Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf

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Attached to
Demolition, Asbestos Abatement, Lead Paint & Hazardous Materials Removal – Downtown Structures
Solicitation number
ITB 2026-019
Issued by
Alachua County, Graceville City, Florida

About this file

This is a Specified or Sole Source Selection Form issued by Gainesville Regional Utilities (GRU), a municipal utility serving Gainesville, Florida in Alachua County. The form provides a framework for procurement decisions when competitive bidding is not feasible. The form allows requestors to justify either sole source or specified source procurement methods through three primary categories: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specifications available exclusively from the OEM or authorized service centers, or unique goods or services protected under active U.S. patents or copyrights. The form requires detailed justification and supporting documentation, such as manufacturer explanation letters that include patent, trademark, or copyright numbers when applicable. Approval requires signatures from the requestor, department head, and executive team, establishing a three-tier authorization process. The form's fillable version includes multiple checkbox options and justification fields to accommodate various non-competitive procurement scenarios.

The form serves as a control mechanism for non-competitive procurement at GRU, ensuring that sole source and specified source purchases receive appropriate oversight and documentation. In the context of the related demolition and hazardous materials removal project for downtown structures, this form would not apply, as that project is being solicited through competitive bidding with a mandatory pre-bid meeting scheduled for January 9, 2026, and bids due February 5, 2026. The form's requirement for executive-level signatures ensures accountability and prevents unnecessary sole source or specified source designations that could circumvent competitive procurement processes.

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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 .