COMPTV IMPRACT RE MED ASSMNT WITH HUMAN SVC CAMPUS.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 I 320 W.
Lincoln I Phoenix, AZ 85003. Fax number: 6022581573. The signed form must be retained in the purchasing file.
DEPARTMENT NAME DEPARTMENT RX#
Public Health
PROPOSED CONTRACT VENDOR
NEED IDENTIFIED Date: Oct 29,2015
Company; Human Services Campus LLC
Address; 230 South 12th Avenue Date: REQUESTED :ORNERY Nov 18, 2015
City, State: Phoenix, AZ
QUOTED PRICE: 1 50,000
Zip/Postal Code: 85007
Phone: (602) 256-0945 Accounting String:
Fax:
Contact Name: David Bridge
DESCRIPTION OF GOODS OR SERVICE REQUIRED:
The estimated cost of this Procurement is: C. $ 100k ai:,. > $100 k
Is this a Technology Procurement? C.: Yes 6:; No
The Department of Public Health's Health Care for the Homeless Program (HCH) provides medical and dental care and housing
assistance to homeless individuals from a grant received by the Federal Health Services Resource Administration, Health and Human
Services Division. Housing assistant is provided through a partnership with the Human Services Campus LLC using housing vouchers
and funding that is pooled from both the HCH Program and various other grants and funds received by the Human Services Campus
LLC. This funding will incorporate a medical assessment component into the housing process for homeless individuals being placed in
permanent housing through the Human Services Campus LLC Because of that, the housing program must be in very close proximity
to to the HCH Program because of the lack of transportation among homeless individuals and for continuity of patient care.
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 Grant specified (supporting documents attached) r-,, Software license renewals, additions, or upgrades available
' ' from only one source
Ci Mailing lists, subscriptions or media advertising Brand compatibility available from only one source (no other
' distributors)
C',' Warranty voided if service provided by other contract vendor (7:Other proprietary situation
(WI Other (Provide written explanation below)

THIS PROCURMENT IS A SINGLE SOURCE BECAUSE (attach additional page if needed):
The HCH Program operates on the Human Services Campus located at 12th Avenue and Madison in downtown
Phoenix. Because of this, the housing program operated by the Human Services Campus LLC is the only viable
option for a provider. In addition, the Human Services Campus LLC 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 and many of the individuals that are eligible for housing through the Human
Services Campus LLC are already patients of the HCH Program. 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 patient's continuity of care.
SEARCH
A search was conducted consisting of: (check all that apply) RESULTS
El Market research fl Public notice given, list 0 no alternatives were identified
fl Other vendors contacted E Other 0 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, durat'on, and estimated total dollar value of the procurement.
Price has been fairly and reasonably established by: 0 Comparison to public sector contract pricing
1.--1 Comparison to previous comparable purchases Discount off published catalog pricing
LJ from a different vendor a Market survey
Ej Independent estimate • Other, e_xplain:
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 Signature (Re
Max Porter
Printed Name Signature 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,
Recommended to BOS for approval.
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Printed Name I ature Date