IDVS - Kwalu - Request Form to Division of Purchasing (DOP).pdf

Request Form to Division of Purchasing (DOP)

Brand Name Only - BNO

If you have any questions please contact us at DOPHelpDesk@adm.idaho.gov

Form ID

Generated after Receipt by DOP

Year

Requestor Information

Agency Name * Idaho Division of Veterans Services

Agency Acronym *

IDVS

Requestor Name * Danny Arnold

Phone * 208-780-1326

E-mail * danny.arnold@veterans.idaho.gov

Property Being Purchased: * Composite Senior Living Furniture by Kwalu

This field has a 300 character limit

Type of Exemption Check all that apply

Type of Exemption *

A solicitation has been completed and my Agency wishes to award contracts to multiple vendors for the same or smilar property (Multiple Award Authorization)

My Agency wishes to administer or award a solicitation at a dollar amount above its normal Delegated Purchasing Authority (Limited/One-Time DPA)

The property required is available on one or more open contracts, but my Agency wishes to purchase from a different vendor. (Note: if total value is over $10,000, Agency must also check the box for exemption from competition if requesting to pruchase from a specific vendor). (Utilization of Open Contract).

A solicitation is being developed (by my Agency under its DPA or in conjunction with DOP) and my Agency wishes to limit responses to a specific manufacturer/brand name (I.e. no substitutions). (Note: this option assumes that multiple vendors can offer the identified brand name; otherwise, select the option for exemption from competition to request a Sole Source Authorization (Brand Name Only)

A solicitation has been completed and there is a need to negotiate with one or more vendors. (Authorization to Negotiate)

My Agency is seeking to purchase directly from an identified vendor without completing a solicitation OR wishes to perform a level of competition that is less formal than would typically be required. (Various exemptions-additional questions to follow) mailto:danny.arnold@veterans.idaho.gov

Brand Name Only

IDAPA 38.05.01.111.05 provides that brand name specifications may be utilized if the administrator or designee makes a written determination that the requirement for the brand name is justified, based on the needs of the State. Brand name products must be competitively bid to the greatest extent practicable.

Name of Manufacturer (Brand Name): * Kwalu

Justification * Kwalu is a furniture manufacturer that specializes in senior assisted living and healthcare environments and meets the requirements of the Centers for Medicare and Medicaid Services and the U.S. Department of Veterans Affairs.

This field has a 300 character limit

Confirm Not Available *

Check here to confirm that the required property is not availabe on an Open Contract

File Upload - BNO

Kwalu- Background.pdf 10.06MB

Maximum File Size 250 MB

Certification *

By submitting this form, I certify that the information provided above is true and accurate to the best of my knowledge, and supports the requirement for a brand name specifications, in the best interest of the State:

Agency Representative: *

Submittal Date * 2025-04-03

Approval - BNO

Administrator Intends to approve. *

Yes No

Optional Posting? * This exemption will be sent for posting before final approval.

Yes No

Notes Public View

This field has a 300 character limit

BNO File Upload

Maximum File Size 250 MB

Date https://adminrules.idaho.gov/rules/current/38/380501.pdf https://adminrules.idaho.gov/rules/current/38/380501.pdf

2025-04-07