BPM007142_Significant_Procurement_Notification_Form.pdf

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Attached to
Master Agreement AZ|CTR079352
Contract number
CTR079352
Issued by
Arizona

About this file

This document is a Significant Procurement Notification Form submitted by Victoria Wride from the Arizona Department of Child Safety to the State Procurement Office (SPO). The form is part of a standardized process for state governmental units to provide notification of significant procurement activities, as outlined in Standard Procedure 003 - Significant Procurement Role.

The procurement is titled "Collaborative Safety" and is being conducted as a Sole Source (SS) procurement type. The first procurement disclosure statement was signed on August 19, 2025, with an estimated start date for purchased materials or services of January 1, 2026. The form does not provide specific details about the goods or services being procured, pricing terms, or contract specifics beyond these basic procurement details. The notification appears to be a procedural requirement for tracking and documenting the procurement process within the Arizona state government procurement system.

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From: Google Forms To: Wride, Victoria Subject: Significant Procurement Notification Form Date: Tuesday, August 19, 2025 12:12:29 PM

CAUTION: This email originated from outside of DCS. Do not click on links or open attachments unless you recognize the sender and know the content is safe.

Thanks for filling out Significant Procurement Notification Form

Here's what was received.

Edit response

Significant Procurement Notification Form The following information is required to be provided to the State Procurement Administrator by all state governmental units (SGU; agencies, boards, and commissions) as per Standard Procedure 003 - Significant Procurement Role (SP 003 link).

Notes about this Google Form to provide notification of a SPR:

• You will receive a copy of your response via email

• You may edit your response after it is submitted in two ways. To ensure there's no duplication of efforts, please do one of the following:

1) Once you submit the form, you may click on "Edit you response" in the same browser; or

2) If some time has passed and it's necessary to make edits, please check your email for the original submission as it will have an "Edit response" link. If you don’t remember when you originally submitted your SPR notification, you may check the date and time on the spreadsheet via https://spo.az.gov/contracts/significant-procurement-roles and match it to the email.

• If your entry needs to be deleted, email SPOCompliance@azdoa.gov to provide an explanation for the deletion. If accepted, SPO Compliance will delete the entry.

Please contact the State Procurement Office (SPO) at SPOCompliance@azdoa.gov for any questions.

mailto:forms-receipts-noreply@google.com mailto:Victoria.Wride@AZDCS.GOV https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw%2Fviewform%3Fusp%3Dmail_form_link&data=05%7C02%7CVictoria.Wride%40azdcs.gov%7C81b55deb77154e73360908dddf5454e6%7C45e362692a6c41ccacf12d7382c0efee%7C0%7C0%7C638912275491215018%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=2RnqAHFut6ccv3MTtlD6eA%2BqrFb9ll%2B0l2M7lrg29GU%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw%2Fviewform%3Fedit2%3D2_ABaOnuegDm95OW3eIZ13T5naTHuV6eka-4hlC9nN5V9I8KY6SyGxGqqBqT1s7wYsHACDRPw&data=05%7C02%7CVictoria.Wride%40azdcs.gov%7C81b55deb77154e73360908dddf5454e6%7C45e362692a6c41ccacf12d7382c0efee%7C0%7C0%7C638912275491236066%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=YQsjPbhuc%2FKD6vmiQhFy%2BL5uilX65TbRRgfy0u9h5Q4%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fspointra.az.gov%2Fresources%2Fstandard-procedures&data=05%7C02%7CVictoria.Wride%40azdcs.gov%7C81b55deb77154e73360908dddf5454e6%7C45e362692a6c41ccacf12d7382c0efee%7C0%7C0%7C638912275491250833%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=7O1PmxBZJCF6icqKjhDAGOtymS3P%2FwNVzmO7y18FwPA%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fspo.az.gov%2Fcontracts%2Fsignificant-procurement-roles&data=05%7C02%7CVictoria.Wride%40azdcs.gov%7C81b55deb77154e73360908dddf5454e6%7C45e362692a6c41ccacf12d7382c0efee%7C0%7C0%7C638912275491264727%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=yymma4Qeq45p8770ZiPZW7DdbTeJ0%2FEJozX8pwgp2Gg%3D&reserved=0 mailto:SPOCompliance@azdoa.gov mailto:SPOCompliance@azdoa.gov

Email *

Victoria.Wride@azdcs.gov

What is the name of the person leading the procurement? *

Victoria Wride

Which agency is the procurement for? If it is a mandatory statewide contract, select your agency. *

Child Safety, Department of

What is the title of the procurement? *

Collaborative Safety

What is the procurement type? *

RFQ - Request for Quotation

IFB - Invitation for Bid

RFP - Request for Proposal

CI - Competition Impracticable (SPO Form 101)

Emergency Procurement (SPO Form 102)

SS - Sole Source (SPO Form 103)

NPTQ - Not Practicable to Quote (Determination Template D301(4))

Other:

What is the date when the first procurement disclosure statement (PDS) was signed (i.e. SPO Form 120 or SPO Form 130)? *

MM

DD

YYYY

What is the actual date or estimated date that the purchased materials will be delivered or the purchase of services or construction will begin, per A.R.S. § 41-753(D)? *

MM

DD

YYYY

What is your name (if different from above)?

What is your e-mail address (if different from above)?

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