1.4 20260000680 BN signed_Redacted.pdf

NAVSUI!-

NAVA.l. SUPPLY SYSTeMS COMMAND

NAVSUP Fleet Logistics Centers

Clear Form

The service or material listed on N62758-5302-7603 is a sole source or brand name requirement.

Competition is precluded for rea Required Delivery Date (RDD): Estimated TOTAL Cost:� Rtstricted to the following source. if sole source provide original manufacturer's == name provide manufacturer's name and dealer information below.

Osole Source Requirement [l}3rand Name Requirement Manufacn1rer: CORNELL-CARR CO., INC.

Manufacmrer POC:

Manufacmrer Phone#:

Mfr. address:

Dealer/ Rep Dealer / Rep Phone #:

Dealer/ Rep address:

Description of the item or service required:

N62758-5302-7603 / WINDOW, VERTICAL / P/N: CC-1162

The requested material or service represents the minimum requirements of the government (select YIN):

Select One: Yes

Source: FLCPS July 2023 Page 1 of3

NAVSUI!-

NAVA.l. SUPPLY SYSTeMS COMMAND

NAVSUP Fleet Logistics Centers

Specific characteristics of the material or service that limit the availability to a sole source or brand name. For example, the material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed/performing. (unique features, function of the item, etc.). Describe in detail why only this suggested source can furnish the requirements to the ex,ciusion of other sources. Choose the appropriate box(s) below and describe the equipment/function you have now and how the new item/service must coordinate, connect or interface with the existin svstem.

Materials are re uired to repare DISASSEMBLE VERTICAL WINDOW ASSEMBLY on The parts are required from CORNELL-CARR CO., INC

Utilize material from CORNELL-CARR CO., INC in order to ensure proper form, fit an intended by manufacturer DWG CC-1162.

Only Cornell-Carr or its authorized distributors are acceptable to provide this item.

r7JA patent, copyright or prop1iet.aiy data limits competition. The proprietaiy data is (If applicable, include patent/ l1..kopyright drawing numbers, technical manual (TM) numbers, etc)

CORNELL-CARR CO.,IN �ontrols and owns the design, characteristics and production of the item by means of its engineering �tions and inspection requirements. This item must conform to DWG that is owned by CORNELL-CARR INC. The required part number is the intellectual property and proprietary to CORNELL-CARR CO., INC. There are no other companies that offer an authorized substitute or alternate of this item.

r71 These are "direct replacements" pa1ts/components for existing equipment as specified below. (NOTE: Identify lY..lmain unit or existing equipment and why no other parts w;/J work.)

The items being ordered are direct replacements to be used on

Other infonnation to suppo1t a sole source or brand name buy:

Source: FLCPS July 2023 Page 2 of3

NAVSUI!-

NAVA.l. SUPPLY SYSTeMS COMMAND

NAVSUP Fleet Logistics Centers

I CERTIFY THAT STATEMENTS CHECKED, AND INFORMATION PROVIDED ABOVE, ARE

COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND DO NOT CONTAIN

CLASSIFIED INFORMATION. I UNDERSTAND THAT THE PROCESSING OF THIS SOLE SOURCE

OR BRAND NAME JUSTIFICATION PRECLUDES COMPETITION TO THE MAXIMUM EXTENT

PRACTICABLE

Signature:

Title:

Printed Name:----

Date : I 1 /5/26

Activity:

Document Number � 7

FLCPS Contracting Officer Signature: I

Printed Name:

Date: 1 /7 /26

Source: FLCPS July 2023 Page 3 of3