SOLE SOURCE JUSTIFICATION

RESEARCH PROJECT SUBCONTRACT

(Applies only to subcontracts with private sources in excess of $10,000.)

SUBCONTRACT EFFECTIVE through

The services described below are requested as a Sole Source Subcontract in connection with a research project at the University of Virginia.

NAME OF SUBCONTRACTOR:

ADDRESS:

CONTACT PERSON:

TELEPHONE:

I. Services being subcontracted:

II. Reasons for selecting this subcontractor. (Mention other subcontractors considered and reasons not selected, if applicable).

AUTHORIZATIONS/APPROVALS

Department:

Principal Investigator

_____________________________

Signature Date

Office of Sponsored Programs

Name and Title:

_____________________________

Signature Date

Procurement Services

_________________ ______________

Director Signature Date