MARKET SURVEY blank - Copy.pdf

Pre-solicitation market research, DLA Land & Maritime SURVEY QUESTIONNAIRE

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DLA LAND & MARITIME

POST OFFICE BOX 3990, COLUMBUS, OH 43218-3990

Information provided on this form is for government’s internal use only as a part of the market research.

THIS IS NOT A REQUEST FOR PROPOSAL.

The Defense Logistics Agency Land and Maritime is considering a solicitation and subsequent Award of a Firm Fixed Price

Contract for the item listed below. 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 more realistic and beneficial solicitation.

DATE: 05/05/2023

COMPANY NAME / CAGE:

CITY, STATE:

ATTENTION:

POC E-MAIL:

REFERENCE TO:

LORI PHILLIPS – Contract Specialist/ FMD / DLA Land & Maritime, Columbus OH

E-MAIL: Lori.Phillips@dla.mil

NOTE: ITEM LISTED BELOW IS BEING CONSIDERED FOR SOLICITATION AND SUBSEQUENT AWARD.

PLEASE RESPOND BY CLOSE OF BUSINESS 05/11/2023 POC TO LORI PHILLIPS AT THE ABOVE

E-MAIL ADDRESS.

SOLICITATION ITEM REQUIREMENTS:

PLEASE COMPLETE THE FOLLOWING IN REGARD TO THE ABOVE REQUIREMENTS.

SURVEY COMPLETED BY: _____________________________

(Name & Title)

E-MAIL:___________________________________________; PHONE NO: __________________________________

DATE COMPLETED: __ TE: to insure that any pending RFP is sent to your company, please insure that POC information provided in this block is accurate.

1. YOUR COMPANY SIZE?

LARGE BUSINESS [ ]

SMALL BUSINESS [ ] LIST NUMBER OF EMPLOYEES: __________________

OTHER [ ] ___________________________ LIST NUMBER OF EMPLOYEES: __________________

NSN 4720-016479396

HOSE ASSEMBLY,NONME

EATON AEROQUIP LLC (00624)

P/N AE32142-060

ESTIMATED DELIVERY: BEST AVAILABLE (DLA DIRECT, CONUS)

NAICS: 326220

Estimated quantity is 30

COST AND PRICING DATA WILL NOT BE REQUIRED FOR THIS SOLICITATION

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2. YOUR COMPANY IS A:

MANUFACTURER [ ]

DEALER / DISTRIBUTOR [ ]

OTHER [ ] ____________________________

DO YOU HAVE A PARENT COMPANY? YES [ ] NO [ ]; CAGE: ______________; LIST NUMBER OF EMPLOYEES: _____________

3. IS YOUR COMPANY REGISTERED IN THE “SYSTEM AWARD MANAGEMENT” (SAM)? YES [ ] NO* [ ]

*If “No”, ARE YOU WILLING TO OBTAIN THIS REGISTRATION? YES [ ] *NO [ ]

Note: SAM registration is required for all awards and “must” contain the above NAICS code in order to be edible for an award for this item. Offerors are strongly encouraged to complete/update their SAM registrations as-soon-as-possible.

Link: https://www.sam.gov or https://www.fsd.gov

4. IS YOUR COMPANY AN ORCA CERTIFIED? YES [ ] NO [ ] and IS YOU ORCA CERTIFICATION UP TO DATE? YES, [ ] NO [ ]

*Note: In order to qualify for the Federal Government contracts over $250,000 you must be SAM registered / ORCA certified with current registration dates. Link: https://www.sam.gov/portal/public/SAM

5. WHAT IS YOUR EXPERIENCE IN MAKING / SELLING REQUESTED PRODUCT? ___________________________________________

6. IS THIS A COMMERCIAL ITEM? YES [ ] NO [ ]

(If “Yes” please answer questions 7&9 below & provide copies of recent invoices to the general public for this item and other additional documentation to support your claim).

7. ITEM IS COMMERCIAL AND OUR COMPANY SOLD _____% TO PRIVATE SECTOR and _____% TO GOVERNMENT

8. IF ITEM IS COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS?

I/A/W FAR Part 12 or FAR Part 13.5-Acquisition of Commercial Items YES [ ] NO [ ]

9. IS THIS A CATALOG/PRICE LISTED ITEM? YES [ ] NO [ ] (If “YES” please provide the link to your priced item of copy of listing)

10. OR THIS ITEM IS NOT COMMERCIAL BECAUSE: (please specify weapon system used: aircraft, tactical vehicles, etc.)

11. IF ITEM IS NOT COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS?

I/A/W FAR Part 15-Contracting Negotiation (Non-Commercial clauses) YES [ ] NO [ ]

12. IS THIS ITEM ON A GSA SCHEDULE? YES* [ ] NO *[ ] (If “YES”, GSA Contract #_______________________________).

13. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? YES [ ] NO [ ]

14. PLACE OF MANUFACTURING:

(Please provide OEM & CAGE, City, State, and Country)

15. WHAT WOULD BE THE MOST APPROPRIATE INCREMENTAL QUANTITY BREAKS FOR THIS ITEM?

From: ____________To____________; From____________ To____________; From: ____________ To____________ UM: _______

From: ____________To____________; From____________ To____________; From: ____________ To ____________ UM: _______

16. IS ITEM HAS MINIMUM ORDER REQUIREMENT? YES [ ], NO [ ] MIN QTY? _______________

17. IS THIS ITEM QUANTITY SENSITIVE? YES [ ], NO [ ] AND

18. CAN YOU ESTIMATE UNIT PRICE FOR QTY TO BE REQUESTED on page 1? $_________________

19. WHAT WOULD BE THE BEST DELIVERY ESTIMATED FOR THIS ITEM? [Please select applicable a), b) or c) option below]

a) [ ] FOR ALL QUANTITY DELIVERY at _____________ (days ADO)

b) [ ] PHASE DELIVERY, BASED ON OEM’s PRODUCTION CAPABILITY:

Starting QTY of: ______________ at _____________ (days ADO)

QTY up to: ___________________ at ____________ (days after that, until completed).

c) [ ] OTHER DELIVERY METHOD: __________________________________________________

20. IS F.O.B. ORIGIN ACCEPTABLE? YES [ ] NO [ ]; IS F.O.B. DESTINATION ACCEPTABLE? YES [ ] NO [ ] https://www.sam.gov/ https://www.fsd.gov/ https://www.sam.gov/portal/public/SAM

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21. IF F.O.B. DESTINATION WILL A UNIT PRICE VARY BETWEEN U.S. SHIPPING LOCATIONS (zoning)? YES [ ] NO [ ].

22. IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE? YES [ ] NO [ ]

23. IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? YES [ ] NO [ ]

24. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? YES [ ] NO*[ ]

* (If “No”), ARE YOU WILLING TO OBTAIN THIS CAPABILITY? YES [ ] NO [ ]

25. DOES YOUR COMPANY HAVE A COMPREHENSIVE SUBCONTRACTING PLANS APPROVED UNDER THE TEST

PROGRAM DESCRIBED IN DFARS 219.702(A)?

[ ] YES [ ] NO

26. DO YOU CURRENTLY HAVE ANY ACTIVE FEDERAL CONTRACTS AND/OR GRANTS IN EXCESS OF $10,000,000.00?

[ ] YES [ ] NO

27. FOR CONTRACTS ESTIMATED OVER $2,000,000.00 COST OR PRICING DATA “MAY” BE REQUIRED PER FAR

52.215-20.

IS YOUR COMPANY AND YOUR SUBCONTRACTORS (IF APPLICABLE) CAPABLE OF PROVIDING THIS DATA?

[ ] YES [ ] NO

28. IS ANY SPECIAL TOOLING OR GOVERNMENT’S FURNISHIN PROPERTY (GFP) IS REQUIRED TO PRODUCE THIS ITEM?

OR IS ANY GOVERNMENT’S FURNISHIN MARETIAL (GFM) IS REQUIRED TO PRODUCE THIS ITEM?

[ ] YES [ ] NO

If applicable, please specify here: _______________________________________________________________________________________

29. ARE THERE ANY SALIENT FEATURES/COST DRIVING FACTORS OR ANY MATERIALS, METALS, ETC. THAT ARE

DOMINANT IN THIS ITEM?

[ ] YES [ ] NO

If applicable, please specify here: ________________________________________________________________________________________

30. IS YOUR COMPANY INTERESTED IN PURSUING A FIRM FIXED PRICE CONTRACT AND WILLING TO SUBMIT AN OFFER

FOR THE ABOVE ITEM?

[ ] YES [ ] NO

31. ANY COMMENTS / ADDITIONAL INFORMATION NOT INCLUDED ABOVE?

THANK YOU FOR THE PARTICIPATION IN THIS SURVEY.

LORI PHILLIPS / FMD

Contract Specialist

DLA Land & Maritime, Columbus, OH

E-mail: Lori.phillips@dla.mil