COMP IMPRCT RE DENTAL SVCS FOR CENTRAL AZ SHELTER SVCS.PDF

Office of Procurement Services
GOODS AND SERVICES
COMPETITION IMPRACTICABLE FORM
This form is to be used when an agency believes an acquisition is a single 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 320 W.
Lincoln Phoenix, AZ 85003. Fax number: 601258,1573. The signed form must be retained in the purchasing file.
DEPARTMENT NAME DEPARTMENT RX#
PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: Oct 29, 2015
Company: Central Arizona Shelter Services REQUESTED DELIVERY
Address: 230 South 12th Avenue Date: Nov 18, 2015
City, State: Phoenix, AZ QUOTED PRICE: 404,651
Zip/Postal Code: 85007
Phone: (602) 256 -0945 Accounting String:
Fax:
Contact Name: Kris Volcheck
DESCRIPTION OF GOODS OR SERVICE REQUIRED:
The estimated cost of this Procurement is: (7, _._ $100k Ci, > $100k
Is this a Technology Procurement? C) Yes 6:• No
The Department of Public Health's Health Care for the Homeless Program (FICH) provides medical and
dental care to homeless individuals from a grant received by the Federal Health Services Resource
Administration, Health and Human Services Division. The grant requires that dental care be provided
to homeless clients, The dental provider must be in very close proximity to HCH because of the lack
of transportation among homeless individuals as well as their transient lifestyle.
SINGLE SOURCE CATEGORY (Check applicable box, attach documentation or provide explanation below.)
Maricopa County Procurement Code MC1-351 states: "Single source" means an acquisition where, competition is impractical because
of standardization, warranty, or other factors as approved by the Board of Supervisors.
NOTE: The following_are unlikely to be sufficient single source justifications:
• Personal or agency preference for a product or vendor
• Agency perception that the vendor is the best qualified (this should be determined through a competitive process)
• Lack of agency planning resulting in limited time to conduct a competitive procurement
• Special incentive or deal offered (can be assessed in open and competitive solicitation)
• Agency convenience
c Software license renewals, additions, or upgrades available
(7) Grant specified (supporting documents attached) ' from only one source
r, Brand compatibility available from only one source (no other
CI Mailing lists, subscriptions or media advertising distributors)
(''..) Warranty voided if service provided by other contract vendor C Other proprietary situation
(i) Other (Provide written explanation below)

THIS PROCURMENT IS A SINGLE SOURCE BECAUSE (attach additional page if needed):
Central Arizona Shelter Services (CASS) operates on the same campus as HCH located at 12th Avenue and Madison in
downtown Phoenix. Because of this, they are the only viable option for a provider. In addition, CASS offers many other
amenities to the population so they have developed a strong rapport with the residents located there. The entire campus
serves as a one-stop shop for many of the individuals. CASS is also open during the same hours as the HCH clinic, making it
convenient for not only the HCH clients bu the staff as well. In addition, the amount of time and effort it would take to revert all
the current patient files and records to another provider would be not only cost prohibitive, but could destroy the viability of
the current program.
The dental provider would not only need to be in close proximity to the homeless population located on the Human Services
Campus, but they would also need to be culturally sensitive to the needs of the homeless population. Many in the homeless
population are not well-groomed or bathed, which makes them less desirable in a private dental setting.
SEARCH
A search was conducted consisting of: (check all that apply) RESULTS
0 Market research fl Public notice given, list El no alternatives were identified
Other vendors contacted Other No 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
MC1-352-B states: The Using Agency requesting a Competition Impracticable Procurement shall provide written evidence
to support a Competition Impracticable determination conta fling an explanation of why the proposed procurement
process Is Advantageous to the County; and the scope, durafon, and estimated total dollar value of the procurement.
Price has been fairly and reasonably established by: Ell Comparison to public sector contract pricing
Comparison to previous comparable purchases El Discount off published catalog pricing
I--J from a different vendor 1111 Market survey
ES Independent estimate ID 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.

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 single 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 Agency Head Delegate Sig • e (R - g rz a
Max Porter Porter
Printed Name Sign. ure 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.
17( Recommended to BOS for approval.
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Kited Name i.'a re - Date