Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf

PDF 1 MB Posted

Attached to
Serenola Substation Fence Phase 1
Solicitation number
RFP 2026-106
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) in Florida to justify the procurement method for a project. The form provides a template for GRU to document whether a procurement qualifies as a sole source or specified source selection. For sole source justifications, the form allows GRU to cite specific circumstances including: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specifications exclusive to the OEM or authorized distributors, or unique goods or services protected by active U.S. patents or copyrights. The form requires the requestor to provide supporting documentation, such as explanation letters from manufacturers that include relevant patent, trademark, or copyright numbers. The document must be signed by the requestor, department head, and executive team before approval.

In the context of the Serenola Substation Fence Phase 1 project, this form would be used if GRU determines that the commercial-grade, black vinyl-coated chain link fencing system or installation services qualify under sole source or specified source criteria. The project involves installing approximately 600 linear feet of fencing along the north property line of the Serenola substation, including a 14-foot wide double gate system. If sole source or specified source justification applies, GRU must document the rationale and obtain appropriate signatures before proceeding with the procurement, rather than conducting a competitive bidding process.

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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 .