A16_Sole_Source_under_SAT_1.pdf

JUSTIFICATION & APPROVAL FOR OTHER THAN FULL AND OPEN COMPETITION for SIMPLIFIED ACQUISITIONS OVER THE MICROPURCHASE THRESHOLD (See FAR Part 2)

UP TO SAT

(See FAR 13.106-1)

Date:

PR Number:

1. Nature and/or description of the item/service being procured and its intended use (include the anticipated cost):

2. Sole Source Justification rationale (Check one and explain below):

Only one responsible source.

Urgent and compelling circumstances exist. Include critical delivery or performance dates, and when you became aware of the requirement. Provide a specific statement of the impact on Government operations, financial or otherwise, if the required delivery or performance dates are not met.

Other

Explain:

3. Market Research. Please explain the results or why one was not performed. State whether any other offers were received or anyone expressed interest:

JUSTIFICATION & APPROVAL FOR OTHER THAN FULL AND OPEN COMPETITION for SIMPLIFIED ACQUISITIONS OVER THE MICROPURCHASE THRESHOLD (See FAR Part 2)

UP TO SAT

(See FAR 13.106-1)

PR Number

4. If this is a determination for sole source, the contracting officer certifies:

a. Only one source is available, or urgent and compelling circumstances exist.

b. The anticipated price will be determined fair and reasonable using the price analysis techniques described in FAR Part 13.106-3(a).

(Signature) (Date)

Type or Print Name:

Title:

(Signature) (Date) Type or Print Name:

Contracting Officer

Over $50,000:(if applicable)

(Date)(Signature)

Type or Print Name:

Warranted Individual 1 Level Above Contracting Officer