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MARKET RESEARCH QUESTIONNAIRE Company Name: _________________________ I am conducting market research for the procurement of Insulin Syringes for the Department of Veterans Affairs (VA), Department of... MARKET RESEARCH QUESTIONNAIRE Company Name: _________________________ I am conducting market research for the procurement of Insulin Syringes for the Department of Veterans Affairs (VA), Department of Defense (DoD), Indian Health Service (IHS), Bureau of Prisons (BOP), and Federal Health Care Center (FHCC). This procurement will result in a national mandatory requirements contract for the above agencies. Other companies with the same/similar product will be blocked out for ordering; therefore it is our goal to award lower than FSS/Open Market prices on the resultant national contract based on purchases of a committed volume. These products will be awarded in the aggregate for all sizes for the base year and all option years included in the solicitation. Please provide a response to the following: 1. Is your Company able to meet the following minimum requirements: National Drug Code/Universal Product Code: Offerors shall provide a separate and distinct eleven-digit National Drug Code (NDC) number unique to the offeror (e.g., 00012-3456-78) or a twelve-digit Universal Product Code (UPC) number for each product proposed. The first five numbers of the eleven-digit NDC number for each product proposed shall identify the offeror. Does your company have a unique NDC/UPC (Labeler Code)?_____________ If the offeror is not the manufacturer of the offered items, the offeror shall submit a letter of commitment from the manufacturer to the offeror which will assure the offeror a source of supply sufficient to satisfy the Government's requirements for the contract period. Name of Manufacturer:_________________ Is the Manufacturer a Large or Small business (using the SBA size standards for NAICS code 339112? ______________ Would you be able to provide a letter of commitment from the manufacturer for the offered products?_____________ Pharmaceutical Prime Vendor: All Ordering Activities under the Department of Veterans Affairs and Department of Defense acquire their pharmaceutical requirements through their Pharmaceutical Prime Vendor Program (PPV). The contractor shall ensure that chargeback agreements with the PPVs have been executed with sufficient time to permit the PPVs to begin timely distribution of Government orders, if an award is made. Does your company currently have a business-to-business agreement with the PPVs?_________ d. Under NAICS code 339112, is your company size (check one): Large Business ______ Small Business ______ e. If a small business, does your company manufacture at least 50% (in terms of production costs) of the product offered?_________ f. Is the offered end product a U.S end-made or designated end made product?_________ g. Can your company meet the following product, package size and usage requirements: ITEM DESCRIPTION PKG SIZE (Box) TOTAL EST ANNUAL USAGE (Boxes) 1 INSULIN SYRINGE 0.3ML 30G 12.7MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 7,124 2 INSULIN SYRINGE 0.3ML 31G 8MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 15,907 3 INSULIN SYRINGE 0.5ML 30G 12.7MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 181,417 4 INSULIN SYRINGE 0.5ML 31G 8M, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 232,725 5 INSULIN SYRINGE 1ML 30G 12.7MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 154,092 6 INSULIN SYRINGE 1ML 31G 8MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 204,960 7 INSULIN SYRINGE 0.3ML 31G 6MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 11,725 8 INSULIN SYRINGE 0.5ML 31G 6MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 108,762 9 INSULIN SYRINGE 1ML 31G 6MM, SINGLE SCALE, PERMANENTLY ATTACHED NEEDLE 100 92,727 2 . Is your Company interested in submitting a response to a solicitation?________ 3. As this is a national standardized contract, our preference is for a base plus four pre-priced option years to provide our customers continuity and consistency of product by allowing long term committed purchases of your product. If interested, please indicate Base year and how many Option periods, not to exceed 4._________________ If your firm is interested, but cannot commit to four one-year option periods, with all options priced at the time of offer submission, please provide any relevant details to allow the Government to further understand the market for these products. _______________________________________________________________________ _______________________________________________________________________ 4. If an award were to be made based on the above requirements, would your company be able to begin supplying the product in the estimated quantities within 60 days of the contract award date? ______________________________________________________________________ 5. If your company is not interested in participating, please respond with the reason why. This aids our market research for future procurements. ______________________________________________________________________ _______________________________________________________________________ Please respond by Monday, September 26, 2022 at 10:00 AM CT. Contact Deb Fassl at: Deborah.Fassl@va.gov with any questions or concerns.