Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf
PDF 1 MB Posted
- 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 from Gainesville Regional Utilities, a Florida public utility authority. The form is used to justify the selection of a single vendor or specified source for procurement rather than conducting competitive bidding. The related contract opportunity involves demolition, asbestos abatement, lead paint removal, and hazardous materials removal for downtown structures in the Gainesville area. The successful bidder must provide all labor, materials, equipment, permitting, and disposal services necessary for complete project execution, including full regulatory compliance with EPA, OSHA, DEP, and Florida Department of Health requirements.
The form provides three possible justifications for sole source selection: replacement parts available only from the original equipment manufacturer, services requiring copyrighted drawings or specifications available only from the OEM or authorized distributor, or goods or services covered under active U.S. patent or copyright protection. The form requires the requestor to select only one method of source selection and provide detailed justification, along with signatures from the requestor, department head, and executive team. No specific pricing, contract term, award date, or renewal options are indicated in the form itself, as it serves as a procedural document to support the procurement decision rather than defining contract terms.
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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 .