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3 <br /> REQUEST FOR SOLE SOURCE <br /> To: Purchasing Dept <br /> From: Dave Davis / Public Works <br /> Name of Department Head Dept./Division <br /> Subject: Sole Source request for the Purchase of: two thousand 5/8"X 3/4"Neptune water <br /> meters <br /> REQUESTED SUPPLIER: HD Supply <br /> REQUISITION NUMBER COST ESTIMATE: $390,000 annually <br /> Sole source purchases are defined as clearly and legitimately limited to a single supplier. Sole source purchases are <br /> normally not allowed except when based upon strong technological grounds such as operational compatibility with <br /> existing equipment and related parts or upon a clearly unique and cost effective feature requirement. The use of sole <br /> source purchases shall be limited only to those specific instances which are totally justified to satisfy compatibility or <br /> 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 required <br /> and appears to be in the best interest of the City. I know of no conflict of interest on my part or personal involvement <br /> in any way with this request. No gratuities,favors or compromising action have taken place. Neither has my personal <br /> familiarity with particular brands,types of equipment,materials or firms been a deciding influence on my request to <br /> sole source this purchase when there are other known suppliers to exist. <br /> Refer to the attached sole source justification as prepared by our department,to the attached review of available <br /> products/services and to my completed Purchase Requisition. <br /> Requestor:Michael W Ward Department Head: <br /> l Approved 0 R ' ed <br /> / tg,t —lcZ / f / ;? <br /> Signature of Requestor Date re of Dept.Head Da <br /> If purchase is$10,000 or more: <br /> Purchasing Manager: ( City Attorney: <br /> t!Approved 0 Rejected E Approved <br /> 0 Rejected <br /> of � 1 I Z �'f t z. j. •A l P /Z- <br /> ignatu I of Purchasing Mgr. Date Signature of City Attorney Date <br /> C:\Documents and Settings\mward\My Docutnents\Sole Source Request meters.docx <br />