Insert description here. Description of the IT goods, non-IT services, or goods and services to be procured (the “Goods or Services”) Why the Goods or The Goods or Services are the only goods or services that meet the JBE’s need. Please Services cannot be explain: competitively procured (check one and provide additional information) A grant application submittal deadline does not permit the time needed for a competitive procurement of services. Please provide details regarding the grant application, including the submittal deadline: Effort made to solicit Insert description here. competitive bids (if any) Support that the For example, prices for comparable goods or services. pricing is fair and reasonable Special factors Insert description here. affecting the cost or other aspect of the procurement (if any) Requesting Employee: _____________________________________________________ Signature _________________________ _________________________ Name Title Requesting Employee’s _____________________________________________________ Signature _________________________ _________________________ Name Title This Sole Source Request is: Approved Denied Sole Source Approver: _____________________________________________________ Signature _________________________ _________________________ Name Title
Description of the goods, non-IT services, or IT goods and services to be procured (the “Goods or Services”) Insert description here. Why the Goods or Services cannot be competitively procured (check one and provide additional information) The Goods or Services are the only goods or services that meet the JBE’s need. Please explain: A grant application submittal deadline does not permit the time needed for a competitive procurement of services. Please provide details regarding the grant application, including the submittal deadline: Effort made to solicit competitive bids (if any) Insert description here. Support that the pricing is fair and reasonable For example, prices for comparable goods or services. Special factors affecting the cost or other aspect of the procurement (if any) Insert description here. Requesting Employee: _____________________________________________________ Signature _________________________ _________________________ Name Title Requesting Employee’s _____________________________________________________ Signature _________________________ _________________________ Name Title This Sole Source Request is: Approved Denied Sole Source Approver: _____________________________________________________ Signature _________________________ _________________________ Name Title
JBCM-Sample-Sole-Source-Request.docx