORMATION HOWEVEVER, FAILURE TO SUBMIT COMPLETE INFORMATION MAY RESULT IN REJECTION OF YOUR PROPOSAL AS NON-RESPONSIVE AND YOU WILL NO LONGER BE CONSIDERED ELIGIBLE FOR CONSIDERATION UNDER THIS REQUEST FOR PROPOSAL.

v. 01/31/14