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n n n . w4 n n n n n n n n n J S : Limited Sources Justification and Approval Under the Authority of FAR 8.405-6, Federal Supply Schedules
Purchase Request # FORMTEXT (or any other identifier)
1. Identification of the Contracting Activity and the Requiring Agency: The Contracting Activity is the General Services Administration, Federal Supply Service, National Furniture Center, Arlington VA. The requiring activity is the FORMTEXT (Requiring department or agency name, office, location, etc.).
2. Nature/Description of Action
It is the intent of the FORMTEXT (Department or Agency Name) to obtain FORMTEXT (Description of items to be purchased) for the aforementioned location.
The basis for limiting the sources for this acquisition is FORMTEXT (Describe the nature of the action and why sole source is required.).
3. Description of Supplies and Services
In accordance with agency objectives, the government has a need to procure FORMTEXT (Describe the supplies or services required to meet the agency's needs). The estim a t e d d o l l a r v a l u e o f t h i s p r o c u r e m e n t i s $ F O R M T E X T .
4 . D e m o n s t r a t i o n t h a t t h e p r o p o s e d c o n t r a c t o r s u n i q u e q u a l i f i c a t i o n s o r t h e n a t u r e o f t h e a c q u i s i t i o n r e q u i r e s u s e o f t h e l i m i t e d s o u r c e .
F O R M T E X T ( D e s c r i b e t h e r a t i o n a l e f o r t h e j u s t i f i cation and why this contractor's unique qualification require the use of this source alone)
5. A determination by the contracting officer that the order represents the best value to the government consistent with FAR 8.404(d).
The Contracting Officer has compared the contractor's pricing with the Federal Supply Service schedule award pricing. Since the anticipated cost is FORMDROPDOWN the contractor's FSS schedule pricing, which was previously determined to provide the best value to the government, the Contracting Officer has determined that the anticipated cost represents the best value to the government.
6. A description of the market research conducted among schedule holders and the results or a statement of the reason market research was not conducted.
Market research was conducted by FORMTEXT (Describe market research effort).
7. Any other facts supporting the justification, such as: Why statements of work or purchase descriptions suitable for full and open competition have not been developed or are not available?
As described above, this acquisition will be facilitated using an FSS contract for FORMTEXT (Describe other factors).
8. A statement of the actions if any, the agency may take to remove or overcome any barriers to competition before any subsequent acquisition for the supplies/services required.
It is the policy of this office to follow the requirements of FAR 8.405-1 and 8.405-2 when making FSS program procurements. However, the specific requirements can only be met in this situation by limiting sources in accordance with FAR 8.405-6.
9. Technical and Requirements Certification.
I certify that the facts and representations under my cognizance which are included in and form the basis for this justification are complete and accurate.
FORMTEXT Name, position title of technical or program manager of requiring activity Date
10. Contracting Officer Certifications
(a) For orders exceeding the simplified acquisition threshold, but not exceeding $500,000, the ordering activity contracting officer's certification that the justification is accurate and complete to the best of the of the ordering activity contracting officer's knowledge and belief.
FORMTEXT Name Date
FORMTEXT Contracting Officer
GSA National Furniture Center
(b) For orders exceeding $500,000, but not exceeding $10 million, the competition advocate for the ordering activity or an official described in subparagraphs 10(c) or 10(d), below. This authority is not delegable.
Approved/Disapproved:
FORMTEXT Competition Advocate for Ordering Agency Date
(c) For orders exceeding $10 million, but not exceeding $50 million ($75 million for DoD, NASA, and the Coast Guard), the head of the procuring activity, a designee who is a general or flag officer (for armed forces order) or in grade above GS-15 under the General Schedule, or the senior procurement executive of the agency placing the order.
Approved/Disapproved.
FORMTEXT Authorized Signatory Date
(d) For orders exceeding $50 million ($75 million for DoD, NASA, and the Coast Guard), the senior procurement executive of the agency placing the order must approve the order. This authority is not delegable, except as provided in FAR 6.304(a)(4).
FORMTEXT Senior Procurement Executive Date
11. Signatures required by GSA/FSS/NFC.
FORMTEXT Name Date
Contract Specialist
GSA, National Furniture Center
FORMTEXT Name Date
Contract Officer
GSA, National Furniture Center
FORMTEXT Name Date
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