Attch 1 - Brand Name JA.pdf

Single Source Justification (Simplified Acquisition)

Section A: General Contract Information

Contracting Activity:

Requesting Activity:

Purchase Request/

Identification Number:

Project/Program Name: Estimated Contract Cost

(including Options):

Section B: Description of the Supplies/Services Required

Provide a brief non-technical description of the supplies/services to be acquired.

Section C: Justification for Soliciting from a Single Source

Provide a clear/concise statement of the facts justifying the award of a single source or brand name contract. For example:

Section D: Efforts to Obtain Competition

Document efforts to obtain competition. For example, did market research identify any other company(s) that can provide your required product or service or was a sources sought synopsis issued by contracting to try to find another source?

Section E: Steps to Preclude Future Single Source Awards

Provide a statement of actions to be taken by the requiring activity to preclude the necessity for future sole source acquisition of the same supplies/services (e.g., conducting a market survey to determine potential future sources).

Section F: Request ing Act iv i ty Acknowledgment

As evidenced by their signature on the Single Source Justification Document, the technical and/or requirements personnel have certified that any supporting data contained herein, which is their responsibility, is both accurate and complete to the best of their knowledge.

Date Typed Name, Rank/Grade of Requesting Activity Commander Signature of Requesting Activity Commander

Section G: Contracting Officer's Determination

I have determined, in accordance with FAR 13.106-1(b)(1), that the circumstances of this contract action deem only a single source is reasonably available.

Date Typed Name and Rank/Grade of Contracting Officer Signature of Contracting Officer

competition as there are multiple vendors that distribute the approved equipment.