OBJECTION FORM.pdf

PDF 18 KB Posted

Attached to
1941-25-R-RFIN-00004-V01
Solicitation number
3150006187
Issued by
Mississippi

About this file

The document is an Objection Form from the Office of Purchasing, Travel and Fleet Management related to a Sole Source Determination (OSS) vendor process. The form is designed to allow vendors or representatives to formally object to a proposed sole source commodity procurement by providing detailed explanations for why the commodity should not be considered a sole source item.

The form contains sections for vendor information, agency details, and a critical text field where the objecting party can elaborate on why the commodity is not unique to a single provider and potentially demonstrate that their company or another entity can supply the required commodity. The document provides space for contact information, submission date, RFIN number, and agency specifics, but the specific details are not filled out in this template version of the form.

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Text version

OFFICE OF PURCHASING, TRAVEL AND FLEET MANAGEMENT

OBJECTION TO SOLE SOURCE DETERMINATION (0SS)

VENDOR FORM

INFORMATION ABOUT THE VENDOR/INDIVIDUAL SUBMITTING OSS FORM

Vendor/Representative Name: _____________________________________________________________

Responsible Contact: ____________________________________________________________________

Phone/Email/Fax Contact: ________________________________________________________________

Date Form Submitted: _____________________________ RFIN#:________________________________

INFORMATION ABOUT THE PURCHASING AGENCY

Agency: _______________________________________________________________________________

Proposed Commodity Provider Name: _______________________________________________________

Type of Commodity: _____________________________________________________________________

Provide a detailed explanation of why the commodity is not a sole source commodity; including why you believe that you, your company, or another entity can provide the commodity required by the Agency.

VendorRepresentative Name:
Responsible Contact:
PhoneEmailFax Contact:
Date Form Submitted:
RFIN:
INFORMATION ABOUT THE PURCHASING AGENCY:
Agency:
Proposed Commodity Provider Name:
Type of Commodity:
Textfield:
Textfield0:

File details come from the government source that posted it. Updated .