Single Source/sole Source Justification Form
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2Single Source/Sole Source Justification Form
Complete this form for general equipment and service requisitions with a value greater than $5,000 (for all funds) where
competition may be restricted. Completing this form does not guarantee that the proposed vendor will be selected. The
Purchasing Department may require additional information. It is the requisitioner’s responsibility to provide all the
required information and documentation indicated on this form.
Please return this completed form with requisition, attached cover sheet and any additional back-up to the Purchasing
Department, A114 Altschul.
Ordering Department
Requisition #
Vendor Name
A. Explanation for Single/Sole Source
Select one or more of the following statements (check the box) to support why the requisition attached and noted above
should be a single/sole source purchase. Any selection requires explanation in the additional space provided.
Items sold through manufacturer only; no other comparable unit available.
Used or demonstration equipment available at a lower-than-new cost.
Must match existing piece of equipment. Available only from the same source of original equipment.
Upgrade to existing software. Available only from the producer of this software, who sells on a direct basis only.
Repair/Maintenance service requires expertise in operations on unit. Necessary parts unavailable from any source
except original equipment manufacturer or their designated servicing dealer.
Service(s) provided by the vendor are unique and therefore competitive bids are not applicable.
Other
Explanation for section (A) is required for any selection statement. Information might include research performed or
subject matter expertise detailed to justify the use of this particular vendor and their product. This must clearly indicate
why the proposed vendor is the ONLY vendor that will meet your requirements.
(Continued)
Barnard College Purchasing Department
rev. 5/11
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