JA_N55236230034_Redacted.pdf

(Revised 201 ) installed/performing. Describe the equipment/function you have now and how the new item/service must coordinate, connect or interface with the existing system.

A patent, copyright or proprietary data limits competition:

The items are “direct replacement” parts/components for existing equipment. Provide the information about the Next Higher Assembly (NHA)/equipment which the replacement parts are going into (e.g. description, model, part number, Original Equipment Manufacturer (OEM), etc.).

Other information to support sole source/brand name sole source procurement. The rationale must then justify "either" substantial duplication of cost to the Government that is not recovered through competition or unacceptable delays in fulfilling the mission of the agency.

The required parts must be replaced with the same exact material previously used and must have the same function capability as the part previously attached to the component. In addition, the replacement part must be compatible in all aspects to form, fit and function with the existing equipment as designed by the building yard.

Although replacement parts may be found from other vendors, an extensive search was conducted through various means and CLA-VAL is the only company that supplies the required replacement parts in regards to compat bility to form, fit and function with the whole component in order to efficiently function as required.

Furthermore, the system designed specifically states the replacement parts must be in accordance with the NAVSEA DWG, it is crucial to obtain this specific parts to ensure the system component functions properly, that all replacement parts fit the installation pieces and allow for ship's ballast systems to run efficiently.

CLA-VAL has quoted with qualified ballast valve parts that is affiliated with the ballast valves aboard the USS ANCHORAGE CLA-VAL has provided an OEM letter that indicates they are the sole source manufacturer and only vendor for repair parts.

The required items are direct replacement parts for the 240M-3 allast alves aboard the USS ANCHORAGE per NAVSEA Drawings.

All replacements parts requested are designed and manufactured by direction of NAVSEA Drawings and NAVSEA TECH MANUALS.

(Revised April 2018)

TECHNICAL OR REQUIREMENTS CERTIFICATION

I CERTIFY THAT THE STATEMENTS CHECKED, AND INFORMATION PROVIDED ABOVE, ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THE PROCESSING OF THIS SOLE SOURCE/BRAND NAME SOLE SOURCE JUSTIFICATION PRECLUDES THE USE OF FULL AND OPEN

COMPETITION.

Printed Name: Signature:

Title: Date:

CONTRACT SPECIALIST

Printed Name: Signature:

Title: Date:

Printed Name Signature

Title: Date:

CONCURRENCE

Printed Name: Signature

Title: Date:

Project Manager 29-Dec-2022

Contract Specialist 26-Jan-2023

Contracting Officer

Assistant Counsel

09-Feb-2023

13-Feb-2023