9056 - PUR7776 Signed.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

FDOT DESCRIPTION OF INTENDED

SINGLE SOURCE PURCHASE

(PUR 7776)

375-040-53

PROCUREMENT

03/19

PUR 7776 (rev.10/14) Page 1 of 2 60A-1.010, F.A.C.

AGENCY: DEPARTMENT OF TRANSPORTATION

TITLE: CCRL Proficiency Samples Short description of the commodity or service desired: The Cement and Concrete Reference Laboratory (CCRL) samples to test concrete and hot mix asphalt.

CONTACT

Name: Jocelyn Moore Address: 605 Suwannee Street, MS 20 Tallahassee, FL 32399-0450 Telephone: 850.414.4482 Email: CO.Purch@dot.state.fl.us

Internal tracking number, if any: DOT-SS-26-9056-JM

Date posted: Last day for receipt of information:

This description of commodities or contractual services intended for purchase from a single source is posted in accordance with section 287.057(3)(c), Florida Statutes and will remain posted for a period of at least 15 business days.

Commodity or Service Required (commodity class and group, manufacturer, model, and description, as appropriate):

81141501: Materials Testing

Quantity or Term (as appropriate): 174 concrete samples and 413 hot mix asphalt samples

Requestor (division, bureau, office, individual, as appropriate): Melanie Sowers - State Materials Office

Performance and/or Design Requirements (intended use, function or application, compatibility etc. requirements; reference to policy, rule, statute or other act of the Legislature, etc., as appropriate): The Department is requesting concrete and asphalt proficiency sample sets in accordance with American Society of Materials and Testing (ASTM), Florida Method (FM), and American Association of State Highway Transportation Organizations (AASHTO) methods and procedures. The samples are used for evaluating the performance of qualified sampling and testing personnel who perform acceptance program sampling and testing for the Department.

Intended source (vendor, contractor): CMEC, Inc.

Estimated Dollar Amount: $44,025.00

Justification for single source acquisition (what is necessary and unique about the product, service or source; steps taken to confirm unavailability of competition, as appropriate): The Physical Structures lab at the State Materials Office hold certification for test methods from the CCRL. As the accrediting agency, CCRL requires participation in their proficiency sample test program. CMEC, Inc. is the only known vendor that provides proficiency samples in accordance with AASHTO’s Cement and Concrete Reference Laboratory accreditation and ASTM standards.

Approved By: (names & titles, as appropriate to Post on Vendor Bid System (VBS), e.g., requestor, requestor management, information systems, budget, purchasing):

Authorized Signature Title

Central Office Legal Review:

Authorized Signature Title

Docusign Envelope ID: 6F40FFF5-8099-4B5B-84D4-11ABC5694C8C

State Purchasing Administrator

Assistant General Counsel

CT920JM

Stamp

CT920JM

Stamp

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

FDOT DESCRIPTION OF INTENDED

SINGLE SOURCE PURCHASE

(PUR 7776)

375-040-53

PROCUREMENT

03/19

PUR 7776 (rev.10/14) Page 2 of 2 60A-1.010, F.A.C.

Legal review by the Office of General Counsel is required prior to posting. Please coordinate with District Legal Counsel prior to submission to the Office of General Counsel, MS-58.

Prospective vendors are requested to provide information regarding their ability to supply the commodities or contractual services described. If it is determined in writing by the agency, after reviewing any information received from prospective vendors, that the commodities or contractual services are available only from a single source, the agency shall:

1. Provide notice of its intended decision to enter a single-source purchase contract in the manner specified in s.120.57 (3) F.S.

Docusign Envelope ID: 6F40FFF5-8099-4B5B-84D4-11ABC5694C8C