Sole Source Justification for 3138-0138-Re-dacted.pdf

JUSTIFICATION FOR SOLE SOURCE (SAP <$150k) Ref: FAR 13.106 and NAVSUP 4200.85D Chapter 5 Para. 2.b.(5)

The service or material listed on (Document number)________________ is sole source and competition must be restricted to one source, or to 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 original manufacturer's name.

(If a sole source manufacturer distributes via dealers, ALSO provide dealer information.)

Manufacturer: ____________________________________________________________ Manufacturer POC & Phone Nr._____________________________________________ Mfr. Address_____________________________________________________________ Manufacturers Dealer/Rep_________________________________________________ Dealer/Rep Address/Phone Number__________________________________________

____Description of the item or service required, the estimated cost, and required delivery date.

government

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

____The material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed. Justi Describe the equipment you have now and how the new item/service must coordinate, connect, or interface with the existing system.

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

for existing brand name equipment.

____Other information to support a sole-source buy:

I CERTIFY THAT STATEMENTS CHECKED, AND INFORMATION PROVIDED ABOVE, ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND DO NOT CONTAIN CLASSIFIED INFORMATION. I UNDERSTAND THAT THE PROCESSING OF THIS SOLE-SOURCE JUSTIFICATION PRECLUDES THE USE OF FULL AND OPEN

COMPETITION.

Contracting Officer Signature________________________________ Date__________________

FISCPS 4200/180 (Rev. 10/1/10)

3138-0138

AMRON

Michael Vera 877-462-6700

1380 Aspen way Vista, Ca 92081-8349

Michael Vera 877-462-6700 same as above

Hydraulic Hose Reel - 600 feet reels can be purchased with hydraulic. Each reel is powder-coated comes with heavy-duty pillow bearings, bottom skid, 15 feet whips, quick disconnects and weighs 1600 pound x

2ea ___________________________________________________________ x____Specific characteristics of the material or service that limit the availability to a sole 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 of other sources.

This hose assy is required by OEM to be used with mutiple exiting cutting units used for underwater applications.___________________________________________________________________________________________

____xThe requested material or service represents the minimum requirements of the x

OEM requires these hose assy be used with our existing equipment

05/30/2023