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Is this a one-time procurement? *If an on-going sole source procurement is required, attach an <br /> ❑ No` ® Yes estimate that shows total annualized expenditure (for each year). <br /> PRICE REASONABLENESS (Check all that apply and attach back-up documentation) <br /> I determined that the price is fair and reasonable because: <br /> ❑ I compared the proposed price to prices I previously paid for the same or similar goods and/or services. <br /> See PO# . Specify price: <br /> ❑ I compared the proposed price to current published catalog, price lists, or market prices as documented <br /> in the attachments (attach relevant documentation) and the proposed price is similar or less. <br /> ❑ I compared the proposed price to rough yardsticks(such as dollars per pound or per horsepower, or <br /> other units of measure) and did not discover significant inconsistencies that warrant additional pricing <br /> inquiry. <br /> El Based on my knowledge of the market, my experience of prior similar proposals, or knowledge imparted <br /> by technical experts. <br /> ❑ The price is set by law or regulations. <br /> ❑ Market research reveals that same or similar goods or services are available for a similar price. <br /> ISI Other: The cost of this rental unit is less than we are currently spending on a rental unit and is the same <br /> model as the unit that we are purchasing. <br /> ❑ Back-up documentation is attached. <br /> Explanation of above-checked justification: We are currently spending $4100/mo on a telehandler rental that is <br /> different from the model that we are purchasing. This unit is will be rented to us for$3500/mo saving us <br /> $600/mo. Also, it will allow us to train our operators on the equipment that we are purchasing therefore reducing <br /> the cost of retraining once our purchased unit arrives. <br /> STATEMENT OF NEED AND CERTIFICATION: <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 of Everett. I know of no conflict of interest on my part <br /> or 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 been a <br /> deciding influence on my request to sole source this purchase when there are other known suppliers to exist. <br /> I hereby certify that this justification for sole source procurement is accurate and complete to the best of my <br /> knowledge and belief. <br /> i ure(Requestor) Date <br /> vti't «t!— <br /> Printed Name, Title:M NIS„owe S vpe. �.car, <br /> DEPARTMENT DIRECTOR <br /> Based upon the above, I - �orize the s. - . rce acquisition of the goods or se ces scified. <br /> 26 1-7 <br /> Signature t Date <br /> -\>\A‘C-7 <br /> Printed Name: ��d.�\ 7 <br /> PURCHASING MANAGER <br /> Based upon th 'bove, I authorizMhe sole source ac uisition of the goods or services s ifie <br /> /2, 24 <br /> trI <br /> Signatu Date <br /> Note: If additional space is required, use additional sheets of paper and submit with this completed form. <br /> Page 2 of 2 Revised 10/16/2017 <br />