The University of Memphis
Justification for Sole Source (Purchases or Contracts)
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Requisition Number:
Initiator/Requestor:   Date:
Department: Vendor/Contractor:
Amount to be Paid : Check here if federally funded grant

  1. Description of service to be acquired:

  2. Explanation of the need for or requirement placed on the University to acquire the service:

  3. Name and address of the proposed contractor’s principal owner(s):

  4. Evidence that the proposed contractor has experience in providing the same or similar service and evidence of the length of time the contractor has provided the same or similar service:

  5. Explanation of whether the service was ever bought by the University in the past, and if so, what method was used to acquire it and who was the contractor:

  6. Description of University’s efforts to use existing University employees and resources or, in the alternative, to identify reasonable, competitive, procurement alternatives (rather than to use non-competitive negotiation):

  7. Justification of why the University should acquire the service through non-competitive negotiation:
    (Please check all that apply.)

    The vendor possesses exclusive and/or predominant capabilities or the items contain a patented feature providing superior utility not obtainable from similar products.
    The product or service is unique and easily established as one of a kind.
    The program requirements cannot be modified so that competitive products or services may be used.
    The product is available from only one source and not merchandised through wholesalers, jobbers, and retailers.
    Item/s must be interchangeable or compatible with in-place items.
    The cost of conversion, including but not limited to disruption, re-training, and replacement precludes bidding competitively.
    The product is to be used in an instructional setting and the intent is to provide instruction on the specific product or diversity of products.
    For personal, professional and consultant services, whether the use of non-competitive negotiation is in the best interests of the University. (F&A Rule 0620-3-3-03)
    Other justifications as approved by the Chancellor, President, or Director of Procurement Services, as appropriate.