015269090_JOTFOC.pdf

PROJECT/TASK

NUMBER

CODE

ONE LEVEL ABOUT CONTRACTING OFFICER TELEPHONE NUMBER DATE

SIMPLIFIED ACQUISITION PROCEDURES (SAP)

JUSTIFICATION FOR OTHER THAN FULL AND OPEN COMPETITION (J&A)

SOLICITATIONS MAY BE LIMITED TO ONE SOURCE ONLY IF THE CONTRACTING OFFICER DETERMINES THAT ONLY ONE SOURCE IS REASONABLY AVAILABILE. THIS DETERMINATION MUST BE SUPPORTED WITH FULL JUSTIFICATION FOR SOLE SOURCE FROM CUSTOMER. WHEN THE CUSTOMER DESCRIBES AN ITEM WITH A PURCHASE DESCRIPTION WHICH LIMITS THE AVAILABILITY TO ONE SOURCE, THE JUSTIFICATION MUST EXPLAIN WHY THE ITEM IS THE ONLY ONE THAT WILL MEET THE GOVERNMENT’S REQUIREMENT. STATEMENTS SUCH AS “ONLY KNOWN SOURCE” OR “ONLY SOURCE WHICH CAN MEET THE REQUIRED DELIVERY DATE” ARE INADEQUATE TO SUPPORT A SOLE SOURCE PURCHASE. THE CUSTOMER SHALL PROVIDE THE FOLLOWING INFORMATION:

PURCHASE REQUEST OR REQUISTION NUMBER ESTIMATED AMOUNT (OVER $3,000 BUT NOT EXCEEDING $150,000)

BRIEF DESCRIPTION OF SUPPLIES OR SERVICES REQUIRED, AND THE INTENDED USE

UNIQUE CHARACTERISTICS THAT LIMIT AVAILABILITY TO ONLY ONE SOURCE, WITH THE REASON NO OTHER SUPPLIES OR SERVICES CAN BE USED.

REASON THAT SUGGESTED SOURCE IS THE ONLY SOURCE WHICH CAN PROVIDE THE SUPPLIES OR SERVICES

EXPLAIN WHY AN ADEQUATE PURCHASE DESCRIPTION OR OTHER INFORMATION SUITABLE TO SOLICIT BY FULL AND OPEN COMPETITION HAS NOT BEEN

DEVELOPED OR ARE NOT AVAILABLE

PROVIDE A STATEMENT OF ACTIONS, IF ANY, THE GOVERNMENT MAY TAKE TO REMOVE OR OVERCOME ANY BARRIERS TO COMPETITION BEFORE FUTURE

ACQUISITIONS ARE REQUIRED

SIGNATURE AND TITLE OF CUSTOMER

TELEPHONE NUMBER

DATE

SIGNATURE OF CONTRACTING OFFICER TELEPHONE NUMBER DATE

Sheet1

Thirty (30) Parts Kit, Brake, Repair, NSN: 3950-01-526-9090, P/N: YMD-8191-R

OEM: Appleton Marine, Inc CAGE: 70433 Used on WLM-175 & WLB-225 cross deck winches UNIQUE CHARACTERISTICS THAT LIMIT AVAILABILITY TO ONLY ONE SOURCE WITH THE REASON NO OTHER SUPPLIES OR SERVICES CAN BE USED: This Parts Kit, Brake, Repair is a major safety component of the Appleton Marine cross deck winch. The Parts Kit, Brake, Repair is designed to conform to, and mate with, each other and other existing safety components of the cross deck winch. Breakdown of the cross deck winches may prevent the cutter from preforming its primary mission, cause government property damage or create unsafe conditions for personnel.

The Coast Guard does not possess the design data, drawings, tolerances and other technical data needed to evaluate offers from other sources for compatibility.