N0024419Q0205_1.02_Sole_Source_Doc-redacted.pdf

NAVSUP FLC San Diego Justification for Sole Source / Brand Name Sole Source (Simplified Acquisitions < $150K (Revised March 2013)

JUSTIFICATION FOR SOLE SOURCE / BRAND

NAME SOLE SOURCE (Simplified Acquisitions < $150K)

PLEASE CHECK ALL APPLICABLE BOXES AND FILL IN ALL APPLICABLE BLOCKS BELOW. A

NARRATIVE MUST BE ADDED TO ALL APPLICABLE SECTIONS. CHECKING A BOX IS NOT SUFFICIENT.

Document Number: 61326

The material and/or service listed on this form is (please mark one): Sole Source Brand Name Sole Source

Restricted to the following source or manufacturer:

Manufacturer: American Hofmann Manufacturer POC and Phone Number:

Manufacturer Address: 3700 Cohen Place, Lynchburg, VA 24501 Dealer POC and Phone Number (if applicable):

Dealer Address (if applicable):

Description of the item(s) or service(s) required and the estimated cost(s):

Item# MFG Name MFG Part# Description Qty U/I Unit Price Ext Price

1 30471 PCX-24.2J

Provide PM & calibration services on balance machine s/n 84-4-094

1 EA

2 30471 PCX-24.2J

Provide PM & calibration services on balance machine s/n 84-4-095

1 EA

3 30471 PCX-24.2J

Provide PM & calibration services on balance machine s/n 84-4-096

1 EA

4 30471 PCX-24.2J

Provide PM & calibration services on balance machine s/n 84-4-097

1 EA

*** If additional items are required, please provide on a separate spreadsheet

Required Delivery Date (RDD) or Period of Performance (POP): NLT

Specific characteristics of the material or service that limit the availability to a sole source/brand product (unique features, function of the item, etc.). Describe in detail why only this source/brand can furnish the requirements to the exclusion of other sources/brands. Navy calibration labs do not possess the specialized OEM training and equipment required to perform organic calibrations and address the complexity of the balance machine procedures. Because of the proprietary OEM data and software utilized in the control panel of these Hofmann balance machines, American Hofmann Corporation is the only available source to perform the necessary preventative maintenance and calibrations on these machines.

NAVSUP FLC San Diego Justification for Sole Source / Brand Name Sole Source (Simplified Acquisitions < $150K (Revised March 2013)

The requested material or service represents the minimum requirements of the Government. FRCSW requires that all the balance machines have an active calibration certificate which are only valid for one year. The current calibration expires on

The material or service must be compatible in all aspects (form, fit and function) with existing systems presently 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.

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: David Colson Signature:

Title: Project Manager -63120 Date: 2/20/19

CONTRACTING OFFICER CONCURRENCE

Printed Name: Signature:

Title: Date:

PEREZ.JUANA.M.12318378

Digitally signed by PEREZ.JUANA.M.1231837821 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=PEREZ.JUANA.M.1231837821 Date: 2019.04.05 11:25:43 -07'00'

FRANCHI.RALPH.A.1

196492069

Digitally signed by FRANCHI.RALPH.A.1196492069 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=FRANCHI.RALPH.A.1196492069 Date: 2019.04.05 07:51:25 -07'00'

JUSTIFICATION FOR SOLE SOURCE: AMERICAN HOFMANN

(Additional Information Sheet)

Base Year:

Item # MFG

Name MFG PN Description QTY U/I Unit Price Ext. Price

1 30471 PCXV-

200.1J

PM and CS 1 EA

2 30471 HXV-

200.1J

PM and CS 1 EA

3 30471 PCX-

24.2J

PM and CS 1 EA

4 30471 PCX-

24.2J

PM and CS 1 EA

5 30471 PCX-

24.2J

PM and CS 1 EA

6 30471 PCX-

24.2J

PM and CS 1 EA

Total 6

Option Year 1:

Item # MFG

Name MFG PN Description QTY U/I Unit Price Ext. Price

1 30471 PCXV-

200.1J

PM and CS 1 EA

2 30471 HXV-

200.1J

PM and CS 1 EA

3 30471 PCX-

24.2J

PM and CS 1 EA

4 30471 PCX-

24.2J

PM and CS 1 EA

5 30471 PCX-

24.2J

PM and CS 1 EA

6 30471 PCX-

24.2J

PM and CS 1 EA

Total 6

Option Year 2:

Item # MFG

Name MFG PN Description QTY U/I Unit Price Ext. Price

1 30471 PCXV-

200.1J

PM and CS 1 EA

2 30471 HXV-

200.1J

PM and CS 1 EA

3 30471 PCX-

24.2J

PM and CS 1 EA

4 30471 PCX-

24.2J

PM and CS 1 EA

5 30471 PCX-

24.2J

PM and CS 1 EA

6 30471 PCX-

24.2J

PM and CS 1 EA

Total 6

Total for 3 Years:

____________________________ 3/25/19 David Colson DATE Equipment Project Manager

FRCSW 63120