62385364_MARKET_SURVEY.docx

Pre-solicitation market research, DLA Land & Maritime

SURVEY QUESTIONNAIRE

DLA LAND & MARITIME

POST OFFICE BOX 3990, COLUMBUS, OH 43218-3990

Reference to: Brian Walker, FMDA, (614) 692-7504, DLA Land & Maritime, Columbus OH.

Information provided below is for Government’s internal use only.

This is NOT a Request for Proposal.

DATE REQUESTED:

COMPANY/ CAGE: ___________________________________________

POC: GOV. SALES ____________________________________________

ADDRESS: ___________________________________________________

E-MAIL: ______________________________________________________

FROM: Brian A. Walker – Acquisition Specialist / DLA L&M / FMDA

NOTE: Item listed below is being considered for solicitation and subsequent award.

Please respond by 1:00 pm: April 5, 2016 to: Brian Walker at the E-MAIL: Brian.Walker@dla.mil

SOLICITATION ITEM REQUIREMENTS:

NSN: 4820-01-200-8787

ITEM: VALVE, CARTRIDGE, CHECK ALUMINUM BODY. OPERATING PRESSURE 4000 PSI. FLOW RATE 70 GPM. MEDIA HYDRAULIC FLUID.

SOURCE:

PNEUDRAULICS, INC. Cage: 06177 P/N: 9389-1R

ESTIMATED DEMAND: 36 EA

REQUESTED DELIVERY: 250 DAYS ADO / OR BEST AVAILABLE

FIRST ARTICLE TEST: NOT REQUIRED

Please complete the following in regards to the above requirements.

SURVEY COMPLETED BY: ___________________________________________________________________________ (NAME and TITLE)

TELEPHONE: _______________________________________; E-MAIL:________________________________________

DATE COMPLETED: _______________

1. YOUR COMPANY SIZE?

LARGE BUSINESS [ ]

SMALL BUSINESS* [ ]

OTHER* [ ] _____________________________

*If Small Business, or other qualifying as a Small business list number of employees: ______

2. YOUR COMPANY IS A:

MANUFACTURER [ ]

DEALER / DISTRIBUTOR [ ]

OTHER [ ] __________________________________

3. IS YOUR COMPANY REGISTERED IN THE “SYSTEM AWARD MANAGEMENT” (SAM)? YES [ ] NO* [ ] *(If “NO”), ARE YOU WILLING TO OBTAIN THIS REGISTRATION? YES [ ] *NO [ ]

4. IS YOUR COMPANY AN ORCA CERTIFIED? YES [ ] NO [ ] and IS YOU ORCA CERTIFICATION UP TO DATE? YES, [ ] NO [ ] *Please BE ADVISED: In order to qualify for the Federal Government contracts over $150,000 you must be SAM/ ORCA certified with current registration dates. Link: https://www.sam.gov/portal/public/SAM

5. IS THIS A COMMERCIAL ITEM and HAS RECORDS OF BEING SOLD to the privet sector by your company? YES [ ] NO [ ] (If “YES” please answer questions # 6 - 8 below).

6. ITEM IS COMMERCIAL AND OUR COMPANY SOLD _____% TO PRIVATE SECTOR and _____% TO GOVERNMENT

7. IF ITEM IS COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS?

I/A/W FAR Part 12 or FAR Part 13.5-Acquisition of Commercial Items? YES [ ] NO [ ]

8. IS THIS A PRICE LISTED ITEM? YES [ ] NO [ ] (If “YES” please provide the link to your priced item of copy of listing).

9. OR THIS ITEM IS NOT COMMERCIAL BECAUSE: (please specify weapon system used: aircraft, tactical vehicles, etc.)

10. IF ITEM IS NOT COMMERCIAL, WILL YOU COMPLY WITH THE SOLICITATION CLAUSES/REQUIREMENTS?

I/A/W FAR Part 15-Contracting Negotiation (Non-Commercial clauses)? YES [ ] NO [ ]

11. IS THIS A CATALOG/PRICE LISTED ITEM? YES [ ] NO [ ]

12. IS THIS ITEM ON A GSA SCHEDULE? YES* [ ] NO *[ ] (Note: If “YES”, Please supply a copy of the schedule).

13. DO YOU CARRY THIS ITEM IN YOUR INVENTORY? YES [ ] NO [ ]

14. If “Yes” WHAT IS YOUR CURRENT CAPACITY? _____________ UM: _______

15. WHAT ARE YOUR SOURCE/ ORIGINATION OF COMPONENTS? _____USA_____________________

16. WHAT IS YOUR EXPERIENCE IN MAKING REQUESTED PRODUCT? ____over 15 year experience___________________________________

17. WOULD YOU BE WILLING TO SUBMIT AN OFFER ON THIS ITEM? YES [ ] NO* [ ]

*(Note: If “NO” please explain why below):______________________________________________________________________

18. WHAT WOULD BE THE MOST APPROPRIATE INCREMENTAL QUANTITY BREAKS FOR THIS ITEM?

From: 24___________To 35__________; From 37__________ To 42__________; From: 43________ To 50____________ UM: _______

19. IS THIS ITEM QUANTITY SENSITIVE? YES [ ], NO [ ].

20. CAN YOU PROVIDE AN ESTIMATED UNIT PRICE? ________/EA

21. WHAT WOULD BE THE ESTIMATED PRODUCTION OF THIS ITEM PER MONTH? ________(UM)

22. WHAT WOULD BE THE APPROXIMATE DELIVERY TIME FOR THIS ITEM?

FOR ALL QUANTITY BREAKS [ ] AT ____(DAYS)

FOR PHASE DELIVERY

UP TO:___________________ UM: _____ AT ____________ (DAYS )

UP TO:___________________ UM: ______ AT ____________ (DAYS )

23. IS FOB ORIGIN ACCEPTABLE? YES [ ] NO [ ]

24. IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE? YES [ ] NO [ ] or

IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE? YES [ ] NO [ ]

25. WOULD YOU BE INTERESTED IN DIRECT VENDOR DELIVERY (DVD)? YES [ ] NO [ ]

26. DO YOU HAVE ELECTRONIC DATA INTERCHANGE (EDI) CAPABILITY? YES [ ] NO*[ ]

* (If “NO”), ARE YOU WILLING TO OBTAIN THIS CAPABILITY? YES [ ] NO [ ]

ANY COMMENTS / ADDITIONAL INFORMATION NOT INCLUDED ABOVE?

THANK YOU VERY MUCH FOR THE PARTICIPATION IN THIS SURVEY.

Brian A. Walker / FMDA Acquisition Specialist DLA Land & Maritime, Columbus, OH Office: (614) 692-7504 E-mail: Brian. Walker@dla.mil

For official use only Source selection information – see FAR 2.101 & 3.104 image1.png image2.jpeg