SOLE SOURCE-redacted.pdf

Ref: TRIREFFACINST 4491.1

JUSTIFICATION FOR SOLE SOURCE

($10K TO $250K)

The Service or material listed on X684384017CD01 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: Derbyshire Marine Products, LLC Cage: 0ASY6

Manufacturer POC Name & Phone Number: Brian Derbyshire (267) 222-8900

MFR Address: _307 Derstine Avenue, Lansdale, PA 19446

Manufacturer’s Dealer/Rep: Cage:

Dealer/Rep Address, Phone Number:

(1) Description of item or service required:

1.500" Suction Valve, M4637-3079

(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: This material has been identified by the cognizant technical authority as a compatible replacement part for the OEM material (which is discontinued without replacement). There are no other parts that have been identified as acceptable for use.

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:

RSS-82/RSS-83 suction valves for R-134 compressor have been discontinued without replacement.

Derbyshire M4637-3079 is a replacement, and the only authorized item to substitute the original equipment.

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

Yes No Vendor proprietary drawings

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

Yes No

Other information to support a sole-source buy:

Yes No NSWCPD and local technical authority have directed replacement of

_original equipment with this specific manufacturer part.

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.

Title Date

Contracting Officer:

Signature Date DLA Maritime Puget Sound Justification for Sole-Source

TRIREFFAC 4491/3 (Rev. 11-2020)