Single Source Certificate - 2014 Fillable pdf (Requesting Department).pdf

The document is a form used to certify conditions and circumstances for the purchase of goods and services under the single source exception to the competitive bid process. It is to be filled out by the Department Director and submitted to the Purchasing Department for approval or disapproval. The form includes sections for specifying the item or services required, the name of the company considered a single source, and detailed conditions and special circumstances justifying the single source selection. After the form is completed and signed by the Department Director, it is sent to the Purchasing Department for review. The Purchasing Department then takes action, which may include attaching quotations or documentation, signing the form, and sending copies to the Mayor's Office as requested by the requesting department.