Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf
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- 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 designed to document the justification for procurement decisions made through either sole source or specified source selection methods rather than competitive bidding. The form allows requestors to indicate which procurement method applies and requires detailed explanation for the selected approach. Requestors must provide signatures from the requestor, department head, and executive team to authorize the procurement decision. The form includes checkboxes for three primary sole source justifications: replacement parts available only from the original equipment manufacturer, services requiring copyrighted drawings or specifications exclusive to the OEM or authorized distributors, and unique goods or services protected by active U.S. patents or copyrights. Supporting documentation, such as manufacturer explanation letters, must accompany the form to substantiate claims.
The form serves as an internal control mechanism for GRU's procurement process and relates directly to the agency's concurrent efficiency review of its Accounts Payable and Procurement Divisions, which was issued as a Request for Proposal with responses due by March 6, 2026. No specific contract values, set-aside requirements, incumbent vendors, or funding sources are detailed within this form document itself. The form is a fillable template revised as of August 21, 2024, and represents GRU's standardized documentation for non-competitive procurement justifications within its procurement framework.
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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 |
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