COPIERS_SOLE_SOURCE.kdwversion1.pdf

Justification and Approval for Sole Source

1. Identification of the agency and contracting activity.

2. Nature and/or description of the action being approved.

3. Description of the supplies or services required to meet the agency’s needs (including the estimated value).

a. Project title.

b. Project description.

• Requirement type. Check the appropriate box:

Research & development (R&D) R & D support services Support services (non-R&D) Supplies/equipment Information technology (IT) Construction Architect-engineer (A & E) services Design-build Other (specify): ____________________

• Type of action. Check the appropriate box:

New requirement Follow-on Other (specify): ______________________

• Proposed contract/order type. Check all that apply:

Firm-fixed-price Other fixed-price (specify, e.g., fixed-price award-fee, fixed-price incentive-fee): __________ Cost-plus-fixed-fee Other cost reimbursement (specify, e.g., cost-plus-award-fee, cost-plus-incentive-fee): ___________ Time and materials Indefinite delivery (specify whether indefinite quantity, definite quantity, or requirements): ___________ Other (specify): ___________ Completion Form Term form

• Contract / Purchase Order number.

c. Total estimated dollar value and performance/delivery period.

d. Demonstration that the proposed contractor(s) unique qualifications or the nature of the acquisition requires use of the authority cited.

4. Identification of the statutory authority permitting other than full and open competition.

This acquisition is conducted under the authority of 41 United States Code (U.S.C.) 3304(a)(__) as set forth in Federal Acquisition Regulation

(FAR) 6.302- __.

This acquisition is conducted under the authority of section 4202 of the

Clinger-Cohen Act of 1996.

This acquisition is conducted under the authority of the Services

Acquisition Reform Act of 2003 (41 U.S.C. 428a).

This acquisition is conducted under the authority of

__________________________________ as set forth in

5. Description of the efforts made to ensure that offers are solicited from as many potential sources as practicable. Indicate whether a FedBizOpps notice was or will be publicized as required by FAR Subpart 5.2 and, if not, which exception under FAR 5.202 applies.

6. Determination by the Contracting Officer that the anticipated cost/price to the Government will be fair and reasonable.

7. Description of the market research conducted (see FAR Part 10) and the results, or a statement of the reasons market research was not conducted.

9. Any other facts supporting the use of other than full and open competition.

10. Listing of sources, if any, that expressed, in writing, an interest in the acquisition.

11. Statement of the actions, if any, the agency may take to remove or overcome any barriers to competition before any subsequent acquisition for the required supplies or services.

12. USTP office certification.

This is to certify that the portions of this justification that have been developed by the undersigned office personnel, including supporting information and/or data verifying the Government’s minimum needs, schedule requirements and other rationale for other than full and open competition, are accurate and complete.

Official Name & Title Signature Date

Technical Cognizance

Supervisor / Manager

13. Contracting Officer Certification.

This is to certify that the justification for the proposed acquisition has been reviewed and that to the best of my knowledge and belief the information and/or data provided to support the rationale and recommendation for approval is accurate and complete.

Official Name & Title Signature Date

Contracting Officer

14. Chief of the Procurement & Property Branch signature(s).

Official Name & Title Signature Date

Chief of the Contracting

Office

Konica Biz Hub 754 Copiers.

Transit Manager USTP

The estimated total value for the services to be acquired is $53,481.90

Chief Procurement & Property