Atch 4_Brand Name Justification redacted_FA301621U0181 Amend 0001.pdf

Single Source Justification (Simplified Acquisition)

Section A: GeneralContract Information

Contracting Activity:

Project/Program Name:

Purchase Request/IdentificationNumber:

EstimatedContractCost (includingOptions):

Section B: Descriptionof the Supplies/Services Required

Section C: Justification for Soliciting from a SingleSourceor BrandName

SectionD: Efforts to Obtain Competition

Section E: Steps to Preclude Future Single Sourceor BrandName Awards

Section F: Technical Personnel Certification of Accuracy

The supporting data, which forms the basis of this justification, has been certified to be complete and accurate to the best of my knowledge and belief, and by the appropriate management level of my organization.

Date TypedNameandRank/Gradeof Technical Personnel Signatureof Technical Personnel

Section G: ContractingOfficer'sDetermination

I havedetermined, in accordancewithFAR13.106-1(b)(1), that thecircumstancesof thiscontract action deem onlya single source is reasonablyavailable.

Date TypedNameandRank/GradeofContractingOfficer SignatureofContractingOfficer

Section H: Flight Chief Review

Flight Chief’s signature indicates concurrence

Date Typed Name and Rank/Grade of Flight Chief Signature of Flight Chief