Brand_Name_Justification_SSR_-_AL.pdf

13 October 2017 (Rev 1)

OTHER THAN FULL AND OPEN COMPETITION JUSTIFICATION FOR SIMPLIFIED

ACQUISITION PROCEDURES (SAP)(UNDER $150K)

PMD ID Number:

Department:

Type of Justification:

Company Name/Brand Name:

Company Address (if sole source):

Company POC and Phone Number (if sole source):

Description of Product, Supplies or Services required to meet the Agencies needs:

Statutory Authority Permitting Other than Full and Open Competition: FAR 13.106-1(b)(1)

Identification of the Justification Rationale: The material or service must be compatible in all aspects (form, fit, and function) with existing systems presently installed.

A patent, copyright, proprietary data, or licensing agreement limits competition.

These are "direct replacements" parts/ components for existing equipment.

Urgency (rare)

Identification of the Justification Rationale Explained:

**If using form, fit, and function, describe the current equipment and how the new item/service must coordinate or interface.

**If using patent, copyright, proprietary data, describe the proprietary data.

**If using direct replacement, describe this below.

**If using urgency, describe when you became aware of the requirement and the impact of not having this complete by this time frame.

Specific Characteristics of the Item or Service Required that Limit the Availability to a Sole Source or Brand Name:

**This is the most important section. Explain in detail why this company or brand are the only ones that can meet the requirement.

Market Research Conducted:

Statement of Actions, if any to Remove Barriers to Competition in the Future:

Any Other Facts Supporting Justification:

Technical Requirement Certification:

I certify that the facts and representations under my cognizance, which are included in this justification and which form a basis for this justification, are complete and accurate.

Technical/Requirements Cognizance Signature:

Signature Print Name, Title and Code Phone No. Date

Contracting Officer:

I certify that this justification is accurate and complete to the best of my knowledge and belief.

Contracting Officer Signature:

Signature Print Name, Title and Code Phone No. Date