FY24 ODS OSHA Rough Terrain Forklift Justification for Fair Opportunity FAR Part 16.5_Redacted.pdf

CUI//SP-SSEL

Control Number:

CUI//SP-SSEL

(Source Selection Information - See FAR 2.101 and 3.104-4)

JUN 2023

Reviews

I have reviewed this justification and find it adequate to support the justification for an exception to fair opportunity.

Legal Counsel

Typed Name: ________________________________DSN: ______________________

Signature: _________________________________ Date: ______________________

Command Advocate for Competition (As a reviewer, applies if J&A value exceeds $15M)

Typed Name: ________________________________DSN: ______________________

Signature: _________________________________ Date: ______________________

Senior Contracting Official (As a reviewer, applicable only if the SCO is a GO/SES and J&A total dollar value exceeds $100M; If SCO is not a GO/SES, applicable if J&A value exceeds $15M.)

Typed Name: ________________________________DSN: ______________________

Signature: _________________________________ Date: ______________________

Head of the Contracting Activity or Designee (Only applies if total J&A value over $100M; If delegated SCO at GO/SES level only; otherwise, HCA.

NOTE: For ACC, remove this signature block as all SPE level J&As must be concurred upon by either HCA or Deputy to the Commanding General on AMC Form 356.)

Typed Name: ________________________________DSN: ______________________

Signature: _________________________________ Date: ______________________

Senior Procurement Executive (Only applies if total dollar value exceeds $100M.

Authority cannot be delegated, except in the case of the Under Secretary of Defense for Acquisition and Sustainment, acting as the SPE for the Department of Defense).

CUI//SP-SSEL

(Source Selection Information - See FAR 2.101 and 3.104-4)

JUN 2023

Typed Name: ________________________________DSN: ______________________

Signature: ___________________________________Date:

CUI//SP-SSEL

(Source Selection Information - See FAR 2.101 and 3.104-4)

JUN 2023

requirements for this contract all attempts were made to keep cost at a minimum. OSHA offers a flexible program and is the only organization that offers these credentials. A recommendation for a base year and four optional years is required to fulfill the mission of this contract for the following credentials:

. Total cost of development and grading of assessments, practical exercises, printing and shipping of initials transcripts and diplomas included in price. Total cost for each enrollment with study materials and test is . Projected total cost for students. Certificates are awarded to the student upon their passing of the exam.

. Total cost of development and grading of assessments, practical exercises, printing and shipping of initials transcripts and diplomas included in price. Total cost for each enrollment with study materials and test is . Projected total cost for .

Certificates are awarded to the student upon their passing of the exam.

9. Other Facts:

a Procurement history.

(1) Contract numbers and dates of the last several contracts for these same requirements.

(2)

(3)

(4)

(5)

(6)

(7) .

b. Other facts.

10. Technical Certification: Include the following statement:

I certify that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Signature: ________________________________Date: ______________________

Typed Name: ____________________________Title: _________________________

CUI//SP-SSEL

(Source Selection Information - See FAR 2.101 and 3.104-4)

JUN 2023

11. Requirements Certification: Include the following statement:

I certify that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Signature: ________________________________Date: ______________________

Typed Name: ____________________________Title: _________________________

The individual(s) within the organization responsible for acquiring the supplies or services described in the justification (e.g., program manager, depot commander, or senior program engineer) and with specific knowledge of the individual requirement (commodity, technology, and/or function) is required to sign the technical and requirements certifications.

12. Fair and Reasonable Cost Determination: Include the following determination:

I hereby determine that the anticipated cost to the Government for this contract action will be fair and reasonable.

Provide the basis for this determination (e.g., describe techniques to be used to determine fair and reasonable price, such as cost analysis, price analysis, audit, should cost, independent Government estimate, etc.). As part of the basis, indicate whether certified cost or pricing data will be required or if one of the exceptions in FAR 15.403 applies.

Signature: ________________________________Date: _____________________

Typed Name: ____________________________Title: ________________________

13. Contracting Officer Certification: This certification shall be made by the contracting officer who will sign the contract resulting from this justification and approval. Include the following statement:

I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature: ________________________________Date: _______________________

Typed Name: ____________________________Title: __________________________

CUI//SP-SSEL

(Source Selection Information - See FAR 2.101 and 3.104-4)

JUN 2023

Approval

Based on the foregoing justification, I hereby approve the procurement of (state equipment/services being procured and total dollar value) on an other than full and open competition basis pursuant to the authority of (Identify the statutory authority permitting the justification for an exception to fair opportunity followed by the specific FAR citation and its title. "10 United States Code 3406(c)(5) as implemented in Federal Acquisition Regulation 16.505(b)(2)”) subject to availability of funds, and provided that the services and property herein described have otherwise been authorized for acquisition.

Signature: _____________________________ Date: _________________________

Typed Name: ___________________________ Title: __________________________