CTR053289 A6.pdf

PDF 1 MB Posted

Attached to
Master Agreement AZ|CTR053289
Contract number
CTR053289
Issued by
Arizona

About this file

This document is a Contract Amendment for the Arizona Department of Health Services (ADHS), specifically the Bureau of Emergency Medical Services (EMS), with ImageTrend, Inc. as the contractor. The contract pertains to the License Management System (LMS) and Arizona Hospital Information and Emergency Medical Services (EMS) Registry System. The amendment is being processed as a Competition Impracticable (CI) modification, with the contract number CTR053289, and is set to run through August 16, 2026.

The amendment addresses required enhancements to the existing system due to rule changes in Arizona Revised Statutes (A.R.S.) § 36-2232(a)(3), specifically developing an automated process for assigning urbanicity to electronic Patient Care Reports (ePCR) and creating three new custom IT data elements. The total contract value is being increased by $88,675.00, bringing the not-to-exceed amount to $1,518,303.14. The contract includes ongoing support for the EMS registry system, which allows agencies to securely submit electronic records for EMS and trauma data collection. Pricing is structured with various annual and one-time fees, including support for software, licensing, training, and system maintenance, with most significant line items being the Continuum at $39,392.81 for 2025-2026 and Annual Hosting for ImageTrend Elite EMS at $20,776.51 for the same period.

View the file

Other files

File Type Posted
AZ_DoH_COI.pdf PDF
CTR053289 A3.pdf PDF
CTR053289 Original Pricing.pdf PDF
CTR053289_CI_Determination_executed_6.8.2021.pdf PDF
2022.06.15 COI.pdf PDF
CTR053289 - Second Supplemental CI - Executed.pdf PDF
CTR053289 A2.pdf PDF
CTR053289 Supplemental CI.pdf PDF
CTR053289_Final_CI_Contract_Executed.pdf PDF
Procurement Requests - Assigned Officers.pdf PDF
CTR053289 A1.pdf PDF
CTR053289 A4.pdf PDF
CTR053289 A5.pdf PDF
CTR053289 A6 Pricing.pdf PDF
2023-06-15 COI.pdf PDF
2024-06-15 COI.pdf PDF
2025-06-15 COI.pdf PDF
CTR053289 A4 Pricing.pdf PDF
CTR053289 A7.pdf PDF
CTR053289 Pricing from A2.pdf PDF
CTR053289_Contract_Amendment_Summary_No._1.pdf PDF
Show all 21

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

���
�����,-���

./0123� ��� �� �� �,-���4�567�

#*8����$9��+�

�@ABCADEF��AGHEIJ��ABKHEAL�5���7�IDG��MLNHOIJ��DPMB@IOHMD�

ACHLOBF��FLOA@�

Q99�R�&���ST$%�;&8%*�S(��UV�U$���T*(�&�;�&��&;�WS�S*XXV�*8(��<���*������Y$%�(*R��&;�*W�%<�<�*;�9$XX$Z;[� ���#S(;S*%���$�����\%&9$(W�]�(W;�*%<�Y$%<&�&$%;��#($�&;&$%�̂&���_�̀�Y$%�(*R��Y�*%8�;�� �R�&$%������W�%<W�%�;������

Y$%�(*R��&;���(�UV�*W�%<�<�*;�9$XX$Z;[�

�����]��� R$T��$9�a$(b�&;�(��&;�<�*%<�(�TX*R�<��

��>��]���#(&R�� �����&;�(��&;�<�*%<�(�TX*R�<��

�cc�Yd��eQ ��:Q�:Q̂ cQY]Qf�g��:Qf�

��������������
�����������
����

��h�

Y$%�(*R�$(���(�UV�*Rb%$ZX�<8�;�(�R�&T��*%<�*RR�T�*%R��$9�

��&;�*W�%<W�%��*%<���*��*�;&8%�<�R$TV�WS;��U��9&X�<�Z&���

����#($RS(�W�%��i99&R��U�9$(�������99�R�&���<*����

]���*U$���(�9�(�%R�<�Y$%�(*R���W�%<W�%��&;���(�UV�

�'�RS��<���&;�jjjjj�<*V�$9�jjjjjjjjjj�>�jjjjjj�*��

_]$�U��9&XX�<�$S��UV�#($RS(�W�%��i99&R�̀�

Y$%�(*R�$(� &8%*�S(�� �

Y$%�(*R�$(� &8%*�S(��f*���

�S��$(&)�<� &8%*�$(Vk;��*W��*%<�]&�X��

�@ICA�BADGl��DE,�

Y$%�(*R�$(k;��*W�� Y�&�9�#($RS(�W�%��i99&R�(� &8%*�S(��$(�f�;&8%���� mno�pqrst�uvrw�xy�z{zx�|z}z~����� vrw�xy�z{zx Gina Corwin

Digitally signed by Gina Corwin Date: 2024.10.08 13:43:55 -07'00'

,-� ./01234567�

8 8� 9:��;<$=�>��?�@�<AB�>A����C��DA:�E�<#$F�%�G;?CEH�IJ<��J����KB�<��>FL�M�&$F�D�E�<#$F�%�GKMEH��>&�9<�JB�� EL%A�B�GIKME9EH�$%�<�%@�>%$ND����<�@<�A�FA$>���>&�@<�B�A$>��A:��:��DA:��>&�%���AL����<�%$&�>A%��>&�#$%$A�<%�A�� ;<$=�>�8�;?CE�F��<&$>�A�%�A:$%�@<�F�%%�NL��%A�ND$%:$>���>&��&B$>$%A�<$>����%A�A�O$&��%L%A�B����KME��>&�A<�JB�� F�<�8�9:��F�DD�FA$�>����KME��>&�A<�JB��&�A��A:<�J�:�$A%�<��$%A<$�%��DD�O%���<�A:���J>FA$�>%����A:$%�<�%@�>%$N$D$AL�

G;<$=�>��"�#$%�&�EA�AJA�%�P�(QR��'*HS�

8�8� 9:��B$%%$�>����A:��IKME9E�$%�A��@<�A�FA�A:��:��DA:��>&�%���AL����@��@D��<�TJ$<$>���B�<��>FL�B�&$F�D�%�<#$F�%S�

@<�B�A��$B@<�#�B�>A%�$>�;<$=�>�U%�KME��>&�A<�JB��%L%A�B�A:<�J�:�<�%��<F:��>&��&JF�A$�>����A:��@JND$F��>&� KME�@<�#$&�<%S��>&�@<�#$&��F�J<A��J%V�@<���%%$�>�D��>&�<�%@�>%$ND��%�<#$F��A��A:��@JND$F��>&�KME�@<�#$&�<%S�

8(8� 9:��EA�A�����;<$=�>��F�>%$%A%�����$�A��>�G WH�F�J>A$�%�O$A:���A�A�D�@�@JD�A$�>����B�<��A:�>�%$X�GQ8WH�B$DD$�>�<�%$&�>A%8� ;&&$A$�>�DDLV�;<$=�>��$%�A:��:�B��A����&$#�<%��FJDAJ<�����;B�<$F�>�Y>&$�>%8�9:��AO�>ALRAO��G��H�A<$N�%�F�B@<$%�� �@@<�X$B�A�DL��$#�R@�$>AR%$X�@�<F�>A�GW8QZH����A:��@�@JD�A$�>V��>&�AO�>ALR>$>��@�<F�>A��[Z����A:��D�>&S�

8+8� 9:��EA�A�\%�KME��>&�9<�JB��EL%A�B�$%���F�BN$>�A$�>����@JND$FV�@<$#�A�V��>&�A<$N�D��<��>$=�A$�>%�A:�A��<��

F�BB$AA�&�A��$>A�<R�<��>$=�A$�>�D�F��@�<�A$�>���<�A:��N�>��$A����KME�@�A$�>A%�$>�;<$=�>�S� 8W8� ;<$=�>���<�:�%@$A�D�Y>��<B�A$�>��>&�KME�"��$%A<L�EL%A�B�G;]R�YK"EH��DD�O%�KME�;<$=�>�����>F$�%�A��%�FJ<�DL�

%JNB$A��D�FA<�>$F���A$�>A�̂�<��"�@�<A%�G��̂ "H�$>&$#$&J�DDL��<�$>�N�AF:�%8�;<$=�>��KME����>F$�%�B�L�J%��A:�� �>A�<@<$%��D$F�>%��&$%A<$NJA�&�NL�;?CE��<�A:�$<��O>�_�A$�>�D�KB�<��>FL�M�&$F�D�E�<#$F�%�Y>��<B�A$�>�EL%A�B� G_KMEYEH�F�B@D$�>A���̂ "�%��AO�<��A��A<�>%B$A�<�F�<&%8�;]R�YK"E�:�%�:�D@�&�A<�>%$A$�>�;<$=�>��KME����>F$�%� �O�L��<�B�A:�$<�&�@�>&�>FL��>�@�@�<��>&�A�O�<&��>��D�FA<�>$F�&�A��&<$#�>�@<�FA$F�����F�<�S��>&�

8Q8� ;>�$B@�<A�>A�F�B@�>�>A����;]R�YK"E�$%�A:���<�B$�<�KME�;��>FL��<��<�B�G�K;�HV���TJ�D$AL��%%J<�>F��$>$A$�A$#��

A:�A���FJ%�%��>���J<�G+H�A$B��%�>%$A$#��$>̀J<$�%)$DD>�%%�%�GEA<�a�V�E9R�%��B�>A�ML�F�<&$�D�Y>��<FA$�>�GE9KMYHV� M�̀�<�9<�JB�V��>&�bJAR��RC�%@$A�D�̂�<&$�F�;<<�%AH8��K;��<�TJ$<�%�;<$=�>��KME����>F$�%�A��%JNB$A�&�A��A��;]R �YK"EV�:�#��D��&�<%:$@�F�BB$AB�>AV��>&��>%J<��A:�A�&�A��&<$#�%�TJ�D$AL�$B@<�#�B�>A�@<�F�%%�%�$>A�<>�DDL8� c-� defg0hijg�

�8 8� ;<$=�>��"�#$%�&�EA�AJA�%�G;8"8E8H�P(QR�+'���%A�ND$%:�%�TJ�D$AL��%%J<�>F��$>$A$�A$#�%�A��$B@<�#��%L%A�B%����F�<�� $>�;<$=�>�8�9:���Ǹ�FA$#�����A:$%�̂�>A<�FA�$%�A��@<�#$&�V�J@&�A�V��>&�B�$>A�$>�A:��;]R�YK"E8�9:��̂�>A<�FA�<\%�

@<�:�%@$A�D�<��$%A<L�%��AO�<��BJ%A�B��A��DD�F�B@�>�>A%����A:$%�̂�>A<�FAS�

�8�8� 9:��̂�>A<�FA�<�%:�DD�@<�#$&���DD�%��AO�<�V�D�N�<V�%J@�<#$%$�>V�A��D%V�B�A�<$�D%V�A<�$>$>�V��>&�$>F$&�>A�D%�>�F�%%�<L�

A��B�>�����DD����A:��%JFF�%%�JD�&�L�A��&�L��@�<�A$�>%��JAD$>�&�N�D�OS�

�8(8� 9:��̂�>A<�FA�%:�DD��DD�O���<�A:���>A<LV�F�DD�FA$�>V��XA<�FA$�>V��>&��>�DL%$%����@<�:�%@$A�D�&�A��<�TJ$<�&�A���@A$B$=�� A:��F�<�����KME�@�A$�>A%8�9:����DD�O$>���FA$#$A$�%��>&�A�%a%��DD�O�;?CE�A��&�%F<$N���>&�<�@�<A��>�A:��KME�%L%A�B� $>�A:��EA�A�8�;&&$A$�>�DDLV�$>��<B�A$�>���A:�<�&�$>�A:��%L%A�B�O$DD��%%$%A�%A�a�:�D&�<%�A��&�A�<B$>��A:��N�%A�@�D$F$�%�

�>&�$>A�<#�>A$�>%���<�A<��AB�>AS�

�8+8� 9��@<�#$&���>��$>��B�$>A�>�>F���>&�%J@@�<A����;]R�YK"ES�A:��̂�>A<�FA�<�%:�DD���FJ%��>�D�O�A��>�RF�%A�B�A:�&%� A:�A�&$%F�J<����A:��>��&���<�&$%@�<�A��%L%A�B%S�9:��EA�A��KME�&�A�N�%��%:�DD�N��%F�D�ND�V�<�&J>&�>AV��>&� %�FJ<��A��@<�A�FA����$>%A��#�<D��&V�%�FJ<$AL�N<��F:�%V��<��@�<�A$�>�D���$DJ<�%S��>&�

�8W8� 9:��̂�>A<�FA�<�%:�DD�@<�#$&����k$F�>%$>��M�>���B�>A�EL%A�B�GkMEH�A:�A�@<�#$&�%���B�&�<>$=�&��@@<��F:�A��

A:��KME�D$F�>%$>���>&�F�<A$�$F�A$�>�@<�F�%%8�9:��kME�@JND$F�@�<A�D�%:�DD�N��;B�<$F�>%�O$A:�?$%�N$D$A$�%�;FA�G;?;H� F�B@D$�>AV�$B@<�#���JA�B�A$�>V�#�D$&�A$�>V�$%%J�>F�V�<�@�<A$>�V�$>#�%A$��A$�>V�A<�Fa$>���>&�&�A���<��>$=�A$�>� ����<A%��%�O�DD��%��DD�O%���<��JAJ<��$>A�<�@�<�N$D$AL��>&�$>A�<F�>>�FA$#$AL�N�AO��>�A:��FJ<<�>A�;]R�YK"E��>&�kME8�

,-� ./010�

23��4�567�86�7�%3�99:�

�; ;� �7�#$&�<�=�5���<��5&�%>??�76����>99@��>586$�5�9�%6�6�A$&��BCD��56�7?7$%��9$8�5%����7�&$%67$E>6$�5��%�&�6�7=$5�&� E@�FGHD<�63�6�8�5�8�99�86�?7�3�%?$6�9�?�6$�56�8�7��7�8�7&%<�67�5%=$%%$�5�6�(�7�=�3�%?$6�9%<��5&�3�#��63�� 8�?�E$9$6@�6��?7�#$&���5�9@6$8%�E�%�&��5�63��F7$I�5��&��$5�&�&�6�%�6J�

�;*;� D>88�%%�>99@�7�8�$#���5&�=�$56�$5�8>77�56�KBCDLD�8�76$�$8�6$�5J�

�;�;� D>??�76��99�KBCDLD�M�7%$�5%�8>77�569@��88�?6�&�E@�KBCDLDJ�

�;+;� C$�7�6���7�=�KBCDLD��;N�6���>6>7��#�7%$�5%�$5��88�7&�58��A$63�63��KBCDLDO2F4�?>E9$%3�&(�&�?6�&�

$=?9�=�56�6$�5�6$=�9$5�(%83�&>9�<��7��%�&�6�7=$5�&�E@�FGHDJ�

�;P;� �7�#$&��7�A�&�6��6��FGHD�A$63�63��5�8�%%�7@�9��$8<�%67>86>7�<�7�9�6$�5%3$?<�%83�=��7�Q>$7�=�56%<��5&� 7��%�5�E9��9�#�9����%>??�76�6��?�7��7=�&�6���R67�86$�5<��5�9@%$%<��5&�7�?�76$5���%�5��&�&J�

�;S;� �7�#$&���5@�E>%$5�%%�9��$8(7>9�%�6��FGHD�6��>5&�7%6�5&�6�E9�%��5&�7�9�#�56�&�6���9�=�56%�6��63��D6�6�J�

�;!;� "�8�$#��&�6���7�=�%6�T�3�9&�7%<��63�7�63$7&�?�76@���4"�#�5&�7%<��5&�FGHD;�23$%�$589>&�%��5@�7�9�#�56�%83�=�� 7�Q>$7�=�56%<��7�7��%�5�E9��9�#�9����%>??�76�6���63�7�?7��7�=%��7�#�5&�7%�%��63�@�=�@�%>88�%%�>99@�%>E=$6�&�6��

6��FUO�LB"D��7�=��63�7�KBCDLD�8�=?9$�56�#�5&�7%J�

�;);� K�6$�@�FGHD�$==�&$�6�9@�$5�63���#�56������%�8>7$6@�E7��83J�

�;V;� L=?9�=�56��5&���99�A�63��%6�5&�7&%��5&��>$&�9$5�%�7�Q>$7�&�E@�FGHD���7�%�8>7$6@J�

�; ';� �7�#$&��FGHD���%@%6�=�63�6�8�5�E��=�5���&�#$��8�==�59@�>%�&�L56�75�6�E7�A%�7%J�

�; ;� 23��%@%6�=�%3�99��99�A���7:�

�; ; ;� D6�6�A$&���%%$�5�&�?�7=$%%$�5�9�#�9%<� �; ;*;� W%�7��88�>56%�8�567�99�&��6�63�����58@�9�#�9�6���%%$�5�?�7=$%%$�5�9�#�9%<�E@��5����58@<�

�; ;�;� D�8>7$6@��5&�7�%67$86$�5%��6�63���??9$8�E9��9�#�9%�XBCD����58@�A$99��59@�E���E9��6��#$�A�63�$7��A5�&�6�<� ?7�#$&�7%�A$99��59@�#$�A�63�$7��A5�7>5%J�%>?�7#$%�7%�A$99�E���E9��6��#$�A�63�$7�%6���Y%�7>5%<�E�%�� 3�%?$6�9%�A$99�E���E9��6��#$�A�63�$7�F7$I�5��BCD����58$�%���7�=�&$8�9�&$7�86$�5Z<�

�; ;+;� 23��8�?�E$9$6@�6���86$#�6�($5�86$#�6��&�6���9�=�56%<�#�7$�E9�%<�>%�7%<�?�7=$%%$�5��7�>?%<�F7$I�5��BCD�

���58$�%<�3�%?$6�9%<��5&��63�7��%?�86%����63��%@%6�=<��5&�

�; ;P;� 23��#�9$&�6$�5����$58�=$5��&�6��E�%�&��5�7>9�%�&�6�7=$5�&�E@�FGHD;�

�; *;� �7�#$&�����7�[�86�C�5���7�A3��%3�99:�

�; *; ;� D�7#���%�?7$=�7@�8�56�86��%�7�Q>�%6�&�E@�FGHD���7��5@�?7�[�86%<�

�; *;*;� F66�5&<�9��&<��5&�?7�?�7��=�6�7$�9%���7�=��6$5�%��%�7�Q>�%6�&�E@�FGHD<�

�; *;�;� B5%>7���99�5�8�%%�7@��?�7�6$�5�9�8�=?�5�56%��7��8�=?9�6�&�?7$�7�6��63���=E�&&�&�%@%6�=<�

�; *;+;� 27�>E9�%3��6��5&�8�77�86�?7�E9�=%�?7$�7<�&>7$5�<��5&���6�7�63���=E�&&�&�%@%6�=<��5&�

�; *;P;� G�%$�5�6���5��96�75�6��8�56�86���7�A3�5�63���7�[�86�C�5���7�$%�>5�#�$9�E9�;�

(, (,� �-�#$&��.-�$/$/��.0�.�$/123&�%�43.�$%�/�.�2$5$.�&�.��.0����22�6$/�7�

(, (, ,� 8%�-�5�/3�2�.0�.�$%��#�$2�42���/2$/���/&�$/��9:���-5�.;��/&�

(, (,+,� �-�<-�1�-&�&�.�=$1��#�-#$�6%�$/�#$&�����-5�.��#�$2�42��.��3%�-%��.��22�.$5�%,� (, �,� >/%3-��?9@A�0�%�.0���4$2$.B�.��=�=32�.��&�.��.���/����/1BC%���D"�%345$%%$�/E�

(, �, ,� F0�%��=�=32�.�&��$�2&%�53%.�4��2�1G�&��/&�1�/.-�22�&�%�2�2B�4B�?9@A;�

(, �,+,� F0�%��=�=32�.�&��$�2&%�53%.�4���42��.��4���54�&&�&�$/.��.0���/�2B.$1�2�1�5=�/�/.%����-�=�-.%;��/&�

(, �,(,� F0��=�=32�.�&��$�2&%�53%.�4���42��.���3.�5�.$1�22B�3=&�.���%���-��&�3=�/�4B�.0��D�/.-�1.�-��/&� ?9@A,�

(, �,�,� F0�%��=�=32�.�&��$�2&%�53%.��22�6���-���1�55�/.�%�1.$�/�.0�.�1�/�=-�#$&��?H<�I>"A�6$.0����&4�1G�

�-�5�.0��=-�#$&�-%��/�.0���113-�1B����.0��#�23�%,�

(, J,� >/%3-��?9@A�.0���4$2$.B�.��&�#�2�=�-�=�-.%�.0�.�1�/�4��%0�-�&�6$.0�%.�G�0�2&�-%�.0-�3�0�.0��%B%.�5E�

(, J, ,� >K�5=2�%�5�B�$/123&��43.��-��/�.�2$5$.�&�.��=�-��-5�/1��$5=-�#�5�/.�-�=�-.%���-�AF>LI;�%.-�G�;� 1�-&$�1��--�%.;�5�M�-�.-�35�;�%�=%$%;�&-�6/$/�%;��/&�

(, J,+,� ?9@A�53%.�4���42��.��%10�&32���/&��3.�5�.$1�22B�-3/�-�=�-.%�6$.0�%.�G�0�2&�-%�.0-�3�0�3.�.0�� %B%.�5,�

(, N,� F0��&�#�2�=5�/.��/&��4$2$.B�.��=-�#$&���/��2�1.-�/$1�5�.0�&����1�553/$1�.$�/�����2�1.-�/$1�=�.$�/.�1�-��-�1�-&%�

�-�5�.0��%.�.��.-�35��#�/&�-E�

(, N, ,� F0$%�1�553/$1�.$�/�.��2�6�32&�4���42��.��%��-10�.0���==-�=-$�.��=�.$�/.�$%���3/&;��/&�0�#��.0��=-�< 0�%=$.�2��2�5�/.%�$/�.0��.-�35��%B%.�5�4���3.���$22�&�4B�?H<�I>"A;��/&�

(, N,+,� >/%3-���3.1�5���2�5�/.%�$/�.0��D�/.-�1.�-C%��==2$1�.$�/�.0���4$2$.B�.���3.���$22�&�4B�?9@A;��-�$.%� &�%$�/��;���.�-�.0��2$/G����0�%�4��/��%.�42$%0�&,�

(, !,� 9�#�2�=;�%3==�-.;��/&�=-�#$&��2$/G����1�=�4$2$.$�%���-�.0��?-$O�/��@��2.0�I/��-5�.$�/�>K10�/��;��%�&�.�-5$/�&�

4B�?9@AE��

(, *,� �-�#$&���/��4$2$.B�.��1�553/$1�.���/&�=�-��-5�A.�.��P3�2$.B�?%%3-�/1��$/$.$�.$#�%�$/�?H<�I>"A�6$.0�=�-.$1$=�/.%� $/123&$/��1�//�&�-�=�-.%���-��I�.��2%��%�&�1$&�&�4B�?9@A,�>K�5=2�%�$/123&��A��5�/.�>2�#�.$�/�LB�1�-&$�2� I/��-1.$�/�QAF>LIR;�A.-�G�;�D�-&$�1�?--�%.;�L�M�-�F-�35�;��/&��/B��&&$.$�/�2�$/$.$�.$#�%�Q.0��%=�1$�$1�1�/.�/.��/&� ��-5�.���-�?H<�I>"A�6$22�4����-��&�3=�/�4B�?9@A;�?H<�I>"A�=�-.$1$=�/.%;��/&�.0��D�/.-�1.�-R7�

(, *, ,� ?22�6���-��/��3.�5�.�&;�%10�&32$/���3/1.$�/���-��22�-�=�-.%�Q$/123&$/��1�//�&R�.��4��%0�-�&��5�/��

=�-.$1$=�/.%;�

(, *,+,� 9�#�2�=�.0���4$2$.B�.��1-��.��-�=�-.%�.0�.��22�6�?-$O�/��>LA����/1$�%�.��1�5=�-��.0�5%�2#�%�6$.0��� %.�.�6$&�����-���.�;��-�#�-$�3%����/1B�42$/&�&��-�3=$/���/&�4�/105�-G%;��%�&�.�-5$/�&�4B�.0�� D�/.-�1.�-��/&�?9@A;��/&�

(, *,(,� D-��.���/��&&$.$�/�2��K=�-.�1�=�4$2$.B�.���22�6�-�=�-.%�.��4���K=�-.�&�.��=2�$/�.�K.,��

(, S,� D�/.-�1.�-�%0�22�=-�#$&��$.%�@��2.0�I/��-5�.$�/�@34�Q@I@R�.��.-�/%��-��/&�.-�/%��-5�=-�<0�%=$.�2�&�.��$/.��0�%=$.�2� ��-5�.�.0�.�5��.%�?9@AC%�>2$.��>LA��2�1.-�/$1�=�.$�/.�1�-��-�=�-.$/��%B%.�5�Q>2$.��>�D")?H<�I>"AR��/&�@��2.0� D3--�/.;���/�/<=-��$.��-��/$O�.$�/�=-�#$&$/��%�13-��=2�.��-5���-�%0�-$/���2�1.-�/$1�0��2.0�$/��-5�.$�/�Q@I>R;� &��$/�&��%�.0��@>?TF@�U>FVW"X�%��.0�.�@>?TF@�U>FVW"X�1�/�-�1�$#���/&�.-�/%5$.�.��0�%=$.�2%E�

(-+'-� ./��0123/�%�����4�562�36�27%�8��96/�:5��2;�6$�5�81<�=8:8>��%��5�:56��2�6$�5��%���?�2#$3��=@:��?7>-�:56��2�6$�5� �%���?�2#$3��=@:��?7>�;��5%���%$5�9��$56��2�6�&�%��6A�2���5&�%�2#$3�%�0�3B����A/$3/�$5391&�%C� (-+'- -� :5$6$�9�%�6D10����6/��%��6A�2�E�

(-+'-+-� 4�5�$�12�6$�5����6/��%��6A�2���%�5�3�%%�2F�6��;��6�6/��?3�0�����G�2BE�

(-+'-(-� H5��$5��9$3�5%$5��6��6/��%��6A�2����2�6/��6�2;����6/��3�562�36E�

(-+'-,-� �2�#$&$5���5��$5��;�$56�5�53�E�%100�26E�;�5$6�2$5�����6/��3�55�36$�5E��5&�

(-+'-�-� �2�#$&$5��5�3�%%�2F�/�2&A�2�E�$56�25�6�3�55�36$#$6FE��5&��6/�2�2�%�123�%�5�3�%%�2F�6��B��0�6/��:��?�

A�2B$5�-��

(-+ -� 4�562�36�2�%/�99�A�2B�A$6/�IJ8?�6��&��$5��6/��%6�5&�2&�62$���2%�5��&�&�6��$&�56$�F�02�D/�%0$6�9�2�3�2&%�6��<��

�K0�26�&��16����L9$6��L�4")IMD�:L"?�6��6/��8:8N�

(-++-� IJ8?�A$99�/�90�6/��4�562�36�2�6�%6�6/���K3/�5������&�6��6/2�1�/�6�%6�0�6$�56%��5&�0$9�6�LO?����53$�%N�

(-+(-� IJ8?�A$99���3$9$6�6��3�;09$�53���%�5�3�%%�2F���2�IMD�:L"?�6��$56�23/�5���&�6��A$6/�8LIP.8�QL.GH"RN�

(-+,-� IJ8?�%/�99�0�F�%13/����%��%�;161�99F���2��&�10�5�$5��002�02$�6��02�0�%�9%��2�%6�6�;�56%����A�2B��5&� %100�26�&�<F����123/�%��H2&�2��%�5�3�%%�2F�6���5�<9��6/��0�26$�%�6��%133�%%�199F�3�;09�6��6/��02�S�36N�

(-+�-� 4�562�36�27%��<9$��6$�5%��2��9$;$6�&�6��6/�%���169$5�&��<�#�N��6/�2��<9$��6$�5%�A$99�<��3�5%$&�2�&��16D��D�%3�0��

�5&�2�T1$2����%�0�2�6��;161�99F���2��&�I;�5&;�56�6���&&2�%%��5F��16D��D%3�0��2�T1�%6%N�

(-+U-� 4�562�36�2�%/�99C�

(-+U- -� 4�5�$�12��IJ8?7�L9$6��L�4")IMD�:L"?���2��5��= >�3�55�36$�5��5&0�$56���2��K0�26E�

(-+U-+-� ?�6�10��5&�$5%6�99�8:8���2�IJ8?E�

(-+U-(-� ?�6�10���%6�5&�2&�8:8�&�6��3�55�36$�5�6��8LIP.8�QL.GH"RE��%�&�6�$9�&�15&�2�.�3/5$3�9�

?6�5&�2&%�V%�&�<�9�AE�

(-+U-,-� ?�6�10���%6�5&�2&�8:8��$9����2;�6�6��%�5&�6��8LIP.8�QL.GH"RE��%�&�6�$9�&�15&�2�.�3/5$3�9�

?6�5&�2&%�V%�&�<�9�AE�

(-+U-�-� ?�6�10�62$���2%�$5�L9$6��L�4")IMD�:L"?���2��K0�26$5��&�6�E�

(-+U-U-� 4�5�$�12��3�55�36$�5%�$5��33�2&�53��A$6/�6/��8:8�:56��2�6$�5�W1$&�-�./��6�3/5$3�9�%6�5&�2&%�

2�02�%�56���%�9�36$�5�$5�6�3/5$3�9��002��3/�%�9�36�&��2�;�6/��;�5F�6�3/5$3�9��002��3/�%��#�$9�<9�� 15&�2�6/��8:8�:56��2�6$�5�W1$&�-�IJ8?E�4�562�36�2��5&�8LIP.8�QL.GH"R�;�F�;161�99F���2���6�� 3/�5���6�3/5$3�9��002��3/�%E�$��5�3�%%�2FE�/�A�#�2E�%13/�3/�5��%�;1%6�<��$53�20�2�6�&�$5���A2$66�5� I;�5&;�56�6��6/$%�4�562�36-�IJ8?�$%��&#$%�&�6/�6�3�26�$5�6�3/5$3�9��002��3/�%�;�F�2�T1$2�� �&&$6$�5�9�A�2BE��2�2�DA�2BE��5&�4�562�36�2��6�$6%��06$�5�;�F�A$6//�9&���2��;�56�$��5��5�A��15&$5��$%� 3�;;$66�&�6��6/��$532��%�&�A�2B9��&�&1��6����3/�5����%�3�56�;09�6�&�<F�6/$%�%�36$�5-�G$6/�6/�� �K3�06$�5�����5F�3/�5��%�6��&�6���9�;�56%��2��1536$�5�9$6F�2�%196$5���2�;���3/�5���;�&��<F� 4�562�36�2��$6/�2�&1��6���96�2$5��:;���.2�5&�31%6�;��9�;�56%��2�<F���3/�5���2�T1$2�&�<F�QLO?:?� &1��6��10&�6�&�#�2%$�5%��2��5�10&�6��6��8��96/�P�#�9�?�#�5�=8P!>�%6�5&�2&%-�:5�6/�6�3�%�E�5��3�%6� A�19&�<��$53122�&�<F�IJ8?��5&��5��&&$6$�5�9�%3�0�����A�2B�A�19&�5�6�<��2�T1$2�&E�159�%%�6/�� 4�562�36�2�&��;%��5�I;�5&;�56�5�3�%%�2F���2�39�2$6F����6�3/5$3�9��&S1%6;�56%�5��&�&�6��;�$56�$5�

6/��$56��2�6$�5��5&��K3/�5������&�6��<�6A��5�6/��8:8��5&�8LIP.8�QL.GH"R-N

(-+�-!-� .�/01$/�2�34�1&�5&%�6%�&7�

(-+�-!- � 8�11�/4$�19�

(-+�-!-+� :$5�/4�;$54<�2��5$#�4��=�4>�5?�@;�=A���5�4>��@+A�>�B�/�CC<1$/�4$�17�

(-+�-!-+- � D�<5�@,A�4�4�2�E�54%��E�1�&F�

(-+�-!-+-+� 6G.�HI!�G:.�G',F�

(-+�-!-+-(� �5�&�HI!�G:.�G',F�

(-+�-!-+-,� 6G.�HI!�J:J�3<CC�5BF��1&�

(-+�-!-+-K� �5�&�HI!�J:J�3<CC�5BF�

(-+�-!-(� D$2����5C�4�%�1&��5�C�L2$4��LJ3�4��HLGI.H�=L.MN"O�+K-�-!- -(- 7�

(-+�-!-(- � HI!�G:.�G',�J�%%����>$40�40����22�>$1���$�2&%7�

(-+�-!-(- - � D$5%4�=�C��@���4$�14-'(AF�

(-+�-!-(- -+� I�%4�=�C��@���4$�14-'+AF��

(-+�-!-(- -(� :�4�����P$540�@���4$�14- !AF��1&�

(-+�-!-(- -,� Q�1&�5�@���4$�14- (AF�

(-+�-!-(-+� HI!�J:J�3<CC�5B�J�%%����>$40�40����22�>$1���$�2&%7�

(-+�-!-(-+- � D$5%4�=�C��@���4$�14-'(AF�

(-+�-!-(-+-+� I�%4�=�C��@���4$�14-'+AF��

(-+�-!-(-+-(� :�4�����P$540�@���4$�14- !AF��1&�

(-+�-!-(-+-,� Q�1&�5�@���4$�14- (AF�

(-+�-!-,� D$2����5C�4�$1R�<1&��5�C�HLGI.H�=L.MN"O7�

(-+�-!-,- � H2!�#+-��G:.�G'(��1&�G:.�G'*7� (-+�-!-,- - � "�S<$5�&���/0�C�%%���7�

(-+�-!-,- - - � LJ3�L1/�<14�5�=<CR�5�

@$4"�/�5&-'' AF��1&�

(-+�-!-,- - -+� G��1/B�=<CR�5�@&G��1/B-'+AF�

(-+�-!-,- -+� NE4$�1�2�$1�L�/0�J�%%���7�

(-+�-!-,- -+- � D$5%4�=�C��@$4N<4/�C�-'+KAF�

(-+�-!-,- -+-+� I�%4�=�C��@$4N<4/�C�-'+!AF�

(-+�-!-,- -+-(� :�4�����P$540�@$4N<4/�C�-'+TAF�

',*-,�,+, ,*,+� ��.#�/.�0%%1�$$�2#.34.5�6�,&'*78�

',*-,�,+, ,*,9� ��.#�/.�:#.;�2#.34.5�6�,&'978�

',*-,�,+, ,*,-� ��.#�/.�<.�.��2#.34.5�6�,&'-78�

',*-,�,+, ,*,�� ��.#�/.���$.�=�:�%��2#.34.5�6�,&'�78�

',*-,�,+, ,*,)� >�$?#.�=�0%6#$$#�/�@�.�� 2�34.5�6�, 78�

',*-,�,+, ,*,A� >�$?#.�=�@#$5B�1���@�.�� 2�34.5�6�, -78�

',*-,�,+, ,*, &� C/$41�/5��C/��16�.#�/�

',*-,�,+, ,*, � C/$41�/5��D�6��2���;6�/.,9)78�

',*-,�,+, ,*, *� C/$41�/5��31��D�6��2���;6�/., &78�

',*-,�,+, ,*, '� C/$41�/5��E1�4?�D46F�1� 2���;6�/., �78��/%��

',*-,�,+, ,*, +� C/$41�/5��G�6F�1�D46F�1� 2�?�;6�/., )7�

',*-,�,+, ,*, 9� @#��/�$#$�C/��16�.#�/� 2�34.5�6�, '78�

',*-,�,+, ,*, -� �1�5�%41�$�20??�/%�%�.�� #.34.5�6�,&*+78��/%�

',*-,�,+, ,*, �� @#$5B�1���@#$?�$#.#�/� 2�34.5�6�,&*7H�

',*-,),� �1�"#%��?1�I�5.�6�/���6�/.�/�5�$$�1;�.��?1�I�5.�5�6?=�.#�/8�#/5=4%#/�J�

',*-,), � :�664/#5�.#�/�F�.K��/�0@><��/%�>L0MN>�DLNO3!PH�

',*-,),*� �1�I�5.�<.�.4$�4?%�.�$J�

',*-,),*, � Q#RK��S=;�$.�.4$�4?%�.�$�F�.K��/�0@><8�>L0MN>�DLNO3!P��/%�

:�/.1�5.�1�$.�S�B�=%�1$8�

',*-,A,� �1�"#%��B�$.#/����1�.B��:�/.1�5.�1�$��.K�1�8��/%��

',*-, &,� �1�"#%���??=#5�.#�/�$4??�1.���1�:�/.1�5.�1�$��.K�1�,�

',*�,� 0@><8�:�/.1�5.�1��/%�>L0MN>�DLNO3!P���1���F�$�%��/�.B���$$46?.#�/�.B�.�>L0MN>�DLNO3!P�$B�==J� ',*�, ,� C/�5��?�1�.#�/�K#.B���5B��/.#.;8�.�S��$45B�$.�?$��$�1��$�/�F=;�/�5�$$�1;�.���/�F=��.B��:�/.1�5.�1�.��

$455�$$�4==;�5�6?=�.��.B��?1�I�5.��$��4.=#/�%��F�"��#/$���1��$�#.�5�/5�1/$�#/.�1��5�$8�?�1$�//�=8� $��.K�1�8�%�.�8��1��.B�1�6�.�1#�=$�K#.B#/�>L0MN>�DLNO3!PT$�5�/.1�=8�$45B�$.�?$�#/5=4%��F4.��1��/�.� =#6#.�%�.�J�

(,*!, , � -�.�$�/0$.���.&�%�11$.��/2�345673�8479:";�%��1<�0��1��0�=�$#����36!�5' ��.&�

36!�>?>�@�%%����=�.1�$.$.��1A��20�BA�%2$1�C�&�1���.&�1��2�0%��%/=A�&�1���%�

.�=�%%�0DE��.&F�

(,*!, ,*� 9�0G�<$1A�1A��-�.10�=1�0��.&�5?3H�1���$.&��.&�=�00�=1�&���=1%E�$.=C/&$.��<A�.�$1�$%�.�1�

$@@�&$�1�CD�=C��0�<A$=A�2�01D�=�.10�C%�1A��%��1<�0��=�/%$.��1A��&���=1%E�

(,*!,*,� 7�G��%/=A�%1�2%��%��0��0��%�.�ICD�.�=�%%�0D�1��%/22�01�1A��=�@2C�1�&�20�J�=1���1�0���=A��.&��CC�

2A�%�%�A�#����.��$.1��C$#��20�&/=1$�.�/%�E�

(,*�,� 5.D�1�%GE�&�C$#�0�IC�E��IC$��1$�.E�.�1�=�.1�$.�&��0�&�%=0$I�&�$.�1A$%�5@�.&@�.1�7<��K*L�$%�.�1�<$1A$.�1A��%=�2�F��

(,*M,� 7A��-�.10�=1�0�$%�.�1�0�%2�.%$IC����0��.D������0�=A�0����0$�$.�1$.���0�@�345673�8479:";��0��.D��1A�0�1A$0&�

2�01DE��1A�0�1A�.���0��&�/2�.�<$1A$.�5@�.&@�.1�7<��K*LF�

(,(',� ?�#�C�2E�%/22�01E��.&�20�#$&��1A��6>H�1��$.=C/&��1A����CC�<$.��G�D����1/0�%��.&�&�%AI��0&%N� (,(', ,� ��0%�..�C)O�A$=C�)H�0#$=��6$=�.%/0�N�P.1�0.�C��.&��Q1�0.�C�%1�G�A�C&�0%�%A�CC�I���IC��1��@�.����

@/C1$2C���C�@�.1%����2�0%�..�C�/%�0�20��$C�%E�C$=�.%�%E��22C$=�1$�.%E�=�.1�=1�$.��0@�1$�.��.&�10�$.$.�K%L� =�@2C�1�&,�H1�G�A�C&�0%�%A�CC�I���IC��1��%�1�/2��C�01%��.&�10�=G�%1�1/%�%��0�@�%1�01�1���$.$%AN� (,(', , ,� 5$0��.&�R0�/.&�5@I/C�.=��"��$%10�1$�.�%A�CC�$.=C/&��#�A$=C��0��$%10�1$�.E�$.$1$�C��.&�

0�.�<�C��0�/.&��.&��$0�0��$%10�1$�.��22C$=�1$�.%E�20�=�%%��0�/.&��.&��$0��@I/C�.=�� �22C$=�1$�.%�<$1A�1$@��0�@��@�.���@�.1E��@I/C�.=��$.%2�=1$�.%E�$%%/��0��$%10�1$�.�<$1A� ���$=$�C�%1�1��%��C��.&�%$�.�1/0�%E��I$C$1D�1��0���0��0��C����==�/.1%���0��/01A�0�0�#$�<��.&)�0� �.��0=�@�.1��=1$�.E��.C$.��2�D@�.1�<$1A�1A���I$C$1D�1���%%�%%�C�1�����%E��.&�&�1��0�2�01%F�

(,(',*,� �/IC$=�6��G/2N�:.C$.��2/IC$=�%�0#$=��1��C��G/2�4@�0��.=D�>�&$=�C�-�0��7�=A.$=$�.�K4>-7LE����.=DE�

�.&�10�$.$.��=�/0%�%E�

(,(',(,� 70�$.$.���.&�-�/0%��>�.���@�.1N�HA�CC�0�=�0&��.&�10�=G�10�$.$.���.&��Q�@�$.��0@�1$�.�����220�#�&� =�/0%�%��%%�=$�1�&�<$1A�=�01$�$=�1$�.%��.&�C$=�.%�%,�5?3H�%A�CC�A�#��1A��=�2�I$C$1D����0�=�0&$.��1A�� &�1�$C%����10�$.$.��=�/0%�%�1A�1�=�.�I��=0��1�&��0�@�1�@2C�1�%��0�@�./�C�20�=�%%E�=�/0%���220�#�C��.&� &�.$�C��21$�.%E��11�.&����.0�CC@�.1E��/&$1%E�$%%/��=�01$�$=�1�%E�0���0��0��C���10�$.$.��20��0�@��==�/.1%� ��0��/01A�0�0�#$�<��.&)�0��.��0=�@�.1��=1$�.E��21$�.�C��.C$.��2�D@�.1��.&�&�1��0�2�01%,�4Q1�0.�C��.&� $.1�0.�C�/%�0%�%A�CC�I���IC��1��10�=G�=�.1$./$.���&/=�1$�.�=0�&$1%��.&�10�$.$.��=�@2C�1�&�1���.%/0�� 0�S/$0�@�.1%�1���I1�$.�=�01$�$=�1$�.%��0��@�1E�

(,(',+,� :.C$.����D@�.1%N�6>H�%A�CC�%/22�01��.C$.��2�D@�.1%�1��I��%/I@$11�&�ID��Q1�0.�C�/%�0%��.&�0�=�$#�&�

ID�5?3H���0����%�1A0�/�A�1A��H1�1�����50$T�.��2�D@�.1�2�01�C��2�0�1�&�ID�JU$CC$.��#$��1A��2/IC$=�2�01�CE�

(,(',V,� P.%2�=1$�.%N�HA�CC�A�#��1A���I$C$1D�1��=�.&/=1�$.%2�=1$�.%��.&�0�=�0&�&��$=$�.=$�%��.���=$C$1$�%��0� #�A$=C�%,�7A$%��/.=1$�.�C$1D�%A�CC��CC�<��.�$.1�0.�C�/%�0�1��=0��1����C$I0�0D����=A�=GC$%1%E�%=A�&/C�� $.%2�=1$�.%E��.&�0�=�0&�&��$=$�.=$�%,�:21$�.�C�$.%2�=1$�.����%�@�D�I��@�.&�1�&��.&�2�D@�.1�@�D�I�� 0�=�$#�&�1A0�/�A�1A��2�D@�.1�2�01�C,�5/1�@�1�&�$.%2�=1$�.�<�0G�C�<�%A�CC�I��=�.�$�/0�&�1���&&�.�1�%� �.&��C�01%E�/2&�1��%1�1/%�%E�0�=�0&�&��$=$�.=$�%E�%=A�&/C��0�B$.%2�=1$�.%E�%�.&�=�00�%2�.&�.=�E��0� %�1��%%�=$�1�&�&�1�%,�7A��$.%2�=1$�.�&�%AI��0&�%A�CC�I����1�IC�1��0$�.&CD�@�&/C���.&�=�2�IC����� 0�=�0&$.���C�=10�.$=�=�.%�.1E�

(,(',W,� 522C$=�.1�-�00�%2�.&�.=�N�4@�$C�=�00�%2�.&�.=��1A�1�%A�CC�I���#�$C�IC���/1�@�1$=�CCD��0�@�./�CCD�

1A0�/�A�1A��%D%1�@,�7A��6>H�%A�CC�20�#$&���@�$C�1�@2C�1�%�1��I��I/$C1�$.�1A�1�<$CC��/1�@�1��@�./�C� 20�=�%%�%�ID�2/CC$.��%2�=$�$=�&�1���0�@�2��2C�E�2C�=�%E��0�1A$.�%,�-�00�%2�.&�.=��%�.1�1A0�/�A�1A�� 6>H�%A�CC�I��%�#�&�<$1A�1A��0�=�0&�$1�<�%�%�.1�1����0���%D�0���0�.=�,�6>H�%A�CC�&�=/@�.1�<A��%�.1���

@�%%���E��%�<�CC��%�1A��1$@���.&�&�1��1A��@�%%����<�%�%�.1E�

(-('-!-� .�%��/�%0$1�2��3&�45�67�8�9:�22�$3;26&��<�%��:�%0$1�2��3&�15�67���002$;�1$�3%��3&��6&$1���57%=� 05�;�%%��002$;�1$�3%�>$1:�1$7���5�7��7�3���7�31=�&��$;$�3;?�5�#$�>��3&��61�7�1�&��3&�7�36�2� ;�55�%0�3&�3;�=�$%%6��;�51$�$;�1��>$1:����$;$�2�%1�1��%��2��3&�%$�3�165�%=��<$2$1?�1��5���5��5��2����;;�631%� ��5��651:�5�5�#$�>��3&)�5��3��5;�7�31��;1$�3=��32$3��0�?7�31�>$1:�1:���<$2$1?�1���%%�%%�2�1�����%=�&�1�� 5�0�51%=�

(-('-*-� "�0�51$3��4��2%8�@31��5�1�&�&�1��5�0�51$3��1��2%�1:�1�%:�22��22�>�AB/9�1����$3�$3%$�:1��3�C�?� 0�5��57�3;��$3&$;�1�5%��3&�7�15$;%�1:�1�02�?���;5$1$;�2�5�2��$3�$705�#$3��05�;�%%�%��3&����$;$�3;$�%=�

(-('-�-� D3��5;�7�318��5�#$&����&�%:<��5&�1:�1�%:�22�<���#�$2�<2��1��5�;�5&�$3#�%1$��1$�3���5�0�0�5�;�702�$31%�

E�2�;15�3$;��3&�7�36�2��315?��01$�3F��3&�05�;�%%�;�702�$31%�>$1:�1$7��5�7��7�3���7�31=�

(-('- '-� B�%:<��5&%8�4:��GH9�%:�22�05�#$&��;�3�$�65�<2��&�%:<��5&%)1�%C�2$%1%�1:�1�%:�22��22�>�$31�53�2�6%�5%� 1��05$�5$1$I�=�15�;C=��3&��%%�%%�>�5C�<�%�&��3�1:��5�J6$5�&�;�702�1$�3�&�1���3&�#�267�-�4:�� &�%:<��5&%�%:�22�<��;�3�$�65�&�1��7��1��3�K%�%0�;$�$;�3��&%=�

(-('- -� �5�#$&���3�DHL4��002$;�1$�3%�&�%:<��5&�>$1:��002$;�1$�3�%1�16%��3&�1$7��5�7��15�;C$3��;�0�<$2$1$�%=�

;2�;C)1$7�=�$%%6���2�;15�3$;�;�51$�$;�1$�3�;�5&%=�$3&$#$&6�2$I�&��5�7�%%�DHL4�;�55�%0�3&�3;��<?� %0�;$�$;�;5$1�5$�=��61�7�1�&�3�1$�$;�1$�3%�$3;26&$3�8��M0$5�1$�3��2�51%=�;�55�;1$3���002$;�1$�3�$%%6�%=� �002$;�1$�3�%1�161�%=��M0$5$3��;�51$�$;�1�%=��1;-=�#�5$�$;�1$�3����N�1$�3�2�"��$%15?�D7�5��3;?�H�&$;�2� 4�;:3$;$�3%�EN"DH4F�%1�16%��3&�;�31$36$3���&6;�1$�3�5�J6$5�7�31%���5�;�51$�$;�1$�3=��<$2$1?�1��5���5��5� �2���DHL4��;;�631%���5��651:�5�5�#$�>��3&)�5��3��5;�7�31��;1$�3=��32$3��0�?7�31�>$1:�1:���<$2$1?�1�� �%%�%%�2�1�����%=��3&�&�1��5�0�51%=��3&�

(-('- +-� �5�#$&��A7<62�3;��O5��3$I�1$�3=�$3;26&$3��&�%:<��5&%�>$1:�1$7��5�7��15�;C$3��;�0�<$2$1$�%=� L�51$�$;�1�����N�;�%%$1?�ELONF��3&�5�1���&P6%17�31��002$;�1$�3%�E;�3�$�65�<2����57%��5��22�>���5�602��&� ���;655�31���57F=��$5�2$;�3%$3���002$;�1$�3%=�LON)L�315�;1�7�3���7�31�E602��&=�5�#$�>=��3&�15�;C� %1�16%����7621$02��&�;67�31%�$3;26&$3�8�;�315�;1%=��$3�3;$�2�5�0�51%=�05�������$3%65�3;�=�5�%0�3%��1$7�%=� �1;-F=�05�;�%%��002$;�1$�3%=�&��$;$�3;?�5�#$�>��3&��61�7�1�&��3&�7�36�2�;�55�%0�3&�3;�=��<$2$1?�1�� 06<2$%:�LON��3&�5�1���002$;�1$�3=�$%%6��;�51$�$;�1�%��3&�2$;�3%$3��>$1:����$;$�2�%1�1��%��2��3&�%$�3�165�%� �61�7�1�&�3�1$�$;�1$�3%�5���5&$3���002$;�1$�3�%1�161�%=��M0$5$3��;�51$�$;�1�%=��1;-=��<$2$1?�1��5���5��5��2��� �;;�631%���5��651:�5�5�#$�>=��32$3��0�?7�31�>$1:�1:���<$2$1?�1���%%�%%�2�1�����%=��3&��3��5;�7�31��;1$�3=� �3&�&�1��5�0�51%-�

(-( -� B�%$�3�1���3�$702�7�31�1$�3�;��5&$3�1�5�1:�1�%:�228�

(-( - -� 9;:�&62����QC$;CR���S�;�22�>$1:�AB/9�1���612$3��1:��$702�7�31�1$�3�05�;�%%=��3&�05�#$&���3��#�5#$�>-�

(-(+-� A22�>�AB/9�1��:�#��;�315�2��#�5�>:�1�&�1��$%�#$%$<2��1���M1�53�2�6%�5%�>$1:$3�1:��GH9T�

(-((-� @31�53�2��3&��M1�53�2�%1�C�:�2&�5%�%:�22�:�#��1:���<$2$1?�1��%��5;:���5�1:����22�>$3�8�

(-((- -�DHL48�A<$2$1?�1��%��5;:�DHL4�3�7��EU)GF=�;�51$�$;�1$�3�367<�5=�;655�31�;�51�2�#�2=��;1$#���5�$3�;1$#��

%1�16%=�$%%6��&�1���3&��M0$5�1$�3�&�1�T��3&�

(-((-+-�AB/98�A<$2$1?�1��%��5;:��3�A��3;$�%�3�7�=�;�51$�$;�1$�3�367<�5�ELON�367<�5F=�O5��3$I�1$�3�05��$2�=� �5��3$I�1$�3��%%$�37�31%�E����5�0:$;��5��F=�5�#$�>�06<2$%:�&�2$;�3%���002$;�1$�3�EL�51$�$;�1����� N�;�%%$1?F=��11�;:7�31%��3&�;�315�;1��002$;�1$�3%=��3&�A7<62�3;��"�#�36���3&�L�%1�"�0�51%�EA"L"F-�

(-(,-� A002$;�1$�3�4$7��618�$31�53�2��3&��M1�53�2�6%�5%�%:�62&�<���61�7�1$;�22?�1$7�&��61���1�5���%0�;$�$;�1$7��5�7�T�

(-(V-� A6&$1�G���$3�8�GH9�%:�22�:�#��#$%$<$2$1?�$31��;:�3��%�7�&��1���3?��<P�;1T�

(-(W-� "�2��H�3���7�318�GH9�%:�22�:�#��1:���<$2$1?���5�%0�;$�$�&�AB/9�6%�5%�1��$3;5��%���5�&�;5��%��1:��0�57$%%$�3%�

���6%�5%�>:$;:��22�>%���5�%0�;$�$;�$3��57�1$�3�1��<���;;�%%�&=��&$1�&=��3&�05�;�%%�&T�

','!,� -�.��/$�0�.$�12�3�1.0�4.�0�%5�66��%%$%.�$1�.5��7$�0�.$�1�� �4800�1.�9�0.�6�&�.��.��.5��:/;��1&�90�#$&��.��<-=;� 7$�0�.$�1�7�99$1��&�487�1.�.$�1�>$.5��?96�1�.$�1��1&�$1%.084.$�1%��1�786.$96���44�81.�4�1%�6$&�.$�1%@�

','),� "�6��%��/�1���7�1.�A�B1 0�%.084.80��C9�0�&�2�;5�66�$1468&��>�66D�%.�E6$%5�&�4�7781$4�.$�1�%.0�.��F�>$.5� $1 �07�.$�1�90�#$&�&� �0�7�G�0�0�6��%�%��1&�90$�0$.$H�.$�1�� �7�G�0��15�14�7�1.%I�%45�&86�&�0�6��%�� 7�1���7�1.��1&�0�6��%��1�.�%I�#�1&�0�J8�6$.F��%%80�14�I�.0�$1$1���8$&��89&�.�%I�98E6$%5�&�&�>1.$7�%,�

','K,� �0�#$&����%$1�6��9�$1.�� �4�1.�4.�.��0�#$�>�#�0$�8%� �4�.%�� �.5���996$4�.$�1��1&�90�#$&���8$&�14���1�E�%.� 90�4.$4�%@�$1468&�%����1��5�80�9�0�>��L�95�1��45�4L�$1I�4��0&$1�.$�1�� �89�0�&�%�>5�1($ �1��&�&��1&��1� �&#�4�.�� �0�1�1D%899�0.�0�6�.�&�$.�7%@��1&�

',+�,� M0�4L��1&�0�9�0.��1F�%F%.�7�$%%8�%��0�E8�%��1&�90�#$&��0�9�0.$1���1&�0�%�68.$�1�$1 �07�.$�1,�

',+�,� -�#�6�9��1&�$796�7�1.��1�80E�1$4$.F�&�.�07$1�.$�1�E�.45�90�4�%%�%�68.$�1��1�N6$.��.��4�6486�.��80E�1$4$.F� �0� *�**��1&�*�*'�&�.�� �0�.5��<-=;�"�%9�1%��M$7��"�9�0.,�

',+*,� -�#�6�9��1&�$796�7�1.���%�68.$�1�.��.�L���?$%.$1�����4�&�&�%�804��&�.��.5�.�5�%�E��1��14�&�&�EF�B7���M0�1&� �%�9�0.�� �3�1.$1887��1&�90�4�%%���45�$1%.�14��.���%%$�1��996$4�E6��80E�1$4$.F�#�68��E�%�&��1�%5�9� $6�%�

90�#$&�&�EF�<-=;,�

',+*,�,� M5$%�%�68.$�1�%5�66�E��40��.�&�.���66�>�&�.��.��E��90�4�%%�&��%�1��&�&,�M5��%�68.$�1�%5�66�E�� 6�?$E6�� �1�8�5�.��7��.� 8.80��1��&%,�

',+',� M5��80E�1$4$.F�#�68��>$66�E��>0$..�1�.����%8996�7�1.�6�J8�%.$�1��1&��9.$�1�66F�E��7�#�&�.����48%.�7��6�7�1.�$1�

N6$.�I�"�9�0.O0$.�0��1&�3�1.$1887,�

',++,� -�#�6�9��1&�$796�7�1.��1��8.�7�.�&�90�4�%%� �0��%%$�1$1���1�80E�1$4$.F�.���1���3",�

',++,�,� M5$%��8.�7�.�&�90�4�%%�%5�66� 814.$�1�4�1.$18�66F��1&�.0$���0��1�$79�0.I�89&�.�&�$79�0.I��0�&$0�4.� �1.0F(89&�.�&��1.0F�� ���3"��?2�%$7$6�0�.�� ��.80�%�.5�.��0��9�0.�� �.5���8.��9�%.� ��.80�,��

',++,*,� M5���8.�7�.�&�90�4�%%�%5�66�5�#����>�F�.��7�18�66F�.0$���0(0�.0$���0�$ �1��&�&��1&��%���E�.45I��1&�

��>�F�.��%�.�40$.�0$�� �0�90�4�%%$1��P�?2�%$7$6�0�.��.5�� 814.$�1�6$.F�� ��8.�9�%.Q,�M5$%� 814.$�1�6$.F�%5�66� �66�>�7�18�6�E�.45�90�4�%%$1��%��.5�.�0�.0�%9�4.$#����3"%�7�F�E��90�4�%%�&�$ �&�%$0�&�EF�.5�� 46$�1.,�

',++,',� M5���8.�7�.�&�90�4�%%$1��.��6�%5�66�E���E6��.���8.�7�.$4�66F��&G8%.�.���1F�G%�1� $6��P806�7�9�%5�9��

$6�%�#$���1��9$Q�45�1��%,�R�0��?�796�I�$ �.5��&� $1$.$�1%�� ���45�.F9��� �80E�14$.F�45�1��I�.5���$%�7�9� $6��%5�66�89&�.��.��8%��.5��89&�.�&�&� $1$.$�1%��1&�B7���M0�1&�>$66��&G8%.�.5���%%$�17�1.�� � 80E�1$4$.F�.���1���3"��44�0&$1�6F,�

',+S,� 30��.��.50���P'Q�1�>�48%.�7�BM�&�.���6�7�1.%�.��8%��$1�96�4��� �.5���?$%.$1��;8996�7�1.�6�T8�%.$�1%�4800�1.6F�

8%�&� �0�0�.�$1$1��80E�1$4$.F�$1 �07�.$�1,��

',+S,�,� U��4�%.�%5�66�E���%%�4$�.�&�>$.5��&&$1�(45�1�$1��#�68�%�.���1F�38%.�7�-�.��N6�7�1.%�40��.�&� �0� .5$%�80E�1$4$.F�90�4�%%,�

',+S,*,� M5�%��-�.��N6�7�1.%�%5�66�E���#�$6�E6��$1�0�9�0.�>0$.�0I�&�.��7�0.I�3�1.$1887I��1&�4�1�E��8%�&�$1�

#�6$&�.$�1�086�%��1&�086��6��$4,�

',+S,',� M5�%��48%.�7�&�.���6�7�1.%�%5�66�E���#�$6�E6��.���&&�.���1�N/;�081� �07�$1�R�07�/�1���0��1&� �99��0�9�986�.�&�$ ��996$4�E6�I��1&�081 �07�7�1���0�%5�66��66�>�$.�.��E��0��&��16F� �0��1F�8%�0%��.5�0� .5�1�%F%.�7��&7$1,�

',+-,� .��/0#$�123�4#5#/6��1/�7�/#5�82�5�$$#4��/��9�#$�4�/��"�#9�39��#4�82�%15/#�4�36�/:��;*<�:��=$�8�$/�/0���4%������ >1�2/�2?�#45#%�4/�2�8�2/$�$0�99�3��82�5�$$�%�7�41�996�36�.7���@2�4%�#4���/#7�96�7�44�2�#4591%#4���46�A��2B/�B C�/��1482�5�$$�%���D!$��2�7�82�"#�1$�>1�2/�2$�#4�/0��6��2?�1$#4����7�41�9�82�5�$$,�E�2��F�789�?�#��/0��/��9� #$�4�/�#4�82�%15/#�4�36�/:��;*<�:��=$�8�$/�/0���4%����>1�2/�2�/02���;'<�*&*+?�.7���@2�4%�$0�99�214�>1�2/�2�/02��� ;'<��4%��46�82�"#�1$���D!$�#4�*&*+�$/#99�9#$/�%��$�39�4=(1482�5�$$�%�"#����7�41�9�82�5�$$,��

GH� IJKLMJNOPKJQ�

@0��D�4/2�5/�2�$0�99R��

+,�,� �2�"#%�����1996��145/#�4�9��4/�282#$��9#5�4$��/0�/��99�:$���2�/0���4/26?�5�99�5/#�4?�$/�2���?��F/2�5/#�4?��4%��4�96$#$� ���82�0�$8#/�9�%�/�S�

+,*,� �2�"#%���"#%�45��/0�/�/0��82�%15/�7��/$��4%�7�#4/�#4$�$�512#/6�$/�4%�2%$�;TCUVB.@V?�TCWTBTVX@?��4%�

U.�TT<S�

+,',� C�"�9�8�/0�/��99����/12�$����#/$��889#5�/#�4$�82�"#%��719/#89��$�512#/6�9�"�9$?�:0#50�5�4��99�:��2�%�46��55�$$�/�� %#���2�4/�8�2/#�4$����/0��$6$/�7�5�8�3#9#/#�$�$150��$�2�8�2/#4�?�%�/���4/26?��4%��46��/0�2����/12�S�

+,+,� �2�"#%���%%#/#�4�9��145/#�4$?�:0#50�#4591%��31/��2��4�/�9#7#/�%�/��#4/�24�9�7�#9#4�?��9�2/$?��4%�7�4���7�4/$���� �/0�2�1$�2$��4%�$6$/�7��%7#4#$/2�/#�4S�

+,Y,� �2�"#%��/�504#5�9�$188�2/���2��99�82�%15/$��4%��889#5�/#�4$���2�TCUV�$/�����4%�$/�=�0�9%�2$S�

+,-,� �2�"#%��V��/:�2��T�2��7�4/��4%�V��/:�2��Z#5�4$#4��T�2��7�4/S�

+, ,� �2�"#%����5�86����/0��Z[V�%�/��3�$����2�%�:49��%�/��TCUV�18�4�/0���2�>1�456���2��%�18���/�2���B9#"��;2���22�%� /���$�\C�/�3�$��]�5=18$̂��4��2#5��V0��/<S�

+,),� �2�"#%����/2�#4�/0��/2�#4�2�7�%�9?�/0�/�TCUV�5�4�2�5�2%���2��1/12��1$�?�/2�#4#4���1#%�$���2�3�/0�#4/�24�9��4%� �F/�24�9�1$�2$S�

+,),�,� E�12�;+<?�/:��;*<�0�12�9�4��:�3#4�2�/2�#4#4��$�$$#�4$?��4%�

+,),*,� @02���;'<?��4�$#/��/2�#4#4��$�$$#�4$���2�TCUV�$/���?��4%�

+,_,� �2�"#%��14#��27�2�$�125��9�5�/�2�;̀!Z<�/��TCUV�:#/0�9��#4�52�%�4/#�9$���2�Z[V,�

+,�&,� �2�5�$$�*&**�#45#%�4/�%�/��/���$$#�4�123�4#5#/6�36�a�41�26��?�*&*+,�

+,��,� �2�5�$$�*&*'�#45#%�4/�%�/��/���$$#�4�123�4#5#/6�:#/0#4�/:��:��=$����/0��%�/��3�#4��82�"#%�%�36�TCUV,�

+,�*,� C�"�9�8���82�5�$$���2�/0���1/�7�/�%�82�5�$$#4�����123�4#5#/6�"�91�$,��

+,�',� D2��/��/02���;'<�4�:�51$/�7�.@�%�/���9�7�4/$�#4�X9#/�,��

+,�+,� bc�defgf�hgf�ifjhkl�mn�ifofjpqmnr�def�qgpsfll�cpg�htdpuhdmshjjk�qgpsfllmnr�tgvhnmsmdk�ohjtflR�[�41�996�82�5�$$� a�41�26�/02�1�0�a14��#45#%�4/�2�8�2/$��$�4��%�%�36�W5/�3�2��Y?�*&*+?�/0�4�>1�2/�296��$�4��%�%�36�/0����99�:#4�� %�/�$R��

+,�+,�,� a196�/02�1�0�V�8/�73�2�*&*+�36�w�"�73�2��Y?�*&*+,�

+,�+,*,� W5/�3�2�/02�1�0�C�5�73�2�*&*+�36�a�41�26��Y?�*&*Y,�

+,�+,',� a�41�26�/02�1�0�[�250�*&*Y�36�T82#9��Y?�*&*Y,�

+,�+,+,� T82#9�/02�1�0�a14��*&*Y�36�a196��Y?�*&*Y,��

,-� ./0123/4/567�

89��:�;<=�><�=�%9�??@��

AB�B� C;%D=��>�EF?$�;>��G$<9��??�:�;<=�><�=�HD$=�E�;<%I�

AB�B� �=�#$&����%J%<�E�<9�<�$%�>�EF?$�;<�G$<9�<9��K<�<��� �L=$M�;��N; �=E�<$�;�8�>9;�?��J��;&�K<�;&�=&%I�

AB(B� �=�#$&���;��D&$<�<=�$?�<��=�>�=&��;&�E�;$<�=��>>�%%�<��<9���FF?$>�<$�;I�

AB+B� :�EF?J�G$<9��??�F=�#$%$�;%�� �<9��=�?�#�;<�K<�<�G$&��N; �=E�<$�;�K�>D=$<J��;&��=$#�>J�O $>��PKNK�OQ�R�K<�<�G$&�� K�>D=$<J���?$>$�%��;&�K<�;&�=&%��%��=��F�=<$;�;<�<��<9��:�;<=�><�=S%��F�=�<$�;I�

ABAB� :�EF?J�G$<9��??��FF?$>�T?�� �&�=�?U�%<�<���;&�?�>�?�?�G%��;&�=��D?�<$�;%I�

ABVB� �=�#$&����?���� ��D<9�=$M�&�D%�=%�<9�<�G$??�T���>>�%%$;��F�=%�;�?��;&�F=�<�><�&�9��?<9�&�<�B�L??��>>�%%�<��<9�� K<�<��%J%<�E�ED%<�T���T?��<��T��<=�>W�&��;&�E�;$<�=�&� �=�T=��>9�%U�$%%D�%U��=�F=�T?�E%�<9�<�E�J��=$%�B�89�� :�;<=�><�=��>>�F<%��;&��>W;�G?�&��%�<9�$=�=�%F�;%$T$?$<J�$;�F=�<�><$;��9��?<9�&�<���;&�%9�??�F=�&D>��<9�$=�

F=�>�%%�%��;&�%� �<J�>9�>W��%�=�HD�%<�&�TJ�LXYKI�

AB!B� C;%D=��<9��%J%<�E�%9�??�T��YN�LL�>�EF?�$;<�$;��??�F=$#�>J��;&�%�>D=$<J�=D?�%��%�G�??��%��>>�F<�&�&�<�� �=E�<%I�

AB!B�B� 89��%J%<�E�%9�??��?%��$;>?D&��F=�>�&D=�%� �=�%� ��D�=&$;��<9��%J%<�E� =�E�D;�D<9�=$M�&� E�&$ $>�<$�;%�<��<9���FF?$>�<$�;�F=��=�E%��;&�<9��&�<��>�;<�$;�&�$;�<9���FF?$>�<$�;B�

AB*B� L??�G� �=��;�D;?$E$<�&�;DET�=�� �D%�=%��%�&�<�=E$;�&�TJ�LXYK�$;�LZ[�NC"KI�

AB\B� �=�#$&�U�E�;���U��;&�%DFF�=<��� D??J� D;><$�;�?�%<�<�G$&��C]K��;<�=F=$%��?$>�;%�� �=�&$%<=$TD<$�;��%�&�<�=E$;�&� TJ�LXYKU�<9�<�>�;�>�??�><�F=�9�%F$<�?�F�<$�;<�>�=��=�>�=&%U�<=�;%E$%%$�;�<�) =�E�9�%F$<�?%U��;&�9�#��<9��

>�F�T$?$<J�<��T���;�?JM�&�T�%�&��;�<9��L=$M�;��&� $;�&�&�<�%�<��<��??�<$E�%I�

AB�'B� ]�$;<�$;���̂C]KNK�>�EF?$�;<�#�=%$�;��%�&�<�=E$;�&�TJ�LXYKI�

AB��B� N;>?D&���??�;�>�%%�=J�>�%<%�$;>D==�&�TJ�<9���F�=�<$�;�� �<9��%J%<�EB�89$%�$;>?D&�%�TD<�$%�;�<�?$E$<�&�<��DF&�<�%U� %� <G�=��>�%<%U�%�=#�=%��;&��<9�=�9�=&G�=�I�

AB��B� N;<��=�<��G$<9��%%�;<$�?�%<�<��%J%<�E%�%� <G�=���;&�9�%<��;#$=�;E�;<%I�

AB�(B� ]�$;<�$;� D;><$�;�?$<J��;&�%�>D=$<J�<��F�=%�;�?$M���>>�%%��>=�%%�$;&$#$&D�?%U�L=$M�;��C]K����;>$�%U�9�%F$<�?%U� =��$�;%U�G$<9�<9���F<$�;�<���&&�F�=<$>$F�;<%��<�;���&&$<$�;�?�>9�=��U�DF�;�=�HD�%<�TJ�LXYKI�

AB�+B� KDFF�=<�>�EE�;?J�D%�&�9�=&G�=��G9$>9�$;>?D&�%�TD<�;�<�?$E$<�&�<��&�%W<�F�>�EFD<�=%U�?�F<�F%�P$B�B�%<�;&�=&�

�;&�=D���&�?�F<�F%QU��;&�<�T?�<%I�

AB�AB� C;%D=��<9��%J%<�E��??�G%�=��?[<$E���;[%>=��;�E�;$<�=$;��� ��??�&�<�$?%�� ��;��;��$;��>�??I�

AB�VB� 8=�>W�<9��&�<�%��;&�<$E�%���=�>�=&�G�%��>>�%%�&��=�#$�G�&�TJ���F�=<$>$F�;<I�

AB�!B� C;%D=��<9��%J%<�E�9�%�<9���T$?$<J�<��&$%>=$E$;�<��T�<G��;���%$;�?��C]K�$;>$&�;<��;&�ED?<$F?��L=$M�;��C]K� ���;>$�%�=�%F�;&$;��<���;�$;>$&�;<U�=���=&?�%%�� ���:"�#�;&�=�D%�&�TJ�<9��L=$M�;��C]K����;>$�%I�

AB�*B� L??�G� �=��;���:"�<��T��F=$;<�&�DF�;���F�=<$>$F�;<S%�;��&%I�

AB�*B�B� _�J�D<�� �<9��=�F�=<�%9�D?&��??�G� �=���?�#�?�� �>D%<�E$M�<$�;�TJ�F�=<$>$F�;<%U��;&�

AB�*B�B� :D%<�E$M�&�=�F�=<%�%9�D?&�9�#��<9��>�F�T$?$<J�<��T��%9�=�&��E�;��D%�=%U�

,-�.-� /0%12��34��%5%3�6�$07�28�2�3�%��0�3�6$7�9�&$��2�6%� �2���:"%�3����%$95�7�8312���%%�%%6�03%��0&� $0&$0�%;�

,-*'-� /0%12��34��%5%3�6�$0791&�%��0�$03�2 �7��34�3��99�<%� �2��=3�20�9�%�127�%�� �&�3��3��>��$68�23�&��0��0����075� 9�#�9�34�3�$0791&�%�>13�$%�0�3�9$6$3�&�3��:�6813�2�?$&�&�@$%8�374�A:?@BC��1>9$7�D� �35�?0%<�2$0����$03�A�D?�BC� �0&��9�732�0$7�6�&$7�9��E1$86�03�A7�2&$�7�6�0$3�2%��0&��13�6�3�&��=3�20�9�&� $>2$99�3�2%B;�

,-*�-� F�#����2��9�3$6����:"��0&�2�8�23$0���889$7�3$�0�34�3�$%���%$95�&�89�5�>9��3���99�?2$G�0��/HD����07$�%�342�1�4�

��I�>J>�%�&�%5%3�6;�

,-**-� /0%12��34��%5%3�6��889$7�3$�0�7�0�>��13$9$G�&�<$34��2�<$34�13��0�$03�20�3�7�00�73$�0;�

,-*�-� H�$03�$0�34�3�34����:"� 1073$�0%��2���#�$9�>9���3��99�3$6�%�A�=7�83$�0�� �82�J89�00�&�%� 3<�2��18&�3�%C��%�

&�3�26$0�&�>5�34��:�032�73�2��0&�?@FDB;�

,-*+-� ?3���6$0$616�82�#$&��3�740$7�9�%188�23� �2�$3%�&�3��7�99�73$�0C��0�95%$%��0&�2�8�23$0��3��9�H�0&�5�342�1�4�K2$&�5C�

)L''��6�3��,L''�86�HDMC��=791&$0�� �&�2�9��0&�%3�3��4�9$&�5%;�

,-*,-� D188�23�%4�19&�>��� �2�&�342�1�4L�

,-*,-�-� M�99� 2��J84�0��9$0�C�

,-*,-*-� /6�$9C�

,-*,-�-� N0J9$0��%188�23C�

,-*,-+-� N0J9$0��>�%��%188�23C��0&�

,-*,-,-� �2�#$&��3<�035J �12�%�#�0�A*+(!B�%188�23� �2���:"�1%�2%� �2��05�6�O�2�$%%1�%�34�3�2�E1$2��$66�&$�3�� �33�03$�0-�

,-*P-� H�$03�$0�34��2�E1$2�6�03%�2�9�3�&�3��8�374�%C�18�2�&�%�A$0791&$0���05�0�<�#�2%$�0%�� �34��%� 3<�2�BC��0&�

6�$03�0�07��� �34��%5%3�6�$0791&$0��72$3$7�9� $=�%�&$73�3�&�>5�Q/HDRDS�18&�3��%74�&19�;�

,-*!-� ?>$9$35�3��%�0&�6�%%���%�<$34$0�34����:"�%� 3<�2��3��1%�2%-�M4�%��6�%%���%�%4�19&�4�#����32�7T$0�� 6�74�0$%6� �2�2�7�$#�&�6�%%���%;�

,-*)-� /=4$>$3�?C�D�2#$7��U�#�9�?�2��6�03�$%�2� �2�07�&��0&�4�2�>5�$07�28�2�3�&�3��34$%�:�032�73;�

,-*.-� �2�#$&��%188�23� �2�$%%1�%��=8�2$�07�&�>5�?@FD;�

,-�'-� ?99�<� �2�&�3���0�95%$%�1%$0��9��$7�%3�3�6�03%�A�=�689�%�$0791&��>13��2��0�3�9$6$3�&�3�L�RKC�?Q@C�N"C�RQ�

V/MI//QC�/W:/�MC�/M:-B;�

,-��-� /0%12��34�3�34��%5%3�6�210%�� �73$#�95��0&�� $7$�0395�A �2��77�%%C��=8�23%C��0&��0�95%$%B�2���2&9�%%�� � $9��%$G�C� &�3��2�0��C��2��34�2� $93�2%;�

,-�*-� �2�#$&��?@FD�<$34�<2$33�0�9��$7�%3�3�6�03%� �2��99�7�00�&�2�8�23%� ��312�&��0�?XJ�R/"D;�

,-��-� /0%12��34��%5%3�6�<$99�%188�23�34��72��3$�0%�� �2�8�23%�34�3��99�<�?2$G�0��/HD����07$�%�3��7�68�2��34�6%�9#�%� <$34���%3�3�<$&�����2���3�C��2�#�2$�1%����075�>9$0&�&��2�18$0���0&�>�0746�2T%C��%�&�3�26$0�&�>5�34��

:�032�73�2��0&�?@FD;�

,-�+-� /0%12��?@FD�4�%�34���>$9$35�3��72��3���2�18$0�%�� �?2$G�0��/HD����07$�%�34�3�7�682$%���0����2���3�C��%�

&�3�26$0�&�>5�?@FD�A2��$�0C��37-B;�

,-�,-� /0%12��34��%5%3�6��99�<%� �2�2�>1%3��0�95%$%�� �&�3��<$34�34���>$9$35�3��4�#��&�3�$9�&�E1�25$0���0&�%3�3$%3$7�9� �0�95%$%�A>5�8�26$%%$�0�9�#�9C�10$3C�82�#$&�2C�2��$�0C�7�0&$3$�0%C�9�#�9�� �%�2#$7�C��37-B;�

,-(.-� �/�#$&����%0%1�2�34�/��5�%$6�&�1��1/�7%�61$�7%��7&�89�/$�%�6�7�5��4�7&:�&�50�2�%1�/�:�1$�7�:�&�1�5�%�� 2�7���2�71�%0%1�2%�;"<=>?@A�

,-(!-� B/��1���7��&&$1$�7�:��CD�/1�6�D�5$:$10�1���::�3�14��6�D�5$:$10�� �/�D�/1%�1��5���CD�/1�&�1��D:�$7�1�C1�$7�6�22�7�

$:�%�;EC6�:F�B?G@A�

,-(*-� E7%9/��14��%0%1�2�$76:9&�%�29:1$&$2�7%$�7�:�89�/$�%� �/�&�1���7�:0%$%��7&�6�2D:�C�/�D�/1$7���#�/�29:1$H�0��/�

D�/$�&%A�

,-(I-� �/�#$&��?� 13�/���%���?�/#$6�� �/��&&$1$�7�:�%1�/�����7&����760�:�#�:��66�%%� �/�4$%1�/$6�:�/�6�/&%�;�-�-J�G+� G�9:1F��16-@A�

,-(I-�-� G�9:1�$2D�/1�KE>?L?�+-+-��%1�7&�/&$M�&�N���60�<�1��3$14�14�� �::�3$7��:$2$1�1$�7%J�

,-(I-�-�-� KE>?L?��+-+-��O>N�N���60�<�1�� /�2�7�7HL2���P/�7&�#�7&�/%�2�0�5��$2D�/1�&�$71��

L2���P/�7&�G�9:1�D/�#$&�&�14��KE>?L?�+-+-��O>N�N���60�<�1��$%�14��%�2��6�2D�1$5:��

�/2�1��%�14��KE>?L?�+-+-��O>N�N���60�<�1��?0%1�2Q%�?1�1��KE>?L?�%952$%%$�7��7&�

�14�/3$%��6�7 �/2$7��3$14�14��KE>?L?�<�1��<$61$�7�/0�#+-+-���#�$:�5:���1�

411D%J))7�2%$%-�/�)2�&$�)7�2%$%R#+)&�692�71%)KE>?L?R<�1�RE:�2�71%R<� $7$1$�7%R#

+-+-�-C:%�;SB�7 �/2$7��N���60�<�1��T$:�U@-�L1�%4�::�5��14��B:$�71��7&)�/�B:$�71�G�7&�/Q%� /�%D�7%$5$:$10�1���7%9/��L2���P/�7&�$%�%9DD:$�&�3$14���6�7 �/2$7��KE>?L?�+-+-��O>N� N���60�<�1�� $:�-�

,-(I-�-+-� V%�D�/1�� �14��B�71/�61�/�G�9:1�D/�&961��7&�%�/#$6��D�6W���F�B�71/�61�/�%4�::�D�/ �/2���

�7��;�@�1$2��$2D�/1�� �N���60�&�1��50��$14�/J�

,-(I-�-+-�-� L2D�/1$7��&�1�� /�2�V<X?�B�71/�61�/�G�/%$�7�+��/�&961;%@�91$:$M$7�� B�71/�61�/�1��:%F��/��

,-(I-�-+-+-��L2D�/1$7����6�7 �/2$7��N���60�<�1��T$:�-�V&&$1$�7�:�9D:��&%F�6�//�61$�7%�

�/�2�&$ $6�1$�7%�1��9D:��&�&�&�1���:�2�71%F��/��70��14�/��61$#$10�/�:�1�&�1�� $2D�/1$7��N���60�<�1��� 1�/�B�71/�61�/�4�%�6�2D:�1�&�14���7�H1$2��$2D�/1� $%��91�� �%6�D�-�B�71/�61�/�2�0��/�2�0�7�1�64��%��1��97&�/1�W��14$%� �&&$1$�7�:�3�/W��1�B�71/�61�/Q%�%�:��&$%6/�1$�7-�V<X?�%4�::�4�#��14���D1$�7� 1��6�71/�61�3$14�14��B�71/�61�/�1��97&�/1�W��14$%�3�/W�#$����%�D�/�1�� ?1�1�2�71�� �Y�/W-�

,-(I-+-� V<X?�%4�::�5���/�71�&���7�7H1/�7% �//�5:�F�7�7H�C6:9%$#��:$6�7%��1��9%��G�9:1� �/�14��P�/2�� �14$%�

B�71/�61F��7&�%964�:$6�7%��%4�::��CD$/��%$29:1�7��9%:0�3$14�14$%�B�71/�61A��7&�

,-�'-� �/�#$&����?� 13�/���%���?�/#$6��;?��?@�%95%6/$D1$�7�1��14��E:$1��<�1��>�/1-��P4��E:$1��<�1��>�/1�3$::�5��&�:$#�/�&� �7��7��7��$7��6�71$79�9%�5�%$%�#$��>$6/�%� 1�??L?��#�/���G�K�6�77�61$�7-��V<X?�29%1�4�%1��7&�D/�#$%$�7�$1%�

�37�>$6/�%� 1�?ZN�?�/#�/�$7%1�76�� �/�14��E:$1��<�1��>�/1-�

,-�'-�-� V<X?�$%��71$1:�&�1��9%��14��E:$1��<�1��>�/1�:$%1�&��/$6��?4��1� �/�14��&9/�1$�7�� �14�$/�D�$&�%95%6/$D1$�7�

1��9%�F�/�D/�&96�F��7&�&$%1/$591��14��<�1��<$61$�7�/0;%@�%�:�:0�1���7&� �/��914�/$M�&��2D:�0��%��7&� 6�71/�61�/%�1���7�5:��14�2�1��6�//0��91�14�$/�&91$�%� �/�V<X?F��7&� �/�7���14�/�D9/D�%�-�

,-�'-+-� B[KTL<EKPLVNLP\�[T�ENLPE�<VPV�>V"P;?@�<VPV=V?E;?@�VK<�[PXE"�<VPV=V?E?�P4�� %64�2�F�&�1��%1/9619/�F��7&��#�/�::�&�%$�7�� �14��E:$1��<�1��>�/1;%@�<�1�5�%���7&��14�/�$76:9&�&� &�1�5�%�%F��/��4�/�50�2�/W�&��7&�&�6:�/�&�B�7 $&�71$�:�L7 �/2�1$�7�34$64�6�7%1$191�%�#�:9�5:���7&� D/�D/$�1�/0�3�/W�D/�&961��7&�1/�&��%�6/�1%�� �14��B�71/�61�/-�Y4$:��V<X?��37%��::�$1%��37�&�1�F�V<X?� %4�::�7�1�%4�/��3$14F�&�%6/$5��1�F�&�1�$:�1�F��/��14�/3$%���::�3��/��$&���14$/&�D�/10�1��/�#�/%���7�$7��/� 14��%64�2�F�&�1��%1/9619/���7&��#�/�::�&�%$�7�� �14��E:$1��<�1��>�/1;%@��/��70��14�/�?� 13�/���/� &�1�5�%��3$14�14$/&�D�/1$�%-�V<X?���/��%�1��1�W��/��%�7�5:��2��%9/�%�1��2�$71�$7�14��%�6/�60�� �14�� %64�2�F�&�1��%1/9619/�F��7&��#�/�::�&�%$�7�� �14��E:$1��<�1��>�/1;%@F��/�1��D/�1�61�14��%64�2�F�&�1�� %1/9619/���7&��#�/�::�&�%$�7�� �14��E:$1��<�1��>�/1;%@�$7�14��%�2��2�77�/�14�1�V<X?�D/�1�61%�$1%Q��37�

-.�&��%�/.�-%0�12$/2�#�.�$%��.��-�.3� �3,'3(3� 456789:6;8<=8;>�57�:=8;:�9<;<�984;856<">?@A�;2��$B/CD&�&�:C$-��9�-��9$/-$�B�.E�12$/2�

&�%/.$F�%�-2��:C$-��9�-��G�.-?%A�$%�2�.�FE�H�.I�&��B&�&�/C�.�&�4�B $&�B-$�C�8B �.H�-$�B�12$/2� /�B%-$-D-�%�#�CD�FC���B&�J.�J.$�-�.E�1�.I�J.�&D/-��B&�-.�&��%�/.�-%�� �8G<K:;":693�<9L@�%2�CC� B�-�.�J.�&D/�� �.0�&$%-.$FD-��-�0��.�B-��//�%%�-�0�JDFC$/CE�&$%JC�E�-�0�B�.��CC�1�-2��&�-��&$/-$�B�.E�-��F�� D%�&�FEM�-2$.&�J�.-$�%0��B&)�.��BE��HJC�E����.�/�B-.�/-�.�12��&��%�B�-�.�ND$.��-2��:C$-��9�-�� 9$/-$�B�.E?%A�-��/�..E��D-�-2�$.�&D-$�%�-��<9L@3�OJ�B��PJ$.E�� �-2��:C$-��9�-��9$/-$�B�.E?%A�C$/�B%�?%A0� <9L@�%2�CC�&�%-.�E��.�.�-D.B��CC�/�J$�%�� �-2��:C$-��9�-��9$/-$�B�.E?%A�$B�<9L@Q%�/�B-.�C3�

�3,�3� :B%D.��-2��=G@�JDFC$/�J�.-�C�$%�<9<�/�HJC$�B-��B&�2�%�-2���F$C$-E�-�M�

�3,�3�3� <&&�/D%-�H�<9L@�C�����B&�/�C�.�%/2�H��-��J�.-�C�J.$�.�-����RC$#�0�

�3,�3+3� @�B&�H�%%�/�..�%J�B&�B/��-���CC��P-�.B�C�D%�.%�#$���H�$C�-2.�D�2�-2��=G@0�

�3,�3(3� <CC�1�D%�.%�-��%�C R.��$%-�.0�/2�B����B&�.�%�-�J�%%1�.&0�.�ND$.��%-.�B��J�%%1�.&�.DC�%0�C�/I��//�DB-� ��-D.��� -�.� $#��?�A� �$C�&��--�HJ-%0�DBC�/I� ��-D.��� -�.�-�B�?�'A�H$BD-�%0��B&�.�-$.�H�B-�� �$B�/-$#�� D%�.%S��B&�

�3,�3,3� <D&$-�/2�B��%�H�&��FE�$B-�.B�C��B&��P-�.B�C�D%�.%3�

TU� VWXYZ[\]�̂W__[\̀Wab[aZ[]�cab�d[̀W_X\� e3�3� 6�-$/�%0�/�..�%J�B&�B/�0�.�J�.-%��B&�4:"%� .�H�-2��4�B-.�/-�.�-��<9L@�%2�CC�F��%�B-�-�M��

<.$f�B��9�J�.-H�B-�� �L��C-2�@�.#$/�%�

��'�6�.-2��*-2�<#�BD�0�@D$-���,'�

�2��B$P0�<.$f�B��*�''!� <--BM�gDC$��h$B-�B�� ;�C�J2�B�M�?,*'A��iiR,�,�� :H�$CM�gDC$�3h$B-�Bj�f&2%3��#� e3+3� 8B#�$/�%�%2�CC�F��%�B-�-�M�$B#�$/�%j�f&2%3��#� �.�.�#$�1��B&�J�EH�B-0���/�JE�%2�DC&�F��%�B-�-��gDC$��h$B-�B� ?gDC$�3h$B-�Bj�f&2%3��#AS��B&� e3(3� 6�-$/�%0�/�..�%J�B&�B/�0��B&�.�J�.-%�?�B&�J�EH�B-%�$ �%�B-�-��-2��%�H���&&.�%%A� .�H�<9L@�-��-2��4�B-.�/-�.�

%2�CC�F��%�B-�-�M�

8H���;.�B&0�8B/3��

<--�B-$�BM�9�B��6�#�/I0�42$� �=���C�5 $/�.�

+'*���k�B%$B�-�B�l�DC�#�.&�

=�I�#$CC�0�G6���',,�

;�C�J2�B�M�?i�+A�,eiR��*i�� :H�$CM�/�B-.�/-%j$H���-.�B&3/�H��

,-./0123145� 672-�48� 9--�

:;<53137� �=</>��� �?@?AB?@?C�� �?@?CB?@?D��

EF$G�H�I�"�J�KH�LG�M�FN$�O�G��P��F$�%���N�

�FGFN��QF$G�H�%�"�J�KH�LG�KN�R�QG$�

SL��T#H�� *U� V� WX&&� V&X&&� V&X&&�

Y#�ZG�[)\�M�FN$��L�$#G��GN�#L#L�(Q�L$FJG�G#�L�

$�$$#�L$]��$�N�̂F�$G�%�P_�̀IMa�

L̀LF�JJ_� *� V�]W&&X&&� V']&&&X&&� V&X&&�

TN#K$���N���bH���TN�L%�Y%FQ�G�N���N��L$#G��

GN�#L#L��(�Q�L$FJG�G#�L�$�$$#�L$�

L̀LF�JJ_� �� V�] W&X&&� V�] W&X&&� V&X&&�

c�P#L�N�GN�#L#L��$�$$#�L$�GZ�G�H��G�GZ��L��%$� ���F$�N$]��$�N�̂F�$G�%�P_�̀IMa�GZ�G��N�� N�Q�N%�%���N��L�%�H�L%�"#�d#L����N���K�N#�%���� Gd��d��e$��N�H�GZ��#L#G#�J�KN�$�LG�G#�L�

SL��T#H�� �&� V'W&X&&� V&X&&� V&X&&�

E�LG#LFFH� L̀LF�J� �� V'W]&&&X&&� V')]*+WX+W� V'U]'U*X)��

E�LG#LFFH�Yfa�E�LG�LG���Qe���� L̀LF�J� �� V*W]&&&X&&� V* ]'�)X�)� V*)]�' X *�

E�JJ�P�N�G#�L�a�N"#Q�$� g(̀� �� V&X&&� V&X&&� V&X&&�

L̀LF�J�M�$G#L����N�bH���TN�L%�YJ#G��Yfa� L̀LF�J� �� V�)]+WUX��� V*&]� �X' � V*&] �XW��

L̀LF�J�aFKK�NG���N�bH���TN�L%�YJ#G��Yfa]�

M�$K#G�J�MFP�

L̀LF�J� �� V*&]'�UX*)� V**]*W)X&�� V**]U*WX)&�

L̀LF�J�aFKK�NG���N�bH���TN�L%�YJ#G��h#�J%� L̀LF�J� �� V*&]'�UX*)� V**]*W)X&�� V**]U*WX)&�

L̀LF�J�aFKK�NG���N�N��#$GN_�J#Le���$�F$�%�P_� ÌMa�

L̀LF�J� �� V�]�&&X&&� V�] +)X'�� V�])&&X)��

bH���GN�L%�YJ#G��Yfa�I�G��f�NG�f�LGZJ_�hT�� I�J#"�N�̀LLF�J�a��a�h���i�EJ#�LG�M�$G�%�hT�� O�!��FJ�N�H�LGZJ_�%�G���jGN�QG$�P_��� Q�LG#LF�F$�k�g�%�J#"�N_���N�̀lO�bY!a]��N��$� N�̂F�$G�%�P_�̀IMa�

L̀LF�J� �� V�*])W&X&&� V�+]&+�XW+� V�+]+�*X U�

k�N$#�L�*�k�FJG�I�G��aG�N���� L̀LF�J� �� VW]&&&X&&� VW]+�'X�+� VW]�* XW+�

E�LG#LFFH�m���Q_�n��Q�%#L�� L̀LF�J� �� V&X&&� V&X&&� V&X&&�

M��JGZ�bL��NH�G#�L�MFP�[MbM\�̀LLF�J�aFKK�NG� �L%�M�$G#L��

L̀LF�J� �� V*�]*�)X&&� V*']�)WX+)� V*']))�X&W�

m#Q�L$��f�L���H�LG�TN�#L�N�a�GFK� SL��T#H�� *� VW�] &&X&&� V&X&&� V&X&&�

��_H�LG�n�G�d�_�a�GFK� SL��T#H�� �� V&X&&� V&X&&� V&X&&�

I�G�P�$��o�QeFK�bL$G�JJH�LG� SL��T#H�� �� V*W]&&&X&&� V&X&&� V&X&&� m#Q�L$��f�L���H�LG�a��a�O�TN�#L�N�� L̀LF�J� *� V+U]�*WX&&� V�&W]*U+X''�V�&)]+W'X�W� ae#JJ�Yj�H�f�%FJ�� L̀LF�J� *� V&X&&� V&X&&� V&X&&� bL"�$G#��G#�L$� L̀LF�J� *� V&X&&� V&X&&� V&X&&� g!YfT� L̀LF�J� �� V&X&&� V&X&&� V&X&&�

��_H�LG�n�G�d�_� L̀LF�J� �� V&X&&� V&X&&� V&X&&�

Q̀Q�FLG�̀%"#$�H�LG�a�N"#Q�$�m�"�J��� [�jQJF$#"�J_���N�mfa\�

L̀LF�J� �� V&X&&� V&X&&� V&X&&�

c�P#L�N�TN�#L#L��a�$$#�L$�[*�ZN�$�$$#�L$�

��QZ\�

SL��T#H�� +� V'W&X&&� V&X&&� V&X&&�

SL$#G��TN�#L#L��[)�Z�FN$\� SL��T#H�� '� V�]+&&X&&� V&X&&� V&X&&�

TN�"�J� SL��T#H�� �� V�] W&X&&� V&X&&� V&X&&�

aG�L%�N%�m���Q_�I�G��bHK�NG� SL��T#H�� *� VW]&&&X&&� V&X&&� V&X&&�

EF$G�H�I�"�J�KH�LG�M�FN$�i�pNP�L#Q#G_� f#�N�G#�L���N�!�K�NG#L��

SL��T#H�� +�� V**WX&&�

V&X&&� V&X&&�

+,-./012034� 561,�37� 8,,�

9:;42026� <;.=�

>?>@A>?>B� >?>BA>?>C�

DEF�G"H"IJ�KLM�EI�NOI�L�I"�GP�Q"#H�!�EJ��G$�

R�HSG"H�T�UM�H"�"H�I"�G#�

VG��R"L����W� X))YZ%%�

X&[W%%Z%%� X%Z%%�

DEF�G"H"IJ�KLM�EI�NOI�L�I"�GP��E�\�HI�

]�G���L�GI�

VG��R"L�� )*� X))YZ%%�

XY[*%%Z%%� X%Z%%�

DEF�G"H"IJ�KLM�EI�NOI�L�I"�GP��E��E�LL"G��

�G$�Q�!�T�ML�GI�

VG��R"L�� )��� X))YZ%%�

XW)[&)YZ%%� X%Z%%�

DEF�G"H"IJ�KLM�EI�NOI�L�I"�GP�R�#I"G���G$�

�T"IJ�N##OE�GH��

VG��R"L�� *%� X))YZ%%�

X_[%%%Z%%� X%Z%%�

DEF�G"H"IJ�KLM�EI�NOI�L�I"�GP�KLMT�L�GI�I"�G�

�G$�Q�MT�JL�GI�Q�!�T�ML�GI�̀�OE#�

VG��R"L�� Y� X))YZ%%�

X�[�)YZ%%� X%Z%%�

]�GO�T��E�H�##"G�����US�M��a"T�#� VG��R"L�� �� X)[*�YZ%%� X)[*�YZ%%� X%Z%%�

VMI"�G�TP�bE��I��c�d�KR�a"�T$� VG��R"L�� )Y� X))YZ%%� X%Z%%� X%Z%%� e44:;f�g5<�eh3:42-� � � � ijCklCBmn@o�i>kkljkjnmm�� p342/;.2�g5<�eh3:42� � � � iql@Cklj>Cn@o��

RS��M�EI"�#�OG$�E#I�G$�IS�I�dS"T��IS��#J#I�L�H�G�F��"G�"G"I�TJ�H�G�"�OE�$��G$�E��"G�$[�IS�I�IS��#��Id�E��#J#I�L�LO#I� E��HS���T�!�T����E��$"G�##��G$�"I�LO#I�r��sT"!�t���E�O#����FJ�IS���G$sO#�E#�"G�"I#�"GI�G$�$�O#��H�#�#Z�NQ̀ U�L�J�$�#"E�� #I���$�E�TT��OI����$"���E�GI����IOE�#��E�ME�$OHI#���E�T�E���"LMT�L�GI�I"�G#[��E�NQ̀ U�L�J�$�#"E��I��S�!���TT��OGHI"�G#���� T"!���TT��I��GH�Z�KG�IS��"GI�E�#I����$��"G"G������"E��G$��F\�HI"!��L��#OE�L�GI�M�"GI[�IS"#�u��v"!��]"T�#I�G��d"TT�F��H�LMT�I�� dS�G�IS��bT"�GI��HwG�dT�$��#��TT�#I�G$�E$�v���HJ�$�I��S�#�#OHH�##�OTTJ�F��G�KLM�EI�$��G$�NQ̀ Ux#�U��Id�E��#J#I�L� ME�H�##�#[�E�H�"!�#[�IE�G#L"I#[���G�E�I�#[��E��IS�Ed"#��"GI�E�HI#�d"IS�IS���"E#I�G�GsI�#I�$�I��E�H�E$[��yHTO$"G��G�GsI�#I� $�I��dS"HS�"#�L"�E�I�$��G����G�sI"L��F�#"#��E�L��G�IS�E�#J#I�LZ�

Page 1 of 4 SPO Form 101 - Competition Impracticable Procurement Authorization (Rev 10.17.23)

Procurement Determination:

Competition Impracticable Authorization A.A.C. R2-7-E303

SECTIONS I THROUGH III MUST BE COMPLETED BY THE REQUESTOR

USE ADDITIONAL PAGE AS NECESSARY

SECTION I - State Governmental Unit Request

SECTION II - Background

1. State Governmental Unit

2. Requestor 3. Email

4. Title 5. Telephone

6. Service(s)/Material(s)

7. Supplier

8. Contract ID

9. CI Type

10. Requesting Term 11. Estimated Cost

Arizona Department of Health Services (ADHS), Bureau of Emergency Medical Services (EMS

Julia Vinton/Nathaniel Thomas

Office Chief/Procurement Specialist

Julia.Vinton@azdhs.gov

480-599-4145/480-952-3883

License Management System (LMS) and Arizona Hospital Information and Emergency Medical Services (EMS) Registry System

ImageTrend

CTR053289

Through 8/16/2026 $50,000.00

- Modification pursuant to R2-7-E303(E) for a CI modification

Page 2 of 4 SPO Form 101 - Competition Impracticable Procurement Authorization (Rev 10.17.23)

SECTION III - Justification

12. Rationale

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

These services were originally awarded through a Request for Proposal to ImageTrend Inc., Contract ADHS11-004470 in 2010. After five (5) years, services were completed as a Competition Impracticable (CI) (ADHS16-114329). On August 17, 2021, under an approved Competition Impracticable determination, Contract CTR053289 Registry and Hospital Information was established with Image Trend to continue to provide the States EMS Registry System. This system allows agencies to securely submit electronic Patient Care Reports (eCPR) and other electronic records for the collection of EMS and trauma data per A.R.S. § 36-2208.

As a result of rule changes in A.R.S. 36-2232(a)(3) that went into effect in state fiscal year 2024, additional ImageTrend services are required. These include, but are not limited to:

Developing and implement an automated process for assigning an urbanicity to an ePCR;

and create three (3) new custom IT data elements to use in place of the existing Supplemental Questions currently used for retaining urbanicity information. These additional services are expected to cost $88,675.00 which exceeded the original established NTE amount of $1,468,303.14. As this is a current and ongoing Contract for an embedded system, competition is impracticable. The added enhancements are required under A.R.S. § 36-2208 and advantageous to the State to ensure continued services and systems are in use.

- Compliance with A.R.S. §§ 41-2533, 41-2534, 41-2538, or 41-2578 is impracticable

Page 3 of 4 SPO Form 101 - Competition Impracticable Procurement Authorization (Rev 10.17.23)

14. Describe the procurement process, strategy to promote competition, and determination that the price is fair and reasonable

15. I have conducted research and determined that no mandatory state contract is available for the service(s)/material(s)

16. If needed, I have attached additional documents/clarifications/explanations to the request

17. Signature 18. 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.

This is an imbedded system that is currently in use within the State of Arizona and needs the enhancements listed in Section 13 to ensure compliance with A.R.S. § 36-2208.It has been determined that price is fair and reasonable based on the costs of similar enhancements that were implemented in Amendment 4 of CTR053289.

The original five (5) year term not to exceed amount was $875,366.94. Additional enhancements were needed for Amendment 2 of CTR053289, so a Supplemental CI Determination was executed to raise the five (5) year term not to exceed amount to $1,468,303.14.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .