1.4 N6275803507467 SS 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): Dec 25, 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: CONTROLLED MOTION SOLUTIONS INC DBA MOBILE HOSE AND HYDRAULIC SUPPLY

Manufacturer POC: (CAGE 55886)

Manufacturer Phone #: 619-424-9901

Mfr. address: 911 POINSETTIA ST, SANTA ANA, CA 92701-3827

Dealer / Rep :

Dealer / Rep Phone #:

Dealer / Rep address:

Sole Source Requirement Brand Name Requirement

Description of the item or service required:

0350-7467 HOSE KIT, NAVY. FULL KIT, USE FOR DDG/CG CLASS MK41 DELUGE HOSE, CONSIST OF: CELL#1 5982346-9 8PCS, CELL#2 5982346-19 8PCS, CELL#3 5982346-29 8PCS, CELL#4 5982346-39 8PCS, CELL#5 5982346-49 8PCS, CELL#6 5982346-59 7PCS, CELL#7 5982346-69 7PCS, CELL#8 5982346-79 7PCS, TOTAL 61PCS. ORDER FRO X56P, C234 A. ONOSE

PN:CS930278//UI:KT//QTY:1//UNIT PRICE: /TOTAL PRICE:

0350-7468 HOSE KIT, NAVY. FULL KIT, USE FOR DDG/CG CLASS MK41 DELUGE HOSE, CONSIST OF: CELL#1 5982346-9 8PCS, CELL#2 5982346-19 8PCS, CELL#3 5982346-29 8PCS, CELL#4 5982346-39 8PCS, CELL#5 5982346-49 8PCS, CELL#6 5982346-59 7PCS, CELL#7 5982346-69 7PCS, CELL#8 5982346-79 7PCS, TOTAL 61PCS. ORDER FRO X56P, C234 A. ONOSE

PN:CS930278//UI:KT//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

(b) (5) (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.

MATERIALS MUST BE APPROVED BY NAVAL SEA SYSTEMS COMMAND NAVSEA 04RM. ITEM IS A

REPLACEMENT HOSE KIT FOR USE IN REPAIR/REPLACEMENT ON BOARD

ITEMS LISTED ON MAINTENANCE REQUIREMENTS CARD (MRC) 19 FRBD N AND THE ONLY MANUFACTURER

LISTED TO SUPPORT THESE ITEMS IN CONTROLLED MOTION SOLUTIONS, INC CAGE 55886.

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

CONTROLLED MOTION SOLUTIONS OWNS THE THE DESIGN, CHARACTERISTICS AND PRODUCTION OF THE ITEM BY MEANS OF ITS ENGINEERING DRAWINGS, SPECIFICATIONS, AND INSPECTION REQUIREMENTS. THE REQUIRED PART NUMBERS ARE THE INTELLECTUAL PROPERTY AND PROPRIETARY TO CONTROLLED MOTIONS SOLUTIONS INC. THERE ARE NO OTHER VENDORS THAT OFFER AN AUTHORIZED SUBSTITUTE OR

ALTERNATE FOR THIS ITEM.

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.)

THE PARTS REQUIRED ARE MANDATORY DIRECT REPLACEMENTS IN ACCORDANCE WITH MRC 19 FRBD N.

THERE ARE NO OTHER AUTHORIZED MANUFACTURERS THAT CAN PROVIDE THIS ITEM. IN ORDER TO MAINTAIN FORM, FIT, AND FUNCTION AS WELL AS SYSTEM INTEGRITY ITEMS MUST COME FROM

CONTROLLED MOTION SOLUTIONS.

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

SOME OF THE PIECE PARTS LISTED DO HAVE NSNs IN EXISTENCE BUT ACQUISITION ADVICE CODE IS J WITH NO STOCK ON HAND DLA. IN ORDER TO GET A COMPLETE KIT IT WITHIN THE REQUIRED MAINTENANCE TIME FRAME IT IS THE BEST COURSE OF ACTION TO PURCHASE THE WHOLE KIT TO MITIGATE LLTM.

(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 C520

Printed Name: ALFREDO B. GUAJARDO

Date : Dec 17, 2020

Activity: NAVSUP FLCY / SRF JRMC C500

Document Number

FLCPS Contracting Officer Signature:

Printed Name:

Date:

Level Above Contracting Officer Signature:

Printed Name:

Date:

GUAJARDO.ALFREDO.BENJAMIN

.1234347728

Digitally signed by

GUAJARDO.ALFREDO.BENJAMIN.1234347728

Date: 2020.12.17 13:51:51 +09'00'

ABUNDIS.KATHY.LOUISE.1094777603 Digitally signed by ABUNDIS.KATHY.LOUISE.1094777603 Date: 2021.01.06 09:33:31 -08'00'

PATTON.KACY.L.1366063532 Digitally signed by PATTON.KACY.L.1366063532 Date: 2021.01.06 10:09:17 -08'00'