Market_Research_Form_-_4810-014593368.pdf

DLA Land and Maritime

DSCC - MARKET RESEARCH

NOTE: This is not a request for proposal. Item listed is being considered for pending solicitation and subsequent award. Please FAX OR EMAIL Survey NLT:_______.

DATE: ___________

TO: COMPANY: __________________________________________ CAGE: _______

ATTN: __________________________________________

ADDRESS: __________________________________________

PHONE: ________________ FAX: ____________________

EMAIL: __________________________________________

FROM: Thomas King, DSCC-FMDE Reference: NSN

DEFENSE SUPPLY CENTER COLUMBUS

PHONE: (614)692-1748 FAX: (614)693-1622

If further assistance is required, please call or E-mail: thomas.king@dla.mil

REQUIREMENTS:

NSN:

P/N / DWG / SPEC:

ITEM DESCRIPTION:

REQUESTED DELIVERY:

APPROXIMATE QTY:

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

REQUIREMENT:

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

DSCC - MARKET RESEARCH

ATTN: DSCC-FMDE

(Ref: NSN: - Continued)

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

*IF NOT, WHY? ___________________________________________________________________

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

START-UP TIME: _________________ START-UP QTY: _________________

MONTHLY PRODUCTION QTY: _________________

9. WHAT IS THE MOST APPROPRIATE INCREMENTAL QUANTITY BREAKS FOR THIS ITEM?

10. ESTIMATED UNIT PRICE: _________________

11. For Contracts estimated over $750,000.00 cost or pricing data may be required.

Are you and your subcontractors (if applicable) capable of providing this data?

YES NO

12. WOULD YOU BE INTERESTED IN DIRECT VENDOR DELIVERY (DVD)? YES NO

13. IS FIRST DESTINATION TRANSPORTATION (FDT) ACCEPTABLE? YES NO

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

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

15. IS FOB ORIGIN ACCEPTABLE? YES NO

IS FOB DESTINATION ACCEPTABLE? YES NO

YES NO

YES NO

16. IS INSPECTION/ACCEPTANCE AT ORIGIN ACCEPTABLE?

IS INSPECTION/ACCEPTANCE AT DESTINATION ACCEPTABLE?

17.

is preferred: 100% 200% Other:__________. In no, please advise why.

18. Comments:

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

E-MAIL ADDRESS: ________________________________________________________________

ARE YOU WILLING TO CONSIDER OPTION QUANTITIES? YES NO . If yes, what quantity c013060 Rectangle