SOLE SOURCE OR LIMITED SOURCES JUSTIFICATION
(APPLICABLE TO PURCHASES $3,000 - $100,000)
1. Contracting Activity:
NOAA Acquisition & Grants Office
Mountain Region Acquisition Division
325 Broadway MC3
Boulder, CO
2. Purchase Request Number:
3. Authority for Action: Check applicable box for either GSA or open market action
FAR 8.405-6(a), Restricting Consideration under GSA Federal Supply
Schedules
FAR 13.106-1(b), Soliciting from a Single Source
4. Describe the supply or service to be acquired and the total estimated dollar value: Include the value of any options in the total estimated dollar value
5. List the proposed contractor (name, contact, and phone number) and describe the unique knowledge or capabilities of the proposed contractor:
Why is the proposed contractor the only source that can provide your supply or service? Discuss any unique knowledge, facilities or equipment possessed by the contractor, such as the patents, copyrights, licenses, and technical data possessed by the Contractor that precludes award to any other source.
6. Describe your market research efforts and efforts to ensure that offers are solicited from as many potential sources as is practicable:
List other sources/companies researched by phone, Internet, site visit, trade publication, catalog, etc. Include the name of the contractor, the name of the individual contacted and phone number (if applicable) along with the make/model number of equipment (if applicable) and the reason why they will or will not meet your need. Attach any applicable research documentation from the Internet, catalog, etc.
7. State why you feel that the anticipated cost to the Government will be fair and reasonable:
Suggested possible method(s) of determining price reasonableness: Contractor’s published list, previous purchases (include contract number), comparison with similar product/service, etc.
8. Other: Provide any other facts that support this sole source.
9. Certifications:
I hereby certify that the data provided above is accurate and complete to the best of my knowledge and belief.
______
Typed/Printed Name and Signature Date
of Technical Representative
I hereby determine that the circumstances of this contract action deem only one source reasonably available.
______
Contracting Officer Date