SOLE SOURCE-redacted.pdf

Ref: TRIREFFACINST 4491.1

JUSTIFICATION FOR SOLE SOURCE

($10K TO $250K)

The Service or material listed on S32931S6285 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: MSA Safety Sales , LLC Cage: 8B9P7

Manufacturer POC Name & Phone Number: Derek Edwards 800-672-2222 GovernmentOrder@MSASafety.com

MFR Address: _1000 Cranberry Woods DrCRANBERRY TOWNSHIP PA 16066

Manufacturer’s Dealer/Rep: _MSA Safety Sales ,_LLC Cage: _8B9P7

Dealer/Rep Address, Phone Number: Derek Edwards 253-293-2302 GovernmentOrder@MSASafety.com

(1) Description of item or service required:

Respirators to start the commands well needed respirator program.

(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 is the safety approved MSA item for respirators.

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:

This is the equipment all respirator qualified personnel are getting trained to use. An alternate is not an option.

✔ 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:

Yes No This are replacing the ones we borrow from PSNS at their schedule

_to allow for production work to be conducted.

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

TRIREFFAC 4491/3 (Rev. 11-2020)