JA_Oshkosh Water Pump UPDATE_KO SIGNED.pdf

CONTRACTING ACTIVITY

BRAND

NAME BUY

YES

NO

NAME/CAGE CODE OF PROPOSED CONTRACTOR

O&M

NGREA

OTHER

Brief description of supplies or services required and the intended use:

Simplified Acquisition Procedures (SAP)

DETERMINATION MEMORANDUM FOR SOLE SOURCE ACQUISITIONS

OVER THE MICRO-PURCHASE THRESHOLD BUT NOT EXCEEDING

THE SIMPLIFIED ACQUISITION THRESHOLD

FAR 13.106-3(b)(3)(i)

SOLICITATIONS MAY BE LIMITED TO ONE SOURCE ONLY IF THE CONTRACTING OFFICER DETERMINES THAT ONLY ONE SOURCE IS REASONABLY AVAILABLE. WHEN THE CUSTOMER DESCRIBES AN ITEM OR SERVICE, WHICH LIMITS THE AVAILABILITY TO ONE SOURCE, THE DETERMINATION MUST EXPLAIN WHY

THE ITEM OR SERVICE PROVIDER IS THE ONLY ONE THAT WILL MEET THE GOVERNMENT'S

REQUIREMENT. STATEMENTS SUCH AS "ONLY KNOWN SOURCE" OR "ONLY SOURCE WHICH CAN MEET THE REQUIRED DELIVERY DATE" ARE INADEQUATE TO SUPPORT A SOLE SOURCE PURCHASE. THIS FORM MAY BE USED IN LIEU OF THE DETERMINATION DESCRIBED IN FAR 13.106. THE CUSTOMER

SHALL PROVIDE THE FOLLOWING INFORMATION:

SECTION A: GENERAL CONTRACT INFORMATION

PURCHASE REQUEST NUMBER:

PROJECT NAME

SECTION B: DESCRIPTION OF SUPPLIES/SERVIES REQUIRED

ESTIMATED AMOUNT (INCLUDING OPTIONS)

Provide a clear/concise statement of the facts justifying the award of a single source or brand name contract. For example:

(A) If the justification is the unique capabilities/supplies possessed by only one contractor, then state the reasons why no other contractor has or can obtain these capabilities/supplies.

(B) Written determinations such as regulation or technical order, requiring a designated brand name or sole source to be used.

SECTION C: JUSTIFICATION FOR SOLICITING FROM A SINGLE SOURCE OR BRAND NAME

Statement justifying price fair and reasonable to the government:

TO BE COMPLETED BY CONTRACTING OFFICE

SECTION D: MARKET RESEARCH & PRICE FAIR AND REASONABLE

Market Research:

SECTION F: STEPS TO PRECLUDE FUTURE SINGLE SOURCE OR BRAND NAME AWARDS

SECTION E: EFFORTS TO OBTAIN COMPETITION

Document efforts to obtain competition. For example, did market research identify any other company(s) that can provide your required product or service or was a sources sought synopsis issued by contracting to try to find anther source?

Provide a statement of actions, if any, the government may take to remove or overcome any barriers to competition before future acquisitions are required:

SECTION G: ANY OTHER SUPPORTING FACTORS

I CERTIFY THAT THIS JUSTIFICATION IS ACCURATE AND COMPLETE TO THE BEST OF MY

KNOWLEDGE AND BELIEF, AND THAT COMPLETING THIS PURCHASE AS A SOLE SOURCE IS IN THE BEST INTEREST OF THE GOVERNMENT. ADDITIONALLY, I APPROVE THIS JUSTIFICATION TO LIMIT COMPETITION SUBJECT TO THE AVAILABILITY OF FUNDS AND PROVIDED THAT THE SERVICES OR

SUPPLIES HEREIN DESCRIBED HAVE OTHERWISE BEEN AUTHORIZED FOR ACQUISITION.

8b. CONTRACTING OFFICER SIGNATURE

Justification: This gearbox is an integral part of the water pump drive line assembly. The P-19 Fire Rescue truck is a first response fire apparatus for both the Air National Guard and Pease Tradeport, allowing safe flying operations for aircraft.

cage code: