market_survey.doc

MARKET SURVEY

SPECIALIST: Mandy Phipps-Kuhlman

Phone: (614) 692-8675; FAX: 614-693-1614

DATE: 03/08/2016

MUST BE RETURNED BY COB: Monday 03/08/2016

COMPANY NAME:

CAGE:

ADDRESS:

CITY, State, Zip:

PHONE:

Email:

Point of Contact:

ITEM NAME:

"Yes" or "No"

70105-28034-041

(78286) 70105-28034-041

Potential Price Breaks:

Please provide recommended quantities, if any, where potential price breaks may occur:

______ to _______

______ to _______

______ to _______

______ to _______

PLEASE COMPLETE THE FOLLOWING:

FORMCHECKBOX

LARGE or FORMCHECKBOX

SMALL BUSINESS;

FORMCHECKBOX

MANUFACTURER or FORMCHECKBOX

DEALER

IDENTIFY SOURCE OF SUPPLY IF DEALER: ______________________________________

DO YOU CARRY THIS ITEM IN YOUR INVENTORY? FORMCHECKBOX

YES FORMCHECKBOX

NO

WHAT IS YOUR PRODUCTION LEAD TIME? ________________________________________

COMMERCIAL QUESTIONS:

ARE THESE COMMERCIAL OFF THE SHELF ITEMS WITH COMMERCIAL SALES HISTORY?

FORMCHECKBOX

YES FORMCHECKBOX

NO

ARE THESE CATALOG/PRICE LISTED ITEMS?

FORMCHECKBOX

YES FORMCHECKBOX

ARE YOU ABLE TO SUPPLY US WITH A COPY OF YOUR PRICE LIST?

NO

IF NO--ARE THESE ITEMS MODIFIED ITEMS OF A TYPE AVAILABLE IN THE COMMERCIAL

MARKET PLACE?

IF NO TO PRVIOUS QUESTION, DO THESE ITEMS HAVE MINOR MODIFICATIONS OF A TYPE NOT CUSTOMARILY AVAILABLE IN THE COMMERCIAL MARKETPLACE? (FOR EXAMPLE, MINOR MODIFICATIONS MEAN THE ITEM NEEDS TO RETAIN A PREDOMINANCE OF NONGOVERNMENTAL FUNCTIONS OR ESENTIAL PHYSICAL CHARACTERISTICS.)

NO

IF NO -IF THESE ARE NOT CURRENTLY IN THE COMMERCIAL MARKETPLACE, WILL THESE ITEMS BE AVAILABLE IN THE COMMERCIAL MARKETPLACE IN TIME TO SATISFY THE GOVT’S. DELIVERY REQUIREMENTS ON THIS PROJECT? FORMCHECKBOX

YES FORMCHECKBOX

NO

ARE THE FOLLOWING CLAUSES/PROVISIONS INCONSISTENT WITH COMMERICAL PRACTICES? IF SO, IDENTIFY THE COMMERCIAL PRACTICE.

· 52.246-9062 REPACKAGING TO CORRECT PACKAGING DEFICIENCIES (SEP 2008)

YES Identify: ______________________________________________ FORMCHECKBOX

· 52.246-9019 MATERIAL AND INSPECTION REPORT

· 52.227-1 AUTHORIZATION AND CONSENT

· 52.247-68 REPORT OF SHIPMENT (RESHIP)

NO

· 52.217-9002 CONDITIONS FOR EVALUATION ANDACCEPTANCE OF OFFERS

FOR PART NUMBERED ITEMS (JUL 2002)

NO

· 52.213-9001 EVALUATION FACTOR FOR SOURCE INSPECTION

FORMCHECKBOX

YES Identify: ______________________________________________ FORMCHECKBOX

DOES THIS ITEM CONTAIN HAZARDOUS MATERIAL

NO

DO YOU DEAL THROUGH DEALER/DISTRIBUTORS OR DO YOU PREFER TO DEAL DIRECTLY WITH THE GOVERNMENT ______________________________________________________________

WOULD YOU BE WILLING TO QUOTE QUANTITY OPTION YEARS?

NO

IF NOT, WHY? ____________________________________________

FOB POINT QUESTIONS:

The Government prefers that you quote on an FOB Destination basis. If you do so, you would be offering for all destinations including delivery to port of loading when the ultimate destination is overseas. Your price would include applicable transportation charges.

IS FOB DESTINATION ACCEPTABLE?

DO YOUR PRICES TYPICALLY INCLUDE FOB DESTINATION?

NO

IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE?

FORMCHECKBOX

YES FORMCHECKBOX

NO

COMMENTS:____________________________________________________________________

SHIPPING INFORMATION:

The Government prefers that you offer on an FOB Origin based on the First Destination Transportion initiative.

IS THERE ANY SPECIFIC NSN(S) ON THIS PROJECT THAT YOU THINK WOULD SIGNIFICANTLY IMPACT SHIPPING PRICES (EXAMPLE: SIZE OR WEIGHT OF SPECIFIC NSNS?

NO

CAN YOUR FIRM PROVIDE COST & PRICE DATA IF REQUIRED?

FORMCHECKBOX

YES FORMCHECKBOX

NO

CAN YOUR FIRM PROVIDE A SUB-CONTRACING PLAN IF REQUIRED?

FORMCHECKBOX

YES FORMCHECKBOX

NO

ARE YOU WILLING TO QUOTE ON THIS NSN? IF NOT, WHY? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THANK YOU FOR YOUR RESPONSE.

Your Name/Signature Phone Number

We sincerely appreciate your time, and thank you for providing this information.