Encl 16 - Brand Name Justification and Approval.pdf

1. Organization/Contracting Office

2. Description of Action Being Taken:

If needed, continue on a separate piece of paper

3. Description of Product, Supplies or Services:

If needed, continue on a separate piece of paper

4. An identification of the statutory authority permitting other than full and open competition (Requesting activity completes with the assistance of the Contracting Specialist)

P&C Form 0005 (26 Dec 13) 1 If needed, continue on a separate piece of paper

USPFO For Texas Purchasing and Contracting Office

PR Number:

Requesting Activity:

BRAND NAME JUSTIFICATION AND APPROVAL

Limited Sources Justification and Approval

Enclosure 16

5. Identification of the Justification Rationale:

6. Best Value Determination:

If needed, continue on a separate piece of paper

7. Market Research Conducted If needed, continue on a separate piece of paper

If needed, continue on a separate piece of paper

8. Statement of actions, if any, to remove barriers to competition in the future.

P&C Form 0005 (26 Dec 13) 2

If needed, continue on a separate piece of paper

9. Any other facts supporting justification:

If needed, continue on a separate piece of paper

TECHNICAL CERTIFICATION/ REQUIREMENTS CERTIFICATION: “I certify that the supporting data under my cognizance which are included in the J&A are accurate and complete to the best of my knowledge and belief.”

Name: Date:

Title: Signature:

PROGRAM MANAGER REVIEW: “The requirement herein described is a valid requirement of the activity named in paragraph 3 of this J&A. The technical and requirements information contained in the J&A represent the minimum needs of the government. The only way to satisfy this requirement is by limiting competition as described herein.”

Name: Date:

Title: Signature:

CONTRACTING SPECIALIST: “I certify that this J&A is accurate and complete to the best of my knowledge and belief.” Recommend: Approval Disapproval

Name: Date:

Title: Signature:

APPROVAL

CONTRACTING OFFICER: Based on the forgoing justification, I hereby Approve Disapprove the brand name justification for the requirement listed in paragraph 3 above for limited sources.

Name: Date:

Title:

P&C Form 0005 (26 Dec 13) 3

Signature:

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

This brand name description will be procured in reference to FAR 6.302-1(c) "Application for brand name description."