Completed_WPI_Sole_Source_Determination_2023-10-10.pdf

Page 1 of 2 SPO Form 103 Standard Work (Rev 03.21.22)

Standard Work

Owner State Procurement Office, Compliance Unit

Form Number SPO Form 103 ‐ Sole Source (SS) Procurement Authorization Version Revised 3/21/2022

Form Completion Process

Process Standard Work/Instructions for completion and submittal of the SPO 103 form. The form is available on the SPO website: For Agencies > Resources > Standard Forms and Documents.

No. Action Action Detail/Key Points

Sections I through III to be completed by the requesting State Governmental Unit

SECTION I - State Governmental Unit Request

1 State Governmental Unit Name of the requesting State Governmental Unit (SGU; agency, board, or commission)

2 Requestor Name of the requestor 3 Email Email of the requestor 4 Title Job title of the requestor 5 Telephone Telephone number of the requestor

SECTION II - Background

6 Service(s)/Material(s) Description of service(s)/material(s) or Contract title (eProcurement Label) 7 Supplier Name of supplier(s) 8 Contract ID eProcurement contract number (if available)

9 Sole Source Type Select applicable option:

‐ Authorization request ‐ Authorization modification request https://spointra.az.gov/resources/standard-forms-and-documents

Page 2 of 2 SPO Form 103 Standard Work (Rev 03.21.22)

10 Requesting Term Specify contract term or extension period, as applicable, based on the SS 11 Estimated Cost Forecasted expenditures for the duration of the SS Term or extension period

SECTION III - Justification

12 Rationale Select applicable option in accordance with R2‐7‐E301(A):

‐ There is only a single source for the material(s) or service(s) ‐ No reasonable alternative source exists

Provide details of the procurement need, reason for the single source, and how the proposed procurement is advantageous to the State

Detail information regarding the rationale selected in the previous section; State Governmental Unit use of the material(s) or service(s); if mandatory state contracts were explored; the limitation which led to sole source; and how the State would benefit from the procurement.

Describe the procurement process, efforts to locate other sources/evidence of one source, and determination that the price is fair and reasonable

Detail strategy for the proposed procurement, considered competition, reason for selecting specific supplier, and negotiations strategy.

A notice was posted in the State's eProcurement system to registered vendors with an invite to comment on the sole-source request for three (3) working days, and it was determined that no reasonable alternative source exists for the procurement need.

Check the box confirming the sole source request notice was posted in the State's eProcurement system for three (3) working days prior to the request.

16 Signature Signature of the authorized requestor 17 Date of Request Specify the date of request

Section IV to be completed by the Procurement Authority:

SECTION IV - Approval

18 Determination

Select applicable option in accordance with A.A.C R2-7-E301(D):

- Request Authorized Pursuant to R2-7-E301

- Request Authorized with Conditions/Restrictions R2-7-E301

- Request Returned for Additional Information

- Request Denied

19 Approved Expiration Date Specify date or term of expiration

20 Comments, conditions, or restrictions (as applicable) Complete as needed

21 Print Name Printed name of the approver 22 Title Job title of the approver 23 Signature Signature of the approving authority 24 Date of Approval Specify the date of approval 25 Use section as necessary Used by any party in case the fields within the form were insufficient

STATE GOVERNMENTAL UNIT NOTICE: This is an official written determination in response to a procurement authorization request.

A copy of the form shall be maintained by the State Governmental Unit and the State Procurement Office.

Upon completion, Requestor shall forward the signed form to the Contract Owner.

Contract Owner shall upload the signed approval version of this form in the eProcurement system.

If anticipated expenditure is above State Governmental Unit's delegation, forward document to SPOCompliance@azdoa.

gov.

Page 1 of 4 SPO Form 103 - Sole Source Procurement Authorization (Rev 03.21.22)

Procurement Determination:

Sole Source Authorization A.A.C. R2-7-E301

SECTIONS I THROUGH III MUST BE COMPLETED BY THE REQUESTOR

USE ADDITIONAL PAGE AS NECESSARY

SECTION I - State Governmental Unit Request

1. State Governmental Unit

2. Requestor 3. Email

4. Title 5. Telephone

SECTION II - Background

6. Service(s)/Material(s)

7. Supplier

8. Contract ID

9. Sole Source Type

10. Requesting Term 11. Estimated Cost

Arizona Department of Environmental Quality

Jason Bobko bobko.jason@azdeq.gov

Environmental Program Manager 2 602-771-4253

Nationally recognized certification exams to certify water, wastewater treatment and related water operators within the State of Arizona to ensure that they meet statutory requirements as well as recognized standards in their respective fields of environmental management.

Water Professionals International dba The Associated Boards of Certification for Certification Exams to certifiy water, wastewater treatment and related water operators. WPI develops operator examinations through a nationally recognized job task analysis survey that adheres to industry psychometric standards. WPI is a member-based organization representing more than 49 U.S. states/territories, 12 Canadian provinces/territories, many Canadian First Nations and U.S. tribal entities, as well as many Eastern European, Caribbean, and Middle Eastern countries/territories. WPI has assisted in the certification of more than 500,000 water and wastewater treatment professionals.

Gateway Community College, Agreement #EV21-0001 City of Phoenix, Agreement #EV20-0040 Central Arizona College, Agreement # tbd

‐ Authorization request

06/30/2028 FY24=$234,953 for all 3 agreements

Page 2 of 4 SPO Form 103 - Sole Source Procurement Authorization (Rev 03.21.22)

SECTION III - Justification

12. Rationale

13. Provide details of the procurement need, reason for the single source, and how the proposed procurement is advantageous to the State

Select applicable option in accordance with R2‐7‐E301(A):

ADEQ's Operator Certification Program establishes standards and guidelines for the certification of drinking water and wastewater system and facility operators.

Public water systems regulated by ADEQ and delegated partners are required to have certified operators manage their systems. Facility owner must ensure at all times there is a certified operator at or above the grade of the facility:

Grade 3 & 4 facilities require an on-site operator.

Grade 1 and 2 systems require a certified operator and an on-site representative.

Grade 1 distribution facilities, serving fewer than 100 people, require a certified operator but do not need an on-site representative.

WPI holds registered copyrights on its exams and has assisted in the certifcation of more than 500,000 water and wastewater treatment professionals. WPI is the only nationally and internationally recognized not-for profit 501(c)3 organization that is recognized for developing operator examinations through a nationally recognized job task analysis survey that adheres to industry psychometric standards.

Page 3 of 4 SPO Form 103 - Sole Source Procurement Authorization (Rev 03.21.22)

14. Describe the procurement process, efforts to locate other sources/evidence of one source, and determination that the price is fair and reasonable

15. A notice was posted in the State's eProcurement system to registered vendors with an invite to comment on the sole-source request for three

(3) working days, and it was determined that no reasonable alternative source exists for the procurement need.

16. Signature 17. Date of Request

In accordance with the Procurement Rules, the Arizona Uniform Terms and Conditions must be made a part of all Contracts. If you will be required to sign a software licensing agreement or sign any other agreement containing terms and conditions, these will need additional review to ensure that the terms and conditions do not invalidate the Arizona Uniform Terms and Conditions. Approval of this request does not allow for agencies to exceed their dollar acquisition amount of delegated authority.

Sole Source letter obtained from WPI states that WPI develops operator examinations through a nationally recognized job task analysis survey that adheres to industry psychometric standards.

WPI is a member-based organization representing more than 49 U.S. states/territories, 12 Canadian provinces/territories, many Canadian First Nations and U.S. tribal entities, as well as many Eastern European, Caribbean, and Middle Eastern countries/territories. WPI has assisted in the certification of more than 500,000 water and wastewater treatment professionals.

WPI hold registered copyrights on its exam content under the following registration numbers:

TXu 1-184-330 - ABC Water Treatment Item Bank TXu 1-884-331 - ABC Wastewater Treatment Item Bank TXu 1-884-333 - ABC Distribution Item Bank TXu 1-884-334 - ABC Collection Item Bank

ADEQ does not receive funds from the individuals seeking operator testing. The fees are paid to the exam proctors and WPI for the exam. Proctoring organizations (Gateway Community College, City of Phoenix and Central Arizona College) receive the funds from individuals seeking operator testing to pay for proctoring and the exams. Purchasing exams directly from WPI is fair and reasonable and advantageous to the State of Arizona.

10/10/23

Page 4 of 4 SPO Form 103 - Sole Source Procurement Authorization (Rev 03.21.22)

TO BE COMPLETED BY PROCUREMENT AUTHORITY

SECTION IV - Approval

18. Determination

19. Approved Expiration Date

20. Comments, conditions, or restrictions (as applicable)

21. Print Name 22. Title

23. Signature 24. Date of Approval

25. Use section as necessary

STATE GOVERNMENTAL UNIT NOTICE: This is an official written determination in response to a procurement authorization request.

A copy of the form shall be maintained by the State Governmental Unit and the State Procurement Office.

Upon completion, Requestor shall forward the signed form to the Contract Owner.

Contract Owner shall upload the signed approval version of this form in the eProcurement system.

If anticipated expenditure is above State Governmental Unit's delegation, forward document to SPOCompliance@azdoa.gov.

Select applicable option in accordance with A.A.C R2-7-E301(D):

10/10/2023

N/A

Chief Procurement Officer

N/A

06/30/2028

Louis Anaya