BERKELEY LAB JUSTIFICATION FOR SOLE SOURCE PROCUREMENT

1.	Complete and submit this form with the requisition if the requested sole source (non-competitive) procurement is over $100,000 (or is for an Intra-University Transaction with a UC Campus over $25,000).
2.	Provide the following information on the procurement:
Requester:	     	Subcontractor/Campus Name:	     	
Requisition Number:	     	Estimated Cost/Price:	     	

Description of the supplies, equipment, research, or services/work to be acquired, including any important features and minimum requirements:
     	

3.	Identify the reason(s) for the requested sole source procurement:
	1.	Unique capability, expertise, facilities, or equipment that no other source can provide. 	
	2.	Compatibility with existing equipment and/or standardization of parts.	
	3.	Follow-on work for continued development or enhancement of a specialized system or equipment or services necessary to avoid substantial duplication of costs that would not be recoverable, and/or significant, unacceptable delays in fulfilling program needs.	
	4.	An unusual or compelling urgency that would cause an adverse or programmatic impact of such a nature and magnitude that a sole source justification is merited.	
	5.	To establish or maintain a source for industrial mobilization or engineering, development, or research capability.	
	6.	Authorized or required by statute or International agreement. 	
	7.	Source is acknowledged and demonstrated to be the leader in its field of expertise (normally only appropriate for R&D work).	
	8.	National Security or public interest reasons.	
	9.	Unique bonding, insurance or indemnification requirements. (Appropriate only if the Subcontractor is a Large Business.)	
	10.	Services of an expert or neutral person for any current or anticipated litigation or dispute.	

4.	Explain why the identified subcontractor is the only qualified source, based on the reason(s) marked above, including any unique capabilities, expertise, processes, or facilities:
     	

5.	Describe market research efforts to locate other sources (include other sources evaluated and rejected, and the reason):
     	

Was Procurement consulted?   Yes    No 	Was the Laboratory’s Small Business Office consulted?   Yes    No 
(http:procurement.lbl.gov/liaisons.html)	(Hanh Le at hmle@lbl.gov, 510-486-4596)

6.	Follow-On Work:
Is there potential for follow-on work?   Yes     No  	If yes, can the follow-on work be competed?   Yes     No  
If can't be competed, explain why below:
     	

7.	Prepared By:

Signature:		
Title:	     	
Name:	     	Date: