╨╧рб▒с>■  %'■   $                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴M Ё┐kbjbjт=т= "АWАWk       lжжжжжжж║  ║∙644444444xzzzzzz$/ O вЮж44444Юшжж44│шшш4 ж4ж4xш4xшРшxжжx4( `S∙щ/╩┬║V>.xx╔0∙xё l|ё xш║║жжжж┘ SINGLE/SOLE SOURCE JUSTIFICATION Purpose This form must accompany purchase requisitions for the sole source procurement of equipment, construction, supplies or services when the purchase will exceed $5000. The purpose of this sole source justification is to show that a competitive procurement is impractical because only one product or service can meet the specific need. It is not to be utilized to circumvent normal purchasing procedure, nor for a price-based justification. Acceptance of this request will be at the discretion of the Department of Procurement Service. Requesting Department Statement I am aware that State of West Virginia and Federal procurement regulations require procurements to be done competitively whenever practicable. I am requesting a sole source procurement based on the following criteria. The following statements are complete and accurate, based on my professional judgment and investigations. I also certify that no personal advantage, gain or privilege has (or will) accrue to my immediate family or myself through the purchase from this vendor, nor is a family member employed by or is an officer of this vendor. Requesting Department: _________________________________________________________ Requestor: ____________________________________________________________________ Date: _______________________________ Phone: _________________________________ Vendor Requested: ______________________________________________________________ Briefly describe the product / service requested, its function and what it will be used for: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Please select the category (or categories) that best describe your single/sole source requirement. ____ A. Compatibility with existing equipment, research protocol, methodology, or training. ____ B. Only known manufacturer of this product. ____ C: Only product that will meet the requirements of the intended use although other like items exist. ____ D: Regional Support or Service of Needed Equipment ____ E: Service Providers Describe specific consequences of not securing this specific item or service. ________________ ____________________________________________________________________________________________________________________________________________________________ "#,ABeЛ┘ k°щ°щ°°ч\БB*CJOJQJ^JaJph B*aJph "#+,BCdeМН▀р1 2 Ж З ╪ ┘ ╜ } п  S n ╬ k¤√¤∙¤ЇЇяЇЇЇЇЇ¤¤¤¤¤¤ъъъъъъъъdh$a$$a$k¤ 1Рh░╨/ ░р=!░а"░а#Р░$Р░%░ i8@ё 8 NormalCJ_HaJmH sH tH @`@ Heading 1$$@&a$ B*aJphD`D Heading 2$$@&a$B*CJaJph<A@Є б< Default Paragraph Font<>╕┐Є< Titleдdдd[$\$OJPJQJ^J:B`: Body Text$a$ B*aJphk     "#+,BCdeМН▀р12ЖЗ╪┘╜}п S n ╬ m Ш0АА0ААШ0АА0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААЪ0ААkk k m  Wa)|m 333""*+,,╞╠SWeg╤╫Ю╝ m   Teresa NewcomecC:\Documents and Settings\Teresa\Application Data\Microsoft\Word\AutoRecovery save of Document5.asdTeresa NewcomeBC:\Documents and Settings\Teresa\My Documents\Sole Source Form.doc @Аj j |╔>j ║ k а@  Unknown            GРЗz А Times New Roman5РАSymbol3&Р Зz А Arial5&Р ЗzaА TahomaI&РА        щ? ?Arial Unicode MS"ёИЁ╨hД r╞╪ r╞KБЧ!Ёа░┤┤ББ20М 2ГЁ   SINGLE/SOLE SOURCE JUSTIFICATIONTeresa NewcomeTeresa Newcome■ рЕЯЄ∙OhлС+'│┘0ФРШ─╨шЇ (4 P \ ht|ДМф!SINGLE/SOLE SOURCE JUSTIFICATIONrosINGTeresa NewcomeRereereNormalNTeresa NewcomeR1reMicrosoft Word 9.0J@В5z @PЪн$╩┬@0а┌/╩┬БЧ■ ╒═╒Ь.УЧ+,∙о0 hpМФЬд м┤╝─ ╠ ∙ф║┌┴╧│╘╣╧═°CollegeOМ э !SINGLE/SOLE SOURCE JUSTIFICATION Title ■    ■   ■    !"#■   ¤   &■   ■   ■                                                                                                                                                                                                                                                                                                                                                               Root Entry         └FРшGъ/╩┬(А1Table             WordDocument        "SummaryInformation(    DocumentSummaryInformation8            CompObj    jObjectPool            РшGъ/╩┬РшGъ/╩┬            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■       └FMicrosoft Word Document MSWordDocWord.Document.8Ї9▓q