CIF CENTRAL ARIZONA SHELTER SERVICE SGND.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 V11,
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
PROPOSED CONTRACT VENDOR' ' NEED IDENTIFIED Date: "
Company: Central Arizona Shelter Services REQUESTED DELIVERY
Address: 230 South 12th Avenue Date:
City, State; Phoenix, AZ QUOTED PRICE: 132,558
Zip/Postal Code: 85007 .
Phone; (602) 256-0945 Accounting String: 532-861 -8629-HCHL-81I -00-H433
Fax: .
Contact Name; Kris Voicheck
DESCRIPTION OF GOODS OR SERVICE REQUIRED:
The estimated cost of this Procurement is: (-.' $100k 03', > $100k
,
is this a Technology Procurement? cs.. Yes (I:: No
The MCDPH's Healthcare for the.Homeless Program (HCH) provides medical, behavioral, and dental
care to homeless individuals from a grant received by the Federal Health Services Resource
Administration, Health and Human Services Division. The dental care the grant required to provide to
the homeless, requires the dental provider to be in very close proximity to HCH because of the lack of
transportation amoung 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
' Software license renewals, additions, or upgrades available
(--) Grant specified (supporting documents attached) C) from only one source
r.-- Brand compatibility available from only one source (no other
C Mailing lists, subscriptions or media advertising ' distributors)
Cs; Warranty voided if service provided by other contract vendor c- Other proprietary situation
(;) 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 & 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 here. 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 but 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 be 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 at 230 South 12th Avenue,
but they would also need to be culturally sensitive to the need of the homeless population. Many of 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 .
Ej Market research [j] Public notice given, list EI no alternatives were Identified
Il] Other vendors contacted 1111 Other • no alternatives were deemed acceptable
because (explain below):
Describe the search from above in detail:
.
PRICE
MC1-352-B 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
process is Advantageous to the County; and the scope, duraton, and estimated total dollar value of theprocurement.
Price has been fairly and reasonably established by: El Comparison to public sector contract pricing
Comparison to previous comparable purchases 0 Discount off published catalog pricing
LI
from a different vendor D Market survey
III independent estimate Other, explain:
Describe methodology and results (attach any written supporting data, e.g., survey or market analysis):

. CERTIFICATIONS
1 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 •equired
'
Max Porter ------- /0.M>/i7
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.
F24(ecommended to BOS for approval.
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Printedliame . . u e Date