COVID Extraction and RT-PCR Kits

REV 10/21/2021 Page 1 of 2 PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. PART I: OVERVIEW Department Office/Division/Program: DHHS/Maine CDC Department Contract Administrator or Grant Coordinator: Chris Moiles Shawn Belanger (If applicable) Department Reference #: CD0-23-5467 Amount: (Contract/Amendment/Grant) $13,524.77 Advantage CT / RQS #: RQS 10A 20220824000000000277 CONTRACT Proposed Start Date: 8/1/2022 Proposed End Date: 12/31/2022 AMENDMENT Original Start Date: Effective Date: Previous End Date: New End Date: GRANT Project Start Date:

Grant Start Date: Project End Date: Grant End Date: Vendor/Provider/Grantee Name, City, State: IDEXX Laboratories, Inc. Westbrook, Maine Brief Description of Goods/Services/Grant: This is for COVID extraction and RT-PCR kits that have already been purchased and does not fall under a Master Agreement or BPO#10A20200903205. PART II: JUSTIFICATION FOR VENDOR SELECTION Check the box below for the justification(s) that applies to this request. (Check all that apply.) A. Competitive Process G. Grant B. Amendment H. State Statute/Agency Directed C. Single Source/Unique Vendor I. Federal Agency Directed D. Proprietary/Copyright/Patents J. Willing and Qualified E. Emergency K. Client Choice F. University Cooperative Project L. Other Authorization Please respond to ALL of the questions in the following sections. DocuSign Envelope ID: D53274EA-6C40-44D7-87D2-9DB8023A5DBD DocuSign Envelope ID: D53274EA-6C40-44D7-87D2-9DB8023A5DBD 12/8/2022Michelle Fournier DocuSigned by: Midulle Fournier O66BBD96EE5347F...