HomeMy WebLinkAbout- - EF 9778 AE - 7/20/2010Date: June 22. 2010
JUSTIFICATION FOR SOLE SOURCE REQUEST
Dept./Div.: Fire / EMS
Contact: Kirk Dominic, Deputy Chief
Description of Equip. /Service Req.: Cardiac Resuscitation System
Recommended Vendor: Zoll Medical Corporation
Address: 269 Mill Road. Chelmsford. MA 01824-4105
1. Check reason for sole source request:
Phone: 714 754 5144
Phone: 978-421-9655
® Sole Source: No other items are known to exist which perform the same function.
® Proprietary: The item is held under exclusive title, trademark or copyright by a private person or
company; a proprietary distributorship would also apply.
® Standardization: The City requires the item(s) to standardize parts, design, quality, etc. (explain in
more detail below)
2. Is the product or service available from other sources?
❑ Yes
❑ No
If YES, list name of vendors:
If NO, explain why the product/service is available from only one source:
Zoll is the only comDanv that sells this Droduct.
3. Can your requirements be modified so that competitive products or services may be used?
❑ Yes
❑ No Please explain:
No other Droduct meets the specifications and needs of the Fire DeDartment.
4. How does the recommended vendor's prices or fees compare to the general market?
Favorably
Dept./Div. Head's Signature:
Purchasing Supervisor's Signature:
Purchasing Officer's Signature:
Sole Source Vendor form - online
Date:
Date:
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