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 .