Sole Source

COUNTY OF FREDERICK, VA

NOTICE OF SOLE SOURCE PURCHASE OR EMERGENCY PURCHASE

SECTION I

Vendor Name:

Vendor Address:

Type of Product or Service:

Emergency Purchase Complete Sections III & IV below

Sole Source Purchase Complete Sections II & IV below

Purchase Notice Type:

MUST choose one

SECTION II: Sole Source Purchase In accordance with Section 2.2-4303E of the Code of Virginia, notice is hereby given of the following sole source procurement. Posting of this notice indicates a determination that only one source was ascertained to be practicably available:

Justification for Sole Source Procurement (be specific):

Basis for the Emergency (be specific):

SECTION III: Emergency Purchase In accordance with Section 2.2-4303F of the Code of Virginia, notice is hereby given of the following emergency purchase award:

SECTION IV: Other Vendors Contacted List other vendors contacted for this purchase, not including the vendor selected.

Date of Emergency:

Amount of Award/Purchase:

Justification for Vendor Selection (be specific):

1. Vendor Name: Address:

Phone: Date Contacted: Contact Name:

Reason not used:

Reason not used:

Phone: Date Contacted: Contact Name:

Address:2. Vendor Name:

Reason not used:

Phone: Date Contacted: Contact Name:

Address:3. Vendor Name:

Dept Head Aprv & Date Finance Aprv & Date # eVA ID #:

07/30/2026