Technical Exhibit B - Sample JA.docx
DOCX document 29 KB Posted
- Attached to
- Range Operations at Fort Hood, Texas Federal contract opportunity
- Solicitation number
- W91151-22-R-0001
About this file
This document is a sample justification and approval form for a federal contract with sole source procurement. The form provides details for a range operations contract at Fort Hood, Texas to be awarded non-competitively. It lists the contracting agency as the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort Hood. The justification cites authority under FAR 13.106-1(b)(1) to procure follow-on services from the original source, as using any other provider would substantially duplicate costs without expected cost recovery through competition. The representative and contracting officer must both sign off on the justification and approval before a sole source award can be made.
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Text version
Technical Exhibit B – Sample Justification & Approval (J&A)
1. Contractor Name:
2. Description of Action/Request:
3. Description of Supplies/Services:
4. Authority Cited: (Identify the statutory authority, FAR title and FAR citation permitting other than full and open competition. These include Simplified Procedures for Certain Commercial Items, 41 U.S.C 1901 (or 41 U.S.C. 1903 for Special Emergency Procurement) as implemented by FAR Subpart 13.5:
· Unusual and compelling urgency
· Exclusive licensing agreements
· Industrial mobilization
· Other: FAR 13.106-1(b)(1)(i), Brand name only available from manufacturer. (if applicable)
5. Reason for Authority Cited/Justification for Repairs or Maintenance IAW FAR 13.106 1(B)(1), Required for purchases below the simplified acquisition threshold (if applicable.)
· Services can only be provided from the original source as this is a follow-on requirement for the continued provision of highly specialized services
· Award to any other source would result in substantial duplication of cost to the Government that is not expected to be recovered through competition.
· Supplies/services are needed immediately to satisfy mission requirements.
6. Efforts to Obtain Competition: (State what steps will be taken to increase competition before subsequent acquisition of supplies and services is required).
7. Actions to Increase Competition:
8. Market Research: Describe the extent of the market research conducted to identify all qualified sources and the results thereof. Market Research is defined as “those attempts you made to ascertain whether other qualified sources exist.” Research of the marketplace may consist of written, telephonic or internet inquiries.”
9. InterestedSources: __________________________________________________________________________________________________________________________________________________________________
10. Other Facts:
11. Technical Certification: I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my knowledge and belief.
| Name: ___________________________ | Signature: ______________________________ |
| Title: ____________________________ | Date: _______________________________ |
12. Requirements Certification: I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my knowledge and belief.
| Name: ___________________________ | Signature: ______________________________ |
| Title: ____________________________ | Date: _______________________________ |
13. Fair and Reasonable Cost Determination: I hereby determine that the anticipated cost or price to the Government for this contract action will be fair and reasonable.
This determination will be made using the following:
· Price Analysis:
· Cost Analysis:
· IGCE:
· Audit (type):
· Other:
As a part of this basis, certified cost or pricing data is / is not required because the item (s) and/or service (s) being acquired are considered commercial.
(IAW FAR 15.403.1(a) Prohibition of obtaining certified cost and pricing data shall not be obtained for acquisitions at or below the simplified acquisition threshold.)
| Name: _________________________ | Signature: ______________________________ |
| Title: __________________________ | Date: _______________________________ |
14. Contracting Officers Representative
I validate that these repairs are necessary.
| Name: _________________________________ | Signature: ______________________________ |
| Title: Contracting Officer’s Representative | Date: _______________________________ |
15. Contracting Officer
APPROVED / DISAPPROVED
| Name: _________________________________ | Signature: ______________________________ | |
| Title: Contracting Officer | Date: _______________________________ |
| Name: __________________________________ | Signature: ______________________________ |
| Title: ___________________________________ | Date: _______________________________ |
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