OBJECTION TO SOLE SOURCE DETERMINATION.pdf

PDF 18 KB Posted

Attached to
1451-26-R-RFIN-00001
Solicitation number
3150006540
Issued by
Mississippi

About this file

The document is an Objection to Sole Source Determination (OSS) Vendor Form from the Office of Purchasing, Travel and Fleet Management. This blank form is designed for vendors or individuals to challenge a proposed sole source procurement by providing details about alternative commodity providers. The form requires completion of vendor information, purchasing agency details, and a detailed explanation of why the commodity is not a sole source item.

The form provides space for a comprehensive written explanation of why the vendor believes they, their company, or another entity can provide the required commodity. While no specific commodity or agency is filled out in this example, the form is structured to allow a vendor to contest a sole source determination by presenting competitive alternatives or demonstrating that multiple providers could fulfill the agency's requirements.

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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:

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