Market Survey Blank.docx

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GEAR-SLIP CLUTCH, SP
Solicitation number
7012382509
Issued by

About this file

This is a Market Survey Questionnaire issued by the Defense Logistics Agency (DLA) Weapons Support (Columbus) to identify potential suppliers for a pending solicitation. DLA is considering a one-time buy of 71 units of NSN 3020-010533819, GEAR-SLIP CLUTCH, SP (part number 5004460), with a potential option for an additional 71 units (142 total with 100% option). The survey must be completed and returned by close of business on Tuesday, April 28, 2026, to Jennifer Cummins at Jennifer.cummins@dla.mil (614-580-0235). The approved manufacturers currently listed are FDH DEFENSE AFTERMARKET, LLC (CAGE 7CNG1) and HAMILTON SUNDSTRAND CORPORATION (CAGE 99167).

The market survey requests comprehensive information from potential suppliers regarding manufacturing capability, business size classification, inventory status, delivery timeframes, pricing structure, and commercial item status. Respondents must indicate their preferred contracting method (dealer versus direct government sales), minimum order quantities, quantity/price breaks, and acceptance of F.O.B. Origin terms. The survey specifically addresses whether items are commercial off-the-shelf products with commercial sales history, catalog-listed items, or items with minor modifications. Suppliers interested in becoming approved sources must submit appropriate documentation per DLA Procurement Note L04 (Offers for Part Numbered Items) and DLA Procurement Note M06 (Evaluation of Offers for Part Numbered Items). The Government expresses preference for Firm Fixed Price contracts and requests information on hazardous materials content, unit weight/size specifications, and any salient cost-driving factors or dominant materials.

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Text version

DEFENSE LOGISTICS AGENCY

WEAPONS SUPPORT (COLUMBUS)

P.O. BOX 3990

COLUMBUS, OHIO 43218-3990

MARKET SURVEY QUESTIONNAIRE

Please Respond

THIS IS NOT A REQUEST FOR QUOTE

INFORMATION REQUIRED FOR PENDING REQUEST FOR PROPOSALS

Date: 4/24/2026 To:

Cage:

From: JENNIFER CUMMINS Phone: 614-580-0235 Address: DLA WEAPONS SUPPORT (COLUMBUS) Columbus, OH 43218-3990 Email: Jennifer.cummins@dla.mil

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

PLEASE RETURN SURVEY BY COB Tuesday, 4/28/2026

DLA Weapons Support (Columbus) is considering a solicitation and subsequent Award on a Contract for the items below.

As a potential supplier of these items, 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.

NOTE: This Contract may result in a Quantity Option.

Please indicate the absolute best delivery (in Days) you would be able to provide this item.

REQUIREMENTS:

NSN
3020-010533819
ITEM NAME
GEAR-SLIP CLUTCH,SP
Cage(s) & P/N(s)
(7CNG1) (99167) P/N: 5004460
Unit of Issue
EACH
Quantity
71
Qty w/ 100% Option
142

PLEASE COMPLETE THE FOLLOWING:

The NAICS code for this item is: 333612 Please indicate below your business size for this NAICS code.

Please ensure that your SAM information reflect this NAICS code.

SAM website: https://www.sam.gov

|_| Large Business / |_| Small Business

|_| Manufacturer / |_| Dealer

Are you the ACTUAL Manufacturer of the item? |_| Yes |_| No

Identify Source of Supply if Dealer: ___________________________________________________

Where is the item manufactured?

Company & CAGE:

City:

State:

Country:

1. Do you deal through dealer/distributors or do you prefer to deal directly with the Gov’t? |_| Dealer |_| Gov’t

2. Do you carry this item in your inventory? |_| Yes |_| No

3. Is this item quantity sensitive? |_| Yes |_| No

4. Is this a commercial item? |_| Yes |_| No

· NOTE: *You must complete or comply with the following if “yes”.

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:

i. Part Number & or NSN of the higher assembly.

ii. Copy of “Price List” available and accessible to the general public.

iii. Copies of “Invoices” to the general public.

_____% sold to the general public / private sector.
_____% sold to the Government.

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

v. If item is commercial, will you comply with the solicitation clauses/

g. 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.

5. Are these commercial off the shelf items with commercial sales history? |_| Yes |_| No

6. Are these catalog/price listed items? |_| Yes |_| No

7. Are you able to supply us with a copy of your price list? |_| Yes |_| No

8. If “NO” to #4; are these items modified items of a type available in the commercial market place? |_| Yes |_| No

9. If “NO” to #8; do these items have minor modifications of a type not customarily available in the commercial

market place? (For example, minor modifications mean the item needs to retain predominance of
non-governmental functions or essential physical characteristics.)|_| Yes|_| No

10. If “NO” to #4 & if these are not currently in the commercial market place; will these items be available in the commercial market place in time to satisfy the gov’t delivery requirements on this project? |_| Yes |_| No

11. Does this item contain hazardous material? |_| Yes |_| No

12. Is your company interested in pursuing a Firm Fixed Price Contract for the above item? |_| Yes |_| No

13. Would you be willing to submit an offer on this item?|_| Yes|_| No
If “no”, why?__________________________

14. What is your approximate delivery for this item: ________________________________________

15. The Government prefers to utilize F.O.B. Origin; is this acceptable? |_| Yes |_| No

16. Do you have a minimum order? |_| Yes |_| No

17. Do you offer quantity/price breaks for this item and if so, please provide below:

18. 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: ___________________________________________________

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

a) Unit Weight:
b) Unit size:

COMMENTS: _________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________

Name/Signature: _______________________________________________

Phone Number: ________________________________________________

We Sincerely Appreciate Your Time, And Thank You For Providing This Information.

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