Market_Survey_56556199.docx

DEFENSE LOGISTICS AGENCY

DLA LAND and MARITIME

POST OFFICE BOX 3990

COLUMBUS, OH 43218–3990

MARKET SURVEY

Reply to:

Xiomara Seda-Vargas (FMTA) Date: 1/30/15 Contract Specialist Phone: (614) 692-4817 Xiomara.sedavargas@dla.mil

Your immediate attention/reply is requested. This is NOT a Request for Quote. The Government is preparing to issue a Request for Proposal (RFP) for the NSN listed below. Your answers to the following questions will assist the buyer in developing the solicitation.

As a potential supplier of this item, we are asking that you complete the Market Survey and return it to the Contract Specialist listed above, via e-mail by close of business on 2/6/15.

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

PR: 56556199

NSN: 5962-01-491-4669

Item: MICROCIRCUIT, HYBRID Approved source and P/N: CMC ELECTRONIQUE INC DBA 90073 P/N 264-339691-001 Total PR Qty: 125 each

Please provide the estimated delivery in days: _________________________

Business Size: [ ] Large [ ] Small

[ ] Manufacturer (If yes, do you quote through Distributors/Dealers or do you prefer to quote directly to the Government? _______________________________________________________________________

[ ] Dealer (If a Dealer, identify Source of Supply: __________________ CAGE: _______

1. Would you be willing to submit an offer on this item? [ ] Yes [ ] No

2. Would you be willing to accept a priced quantity option? [ ] Yes [ ] No

3. Is this a commercial item per FAR 2.101(b)? [ ] Yes [ ] No

4. Is this item Catalog/Price Listed? [ ] Yes [ ] No If yes, can you supply us with a copy of your price list? [ ] Yes [ ] No

5. What quantity ranges would result in better pricing of the item you are able to supply?

6. Is an inventory currently maintained for this NSN? [ ] Yes [ ] No

7. Approximately how many employees do you currently have? _____________________

8. Do you have a parent company? [ ] Yes [ ] No If yes, approximately how many employees does your parent company have? __________

9. If you are a dealer for the actual manufacturer of these item(s), who is the manufacturer and approximately, how many employees does the manufacturer have?

10. Would a minimum order quantity and/or dollar value apply to this NSN? [ ] Yes [ ] No If yes, please list the applicable minimum ______________________________________

11. What would the approximate delivery schedule be for this item? ___________________ Start-up time: _______________________ start-up quantity: __________________________ Monthly production quantity: ________________________________

12. What would you consider economical production quantities? _____________________

13. Is your company registered with the System for Award Management (SAM)? [ ] Yes [ ] No

14. This item has technical data some or all of which is subject to Export-Control regulations. Distribution of the technical data and eligibility for award are limited to those suppliers qualified through JCP certification. Is your company JCP certified?

Company Name: _____________________________________________ CAGE: __________

Phone: _________________________ FAX: ________________________

E-Mail Address: ______________________________________

Name/Signature: ______________________________________ Date: _______________