Request Form to Division of Purchasing (DOP).pdf

Request Form to Division of Purchasing (DOP)

Name:*

E-mail:*

Phone:*

Agency Name*

Property being Purchased:*

Submission Date

Fiscal Year

IDAPA 38.05.01.045 provides that sole source purchase shall be used only if a requirement is reasonably available from a single supplier.

Type of Request*

Name of Requested Vendor*

Desired Term (in years):*

Anticipated Total Cost (for full desired term):*

Do you anticipate the need for renewals?*

Property*

Justification*

Sole Source Authorization

Monica Degard mdegard@imd.idaho.gov

Format phone number as (555)555-5555

(208)801-4257

Idaho Military Division

EFSAT 3D Steel Targets

7/11/2023

New Renew (Agency wishes to extend an existing sole source authorization) Amend (Check this box to request a change to the goods/services, term, or other conditions of the SSA) Both Renew and Amend

New

Patriot Products

450,000.00$

Yes No

Describe the property you are seeking:

Environmentally Friendly Stationary Armor Targets (EFSAT), 3D Steel Targets

Check all that apply:

Sole source provider of a licensed or patented good or service Sole manufacturer AND distributor Sole provider of factory-authorized/warranty service Sole provider of items that are compatible with existing equipment, systems, programs, etc.

Other https://adminrules.idaho.gov/rules/current/38/380501.pdf

Business Need*

Description*

Alternatives*

Requestor was asked to upload a letter from the requested manufacturer/supplier

Requestor was asked to upload any additional documents/information that could help support the sole source request

File Upload

Agency Certification*

Signature

Approval

The following conditions apply to this authorization:

SSA Number*

DOP Signature*

DOP Printed Name*

Title*

Describe the Agency’s business need for the requested property:

IMD supports the Idaho Army National Guard (ARNG) and the use of the training ranges located at the Orchard Combat Training Center (OCTC). Per the Army National Guard regulations for Range Safety (Department of Army Pamphlet 385-63) there are minimum standards that must be met in order for our Units and visiting Units to pass their qualifications. These minimum standards must be met by all OCTC functions to include types of targets, materials and other specifications. Patriot Products LLC has been identified by the Department of Defense and is the only manufacturer who can meet the standards.

Describe what makes the identified property unique. Why is it the only property that could meet your business need?

The various Patriot Products LLC EFSATS 3-D steel targets meet all the required identified standards indicated in Department of the Army Pamphlet 385-63.

These requirements include the materials and the realistic representation of potential adversary vehicles to include armored vehicles or tanks.

Describe the research you conducted to identify other potential property/sources. What potential alternatives did you find and why will they not meet the Agency’s business needs?

Per Army regulation we are not able to utilize any alternatives other than what was identified.

TSMO Surface Capabilities brief April 2023.pptx 11.79MB

ID ARNG EFSAT Sole Source .pdf 146.86KB p385_63.pdf 3.31MB

By submitting this form, I certify that the information provided above is true and accurate to the best of my knowledge, supports the requirement for a sole source procurement, and is in the best interest of the State:

Approver

Administrator intends to approve (pending legal notice and appeal period).

This SSA is only an authorization; a contract must be executed as detailed herein.

The Agency is authorized to issue a contract for an amount up to the anticipated total cost identified above.

DOP will issue and administer a contract pursuant to this SSA.

The Agency is responsible for requesting renewals and amendments to this SSA as appropriate.

The Agency must submit an SSA Business/Financial Analysis with it’s next request to renew the SSA.

Any agreement resulting from this SSA must be in writing, must comply with Idaho laws and policies, and must comply with best practices in contracting to the greatest extent practical. It is recommended that the Agency consult with its legal counsel.

Other:

Sign

Date*

Notes