1.03 Sole Source Justification Signed.pdf

JUSTIFICATION FOR SOLE SOURCE (Simplified Acquisitions <$250K)

The service or material listed on requisition V215620093EX01 is Sole Source Mandatory and competition is precluded for reasons indicated below. There are no substitutes available for this material or service.

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

Manufacturer: Coastal Supply Solutions

Manufacturer POC & Phone Number/Email: Debbie Owens, (757)581-3242, govtsales@coastalop.net Mfr. Address: 820 Greenbrier Circle, Suite 7, Chesapeake, VA 23320

Dealer: Multiple Distributors/Dealers: N/A Dealer Address & Phone Number/Email: N/A

1. Description of the item or service required, the estimated cost, and required delivery date.

Furniture/workstations required IAW NAVSEA approved specifications are needed for ship’s force to conduct daily business. Estimated Cost: $55,242.12

2. Specific characteristics of the material or service that limit the availability to a brand name mandatory requirement (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.

The furniture/workstations required to be procured are IAW NAVSEA specifications. The items currently on the ship are of the same form and function. Coastal Supply Solutions is able to provide the NAVSEA approved furniture within 3-5 business days in order to meet the ship’s urgent requirement.

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

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

The current furniture on the ship is from Coastal Supply Solutions. The furniture to be provided via contracting connects with the current system of the ship and coordinates.

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

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

6.____ Other information to support a brand name mandatory 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.

Print Name____________________________

Signature _____________________________ Title ____________________________

Activity ______________________________ Date ____________________________

Contracting Officer Signature _________________________________________

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