1.02e Sole Source Justification _ FIX.pdf

NAVSUP FLCSD JUSTIFICATION FOR BRAND NAME

SOLE SOURCE / NAVSUP FLCSD JUSTIFICATION &

APPROVAL

JUSTIFICATION AND APPROVAL

FOR USE OF OTHER THAN FULL AND OPEN COMPETITION

1. Identification of Agency and Contracting Activity

2. Nature and/or Description of the Action Being Approved

RDT&E OPN FY/Option/Ordering Period

Total

Does the requested material or service represent the minimum requirements of the Government Estimated Dollar amount?

Estimated Dollar Value

OM&N

Subtotals

3. Statutory Authority Permitting Other Than Full and Open Competition

Choose one of the following:

Additional Information Regarding Statutory Authority, if Applicable:

4. DETERMINATION FOR USE OF OTHER THAN FULL AND OPEN COMPETITION IS BASED

ON THE FOLLOWING (Choose either Sole Source or Brand Name, and urgency, if applicable):

A. ONLY ONE RESPONSIBLE SOURCE (SOLE SOURCE

(select one):

1. RESTRICTIVE RIGHTS. The source has established proprietary rights, limited rights in data, patent rights, copyrights or secret processes in the item or service required.

2. EXCLUSIVE LICENSING AGREEMENTS. Item or service is only available from original Equipment Manufacturer (OEM), or there is only one authorized distributor or technical representative for the OEM.

3. OTHER REASONS?

B. BRAND NAME.

C. UNUSUAL AND COMPELLING URGENCY.

1. Date on which the requirement was first identified:

2. Required delivery date/period of performance:

3.

4. If appropriate, include any additional pertinent information.

CERTIFICATIONS/APPROVALS

Technical Certification: I certify that the facts and representations under my cognizance which are included in this Exception to Fair Opportunity and its supporting acquisition planning documents, except as noted herein, are complete and accurate to the best of my knowledge and belief.

Signature Name

Requirements Certification: I certify that the facts and representations under my cognizance which are included in this Exception to Fair Opportunity and its supporting acquisition planning documents, except as noted herein, are complete and accurate to the best of my knowledge and belief.

Signature

Date

Name Date

D. Actions to Remove Barriers from Future Competition.

Contracting Officer Certification: I certify that this Exception to Fair Opportunity is accurate and complete to the best of my knowledge and belief. The Contracting Officer's signature below represents approval of this document.

Signature Name Date

Level Above Certification: I certify that this Justification is accurate and complete to the best of my knowledge and belief. The Level Above the Contracting Officers signature below represents approval of this document.

Signature Name Date

Level Above The Contracting Officer

Legal Sufficiency Review: I have determined this Justification is legally sufficient.

Signature Name Date

Contracting Activity Approval

Signature Name Date

Signature Name Date

Head of Contracting Activity Approval: Upon the basis of the above justification, I hereby approve, as Head of Contracting Activity, the solicitation of the proposed procurement described herein using other than full and open competition, pursuant to the authority of (Placeholder for US code citation)

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