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Office of Procurement Services GOODS AND SERVICES SOLE SOURCE FORM This form is to be used when an agency believes an acquisition is a sole source and the acquisition dollar amount is above $5,000. 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 320 W. Lincoln I Phoenix, AZ 85003. Fax number: 602.258.1573. The signed form must be retained in the purchasing file. DEPARTMENT NAME DEPARTMENT RX# Human Services Department Department Contact Contact Phone Number Bruce Liggett, Director +1 (602) 506-0066 PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: 6/13/2016 Company: Lodestar Day Resource Center REQUESTED DELIVERY 7/1/2016 Address: 1125 West Jackson Street Date: City, State: Phoenix, AZ QUOTED PRICE: 33,000 Zip/Postal Code: 85007 Phone: 602-463-6315 Accounting String: Fax; Contact Name: Dr. Sheila Harris, Executive Director Material / Service Information Is this a Technology Procurement? r Yes 6: No Ma ricopa County through its Human Services Department works with the Human Needs Statement: Services Campus (HSC) to provide services to homeless individuals. Lodestar Day Describe in detail the material or service to be procured and Resource Center (LDRC) is located at the Human Services Campus and provides a how only it meets your needs, baggage check service to individuals that are seeking shelter. Baggage check services are essential for the individuals that are requesting shelter and Features/Requirements: services at the HSC, due to security measures, individuals cannot have their baggage Identify the major features/capabilities that are required. What with them. Therefore the bag check services provided by LDRC helps to meet the unique design/performance feature(s) make this material or needs of homeless individuals while ensuring safety measures are followed. LDRC vendor the only one that can meet your requirements? Provide provides storage, operation and personnel to provide the services. . a brief explanation as to why only these features or this vendor can meet your requirements. Identify the manufacturer/model or your existing equipment service or system if applicable. LDRC is the only agency that provides a baggage check service on the HSC. No other vendors were investigated. Competing Brands/Vendors Investigated: Did you consider other materials or vendors with similar capabilities? Indicate specific competitor's brands/models or vendors that were investigated and describe why they do not meet your requirements. You need to state that - to the best of your knowledge - these are the only companies making this material, equipment or providing this service. List sales representatives and their phone numbers so the Procurement Officer can contact them to verify that other materials, equipment or services do not meet your requirements. THIS PROCURMENT IS A SOLE SOURCE BECAUSE (attach additional page if needed): This procurement Is a sole source as there are no other alternatives on the Human Services campus to provide this specific service. They already have an established, effective system on the campus to provide the baggage check service. No other vendors on the campus currently have an established system to provide baggage check services. This is an essential service as Baggage check is a requirement on the Human Services campus for the homeless population to ensure security. SEARCH IVIC1-349-A states: Any request by a Using Agency that a Procurement be restricted to one potential Contractor shall be accompanied by an explanation as to why no other would be suitable or acceptable to meet the need. The Using Agency requesting sole source Procurement shall provide written evidence to support a sole source determination. A requirement for a particular proprietary item does not alone justify a sole source Procurement if there is more than one potential Respondent for that item. A search was conducted consisting of: (check all that apply) RESULTS • Market research D Public notice given, list a no alternatives were identified El Other vendors contacted IZI Other r_i no alternatives were deemed acceptable I-1 because (explain below): Describe the search from above in detail: LDRC Is the only vendor on the HSC that provides the Baggage check service to homeless individuals. No other vendors were identified. PRICE The estimated cost of this Procurement is: 6" .. $100k C. > $100k MC1-347 States: The Chief Procurement Officer may make the determination that the sole source method set forth in MC1-349 shall be used if a Commodity or Service is available from only one vendor, and the purchase is estimated to Cost no more than $100,000. Price has been fairly and reasonably established by: D Comparison to public sector contract pricing Comparison to previous comparable purchases D Discount off published catalog pricing 1-1 from a different vendor Ej Market survey D Independent estimate a Other, explain: Describe methodology and results (attach any written supporting data, e.g., survey or market analysis): The County has contracted with LDRC for services since April 2015 to support the services provided at the overflow shelter. The cost for this service is based on actual service costs to be reimbursed. CONFLICT OF INTEREST STATEMENT The submitting department agrees that there is no real or potential conflict of interest in recommending this material or service as a sole source procurement. NOTE: if a real or potential conflict exists, contact the Procurement Officer listed on your Requisition. CERTIFICATIONS I certify: 1) I recognize that the Maricopa County Procurement Code requires the use of competitive solicitations unless exempted by law. I have reviewed the information and materials relevant to this procurement of goods and services, and am requesting approval of an exception to the competitive process for the reasons described; 2) the price to be paid to the proposed sole source vendor is fair, reasonable, and provides the best value to Maricopa County; and 3) this request for an exception to the competitive solicitation process is not the result of inadequate advance planning or for purposes of securing the services of a preferred vendor. Agency Head or Appointing Authority S• ature ; -quired) / Bruce Liggett . „a- 7 A/7 Printed Name Signature / Date Offipe of Procurement Services Approved. Please send a Requisition to OPS to process. p Not Approved. Reasoning: Printed Name Date Email Save