03430207-00326-Sole Source Justification Audio Amplifier PCB.doc

JUSTIFICATION FOR SOLE SOURCE

(Simplified Acquisitions <$l00K)

(Ref: NAVSUP 4200.85C Chapter 4 Paragraph 5(c))

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The service or material listed on (Document Number) JML 03430207 is sole source and competition is precluded for reasons indicated below.

There are no substitutes available for this material.

Restricted to the following source. Provide original manufacturer's name. (If a sole source manufacturer distributes via dealers, ALSO provide dealer information.)

Manufacturer: PCB-IMI Sensors/The Modal Shop Manufacturer’s POC and Phone No. Mike Nero

Technical Sales Specialist mnero@pcb.com 1-800-959-4464

Manufacturer’s Address: 3425 Walden Avenue Depew, NY

14043, USA

Manufacturer’s Dealer/Rep: N/A Dealer/Rep Address/Phone No.: N/A Description of the item or service required, the estimated cost, and required delivery date. Audio Amplifier, $590x2 ea = $1180, April 30, 2021

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Specific brand name: Justification:

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Specific characteristics of the material or service that limit the availability to a sole source (unique features, function of the item, etc.). Describe in detail why only this suggested source can furnish the requirements to the exclusion of other sources.

No equivalent replacement part exists, interfaces with a portable vibration calibrator from the same manufacturer.

The requested material or service represents the minimum requirements of the government.

CHECK AND FILL ALL APPLICABLE BLANKS BELOW

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The material/service must be compatible in all aspects (form, fit, and function) with existing systems presently installed. Describe the equipment you have now and how the new item/service must coordinate, connect, or interface with the existing system.

Necessary to power audio on temporary TSMS system.

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A patent, copyright, or proprietary data limits competition. The proprietary data is:

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These are “direct replacements” parts/components for existing equipment.

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Other information to support a sole-source buy:

I CERTIFY THAT STATEMENTS CHECKED, AND INFORMATION PROVIDED ABOVE, ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THE PROCESSING OF THIS SOLE-SOURCE JUSTIFICATION PRECLUDES THE USE OF FULL AND OPEN COMPETITION.

Originator: Ethan Oshiro Shop/Code: 43/260.2A Phone No.: x3652 Email Address: ethan.oshiro@navy.mil Tech Review Approval: Code:

Signature: _______________________________________ Title/EQUIP SPEC Date: ___________________

Contracting Officer Signature ___________________________________________ Date __________________

SAP Sole Source

FISCPS 4200/180 (Rev 11-03)

A.

B.

C.