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Requester Name :Title:Dept: <br />Contact Name: Ruby Ng Email: RubyNg@publicagencytax.com Phone: <br />Estimated Cost: <br />Complete the following checklist: This is a sole source vendor because: <br />Sole provider of a licensed or patented good or service. <br />Sole provider of items that are repair parts of or updates to existing equipment, systems. <br />Sole provider of factory-authorized warranty service. <br />What steps were taken to verify that these features are not available elsewhere? <br />Date: <br />Date: <br />Date: <br />Sole provider of unique equipment, products and/or services not offered by others. Please provide brief explanation. <br />Address: 6850 Buckingham Blvd., Berkeley, CA 94705 <br />Description of Product or Service: <br />Director of Finance Approval: <br />Sole source purchases are goods and services available from only one supplier/vendor or meets the listed criteria. Purchases for items that cannot be <br />procured through the competitive bidding process must be documented as to why the item(s) is considered sole source. <br />City of Pleasanton <br />Sole Source Justification <br />What specific feature makes this item and/or company unique and why is this needed for your project? <br />Other vendors were contacted (List specific company names, phone numbers and contact names, and explain why these were not suitable). <br />Other brands/manufacturers/companies were examined (List specific company names, phone number and contact names, and explain why <br />these were not suitable). <br />There is no reasonable expectation that a meaningful cost or other improvement could be realized over the incumbent contractor's <br />performance (e.g., the changes of another firm winning a competition are clearly remote. Please provide a brief explanation. <br />There is a substantial technical risk in contracting with any other contractor, (e.g., only one contractor has been successful to date in <br />implementing a difficult manufacturing process). In a brief explanation, provide supporting evidence that explains why other contractors are <br />considered to be unable to overcome the substantial technical risk. <br />Only company available to provide service and/or supplies to meet project schedule. In a brief explanation, provide supporting evidence of <br />why other contractors are considered to be unable to meet the project schedule. <br />Requestors Signature: <br />Department Head Signature: <br />Requested Sole Source Company: <br />Project Schedule (when do you need the product or service by?): <br />Susan Hsieh Director of Finance Finance <br />Public Agency Tax Advisors LLC (PATA) <br />Recovery of federal refunds of the City's eligible COVID leave payments <br />3/14/25 $ 12,750.00 <br />This is a specialized service offered by Public Agency Tax Advisors LLC (PATA). Fees will not be charged if it is determined that the City is <br />not eligible for the reimbursement. <br />✔ <br />Docusign Envelope ID: 408895A5-B882-4B84-8AA4-E757062412A6 <br />3/28/2025 <br />3/28/2025 <br />3/28/2025