Purchasing
SOLE OR SINGLE SOURCE CERTIFICATION
SUBMIT OR E-MAIL
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The University Purchasing Policy is structured to meet all Federal and Provincial laws that govern competitive bidding
practices. This bid process protects both the university and the individual purchaser from liability that could result from a
challenge to a contract award. Therefore if no competitive quotes are to be solicited by Purchasing Services, a sole source
certification must accompany the requisition forwarded to Purchasing to place the order. By affixing your signature
hereto, the undersigned accepts personal responsibility that one or more of the following conditions apply to this
procurement. In this case Purchasing will obtain an official quote from the proposed sole source vendor to respond to.
This form relates to:
PURCHASE REQUISITION # __________________ VENDOR: ________________________________
Please check appropriate condition(s):
No alternative or substitute product exists that meets specific or unique technical or research requirements.
Provide brief explanation of essential features:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Provide brief explanation for any of the below reasons:
To ensure compatibility, recognize exclusive copy/patent rights, licences, lease buyouts or to maintain
specialized products (i.e. software).
____________________________________________________________________________________________________
To honour guarantees or warranties on products for the maintenance or repair that must be done by the
manufacturer or its representatives.
____________________________________________________________________________________________________
An unforeseeable urgency exists. (i.e. emergency repair)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
To take advantage of exceptionally advantageous circumstances such as bankruptcy.
____________________________________________________________________________________________________
REQUISITIONER: Please print your name, department and the date:
____________________________________________________________________________________________________
Signature: ___________________________
Revision Date: June 2017
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Submit Form To: Purchasing. If there are any questions while filling out the form, please contact
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