Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf

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Attached to
Efficiency Review for GRU Accounts Payable and Procurement Divisions
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 .