1.04 Sole_Source-Brand_Name_Justification_Redacted.pdf

JUSTIFICATION FOR SOLE SOURCE or BRAND NAME SPECIFIED (Simplified Acquisitions < )

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

Restricted to the following source (If a sole source manufacturer distributes via dealers, ALSO provide dealer information):

Manufacturer:

Manufacturer POC & phone #:

Mfr. Address:

Dealer/Rep/Recommended source:

Dealer/Rep/Recommended source address/phone #:

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

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

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

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

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.

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

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

Other information to support a sole source/name brand buy:

CONTRACTING OFFICER

SAP Sole Source /Brand Name

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 / BRAND NAME

JUSTIFICATION PRECLUDES THE USE OF FULL AND OPEN COMPETITION.