REQSL1523453.pdf

AWARD WITHOUT COMPETITION JUSTIFICATION AND APPROVAL FORM

In accordance with Purchasing Code Section 102-384, Award without competition (Sole Source) may be awarded without competition when the County Manager and the Chief Purchasing Agent determine, in writing, upon recommendation of the User Department and after Purchasing conducts a good faith review of available resources, that there is only one source for the required work, labor, or service to be done on the supplies, materials, or equipment to be furnished. Complete the form below to request the Department of Purchasing designation of Award without Competition (Sole Source).

Requesting Department/Agency: Superior Court Administration

Department/Agency Contact Information: Heather Henderson

Supplier/Source Company Name: Micro-Distributing, Inc.

Supplier/Source Contact Information: Jeff Milner

Estimated Spending Request: $31,950.00

Description of Supplies/Services: Micro-Distributing, Inc. will support the efforts of Fulton County’s Accountability Court using patent protected eRAMx through the provision of same-day live remote oral fluid rapid drug testing with trained proctors performing the observations.

Demonstration of Contractor’s Unique Qualifications:

CHECK ALL THAT APPLY: Any selection requires an explanation in the text box below. The explanation must clearly indicate why the proposed supplier is the ONLY supplier that will meet your requirements. Upload any back-up documentation in BidNet with your request.

__X__Uniqueness of a product (explain your research/work requirements and the relevance of the product).

____Critically important features (detail the features and your research of comparable items).

_ X__Continuity of existing research/work

____Repairs, replacement parts, or technical service available only from manufacturer or authorized distributor

____ Compatibility with existing equipment

____ Other, Explain _______________________________________________________________________

TO BE COMPLETED BY THE DEPARTMENT OF PURCHASING REPRESENTATIVE:

DOES THE REQUEST MEET THE REQUIREMENTS YES NO

Is request exempt from Public Notice requirement

Public Notice requirements met

Does request meet one of the qualifying situations

The proposed contracting entity is authorized to conduct business in the State of Georgia.

If applicable, the contracting entity must comply with the Georgia Security and Immigration Act (E-Verify). A copy of the Georgia Immigration and Security Contractor Affidavit is obtained from the contracting entity.

If federal funded, documented that the contracting entity is not on the Excluded Parties List System (EPLS) that identifies those parties debarred, suspended, proposed for debarment, excluded or disqualified under the non-procurement rule, or otherwise declared ineligible from receiving federal contracts, certain subcontracts, and certain federal assistance and benefits.

Obtain Certificate Insurance requirements based on the coverage and limits included in the cooperative purchase/statewide/GSA contact. The County must be the Certificate Holder, Additional Insured and Subrogation boxes should be marked.

I have reviewed the items on the above checklist for this solicitation and the request

_____Meets the requirements ____Does not meet the requirements

Purchasing Recommendation:

_____ Award Sole-Source

_____ Issue PO / Contract

_____ Not Awarded / Competitively Bid

(Ensure that backup documentation has been scanned/saved into folder for this request)

(CAPA/APA) Purchasing Agent Date

Chief Purchasing Agent Date https://sam.gov/search/?index=ex&page=1&pageSize=25&sort=

Public Notice

In accordance with Purchasing Code Section 102-384(f) Exceptions, the following categories are exempt from the Public Notice requirements, please check the appropriate box, if applicable:

____ A governmental agency is the only provider of the service and/or services;

____ When acquiring legal services;

____ Authorized or required by statute, a statute expressly authorizes or requires that the acquisition be made through another agency or from a specified source;

____ The existence of limited rights in data, patent rights, copyrights, or secret processes; or similar circumstances make the supplies and services available form only one source.

Public Notice Required ___

Date Public Notice posted on website:

Date Public Notice closed:

REVIEW OF OFFER(S)

Were any offers received (Y/N):

Number of offers received:

Respondents:

Date Offers submitted to User Department for review:

User Department review and recommendation:

Qualifying Determination

____ Independent research through internet searches or discussions with subject matter experts corroborated that the item is available only from one source.

____ The request demonstrates the uniqueness of the item(s) or service(s) to be procured from the proposed contractor or vendor due to compatibility, patented or proprietary system.

____ The request demonstrates and provides support of how the determination was made that the item(s) or service(s) is only available from one source (e.g. market survey results, independent research, patented or proprietary system).

____ Does the request demonstrate a significant need for contractor’s expertise linked to the current project (e.g., knowledge of project management, responsiveness, experience of contractor personnel, and/or prior work on earlier phases of project)

____ Does not meet the requirements

Market Survey

____ Internet searches ____ Advertisement of intent to award a sole source.