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. <br /> REQUEST FOR SOLE SOURCE <br /> To: Purchasing Office <br /> From: Dave Davis /Public Works/Engineering <br /> Name of Department Head Dept./Division <br /> Subject: Sole Source Request for the Purchase Of: Opticom Central Management <br /> System <br /> REQUESTED SUPPLIER: Advanced Traffic Products <br /> REQUISITION NUMBER: COST ESTIMATE: $164,000 <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 /> 4 A..ro ed ❑Reject <br /> LI Ak / `5/0/// //I/ / t.1 <br /> igna r of Requestipp Date Sign"e o 0 ept.H e ate <br /> If Purchase is$10,000 or more: If Purchase is$50,000 or more: <br /> Purchasing Manager City Attorney • <br /> a Approved <br /> ❑ Rejected proved ❑ Rejected <br /> ,• <br /> / s/31I b- / 5/3l/l/ <br /> .�.tore A Purchasing Manager Date ignature of City Attorney Date <br /> s:/#common/forms/sole <br />