SOLE SOURCE AUTHORIZATION FORM

Date: _03/11/2005  Requisitioner:  Bradford    Requisition No.: 

INSTRUCTIONS: Submit form by e-mail or hard copy to the Purchasing Agent in Finance.

Acquisition in the amount of $   26,402.01           is requested.

(  )   Emergency - When there exists a threat to public health, welfare, of safety under emergency conditions - Explain emergency.

Is the vendor or has the vendor ever been an employee of the City of Lawrence?

Yes_____  No___X__ If yes, please explain the nature of the employment and period of service.

1. Description of Material or Service:

                     3 – MSA Thermal Imaging Cameras

2. Explain why the recommended vendor is the only one qualified to provide the requested services at the exclusion of all others, i.e., what makes this vendor uniquely qualified?

                     MSA only distributes its products through regional vendors. 

3. Describe the research that has been completed to ensure that no other competition exists (nature of work to be completed, names of vendors contacted who are unable to perform service, etc, at least three vendors):

MSA was contacted and only distributes its products through regional vendors. 

06/02/03