Market Research Questionnaire.docx

DEFENSE LOGISTICS AGENCY

DLA LAND and MARITIME

POST OFFICE BOX 3990

COLUMBUS, OH 43218–3990

11/18/2019

MARKET RESEARCH QUESTIONNAIRE

DLA Land and Maritime is considering a solicitation and subsequent award of a FAR Part 13.5 Commercial Acquisition for the following item of supply: NSN: 2530-011714265 NOMEN: Brake, Multiple Disk CAGE: 17454 PN: BS-150

As a potential supplier of this item, we are asking that you fill out this market survey to the best of your knowledge. Please feel free to contact the sender of this survey if you have any questions.

Request that you return the survey within 5 business days of receipt. We sincerely appreciate your time.

Company Name: , Cage Code: Phone: Email, Name & Signature:

I. GENERAL QUESTIONS:

1. Please check your companies size and status:

a. |_| Large or |_| Small Business

b. Approx. how many employees do you currently have?

c. How are you classified by the Small Business Administration (SBA)? E.g. 8(a), Hubzone, Woman Owned, Veteran Owned, etc.

Please specify:

d. Are you a: |_| Manufacturer or |_| Distributor/Dealer

e. If you are a Distributor/Dealer for the actual Manufacturer of these items, please provide additional information below:

Manufacturer Name:

Manufacturer Cage Code:

Is the Manufacturer a Small Business? |_| Yes |_| No

II. FAR 13.5 LARGE PURCHASE CONTRACT RELATED QUESTIONS:

1. Is your company interested in pursuing a Large Purchase for this item? |_| Yes |_| No

a. If no, please explain.

2. Does the item qualify for Quantity Price Breaks? |_| Yes |_| No

a. If yes, please annotate accordingly.

III. COMMERCIAL QUESTIONS:

1. Is this a Commercial Item per the definition in FAR 2.101? |_| Yes |_| No

2. Has the item been determined to be commercial by a military department, a defense agency, or another component of DoD? |_| Yes |_| No If yes, please provide the contract number/Government POC

3. Is the item available on the GSA Schedule through the Federal Supply Schedule Program? |_| Yes |_| No If yes, please provide the GSA contract number and part number listed on the GSA website

4. Is the item sold or offered for sale to non-Governmental customers? |_| Yes |_| No

5. Is a substantially similar item sold or offered for sale to non-Governmental customers? |_| Yes |_| No If yes, can you provide information/documentation to demonstrate the item being procured is similar to the commercial equivalent? |_| Yes |_| No (e.g., technical drawings; form; fit; function; essential physical characteristics; same production line; similar maintenance procedures)

6. Is the item bought from a subcontractor/supplier that sells it commercially, then modified to meet Govt. requirements? |_| Yes |_| No If yes, please describe the modification and demonstrate with commercial catalogs, price lists, sales orders, information from the subcontractor/supplier.

7. Do you publish a commercial catalog or price list (public or internal) for the same or similar item? |_| Yes |_| No If yes, please provide a web link/hard copy of the catalog with the relevant page number

8. Are you willing to provide independent records of the market price for the same or similar item (e.g., invoices, commercial contract/orders, sales volume data)? |_| Yes |_| No If you are unable or unwilling to provide sales data, please explain

9. Do you have any rebate/discount programs, quantity price breaks, strategic agreements, etc. that may result in discounts to commercial pricing? |_| Yes |_| No If yes, please provide supporting documentation.

10. Do you have a most favored customer that warrants special pricing? |_| Yes |_| No If yes, please describe and provide support along with customer sales volume compared to Government sales volume.

IV. DELIVERY QUESTIONS:

1. Are there production limitations for the item |_| Yes |_| No If yes, please annotate on the attached spreadsheet.

2. Would a minimum delivery order quantity and/or dollar value apply to this NSN |_| Yes |_| No If yes, please annotate on the attached spreadsheet.

V. ADDITIONAL INFORMATION/INPUT:

Source Selection Information – See FAR 2.101 and 3.104. For Official Use Only Page | 1

Source Selection Information – See FAR 2.101 and 3.104. For Official Use Only Page | 2 image1.png