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Provides definitions for key roles, collects requester and vendor information, and requires project background and waiver rationale under multiple selectable categories (single source, emergency, pass-through, inadequate competition, and continuation and integrity of ongoing research). Includes departmental signature certification, procurement-use fields, and reminders that vendor affidavits alone are insufficient documentation.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/request-for-waiver-of-competition-sole-source-justification-form/278267/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/request-for-waiver-of-competition-sole-source-justification-form/278267.png","ImageObject",442,249,{"name":88,"@type":89},"8796093062539","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-09-15",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When must the Sole Source Justification form accompany a HokieMart requisition?","Question",{"text":109,"@type":110},"It must be attached when seeking to purchase goods and/or services above $10,000, or software above $50,000.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What is required under Part IV for the waiver rationale?",{"text":114,"@type":110},"Select the appropriate rationale box(es) explaining why the waiver is requested and attach the specified backup documentation for that selection.",{"name":116,"@type":107,"acceptedAnswer":117},"Why is a vendor affidavit or sole source letter not sufficient documentation?",{"text":118,"@type":110},"The form states that an affidavit or sole source letter from the vendor alone does not provide adequate documentation that the item or service is only available from a single source.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},278267,1790032658,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":60,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},8796093062539,"REQUEST FOR WAIVER OF COMPETITION  \n[SOLE SOURCE JUSTIFICATION]  \nIf applicable, this Sole Source Justification form must accompany (be attached to) a HokieMart requisition when seeking to purchase goods and/or services in excess of $10,000 orforthe purchase of software in excess of $50,000.  \nDEFINITIONS  \nSole Source: The ONLY known supplier for unique products and services where no other options are available. P/I: Principal Investigator for a sponsored program or grant.  \nRequester: A representative from the department, grant or project who is submitting the sole source justification documentation and attests to its applicability, completeness and validity.  \nPARTI: GENERAL REQUESTER INFORMATION  \nPI/Requester Name:   Department Name:    \nPI/Requester Phone:   Project Name or Grant  \nNumber (if applicable):    \nPI/Requester Email:   Estimated Amount  \nof Purchase:    \nPART II: VENDOR INFORMATION  \nVendor Name:   Vendor Contact Name:    \nVendor Contact Phone:   Vendor Contact Email:    \nPART III: PROJECT JUSTIFICATION  \nBriefly, describe the background of your project and why the requested product or service is required:  \nSpace is limited. To continue, attach a separate document.  \n[CONTINUED] Page 1  \nPART IV: CHECK ONE BOX BELOW THAT EXPLAINS THE RATIONALE FOR THE REQUESTED WAIVER.  \n1. SINGLE SOURCE: A Single Source justification exists if the goods and/or services are available from only one supplier. Select one or more of the following AND attach backup documentation:  \nPatents Copyrights Exclusive Distribution Other  \n2. EMERGENCY: An Emergency justification exists if the goods and/or services are required to:  \n• Correct or prevent an emergency health, environmental or safety hazard; and/or,  \n• Provide for the completion of special or time sensitive events; and/or,  \n• Enable the emergency repair/replacement of existing equipment essential for daily operations.  \n3. PASS-THROUGH: The awarding agency or pass-through entity expressly authorizes noncompetitive quotes or proposals. Backup documentation supporting the pass-through is required with this form.  \n4. INADEQUATE COMPETITION: After contacting a number of sources, competition is determined inadequate.  \nSelect one or more of the following AND attach backup documentation:  \nMarket Research Emails Screenshots of Catalog Searches Other  \n5. CONTINUATION AND INTEGRITY OF ONGOING RESEARCH: When researchers need to acquire items from a particular source for scientific reasons (for example, when a service or item is only available with the required quality from one source or only one source can provide the items or service in the time frame required) .  \nProvide adequate justification in the space below:  \nSpace is limited. To continue, attach a separate document.  \nAn affidavit or sole source letter from the vendor is NOT sufficient documentation that the item or service is only available from a single source.  \nInadequate justification or lack of backup documentation may result in delays in issuing a purchase order or the requirement for competition in order to make an award.  \nPART V: DEPARTMENT SIGNATURES  \nI certify that this purchase will not present a conflict of interest as defined by university policy 13010. To the best of my knowledge, no gifts or gratuities have been received from this supplier.  \nPI/Requester Name (as applicable)  \nSignature Date  \nPRINT THIS FORM. ONCE SIGNED, ATTACH TOYOURHOKIEMART REQUISITION ALONG WITH ACCEPTABLE BACKUP DOCUMENTATION.  \n| PART VI: FOR PROCUREMENT DEPARTMENT USE ONLY |  |  |\n| --- | --- | --- |\n|  |  |  |\n| Buyer Name (Print) | Buyer Signature | Date |\n\nDirector of Procurement or Designee (Print)  \n Director of Procurement or Designee Signature  Date  \nProcurement signatures may be absent on this form and instead represented by workflow approvals obtained in the university’s eProcurement system.  \n[Contact Procurement at 540-231-6221 for additional information  \nMay 2026 Page 2","cbCaiqxw8zACQMW7","https://ap.wps.com/l/cbCaiqxw8zACQMW7","pdf",85094,"English","# PART I: GENERAL REQUESTER INFORMATION\n## PI/Requester details\n# PART II: VENDOR INFORMATION\n## Vendor contact details\n# PART III: PROJECT JUSTIFICATION\n## Background and need for requested item/service\n# PART IV: WAIVER RATIONALE\n## Select waiver category and attach required backup\n# PART V: DEPARTMENT SIGNATURES\n## Conflict of interest certification and signatures\n# PART VI: FOR PROCUREMENT DEPARTMENT USE ONLY\n## Buyer and director approval fields","[{\"question\":\"When must the Sole Source Justification form accompany a HokieMart requisition?\",\"answer\":\"It must be attached when seeking to purchase goods and/or services above $10,000, or software above $50,000.\"},{\"question\":\"What is required under Part IV for the waiver rationale?\",\"answer\":\"Select the appropriate rationale box(es) explaining why the waiver is requested and attach the specified backup documentation for that selection.\"},{\"question\":\"Why is a vendor affidavit or sole source letter not sufficient documentation?\",\"answer\":\"The form states that an affidavit or sole source letter from the vendor alone does not provide adequate documentation that the item or service is only available from a single source.\"}]","REQUEST FOR WAIVER OF COMPETITION - SOLE SOURCE JUSTIFICATION FORM | PDF",1789508608]