SOLE SOURCE.pdf

Ref: TRIREFFACINST 4491.1

JUSTIFICATION FOR SOLE SOURCE

($10K TO $250K)

The Service or material listed on S32031H0249 is the sole source and competition must be restricted to one

Document Number source, or only one brand name for reasons indicated below. There are no substitutes available for this material.

Restricted to the following source or brand name. Provide the original manufacturer’s name.

NOTE: If a sole source manufacturer distributes via dealers, also provide dealer information.

Manufacturer: Haskel International Inc. Cage: 7A160

Manufacturer POC Name & Phone Number:

(818) 843-4000

MFR Address: _100 Graham Pl, Burbank, CA 91502

Manufacturer’s Dealer/Rep: _Western Integrated Technologies

Cage: _58217

Dealer/Rep Address, Phone Number: (800)456-6248

(1) Description of item or service required:

6.0 HP DOUBLE ACTING AIR DRIVEN LIQUID PUMP, 4.5" STROKE, S.S PISTON & BODY, UHMWPE, 12:1, 4000 PSI MAXIMUM WORKING PRESSURE

PART # GSFD-12-C4

(2) Estimated cost:

(3) Required delivery date:

Specific characteristics of the material or service that limit the availability to a soul source or particular brand name (unique features, function, of the item, etc.). Describe in detail why only this suggested source can furnish the requirements to the exclusion or other sources:

All of the pumps in the shop are “Haskel” pumps to avoid timely and costly redesign of current test rigs in the shop.

The requested material or service represents the minimum requirements of the Government.

Yes No

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

The material/service must be compatible in all aspects (form, fit, and function) with the

Yes No existing systems presently installed. Describe the equipment you have now and how the new item/service must coordinate, connect, or interfere with the existing system:

the hydro pumps in our shop requires replacement due to normal wear and tear; the sole source is to maintain the uniform inventory as to not change the footprint of our rigs saving over 50 man hours and an uncalculated cost of additional parts.

A patent, copyright, or proprietary data limits competition. The proprietary data is:

Unknown

These are “direct replacements” parts/components for existing brand name equipment.

✔ Other information to support a sole-source buy:

I certify that statements checked, and information provided about, are complete and correct to the best of my knowledge and do not contain classified information. I understand the processing of this sole-source justification precludes the use of full and open competition.

Signature Title Date

Contracting Officer:

Signature Date

DLA Maritime Puget Sound Justification for Sole-Source

TRIREFFAC 4491/3 (Rev. 11-2020)