Department of Administration Architecture and Engineering Division s1

STATE OF MONTANA

DEPARTMENT OF ADMINISTRATION ARCHITECTURE AND ENGINEERING DIVISION

1520 East Sixth Avenue · P.O. Box 200103 · Helena, Montana 59620.0103

Phone: 406.444.3104 · Fax: 406.444.3399

"SOLE BRAND" JUSTIFICATION

1. Department name:

2. "Brand name" of product:

3. Description of "brand name" product:

4. Name of manufacturer of "brand name" product:

5. The "brand name" provided is to identify the standard of quality necessary. Equivalents will be considered. Yes No (if no, complete #6 and #7)

6. If the answer to #5 is "no," complete the following. Only the "brand name" item specified will be accepted:

Because patent rights, copyrights, secret processes, or control of certain materials or components provide superior use that cannot be obtained from similar products.

Because the product is unique and easily established as one-of-a kind.

Provide Complete Explanation:

7. If the answer to No. 4 is "no," provide complete rationale and fully detailed reasons for restricting competition to the “brand name”:

Signature of Agency Facility Manager Date

Signature of A&E Division Project Manager Date

Signature of A&E Division Procurement Officer Date

S:\FORMS\CONTRACTFORMS\Sole Brand Justification Revision Date: 03/01/2015