BRAND NAME Justification and Approval - Redacted

JUSTIFICATION FOR FK-5-1-12 Clean Agent FIREBOY-XINTEX bottles (P/N:

MA1300NVC-F)

(Simplified Procedures – MPT to < SAT)
Requesting Command:
Commander, Navy region Hawaii
Contracting Office:
Erin Chapman
Purchase Request/Document No.: ERP 1301397933 Skimmer/Work Boats Estimated value:
Required Delivery Date or
Period of Performance:
The supplies or services described herein are being solicited on a brand name basis and competition is precluded in accordance with specific item required IAW Boat Alteration Record for the Skimmers and Workboats required for reasons indicated below. There are no substitutes available for this supply/service.
Restricted to the following source.
‫ ܆‬Service:
Contractor:
Cage Code:
Point of Contact:
Phone Number:
‫ ܈‬Supply:
Original Manufacturer Name: FIREBOY-XINTEX
Cage Code:
Point of Contact:
Phone Number:
‫ ܆‬Check here if obtaining product through authorized resellers of the manufacturer. Reseller:
Cage Code:
Point of Contact:
Phone Number:
Description of the supplies or services required, to include its intended use. FK-5-1-12 Clean Agent FIREBOY-XINTEX bottles (P/N: MA1300NVC-F) required to upgrade the Fire suppression system on the Skimmer and Workboats due to original part obsolescence. New part identified in Boat Alteration Record (BAR) 30-WB-19A and deviation from the BAR is not authorized without changing the BAR.
In conclusion, the requested supplies or services represent the minimum requirements of the government.

[See J&A
Log for Serial#] J&A #: XX-XXX
J&A
FY 26-022

Describe in detail why only this source(s) can furnish the requirements to the exclusion of other sources.
FK-5-1-12 Clean Agent FIREBOY-XINTEX bottles (P/N: MA1300NVC-F) required to upgrade the Fire suppression system on the Skimmer and Workboats due to original part obsolescence. New part identified in Boat Alteration Record (BAR) 30-WB-19A and deviation from the BAR is not authorized without changing the BAR

A. ‫ ܆‬ONLY ONE RESPONSIBLE SOURCE

1. ☐ RESTRICTIVE RIGHTS

The source has established proprietary rights, limited rights in data, patent rights, copyrights or secret processes in the item or service required.

2. ‫ ܆‬EXCLUSIVE LICENSING RIGHTS

The item or service is only available from the Original Equipment Manufacturer (OEM), or there is only one authorized distributor or technical representative for the OEM.

3. ‫ ܆‬OTHER REASONS

B. ‫ ܈‬BRAND NAME

Item required must be a brand name product, or feature of a product, particular to one