Justification for Single/Sole and Urgent Purchases Form

Justification for Single/Sole and Urgent Purchases Form

This form is to be completed by the requistioner when a single/sole source or urgent purchase is required. Please answer the questions below, then select the "Printable Form" button to return a page which is your Justification for Single/Sole and Urgent Purchases Form. Print the form, sign it, and send it to Procurement, MS#1. Or just print and e-mail it to 

Your procurement representative is available for assistance as required.

Yes No
Similar products/services may exist, but the vendor/brand for reasons of expertise, and/or standardization, quality, compatibility with existing equipment, specifications, or availability, is the only source that is acceptable to the requisitioner and WHOI. Please expound on which criteria the proposed source meets and why.
If sources offering similar products or services are available, identify and explain why they do not meet your particular needs. Why would it be unacceptable to utilize their products and/or services?
The price(s) offered on the attached requisition is (are) determined to be fair, reasonable and in the best interest of WHOI, based on one or more of the following (Check as appropriate and provide supporting documentation):
Price is based on list price in vendor's current catalog or price list.
Price is based on established GSA, Federal or Educational pricing.
Price is based on current Market Price or value.
Item has been ordered before. Historically speaking, price is determined to be fair and reasonable.
Discount received. Percentage   % and dollar amount of discount $ .
Price is reasonable compared to similar product pricing.
Other (Identify basis): 

Last updated: May 3, 2017