CI CONSCIOUS DISCIPLINE APPROVED.PDF

Office of Procurement Services 
GOODS AND SERVICES 
COMPETITION IMPRACTICABLE FORM
This form is to be used when a department believes an acquisition is considered Competition Impracticable and the acquisition 
dollar amount is above $
,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 | 160 S 4th Ave | Phoenix, AZ 85003. Fax number: 602.506.6766. The signed form must be retained in the purchasing 
file. Unless approved by the Board of Supervisors in a formal agenda item or the Chief Procurement Officer in a formal Contract 
a CI form is valid from July 1 thru June 30th of each Fiscal Year.
DEPARTMENT NAME
DEPARTMENT RX#
PROPOSED CONTRACT VENDOR
NEED IDENTIFIED Date:
REQUESTED DELIVERY 
Date: 
QUOTED PRICE: 
Accounting String: 
Company: 
Address:
City, State: 
Zip/Postal Code: 
Phone: 
Fax: 
Contact Name: 
DESCRIPTIONOFGOODSORSERVICESREQUIRED:
The estimated cost of this Procurement is:
$100k 
> $100k 
Is this a Technology Procurement?
Yes 
No 
COMPETITION IMPRACTICABLE CATEGORY (Check applicable box, attach documentation or provide explanation below.)
Maricopa County Procurement Code MC1-351 states: “Competition Impracticable” 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 Competition Impracticable justifications: 
Personal or department preference for a product or vendor
Department perception that the vendor is the best qualified (this should be determined through a competitive process)
Lack of department planning resulting in limited time to conduct a competitive procurement
Special incentive or deal offered (can be assessed in open and competitive solicitation)
Department convenience
Grant specified (supporting documents attached) 
Mailing lists, subscriptions or media advertising 
Warranty voided if service provided by other contract vendor 
Other (Provide written explanation below) 
Software license renewals, additions, or upgrades available
from only one source 
Brand compatibility available from only one source (no other 
distributors) 
Other proprietary situation

SEARCH
Asearch was conductedconsistingof: (checkall that apply)
Market research
Public notice given, list
Other vendors contacted 
Other 
RESULTS
no alternatives were identified
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, duration, and estimated total dollar value of the procurement.
Price has been fairly and reasonably established by: 
Comparison to previous comparable purchases 
from a different vendor 
Independent estimate 
Comparison to public sector contract pricing 
Discount off published catalog pricing 
Market survey
Other, explain: 
Describe methodology and results (attach any written supporting data, e.g., survey or market analysis):
THISISACOMPETITIONIMPRACTICABLE PROCUREMENT BECAUSE (attach additional page if needed):

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 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.
Department Head or Department Head Delegate Signature (Required)
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.
Printed Name
Signature
Date
Office of Enterprise Technology (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 OET, 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 competition impracticable procurement.
Not Approved.
Reasoning:
Printed Name
Signature
Date
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