SOLE SOURCE.pdf

TRIREFFAC 4491/3 (Rev. 11-2020)

Ref: TRIREFFACINST 4491.1

JUSTIFICATION FOR SOLE SOURCE

($10K TO $250K)

The Service or material listed on _X684385078AB01 is the sole source and competition must be restricted to one

Document Number source, or only one brand name for reasons indicated below. There are no substitutes available for this material.

Restricted to the following source or brand name. Provide the original manufacturer’s name.

NOTE: If a sole source manufacturer distributes via dealers, also provide dealer information.

Manufacturer: Zetec, Inc Cage: 51327

Manufacturer POC Name & Phone Number: Amos Chan, (425) 974-2754

MFR Address: _8226 Bracken Place SE; Suite 100, Snoqualmie, WA 98065

Manufacturer’s Dealer/Rep: _Zetec, Inc Cage: _51327

Dealer/Rep Address, Phone Number: 8226 Bracken Place SE; Suite 100, Snoqualmie, WA 98065

(1) Description of the item or service required:

_10ea Probe CXB4-031

(2) Estimated cost:

(3) Required delivery date:

Specific characteristics of the material or service that limit the availability to a soul source or particular brand name (unique features, function, of the item, etc.). Describe in detail why only this suggested source can furnish the requirements to the exclusion or other sources: These probes are compatible with currently used Zetec specific equipment and are also the only approved probes to use per TRFB local procedures and NAVSEA source documents.

✔ The requested material or service represents the minimum requirements of the Government.

Yes No

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

The material/service must be compatible in all aspects (form, fit, and function) with the Yes No existing systems presently installed. Describe the equipment you have now and how the new item/service must coordinate, connect, or interfere with the existing system:

These probes are built to be used with existing Zetec Miz 200 Equipment and Zetec Velocity Software.

These components must be used in sequence with existing preparatory solutions to successfully brush plate all components of carbon alloy steel.

✔ A patent, copyright, or proprietary data limits competition. The proprietary data is:

✔ These are “direct replacements” parts/components for existing brand name equipment.

✔ Other information to support a sole-source buy:

I certify that statements checked, and information provided about, are complete and correct to the best of my knowledge and do not contain classified information. I understand the processing of this sole-source justification precludes the use of full and open competition

Signature Title Date

Contracting Officer:

Signature Date DLA Maritime Puget Sound Justification for Sole-Source

X

TRIREFFAC 4491/3 (Rev. 11-2020)