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    Non-competitive Procurement (Emergency or Sole Source) Request Form

  • Contracting Entities (CEs) should use this form under the following circumstances: 

    Emergency Procurement

    A public emergency or unexpected emergency situation forces a need for immediate purchases that cannot be delayed by the time required for a full competitive solicitation for products and/or services. 

    Sole Source Procurement

    The required product and/or service is available only from a single (sole) source distributor, supplier, or manufacturer, and this specific product and/or service is the only suitable solution to fill this need (preference for a particular brand or vendor when a suitable alternative exists should not be the basis for a sole source request).

     

    DIRECTIONS: The following information is required. TDA will evaluate the request and provide approval or denial via e-mail within 3 business days of submittal of a complete form. TDA cannot process incomplete requests and may reach out concerning missing information and if there are any questions.

    Note that CEs are required to maintain documentation that supports statements made in this submission. If approved, CEs must also maintain documentation related to the emergency or sole source procurement.

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  • 8. Enter the specific period of time that the CE plans to use this procurement method. Timeframe entered cannot exceed one year.

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  • Contract Start Date may not be more than 30 days before Today's Date. 

    Please select another date.

  • Contract End Date may not be more than one year from the Contract Start Date.

    Please select another date.

  • Time frame entered cannot exceed one year.

    Note that while TDA may approve the request, it may stipulate a shorter timeframe than requested. TDA will only approve a reasonable, limited timeframe that will allow the CE to establish a competitive process for future procurements of these products/services.

  • Attestation Statement

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  • Note: Only CE staff may submit this form. A food service managment company (FSMC) staff member cannot submit this form on behalf of the CE or attest to its accuracy.

  • Each party acknowledges and agrees that this information in this form is attested by the name entered in the above field and shall be considered as an original signature for all purposed and shall have the same force and effect as an original signature.


  • TDA may contact you with addition questions. 

    By submitting this appliation, the Contracting Entity is confirming that this form is true and correct.

  • FOR TDA INTERNAL USE ONLY

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