Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf
PDF 1 MB Posted
- Solicitation number
- RFP 2026-038
- Issued by
- Alachua County, Graceville City, Florida
About this file
This is a Specified or Sole Source Selection Form used by Gainesville Regional Utilities (GRU), a multi-disciplinary utility provider serving the Gainesville area in Alachua County and Graceville City, Florida. The form provides a standardized template for GRU to justify procurement decisions using either sole source or specified source selection methods. The document allows the requestor to select one of three sole source justifications: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specification documents exclusively from the OEM or authorized distributor, or unique goods or services covered under active U.S. patents or copyrights. For specified source selections, the form requires detailed justification. The form requires signatures from the requestor, department head, and executive team, along with supporting documentation such as manufacturer explanation letters that include patent, trademark, or copyright numbers where applicable.
This fillable form serves as the internal procurement control mechanism for GRU to document and justify non-competitive source selections. The form is designed to ensure transparency and compliance with procurement regulations by requiring detailed written justifications and multi-level approval before sole source or specified source awards can be made. The form does not specify contract values, timelines, or other performance metrics, as it functions as a procedural control document rather than a solicitation or award notice. Completion and approval of this form is a prerequisite step in GRU's procurement process for non-competitive purchases.
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Text version
Rev. 21 Aug 2024
GAINESVILLE REGIONAL UTILITIES
SPECIFIED OR SOLE SOURCE SELECTION
PROJECT NAME: Date:
CHECK ONLY ONE METHOD OF SOURCE SELECTION
SOLE SOURCE:
This is the sole source provider because:
Replacement parts only available from the original equipment manufacturer (OEM)
(Example: Provide explanation letter from the manufacturer)
Services will require copyrighted drawings or specification documents only available from the OEM or authorized OEM service center or distributor.
(Example: Provide explanation letter from the manufacturer)
A unique good or service covered under an active U.S. patent or copyright.
(Example: Provide explanation letter from the manufacturer that includes but is not limited to Patent/Trademark and/or Copyright Number)
SPECIFIED SOURCE:
JUSTIFICATION FOR SPECIFIED SOURCE (REQUIRED):
Requestor Name: Title:
Signature:
Department Head Signature
Executive Team Signature
Fillable Form
| PROJECT NAME: |
| Date: |
| CHECK ONLY ONE METHOD OF SOURCE SELECTION: |
| This is the sole source provider because: |
| undefined: |
| undefined_2: |
| undefined_3: |
| JUSTIFICATION FOR SPECIFIED SOURCE REQUIRED 1: |
| JUSTIFICATION FOR SPECIFIED SOURCE REQUIRED 2: |
| JUSTIFICATION FOR SPECIFIED SOURCE REQUIRED 3: |
| Requestor Name: |
| Title: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
File details come from the government source that posted it. Updated .