JUSTIFICATION FOR SOLE SOURCE PURCHASES (FROM COMPUTER STORES) WITH AN ACQUISITION COST OF $25,000 OR MORE FROM LEDGER 5 AND 6 FEDERAL ACCOUNTS
Requisition No. Routing: Unit Purchasing Division (Attention: Buyer Name if Known) Grants and Contracts office (for L5 Gederal Funds) Or College of Agriculture Business Office (L6 Federal Funds) Computer Stores
Answer all questions. Attach answers which require additional space to this justification and reference the specific paragraph. A letter may be written in lieu of this form. A. Unit making purchase Description of equipment The manufacturer, model number and/or descriptive phrases sufficient to indicate the specific equipment required to meet the purpose indicated below.
Purpose Describe the intended application(s) of the equipment which is being purchased. Explain why it is needed. If the sole source purchase is due to time constraints, explain when the equipment is actually required and what the impact is if the equipment is no furnished by the stated date.
Justification Briefly explain why the particular manufacturer, model of the equipment described above is the sole source solution to the application in “Purpose.”
UIUC Grants and Contracts Office 5/2002
Efforts to identify other sources Do you know of other vendors who can supply this item? If so, why were they not acceptable?
Certifications The undersigned state that he/she has prepared the above documentation and that the facts and data set forth are complete and accurate to the best of the undersigned’s knowledge and belief. Requester
Unit Name
Principal Investigator
Signature
Date
The undersigned states that he/she has reviewed the above justification and abased on the facts and data set forth determines that the information is sufficient and adequate to justify procurement from a single source or on a noncompetitive basis.
Authorized unit signature
Date
B. Purchasing Division Verify the validity of the sole source solution of the brand of equipment (Part A) and attaché Purchasing Pricing Memorandum. Approval
Purchasing Buyer
C. Grants and Contracts Office or College of Agriculture, Consumer, and Environmental Sciences business office Verify sponsor approval has been obtained, if necessary, and funds are available for acquisition of equipment. Approval
Post Award Administrator
Attachment: Purchasing Pricing Memorandum
Justification for Sole Source Purchases From Computer Stores 5/2002