Market_Survey_-_Blank.doc
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- SLEEVE, DIRECTIONAL CONTROL LINEAR VALVE Federal contract opportunity
- Solicitation number
- SPE7M417R0060
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DLA Land and Maritime
DSCC - MARKET RESEARCH
NOTE: This is not a request for proposal. Item listed is being considered for pending solicitation and subsequent award. Please FAX OR EMAIL Survey NLT 12/06/17.
DATE: November 28, 2017
| TO: |
| CO. NAME: |
CAGE:
ATTN:
ADDRESS:
PHONE:
FAX:
EMAIL:
FROM: Justin Rainier, DSCC-FMDE
| Reference: |
| PR# 69649889 |
NSN: 4810-01-243-2542
DEFENSE SUPPLY CENTER COLUMBUS
PHONE: (614)692-5228
FAX: (614)693-1622
If further assistance is required, please call or E-mail: Justin.Rainier@dla.mil
REQUIREMENTS:
| · |
| NSN: |
| 4810-01-243-2542 |
| · |
| P/N / DWG / SPEC: |
| P/N 227758-4, CAGE Code 79318 |
| · |
| ITEM DESCRIPTION: |
| SLEEVE,DIRECTIONAL |
| · |
| REQUESTED DELIVERY: |
| 371 days or sooner |
Approximate quantity: 56 EA
PLEASE COMPLETE “ALL” OF THE FOLLOWING IN REGARDS TO THE “ABOVE” REQUIREMENT:
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 ITEM IS COMMERCIAL, 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
5. IS THIS ITEM ON A GSA SCHEDULE? FORMCHECKBOX
*YES FORMCHECKBOX
NO
*IF “YES”, PLEASE SUPPLY A COPY OF THE SCHEDULE.
6. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? FORMCHECKBOX
YES FORMCHECKBOX
NO
DSCC - MARKET RESEARCH
ATTN: DSCC-FMDE
(Ref: PR# 69649889, NSN 4810-01-243-2542 - Continued)
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 NOT, 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
17. Comments:
COMPLETED BY: ___________________________________________ DATE: _________________
(Please Print Name)
E-MAIL ADDRESS: ________________________________________________________________
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