RFI -ATTACHMENT 2 - Vendor MR Resp Form - Outlet Strips.docx

Market Research Vendor Response Form

Name of Requirement: VA Phoenix – Pkg. # 162 – Outlet Strips RFI / Sources Sought: 36C77621Q0536 Action: 36C776-21-AP-6868 Project Number: Phoenix Pkg. # 162 NAICS: 339112 : 335311 – Power, Distribution, and Specialty Transformer Manufacturing Size Standard: 750 Employees PSC: 6250 – Ballasts, Lampholders, and Starters

Deadline for Response: Friday October 15, 2021 at 2:00 PM

Please answer the following questions related to the above requirement and return to Aimee Maxel, Contracting Specialist, at: aimee.maxel@va.gov and Michelle Rhodes, Contracting Officer, at: michelle.rhodes@va.gov before the date specified above.

1. The NAICS and PSC identified above is appropriate for this requirement. Choose an item.

Click or tap here to enter text.

2. Is your company the original equipment manufacturer (OEM) of the items listed in the draft SOW: Choose an item.

3. If you answered yes to number 2, does your company have any authorized distributors? Choose an item.

If yes, are any categorized as:

SDVOSB - Service Disabled Veteran Owned Small Business?

4. If you are the OEM and If you have authorized distributors are any identified as being the sole distributor of the OEM? Choose an item.

5. If you answered no to number 2 and your company is not the original manufacturer, is your company an authorized distributor of the items in the draft SOW? Choose an item.

6. If your company does not have authorized distributors/re-sellers, can a document be provided stating that you don’t have any authorized distributors? Choose an item.

7. Where are the item(s) being manufactured? (Inside or Outside the US? If outside, specify what country.)

8. Are there any specifications for individual items that you believe may be too restrictive when taking into consideration industry standards? (see draft Statement of Work) Choose an item.. Click or tap here to enter text.

9. If applicable to the items in the SOW, are there accessories for any equipment item(s) that are normally separately priced? Choose an item. Click or tap here to enter text.

10. If applicable to the items in the SOW, are there any items that you would recommend be purchased separately? Choose an item. Click or tap here to enter text.

11. Are there any items in the SOW that normally require training? If so what kind of training is normal and how do you provide that training? Click or tap here to enter text.

12. Lead time: In approximately how many days would you be able to deliver all items in this requirement after the government places an order? Click or tap here to enter text.

13. Lead time: If installation is needed, In approximately how many days would you be able to install all items in this requirement after the government accepts the delivery? Click or tap here to enter text.

14. Are there any times during the year where lead time may be longer (e.g. end of the calendar year)? Choose an item. Click or tap here to enter text.

15. Is there any reason you would not be interested in responding to a solicitation for this requirement? Choose an item. Click or tap here to enter text.

16. Please briefly explain if your company complies with FAR 52.219-14 – Limitation on Subcontracting Click or tap here to enter text.

17. Please provide any additional information, comments, or questions that might assist us in our market research: Click or tap here to enter text.

Please provide some basic information about your company below:

Company Name: Click or tap here to enter text.

Company Point of Contact Name: Click or tap here to enter text.

Company Point of Contact Email: Click or tap here to enter text.

Company Point of Contact Phone: Click or tap here to enter text.

Company DUNS Number: Click or tap here to enter text.

Company CAGE Code: Click or tap here to enter text.

My company has a GSA schedule under which these items can be purchased. Choose an item.

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My company is eligible for set-asides under the following small business programs: (Check all boxes that apply below) ☐Vets First Program – Service Disabled Veteran-owned small business ☐Vets First Program – Veteran-owned small business ☐8(a) Business Development Program participant ☐HUBZone small business ☐Economically Disadvantaged Woman-owned small business ☐Woman-owned small business ☐Small business

Please provide the following Information below:

Pricing Information (Optional): If available, please attach a price list for these items (some or all) to illustrate typical pricing in the marketplace. Do not attach a quote or offer. The price list is for market research purposes only and will not be used to make an award.

Equal Items (Optional): If intending to provide “equal” items to the manufacturer/model specified, please attach cut sheets or other information so the government can verify the items meet the government’s salient characteristics.

Market Research Vendor Response Form

Authorized Distributor: If your company qualifies as a non manufacturer of these items, please provide or include recent documentation illustrating that your company is an authorized distributor.

Attachment 2

Attachment 2