Market_Survey_(blank)_.doc

MARKET SURVEY

4/26/2016

RETURN FAX TO 614-692-7389

PHONE NUMBER 614-693-1613

Christy.Boyer@dla.mil I am preparing to issue a Request For Proposal (RFP) for the following part. Your answers to the following questions will help me develop the solicitation. Please respond to this Market Survey by close of business 5/3/2016.

COMPANY NAME:

CAGE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

ATTN:

PHONE:

EMAIL:

DESCRIPTION

PR: 63336547 NSN: 5915-01-416-8113

Item: Filter Subassembly Quantity: 150 each (price breaks from 125 – 250 each) Delivery: Please Provide Delivery Location: Hill AFB (Utah) Ship to address:

Parcel-Post Address:

F.O.B: Origin (FDT applies) I/A: Destination APPROVED SOURCES: Aerocontrolex (98889) P/N 880204-3

PLEASE SELECT:

Manufacturer Approved QPL Source

Qualified Supplier List of Distributors (QSLD)

Qualified Testing Supplier List (QTSL)

Authorized Distributor: Source of Supply: CAGE:

Dealer: Source of Supply: CAGE:

Business Size:

Large

Small

Do you deal through Dealers/Distributors or do you prefer dealing directly with the Government?

Are these commercial items? Yes / No

Are these catalog/price listed items? Yes / No

Are these items in your inventory? Yes / No

Are you willing to quote on these items? Yes / No If not, please state why:

This requirement is estimated over TINA ($750,000), can you comply with supplying certified cost / price data? Yes / No

What would you consider economical production quantities? Yes / No If yes, what would be the most appropriate incremental quantity breaks?

Quantity

Would you be willing to accept a priced quantity option? Yes / No Is your company registered with the System for Award Management (SAM)? Yes / No