Blank_Market_Survey.docx

DLA Land & Maritime - Market Survey

Date Survey Sent: 04/23/14 Survey Due Date: 04/28/14

Contract Specialist: Jeremy P. Feeney Phone: 614-692-1803 Email: Jeremy.Feeney@dla.mil Address: DLA Land and Maritime, ZB or ZC

To:

Vendor Name (CAGE):

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:

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. Please advise which you would prefer to have the pricing to be for the subsequent years:

|_| Firm-Fixed Price (FFP)

|_| Economic Price Adjustment (EPA)

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 is:

|_| 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. Are there any materials, metals, etc. that are dominant in these item(s)? |_| YES |_| NO

4. If YES to #4 above please provide the applicable material for each NSN and state what percentage of that item consists of that material.

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.