MERCED
SOLE/SINGLE SOURCE REQUEST
Fully completed forms must be submitted to and approved by Purchasing before a POor Contract may be issued.
The form needs to have been fully completed by requesting department and approved by Purchasing prior to seeking Council authorization for waiving competitive bidding on the grounds of sole/single sourcing.
VENDOR INFORMATION
Vendor Name:AM Signal LLC
Contact Name:Brian LaPerle Title: Technical Sales Representative Phone Number 925-356-1812 E-mail:[email protected]
PRODUCT / SERVICE REQUESTED
Manufacturer Name: Opticom
Manufacturer Part Number applicable):Opticom 721 Detector. Opticom 138 IR detector cable, Opticom 764 Multimode phase selector, Opticom 794H LED Emitter Description of Services (if applicanie):
Justification for Selection of Vendor: Sole source vendor & to uparade existina trafic sianal preemption equipment. Please refer to admin staff report for further details.
Estimated Price: $323.557.34
Requires Council Approval? Yes • NoO
APPROVED BY
Department Head Signature: Man E
Approval Date: 12//8/23
PURCHASING DIVISION ACTION
Approved M
Denied
Date: 12/19/23
Reason: