1.4 N6275860267473 BN Redacted.pdf

NAVSUP Fleet Logistics Centers

Page 1 of 3 Source: FLCPS July 2023

Clear Form

The service or material listed on 6026-7473 THRU 7508 is a sole source or brand name requirement.

Competition is precluded for reasons indicated below.

Required Delivery Date (RDD)

Estimated TOTAL Cost: $

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.

Sole Source Requirement ✔Brand Name Requirement

Manufacturer:

Manufacturer POC:

Manufacturer Phone #:

Mfr. address:

Dealer / Rep :

Dealer / Rep Phone #:

Dealer / Rep address:

PARKER HANNIFIN CORP

REBEKAH PUENTE

817-738-6543

220 ROBERTS CUT-OFF ROAD FORT WORTH, TX 76114

Description of the item or service required:

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

Select One: Yes

N62758-6026-7473 / ELBOW / P/N: 13743-16-16C, 6026-7474 / ADAPTER /10543-16-16C, 6026-7475 / EBOW / P/N: 13743-6-6C, 6026-7476, 7477 / ADAPTER / P/N: 10543-6-6-C, 6026-7478, 7479 / FITTING / P/N: 1J943-12-12C, 6026-7480, 7481 / FITTING / P/N: 10643-10-12C, 6026-7482 / FITTING / P/N: 1J943-4-4C, 6026-7483, 7484 / FITTING / P/N: 1J943-16-16C, 6026-7485, 7486 / ELBOW / P/N: 13743-12-12-C, 6026-7487, 7488 / ELBOW / P/N: 13743-10-10C, 6026-7489 / ELBOW / P/N: 13743-4-4C, 6026-7490, 7491 / ADAPTER / P/N: 1JS43-4-4C, 6026-7492, 7493 / ADAPTER / P/N: 1JS443-6-6C, 6026-7494, 7495 / ADAPTER / P/N: 6-2 FBU-SS, 6026-7496 / CAP / P/N; 6BLEN6-B, 6026-7497 / CAP / P/N: 4BLEN4-B, 6026-7498, 7499 / HOSE / P/N: 487TC-16-RL, 6026-7500 / GASKET / P/N: M24748-EPM0.750, 6026-7501 /

HOSE / P/N: 487TC-4, 5026-7502 / HOSE / P/N: 487TC-4, 6026-7503, 7504 / HOSE / P/N: 487TC-6, 6026-7505, 7506 / HOSE / P/N: 487TC-10, 6026-7507, 7508 / HOSE / P/N: 487TC-12.

55,696.17

Page 2 of 3 Source: FLCPS July 2023

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.

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

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.)

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

MATERIAL IS REQUIRED TO FABRICATE SLAD #3 HYDRAULIC HOSE ASSEMBLY ON

______________. THE PARTS IS REQUIRED FROM PARKER HANNIFIN CORP (CAGE: 8441)

SINCE OTHER MANUFACTURER'S PRODUCT DOES NOT PROPERLY FIT AND FUNCTION.

THE MATERIAL IS DIRECT REPLACEMENT TO BE USED FOR FABRICATE SLAD #3

HYDRAULIC HOSE ASSEMBLY ON USS BLUE RIDGE LCC-19.

Page 3 of 3 Source: FLCPS July 2023

EQUIPMENT SPECIALIST

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: Email:

Printed Name:

Date :

Activity:

Document Number

FLCPS Contracting Officer Signature:

Printed Name:

Date:

JEANNINE L. CUNNINGHAM

3/4/26

TACHINAMI.MASAHIRO.1277284940 Digitally signed by TACHINAMI.MASAHIRO.1277284940

Date: 2026.01.26 14:50:09 +09'00'

N62758-6026-7473 THRU 6026-7508

CUNNINGHAM.JEANNINE.L.1395730149

MASAHIRO TACHINAMI

1/26/26

NAVSUP FLC YOKOSUKA SUPPLY DEPARTMENT C520