2 SOLE SOURCE - redacted.pdf

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SPAWARSYSCENLANT 4200/30 (Rev. 08/18) Adobe LiveCycle Designer ES4 v11.0 SPAWARSYSCENLANT 4200/30 (Rev. 08/18) Page of

JUSTIFICATION FOR SINGLE SOURCE < SIMPLIFIED ACQUISITION THRESHOLD (SAT)

(Ref: FAR 13.106-1(b)(1))

- Complies with the requirements of Department of Navy Simplified Acquisition Procedures Guide for simplified acquisition wherein competition is limited to a sole source or brand name specification. Utilize for FAR Part 13 acquisitions at or below the simplified acquisition thresholds defined in FAR 2.101 that are either (1) solicited from a single source, or (2) contain brand name specifications.

- Tailor to the individual acquisition.

- Applicable only to FAR Part 13 acquisitions within the simplified acquisition thresholds defined in FAR 2.101.

JUSTIFICATION

Select one of the following depending upon whether the procurement is sole source, or if a brand name will be specified in the RFQ.

Select one of the following depending upon whether the procurement is sole source, or if a brand name will be specified in the competitive RFQ.

Select and fill in all that are applicable.

PROCUREMENT SYNOPSIZE

To be completed by the Contract Specialist after synopsizing the proposed procurement through FedBizOpps (>$25K) and SPAWAR e-Commerce (>$15K) for brand name and sole source acquisitions.

In an effort to solicit offers from as many offerers as practicable, this requirement was synopsized on in accordance with the provisions of FAR Part 5.

NOTE: Indicate if any responses were received, and explain how it was concluded that the respondent(s) would be unable to satisfy the requirements of the proposed procurement. If a synopsis of the proposed procurement was not published in FedBizOpps, explain why not, including the applicable FAR 5.202 regulatory exception.

CERTIFICATION

I certify that statements checked and information provided above are complete and accurate to the best of my knowledge. Requirement Owner: Department Requirement / IPT LEAD - Competency Requirement / Competency Tier 3/4 Under the authority of FAR 13.106-1(b)(1), the justification for a single source is hereby approved.

APPROVAL

ADDITIONAL FORM INFORMATION:

- Purpose of Form: Justification for Single Source < SAT

- Form Preparation: Requestor

- Form Copies: 1

- Form Submission: Contracting Officer

- Form Location: SSC LANT Forms Library 11.0.1.20130826.2.901444.899636

P/N H32-1221-01, FILTER BAND PASS, EVALUATION, QTY 5

P/N H39-0631-02, PANEL C ONTROL, ELECTRICAL, EVALUATION, QTY 10