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PROCUREMENT <br /> SOLE SOURCE JUSTIFICATION <br /> E V E R E T T Purchases Above $10,000 <br /> WASHINGTON <br /> A sole source is defined as: <br /> A purchase that is clearly and legitimately limited to a single source or supply. <br /> A. If there is a way to draft the specifications so that more than one respondent will reply,it is not a sole source. <br /> B. The use of sole source purchases shall be limited only to specific instances which are totally justified to satisfy <br /> compatibility or technical performance needs. <br /> All sole source purchases shall follow the City of Everett Standard Procurement Policy&Federal Emergency Contracting <br /> Section 9.4. <br /> I REQUEST THAT THE REFERENCED PURCHASE BE DECLARED A SOLE SOURCE PURCHASE. <br /> Proposed supplier name and address: Estimated cost of goods or services: <br /> Pallet Shelter $477,391.31 <br /> 1930 Merrill Creek Parkway, Suite A <br /> Everett, WA 98203 <br /> Purchase Requisition#: Cayenta Supplier#40169 <br /> Or attach Supplier's W-9 Form <br /> This is a sole source purchase because(Check all that apply): <br /> ® Licensed or patented—supplier has a license or patent that makes them the sole provider. <br /> ►:1 One-of-a-kind—there is no competitive alternatives available on the market. <br /> ® Sole Distributor—Supplier is the sole distributor for the region or municipality <br /> ❑ Compatibility—must match existing brand or equipment for compatibility. <br /> ❑ Replacement part—for a specific brand or existing equipment. <br /> ❑ Warranty—sole provider of factory authorized warranty service. <br /> ® Unique design—must meet physical design or quality standards. <br /> ❑ Public Utility Services—Necessary adjustment of utility facilities <br /> El Other- <br /> • If the justification for sole source is'Standardization"then additional supporting documentation must be provided. <br /> See Brand Name or Standardization Justification Form. <br /> • Procurements of items which the City has established a standard of designating a brand name or manufacturer or by <br /> pre-approving via testing shall be competitively bid if there is more than one supplier for the item. <br /> Describe the proposed goods or 20 qty-64sq ft Pallets <br /> services. 20 qty—100 ft Pallets <br /> 40 Wall Heaters <br /> 40 Air Conditioners&install kits <br /> 40 120v Electrical Kit w/1500 w heater <br /> 60 Folding bunk beds/desk <br /> 60 custom fit mattress pads <br /> 1 qty—2 stall bathroom <br /> Installation fees <br /> Page 1 of 3 Revised 12/19/2020 <br />