REQUEST FOR AUTHORISATION - SINGLE SOURCING (TENDER/QUOTATION
WAIVER)
1.
Value of Purchase(s) :- £ XXXXXXXX (Ex VAT).
2.
(Name of proposed supplier or service provider) :- XXXXXXXX
3.
Description of Requirement: XXXXXXXXXXXXXXXXXXXXX
4.
Has this requirement either been fully or partly the subject of any previous
tender ?
YES/NO
5.
If NO, did you take any steps to seek competition ?
6.
If YES, give details below or If NO, state full reasons for using non competitive
action:-
YES/NO
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Waiver request originator:
Management authorisation:
Signed: ...................................................
Signed: ....................................................
Date: .......................................................
Date: .......................................................
Print Name: XXXXXXXXXX
Print Name: XXXXXXXXX
Job Title:- XXXXXXXXXXX
Job Title Chief Executive
Waiver Approved/Not Approved by Chairman of XXXXXXXX Board
Signed: ...................................................
Date: .......................................................
Print Name: XXXXXXXXXXX
Please note that single tender/quotation action must be properly recorded for audit
purposes