Market_Survey.pdf

DLA LAND & MARITIME - MARKET RESEARCH

Immediate Attention/Reply Requested! This is “Not” a Request For Quote.

Information required for pending RFP.

DATE:

TO: NAME: CAGE:

ATTN:

ADDRESS:

PHONE: FAX:

EMAIL:

FROM: Joshua John

REFERENCE: PR#_________________

PHONE: (614) 692-8470 FAX: (614) 693-1605

E-Mail: joshua.john@dla.mil

NOTE: Item listed is being considered for solicitation and subsequent award. Please FAX or Email Survey NLT:__________

REQUIREMENTS:

NSN:

P/N / DWG / SPEC:

ITEM DESCRIPTION:

DELIVERY:

QUANTITY:

PLEASE COMPLETE “ALL” OF THE FOLLOWING IN REGARDS TO THE “ABOVE” REQUIREMENTS:

1. YOUR COMPANY SIZE: LARGE OR SMALL BUSINESS

*If Small Business, list number of employees:

2. YOUR COMPANY IS A: MANUFACTURER OR DEALER OR DISTRIBUTOR

*IDENTIFY SOURCE OF SUPPLY IF DEALER/DISTRIBUTOR: ___________________________________

3. IS THIS A COMMERCIAL ITEM? YES NO

Note: Must complete the following if Yes.

*IF “YES”: ______% SOLD TO PRIVATE SECTOR AND ______% SOLD TO GOVERNMENT

*IF ITEM IS COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS

SPECIFIED IN:

FAR Part 12-Acquisition of Commercial Items? YES NO FAR Part 15-Contracting Negotiation (Non-Commercial clauses)? YES NO

4. IS THIS A CATALOG/PRICE LISTED ITEM? YES NO

5. IS THIS ITEM ON A GSA SCHEDULE? *YES NO

*IF “YES”, PLEASE SUPPLY A COPY OF THE SCHEDULE.

6. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? YES NO

7. WOULD YOU BE WILLING TO SUBMIT AN OFFER ON THIS ITEM? YES NO

*IF NOT, WHY?:

DLA LAND & MARITIME - MARKET RESEARCH

ATTN: DSCC-FMDE CONTINUED

8. WHAT IS THE APPROXIMATE DELIVERY SCHEDULE FOR THIS ITEM?:

9. WHAT IF ANY, IS THE MOST APPROPRIATE QUANTITY BREAKS FOR THIS ITEM?:

10. FOR CONTRACTS ESTIMATED OVER $700,000.00 COST OR PRICING DATA MAY BE REQUIRED. ARE YOU

AND YOUR SUBCONTRACTORS (IF APPLICABLE) CAPABLE OF PROVIDING THIS DATA? YES NO

11. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? YES NO

IF NOT, ARE YOU WILLING TO OBTAIN THIS CAPABILITY? YES NO

12. IS FIRST DESTINATION FREIGHT ORIGIN ACCEPTABLE? YES NO

13. IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? YES NO

14. IS THIS ITEM CONSIDERED TO BE HAZARDOUS MATERIAL? YES NO

15. IS ABLE TO COMPLY WITH ITEM IDENTIFICATION & VALUATION REQUIREMENTS IF APPLICABLE?

YES NO

16. COMMENTS:

COMPLETED BY: ___________________________________________ DATE: _________________ (Please Print Name)

EMAIL: _____________________________________________________________________________