Market_Survey_-_Over_150K.doc

“DSCC - MARKET RESEARCH”

Immediate Attention/Reply Requested! This is “Not” a Request For Quote.

Information required for pending RFP.

DATE: January 13, 2015

CAGE:

ATTN:

ADDRESS:

PHONE:

FAX:

EMAIL:

(*ADDRESS, PHONE, & FAX CORRECTION/UPDATE REQUESTED)

FROM:

Steven Beyer

DEFENSE SUPPLY CENTER, COLUMBUS

PHONE: (614)692-7946

FAX: (614)692-1557

NOTE: Item listed is being considered for solicitation and subsequent award. Please FAX or Email Survey No Later Than Close of Business 1:00 PM EDT 1/20/12.

FROM: (Steven Beyer, DSCC-FMVE) @ Fax (614) 692-1557 or e-mail: Steven.Beyer@dla.mil

REQUIREMENTS: NSN: 4330-01-478-8507

P/N: Pacific Consolidated Industries (75906) P/N 791881-001

Quantity: 350 each with various incremental quantities ranging from 150 each to 599 each plus a 100% quantity option to be exercised at a date to be determined after the award of the basic contract.

PLEASE COMPLETE “ALL” OF THE FOLLOWING REQUIREMENTS:

1. YOUR COMPANY SIZE: [ ] LARGE OR [ ] *SMALL BUSINESS

*If Small Business, list number of employees:

2. YOUR COMPANY IS A: [ ] MANUFACTURER OR [ ]*DEALER OR [ ]*DISTRIBUTOR

*IDENTIFY SOURCE OF SUPPLY IF DEALER/DISTRIBUTOR: ___________________________________

3. DOES YOUR COMPANY HAVE ANY AUTHORIZED DISTRIBUTORS FOR THIS ITEM? [ ] YES [ ] NO

4. WHO ARE THE AUTHORIZED DEALERS FOR THIS ITEM? Please list your authorized dealers.

5. IS THIS A COMMERCIAL ITEM? [ ]*YES [ ] NO

Note: Must complete the following if Yes.

*IF “YES”: ______% SOLD TO PRIVATE SECTOR AND ______% SOLD TO GOVERNMENT

*IF “YES” WHO WAS YOUR LAST COMMERCIAL CUSTOMER AND CAN YOU PROVIDE EVIDENCE OF THE

MOST RECENT COMMERCIAL SALE IN THE FORM OF AN INVOICE FROM YOUR MOST RECENT

COMMERCIAL CUSTOMER.

*IF ITEM IS COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS

SPECIFIED IN:

FAR Part 12-Acquisition of Commercial Items? [ ] YES [ ] NO

FAR Part 15-Contracting Negotiation (Non-Commercial clauses)? [ ] YES [ ] NO

6. IS THIS A CATALOG/PRICE LISTED ITEM? [ ] YES [ ] NO

7. IS THIS ITEM ON A GSA SCHEDULE? [ ] *YES [ ] NO

*IF “YES”, PLEASE SUPPLY A COPY OF THE SCHEDULE.

8. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? [ ] YES [ ] NO

9. HAVE YOU PREVIOUSLY SUPPLIED THIS ITEM TO THE U. S. GOVERNMENT? [ ] YES [ ] NO

10. HAVE YOU SUPPLIED THIS ITEM PRVIOUSLY TO A COMMERCIAL CUSTOMER? [ ] YES [ ] NO

11 DOES YOUR COMPANY MANUFACTURE ITEMS SIMILAR TO THIS ITEM? [ ] YES [ ] NO

12. WOULD YOU BE WILLING TO SUBMIT AN OFFER ON THIS ITEM? [ ] YES [ ]*NO

*IF NOT, WHY? ___________________________________________________________________

13. WHAT IS YOUR ESTIMATED UNIT PRICE FOR THIS ITEM? ____________________________

14. WHAT IS THE APPROXIMATE DELIVERY SCHEDULE FOR THIS ITEM?

START-UP TIME: _________________ START-UP QTY: _________________

MONTHLY PRODUCTION QTY: _________________

15. WHAT ARE THE MOST APPROPRIATE INCREMENTAL QUANTITY BREAKS FOR THIS ITEM?

16. WOULD YOU BE INTERESTED IN DIRECT VENDOR DELIVERY (DVD)? [ ] YES [ ] NO

17. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? [ ] YES [ ]*NO

*IF NOT, ARE YOU WILLING TO OBTAIN THIS CAPABILITY? [ ] YES [ ] NO

18. IS FOB ORIGIN ACCEPTABLE? [ ] YES [ ] NO

IS FOB DESTINATION ACCEPTABLE? [ ] YES [ ] NO

19. IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE? [ ] YES [ ] NO

IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? [ ] YES [ ] NO

20. WHO IS YOUR SECONDARY POINT OF CONTACT?

Name: ___________________ Phone: ___________________ Email: _____________________

21. Comments:

COMPLETED BY: ___________________________________________ DATE: _________________

(Please Print Name)