Market_Survey_79283739.doc

MARKET SURVEY

4/25/2019

RETURN FAX TO 614-693-1628

PHONE NUMBER 614-692-6151

Christopher.Wallace@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 5/9/2019.

COMPANY NAME:

CAGE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

ATTN:

PHONE:

EMAIL:

DESCRIPTION

PR: 79283739

NSN: 5998-01-571-6123

Item: Circuit Card Assembly Quantity: 231 Delivery:

Delivery Location: DLA Stock Location Ship to address: Barstow, CA Parcel-Post Address:

F.O.B: Origin (FDT applies) I/A: Destination

APPROVED SOURCES:

Raytheon (37695) P/N 726789-803

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 –

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