VA_Sole_Source_Doc.pdf

LIMITED SOURCES DOCUMENTATION (DEC 2018)

Required for Limited Source Acquisitions Over $10,000 but not Exceeding $250,000

Acquisitions that do not allow for competition to the maximum extent practicable must be documented in accordance with Federal Acquisition Regulations (FAR) 13.106-3/b) for open market purchase orders or FAR 8.405-6/Q for Federal Supply Schedule (GSA) orders. Limited source documentation is required in the following circumstances: (1) when soliciting fewer than the minimum number of sources (at least three sources) required by FAR 13.104/b). 8.405-1 (c), or 8.405-2/c)/2). whichever is.applicable; and (2) when using brand name only specifications.

This template may be used for the documentation described in FAR 8.405-6/b)(2)(i) or 13.106-1(b)(1 ). The customer shall provide the following information:

Purchase Request Number: Delivery Date or Period of Performance: Estimated Amount (inclusive of options):

TBD 10/l/2019-9/30/2020

Brand Name Only Description: Recurring Requirement: FSS Contract Number (if applicable):

DYES ONO 181 YES ONO

Brief description of supplies or services required and the intended use:

Express Transponders for utilization in OGVs assigned to employees of the Mobile Diversion Team and for HQs Pool vehicles for tolls associated with driving on roads/highways.

Unique characteristics that limit availability to only one source, and any justification that no other supplies or services can be used or that urgent and compelling circumstances exist - include all critical delivery or performance dates and impact to the government if dates are not met:

EZPass Transponders is the only transponder that you can utilize to pay for the tolls associated with roads/highways where OGVs are driven. Only states issue EZ pass Transponders and the Virginia Dept. of Transportation will issue the EZPass Transponders for these request EZPass Transponders. Other states do issue EZPass

Transponders; however, there is no decreased cost by obtaining in other states.

Describe in detail any market research conducted. Include results and state whether any vendors expressed interest:

There are no other vendors. The tolls to travel on state highway/roads must be paid in cash or utilizing the EZpass transponders and there are no other vendors to negotiate the cost.

The Contracting Officer hereby certifies that:

A. Only one source is reasonably available;

B. An order for the supplies or services will not be placed unless the price is determined to be fair and reasonable; and

c. If brand name specifications are used for the basis of this determination and the acquisition exceeds $25,000, this Limited Source Documentation will be made available together with the solicitation in the Govemmentwide Point of Entry (FedBizOpps) in accordance with FAR 5.102/a)/6), on GSA e-Buy in accordance with FAR 8.405-6/d), or on the NASA SEWP V Quote Request Tool pursuant to 40 U.S.C. 11302/e).

Office Code Telephone Number Date

(CJ DPA

J

Signature and title of customer

Signature and title of contract specialist Office Code Telephone Number Date

Signature of contracting officer Office Code Telephone Number Date