Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf

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Attached to
General Service Agreement for Supply of Lift Station Panels
Solicitation number
2025-112
Issued by
Alachua County, Graceville City, Florida

About this file

This is a Specified or Sole Source Selection Form from Gainesville Regional Utilities (GRU) in Florida, used to justify procurement decisions for goods or services that are not competitively bid. The form provides three basis options for sole source procurement: replacement parts available only from the original equipment manufacturer (OEM), services requiring copyrighted drawings or specifications exclusively from the OEM or authorized distributor, or unique goods or services covered under active U.S. patents or copyrights. The form requires the requestor to select only one source selection method and provide detailed justification, with signatures required from the requestor, department head, and executive team. The related contract opportunity involves GRU's procurement of lift station control panels from qualified panel builders to establish a General Service Agreement. GRU seeks pricing for five standardized control panels with various horsepower ratings and voltages in accordance with GRU's lift station panel drawings, with plans to purchase at least five panels annually and establish at least one panel builder under the agreement.

The specified or sole source selection process allows GRU to justify non-competitive procurement when necessary, particularly when proprietary specifications or manufacturer constraints apply. Given that GRU has developed proprietary lift station standards and panel drawings unique to its system requirements, the agency may invoke sole or specified source justification if the standardized panels require exclusive access to GRU's copyrighted drawings or if manufacturer-specific requirements necessitate single-source procurement. The General Service Agreement structure enables developers building new lift stations within GRU's system to piggyback on the established agreement, ensuring system-wide consistency. Award determination will be based on price evaluation among qualified panel builders who can meet GRU's technical specifications and standardization requirements.

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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 .