IBWC_Form_356_Redacted.pdf

IBWC Form 356 (ACQ) 02/2016

SIMPLIFIED ACQUISITIONS SOLE SOURCE OR BRAND NAME JUSTIFICATION

Requestor

Authority: FAR 13.106-1(b)(1)- Contracting Officers may solicit from one source if the Contracting Officer determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand name, or industrial mobilization).

Estimated Cost (Base + All Options) Requisition Number

Description of Required Supply(s) or Service(s)

Describe why only one source can perform the required work.

Only one responsible source and no other supplies or services will satisfy agency requirements

Unusual and compelling urgency

Authorized or required by statute

Exclusive licensing agreements or proprietary information

Brand Name Only (NOTE: In accordance with FAR 11.105(a)(1), you must identify the particular brand name, product, or feature is essential to the Government's requirements, and market research which indicates other companies' similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet the agency's needs.)

Industrial mobilization; engineering, developmental, or research capability; or expert services

Rationale for the determination above including Brand Name Justification. (Please attach Performance Work State (PWS), Statement of Work (SOW) or specifications and any other supporting documentation.)

Market Research. (Describe the informal market research and the results, or state why a market research was not conducted.)

Requester's Certification. I certify that this information is accurate and complete.

Name Title Signature Date

Contracting Officer's Certification. I have determined that only one source is reasonably available Name Title Signature Date

Page of IBWC Form 356 (ACQ) 02/2016

SIMPLIFIED ACQUISITIONS SOLE SOURCE OR BRAND NAME JUSTIFICATION

..\My Pictures\seal-Large.JPG Requestor Authority: FAR 13.106-1(b)(1)- Contracting Officers may solicit from one source if the Contracting Officer determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand name, or industrial mobilization).

Estimated Cost (Base + All Options) Requisition Number Description of Required Supply(s) or Service(s) Describe why only one source can perform the required work.

Rationale for the determination above including Brand Name Justification. (Please attach Performance Work State (PWS), Statement of Work (SOW) or specifications and any other supporting documentation.)

Market Research. (Describe the informal market research and the results, or state why a market research was not conducted.)

Requester's Certification. I certify that this information is accurate and complete.

Name Title Signature Date Contracting Officer's Certification. I have determined that only one source is reasonably available Name Title Signature Date

ACQ

Laura Baker Simplified Acquisitions Sole Source or Brand Name Justification 02/08/2016 02/08/2016