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Single Source Justification Form

The document is a single source justification form for upgrading and rectifying the central battery emergency system (CBES) at a campus building for an estimated budget of AED 84,800. It details that the existing parts are obsolete and the proposed vendor SIBCA is the sole authorized agent for installation and maintenance of the INOTEC CBES system currently installed. An authorization letter from the manufacturer is attached. The form requires various approvals from department heads and procurement officials.

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manakkalsiva
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603 views3 pages

Single Source Justification Form

The document is a single source justification form for upgrading and rectifying the central battery emergency system (CBES) at a campus building for an estimated budget of AED 84,800. It details that the existing parts are obsolete and the proposed vendor SIBCA is the sole authorized agent for installation and maintenance of the INOTEC CBES system currently installed. An authorization letter from the manufacturer is attached. The form requires various approvals from department heads and procurement officials.

Uploaded by

manakkalsiva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Required Attachments
  • Single Source Justification
  • Introduction and General Instructions
  • Authorization of Request
  • Executive Approval

Single Source Justification Form

Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus


Administration and
Date: 21/02/2022 Department: PR No.:
Facilities
Estimated Vengadessane/
AED. 84,800.00 Focal Point: Vendor: SIBCA
Budget: Sivadas/Fabricio
Exception
Single Source (Preferred among other available suppliers in market)
Type:
GENERAL INSTRUCTION: End User is required to complete all the below sections and provide the
maximum details, if other than mandatory sections is “Not Applicable”, the same to be indicated. This
document and relevant attachments, if any, must be attached to the PR before proceeding for approval
in system.
1. Requirement Overview (Mandatory Section)
Requirement purpose in brief (brief Scope):

Upgradation of Central Battery Emergency System required for the rectification of Non-working emergency
lights in the building

2. Single Source Justification (Mandatory Section)


Detailed justification for the single/sole source requirement:

Existing parts are obsolete in the market. SIBCA is the sole agent of supply and installation of the INOTEC
make CBE system in the UAE. Attached authorization letter for reference. And presently SIBCA is doing the
maintenance of the same system in the building.

3. References (Mandatory Section)


Provide last relevant Contract / Purchase Order information if exists. Otherwise, indicate as Not Applicable.
Contract No.: NA
Purchase Order No.: NA
Purchase Requisition No.: NA

4. Remarks (if any)


Click here to enter text.

5. Attachments (if any)

SSJF Effective Date: 05-02-2020 Page 1 of 3


Refer to Procurement & Contracts Department intranet for latest, valid, and controlled version of this document. All other copies printed
or saved locally are uncontrolled and valid only on the date printed. Last printed: 10/28/2023 1:54 PM
Single Source Justification Form
Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus
Administration and
Date: 21/02/2022 Department: PR No.:
Facilities
✘ Relevant documents indicated above are attached in the Purchase Requisition in ERP system.

Developed by End User Approved by End User Head of Department

Name: Sivadas Name: Saleem Rayan


Title: Hard Services Technician Title: Director, Administration and Facilities
Date: 21/02/2022 Date: 10/02/2022

Signature: Signature:

Director Procurement & Contracts Comments:

Date: Signature:

Tender & Auction Committee Comments:

Date: Signature:

Vice President – HR & Procurement Comments:

Date: Signature:

Executive Vice President


SSJF Effective Date: 05-02-2020 Page 2 of 3
Refer to Procurement & Contracts Department intranet for latest, valid, and controlled version of this document. All other copies printed
or saved locally are uncontrolled and valid only on the date printed. Last printed: 10/28/2023 1:54 PM
Single Source Justification Form
Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus
Administration and
Date: 21/02/2022 Department: PR No.:
Facilities

Date: Signature:

SSJF Effective Date: 05-02-2020 Page 3 of 3


Refer to Procurement & Contracts Department intranet for latest, valid, and controlled version of this document. All other copies printed
or saved locally are uncontrolled and valid only on the date printed. Last printed: 10/28/2023 1:54 PM

Single Source Justification Form Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus Date: 21/02/2
Single Source Justification Form Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus Date: 21/02/2
Single Source Justification Form Subject: Upgradation and Rectification of CBES at Arzanah, KU SAN Campus Date: 21/02/2

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