Market Research. NSN 5960-01-319-3932.doc

DLA LAND & MARITIME - MARKET RESEARCH

Reply Requested: This is “Not” a Request For Quote.

Information required for pending RFP.

DATE: 10/24/2023

COMPANY NAME:

CAGE:

ADRESS:

POINT OF CONTACT

EMAIL:

PHONE::

FROM: Amy Plymale-Hillis, FMTA

REFERENCE: PR 7005277454

E-Mail: Amy.Plymale-Hillis@dla.mil Please Email Completed Survey to NLT December 15, 2023

REQUIREMENTS:

· NSN: 5960-01-319-3932

· Item Description: Electron Tube

· Please see referenced drawings for this NSN on the last page of this survey.

· Delivery: 540 days

· Quantity: 40 ( price breaks from qty 21- qty 60)

The Defense Logistics Agency Land and Maritime is considering a solicitation and subsequent Award of a Firm Fixed Price Contract for the item listed above. As a potential supplier of this item, we are asking that you fill out this market survey to the best of your knowledge so that we can generate a realistic and beneficial solicitation.

1. Your company size: [ ] large or [ ] *small business

a) *Approximately, how many employees do you currently have?

2. Your company is a: [ ] manufacturer or [ ] *dealer or [ ] *distributor

a) *Identify source of supply if dealer/distributor: __________________________

3. If you are a dealer for the actual manufacturer of this item, approximately, how many employees does the manufacturer have?

4. Do you have a parent company? [ ] *yes [ ] no

a) *If “yes”, how many employees does your parent company have?

b) *Parent Company Name/CAGE:

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

“Commercial item” generally means—Any item, other than real property, that is of a type customarily used by the general public or by non-governmental entities for purposes other than governmental purposes, and— Has been sold, leased, or licensed to the general public; or has been offered for sale, lease, or license to the general public. See FAR 2.101(b) for a further definition of commercial items, including sections 2, 3, 4, 5, 6, 7 and 8 for more details and types of commercial items.

Source Selection Information - See FAR 2.101 and 3.104 NOTE: *You must complete or comply with the following if “yes”.

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

b) ______% sold to the Government

c) Provide copy of the current Price List” available and is accessible to the general public.

d) Provide copies of recent “Invoices” to the general public.

e) Provide copy of the technical specification / data sheet(s) on the item to support your commercial claim.

f) If part of a higher assembly; provide the following:

(1) Part Number & or NSN of the higher assembly.

(2) Copy of “Price List” available and accessible to the general public.

(3) Copies of “Invoices” to the general public.

(4) _____% sold to the general public / private sector.

(5) _____% sold to the Government.

(6) Copy of the technical specification / data sheet(s) on the item to support your commercial claim.

g) If item is commercial, will you comply with the solicitation clauses/

Requirements as specified in:

(1) FAR Part 12-Acquisition Of Commercial Items? [ ] yes [ ] no

(2) FAR Part 15-Contracting Negotiation (non-commercial clauses)? [ ] yes [ ] no

h) Please provide any additional data with your survey response to support your claim.

6. Is this item a catalog/price listed? [ ] *yes [ ] no

a) If “yes”, please supply a copy with this response.

7. Is this item on a GSA Schedule? [ ]*yes [ ] no

a) If “yes”, indicate GSA contract no.:

If “yes”, please supply a copy of the schedule.

8. Do you carry this item in your inventory? [ ] yes [ ] no

9. What is the estimated delivery schedule for this item? __________________________________

(Please indicate the best delivery you would be able to provide the item for the quantity indicated in the “Estimated Buy Quantity” above.)

10. What are the most appropriate incremental quantity breaks for this item?

Please list: From ______ to ______; From ______ to ______; From ______ to ______; From ______ to ______;

11. Do you have a minimum order? [ ] yes [ ] no – state quantity:

12. Are there any salient features/cost driving factors or any materials, metals, etc. that are dominant in this item?

[ ] *yes [ ] no

If “yes”, please provide the applicable process and/or state what percentage of that process/material. Please be specific: _______________________________________________________________________________________

13. What is the approximate unit size and weight of this item?

a) Unit Weight:

b) Unit size:

14. Where is the item manufactured?

Company & CAGE:

City:

State:

Country:

Source Selection Information - See FAR 2.101 and 3.104

15. Do you have Electronic Data Interchange (EDI) capability? [ ] yes [ ]*no

*If no, are you willing to obtain this capability? [ ] yes [ ] no

16. Is FOB Origin acceptable? [ ] yes [ ] no

Is FOB Destination acceptable? [ ] yes [ ] no

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

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

18. Has your company completed the System for Award Management (SAM) registration?

[ ] yes [ ] no (Note: NAICS for this item is: ______________) *System for Award Management (SAM) registration is required for all awards and “must” contain the above NAICS code in order to be edible for an award for this item. Offerors are strongly encouraged to complete/update their SAM registrations as-soon-as-possible. For further details or assistance go to https://www.sam.gov or https://www.fsd.gov

19. Does your company have a Comprehensive Subcontracting Plans approved under the Test Program described in DFARS 219.702(a)? [ ] yes [ ] no

20. Do you currently have any active federal contracts and/or grants in excess of $10,000,000.00? [ ] yes [ ] no

21. For contracts estimated over $2M Cost or Pricing Data “may” be required. Is your company and your subcontractors (if applicable) capable of providing this data? [ ] yes [ ] no

Note: The following pertain to the requirement for certified Cost or Pricing Data.

Note for dealers/distributors: If Cost or Pricing Data were required for the procurement the manufacturer would be considered as the subcontractor, and would also be required to submit Cost or Pricing Data.

A. Is your company and your subcontractors (if applicable) capable of providing this data? Yes [ ] No [ ]

B. Would your company and subcontractors be willing to supply certified cost or pricing data? Yes [ ] No [ ] C. If you are a dealer, you will be required to obtain Cost or Pricing Data from the actual manufacturer.

· Will you be able to provide the required Cost or Pricing Data from the manufacturer: Yes [ ] No [ ]

· Have you provided Cost and Pricing Data to DLA before? Yes [ ] No [ ]

If yes, please provide the last Contract Number: ___________________________________ For some procurements, certified Cost or Pricing Data “may” be required. FAR 15.408, Table 15-2 contains the guidelines for submitting this data.

NOTE: Cost or pricing data is not required for commercial items. However, it is the contracting officer’s authority to determine an item(s) commercial or not. A failure to provide adequate cost or pricing data upon request from the buyer may result in the solicitation being canceled with no award being made.

22. Would you be willing to submit an offer on this item pursuing a Firm Fixed Price Contract for the above item? [ ] yes [ ] *no

a) If “no”, why?

Additional Comments:

Completed By:

Name: ________________________________________________

Title:_________________________________________________

Email address:__________________________________________

Phone Number:_____________________________________

Date:______________________________

APPROVED DRAWINGS FOR NSN 5960-01-319-3932

IAW BASIC DRAWING NR 96214 2901564

REVISION NR J DTD 08/28/1996

PART PIECE NUMBER: 2901564-1

IAW REFERENCE DRAWING NR 96214 2711363

REVISION NR E DTD 05/13/1987

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 98752 200415485

REVISION NR E DTD 01/30/2020

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 96214 2901564-2008C0001

REVISION NR F DTD 07/25/2008

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 96214 2903413

REVISION NR D DTD 05/31/1989

PART PIECE NUMBER:

IAW REFERENCE QAP 16236 SQAP013193932

REVISION NR DTD 01/06/2018

PART PIECE NUMBER:

IAW REFERENCE QAP 16236 CDRL013193932

REVISION NR DTD 06/26/2017

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 96214 2903413

REVISION NR D DTD 10/05/2009

PART PIECE NUMBER:

This material requires a Government First Article Test Inspection is at Origin, FOB Origin (First Destination Transportation applies)

This item is subject to export control. The Defense Logistics Agency (DLA) limits distribution of export-control technical data to DLA contractors that have an approved US/Canada Joint Certification Program (JCP) certification.