CTR078523__Pre-Contract_Documents.pdf

Patrick Breazeale <pbreazeale@azdot.gov>

PRF Assignment - PRF #: 2942glow- Procurement Officer: Patrick Breazeale

Monique Harris <mharris5@azdot.gov> Tue, Sep 30, 2025 at 7:24 AM To: Patrick Breazeale <pbreazeale@azdot.gov> Cc: Pamela Veal <pveal@azdot.gov>, Gary Lowe <glowe@azdot.gov>

Hello Patrick, I am assigning this item to you. Please let me know if you have any questions. Thank you.

PRF Assignment Below:

Timestamp 9/29/2025 10:06:04 Email Address glowe@azdot.gov Project Manager Email Project Name/Description Bingham Direct Contract Customer Division Administrative Services (ASD) Is there an existing or previous contract? No Contract No. CTR078523 Request Type Ongoing requirement What is the anticipated expenditure? $100,000.00 Annual estimated quantities Specifications/Scope of work https://drive.google.com/open?id=1Hu5BDZs2vWtq4CDdaxbb3bGFeNtgWmNX Additional Information ADOT Project Number Federal Authorization Documentation (i.e.

Clearances, Joint Project Agreement, Public Interest Finding) Funding Source State If Project Specific, % of Federal Funds Select Federal Funding Agency Manager Approval Bingham_ PRF request - Gary Lowe.pdf Division Finance Officer (DiFO): Approval Bingham_ PRF request - Gary Lowe.pdf

Requester Phone Number (602) 712-7284 Project Manager Phone Number

PRF No. 2942glow

I have cc'd the customer for awareness. Thank you.

Monique Harris, CPPB, MSL Procurement Manager

PROCUREMENT SERVICES

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

480.404.5583 | azdot.gov

10/2/25, 10:47 AM State of Arizona Mail - PRF Assignment - PRF #: 2942glow- Procurement Officer: Patrick Breazeale https://mail.google.com/mail/u/0/?ik=a8c2bc1c81&view=pt&search=all&permmsgid=msg-f:1844699237616540573&simpl=msg-f:1844699237616540573 1/1 mailto:glowe@azdot.gov https://drive.google.com/open?id=1Hu5BDZs2vWtq4CDdaxbb3bGFeNtgWmNX https://drive.google.com/open?id=1Hu5BDZs2vWtq4CDdaxbb3bGFeNtgWmNX https://drive.google.com/open?id=1Hu5BDZs2vWtq4CDdaxbb3bGFeNtgWmNX https://drive.google.com/open?id=1Hu5BDZs2vWtq4CDdaxbb3bGFeNtgWmNX https://drive.google.com/open?id=1SyYGRosn82jjG-TwQ4y3fEv3_3EKYgW5 https://drive.google.com/open?id=1i69KuFPjUaEcGEmSvhFf9cDsrw61Nmp5 https://www.google.com/maps/search/1655+W.+Jackson+Street++Phoenix,+AZ+85007?entry=gmail&source=g https://www.google.com/maps/search/1655+W.+Jackson+Street++Phoenix,+AZ+85007?entry=gmail&source=g http://azdot.gov/

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 perA.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)

Parts and Repair for Off-Road Heavy Duty Equipment

Docusign Envelope ID: 85058FB2-B8FA-434C-AC3E-CC78EAE8DCBF

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 relative1 which may have a substantial (pecuniary2 and proprietary3) 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):

1 “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.

2 “Pecuniary” means money or economic or other benefits that can be valued in monetary terms 3 “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.

cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

Dalton Thompson

N/A

N/A

Docusign Envelope ID: 85058FB2-B8FA-434C-AC3E-CC78EAE8DCBF https://spointra.az.gov/resources/standard-forms-and-documents

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

Docusign Envelope ID: 85058FB2-B8FA-434C-AC3E-CC78EAE8DCBF

D. Thompson

9/3/2025

Risk Management Analyst

ADOT Risk Management

602.712.7744

DThompson@azdot.gov

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 perA.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)

Parts and Repair for Off-Road Heavy Duty Equipment

Docusign Envelope ID: FCD1A6A2-97C1-4D55-8D14-84268E26BF36

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 relative1 which may have a substantial (pecuniary2 and proprietary3) 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):

1 “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.

2 “Pecuniary” means money or economic or other benefits that can be valued in monetary terms 3 “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.

cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23)

Roger Fischer

N/A

N/A

Docusign Envelope ID: FCD1A6A2-97C1-4D55-8D14-84268E26BF36

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

Docusign Envelope ID: FCD1A6A2-97C1-4D55-8D14-84268E26BF36 rfischer@azdot.gov

ADOT

Parts Manager

Darren Fischer

8/28/2025

602-712-4770

Patrick Breazeale <pbreazeale@azdot.gov>

Fwd: Thanks for filling out this form: Significant Procurement Notification Form 1 message

ProcurementCompliance - ADOT <procurementcompliance@azdot.gov> Thu, Oct 2, 2025 at 10:36 AM To: Patrick Breazeale <pbreazeale@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: Forms response receipts <forms-receipts-noreply@google.com> Date: Thu, Oct 2, 2025 at 10:31 AM Subject: Thanks for filling out this form: Significant Procurement Notification Form To: <Procurementcompliance@azdot.gov>

Thanks for filling out this form: Significant Procurement Notification Form

You’re receiving this email because you filled out the following form using your email address. This form is owned by State of Arizona. Make sure you recognize and trust this form before copying or clicking on any links.

Here's what was received.

Edit response

10/2/25, 10:38 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=a8c2bc1c81&view=pt&search=all&permthid=thread-f:1844892558462853645&simpl=msg-f:1844892558462853645 1/4 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 https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?usp=mail_form_link https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?usp=mail_form_link https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?edit2=2_ABaOnudg0UX8-NxpBF7ikOYEOkYoBPfXRmCeYd6SsbC52KbPWFozVBHJUw9XfJyknjKdpDE

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? *

Patrick Breazeale

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

Transportation, Dept. of

10/2/25, 10:38 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=a8c2bc1c81&view=pt&search=all&permthid=thread-f:1844892558462853645&simpl=msg-f:1844892558462853645 2/4 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 mailto:Procurementcompliance@azdot.gov mailto:Procurementcompliance@azdot.gov

What is the title of the procurement? *

CTR078523 Parts and Repair for Off-Road Heavy Duty 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))

Other:

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

MM

08 /

DD

28 /

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

10 /

DD

21 /

YYYY

What is your name (if different from above)?

10/2/25, 10:38 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=a8c2bc1c81&view=pt&search=all&permthid=thread-f:1844892558462853645&simpl=msg-f:1844892558462853645 3/4

Gloria Paul

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

gpaul@azdot.gov

Create your own Google Form

10/2/25, 10:38 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=a8c2bc1c81&view=pt&search=all&permthid=thread-f:1844892558462853645&simpl=msg-f:1844892558462853645 4/4 mailto:gpaul@azdot.gov https://docs.google.com/forms?usp=mail_form_link

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Requestor completes Sections I - 111 and sends to

Contract Owner

Contract Owner completes Section IV and sends to

SPA/ Deputy SPA completes Section V and sends back to

Requestor

Docusign Envelope ID: 58D0B19D-CB95-446C-B33A-46EB8024D824

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ARIZ NA

DEPARTMENT OF ADMINISTRATION

STATE PROCUREMENT OFFICE

100 N 15 th Avenue, Phoenix, AZ 85007

Arizona Department of Transportation

Patrick Breazeale PBreazeale@azdot.gov

Senior Procurement Specialist 602-712-8504

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ADOT Equipment Services Department has an immediate need for diagnosis and parts/repair services on Kubota, Bobcat, Case Construction and new Holland heavy equipment brands.

Arizona Machinery CTR075378 Cummins Inc CTR075379 Empire Southwest LLC CTR075380 GJH Motors CTR075381 Mertens Heavy Equipment CTR075382 W W Williams Co CTR075383

Bingham Equipment CO 1655 S Country Club Mesa,AZ 85210

‐ Authorization request

Initial end date of 1/15/26 with 4 optional yearly renewal $700,000.00

#$%&'()�'''�*�+,-./0/12./34567�89:;<=9>?5@7�AB<C;D?�D?:9;>E�<F�:G?�HB<IJB?K?=:�=??DL�B?9E<=�F<B�:G?�<FFMI<=:B9I:�B?NJ?E:L�9=D�G<O�:G?�HB<H<E?D�HB<IJB?K?=:�;E�9DC9=:9P?<JE�:<�:G?�Q:9:?

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- The state contract(s) designated as mandatory pursuant to A.A.C. R2-7-A301(B) does not/do not meet the need

ADOT Equipment Services Department has an immediate need for diagnosis and parts/repair services on Kubota, Bobcat, Case Construction and new Holland off-road heavy equipment brands. The software to diagnose these brands is proprietary and only available through an Authorized Dealer. Bingham Equipment Company is the only authorized dealer for off-road construction equipment for these brands in Arizona. Therefore Bingham Equipment Company must be utilized for diagnosing and repairing this equipment for ADOT. Additionally, the custom built equipment requires replacement parts that is also only available through Bingham Equipment Company in Arizona.

Solicitation BPM006442 was issued and Bingham was not awarded a contract at that time, therefore a direct contract is required to meet the needs of ADOT.

This Competition Impracticable authorization will allow ADOT to receive necessary parts and services for emergency equipment that are needing repairs. Having the ability to repair off-road heavy equipment will facilitate returning equipment to service in a timely manner.

- Competition impracticable (A.A.C. R2-7-E303)

"#$�%&'()*+&�,-&�.)/(0)&1&2,�.)/(&''3�&44/),'�,/�5/(6,&�/,-&)�'/0)(&'3�627�7&,&)1*26,*/2�,-6,�,-&�.)*(&�*'�46*)�627�)&6'/26+5&

"8$�9*:26,0)& ";$�%6,&�/4�<&=0&',">$�<&=0&',/)?�@./2�(/1.5&,*/2�/4�9&(,*/2'�A�B�AAA3�'&27�,-*'�'*:2&7�4/)1�,/�,-&�C/2,)6(,�DE2&)�5*',&7�*2�,-&�&F)/(0)&1&2,�'G',&1�4/)�,-&*)�)&H*&E�627�'*:26,0)&IJ�KLLMNOKJLP�QRST�STP�UNMLVNPWPJS�XVYPZ[�STP�\NR]MJK�̂JR_MNW�̀PNWZ�KJO�aMJORSRMJZ�WVZS�bP�WKOP�K�cKNS�M_�KYY�aMJSNKLSZd�I_�eMV�QRYY�bP�NPfVRNPO�SM�ZRgJ�K�ZM_SQKNP�YRLPJZRJg�KgNPPWPJS�MN�ZRgJ�KJe�MSTPN�KgNPPWPJS�LMJSKRJRJg�SPNWZ�KJO�LMJORSRMJZ[�STPZP�QRYY�JPPO�KOORSRMJKY�NPhRPQ�SM�PJZVNP�STKS�STP�SPNWZ�KJO�LMJORSRMJZ�OM�JMS�RJhKYROKSP�STP�\NR]MJK�̂JR_MNW�̀PNWZ�KJO�aMJORSRMJZd�\ccNMhKY�M_�STRZ�NPfVPZS�OMPZ�JMS�KYYMQ�_MN�KgPJLRPZ�SM�PiLPPO�STPRN�OMYYKN�KLfVRZRSRMJ�KWMVJS�M_�OPYPgKSPO�KVSTMNRSed

The Procurement Officer verified with the contracted suppliers that Kubota, Bobcat, Case Construction and new Holland brands require specific software in order to diagnose mechanical errors with the equipment. The Procurement Officer also confirmed that parts required to preform repairs would be only purchased by Bingham Equipment Company.

ADOT intends to enter into a Direct Contract with Bingham Equipment to cover the required services.

Hourly Labor rate under CTR075378 with Arizona Machinery: $170.00 per hour.

Hourly labor rate quoted to ADOT from Bingham Equipment: $165.00 per hour.

Therefore, the price is determined to be fair and reasonable as it is supported by market pricing.

8/18/2025

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I concur that this Off0-Contract Request is appropriate under the circumstances listed above.

Docusign Envelope ID: 58D0B19D-CB95-446C-B33A-46EB8024D824

Procurement Manager

Pamela Veal

"#�$%�&#'()%"%*�$+�(,#&-,%'%."�/-"0#,1"+2%&"1#.�3�4�/556789:;<=�>?@?ABCDE@CFD;G=�HIIAFJ?K�LMICAE@CFD�>E@?�;N=�OFBB?D@PQ�RFDKC@CFDPQ�FA�A?P@ACR@CFDP�SEP�EIITCREUT?V

;W=�XACD@�YEB? ;Z=�[C@T?\]=�̂C_DE@̀A? \a=�>E@?�Fb�HIIAFJETcdedf�ghifjklfkdem�nkod�khdopfq�drst�st�uv�wxxsysuz�{|s}}~v��~}~|�svu}swv�sv�|~t�wvt~�}w�u��|wy�|~�~v}�u�}rw|s�u}swv�|~��~t}��e�yw���wx�}r~�xw|��truzz��~��usv}usv~�����}r~�c}u}~�gw�~|v�~v}uz�nvs}�uv��}r~�c}u}~��|wy�|~�~v}�hxxsy~�n�wv�yw��z~}swv��j~��~t}w|�truzz�xw|{u|��}r~�ts�v~��xw|��}w�}r~�pwv}|uy}�h{v~|�pwv}|uy}�h{v~|�truzz���zwu��}r~�ts�v~��u��|w�uz��~|tswv�wx�}rst�xw|��sv�}r~�~�|wy�|~�~v}�t�t}~��

- Request Authorized Pursuant to to A.A.C. R2-7-A301(B)

Docusign Envelope ID: 58D0B19D-CB95-446C-B33A-46EB8024D824

Christine Fruitman Chief Procurement Officer

1/15/2030

Expenditures will need to be tracked to ensure it doesn't exceed authorized amount of $700,000.

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Entity Details

Statutory Agent Information

Principal Information

Entity Name:

BINGHAM EQUIPMENT

COMPANY

Entity ID: 00501174

Entity Type:

Domestic For-Profit (Business) Corporation

Entity Status: Active

Formation Date: 12/11/1957 Reason for Status:

Approval Date: 12/16/1957 Status Date:

Original Incorporation Date: 12/11/1957 Life Period: Perpetual

Business Type: Other - Retail Sales Last Annual Report Filed: 2023

Domicile State: Arizona Annual Report Due Date: 8/11/2024

Years Due: 2024, 2025

Origninal Publish Date: 2/4/1958

Name: BLAINE BINGHAM Appointed Status: Active

Attention:

Address:

1655 S COUNTRY CLUB

DR , MESA, AZ 85210,

USA

Agent Last Updated: 6/13/2023

Attention: Mailing Address:

1655 S COUNTRY CLUB

DR , MESA, AZ 85210,

USA

E-mail: County: Maricopa

Title Name Address Date of Taking Office

Last Updated

Director

BLAINE

SPILSBURY

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Director

BLAINE

BINGHAM

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

In Good Standing

Arizona Corporation Commission Corporations Division Website Entity Detail. http://ecorp.azcc.gov/

Arizona Corporation Commission Page 1 of 2Page 1 of 2

9/25/2025 3:01:38 PM9/25/2025 3:01:38 PM

Entity Known Place of Business

Entity Principal Office Address

Director

RUSSELL

BINGHAM

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Director

NORMAN

BINGHAM

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Director DENISE SMITH

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Shareholder

BLAINE

BINGHAM

NOT REQUIRED, NOT REQUIRED, XXXXX 12/31/9999 7/30/2017

President/CEO

BLAINE

BINGHAM

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Secretary DENISE SMITH

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Treasurer

RUSSELL

BINGHAM

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

Vice-President

BLAINE

SPILSBURY

1655 S COUNTRY CLUB DR, MESA, AZ,

85210, Maricopa County, USA

11/9/2000 12/7/2020

President/CEO Blaine Bingham 1655 S Country Club Dr, MESA, AZ, 85210, Maricopa County, USA

12/7/2020

Address:

1655 S

COUNTRY

CLUB DR,

MESA, AZ,

85210, USA

County: Maricopa Last Updated: 6/13/2023

Address: County: Last Updated:

Arizona Corporation Commission Corporations Division Website Entity Detail. http://ecorp.azcc.gov/

Arizona Corporation Commission Page 2 of 2Page 2 of 2

9/25/2025 3:01:39 PM9/25/2025 3:01:39 PM

Debarred and Suspended Firms

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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.

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