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City of Santa Fe, New Mexico SOLE SOURCE REQUEST AND DETERMINATION FORM This sole source request form must be submitted to the City of Santa, Purchasing Division for authorization, determination and processing by the Chief Procurement Officer (CPO). Please ensure to complete this form in its entirety (*) must be completed.*Date:2/25/2022*Prepared By: Danita S. Boettner*Title: Procurement Manager/Landfill Manager*Vendor Name: Andela Products, Ltd. *Address: 493 State Route 28 *City:Richfield
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How to fill out sole source determination form

01
Obtain the sole source determination form from the appropriate department or website.
02
Fill in your contact information, including name, title, and organization.
03
Clearly specify the goods or services required.
04
Provide a detailed justification for why these goods or services can only be sourced from a single supplier.
05
Include information about the supplier, such as name and contact details.
06
Attach any supporting documentation that corroborates your justification.
07
Review the form for completeness and accuracy.
08
Submit the form to the designated approval authority.

Who needs sole source determination form?

01
Government agencies purchasing goods or services without competition.
02
Organizations requiring a specific vendor due to unique qualifications or proprietary products.
03
Project managers or procurement officers responsible for sourcing decisions.
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The sole source determination form is a document used to justify the decision to procure goods or services from a single supplier without a competitive bidding process.
Typically, government agencies or organizations that are making purchases using public funds are required to file a sole source determination form when they decide to procure from a single supplier.
To fill out the sole source determination form, one must provide details such as the specific goods or services needed, the justification for not considering other suppliers, and any supporting documentation that explains why the chosen supplier is the only viable option.
The purpose of the sole source determination form is to provide a structured way to document the rationale for choosing a single source supplier, ensuring transparency and accountability in the procurement process.
The information required typically includes a description of the goods or services, the vendor's qualifications, the reason for the sole source designation, any alternative options considered, and a cost analysis if applicable.
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