Market_Research_Questionnaire-Survey_Template.docx

DEFENSE LOGISTICS AGENCY

WEAPONS SUPPORT

P.O. BOX 3990

COLUMBUS, OHIO 43218–3990

Page | 5

2/27/2026 Market Research Questionnaire

DLA Weapons Support (Columbus) has a requirement for NSN 6105-005258559 and is considering a fixed-price solicitation and subsequent award. See below for additional details.

Quantity 97 Motor, Direct Current Approved source Skurka Aerospace 95270 PN B946CG587

NAICS 335312

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 beneficial solicitation.

Please complete and return the survey by close of business 13 Mar 2026. Thank you for taking the time to complete this survey and for providing this information.

If you have any questions, please contact the Contract Specialist, Benjamin Breidigan, Benjamin.breidigan@dla.mil, 614-693-0653

Company Name , Cage Code: & DUNs Number:

Company Phone: Email, & Fax Number:

Name & Signature:

I. GENERAL QUESTIONS:

1. Please check your company’s size and status:

a. |_| Manufacturer or |_| Distributor /Dealer/Reseller

b. Do you deal through Dealers/Distributors or do you prefer to deal with the Government? |_| Dealer |_| Gov’t

c. |_| Large or |_| Small Business If you are a Small Business, how are you currently classified by the Small Business Administration (SBA)?

Please note: This information will be used in determining if the solicitation should be set aside.

1. 8(a) Program |_|

2. Small Disadvantaged Business (SDB) |_|

3. Woman Owned Small Business (WOSB) |_|

4. Economically disadvantaged women-owned small business (EDWOSB) |_|

5. Veteran Owned Small Business (VOSB) |_|

6. Service Disabled Veteran Owned Small Business (SDVOSB) |_|

7. HUBZone Small Business |_|

a. HUBZone, Small Disadvantaged, Other Veteran Owned Business |_|

b. HUBZone, Woman Owned, Other Veteran Owned Business |_|

2. Approximately how many employees do you currently have?

3. Do you have a parent company? |_| Yes |_| No

a. Name of your parent company?

b. Approximately how many employees does your parent company have?

4. If you are a dealer for the actual manufacturer of these items, who is the manufacturer, CAGE code and approximately how many employees does the manufacturer have?

5. If an Approved Source for this NSN, are you the actual manufacturer or are these items made for you (A pass thru item)?

6. Where this the item manufactured?

7. Is your company registered in the “System for 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 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

Did you complete the FAR and DFARS certifications and representations in SAM? Yes |_| No |_|

II. PRICE BREAKS & QUANTITY OPTION QUESTIONS:

1. Is the unit price quantity sensitive? Yes |_| No |_|

a. If yes, please indicate the optimal quantity ranges (note- current requirement is for 97 each, so please cover quantities of 70-100). Comment by Wiebusch, Jamie CIV DLA LAND AND MARITIME (USA): Recommended quantity range:

50% of your PR Quantity as the minimum. 300% of your PR Quantity as the maximum.

For example, if PR quantity is 100, include a quantity range of 50-300.

Range 1:

Range 2:

Range 3:

Range 4:

Range 5:

Range 6:

2. Can you estimate the unit price for the base quantity of 97? $

3. Would you quote a 100% quantity option? Note – a quantity option can be exercised in increments up to 14 days before contract expiration. Note – If the option is exercised, the Government would not be required to exercise the full quantity and may only exercise a partial quantity.

4. If your company would quote a quantity option, would you prefer to have pre-negotiated pricing?

|_| Yes |_| No

5. Or would you prefer to have the option quantity pricing calculated using an Economic Price Adjustment (EPA) based on the Producer Price Index (PPI)? |_| Yes |_| No

a. If yes, do you have a recommended index that is applicable to this item? If so, please provide the index and please provide an explanation as to why you feel it’s a good fit.

6. What components/raw materials are the primary drivers in the pricing of these items (i.e. steel, rubber, oil, plastics, etc.)?

III. COST OR PRICING DATA:

The following pertains to the requirement for certified Cost or Pricing Data. For contracts estimated over $2,000,000*, certified Cost or Pricing Data “may” be required. FAR 15.408, Table 15-2 contains the guidelines for submitting this data. A sample format can be found at http://www.dcaa.mil. At this website, go to “Customers”, then “Guidance” and click on “Audit Process Overview – Information for Contractors.” This page on the website will assist you with guidance on pricing proposals. See provision FAR 52.215-20. Questions regarding cost or pricing data can be addressed to the Contract Specialist or your cognizant DCAA or DCMA office.

*Note: The value of the contract is based on the Total estimated dollar value, which includes the base quantity and maximum option quantity.

PLEASE NOTE:

Certified Cost or Pricing Data is not required for commercial items. However, it is the contracting officer’s authority to determine if an item is commercial or not.

1. Do you fully understand these requirements for certified Cost or Pricing Data requirements?

|_| Yes |_| No

2. If required, (based on the estimated contract being over the $2,000,000* threshold), will you be able to provide such certified Cost or Pricing Data: |_| Yes |_| No

a. Have you provided certified Cost or Pricing Data to DLA before? |_| Yes |_| No

i. If yes please provide the Most recent Contract Number or Audit Number where your company provided the CCPD: Contract Number , Audit Number

3. If you are a dealer, you will be required to obtain Cost or Pricing Data from the actual manufacturer. Will you be able to provide certified Cost or Pricing Data from the manufacturer? |_| Yes |_| No

IV. COMMERCIAL QUESTIONS:

1. Do you consider this item commercial per FAR 2.101(b)? |_| Yes |_| No

2. The Government, and the Government only, must determine not only if an item is commercial but also if the commercial prices are Fair and Reasonable. This is usually accomplished through proof that commercial market forces have driven the setting of the commercial price. Such proof would describe the commercial market acceptance of the price or, more plainly, invoices proving that the item has been sold commercially at like prices, for like quantities.

a. Is your company willing and able to provide such proof, if the government determines it is needed to verify price reasonableness: |_| Yes |_| No

b. If yes, are these items Published Catalogs/Price Listed? |_| Yes |_| No Please indicate how we can obtain a copy of this published price list:

c. If No, are these items modified items of a type available in the commercial marketplace (Meaning these items do not have to be identical, but are closely related)? |_|Yes |_| No

d. If yes, can you provide:

i. UN-REDACTED commercial sales history which is the Governments preferred documentation; |_| Yes |_| No

ii. Submit a Complete set of Drawings for this item for review, so that the Government can do an Independent Government Cost Estimate (IGCE); |_| Yes |_| No Please Note: Your Un-Redacted Invoices and/or your Drawings can be marked “Proprietary and Confidential” as we will only use them for determination for Price reasonableness. They will also be Source Selection Information per FAR 2.101 and 3.104 and will only be used for the Solicitation which will be the result of this Market Research and will not be published or made public.

iii. Listing in catalogs or brochures; |_| Yes |_| No

iv. Known established price list to commercial market place; |_| Yes |_| No

v. Availability or announcement to the general public; |_| Yes |_| No

NOTE: Without proof of commerciality the solicitation will not be processed using commercial procedures (FAR Part 12) but will rather be processed using non-commercial procurement procedures (FAR Part 15).

VI. FOB POINT and PACKAGING QUESTIONS:

VII. DELIVERY QUESTIONS:

1. What is the estimated standard delivery for this item?

2. Could you ship a partial quantity earlier than the estimated standard delivery? |_| Yes |_| No

a. If yes, what is the quantity and what would the shorter lead-time be?

3. Is there a Maximum monthly Quantity that you could deliver for the item(s)? |_| Yes |_| No

a. If yes, please annotate the maximum monthly quantity:

4. Would a minimum delivery order quantity and/or dollar value apply to this NSN? |_| Yes |_| No

a. If yes, please list the applicable minimum for this item.

VIII. MISCELLANEOUS QUESTIONS:

1. The following technical requirements apply to this item:

2. Is Inspection and Acceptance at Destination acceptable? |_| Yes |_| No Comment by Wiebusch, Jamie CIV DLA LAND AND MARITIME (USA): Needs tailored for each requirement. Delete anything that doesn’t apply

3. Is Inspection and Acceptance at Origin acceptable? |_| Yes |_| No

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

5. Does the item contain precious metals? |_| Yes |_| No If yes, please indicate the specific metals:

6. Do you required Government Furnished Property or Material to make this item? |_| Yes |_| No

a. If yes, list the GFP and/or GFM required?

7. To the best of your knowledge are the item(s) listed on a GSA Schedule? |_| Yes |_| No

a. If yes, on which GSA schedule are they listed:

IX. FINAL COMMENTS:

1.

Source Selection Information – See FAR 2.101 and 3.104 Official Use Only

Source Selection Information – See FAR 2.101 and 3.104 Official Use Only image1.png