Market Survey Questionnaire.docx

CUI

SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 AND 3.104

Market Research Questionnaire

NSN: 4820-01-265-2605

Nomenclature: VALVE, REGULATING, FLU

MISSION SYSTEMS ORCHARD PARK INC. (04577) P/N B13670-1

NAICS: 332911

DLA Weapons Support has a requirement for NSN 4820-01-265-2605 and is considering a fixed-price solicitation and subsequent award. See below for additional details.

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 mutually beneficial solicitation.

Please complete and return the survey by close of business 03/04/2026. Thank you for taking the time to complete this survey and for providing this information.

If appropriate, circle your response (e.g. yes/no questions). If a question is not applicable, enter “NA”. If you need additional space to respond to a particular question, use the comments section at the end and identify the specific question the information is for.

If you have any questions, contact Tanya L. Cool at tanya.cool@dla.mil.

COMPANY INFORMATION

Name of Person Completing this Form

Email Address

Company Name

Cage Code

DUNs Number

Phone Number

Size (number of employees)

Manufacturer or Distributor/Dealer/Reseller?

Large or Small Business?

If small business, what category/categories (i. e. 8(a), SDB, WOSB, SDVOSB, etc.)

If large business, what percentage of small business participation do you anticipate for the production of this item?

Is the item quantity sensitive? Yes or No

If yes, would there be price breaks for buying specific quantities? (If not, leave blank) If so, complete the table below with the quantity ranges for each price break. (Ex. If there is cost savings for buying 10 ea and then again at 20 ea and then again at 50 then your ranges would be: 10-20 21-49 50-?)

Price Break Quantity Range

Can you provide the estimated unit price for the estimated quantity of 13? $_______

Would you quote a 100% quantity option?

Notes:

1) a quantity option can be exercised in increments up to 14 days before contract expiration.

2) If the option is exercised, the Government would not be required to exercise the full quantity and may only exercise a partial quantity.

What components or raw materials are the primary drivers in the pricing of this item (i. e. steel, rubber, oil, plastics, etc.)?

COST OR PRICING DATA OR OTHER THAN COST OR PRICING DATA QUESTIONS

Solicitations with an estimated maximum value over $2,000,000.00 may require the submission of Certified Cost or Pricing Data (CCPD). Solicitations under this threshold may require other than CCPD. Information on CCPD is in the Federal Acquisition Regulation (FAR) Subpart 15.4—Contract Pricing. Questions regarding CCPD can be addressed to the contract specialist, the Defense Contract Audit Agency office or Defense Contract Management Agency office for your area, or the DLA Land & Maritime Business Counseling Center via an email to DSCC.BCC@dla.mil or by calling 1-800-262-3272.

If required, will you be able to provide CCPD or other than CCPD? Yes or No

Have you provided CCPD to DLA before? Yes or No

If yes, provide the most recent contract number for which your company provided the CCPD:

If you are a dealer, you will be able to obtain CCPD from the actual manufacturer?

Yes or No

If no, is the manufacturer willing to provide their CCPD to the Government?

Yes or No

COMMERCIAL QUESTIONS

Only the Government can make the determination if an item is a commercial item. The Government may request documents (such as catalogs, price lists, unredacted invoices, etc.) to assist in determining if the item is a commercial item.

Is this item a commercial item as defined in FAR 2.101(b)? Yes or No

Is this item on a GSA Schedule? Yes or No

If yes, provide the GSA Schedule information:

Are unredacted invoices available to prove this item has been sold to the general public?

Yes or No

Is this item listed in catalogs or brochures? Yes or No

Is there an established price list for this item? Yes or No

Is this item available for sale to or has it been announced that it will be available for sale to the general public? Yes or No

Is your company willing and able to provide such proof, if the Government determines it is needed? Yes or No

If yes, what documents are available to assist the Government in making a commercial determination?

If no, is this item a modified item of a type available in the commercial market place (meaning this item does not have to be identical, but has minor modifications)? Yes or No

If yes, for the modified item, can you provide the unredacted commercial sales history and are you willing to submit a complete set of drawings to the Government to use in defining the similarities and differences between the items and preparing an independent Government cost estimate?

Any documents you submit to the Government may be marked with your company’s appropriate internal designations (such as “Proprietary and Confidential”). The Government will add the appropriate Government classification information (such as the information in the headers and footers of this document). The Government will not publish or make these documents public. The Government will use these documents in conjunction with this procurement only.

DELIVERY QUESTIONS (PICK ONE OF THE FOLLOWING)

The solicitation requires FOB Origin, which means your price would not include transportation charges to any location in the United States. Is FOB Origin acceptable? Yes or No

What is the estimated standard delivery for this item?____________

What is your production lead time for this item?________________

What is your maximum capacity for this item?_________________

MISCELLANEOUS QUESTIONS

Depending on the technical requirements of the item, government first article testing (FAT), contractor FAT, or production lot testing may be required. If required, is your company willing to perform the tests or submit units for testing? Yes or No

COMMENTS:

CUI

SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 AND 3.104