Specified_or_Sole_Source_Selection_Form_-_Fillable.pdf
PDF 1 MB Posted
- Solicitation number
- RFP 2026-038
- 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 utility provider. The form serves as a procurement document that allows GRU to justify the selection of a vendor through either sole source or specified source procurement methods rather than competitive bidding. The form includes checkboxes for three primary justifications for sole source selection: procurement of replacement parts exclusively available from the original equipment manufacturer (OEM), requirement for services utilizing copyrighted drawings or specification documents available only from the OEM or authorized service center, or acquisition of unique goods or services protected under active U.S. patents or copyrights. The document requires submission of supporting documentation, such as explanation letters from manufacturers that include relevant patent, trademark, or copyright numbers to substantiate the procurement method selected.
The form requires completion by the requestor, including identification of the project name, selection date, and detailed justification for the chosen procurement method. Approval signatures are required from the requestor, department head, and executive team before the procurement can proceed. The document is designed as a fillable form to facilitate the internal approval process for non-competitive procurements at GRU, ensuring proper documentation and oversight of vendor selections that do not follow standard competitive bidding procedures.
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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 .