SOLE SOURCE RE GOODS AND SERVICES WITH TRIPLE P AMERICA.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, Office of Family Health
Department Contact Contact Phone Number
Tracy Sloat +1 (602) 506-0610
PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: March 4, 2015
Company: Triple P America REQUESTED DELIVERY
Address: 1201 Lincoln Street, Suite 201, Date: April 1,2015
City, State: Columbia, SC QUOTED PRICE: 138,270
Zip/Postal Code: 29201
Phone: (803) 451-2278 Accounting String: 5328618653HEEDHS15
Fax: (803) 451-2277
Contact Name: Kat Green
Material / Service Information
Is this a Technology Procurement? 0 Yes (;) No
South Phoenix Healthy Start, as part of a federally approved grant, is implementing
Needs Statement: Triple P Positive Parenting Program - a child abuse prevention program - throughout
Describe in detail the material or service to be procured and our target area. This includes conducting an on-site training course for staff and then
how only it meets your needs. curriculum to provide for families who participate in Triple P services. This grant
requires the curriculum that this vendor provides.
This evidence-based curriculum requires a specific certified training and accreditation
Features/Requirements: course for staff and community members. it is also requires the purchase of Triple P
Identify the major features/capabilities that are required. What curriculum - which is copyrighted materials.
unique design/performance feature(s) make this material or
vendor the only one that can meet your requirements? Provide
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.
There are no other vendors that provide Triple P training, accreditation and materials
as far as lam aware.
Competing BrandsNendors Investigated:
Did you consider other materials or vendors with similar
capabilities? Indicate specific competitors 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):
There are no other vendors that provide Triple P training, accreditation and materials as far as lam aware.
SEARCH
MC1-349-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
0 Market research Li Public notice given, list no alternatives were identified
• Other vendors contacted 0 Other no alternatives were deemed acceptable
because (explain below):
Describe the search from above in detail:
PRICE
The estimated cost of this Procurement is: () 5 $10Ok ®> $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: El Comparison to public sector contract pricing
ri Comparison to previous comparable purchases Ill Discount off published catalog pricing
from a different vendor Market survey
Independent estimate 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 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 Signature ( uired)
1.---)
3-1073
, / c----2--t,-
Printed Name Signature Date
Office of Procurement Services
The CPO can approve procurements up to $ 1 00,000. This request is over $ 1 00,000 and must be submitted as an
agenda item to the Board of Supervisors for consideration.
El Recommended to BOS for approval.
Printed Name Signature Date
Email