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imi PROCUREMENT <br />SOLE SOURCE JUSTIFICATION <br />E V E R E T T Purchases $10,000 & Above <br />WASHINGTON <br />When filling out a sole source, use this document as a guide to answer each <br />section. <br />A <br />A <br />All <br />Section <br />sole <br />purchase <br />sole <br />A. <br />B. <br />source <br />source <br />If <br />there <br />that <br />is <br />use <br />defined <br />is <br />is <br />purchases <br />of <br />clearly <br />a <br />way <br />sole <br />or <br />source <br />as: <br />and <br />to <br />technical <br />shall <br />draft <br />legitimately <br />the <br />purchases <br />follow <br />performance <br />specifications <br />the <br />limited <br />shall <br />City <br />of <br />be <br />needs. <br />to <br />limited <br />Everett <br />so <br />a <br />single <br />that <br />Standard <br />more <br />only <br />source <br />than <br />to <br />specific <br />or supply. <br />one <br />Procurement <br />instances <br />respondent <br />which <br />Policy <br />will <br />& <br />reply, <br />are <br />Federal <br />totally <br />it <br />is not <br />justified <br />Emergency <br />a sole <br />to <br />source. <br />satisfy <br />Contracting <br />The <br />compatibility <br />9.4. <br />I <br />REQUEST <br />THAT <br />THE <br />REFERENCED <br />PURCHASE <br />BE <br />DECLARED <br />A SOLE <br />SOURCE <br />PURCHASE. <br />Proposed <br />supplier <br />name and <br />address: <br />7215 <br />PACIFIC <br />S <br />228th <br />POWER <br />St, <br />Kent, <br />GROUP <br />WA <br />98032 <br />Estimated <br />$150,000 <br />annual <br />cost of goods <br />or services: <br />Purchase <br />Requisition <br />#: <br />Cayenta <br />Or <br />attach <br />Supplier <br />Supplier's <br /># <br />02094 <br />W-9 <br />Form <br />This <br />is a <br />sole <br />Licensed <br />One <br />Compatibility <br />Replacement <br />Warranty <br />Unique <br />Other <br />-approving <br />-of <br />justification <br />Brand <br />source <br />Distributor <br />-a <br />- <br />Utility <br />-kind <br />design <br />or <br />— <br />sole <br />purchase <br />patented <br />Services <br />for <br />because <br />supplier <br />no <br />a <br />specific <br />of <br />competitive <br />is <br />the <br />existing <br />factory <br />physical <br />(Check <br />has <br />sole <br />brand <br />a <br />authorized <br />adjustment <br />distributor <br />brand <br />design <br />all <br />license <br />alternatives <br />or <br />that <br />or <br />existing <br />or <br />or <br />equipment <br />apply): <br />quality <br />of <br />warranty <br />patent <br />for <br />utility <br />equipment. <br />available <br />the <br />standards. <br />that <br />region <br />service. <br />facilities <br />for <br />makes <br />compatibility. <br />on <br />the <br />or <br />them <br />market. <br />the <br />sole <br />provider. <br />be <br />provided. <br />or <br />by <br />❑ <br />— <br />is <br />match <br />❑ <br />— <br />there <br />�1 <br />Sole <br />— Supplier <br />municipality <br />must <br />— <br />part <br />— <br />❑ <br />provider <br />— <br />// <br />❑ <br />must <br />meet <br />— <br />Necessary <br />❑ <br />Public <br />❑ <br />• If <br />• <br />the <br />See <br />Procurements <br />pre <br />Name <br />of <br />via <br />or <br />items <br />for sole <br />Standardization <br />testing <br />which <br />source <br />shall <br />the <br />be <br />is <br />competitively <br />"Standardization" <br />City <br />Justification <br />has <br />established <br />Form. <br />bid <br />if <br />then <br />there <br />a standard <br />additional <br />is <br />more <br />of <br />than <br />supporting <br />designating <br />one <br />supplier <br />documentation <br />a <br />brand <br />for <br />name <br />the <br />item. <br />must <br />or manufacturer <br />Describe <br />services. <br />the <br />proposed <br />goods <br />or <br />Service, <br />(ESS), <br />for <br />transmission <br />Cummins <br />Cummins <br />Cummins <br />to transit <br />Gillig <br />which <br />troubleshooting, <br />hybrid <br />engine <br />engine <br />system <br />buses. <br />comprises <br />is <br />integrated <br />diesel-electric <br />to <br />will <br />must <br />start. <br />not <br />an <br />both <br />and <br />Without <br />start, <br />Allison <br />with <br />function <br />repairs <br />fixed <br />the <br />function, <br />transmission, <br />the <br />to <br />-route <br />Cummins <br />Allison <br />for <br />the <br />or <br />the <br />transit <br />run. <br />hybrid <br />diesel <br />bus <br />component <br />batteries, <br />Additionally, <br />to <br />Energy <br />buses. <br />engine <br />operate. <br />The <br />Storage <br />and <br />and <br />working, <br />Allison <br />the <br />The <br />a control <br />commands <br />Allison <br />ESS <br />System <br />the <br />is <br />specific <br />system, <br />the <br />and <br />What <br />features <br />that <br />suppliers? <br />are <br />are <br />that <br />not <br />the specific <br />this <br />available <br />supplier <br />necessary <br />Supplier <br />State <br />hybrid <br />Transit's <br />of <br />diesel-electric <br />Pacific <br />Washington <br />Gillig <br />Power <br />hybrid <br />that <br />training, <br />Group <br />diesel-electric <br />has <br />(PPG) <br />factory <br />and <br />is <br />equipment <br />fixed <br />the <br />original <br />only <br />-route <br />repair <br />equipment <br />to <br />buses. <br />complete <br />facility <br />located <br />manufacturer <br />repairs <br />on <br />in the <br />Everett <br />(OEM), <br />from <br />provides <br />other <br />Page lof3 <br />Revised 1/5/2022 <br />