Form 46909 - Source Selection Authorization - Special Procurement

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State Form 46909 (R4 / 1-99)
Approved by State Board of Accounts 1998
Req. No.
Division/District
Amount
Date
SOURCE SELECTION AUTHORIZATION
SPECIAL PROCUREMENT
Pursuant to 105 IAC 12-3-8, I
Commissioner of the Department of
Transportation do hereby find and determine that the supplies and/or services referenced herein
may be procured from
by a Special Procurement as follows:
(1) there exists a unique opportunity to obtain supplies or services at a substantial
savings to the Department
(2) the market structure requires the department to inspect and bid on the supplies to
be procured
(3) for the procurement of data processing contracts or license agreements for:
(a)
software programs; or
(b)
supplies or services, when only one (1) source meets the Department ’ s
reasonable requirements
(4) the compatibility of equipment, accessories, or replacement parts is a substantial
consideration in the procurement and only one (1) source meets the using
Department ’ s reasonable requirements
(5) there exists under emergency conditions, a threat to public health, welfare, or
safety
(6) the Department has solicited for a procurement under another method and has not
received a responsive bid from a responsible bidder
(7) procurement of the required supplies or services under another method would
seriously impair the functioning of the department
(8) for the evaluation of supplies or a system containing supplies to obtain functional
information or comparative data or for any other purpose that in the judgement of the
Commissioner may advance in the long term competitive position of the State.
A written determination of the basis for the special procurement and for the selection of the
particular contractor is attached.
Subdistrict Manager/Date
Division Chief/District Director/Date
INDOT Executive Staff/Date
.
.

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