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 used by Gainesville Regional Utilities (GRU) in Florida to justify procurement decisions for goods or services that do not require competitive bidding. The form allows GRU to document sole source procurements when replacement parts are available only from the original equipment manufacturer (OEM), when services require copyrighted drawings or specifications available exclusively from the OEM or authorized distributors, or when goods or services are protected by active U.S. patents or copyrights. The form also accommodates specified source selections with required justification documentation. Requestors must complete the form with project details, select the applicable source selection method, provide detailed justification, and obtain signatures from the requestor, department head, and executive team. The form structure includes designated fields for project names, dates, checkbox selections for source justification categories, and supporting documentation requirements such as explanation letters from manufacturers including patent, trademark, or copyright information.
The form serves as GRU's formal documentation mechanism for non-competitive procurements and requires comprehensive justification for deviation from standard competitive bidding procedures. All sole source selections necessitate supporting evidence from manufacturers or service providers confirming the exclusivity of products or services. Specified source selections require detailed written justification meeting GRU's procurement standards. The multi-level signature requirement—including requestor, department head, and executive team approval—ensures organizational oversight and accountability in non-competitive procurement decisions.
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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 .