Brand_Name_Justification_and_Approval.pdf

1. Organization/Contracting Office

2. Description of Action Being Taken:

If needed, continue on a separate piece of paper

3. Description of Product, Supplies or Services:

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4. An identification of the statutory authority permitting other than full and open competition (Requesting activity completes with the assistance of the Contracting Specialist)

P&C Form 0005 (26 Dec 13) 1 If needed, continue on a separate piece of paper

USPFO For Texas Purchasing and Contracting Office

PR Number:

Requesting Activity:

BRAND NAME JUSTIFICATION AND APPROVAL

Limited Sources Justification and Approval

Enclosure 16

5. Identification of the Justification Rationale:

6. Best Value Determination:

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7. Market Research Conducted If needed, continue on a separate piece of paper

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8. Statement of actions, if any, to remove barriers to competition in the future.

P&C Form 0005 (26 Dec 13) 2

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9. Any other facts supporting justification:

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TECHNICAL CERTIFICATION/ REQUIREMENTS CERTIFICATION: “I certify that the supporting data under my cognizance which are included in the J&A are accurate and complete to the best of my knowledge and belief.”

Name: Date:

Title: Signature:

PROGRAM MANAGER REVIEW: “The requirement herein described is a valid requirement of the activity named in paragraph 3 of this J&A. The technical and requirements information contained in the J&A represent the minimum needs of the government. The only way to satisfy this requirement is by limiting competition as described herein.”

Name: Date:

Title: Signature:

CONTRACTING SPECIALIST: “I certify that this J&A is accurate and complete to the best of my knowledge and belief.” Recommend: Approval Disapproval

Name: Date:

Title: Signature:

APPROVAL

CONTRACTING OFFICER: Based on the forgoing justification, I hereby Approve Disapprove the brand name justification for the requirement listed in paragraph 3 above for limited sources.

Name: Date:

Title:

P&C Form 0005 (26 Dec 13) 3

Signature:

Extended Warranty should extend the factory parts and labor beyond the standard warranty period for an additional 5 years. Extended warranty should be unlimited in the amount of parts, labor, and technical support provided. Individual holsters for each device.

If needed continue on a separate piece of paper_3: The statutory authority permitting the brand name description of supplies is Far 6.302-1 "Only one responsible source and no other supplies or services will satisfy agency requirements”.

This brand name description will be procured in reference to FAR 6.302-1(c) "Application for brand name description."