SOLE SOURCE TAPI.PDF

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#
Public Health
Department Contact Contact Phone Number
Machrina Leach +1(602) 506-6662
PROPOSED CONTRACT VENDOR
NEED IDENTIFIED Date: January 1,2016
Company: The Arizona Partnership for Immunization REQUESTED DELIVERY
Address: 700 E Jefferson Street, Suite 100 Date: January 1, 2016
City, State: Phoenix, Arizona QUOTED PRICE: 400,000
Zip/Postal Code: 85034
Phone: Office 755-432-1128 Cell 480-580-3580 Accounting String: 265 863 8612 CHIM 0000 0638 00
Fax: 602-262-2654
Contact Name: Jennifer Tinney
Material / Service Information
Is this a Technology Procurement? (7) Yes c...) No
Continue to provide Public Health Immunization Clinics with the ability to provide
Needs Statement: immunizations to commercially insured clients. Allows Maricopa County to receive
Describe in detail the material or service to be procured and reimbursement for vaccine costs and administration for clients with current health
how only it meets your needs, insurance as well as receive reimbursement for the administration fee for clients with
the Arizona Health Care Cost Containment System (AHCCC5). They assure timely billins
TAPI is a state wide non-profit coalition that has over 400 private and public partners,
Features/Requirements: They work closely with the Arizona Department of Health Services (ADHS) which
Identify the major features/capabilities that are required. What houses the Arizona State Immunization Registry (ASIIS) which is the depot for all
unique design/performance feature(s) make this material or immunizations administered in Arizona. They have a longstanding partnership with
vendor the only one that can meet your requirements? Provide commercial and AHCCCS health plans that cover the majority of lives in Arizona. They
a brief explanation as to why only these features or this vendor also have contracts In place with these health plans, commercial and public. TAPI
can meet your requirements. Identify the manufacturer/model currently provides billing services for the majority of Health Departments in Arizona.
or your existing equipment, service or system if applicable. They have been successfully providing billing services for Maricopa County for 6 years,
TAPI is the only non-profit of its kind in the State of Arizona. Billing for local county
health department is very unique compared to other for-profit or non-profit health
Competing Brands/Vendors Investigated: care institutions. TAPI's large number of long term partnerships with ADHS,
Did you consider other materials or vendors with similar commercial and public health plans/insurers and county health departments makes
capabilities? Indicate specific competitor's brands/models or them very successful in billing for reimbursements. TAPI has created the contracts and
vendors that were investigated and describe why they do not process that have made receiving reimbursements for immunizations successful and
meet your requirements. You need to state that - to the best of has allowed Maricopa County to meet Its mandates to administer vaccines.
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):
TAPI has been successfully billing and receiving reimbursement for Maricopa County for 6 years. They have established policies and procedures that
assure timely reimbursement for local health departments. They are nationally recognized for their billing program. They are a non-profit organization
that has worked with almost 400 partners in the immunization community for over 20 years. They only receive a percentage of total reimbursements for
immunization services and only take a percentage of the vaccine cost that is above what we pay. We are able to receive 100% of our cost for privately
purchased vaccines that are reimbursed. There is no other non-profit organization that has the extensive partnerships in Arizona or the contracts in
place to assure reimbursements for immunization services, Continuing to utilize TAPI for the billing of immunization services would assure continued
revenue be received and Maricopa County would be able to maintain providing Immunizations to clients with health insurance.
SEARCH
MC 1-349-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
El Market research D Public notice given, list no alternatives were identified
fl Other vendors contacted IIII Other E no alternatives were deemed acceptable
because (explain below):
Describe the search from above in detail:
PRICE
The estimated cost of this Procurement is: Cs $lag< (7) > $100k
MC1-348 States: The Board of Supervisors may Award a contract for a Commodity or Service without competition by the
Board of Supervisors based on written documentation submitted by the Using Agency that there is only one source for the
required Commodity or Service. Sole source Procurement shall be avoided, except when no reasonable alternative source
exists.
Price has been fairly and reasonably established by: 0 Comparison to public sector contract pricing
Comparison to previous comparable purchases 0 Discount off published catalog pricing
from a different vendor Eg Market survey
• Independent estimate D Other, explain:
Describe methodology and results (attach any written supporting data, e.g., survey or market analysis):

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 fisted 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.
Agcy Hea,d or Appclinting Authority Signature (Required)
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Printed Name •Siyildiure Date
Office of Procurement Services
The CPO can approve procurements up to $100,000. This request is over $100,000 and must be submitted as an
agenda item to the Board of Supervisors for consideration.
fl Recommended to BOS for approval.
Printed Name Signature Date