CI CONTRACT.PDF

Office of Procurement Services
GOODS AND SERVICES
COMPETITION IMPRACTICABLE FORM
This form Is to be used when a department belleVet ah acquisition is considered Competition Impracticable 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 1320 W,Lincbln 1 Phoenix, AZ 85003. Fax number: 602.258.1573.. The signed form must be retained
In the purchasing file.
DEPARTMENT NAME DEPARTMENT RX#
PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: 11/27/2017
Company: Brighter Way Institute REQUESTED DELIVERY
Address: 230 S. 12th Ave. Date:
City, State: Phoenix, AZ QUOTED PRICE: 75,000
Zip/Postal Code: B5007
Phone: (000) 000-0000 Accounting String:
Fax:
Contact Name: Nettie Chtinn / Dr. Kris Voichek
DESCRIPTION OF GOODS OR SERVICES REQUIRED:
The estimated cost of this Procurement is: 6.71.5_ $100k C > $100k
Is this a Technology Procurement? (7 Yes (;:`., No
The Health Care for the Homeless (NCH) grant requires that dental care be provided to homeless
patients. The dental provider is located on the Human Services CampOs where Health Care for the
Homeless (HCH) is located, in Very close proximity, Transportation is an issue among homeless
individuals as well as theft transient lifestyle. The Public Health's HCH provides medical and dental
care to the homeless through a grant received by the Federal Health and Human Services Division.
COMPETITION IMPRACTICABLE CATEGORY (Check applicable box, attach:documentation or provicle explanation below.)
Maricopa County Procurement Code MC1-351 states: "Competition Impracticable" means an acquisition where, competition is
Impractical because of standardization, warranty, or other factor S as approved by the Board of Supervisors,
NOTE: The foildwing are unlikelyto be sufficient Competition Impracticable iustifications:
• Personal or department preference fora 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 tirne tO conduct .a competitive procurement
• Special incentive or dealoffered (can be assessed in open and competitive Solicitation)
• Department convenience
SoftwareliCense renewals, additionS, or Upgrades available
(':rant r specified (supporting documents attached) Ci from only one source
Brand compatibility available from only one source (no other
r Mailing lists, subscriptions or media advertising distributors)
r Warranty voided if service provided by other contract vendor r Other proprietary situation
as.; Other (Provide written explanation below)

THIS IS A COMPETITION IMPRACTICABLE PROCUREMENT BECAUSE (attach additional page if needed):
Brighter Way Dental Institute operates on the Human Services Campus (HSC) next to HCH at 12th Ave.
and Madison, in downtown Phoenix. They are the only viable option for a provider, because of this and
due to lack of transportation for patients that stay on campus. The HSC acts as a one-stop shop for many
of the homeless individuals, the hours at Brighter Way Dental and HCH are the same, and are very
convenient for clients and staff. The dental provider would not only need to be in close proximity to the
homeless population on the HSC, but they also need to be culturally sensitive to the needs of the
homeless population. Many in the homeless population ate not well-groomed or bathed, which makes
them less desirable in a private dental setting. The amount of time it would take to transfer patient
records to another provider would be detrimental to the current program.
SEARCH
A search was conducted consisting of: (check all that apply) RESULTS
gl Market research r] Public notice given, list IIII no alternatives were Identified
0 Other vendors contacted • Other ri no alternatives were deemed acceptable
" because (explain below):
Describe the search from above in detail:
The Human Services Campus is the only one of its kind in downtown Phoenix.
PRICE
MC1-3.52-I3 states: The Using Agency requesting a Competition impracticable Procurement shall provide written evidence
to support a Competition Impracticable determination containing an explanation of why the proposed procurement
• rocess Is advanta I eous to the County; an ci the scope, duration, and estimated total dollar value of the irocurement.
Price has been fairly and reasonably established by D Comparison to public sector contract pricing
Comparison to previous comparable purchases 0 Discount off published catalog pricing
' from a different vendor D Market survey
g independent estimate 0 Other, explain:
Describe methodology and results (attach any written supporting data, e.g., survey or market analysis):
This is the amount available from our grant funds.
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CERTIFICATIONS
I certify:
1) 1 recognize that the Maricopa County Procurement Code *Ores the uSe of competitive solicitations unless
exei-npted by law. I have revieWed the Information and materials relevantto 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 vendoris fair, reasonable, and provides the best value to Maticopa 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,
Department Head or Department Head Delegate Signa re (Required)
11/21/2017
Printed Name Signature - Date
Office of Proureme Services i )1- 0 Th 19 >
Z
0 Approved se send a Requisition to OPS to process, ,
0 No prov d Reasoning:
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Printed Name SØiure Date
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