Sole Source-Request_UBM-240 Redacted.pdf
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- Intent to Sole Source UBM Repair
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About this file
The document is a Sole Source/Brand Name Request Form submitted by the 823d RED HORSE Squadron for a UBM-240 machine refurbishment. The squadron requires refurbishment of their 2011 UBM-240 machine, which has multiple points of failure and cannot be repaired internally. M.I.C Industries Inc. is identified as the sole manufacturer of the UBM-240, with the ability to restore the machine to factory standards at a cost lower than purchasing a new unit. The request is supported by AFI 10-209 RED HORSE Program reference, which lists the UBM-240 from MIC on the unit's Unit Type Code (UTC) listing. The form seeks approval for a brand name/sole source procurement directly from the original equipment manufacturer to address the equipment's mechanical issues.
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Text version
Sole Source/Brand Name Request Form
1. Purchase Request Number:
UBM 240 #16966
2. Requesting Unit:
823d RED HORSE Squadron
3. Requirement Title:
UBM 240 Refurbishment
4. Estimated Dollar Value (including Options):
5. Is this request for a Brand Name or Sole Source Requirement?
Brand Name (Only one brand of item will meet your minimum needs and the brand may be available from multiple sources)
Sole Source (Your minimum needs can only be met exclusively by one single source)
6. Description of the Supplies/Services Required:
823 RHS requires our UBM-240 to be refurbished by M.I.C Industries INC. Our machine is from 2011 and has multiple points of failure that we are currently unable to fix. M.I.C Industries offers a full refurbishment service that overhauls the machine, and returns it to factory standards.
7. Justification for Sole Source/Brand Name Request:
MIC Industries: MIC is the sole manufacturer of the UBM-240, and has provided service for these machines to DOD for many years. MIC is able to refurbish our machine back to their factory standards for less than the cost of a new 240
8. List any pertinent regulatory references:
AFI 10-209 RED HORSE Program, Table A3.1 Equipment Type Codes, Unit Type Code 4F9HR Lists the UBM 240 from MIC on our UTC listing.
9. Certification:
I certify that the information listed above is accurate to the best of my knowledge and that only one brand source (select one) can meet the minimum needs of my unit.
Rank/Grade and Name of Requester
Signature
Date
Rank/Grade and Name of Requesting Unit Commander
Signature Date
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