1.4 N627580252W308 Brand Name Redacted.pdf

The service or material listed on is a sole source or brand name requirement.

Competition is precluded for reasons indicated below.

Estimated TOTAL Cost: $Required Delivery Date (RDD): Nov 30, 2020

Restricted to the following source. If sole source provide original manufacturer's information below. If brand name provide manufacturer's name and dealer information below.

Manufacturer: FLOWSERVE FCD CORPORATION DBA FLOWSERVE

Manufacturer POC:

Manufacturer Phone #: 801-489-2442

Mfr. address: 1350 N MOUNTAIN SPRING PKWY, SPRINGVILLE UT 84663-3004

Dealer / Rep :

Dealer / Rep Phone #:

Dealer / Rep address:

Sole Source Requirement Brand Name Requirement

Description of the item or service required:

0252-W308 FLOWSERVE CONTROL VALVE WITH DITITAL POSITIONER MODEL: 3200MD, P/N: 255124.999.000.

SERIAL NUMBER: 624076.001 MODIFIED.

PN:624076.001 MOD//UI:AY//QTY:1//UNIT PRICE:$ /TOTAL PRICE:

The requested material or service represents the minimum requirements of the government (select Y/N):

Select One: YES

(b) (5)

(b) (5) (b) (5)

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 exclusion 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 existing system.

ITEM REQUIRED FOR REPLACEMENT ON ITEM ARE REQUIRED TO BE BRAND NAME

AND FROM FLOWSERVE CORPORATION DBA FLOWSERVE DIV FLOWSERVE US INC BECAUSE IT IS A DIRECT

REPLACEMENT FOR CURRENT CONTROL VALVE IN PLACE.

A patent, copyright or proprietary data limits competition. The proprietary data is (If applicable, include patent/ copyright drawing numbers, technical manual (TM) numbers, etc)

CONTROL VALVE PN 624076.001 MOD IS A REPLACEMENT MADE TO ORDER FOR PAST CONTROL VALVE THAT HAS APPROXIMATELY 100 SPECIAL SPECIFICATIONS. DESIGN AND PRODUCTION OF EXACT ITEM IS

INTELLECTUAL PROPERTY AND PROPRIETARY TO FLOWSERVE.

These are “direct replacements” parts/components for existing equipment as specified below. (NOTE: Identify main unit or existing equipment and why no other parts will work.)

DIRECT REPLACEMENT REQUIRED TO BE A FLOWSERVE FCD CORPORATION DBA FLOWSERVE CONTROL VALVE DUE TO SERIALIZED REPLACEMENT WITH SPECIAL SPECIFICATIONS OWNED BY FLOWSERVE. ITEM HAS A NUMBER OF SPECIALIZED SPECS THAT NEED TO BE DUPLICATED IN NEW ITEM IN ORDER TO MEET

FORM, FIT, AND FUNCTION.

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

(b) (7)(F)

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 THE USE OF FULL AND OPEN COMPETITION.

Signature:

Title: REQUIREMENTS DIVISION HEAD

Printed Name: ALFREDO B GUAJARDO

Date : Sep 9, 2020

Activity: NAVSUP FLCY / SRF/JRMC C520

Document Number

FLCPS Contracting Officer Signature:

Printed Name:

Date:

Level Above Contracting Officer Signature:

Printed Name:

Date:

(b) (6)

(b) (6)

(b) (6)