Market_Survey_FBO_.doc

MARKET SURVEY

(March 24, 2016)

RETURN FAX TO 614-693-1559

PHONE NUMBER 614-692-7607

Judy.Rhodes@dla.mil I am preparing to issue a Request for Proposal (RFP) for the following part. Your answers to the following questions will help me develop the solicitation. Please respond to this Market Survey by close of business March 31, 2016.

COMPANY NAME:

CAGE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

ATTN:

PHONE:

FAX:

DESCRIPTION

PR: 0062357241

NSN: 5998 01 080 0152

Item: Backplane Assembly Quantity: 15, with price breaks up to 30.

Delivery: Please Provide Delivery Location: SW3119 Ship to address:

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887 US

Parcel-Post Address:

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887 US

F.O.B: Origin I/A: Destination

APPROVED SOURCES:

PLEASE SELECT:

Manufacturer Approved QPL Source

Qualified Supplier List of Distributors (QSLD)

Qualified Testing Supplier List (QTSL)

Authorized Distributor: Source of Supply: CAGE:

Dealer: Source of Supply: CAGE:

Business Size:

Large

Small

Do you deal through Dealers/Distributors or do you prefer dealing directly with the Government?

Are these commercial items? Yes / No

Are these catalog/price listed items? Yes / No

Are these items in your inventory? Yes / No

Are you willing to quote on these items? Yes / No If not, please state why:

What would you consider economical production quantities? Yes / No If so, please provide below –

Quantity

Would you be willing to accept a priced quantity option? Yes / No Is your company registered with the System for Award Management (SAM)? Yes / No