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. <br /> ,14,;, <br /> A , <br /> REQUEST FOR SOLE SOURCE <br /> To: Purchasing Office <br /> From: Tom Thetford / Public Works <br /> Name of Department Head Dept./Division <br /> Subject: Sole Source Request for the Purchase Of: Neptune.Water Meters and Parts <br /> REQUESTED SUPPLIER: Ferguson Waterworks <br /> REQUISITION NUMBER: N/A COST ESTIMATE: $124,000 <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 /> STATEMENT 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 Department Head <br /> Approved ❑Rejected <br /> '�•�.•4 e of Requestor Date Signature of Dep.Head Date <br /> If Purchase is$10,000 or more: If Purchase is$50,000 or more: <br /> Purchasing Manager City Attorney <br /> eLf'Vf4pproved <br /> Rejected Approved ❑Rejected <br /> / 410167 <br /> ign.�,�_a a'Purchasingger Date �gnature of City •u.-: Date <br /> Elmer E. "Ned" Johnston, Jr. <br /> s:/#common/forms/sole <br />