Blank_Market_Survey.docx

DLA Land & Maritime - Market Survey

Date Survey Sent: 03/06/14 Survey Due Date: COB 03/12/14

Contract Specialist: Jeremy P. Feeney Phone: (614) 692-1803 Fax Number: (614) 693-1576

Address: DLA Land and Maritime, ZCC

To:

The Defense Logistics Agency (DLA) Land and Maritime, Columbus is considering a solicitation and subsequent award of an Indefinite Quantity Contract (IQC)* for the following item(s) listed below. 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.

VENDOR FILL IN:

(06351) P/N C390-361-1

IAW DWG 16VE329 REV D PC

(all other dwgs below)

A. GENERAL INTEREST QUESTIONS:

1. Is your company interested in pursuing a Long-Term Contract for (3-5 years) on any or all of these items?

|_| YES |_| NO If yes, how many years total are you willing to accept?________

2. Would you prefer to have the pricing to be |_| Firm-Fixed Prices (FFP) or |_| Economic Price Adjustment (EPA) for the subsequent years?

3. What quantity ranges would result in the best pricing of the items you are able to supply? (We will consider your recommendations if it is within our demand forecast)

Qty Range 1: ________ Qty Range 2: _________ Qty Range 3: ____________ Qty Range 4: ____________

B. COMMERCIAL QUESTIONS:

1. Are any of these items Commercial Items per FAR 2.101(b)? |_| YES |_| NO

- If YES to #1 above can you provide commercial sales invoices, listing in catalogs or brochures, known established price list to commercial market place, availability or announcement to the general public?

|_| YES |_| NO

C. OTHER MISCELLANOUS QUESTIONS:

1. Including any and all company divisions, subsidiaries, parent company, etc.; your company’s total number of employees:

Less than 500

More than 500

More than 750

More than 1000

2. If you are a dealer for the actual manufacturer of this item, who is the manufacturer and approximately how many employees does the manufacturer have (including any and all company divisions, subsidiaries, parent company,etc.)?

Manufacturer: ______________________________________________________

Approximate No. of Employees:

Less than 500

More than 500

More than 750

More than 1000

3. SPECIAL CONSIDERATIONS FOR POTENTIAL SOLICITATION:

a. DD 254 REQUIRED: A CLASSIFIED DOCUMENT IS INCLUDED IN THE TECHNICAL DATA PACKAGE THAT SUPPORTS THIS MATERIAL. CONTRACT AWARD FOR THIS ITEM IS LIMITED TO THOSE CONTRACTORS THAT HAVE A VALID AND CURRENT SECURITY CLASSIFICATION LEVEL OF "SECRET" PRIOR TO AWARD.

i. Do you have the required clearance to obtain the drawings for this NSN? _________

b. The solicitation will be issued under the First Destination Transportation (FDT) program. If this acquisition is for Foreign Military Sales (FMS) or has an APO/FPO ship-to address, FDT will not apply and normal procedures should be followed.

As a result, the Government expects reduced unit prices since quoted unit prices do not need to include transportation costs.

For FDT program transportation requirements, see DLAD clauses 52.247-9059 F.O.B. Origin, Government Arranged Transportation and

52.247-9058, First Destination Transportation (FDT) Program – Shipments Originating Outside the contiguous United States (OCONUS).

Additional information about FDT can be found on the FDT website (http://www.dla.mil/FDTPI/).

The following FDT clauses also apply: 52.204-9001, 52.211-05.

i. Do you agree to the terms of First Destination Transportation? _________

D. ADDITIONAL COMMENTS:

Your Company Name & Cage Code: ________________________________________________ Your Company Phone & Fax Number: ______________________________________________ Your Name & Title: __________________________________________________________

** Please return survey to the contract specialist listed at the top of the page. If you have any additional comments, please feel free to submit those with this survey. We sincerely appreciate your time, and thank you for providing this information.

IAW REFERENCE DRAWING NR 81755 FPS-3040

REVISION NR D DTD 02/17/1998

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81755 16Z001

REVISION NR AK DTD 03/11/2009

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IAW REFERENCE DRAWING NR 81755 16PR070

REVISION NR S DTD 05/21/2003

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IAW REFERENCE DRAWING NR 81755 FPS-3001

REVISION NR G DTD 07/21/2010

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IAW REFERENCE DRAWING NR 81755 P5055

REVISION NR U DTD 10/30/2001

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IAW REFERENCE DRAWING NR 81755 16VE329

REVISION NR D DTD 09/18/1987

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81755 16ZE329

REVISION NR C DTD

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IAW REFERENCE DRAWING NR 98752 7842282

REVISION NR DTD 01/01/1939

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IAW REFERENCE DRAWING NR 81755 FMS-3033

REVISION NR A DTD 09/22/1988

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81755 P5422

REVISION NR E DTD 06/11/2004

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IAW REFERENCE DRAWING NR 81755 FMS-3029

REVISION NR D DTD 06/07/1996

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IAW REFERENCE QAP 16236 SQAP012575186

REVISION NR DTD 02/13/2014

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