Market_Survey_Blank.doc

MARKET SURVEY

November 4,2016

MARKET SURVEY

November 4, 2016

PHONE NUMBER 614-692-8565

amy.plymale-hillis@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 November 14, 2016.

COMPANY NAME:

CAGE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

ATTN:

PHONE:

DESCRIPTION

PR: 0066036061

NSN: 5985-01—006-5084

Source(s): Cobham Advanced Electronic, CAGE 93346, P/N 485-D-004-1 Item: Antenna

Quantity: 12, with price breaks for quantities of 10-20 units F.O.B: Origin Inspection/Acceptance: Destination Delivery: Please Provide Delivery Location: SW3119 Warner Robins AFB

455 Bryon Street BLDG 376

Robins AFB, GA 31098-1887

Is your company interested in pursuing a Firm Fixed Price Contract for the above item? [ ] yes [ ] no If required per the solicitation, is your company willing to provide Certified Cost/Price Data if the total value is over the TINA threshold of $750,000 ? [ ] yes [ ] no Your company size: [ ] large or [ ] *small business

*What type of a small business?

Your company is a:

[ ] manufacturer [ ] *dealer or [ ] *distributor (*Identify source of supply __________________________)

[ ] Qualified Supplier List of Distributors (QSLD)

[ ] Qualified Testing Supplier List (QTSL)

Is this a “commercial” item per FAR 2.101(b)? [ ] *yes [ ] no

NOTE: *Please complete the following if “yes”.

a) ______% sold to the general public / private sector.

b) ______% sold to the Government Are there a current Price List / catalog available and accessible to the general public? [ ] *yes [ ] no

Does your company deal through Dealers/Distributors or does your company prefer dealing directly with the Government?

Are these items in your inventory? [ ] yes [ ] no Would you be willing to submit an offer on this item? [ ] yes [ ] *no

*If no, why?

What would you consider economic production quantities? Yes / No

Does this item have a minimum order quantity? [ ]*yes [ ] no

*If yes, what is the quantity

What would be the most appropriate incremental quantity breaks?

Would you be willing to accept a priced quantity option? Yes / No

What is the approximate delivery for this quantity?

Is Inspection / Acceptance at Origin acceptable? [ ] yes [ ] no

Is Inspection / Acceptance at Destination acceptable? [ ] yes [ ] no

Is your company registered with the System for Award Management (SAM)?

[ ] yes [ ] no