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Request-for-Sole-Source - ISU_Sole_Source_Request

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PURCHASING SERVICES

RequestforSoleSource

(PurchasingRequestEstimateis$10,000.00orGreater)

1|Page

Rev.1,November1,2016

To:IdahoStateUniversity– IntermDirectorofPurchasing–Rick Dutson.

From:Department:

SoleSourceRequestforthepurchaseof:

RequestedSupplier:

RequisitionNumber: CostEstimate:$ (Attachquotealso)

Solesourcepurchasesaredefinedasclearlyandlegitimatelylimitedtoasinglesupplier.Solesourcepurchasesareonly

allowedwhenbaseduponstrongtechnologicalgroundssuchasoperationalcompatibilitywithexistingequipmentand

relatedparts,oruponaclearlyuniqueandcosteffectivefeaturerequirements.Theuseofsolesourcepurchasesshallbe

limitedtoonlythosespecificinstancesthatarecompletelyjustifiedtosatisfycompatibility,technicalperformanceneeds,or

otherun

iquecircumstances.

Statementof

Need

Mydepartment’srecommendationforsolesourceisbaseduponanobjectivereviewoftheproduct/servicerequiredand

appearstobeinthebestinterestoftheUniversity.Iknowofnoconflictofinterestonmypartorpersonalinvolvementin

anywaywiththisrequest.Nogratuities,favorsorcompromisingactio

nshavetakenplace.Neitherhasmyperson

al

familiaritywithparticularbrands,typesofequipment,materials,orfirmsbeenadecidinginfluenceonmyrequesttosole

sourcethispurchasewhenthereareotherknownsuppliersthatexist.

RequesterAffirmation

IamawareISUPurchasingPolicyrequiresprocurementsexceeding$10,000.00tobecompetitivelybidwhennecessary.The

followingstatementsarecompleteandaccurate,basedonmyprofessionaljudgmentandinvestigations.Ialsocertifythatno

personaladvantagewillaccruetomeoranymemberofmyimmediatefamilyasaresultofth

isprocurement.

RequesterSignature:

 Date:

RequesterPrintedName:

*****************************************************************************************************

ISUPurc

hasingDepartmentBuyer: Approved Rejected

Signature: Date:

*****************************************************************************************************

ISUDirectorofPurchasing: Approved Rejected

Signature:

Rick Dutson

Date:



PURCHASING SERVICES

RequestforSoleSource

(PurchasingRequestEstimateis$10,000.00orGreater)

2|Page

Rev.1,November1,2016



RequisitionItem/Service:



Isthisarenewal?  Yes ☐ IfYes,answerquestions 1–4

No ☐ IfNo,answerquestions 4‐11



1. PriorPurchaseOrderNumber: 



2. Pleaseconfirmyourdepartmentscontinuingbusinessneeds,andattachcurrentquote.







3. Describethestepstakentoconfirmthattheproduct/servicecontinuestoqualifyasasolesource;includesuppliers

contacted,websearches,etc.







4. Justificationthatthisisasolesource*,checkallthatapply:



Soleproviderofalicensedorpatentedgoodorservice



Soleproviderofitemsthatiscompatiblewithexistingequipment,inventory,systems,programsorservices



Soleproviderofgoodsand/orservicesforwhichmydepartmenthasestablishedastandard**



Soleprovideroffactory‐authorizedwarrantyservice



Soleproviderofgoodsand/orservicesthatwillmeetthespecializedneedsofmydepartmentorperformthe

 intendedfunction(pleasedetailbeloworinanattachment)



Solemanufactureranddistributor(attachManufacturer’slettertothiseffect)



Thisrenewalrequesthasalreadybeenadvertised



PURCHASING SERVICES

RequestforSoleSource

(PurchasingRequestEstimateis$10,000.00orGreater)

3|Page

Rev.1,November1,2016



5. Whatnecessaryfeaturesdoesthisvendorprovidewhicharenotavailablefromothervendors?Pleasebespecific.







6. Whatstepsweretakentoverifythatthesefeaturesarenotavailableelsewhere?



Otherbrands/manufacturerswereexamined(pleaselistphonenumbersandnames,andexplainwhytherewere

 notsuitable).Youmayuseanattachmentifnecessary.



Othervendorsthatwerecontacted.Pleaselistnamesandphonenumbersandexplainwhythesewerenot

 suitable.Youmayuseanattachmentifnecessary.



*SoleSource:onlyonevendorpossessestheuniqueandsingularlyavailablecapabilitytomeettherequirementofthe

solicitation.



**Procurementsofitems/servicesforwhichyourdepartmenthasestablishedastandardbydesignatingabrandor

manufacturerorbypre‐approvingviaatest

ingshallbecompetitivelybidifther

eismorethanonevendorthatcanprovidethe

commodity/service.



Pleaseanswereachofthefollowingindetail.Youmayattachaseparatesheetifnecessary,referencingeachquestionby

number:



7. Whatmakesthiscommodity/serviceunique?(Patents/copyrights,needcompatibilitywithexistinge

quipment–why?

Spa

ceconstraints,mustmatchequipmentwithanotheragencyordepartment,consequencesifthiswereputoutforbid,

etc.)









PURCHASING SERVICES

RequestforSoleSource

(PurchasingRequestEstimateis$10,000.00orGreater)

4|Page

Rev.1,November1,2016



8. Whatstepshaveyoutakentodeterminethatthisistheonlyproductorservicethatwillmeetyourparticularneeds?

(Professionalopinions/correspondence,tradepublications,tradeshows,visitsto,orcorrespondencewith,other

institutionsthathaveinstalledthesameproduct,sitevisitations,etc.)







9. Willthispurchasetieustoaparticularvendorforfuturepurchases?(Eitherintermsofmaintenancethatonlythisvendor

willbeabletoperformand/orifwepurchasethisitem,willwethenneedmore“like”itemsinthefuturetomatchthis

one?)







10. Willthisvendortieustoaparticularvendorforsoftwareand/orsoftwaremaintenance?(Doyouneedittoberenewable

andforhowlong?)







11. Pleaseaffirmativelystate,“Noothervendorcanprovidethesameorasimilarproduct/service,”andencloseanyother

informationwhichwillhelpmakethedeterminationthatthisisasole/singlesourceprocurement.







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Completed 10 February 2020

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