Single/Sole Source Justification Form

Description

SINGLE/SOLE SOURCE JUSTIFICATION Purpose This form must accompany purchase requisitions for the sole source procurement of equipment, construction, supplies or services when the purchase will exceed $25,000. (However, this justification is not needed when buying from University contracts.) The purpose of this sole source justification is to show that a competitive procurement is impractical because only one product or service can meet the specific need. It is not to be utilized to circumvent normal purchasing procedure, nor for a price-based justification. Acceptance of this request will be at the discretion of the Procurement and Business Services. NOTE: Procurement of single/sole source items/services exceeding $200,000 typically takes a minimum of 2-3 months to process, starting from the time a complete package including an approved purchase requisition and single/sole source justification documentation is received by Procurement. Please keep this in mind when planning timeframes for significant purchases. Statement I am aware that State of Maryland and Federal procurement regulations require procurements to be done competitively whenever practicable. I am requesting a sole source procurement based on the following criteria. The following statements are complete and accurate, based on my professional judgment and investigations. I also certify that no personal advantage, gain or privilege has (or will) accrue to my immediate family or myself through the purchase from this vendor, nor is a family member employed by or an officer of this vendor. Customer’s printed name: _____________________________________ Customer’s signature: _____________________________________ Date: _______________ Phone: _______________________________ Reference Req#: ________ Account #: ____________________________ Vendor: ______________________________________ Please select the category (or categories) below that best describe your single/sole source requirement. Answer all of the questions pertaining to that category, attaching additional pages as needed. Complete only those categories that are applicable. AT A MINIMUM, SECTIONS “A”, “C” AND “E” MUST BE COMPLETED TO DEFEND A SOLE/SINGLE SOURCE REQUIREMENT. Sole/Single Source Justification v5.0 July 2026 A. B. Requirement Description/Use (Required) 1. Describe the product/contractor/service provider/consulting services requested: 2.