Hudson_Pump_-_0903_-_090324RB3_-_SS_backup.pdf

06/19/2020

The Single Source Request Form is intended to assist the efficiency of City departments in identifying if a supplier qualifies as a Single Source provider of a good or service. The accurate completion of the form will assist the Procurement Services Division determine if the Supplier is qualified to be considered as a Single Source Provider.

Before considering submittal of this request, please review the definition below to help determine if the Supplier meets the requirements to be considered a Single Source Provider:

Single Source shall be defined to mean that only one supplier is capable of providing the goods or services that meet the required standards.

Documentation in the form of a letter will need to be provided by the Manufacturer/Supplier stating that their product or service meets the requirements to be considered a Single Source. This letter must be on the Manufacturer/Supplier's letterhead and signed by an officer of the corporation or owner of the business.

It shall be the responsibility of the requesting Division/Department to thoroughly investigate the Supplier and their product/service to determine if the product/service is actually a Single Source. The Procurement Services Division can provide assistance with the location of possible alternate vendors for the requesting Department/Division to evaluate.

If it is determined that the Supplier's product/service qualifies as a Single Source provider, the Procurement Services Division will post the Supplier’s Single Source letter on the City of Fort Myers’ Procurement website for seven (7) consecutive business days. If after seven (7) business days the City receives no challenges or protests to the request, the requisition will be processed, and a Purchase Order issued to the successful supplier.

If you have any questions please contact the Procurement Services Division at (239) 321-7232 or cfmpurchasing@cityftmyers.com. When the form is complete, please click the button below:

mailto:cfmpurchasing@cityftmyers.com

06/19/2020

Date Submitted: Requisition Number

Contact Person:

Requesting Division/Department:

Product or Service Requested:

Please describe the product or service and its function:

Telephone Number

Requested Supplier Name:

Cost of Product or Service:

Please initial the following statements to verify that both statements apply:

This purchase is clearly and legitimately limited to a Single Source because the product or service:

(a) is available from only one source and there are no alternates (sole source);

or

(b) has unique characteristics essential to the program or intended use which no other product would be acceptable to the City and is only available from this supplier.

Attach documentation certifying the supplier is the only source for the products or services in question and/or holds the production, copyrights, trademark, and/or patent to the item, and check the following applicable statements:

The supplier holds the exclusive distribution rights for the item (letter from manufacturer);

This is the only item compatible with existing equipment owned by the City.

The supplier is the single provider of the goods or services that have unique characteristics essential to perform the intended function and no other product will be suitable for use by the City.

What steps were taken to verify that these features are not available elsewhere?

Other brands/manufacturers were examined (please list names and phone numbers, and explain why they are not suitable for use by the City—attach additional pages as necessary):

Other suppliers were contacted (please list names and phone numbers, and explain why those contacted would not meet the needs of the City—attach additional pages as necessary):

City of Fort Myers Single Source Request Form

01/01/2021

Date Approved Denied

State why this is the only source for the required product or service (attach additional pages as necessary):

Requestor’s Signature Date

Department Director’s Signature Date

Purchasing & Contract Administration Notice of intent to enter into a single/sole source contract posted.

Date Expired:

Yes No

Date Posted:

Verified that this is the only source:

Comments:

Procurement Services Specialist

Manager, Procurement Services

Date

Single Source requests made to the City Manager or City Council must include the following language: “This is a request for approval of a Single Source. All appropriate forms, procedures, and processes have been completed in accordance with the Florida Statutes and Procurement Services has validated this request.”

****IMPORTANT NOTICE****

Before declaring a commodity or service as a single/sole-source purchase, please read the following:

Pursuant to section 838.22, Florida Statutes, it is a felony of the second degree for a public servant to circumvent a competitive bidding process required by law or rule by using a single-source contract for commodities or services and is punishable as provided in sections 775.082, 775.083, or 775.084, Florida Statutes.

Quoted By: Roger Burna

Pump & Equipment A Division of Tencarva Machinery Company

3524 Craftsman Boulevard • Lakeland, FL • 33803

Tel: (863) 665-7867 • Fax: (863) 666-5649

Municipal Division

Quote No: 090324RB3 Date: 09/03/24

Customer: City of Fort Myers No. Pages: 1

Location: Your No.:

Attn: Joe Trapp e-mail: jtrapp@cityftmyers.com

Phone: (239) 321-7651 Terms: N30

Fax: F.O.B.: Delivered

From: Roger Burna/Scott Chisholm Freight included

Conditions of Service:

We are pleased to quote as follows:

Qty Description Price Each Delivery

Submersible Turbine Pump, Xylem/Goulds Water Technology

Model 11CSLC-2 Stage, 316SS, 8” Discharge, 8” Motor

Adapter with Franklin Motor, 8”, 125 HP, 3525 RPM, 316SS, 3 Ph, 460V and 150 ft of Spliced, Jacketed Power Cable, 8” Stainless Steel Check Valve, Certalok Adapter, and Pipe

Nipple, with Stainless Steel Safety Cables & Shackles, with

One (1) spare Spare Spool of 150 ft of Spliced, Jacketed

Power Cable.

$77,985.00

10-14 wks

Quote Valid 60 Days

With the following notes:

1. Freight is included.

Best Regards, Roger Burna

HUDSON PUMP & EQUIPMENT

phone: (863) 665-7867 fax: (863) 666-5649 e-mail: rburna@tencarva.com visit us at www.hudsonpump.com

Official Notice

Date:

Subject:

To:

January 4, 2024

ITT Goulds Pumps Municipal Representation

State of Florida

Whom it may concern, This Document serves as official notice that Hudson Pump & Equipment, a Division of Tencarva Machinery

Company is the exclusive municipal representative for all sales of ITT Industrial Process products in the state of

Florida. This exclusivity agreement applies to all ITT Industrial Process products as shown below:

• ITT Goulds Pumps sold under the “brand names” of Goulds Pumps, Allis-Chalmers, Goyne Pump and Morris

Pumps. (Please note: Goyne Pump Company was acquired by ITT Goulds Pumps in 1979 and Morris Pumps was acquired by ITT Goulds Pumps in 1981).

• ITT Goulds Pumps’ repair parts sold under the “brand names” Goulds Pumps, Allis-Chalmers, Goyne Pump and Morris Pumps.

• ITT Monitoring & Control (Variable Frequency Drives) sold under the “brand names” of ProSmart and

PumpSmart

• In addition, Hudson Pump is the “only” Goulds Pumps Authorized Service Center (ASC) within the state of

Florida which gives them exclusive “authorized” rights for the repair / rebuild of Goulds Pumps equipment.

If you have any questions regarding this agreement, please don’t hesitate to contact me.

Best regards, Kelly Beaver

ITT Goulds Pumps

Regional Sales Manager

KELLY BEAVER

200 Summit Overlook Drive

Dawsonville, GA 30534

Tel (770) 856-9136

E-mail: kelly.beaver@itt.com