HomeMy WebLinkAboutPurchasing - Select Source Justification Form-IIDSELECT/SOLE SOURCE JUSTIFICATION
Complete responses must be provided for all of the following items.
A. THE PURCHASE REQUEST IS RESTRICTED TO ONE VENDOR FOR THE REASONS STATED BELOW:
1.Why is the purchase of goods or services restricted to this vendor?
Explain why the purchase cannot be competitively bid.
Examples of Single/Sole Source procurements include, but are not limited to:
•Compatibility: The commodity or service matches existing brand of equipment for
compatibility.
•Replacement Part: The item is a replacement part for a specific brand of existing
equipment.
•Emergency: URGENT NEED for the item or service does not permit soliciting competitive
bids.
2.What market research was conducted to substantiate no competition, including evaluation of
other items considered?
Provide a narrative of your efforts to identify other similar goods/services, including a summary
of how the department concluded that such alternatives are either inappropriate or unavailable.
The names and addresses of suppliers contacted and the reasons for not considering them must
be included OR an explanation of why the survey or effort to identify other goods/services was
not performed.
B. PRICE ANALYSIS:
3.How was the price offered determined to be fair and reasonable?
Explain what the basis was for comparison. For example, if the item/service has been purchased
in the past, compare historical pricing.
Prepared By Approved By
Sole or Select Source: Defined as any contract entered into without a competitive process, based on a justification that only one known source exists or that only one
single supplier can fulfill the requirements. The requesting department is responsible for supplying written justification, approved by the department director or
designee with signing authority for these purchases.
S:\100 ADMINISTRATION\107 Forms & Templates - General Citywide\Finance
Select/Sole Source purchases may be made in a non-competitive manner only when in the best
interest of the City and when the price is considered reasonable. Attach this form and other
supporting documents if available, to the purchase Requisition.
Vendor:
Date