23Q2067 MF715-24 Sole Source Acquisition Form Redacted.pdf

SIMPLIFIED ACQUISITON PROCEDURES (SAP)

Justification for Brand Name and or Sole Source Acquisitions Over $3,500 but not Exceeding The Simplified Acquisition Threshold (SAT)

SOLICITATIONS MAY BE LIMITED TO ONE SOURCE ONLY IF THE CONTRACTING OFFICER DETERMINES THAT ONLY ONE SOURCE IS REASONABLE AVAILABLE. THIS DETERMINATION MUST BE SUPPORTED WITH FULL JUSTIFICATION FOR SOLE SOURCE FROM THE CUSTOMER. WHEN THE CUSTOMER DESCRIBES AN ITEM WITH A PURCHASE DESCRIPTION, WHICH LIMTS THE AVAILABILITY TO ONE SOURCE, THE JUSTIFICATION MUST EXPLAIN WHY THE ITEM IS THE ONLY ONE THAT WILL MEET THE GOVERNMENTS REQUIREMENT. STATEMENTS SUCH AS “ONLY KNOWN SOURCE” OR “ONLY SOURCE WHICH CAN MEET THE REQUIRED DELIVERY DATE “ARE INADEQUATE TO SUPPORT A SOLE SOURCE PURCHASE THE

CUSTOMER SHALL PROVIDE THE FOLLOWING INFORMATION:

1. PURCHASE REQUEST OR REQUISITION NUMBER

W44W9M23420249

2. PROJECT/TASK NUMBER

3. ESTIMATED AMOUNT

4. BRIEF DESCRIPTION OF SUPPLIES OR SERVICES REQUIRED AND THE INTENDED USE.

16 inch Automated Dezurik Knife Gate-120V, KGC,16,ES,F1,S2,ASP,S2-M-X-DXX906, KGC: Style - Cast Knife Gate Valve 16: Size - 16 Inch (400mm) and Actuator: Rotork Electric IQ Actuator, Size: IQS35 IQS35FA16A, WT,57RPM,120/1/60, WD123B0000 Gate and actuator are to be used to control the flow of influent to the sewer plant.

It is also to be used in the time of emergency to prevent contamination from reaching the plant by diverting flow to the flow equalization basin (lagoon).In the time of emergency the gate will need to be remotely operated from the control room located at

5. UNIQUE CHARACTERISTIC THAT LIMIT AVIALIABILITY TO ONLY ONE SOURCE, WITH THE REASON NO OTHER SUPPLIES OR SERVICES CAN BE USED. MOST RECENT MARKET RESEARCH CONDUCTED (INCLUDE DATES & DETAILS). IF MARKET RESEARCH WAS NOT

CONDUCTED, EXPLAIN.

MCAAP exceeded Sewer Treatment Plant (STP) fecal coliform effluent limitation in 2019, 2020, and 2021. MCAAP received Notice of Violation No. I-61000110-21-1 and subsequent Consent Order, Memorandum of Understanding Case No. 22-023 as a result of these excellences. The design calls for very specific tolerances and bolt pasterns that mach up with a custom made base plate that mounts to the existing canal and headwall. By changing any part of the parts modeled in the plans can result in a complete redesign of the project,leakage of contaminates into the environment, or damage to the existing headwall due changes to sheer stress levels.

6. REASON THAT SUGGESTED SOURCE IS THE ONLY SOURCE WHICH CAN PROVIDE THE SUPPLIES OR SERVICES. COMPATIBILITY WITH EXISTING SYSTEM, IF APPLICABLE, & NON-CONPATIBILITY COULD RESULT IN EXCESSIVE ADDITIONAL MANUFACTURING AND/OR

RESEARCH AND DEVELOPMENT COSTS.

7. EXPLAIN WHY AN ADEQUATE PURCHASE DESCRIPTION OR OTHER INFORMATION SUITABLE TO SOLICIT BY FULL AND OPEN

COMMPETITION HAS NOT BEEN DEVELOPED OR ARE NOT AVAILABLE.

8. PROVIDE A STATEMENT OF ACTIONS, IF ANY THE GOVERNMENT MAY TAKE TO REMOVE OR OVERCOME ANY BARRIER TO COMPETITION BEFORE FUTURE ACQUISITIONS ARE REQUIRED. IF THIS IS A FOLLOW-ON ACTION TO A PREVIOUSLY COMPETED ACTION, SO STATE.

Market research has already been performed and a suggested source and part no has been listed in the Equipment Salient Description.

9A. OFFICE SYMBOL

JMMC-PWP

9B. TELEPHONE NUMBER

9C. SIGNATURE OF DIVISION CHIEF OR HIGHER

9D. DATE

01/05/2023

10A. OFFICE SYMBOL 10B. TELEPHONE NUMBER 10C. SIGNATURE OF CONTRACTING OFFICER

10D. DATE

MCAAP FORM 715-24, February 2016 PREVIOUS EDITIONS ARE OBSOLETE