Market_Survey.docx

Market Survey NSN 5925-01-454-4419 PR 55553853 Anticipate Buying Qty of 52 EA Your Company Name and Cage Code Please provide as much of the following information as possible. Would you be interested in quoting on this item?

Estimated Unit Price (please note, the submission of an estimated price on this Market Survey price does not equate to an offer.)

Estimated Delivery (please be as accurate as possible) - Is the estimated quantity an economic quantity? If not, please provide an economic quantity.

Are there established quantity breaks? If there are, please provide.

Would you quote on an option quantity (up to 100% and to be exercised within the delivery period) Are you a large or small business?

Do you qualify under any socio economic programs?

Do you manufacture this item?

If you are a dealer, who is the manufacturer?

Please list any known manufacturers of this item.

If you are a dealer, is the manufacturer a small or large business?

If you are a dealer, is the manufacturer a domestic business? If not, in what country is the item manufactured?

Have you sold this item before?

COMMERCIAL QUESTIONS:

1. Are any of these items Commercial Items per FAR 2.101(b)? |_| YES |_| NO

1. If YES to #1 above are these items available is a PUBLISHED Catalog/Price List? |_| YES |_| NO

1. If YES to #2 above can you supply us with a copy of your Price List? |_| YES |_| NO

1. If NO to #1 above are these items modified items of a type available in the commercial market place (Meaning these items do not have to be identical, but are closely related)? |_|YES |_| NO

1. If NO to #4 above do these items have minor modifications of a type not customarily available in the commercial market place (Example: minor modifications means the items needs to retain a predominance of non-governmental functions or essential physical characteristics)? |_|YES |_| NO

1. If NO to #1 above – if these items are not currently in the commercial market place, will these items be available in the commercial market place in time to satisfy the government’s delivery requirements on this project? |_| YES |_| NO

1. If YES to #1 above can you provide UNREDACTED commercial sales history, listing in catalogs or brochures, known established price list to commercial market place, availability or announcement to the general public?

|_| YES |_| NO

1. 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. Is your company willing and able to provide such proof, if the government determines it is needed to verify price reasonableness? |_| YES |_| NO

1. Are the following clauses/provisions inconsistent with commercial practices; if so, identify the commercial practice:

D46C02 (52.246-9062) Repackaging to correct packaging deficiencies (SEP 2008) |_| YES Identify: ______________________________________________ |_| NO

E46C14 (52.246-9019) Material and inspection report |_| YES Identify: ______________________________________________ |_| NO

E46C30 (52.246-9007) Product verification testing |_| YES Identify: ______________________________________________ |_|NO

I23B04 (252.223-7006) Prohibition on storage and disposal of toxic and hazardous material |_| YES Identify: ______________________________________________ |_| NO

I25B04 (252.225-7005) Identification of expenditures in the United States |_| YES Identify: ______________________________________________ |_| NO

I27A01 (52.227-1) Authorization and consent |_| YES Identify: ______________________________________________ |_| NO

I46C07 (52.246-9056) Warranty period for overseas shipments (SEP 2008) |_| YES Identify: ______________________________________________ |_| NO

I47A07 (52.247-68) Report of shipment (RESHIP) |_| YES Identify: ______________________________________________ |_| NO

I53A01 (52.253-1) Computer generated forms (JAN 1991) |_|YES Identify: ______________________________________________ |_| NO

L17C01 (52.217-9002) Conditions for evaluation and acceptance of offers for part numbered items (JUL 2002) |_| YES Identify: ______________________________________________ |_| NO

M13C02 (52.213-9001) Evaluation factor for source inspection |_|YES Identify: ______________________________________________ |_| NO

Please provide any other information you think we should know.