ACC SOLE SOURCE FORM - SIGNED.PDF

C ice of Procurement Services
GOODS AND SERVICES
COMPETMON IMPRACTICAL FORM
Th;5. fOral is to be used when an agency believes an acquisition is a single source and the acquisition dollar amount is Fe
$S,000. The Chief Procurement Officer can approve purchases up to $50,000. Board of Supervisors approval is re
the acquisition is over $50,000. This form must be submitted for approval to: Office of Procurement Services I
Lincoln Phoenix, AZ 85003. Fax number: 602.258,1573. The signed form must be retained In the purchasing file.
i DEPARTMENT NAME I. PA ENT
iAnimal Care & Control
PROPOSED CONTRACT VEN(O NEED IDENTIFIED
Company: IFILP, Inc Date:
Address: 91388 West Bellevie Ave 1 0 REQUESTED
City, State! 'Littleton, CO DELIVERY Date:
1Zip/Postal r801 23
iPhone: 11.000) 000-0000 OTED PRICE:
Fax:
iContact Name )Keith Brakt.'-;
DESCRIPTION OF GOODS OR SERVICE REQUI
The estimated cost of this Procurement Es: (6' > S50k
. iviancopa County Animal Care & Control (MCACC) currently has a contract with HLP, Inc for the Chameleon operational softwa
business (enforcement, dispatch, kennel, licensing, adoptions; eta Chameleon is proprietaiy software.
HIP, Inc. provides annual Chameleon maintenance and support for all licensed workstations inclueing public access on ot
! 3. Annual maintenance arid support for WablIcensing on website allows the public to purchase licenses on-line.
4, included within HLP. Inc:s software is a newly upgraded program. Vet Import that enables the Marir.opa County veterinary community to upload their
rabies vaccination information as required by AR5 11-1010, in addition, the vetennaty community may contract with MCACc to collect license fees, All
i reported vaccination information must be input into Chameleon to generate billing notices as mandated by AFLS 11-100E3. H I es not permit any
outside agency to have access to their database, tables, and related fields to the program, Therefore, MCACC must utilizo r rna-pually enter
all of the data into Chameleon.
See Additional Page-
{-- SINGLE SOURCE CATEGORY (Check applicable box, attach documentation or provide explanation below.)
Maricopa County Proci. :ode MC1-351 states: "Single source" means an acquisition where, competition is imprac-ticai because
of standardization, war _ other factors as approved by the Board of Supervisors.
1
I NOTE: The following are unlikely p be sufficient siNie,source lustiflcation ,
, • 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
I--
• Grant specified (supporting documents attached) ftwne license renewals, add; `ons, or upgrades availab
only one source
(i:"alling lists, subscriptions or media advertising Brand compatibility available from only one source (no other
d str
Warranty voided if service provided by other contract vendor her
Cf:her (Provide written explanation below)

DESCRiPliON OF GOODS ...tinued)
5. CC's spay/neuter voucher program (SNAP) will als o Vet import to enable
ci and participating veterinarian i complete the rr c t, r:ing, and
--ress through an electronic fiA [nat. Customers E appill on would he
te the process online or through the mail vie I cu l ent LoLF:box Pius
pr
6. M I receive fiat files eterinarians and WM C pad them to Vet Import
al rsintrabies vaccinatio mation notices/SNAP u _ vill be reported daily
throi MCACC's Lockbi

THIS PRC _2RMENT IS A SINL31.1__ JURCE BEL.. (alt 11kiaj 060
HLP,Inc. will Integrate the vet Interface with our Internal Charneieon compatible recorc Cna
designer of this software program can do the Intt odavthper of tnIs ooftwa code cense; to glop
software. No outside agency has the ability to _ rn_Jo*. intt rn.rnelecn soft base..
RESULTS
E Market: rese .es were Identified
E Other vend )the tives were deemed acceptable
!xplain below):
the se
adve.r 1L t
PRICE
MCI a Competition Impra gement shah provide written evidence
to sir:LI -J.. aicame cietermination conta" expianatron or why the proposed procurement
t • .1ounpf end the scope, durat estimated total dollar,value of the procurement.
Pric Lly established 14, omparison to public sec-ter contract pricing
Discount off published catalog pricing
Market survey
Other, explain:
e methodology and results attach any written suppo
or licene transfer data file to authenticate and place le.to OUT systerr

CERTIFICATIONS
I certify:
1 ) 1 recognize that the Maricopa County Procurement Code requires the use of competitive solicitations unless
exempted bylaw. 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 I1 Delrig#e 5ignctur7 (Required)
jedDitt C-
Printed Name
Office of Procurement Services
The CPO can approve procurements up to $50,000. This request is over $50,000 and must be submitted as an agenda
item to the Board of Supervisors for consideration.
Signature
Office of Enterprise Technol (This procurement is classified as a technology procurement and must be
forwarded to OET for coordination and/or approval. If this procurement request is not approved by Off, the form will be
returned to the requestor.)
_Approved. Recommended purchase is in line with Maricopa County's strategic technology plan or currently installed
equipment or service, and is considered to be a sole source procurement.
E.: Not Approved. Reasoning:
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PrintecfName Signature
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