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 is a template document designed to justify the selection of either a sole source or specified source vendor for procurement purposes. The form provides checkbox options for three sole source justifications: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specifications available only from the OEM or authorized distributor, or unique goods or services covered under an active U.S. patent or copyright. For specified source selections, the form requires detailed written justification. The document includes signature lines for the requestor, department head, and executive team approval, establishing a hierarchical review and authorization process before proceeding with non-competitive procurement methods.

The form itself contains no pricing information, set-asides, incumbent vendor details, or funding requirements, as it serves solely as a procedural mechanism for documenting and justifying non-competitive source selections within GRU's procurement framework. Supporting documentation such as explanation letters from manufacturers or patent/trademark/copyright information must be provided to substantiate the claimed sole source or specified source justifications. This form is part of GRU's internal procurement controls and compliance procedures, working in conjunction with the organization's broader procurement policies and the efficiency review engagement referenced in the related RFP, which addresses accounts payable and procurement division operations.

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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 .