single_source_justification - signed.pdf

Single Source Justification (Simplified Acquisition)

FOR OFFICIAL USE ONLY

November 2018 FOR OFFICIAL USE ONLY Page 1 of 2

Section A: General Contract Information

Is this a Bridge Action as defined in the AF Bridge Action Reduction Plan? Yes No

Contracting Activity: AFRC 911th Airlift Wing PK

Project/Program Name: High to Low Impedence Adapter P/N 40619G-05

Purchase Request / Local ID Number: F5K1AS2228AW01

Estimated Contract Cost (including Options): $29,090.00

Section B: Description of the Supplies/Services Required

Manufacturer name "David Clark Company Inc" Headset Adapter, High to Low impedence, p/n 40619G-05

Section C: Justification for Soliciting from a Single Source or Brand Name

The original system was outfitted for the C-130 aircraft, which uses low impedance communications. Since we have converted to C-17 we are required to use high impedance communications. The adapter mentioned allows for high impedance communications systems to convert to low impedance.

This adapter is referenced in Technical Order 14P3-1-151 eight times as follows, "When utilizing the MXU-835 IU with high impedance microphone equipped mask, use a high to low impedance adapter". This high to low impedance adapter, p/n 40619G-05 is listed in figure 7-6 of the stated technical order.

Section D: Efforts to Obtain Competition

Combined Synopsis/Solicitation will invite all responsible sources to submit a quotation which will be considered.

Section E: Steps to Preclude Future Single Source or Brand Name Awards

Steps to preclude future single source awards can't be accomplished unless the the Technical Order directing the use of this equipment is removed.

FOR OFFICIAL USE ONLY

November 2018 FOR OFFICIAL USE ONLY Page 2 of 2

Section F: Contracting Officer's Determination

I have determined, in accordance with FAR 13.106-1(b)(1), that the circumstances of this contract action deem only a single source is reasonably available.

Date

22-Aug-2022

Typed Name and Rank/Grade of Contracting Officer

Paul Davisson

Signature of Contracting Officer

November 2018 Page of Section A: General Contract Information Is this a Bridge Action as defined in the AF Bridge Action Reduction Plan?

Section B: Description of the Supplies/Services Required Section C: Justification for Soliciting from a Single Source or Brand Name Section D: Efforts to Obtain Competition Section E: Steps to Preclude Future Single Source or Brand Name Awards Section F: Contracting Officer's Determination I have determined, in accordance with FAR 13.106-1(b)(1), that the circumstances of this contract action deem only a single source is reasonably available.

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