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REQUEST FOR SOLE SOURCE <br /> To: Purchasing Office <br /> From: Tom Thetford / Public Works/Utilities <br /> Name of Department Head Dept./Division <br /> Subject: Sole Source Request for the Purchase Of: Mahr, 1/4 "Automatic <br /> Mechanical Bar Screens (Quantity 2) <br /> REQUESTED SUPPLIER: Treatment Equipment Company,14400 Bel-Red Road#101-C,Bellevue,WA <br /> REQUISITION NUMBER: 83677 COST ESTIMATE: $491,300.00 <br /> Sole source purchases are defined as clearly and legitimately limited to a single supplier. Sole source <br /> purchases are normally not allowed except when based upon strong technological grounds such as <br /> operational compatibility with existing equipment and related parts or upon a clearly unique and cost <br /> effective feature requirement. The use of sole source purchases shall be limited only to those specific <br /> instances which are totally justified to satisfy compatibility or technical performance needs. <br /> STA 1EMENT OF NEED: <br /> My department's recommendation for sole source is based upon an objective review of the product/service <br /> required and appears to be in the best interest of the City. I know of no conflict of interest on my part or <br /> personal involvement in any way with this request. No gratuities,favors or compromising action have taken <br /> place. Neither has my personal familiarity with particular brands, types of equipment, materials or firms <br /> been a deciding influence on my request to sole source this purchase when there are other known suppliers to <br /> exist. <br /> Refer to the attached sole source justification as prepared by our department, to the attached review of <br /> available products/services and to my completed Purchase Requisition. <br /> Requestor: Peter Berger Department Head: Tom Thetford <br /> ®Approved ❑Rejected <br /> / <br /> 14 / 3-/s-- <br /> Si ature of Requestor Date Signature of Dept_Head Date <br /> If Purchase is$10,000 or more: If Purchase is$50,000 or more: <br /> Purchasing Manager City Attorney <br /> Approved Rejected (�Approved <br /> Rejected <br /> A!,_ — / q 0 / I$ 1�PYio7 <br /> Si le• of Purchasing •anager ate gnature of Ci y Date <br /> s:/#common/forms/sole <br />