Market_Survey_Template_(002).doc

DLA LAND & MARITIME - MARKET RESEARCH

NOTE: THIS IS NOT A REQUEST FOR PROPOSAL. THIS INFORMATION IS REQUIRED FOR A PENDING SOLICITATION.

DATE:

TO:

COMPANY NAME:

CAGE:

ATTN:

ADDRESS:

PHONE:

EMAIL:

FROM:

NAME: CHRISTINA ROSEN, DEFENSE SUPPLY CENTER COLUMBUS, FMDC

REFERENCE: PR 0067869427

PHONE: 614-692-8203

EMAIL: CHRISTINA.ROSEN@DLA.MIL

PLEASE EMAIL THE COMPLETED SURVEY TO CHRISTINA ROSEN NLT 4:00PM EASTERN STANDARD TIME ON 5 MAY 2017.

REQUIREMENTS:

· NATIONAL STOCK NUMBER:

4810-01-222-1763

· P/N / DWG / SPEC:

MEGGIT, INC. 79318 P/N 320959

· ITEM DESCRIPTION:

SLEEVE ASSEMBLY, ANT

· REQUESTED DELIVERY:

320 DAYS

· APPROXIMATE QUANTITY:

DLA LAND AND MARITIME IS CONSIDERING A SOLICITATION AND SUBSEQUENT AWARD OF A FIRM FIXED PRICE CONTRACT FOR THE ITEM LISTED ABOVE. AS A POTENTIAL SUPPLIER OF THIS ITEM, PLEASE COMPLETE THIS MARKET SURVEY TO THE BEST OF YOUR ABILITY AND KNOWLEDGE.

1. YOUR COMPANY SIZE: FORMCHECKBOX

LARGE OR FORMCHECKBOX

*SMALL BUSINESS

*If Small Business, list number of employees:

2. YOUR COMPANY IS A: FORMCHECKBOX

MANUFACTURER OR FORMCHECKBOX

*DEALER OR FORMCHECKBOX

*DISTRIBUTOR

*IDENTIFY SOURCE OF SUPPLY IF DEALER/DISTRIBUTOR: ___________________________________

3. IS THIS A COMMERCIAL ITEM? FORMCHECKBOX

*YES FORMCHECKBOX

NO

Note: Must complete the following if Yes.

*IF YES, ______% SOLD TO PRIVATE SECTOR AND ______% SOLD TO GOVERNMENT

*IF YES, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS

SPECIFIED IN:

FAR Part 12-Acquisition of Commercial Items? FORMCHECKBOX

YES FORMCHECKBOX

FAR Part 15-Contracting Negotiation (Non-Commercial clauses)? FORMCHECKBOX

YES FORMCHECKBOX

NO

4. IS THIS A CATALOG/PRICE LISTED ITEM? FORMCHECKBOX

*YES FORMCHECKBOX

NO

*IF YES, PLEASE SUPPLY A COPY.

5. IS THIS ITEM ON A GSA SCHEDULE? FORMCHECKBOX

*YES FORMCHECKBOX

NO

*IF YES, PLEASE SUPPLY A COPY.

6. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? FORMCHECKBOX

YES FORMCHECKBOX

NO

7. WOULD YOU BE WILLING TO SUBMIT AN OFFER ON THIS ITEM? FORMCHECKBOX

YES FORMCHECKBOX

*NO

*IF NOT, WHY? ____________________________________________________________________________

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

START-UP TIME: ____________________________

START-UP QTY: _____________________________

MONTHLY PRODUCTION QTY: _________________

9. WHAT IS THE MOST APPROPRIATE INCREMENTAL QUANTITY BREAKS FOR THIS ITEM? _________________________________________________________________________________________

10. ESTIMATED UNIT PRICE: _________________

11. FOR CONTRACTS ESTIMATED OVER $750,000.00 COST OR PRICING DATA MAY BE REQUIRED.

ARE YOU AND YOUR SUBCONTRACTORS (IF APPLICABLE) CAPABLE OF PROVIDING THIS DATA?

FORMCHECKBOX

YES FORMCHECKBOX

NO

12. WOULD YOU BE INTERESTED IN DIRECT VENDOR DELIVERY (DVD)? FORMCHECKBOX

YES FORMCHECKBOX

NO

13. IS FIRST DESTINATION TRANSPORTATION (FDT) ACCEPTABLE? FORMCHECKBOX

YES FORMCHECKBOX

NO

14. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? FORMCHECKBOX

YES FORMCHECKBOX

*NO

*IF NO, ARE YOU WILLING TO OBTAIN THIS CAPABILITY? FORMCHECKBOX

YES FORMCHECKBOX

NO

15. IS FOB ORIGIN ACCEPTABLE? FORMCHECKBOX

YES FORMCHECKBOX

NO

IS FOB DESTINATION ACCEPTABLE? FORMCHECKBOX

YES FORMCHECKBOX

NO

16. IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE? FORMCHECKBOX

YES FORMCHECKBOX

NO

IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? FORMCHECKBOX

YES FORMCHECKBOX

COMMENTS:

COMPLETED BY: ___________________________________________ DATE: _________________

(Please Print Name)

E-MAIL ADDRESS: ________________________________________________________________

DLA LAND & MARITIME – MARKET RESEARCH

REFERENCE: PR 0067869427