Single_Source_Justification_FA4877-18-Q-0531_-_F1PT5G8193AW01_-_Phanto.pdf

Single Source Justification (Simplified Acquisition)

20 Apr 2017 Page 1 of 2

Section A: General Contract Information

Contracting Activity: 355th Contracting Squadron

Project/Program Name: Phantom O2 Mask Parts

Purchase Request/Identification Number: F1PT5G8193AW01

Estimated Contract Cost (including Options): $208,024.70

Section B: Description of the Supplies/Services Required

The 68th RQS is requesting the following:

0001 - Retaining Screws (P/N: B49569-1). (QTY: 10 EA) 0002 - Small Narrow PHANTOM Hardshells (P/N: B49220-1). (QTY: 5 EA) 0003 - Medium Narrow PHANTOM Hardshells(P/N: B49221-1). (QTY: 5 EA) 0004 - Medium Wide PHANTOM Hardshells(P/N: B49222-1). (QTY: 5 EA) 0005 - Large Wide PHANTOM Hardshell (P/N: B49223-1). (QTY: 5 EA) 0006 - Small Narrow Facepiece (P/N: B49562-1). (QTY: 5 EA) 0007 - Medium Narrow Facepiece (P/N: B49563-1). (QTY: 10 EA) 0008 - Medium Wide Facepiece (P/N: B49564-1). (QTY: 10 EA) 0009 - Large Wide Facepiece (P/N: B49565-1). (QTY: 5 EA) 0010 - Anti-Suffocation PHANTOM Valve (P/N: B49230-1). (QTY: 10 EA) 0011 - Mask Mounted PHANTOM Regulator (P/N: B47315-1). (QTY: 10 EA) 0012 - Retaining Threaded Ring (P/N: B47333-1). (QTY: 10 EA) 0013 - Communication Adapter (P/N: B47302-1). (QTY: 10 EA) 0014 - Protective Exhalation Valve PHANTOM Cap (P/N: B49570-1). (QTY: 10 EA) 0015 - Microphone Assembly (P/N: B49770-1). (QTY: 5 EA) 0016 - Fillister Head Screw (P/N: B49771-1). (QTY: 15 EA) 0017 - Mylar Gaskets (P/N: B49772-1). (QTY: 15 EA) 0018 - Stator Assembly (P/N: B47773-1). (QTY: 15 EA) 0019 - Aneroid Assembly (P/N: B11507-1). (QTY: 10 EA) 0020 - Exhalation Valve Tester Gasket (P/N: B49349-1). (QTY: 1 EA) 0021 - Small Narrow Parachutist Mask/Regulator Assembly (P/N: B47300-1). (QTY: 4 EA) 0022 - Medium Narrow Parachutist Mask/Regulator Assembly (P/N: B47300-2). (QTY: 16 EA) 0023 - Large Wide Parachutist Mask/Regulator Assembly (P/N: B47300-4). (QTY: 5 EA) 0024 - Charging Hose Assembly (P/N: B54940-2). (QTY: 2 EA)

Section C: Justification for Soliciting from a Single Source or Brand Name

IAW AFI 11-410 parachutists approve for use list. CARLETON TECHNOLOGIES INC is the only vendor allowed to provide these parts.

20 Apr 2017 Page 2 of 2

Section D: Efforts to Obtain Competition

Being that this vendor is the only vendor listed on the parachutists approve for use list that can provide these parts, IAW AFI 11-410 no competition could be obtained.

Section E: Steps to Preclude Future Single Source or Brand Name Awards

Unless more vendors that can provide these parts are added to the parachutists approve for use list (AFI 11-410,) a sole source award is the only course of action.

Section F: 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

30-Aug-2018

Typed Name and Rank/Grade of Contracting Officer

Ryan Keller, SSgt, Contracting Officer

Signature of Contracting Officer

20 Apr 2017 Page of Section A: General Contract Information Section B: Description of the Supplies/Services Required Section C: Justification for Soliciting from a Single Source or Brand Name Section D: Efforts to Obtain Competition Section E: Steps to Preclude Future Single Source or Brand Name Awards Section F: 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.

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