CTR076498_Pre-Contract_Documents.pdf

Thomas Kornell <tkornell@azdot.gov>

PRF 1330jdre Striper

Pamela Veal <pveal@azdot.gov> Thu, Jun 5, 2025 at 2:33 PM To: Thomas Kornell <tkornell@azdot.gov> Cc: Jack Dreyer <jdreyer3@azdot.gov>

Good afternoon Tom, Please see below for the PRF 1330jdre for the walk behind striper. I am officially assigning this to you. Please have your planner to me no later than Wednesday 6/11. Let me know if you have any questions.

Thank you.

Timestamp 6/5/2025 7:15:04 Requester Email jdreyer3@azdot.gov Requester Phone Number

Project Manager Email Striper - Walk Behind Project Manager Phone Number Administrative Services (ASD) Project Name/Description No Customer Division

Is there an existing or previous contract? One-time purchase Contract No. 61721 Request Type https://drive.google.com/open?id=1GtV1ULHay0-16njeGu2WLavRGJebS1P5 What is the anticipated expenditure? https://drive.google.com/open?id=1_yTmuqusAEacaibo2IMyxhbVodODWkTH Annual estimated quantities https://drive.google.com/open?id=1MpdMSiJj__lx8zil1l8u-IILES93-iIS Specifications/Scope of work

Additional Information

ADOT Project Number State Federal Authorization Documentation (i.e.

Clearances, Joint Project Agreement, Public Interest Finding)

Funding Source

If Project Specific, % of Federal Funds https://drive.google.com/open?id=1oh4eLOpW5qUHOXz8J11xfu6j36zL07oB Select Federal Funding Agency https://drive.google.com/open?id=1MS4iH-EHxVV0lgcBTsbCBW0V3R3l5dWe Manager Approval 6027126506 Division Finance Officer (DiFO): Approval

6/24/25, 12:02 PM State of Arizona Mail - PRF 1330jdre Striper https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834126398046796881&simpl=msg-f:1834126398046796881 1/2 mailto:jdreyer3@azdot.gov https://drive.google.com/open?id=1GtV1ULHay0-16njeGu2WLavRGJebS1P5 https://drive.google.com/open?id=1GtV1ULHay0-16njeGu2WLavRGJebS1P5 https://drive.google.com/open?id=1GtV1ULHay0-16njeGu2WLavRGJebS1P5 https://drive.google.com/open?id=1_yTmuqusAEacaibo2IMyxhbVodODWkTH https://drive.google.com/open?id=1_yTmuqusAEacaibo2IMyxhbVodODWkTH https://drive.google.com/open?id=1_yTmuqusAEacaibo2IMyxhbVodODWkTH https://drive.google.com/open?id=1_yTmuqusAEacaibo2IMyxhbVodODWkTH https://drive.google.com/open?id=1MpdMSiJj__lx8zil1l8u-IILES93-iIS https://drive.google.com/open?id=1MpdMSiJj__lx8zil1l8u-IILES93-iIS https://drive.google.com/open?id=1MpdMSiJj__lx8zil1l8u-IILES93-iIS https://drive.google.com/open?id=1oh4eLOpW5qUHOXz8J11xfu6j36zL07oB https://drive.google.com/open?id=1oh4eLOpW5qUHOXz8J11xfu6j36zL07oB https://drive.google.com/open?id=1oh4eLOpW5qUHOXz8J11xfu6j36zL07oB https://drive.google.com/open?id=1oh4eLOpW5qUHOXz8J11xfu6j36zL07oB https://drive.google.com/open?id=1MS4iH-EHxVV0lgcBTsbCBW0V3R3l5dWe https://drive.google.com/open?id=1MS4iH-EHxVV0lgcBTsbCBW0V3R3l5dWe https://drive.google.com/open?id=1MS4iH-EHxVV0lgcBTsbCBW0V3R3l5dWe

PRF No. 1330jdre

Pamela Veal

PROCUREMENT MANAGER

ARIZONA DEPARTMENT

OF TRANSPORTATION

MD 100P, Room 135 1655 W. Jackson St Phoenix, AZ 85007

602.712.7564 Office

480.489.9174 Cell

azdot.gov

6/24/25, 12:02 PM State of Arizona Mail - PRF 1330jdre Striper https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834126398046796881&simpl=msg-f:1834126398046796881 2/2 https://www.google.com/maps/search/1655+W.+Jackson+St%C2%A0+Phoenix,+AZ+85007?entry=gmail&source=g https://www.google.com/maps/search/1655+W.+Jackson+St%C2%A0+Phoenix,+AZ+85007?entry=gmail&source=g http://azdot.gov/

Thermoplastic striping equipment

ARIZONA DEPARTMENT OF

ADMINISTRATION STATE PROCUREMENT

OFFICE

PROCUREMENT DISCLOSURE STATEMENT

Dear Employee:

You have been selected to participate in the particular procurement activity as referenced above. Your selection was based on your technical knowledge and expertise in this area. Your regular job duties may not include procurement activities but for the purpose of this process you may play a significant procurement role in one or more of the following: participating in the development of a procurement as defined in A.R.S. § 41-2503;

participating in the development of an evaluation tool; approving a procurement as defined in A.R.S. § 41-2503 or an evaluation tool; serving as a technical advisor or an evaluator who evaluates a procurement as defined in A.R.S. § 41-2503; or recommending or selecting a vendor that will provide materials, services or construction to this state.

It is essential that the integrity of the procurement process be maintained to ensure that each Offeror is given fair and equal consideration. Your familiarity with particular brands, types of equipment, material, services, individuals or firms may tend to influence your evaluation; however, you are required in this specific instance to be particularly objective and guard against any tendency that might slant your evaluation in favor of a personal preference.

You are required to report to the Procurement Officer, or person facilitating the above referenced procurement process, any actual or potential conflict of interest as defined in A.R.S. §§ 38-503, 41-2616(C), 41-753, and 41-2517. You are also subject to the Code of Ethics set forth in Section A.A.C. R2-5A-501 of the Arizona Department of Administration, Personnel Division, Administrative Rules, and Regulations.

An additional consideration is the legal mandate to maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process.

Once the evaluation process has started, it is essential that any contact with Offerors, other than that disclosed, be through, and by, the Procurement Officer or person facilitating the above referenced procurement.

In addition, the Employee shall not have any communication related in any way to the particular procurement, except during formal Committee meetings, with any Offeror or potential subcontractor to that Offeror prior to award, nor shall that Member discuss the proposal or their evaluation with anyone other than the Procurement Officer, or person facilitating the above referenced procurement and Evaluation Committee Members. This is mandatory.

A person who holds a Significant Procurement Role as defined by A.R.S. §§ 41-741 and 41-2503 for a particular procurement shall sign a statement before starting any participation that the person has no financial interest in the procurement other than that disclosed and will have no contact with any representative of a competing Offeror related to the particular procurement during the course of evaluation of proposals, except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. The person shall disclose on this statement any contact unrelated to the pending procurement that the person may need to have with a representative of a competing offeror and any contact with a representative of a competing offeror during evaluation of proposals except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. A person who has been identified as having a significant procurement role for this procurement and fails to disclose contact with a representative of a competing Offeror or who fails to provide accurate information on this statement is subject to civil penalty of at least one thousand dollars but not more than ten thousand dollars per A.R.S. § 41-2616(C).

cc: Agency File Page 1 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

Docusign Envelope ID: 8AFD1DFC-F4E3-48BE-BEC9-AC3277B449EF cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

As mandated by A.R.S. § 38-503, I, , have listed on this form all ownerships, employments, public and private affiliations, and relationships held by me and/or a relative which may have a substantial (pecuniary and proprietary

) interest as defined in A.R.S. § 38-502(11) in any contract, sale, purchase or service involving the agency. I understand that as my interests or those of my relatives change, I may need to modify this statement.

The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the State include (attach additional sheets as necessary):

During the course of my regular business, I may have contact, unrelated to this procurement, with the Offerors or potential Offerors/Bidders listed below, who have submitted proposals in response to this solicitation (attach additional sheets as necessary):

“Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-blood) and their spouses and the parent, brother, sister or child of my spouse.

“Pecuniary” means money or economic or other benefits that can be valued in monetary terms

“Proprietary” means ownership or rights by virtue of ownership, whether public or private.

Citations listed above are available on the SPO website, https://spointra.az.gov/resources/standard-forms-and-documents.

Statements

The Undersigned attests to and agrees to abide by the following statements:

I have read and understand the above and agree to be bound by the rules and principles represented. If applicable, I have also received, read and understand the Evaluation Committee Instructions for this procurement.

I know of no conflict of interest on my part nor have I committed any indiscretion or accepted any gratuities or favors that would compromise my impartiality. Further, I will not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation during the defined time frame stated in A.R.S. § 41-753. I will maintain all deliberations of the Evaluation Committee in strict confidence during the evaluation process. My recommendations shall be based upon an objective/ subjective review of the Offeror’s response and the appropriate award criteria from the solicitation in accordance with the Arizona Procurement Code. I have read and understand A.R.S. §§ 41-753, 41-2517, and 41-2616(C) and will fully comply with the requirements.

I have not and will not communicate with any potential Offeror or vendor in preparation of specifications/scopes of work, evaluation tool or other confidential information related to the above referenced Solicitation which would provide an unfair advantage or to prepare specifications/scopes of work which favor particular vendor(s).

I have not and will not provide insight, confidential information or assistance to any potential Offeror or vendor that might give an unfair advantage or inhibit fair competition for the above referenced Solicitation. My input regarding the development of the Solicitation documents, if any, has been and will be based solely on the State’s requirements. I have not and will not communicate those requirements or confidential information to any potential Offeror or vendor.

Docusign Envelope ID: 8AFD1DFC-F4E3-48BE-BEC9-AC3277B449EF n/a n/a

D. Thompson https://spointra.az.gov/resources/standard-forms-and-documents cc: Agency File Page 3 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

I know of no conflict of interest on my part nor shall I take any action (e.g., commit an indiscretion or accept any gratuities or favors) that would compromise my impartiality or my responsibilities. Should a conflict of interest become known to me relevant to my role, I shall immediately disclose such conflict of interest.

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes of work, or evaluation tools I prepared or assisted in the preparation of.

I shall maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process that I may be a participant or attend as a committee member or a technical advisor.

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or appeal that I am a participant, advisor or decision maker.

Whether recommending or selecting a vendor that will provide materials, services or construction to the State, approving a procurement or an evaluation tool or soliciting quotes greater than ten thousand dollars for the provision of materials, services or construction, I shall maintain strict security and confidentiality regarding the process and decisions to ensure fair competition.

Upon termination of my employment with the State, for any reason, these provisions and statements remain in effect until such time as the solicitation has been successfully awarded by the State, or the State provides me a written release. These provisions and statements apply if I accept employment with any entity, its affiliates, subcontractors, or business partners that may submit an offer or are included in an offer to this solicitation. I shall not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation for one year following the delivery of purchased materials or the purchase of services or construction begins.

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than ninety days or dismissal from State service.

The Undersigned has read and understands the above and agrees to be bound by the statements, rules, and principles represented herein and in accordance with the provisions of the State Statutes and Rules regarding personnel, conflict of interest, confidentiality, and procurement.

Please check the applicable box below:

Yes No I am an architect or an engineer registered pursuant to section A.R.S. § 32-121

Yes No I am a State employee who was employed within the past year by a person or firm responding to a solicitation, pursuant to A.R.S. § 41-2517(F)

Signature Date Agency

Name Email address

Title Telephone

Docusign Envelope ID: 8AFD1DFC-F4E3-48BE-BEC9-AC3277B449EF

5/29/2025

Risk Management Analyst

X

D. Thompson

X

DThompson@azdot.gov

ADOT Risk Management

602.712.7744

Thermoplastic striping equipment

ARIZONA DEPARTMENT OF

ADMINISTRATION STATE PROCUREMENT

OFFICE

PROCUREMENT DISCLOSURE STATEMENT

Dear Employee:

You have been selected to participate in the particular procurement activity as referenced above. Your selection was based on your technical knowledge and expertise in this area. Your regular job duties may not include procurement activities but for the purpose of this process you may play a significant procurement role in one or more of the following: participating in the development of a procurement as defined in A.R.S. § 41-2503;

participating in the development of an evaluation tool; approving a procurement as defined in A.R.S. § 41-2503 or an evaluation tool; serving as a technical advisor or an evaluator who evaluates a procurement as defined in A.R.S. § 41-2503; or recommending or selecting a vendor that will provide materials, services or construction to this state.

It is essential that the integrity of the procurement process be maintained to ensure that each Offeror is given fair and equal consideration. Your familiarity with particular brands, types of equipment, material, services, individuals or firms may tend to influence your evaluation; however, you are required in this specific instance to be particularly objective and guard against any tendency that might slant your evaluation in favor of a personal preference.

You are required to report to the Procurement Officer, or person facilitating the above referenced procurement process, any actual or potential conflict of interest as defined in A.R.S. §§ 38-503, 41-2616(C), 41-753, and 41-2517. You are also subject to the Code of Ethics set forth in Section A.A.C. R2-5A-501 of the Arizona Department of Administration, Personnel Division, Administrative Rules, and Regulations.

An additional consideration is the legal mandate to maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process.

Once the evaluation process has started, it is essential that any contact with Offerors, other than that disclosed, be through, and by, the Procurement Officer or person facilitating the above referenced procurement.

In addition, the Employee shall not have any communication related in any way to the particular procurement, except during formal Committee meetings, with any Offeror or potential subcontractor to that Offeror prior to award, nor shall that Member discuss the proposal or their evaluation with anyone other than the Procurement Officer, or person facilitating the above referenced procurement and Evaluation Committee Members. This is mandatory.

A person who holds a Significant Procurement Role as defined by A.R.S. §§ 41-741 and 41-2503 for a particular procurement shall sign a statement before starting any participation that the person has no financial interest in the procurement other than that disclosed and will have no contact with any representative of a competing Offeror related to the particular procurement during the course of evaluation of proposals, except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. The person shall disclose on this statement any contact unrelated to the pending procurement that the person may need to have with a representative of a competing offeror and any contact with a representative of a competing offeror during evaluation of proposals except those contacts specifically authorized per A.R.S. §§ 41-2534, 41-2537, 41-2538, and 41-2578. A person who has been identified as having a significant procurement role for this procurement and fails to disclose contact with a representative of a competing Offeror or who fails to provide accurate information on this statement is subject to civil penalty of at least one thousand dollars but not more than ten thousand dollars per A.R.S. § 41-2616(C).

cc: Agency File Page 1 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

Docusign Envelope ID: 9DBF09AD-412D-4BDD-992C-90710B72FBF4 cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

As mandated by A.R.S. § 38-503, I, , have listed on this form all ownerships, employments, public and private affiliations, and relationships held by me and/or a relative which may have a substantial (pecuniary and proprietary

) interest as defined in A.R.S. § 38-502(11) in any contract, sale, purchase or service involving the agency. I understand that as my interests or those of my relatives change, I may need to modify this statement.

The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the State include (attach additional sheets as necessary):

During the course of my regular business, I may have contact, unrelated to this procurement, with the Offerors or potential Offerors/Bidders listed below, who have submitted proposals in response to this solicitation (attach additional sheets as necessary):

“Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-blood) and their spouses and the parent, brother, sister or child of my spouse.

“Pecuniary” means money or economic or other benefits that can be valued in monetary terms

“Proprietary” means ownership or rights by virtue of ownership, whether public or private.

Citations listed above are available on the SPO website, https://spointra.az.gov/resources/standard-forms-and-documents.

Statements

The Undersigned attests to and agrees to abide by the following statements:

I have read and understand the above and agree to be bound by the rules and principles represented. If applicable, I have also received, read and understand the Evaluation Committee Instructions for this procurement.

I know of no conflict of interest on my part nor have I committed any indiscretion or accepted any gratuities or favors that would compromise my impartiality. Further, I will not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation during the defined time frame stated in A.R.S. § 41-753. I will maintain all deliberations of the Evaluation Committee in strict confidence during the evaluation process. My recommendations shall be based upon an objective/ subjective review of the Offeror’s response and the appropriate award criteria from the solicitation in accordance with the Arizona Procurement Code. I have read and understand A.R.S. §§ 41-753, 41-2517, and 41-2616(C) and will fully comply with the requirements.

I have not and will not communicate with any potential Offeror or vendor in preparation of specifications/scopes of work, evaluation tool or other confidential information related to the above referenced Solicitation which would provide an unfair advantage or to prepare specifications/scopes of work which favor particular vendor(s).

I have not and will not provide insight, confidential information or assistance to any potential Offeror or vendor that might give an unfair advantage or inhibit fair competition for the above referenced Solicitation. My input regarding the development of the Solicitation documents, if any, has been and will be based solely on the State’s requirements. I have not and will not communicate those requirements or confidential information to any potential Offeror or vendor.

Docusign Envelope ID: 9DBF09AD-412D-4BDD-992C-90710B72FBF4

None

None jack Dreyer https://spointra.az.gov/resources/standard-forms-and-documents cc: Agency File Page 3 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

I know of no conflict of interest on my part nor shall I take any action (e.g., commit an indiscretion or accept any gratuities or favors) that would compromise my impartiality or my responsibilities. Should a conflict of interest become known to me relevant to my role, I shall immediately disclose such conflict of interest.

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes of work, or evaluation tools I prepared or assisted in the preparation of.

I shall maintain strict security and confidentiality regarding the content of any proposal, as well as the proceedings of the Evaluation Committee meetings during the evaluation process that I may be a participant or attend as a committee member or a technical advisor.

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or appeal that I am a participant, advisor or decision maker.

Whether recommending or selecting a vendor that will provide materials, services or construction to the State, approving a procurement or an evaluation tool or soliciting quotes greater than ten thousand dollars for the provision of materials, services or construction, I shall maintain strict security and confidentiality regarding the process and decisions to ensure fair competition.

Upon termination of my employment with the State, for any reason, these provisions and statements remain in effect until such time as the solicitation has been successfully awarded by the State, or the State provides me a written release. These provisions and statements apply if I accept employment with any entity, its affiliates, subcontractors, or business partners that may submit an offer or are included in an offer to this solicitation. I shall not accept an offer of employment from or have employment discussions with any person or entity lobbying for or potentially responding to a solicitation for one year following the delivery of purchased materials or the purchase of services or construction begins.

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than ninety days or dismissal from State service.

The Undersigned has read and understands the above and agrees to be bound by the statements, rules, and principles represented herein and in accordance with the provisions of the State Statutes and Rules regarding personnel, conflict of interest, confidentiality, and procurement.

Please check the applicable box below:

Yes No I am an architect or an engineer registered pursuant to section A.R.S. § 32-121

Yes No I am a State employee who was employed within the past year by a person or firm responding to a solicitation, pursuant to A.R.S. § 41-2517(F)

Signature Date Agency

Name Email address

Title Telephone

Docusign Envelope ID: 9DBF09AD-412D-4BDD-992C-90710B72FBF4

ADOT

5/29/2025

X jdreyer3@azdot.gov

602-712-6506

Equipment Engineer

X jack Dreyer

Thomas Kornell <tkornell@azdot.gov>

Fwd: Significant Procurement Notification Form

ProcurementCompliance - ADOT <procurementcompliance@azdot.gov> Tue, Jun 10, 2025 at 7:54 AM To: Thomas Kornell <tkornell@azdot.gov>

Good day, Please utilize this email as your Significant Procurement Disclosure posting on SPO's website. Incorporate this document in your Pre-Solicitation documents.

Best Regards, Gloria Paul

Compliance Team

PROCUREMENT

1655 W. Jackson Street, MD 100P Phoenix AZ 85007

602.712.7466

602.712.8584 | azdot.gov

---------- Forwarded message --------- From: Google Forms <forms-receipts-noreply@google.com> Date: Tue, Jun 10, 2025 at 7:52 AM Subject: Significant Procurement Notification Form To: <Procurementcompliance@azdot.gov>

Thanks for filling out Significant Procurement Notification Form Here's what was received.

6/24/25, 2:31 PM State of Arizona Mail - Fwd: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834554270116417271&simpl=msg-f:1834554270116417271 1/5 https://www.google.com/maps/search/1655+W.+Jackson+Street?entry=gmail&source=g http://azdot.gov/ mailto:forms-receipts-noreply@google.com mailto:forms-receipts-noreply@google.com mailto:Procurementcompliance@azdot.gov mailto:Procurementcompliance@azdot.gov https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?usp=mail_form_link

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.

Email *

Procurementcompliance@azdot.gov

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

6/24/25, 2:31 PM State of Arizona Mail - Fwd: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834554270116417271&simpl=msg-f:1834554270116417271 2/5 https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?edit2=2_ABaOnuf2ap2v-0nFUvywUz7u-I9oLjIk4dJD80cNpPIIIF9kInZgSQLIp_VNi5xC9b8pdx0 https://spointra.az.gov/resources/standard-procedures https://spo.az.gov/contracts/significant-procurement-roles https://spo.az.gov/contracts/significant-procurement-roles mailto:SPOCompliance@azdoa.gov mailto:SPOCompliance@azdoa.gov

Tom Kornell

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

Transportation, Dept. of

What is the title of the procurement? *

CTR076498 - Thermoplastic Equipment

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))

6/24/25, 2:31 PM State of Arizona Mail - Fwd: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834554270116417271&simpl=msg-f:1834554270116417271 3/5

Other:

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

MM

05 /

DD

29 /

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

07 /

DD

01 /

YYYY

What is your name (if different from above)?

Gloria Paul

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

gpaul@azdot.gov

Create your own Google Form

6/24/25, 2:31 PM State of Arizona Mail - Fwd: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=ecaaf80299&view=pt&search=all&permmsgid=msg-f:1834554270116417271&simpl=msg-f:1834554270116417271 4/5 mailto:gpaul@azdot.gov https://docs.google.com/forms?usp=mail_form_link

Competition Not Practicable (03/2025)

Procurement Determination:

Competition Not Practicable (< $100,000) R2-7-D301(4)

SECTIONS 1THROUGH 3 MUST BE COMPLETED BY THE REQUESTOR

USE ADDITIONAL PAGE AS NECESSARY

SECTION I - Requestor Information

Agency Arizona Department of Transportation Division/Unit ASD / Procurement

Requestor Tom Kornell Title Senior Procurement Officer

Email tkornell@azdot.gov Telephone 602-712-8520

SECTION II - Background

Requisition No. TBD

Provide full description of materials or services:

ADOT has an immediate need to purchase two (2) Graco Walk behind Pro Melt Thermoplastic machines, with two (2) Thermolazer pro melt Smartdie 2 Die-12” and one (1) Line driver Heavy duty Model

SECTION III - Justification

NTQ Type

Authorization Request for new NTQ Justification Category Business Continuity

Contract No. CTR076498 Requesting Term One year

Supplier Centerline Supply Inc. Supplier ID IV0000042473

Estimated Annual Cost $56,875.00 Commodity 72153000

Rationale: Compliance with A.R.S. § 41-2535 is: Impracticable

Provide justification details:

ADOT has an immediate need to purchase two (2) Walk behind Pro Melt Thermoplastic machines, with Attachments. Two (2) Thermolazer pro melt Smart die 2 Die-12”, and one (1) Line driver Heavy duty Model motorized attachment.

There are no current contracts available for this type of equipment. This equipment is needed immediately for safety markings such as Crosswalks and Stop lines and is required for replacing older non-working machines. The purchase of this equipment is a priority and required by the end of the fiscal year for budget purposes. This equipment is in stock with Center line and is available immediately. The Department intends to enter into a direct contract with Centerline for this one time purchase.

Docusign Envelope ID: 8FA35FE5-36BA-4B4C-84B5-9A0399D1E6EE

Competition Not Practicable (03/2025)

Fair and reasonable price determined pursuant to A.A.C. R2-7-702:

A review of sale Prices online of identical equipment was conducted. ADOT found pricing for the same model type and accessories. The pricing offered is listed below and was found to be comparable to the prices Listed per unit that Centerline Supply quoted ADOT.

Centerline Supply, Inc. Spray Equipment 5/15/5025…………………$21,500.00

Graco Thermo lazer Accessory Smart Die 2 12”…………..……...$2,725.00

Graco Line Driver HD Ride-On System 5/15/25…………..……….$8,425.00

Pittsburgh Spray Equipment 5/15/25 ………………………………….$25,689.00

Graco Thermo lazer Accessory Smart Die 2 12”……………..…...$3,310.00

Graco Line Driver HD Ride-On System 5/15/25……………..…….$10,239.00

Nac Supply 5/15/25 ……………………………………………………$23009.00

Graco Thermo lazer Accessory Smart Die 2 12”……………..…...$3,344.00

Graco Line Driver HD Ride-On System 5/15/25………..………….$9,129.00

Therefore, pricing has been determined to be fair and reasonable as it is supported by market prices.

I have determined no statewide contract is available for these goods / services ☒

PO Signature: Date:

SECTION IV – APPROVAL BY PROCUREMENT AUTHORITY

Determination:

☐ Request Authorized Pursuant to § 41-2535 and A.A.C. R2-7-D301(4) ☐ Request Denied

☐ Request Returned for Additional Information ☐ See Comments

Comments:

Approved by: Date:

Title: Signature:

Tracking No. ______ Initials ____

Docusign Envelope ID: 8FA35FE5-36BA-4B4C-84B5-9A0399D1E6EE

5/20/2025

5/20/2025Pamela Veal

X

Procurement Manager

AZ360 WILL BE DOWN FOR SCHEDULED MAINTENANCE SATURDAY, MAY 31ST THROUGH TUESDAY, JUNE 3RD IN SUPPORT OF THE AZ360 HRM CUTOVER.

DURING THE CUTOVER PERIOD, SUPPLIER REGISTRATION, REQUISITIONS, PURCHASE ORDERS, INVOICE PROCESSING AND PAYMENT WILL BE

TEMPORARILY UNAVAILABLE. FOR ANY INQUIRIES OF APP NEW SUPPLIER ENROLLMENT, APP NAVIGATION, AND APP ACCOUNT MANAGEMENT, CONTACT SPO SPO@AZDOA.GOV (MAILTO:SPO@AZDOA.GOV). FOR SPECIFIC INQUIRIES OF AZ360 DOWNTIME, PLEASE CONTACT GAO AT FINHUB@AZDOA.GOV

(MAILTO:FINHUB@AZDOA.GOV).

Home (/) » Compliance and Training (/compliance) » Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

(https://az.gov) Visit OpenBooks

(https://openbooks.az.gov/) Ombudsman Citizens Aide

(https://www.azoca.gov/)

Debarred and Suspended Firms SPO is responsible for maintaining a list of firms that are suspended or debarred from doing business with the State of Arizona.

THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE AND TRAINING

Agency Procurement Authority

(/compliance-and-training/agency-procurement-authority)

Control Self-Assessment (CSA)

(/compliance-and-training/control-self-assessment-csa)

State Procurement Office (/)

ARIZONA PROCUREMENT PORTAL (/ARIZONA-PROCUREMENT-PORTAL) COMPLIANCE AND TRAINING (/COMPLIANCE)

RESOURCES (/RESOURCES-1) ABOUT (HTTPS://SPO.AZ.GOV/ABOUT-0)

APP SERVICE REQUEST (HTTPS://STATEOFARIZONA.SAMANAGE.COM/LOGIN) PUBLIC SITE (HTTPS://SPO.AZ.GOV/)

6/12/25, 1:23 PM Debarred and Suspended Firms | State Procurement Office https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2 mailto:spo@azdoa.gov mailto:spo@azdoa.gov mailto:finhub@azdoa.gov mailto:finhub@azdoa.gov https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/debarred-and-suspended-firms https://az.gov/ https://openbooks.az.gov/ https://www.azoca.gov/ https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote/ https://spointra.az.gov/compliance-and-training/agency-procurement-authority https://spointra.az.gov/compliance-and-training/control-self-assessment-csa https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/arizona-procurement-portal https://spointra.az.gov/compliance https://spointra.az.gov/resources-1 https://spo.az.gov/about-0 https://stateofarizona.samanage.com/login https://spo.az.gov/

Procurement Compliance Reviews

(PCR) (/compliance/procurement-compliance-reviews-pcr)

Compliance Hotline

(/compliance/compliance-hotline)

Debarred and Suspended Firms

(/compliance/debarred-and-suspended-firms)

STATEWIDE POLICIES (HTTP://AZ.GOV/POLICIES) SITE MAP (/SITEMAP)

6/12/25, 1:23 PM Debarred and Suspended Firms | State Procurement Office https://spointra.az.gov/compliance/debarred-and-suspended-firms 2/2 https://spointra.az.gov/compliance/procurement-compliance-reviews-pcr https://spointra.az.gov/compliance/compliance-hotline https://spointra.az.gov/compliance/debarred-and-suspended-firms http://az.gov/policies https://spointra.az.gov/sitemap

An official website of the United States government Here’s how you know

Extended SAM Maintenance Window Show Details Jun 11, 2025

Scheduled FSD.gov Maintenance Show Details Jun 11, 2025

See All Alerts

Home Search Data Bank Data Services Help

Requests Notifications Workspace Sign Out

Core Data

Business Information

Entity Types

Financial Information

Points of Contact

Assertions

Reps and Certs (FAR/DFARS)

Entity Registration

Core Data

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 1/7 https://sam.gov/ https://sam.gov/ javascript:void(0) javascript:void(0) https://sam.gov/ https://sam.gov/search/ https://sam.gov/reports/awards/standard https://sam.gov/data-services https://sam.gov/help https://sam.gov/workspace/profile/feeds https://sam.gov/workspace/profile/feeds/notification https://sam.gov/workspace/profile/workspace javascript:void(0) javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

Reps and Certs (Financial Assistance)

Exclusions

Responsibility / Qualification

Active Registration

Expiration Date

BUSINESS INFORMATION

CENTERLINE SUPPLY INC

Entity Information

Unique Entity ID

WTNDKPYB54X9

CAGE/NCAGE

08YX5 Feb 20, 2026

Physical Address

530 Jesse ST Grand Prairie, Texas 75051-1142, United States

Mailing Address 530 Jesse ST Grand Prairie, Texas 75051-1142, United States

Purpose of Registration All Awards

Version

Current Record

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 2/7 javascript:void(0);

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

Doing Business As (blank)

URL

translineinc.com

Division Name (blank)

Division Number (blank)

Congressional District Texas 33

State/Country of Incorporation Texas, United States

Owner CAGE Legal Business Name

Immediate Owner 8NXT0 TRANSLINE INDUSTRIES

INC

Highest Level Owner (blank) (blank)

Registration Dates

Entity Dates

Activation Date Feb 24, 2025

Submission Date Feb 20, 2025

Initial Registration Date Jul 8, 2020

Entity Start Date Apr 28, 1988

Fiscal Year End Close Date Dec 31

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 3/7 https://translineinc.com/

FINANCIAL INFORMATION

ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 08YX5

Business Types

Entity Structure Corporate Entity (Not Tax Exempt)

Entity Type Business or Organization

Profit Structure For Profit Organization

Organization Factors Manufacturer of Goods

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration.

Payments

Accepts Credit Card Payments Yes

Debt Subject To Offset No

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 4/7

POINTS OF CONTACT

Electronic Business

Government Business

Primary Point of Contact

Christina Moss

Address 530 Jesse ST.

Grand Prairie, Texas 75051 United States

Primary Point of Contact

Shane Richmond

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 5/7

Past Performance

Address 530 Jesse ST.

Grand Prairie, Texas 75051 United States

Primary Point of Contact

Brian Nelson, President

Address 530 Jesse ST.

Grand Prairie, Texas 75051 United States

Our Website

About This Site

Our Community

Release Notes

Our Partners

Acquisition.gov

USASpending.gov

Grants.gov

6/12/25, 1:45 PM SAM.gov https://sam.gov/entities/view/WTNDKPYB54X9/coreData?status=Active&emrKeyValue=10744035~1740066690327959 6/7 https://sam.gov/about/this-site https://interact.gsa.gov/group/integrated-award-environment-iae-industry-community https://www.fsd.gov/gsafsd_sp?id=kb_category&kb_category=ccf4380a1ba67410fe314000f54bcb16&kb_id=f66d8e6cdb76d4100d73f81d0f9619c https://acquisition.gov/ https://usaspending.gov/ https://grants.gov/

ARIZONA SECRETARY OF STATE

(https://azsos.gov)

(https://azsos.gov) Elections (https://azsos.gov/elections) Business (https://azsos.gov/business)

Services (https://azsos.gov/services) Rules (https://azsos.gov/rules) About (https://azsos.gov/about)

Result Detail Back

File ID: 9196257

Name: Centerline Supply

Business Address:

1301 East Hadley Street Phoenix, Arizona 85034

Mailing Address:

530 Jesse Street Grand Prairie, Texas 75051

Phone: 972-647-8300

6/12/25, 1:31 PM Search Results - Arizona Secretary of State https://apps.azsos.gov/apps/tntp/rd.html 1/3 https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/ https://azsos.gov/elections https://azsos.gov/business https://azsos.gov/services https://azsos.gov/rules https://azsos.gov/about

Nature of Business:

Manufacturing of industrial products.

Date of First Use:

January 4, 2021

Date Registered:

January 4, 2021

Expiration Date:

January 4, 2026

Applicants: Centerline Supply, Inc. Texas Corporation

Registration Information:

Registration Received:

January 4, Expires: January 4, Correspondence History:

Trade Name Application:

Filed: January 4, Back

6/12/25, 1:31 PM Search Results - Arizona Secretary of State https://apps.azsos.gov/apps/tntp/rd.html 2/3