Okaloosa County BOCC — September 6, 2016 — Blackmon Agency Sole Source

SOLE SOURCE PURCHASE DATA SHEET Date: 18 Aug 2016 PR No.: Direct Pay Requestor: Ken Wolfe Phone No.: 651-7150 Department/Division: _Public Safety / Emergency Management ltem Description: UPS System Maintenance Contract Requesting Department's Suggested Vendor: Blackmon Agency Vendor's Address: P.O. Box 130058, Birmingham, AL 35213 Vendor's Telephone No.: 205-879-0100 Point of Contact: Dana Dodd Sole Source Justification: Vendor is the only Eaton recognized agency for this areq, Eaton installed the system when the facility was built, no other vendors are qualified. We went out for quote in 2014 and no other vendor were Eaton certified. /////JM/Z 8-19-/4 orimen Bir c or nature Date REVIEW BY PURCHASING DEPARTMENT VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED Vendor #1 Contact: Phone No.: Vendor #2 Contact: Phone No.: Vendor #3 Contact: Phone No.: Buyer Comments: Signature of Buyer Who Reviewed Date Purchasing Services Coordinator Comments: Purchasing Services Coordinator Signature Date PURCHASING MANUAL - SOLE SOURCE DETERMINATION Comments: O M\w UL&F&UIV[O@LLQ 1L \OK LK‘X( LCQ , Approve: ?)1-: Disapprove: Amount of Purchase: Date: DM Boci/lb Purch?’sin Director Signature Date