Summary: University of California, Santa Barbara Purchasing Department
Sole Source Justification Questionnaire (Rev. 11/01)
Justification of Sole Source Purchase
Q U E S T I O N N A I R E
Date Requisition #
This questionnaire has been designed by the Purchasing Department to assist you in relating information
necessary to the processing of requisitions on a sole source basis. Your cooperation in answering the questions
listed below will assist in handling your order expeditiously.
1) Is this item required for use in: Research Classroom Lab
2) What features or functions are proprietary to this item? How are these dimensions or performance characteristics
essential to the accomplishment of your work?
3) List any company other than your suggested source who manufactures a similar item or manufactures an item with
similar functions. (List name, address, phone number, and contact).
Name Address Phone Contact
4) Why aren't these competing products satisfactory?
5) Will the item be used with existing equipment? Yes No
As a repair/replacement part?