Market_Survey_NSN_4810-01-459-3368.doc
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- Attached to
- Hydraulic-Pneumatic Rotary Actuator Federal contract opportunity
- Solicitation number
- SPE7MC16R0004
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DLA LAND & MARITIME - MARKET RESEARCH
Immediate Attention/Reply Requested! This is “Not” a Request For Quote.
Information required for pending RFP.
DATE: October 1, 2015
| TO: |
| NAME: |
CAGE:
ATTN:
ADDRESS:
PHONE:
EMAIL:
FROM: Vicki Calland, FMDE
REFERENCE: DLA Maritime PR 0060278896
PHONE: (614) 692-6051
FAX: (614) 693-1622
E-Mail: Vicki.calland@dla.mil
NOTE: Item listed is being considered for solicitation and subsequent award. Please FAX or Email Survey NLT 10/9/15
REQUIREMENTS:
| · |
| NSN: |
| 4810-01-459-3368 |
| · |
| P/N / DWG / SPEC: |
| (70239) p/n 7-5081-3 |
| · |
| ITEM DESCRIPTION: |
| Hydraulic-Pneumatic Rotary Actuator |
| · |
| DELIVERY: |
| 450 Days |
| · |
| QUANTITY: |
| 17 units |
PLEASE COMPLETE “ALL” OF THE FOLLOWING IN REGARDS TO THE “ABOVE” REQUIREMENTS:
1. YOUR COMPANY SIZE: FORMCHECKBOX
LARGE OR FORMCHECKBOX
SMALL BUSINESS
*If Small Business, list number of employees:
2. YOUR COMPANY IS A: FORMCHECKBOX
MANUFACTURER OR FORMCHECKBOX
DEALER OR FORMCHECKBOX
DISTRIBUTOR
*IDENTIFY SOURCE OF SUPPLY IF DEALER/DISTRIBUTOR: ___________________________________
3. IS THIS A COMMERCIAL ITEM? FORMCHECKBOX
YES FORMCHECKBOX
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? FORMCHECKBOX
YES FORMCHECKBOX
FAR Part 15-Contracting Negotiation (Non-Commercial clauses)? FORMCHECKBOX
YES FORMCHECKBOX
NO
4. IS THIS A CATALOG/PRICE LISTED ITEM? FORMCHECKBOX
YES FORMCHECKBOX
NO
5. IS THIS ITEM ON A GSA SCHEDULE? FORMCHECKBOX
*YES FORMCHECKBOX
NO
*IF “YES”, PLEASE SUPPLY A COPY OF THE SCHEDULE.
6. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? FORMCHECKBOX
YES FORMCHECKBOX
NO
7. WOULD YOU BE WILLING TO SUBMIT AN OFFER ON THIS ITEM? FORMCHECKBOX
YES FORMCHECKBOX
*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? FORMCHECKBOX
YES FORMCHECKBOX
NO
11. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? FORMCHECKBOX
YES FORMCHECKBOX
NO
IF NOT, ARE YOU WILLING TO OBTAIN THIS CAPABILITY? FORMCHECKBOX
YES FORMCHECKBOX
NO
12. IS FIRST DESTINATION FREIGHT ORIGIN ACCEPTABLE? FORMCHECKBOX
YES FORMCHECKBOX
NO
13. IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? FORMCHECKBOX
YES FORMCHECKBOX
NO
14. IS THIS ITEM CONSIDERED TO BE HAZARDOUS MATERIAL? FORMCHECKBOX
YES FORMCHECKBOX
NO
15. IS ABLE TO COMPLY WITH ITEM IDENTIFICATION & VALUATION REQUIREMENTS IF APPLICABLE?
FORMCHECKBOX
YES FORMCHECKBOX
16. COMMENTS:
COMPLETED BY: ___________________________________________ DATE: _________________
(Please Print Name)
EMAIL: _____________________________________________________________________________
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