Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf
PDF 1 MB Posted
- Solicitation number
- ITB-E 2026-089
- Issued by
- Alachua County, Graceville City, Florida
About this file
This is a Specified or Sole Source Selection Form from Gainesville Regional Utilities (GRU), a Florida-based government agency. The form is designed to document the justification for procuring goods or services through either a sole source or specified source selection method rather than through competitive bidding. GRU is soliciting bids for the annual purchase of three-phase pad-mounted transformers, and this form serves as the official documentation for the procurement method selection process.
The form provides three primary justification options for sole source procurement: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specification documents exclusive to the OEM or authorized distributors, or a unique good or service covered under active U.S. patent or copyright protection. The form requires supporting documentation, such as explanation letters from the manufacturer that include relevant patent, trademark, or copyright numbers. The document requires signatures from the requestor, department head, and executive team to authorize the procurement method selection, ensuring appropriate levels of approval within the organizational hierarchy.
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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 .