Attachment B
Sole Source Form
SOLE SOURCE/BRAND REQUEST
When a request is made for a non-competitive purchase and the specifications limit the bidding to one source and or one brand or trade name, the requesting department must complete the following:
VENDOR/COMPANY NAME: Hitachi Energy USA Inc.
1. Please check one:
a. SOURCE: Item is available from one source only. Item is one-of-a kind and is not sold through distributors. Manufacturer is exclusive distributor.
SOLE BRAND: Various sources can supply the specified model and brand and competitive bids will be solicited for the requested brand only. Meets form, fit and function - nothing else will do.
DY STANDARDIZATION REQUEST: The City of Victorville VMUS _(Department name) Department requires the items) to standardize parts; design; quality; training; etc...
2. What are the unique performance features of the product / brand requested that are not available in any other product / brand? (For services: What unique qualifications', rights, licenses does this vendor possess?)
This is a direct replacement for a VMUS inventory stocked transformer that will be used on a new customer service connection.
3. Why are the unique performance features REQUIRED (not merely preferred), and how would your requirement be inhibited without this particular service/item? N/A inventory and for ease of change out when necessary.
4. If justification is based on matching and/or interdependent with existing equipment (refer to 1.c.), list the quantity, manufacturer, brand, and model of the existing equipment, and why the matching is required.
ABB/Hitachi stacked core, 2500 kva, 12470 volt to 480 volt, Delta to Wye, step down service transformer.
I am aware of City of Victorville's policy for competitive bidding and the established criteria for sole source/sole brand purchasing. I feel confident that this request for sole source/sole brand procurement meets City of Victorville's criteria and will withstand an audit or a vendor protest.
Requestor: Noch Caracioo 8-28-24
(Print Name) (Signature) (Date)
sirector: "brenda Hampton sonia te 8/29/24
Print Name (Date)
Finance Director: Carmen Cun lamed Cun 9/3/2024
(Print Name) (Signatur (Date)