SOLE SOURCE OR SOLE BRAND ACQUISITION CERTIFICATION | |
STATE AGENCY | ________________________ |
SUPPLIER NAME | ________________________ |
SUPPLIER ADDRESS | ________________________ |
SUPPLIER CONTACT INFORMATION | ________________________ |
In connection with the attached requisition or contract, I hereby affirm that | |
(Name of Supplier) | |
is the only business entity singularly qualified to provide the acquisition, or is the only brand satisfying the acquisition requirements, for the following reasons: | |
_______________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
The following is a brief description of all efforts made to verify that the acquisition qualifies as a sole source or sole brand acquisition: | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
________________________________________________________________________________________ | |
I understand that the signing of this certification knowing such information to be false may result in forfeiture of my position and ineligibility for appointment to or employment in state service for a period of five (5) years following forfeiture of position. | |
_____________________________ | |
(Chief administrative officer) |
The report shall detail sole source and sole brand acquisitions by state agencies for the month prior to the month preceding the submission of the report. The report shall be titled "Monthly Sole Source and Sole Brand Contracting Report of Oklahoma State Agencies" and indicate the time period of the report. The report shall be provided by the Director of the Office of Management and Enterprise Services or the Director's designee. The report shall be in columnar database format and shall include at least the following fields of information: state agency number; state agency name; date created by the Office of Management and Enterprise Services for the requisition; date of either approval or disapproval of the requisition; if disapproved, the reason why such contract requisition was disapproved; estimated amount of the requisition acquisition; purchase order amount; purchase order number; actual business name of supplier; supplier federal employer identification number; and the commodity classification listing at the appropriate level to distinguish between similar acquisitions. Information required by this subsection shall be reported and maintained on each report through the next reporting period after an acquisition is made. The applicable data in the fields of information specified in this subsection shall be listed even if the state agency requisition is disapproved.
Okla. Stat. tit. 74, § 85.44D.1