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Exhibit G -Sole Source Justification Form <br /> r ' ! ow <br /> * *t <br /> Ofr,�ll CARO�`�' <br /> SOLE SOURCE JUSTIFICATION FORM <br /> (for Items costing$5,000.00 or more) <br /> Vendor: DLX Enter.rises LLC - De.Io ed Los ix <br /> Item: ASAP-18 Shelter w/com•onents <br /> Estimated expenditure for the above item: $ 32.607 00 <br /> INITIAL ALL ENTRIES BELOW THAT APPLY TO THE PROPOSED PUCHASE ATTACH A MEMO <br /> CONTIAINING JUSTIFICATION AND SUPPORT DOCUMENTATION. <br /> 1. TSS Sole source is for the original manufacturer or provider. There are no area distribut <br /> 2. TSS The ors. <br /> parts/equipment are not interchangeable with similar parts of another <br /> manufacturer. <br /> 3. This is the only known item or service that will meet the specialized needs of this <br /> department or perform the intended function. <br /> 4. TSS The parts/equipment are required from this source to permit standardization. <br /> 5. None of the above apply. <br /> A detailed explanation and justification for this sole source <br /> in contained in the attached memo. <br /> The undersigned requests that competitive procurement be waived and that the vendor <br /> identified as the supplier of the material or service described in this sole source justification be <br /> authorized as a sole source for the material or service. <br /> I/ <br /> County Manager($5,000 up to$30,000) Emergency Services <br /> Board of Commissioners ($30,000 and up) Department <br /> _12115 129_122_ <br /> Date <br /> Lee County Purchasing and Contracting Policy <br /> Revised March 16,2020 <br /> Page 58 <br />