Siemens_Sole_Brand_Justification.pdf

Sole Source and/or Brand Name Justification

Requester

Daniel Nikolich, Region 8, 303-236-3687

The General Services Administration plans to Description of Supply or Service Required:

solicit from a single source. This document

Siemens SITRANS FUE 1010 BTU Meters sets forth the justifieation for soliciting from one source. [See FAR 6.302-11.

Estimated Price: How was this Price Determined to be Reasonable? (Attach appropriate documentation)

~ Government cost estimate D Published price list(s) $5,000.00

D Market survey D Other (specify):

D Previous similar purchase

Reason for Sole Source: - Specific manufacturer/model number required by GSA for connection to existing advanced metering system for chilled and heating water piping.

Proposed Contractor (include address, person to contact, phone #):

Contractor's Unique Qualifications:

Siemens meters are proprietary equipment and no other contractor can work on the meters and the meters are not compatible with other manufacturer meters.

other Sources Contacted (if any): Method used to Contact: D On-line Research

D Telephone D Other {specify):

D Leiter

D Visit OTHER. Using additional sheets, as required, provide any other factors used to support use of other than full and open competition. For example, explain why technical data packages, specifications, engineering descriptions, statements of work, or purchase descriptions suitable for full and open competition have not been developed or are not available.

(To be Completed by Contracting Officer) Acquisition Initiator Signature( o{ j -~ ~

Printed Name-:U//n.r /7/ £ ft·c...i Date '1)?/1, Purpose of Exception: Contracting Officer Signature:

Only One Responsible Source

··~0i?ftLL °' l\°' I ZD\1o Printecr'Name: QYlt\Vl(Xl \N \r.l 1/ l/ Date

Revised 7i10/2012