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Ogr <br /> REQUEST FOR SOLE SOURCE <br /> To: Purchasing Office <br /> From: Joe Boland / Information Technology <br /> Name of Department Head Dept./Division <br /> Subject: Sole Source Request for the Purchase Of: Renewal of annual maintenance for <br /> Trakit Systems (PlanTrak,CodeTrak)by CRW Systems for 5 years <br /> REQUESTED SUPPLIER: CRW Systems,Inc. <br /> REQUISITION NUMBER: PR98107&PR98715 COST ESTIMATE: $81,354.00 <br /> Sole source purchases are defined as clearly and legitimately limited to a single supplier. Sole source purchases are normally not <br /> allowed except when based upon strong technological grounds such as operational compatibility with existing equipment and <br /> related parts or upon a clearly unique and cost effective feature requirement. The use of sole source purchases shall be limited <br /> only to those specific 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 knowof no conflict 9f 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 /> ` \ E] <br /> ]Appprroved ❑Rejected <br /> \_���� -/ (C3 r` ,-P JU/�'C ( 17A/a9 <br /> "'MUM,estor Date ature 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 /> �� pproved.�.` 4.-7(a- ❑Rejected0 pproved ❑Rejected <br /> _alt 4 ...r, '• / g//46y <br /> «afore urc asing Manager ate Signature of CityAttorneY Date <br /> d <br /> s:/#common/forms/sole <br /> 14 <br />