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Include <br />history, <br />durability. <br />existing <br />and <br />equipment <br />conditions, <br />longevity <br />prior <br />or <br />If <br />is <br />consequence <br />example, <br />expenses <br />the <br />not <br />standardization <br />approved, <br />additional <br />that <br />to <br />could <br />what <br />the <br />agency? <br />costs <br />be <br />or <br />is <br />incurred. <br />brand <br />the <br />or <br />For <br />name <br />Beaver <br />gearboxes <br />on <br />efficiencies <br />not <br />Purchasing <br />a <br />approved, <br />vendor <br />Equipment <br />in <br />that <br />for <br />Policy <br />the <br />repetitive <br />this <br />a <br />Pacific <br />single <br />is <br />would <br />equipment <br />the <br />Northwest. <br />vendor <br />sole <br />only <br />be <br />submitted. <br />source <br />vendor <br />because <br />provides. <br />requests <br />for <br />The <br />Rotork <br />of <br />city <br />the <br />If <br />the <br />needs <br />as <br />number <br />actuators <br />allowed <br />standardization <br />to <br />standardize <br />of <br />valves <br />per <br />and <br />and <br />is <br />What <br />standardization? <br />are <br />the <br />associated <br />risks <br />of <br />non- <br />Multiple <br />fora <br />facility <br />and <br />are <br />needed <br />city <br />and <br />best <br />source, <br />standardized <br />forces <br />facility <br />actuators <br />once <br />for <br />that <br />to <br />rather <br />vendors <br />more <br />a <br />be <br />for <br />reliable <br />of <br />provides <br />on <br />efficient <br />that <br />one <br />than <br />our <br />-hand <br />for <br />and <br />size <br />vendor <br />work; <br />and <br />multiple, <br />the <br />potable <br />not <br />are <br />and <br />purchasing, <br />suitable <br />same <br />inspections <br />different <br />more <br />is <br />complexity <br />repetitive <br />water <br />more <br />product <br />efficient <br />product <br />for <br />efficient <br />to <br />such <br />and <br />the <br />different <br />is <br />efforts. <br />because: <br />and <br />is <br />as <br />highly <br />region <br />repairs <br />than <br />found <br />standardization <br />saves <br />vendors; <br />not <br />— <br />multiple <br />it <br />and <br />standardization <br />is <br />we <br />recommended <br />money; <br />a <br />need <br />maintenance <br />critical <br />spare <br />vendors; <br />valves <br />training <br />and <br />parts <br />sole <br />is <br />justification. <br />List <br />the <br />standardization <br />any <br />additional <br />facts <br />or <br />supporting <br />brand <br />name <br />STATEMENT <br />My <br />product/service <br />my <br />place. <br />influence <br />I <br />hereby <br />department's <br />part <br />Neither <br />or <br />certify <br />in <br />personal <br />this <br />OF <br />NEED <br />required <br />has <br />request. <br />that <br />recommendation <br />my <br />involvement <br />this: <br />AND <br />personal <br />and <br />CERTIFICAT <br />appears <br />cation <br />familiarity <br />in <br />is <br />any <br />for <br />to <br />accurate <br />ON: <br />be <br />way <br />brand <br />in <br />with <br />with <br />the <br />particular <br />and <br />name <br />best <br />this <br />complete <br />interest <br />request. <br />or <br />standardization <br />brands, <br />to <br />of <br />No <br />the <br />types <br />the <br />gratuities, <br />best <br />City <br />of <br />of <br />of <br />equipment, <br />is <br />my <br />Everett. <br />based <br />favors <br />knowledge <br />upon <br />or <br />I <br />materials <br />know <br />compromising <br />and <br />an <br />of <br />objective <br />no <br />or <br />belief. <br />conflict <br />firms <br />action <br />been <br />review <br />of <br />interest <br />have <br />a <br />deciding <br />of <br />taken <br />the <br />on <br />0j <br />U <br />Signature <br />(Requestor <br />Date <br />/ <br />/ <br />/ <br />Printed <br />Name: <br />/7Ga% <br />oI/e/ <br />Title: <br />vcl[cv„g <br />5-;724 <br />(Id <br />DEPARTMENT <br />DIRECTOR <br />Based <br />upon <br />the a <br />ove, <br />I authorize <br />the <br />brand <br />name or standardization <br />of <br />the <br />goods <br />or <br />services specified. <br />Signature <br />Date <br />GYM--�`� <br />Printed <br />Name: <br />PURCHASING <br />MANAGER <br />Based <br />upo <br />the above, <br />I authorize <br />the <br />brand <br />name or standardization <br />of <br />the <br />goods <br />or services specified. <br />Signature <br />Datr <br />Mn <br />fra <br />7IR_ <br />f� <br />en,' . <br />Note: If additional space is required, use additional sheets of paper and submit with this completed form. <br />Page 2 of 2 <br />5/9/2019 <br />