Extracted text (via pymupdf_layout)
2573 characters
Office of Procurement Services GOODS AND SERVICES COMPETITION IMPRACTICABLE FORM This form is to be used when a department believes an acquisition is considered Competition Impracticable and the acquisition dollar amount is above $10,000. The Chief Procurement Officer can approve purchases up to $100,000. Board of Supervisors approval is required if the acquisition is over $100,000. This form must be submitted for approval to: Office of Procurement Services I 160 S 4th Ave I Phoenix, AZ 85003. Fax number: 602.506.6766. The signed form must be retained in the purchasing file. Unless approved by the Board of Supervisors in a formal agenda item or the Chief Procurement Officer in a formal Contract a Cl form is valid from July 1 thru June 30th of each Fiscal Year. DEPARTMENT NAME Public Health DEPARTMENT RX# PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: May 25, 2021 Company: International Rescue Committee (IRC) Address: 4425 West Olive Ave. #400 REQUESTED DELIVERY July 1, 2021 City, State: Glendale, AZ. Date: Zip/Postal Code: 85302 Quoted Price/ Amount Requested: $250,000 Phone: 602.433.2440 ext 223 Fax: Accounting String: Contact Name: Robert Moore DESCRIPTION OF GOODS OR SERVICES REQUIRED: The estimated cost of this Procurement is: I l$100k [Z]> $100k Is this a Technology Procurement? I Ives l✓INo COMPETITION IMPRACTICABLE CATEGORY (Check applicable box, attach documentation or provide explanation below.) Maricopa County Procurement Code MCl-351 states: "Competition Impracticable" means an acquisition where, competition is impractical because of standardization, warranty, orotherfactors as approved by the Board of Supervisors. NOTE: The following are unlikell to be sufficient Comt1etition lmt1racticable justifications: • Personal or department preference for a product or vendor • Department perception that the vendor is the best qualified (this should be determined through a competitive process) • Lack of department planning resulting in limited time to conduct a competitive procurement • Special incentive or deal offered (can be assessed in open and competitive solicitation) • Department convenience □software (Z]Grant specified (supporting documents attached) from only license one source renewals, additions, or upgrades available □Mailing lists, subscriptions or media advertising □Brand compatibility available from only one source (no other distributors) []warranty voided if service provided by other contract vendor Oother proprietary situation Oother (Provide written explanation below) X Kevin Tyne, Director OPS June 7, 2021