CTR078668_Determination_SPO_Form_104_Off-Contract_Procurement_Authorization.pdf

Page 1 of 2 SPO Form 104 Standard Work (Rev 08-22)

Owner State Procurement Office, Compliance Unit

Form Number SPO Form 104 - Off-Contract Procurement Authorization Version Revised 08-22

Process Standard Work / Instructions for completion and submittal of the SPO 104 form. The form is available on the SPO website: For Agencies > Resources > Standard Forms and Documents.

Form Completion Process

No. Action Action Detail / Key Points

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

SECTION I - State Governmental Unit Request

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

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

SECTION II - Background 6 Service(s)/Material(s) Description of service(s)/material(s) or Contract title (eProcurement Label)

Provide the number(s) of the mandatory state contract(s) that is/are not meeting the State Governmental Unit need

Provide the number(s) of the mandatory state contract that is/are subject of the Off-Contract request

8 Suggested Supplier Name and Address Name of supplier and address

9 Off-Contract Procurement Select applicable option:

‐ Authorization request ‐ Authorization modification request

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

SECTION III - Justification

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

Provide details of the procurement need, reason for the off-contract request, and how the proposed procurement is advantageous to the State

Detail information regarding the State Governmental Unit use of the material(s) or service(s); which mandatory state contracts were explored; the limitations which led to the off-contract request; and how the State would benefit from the procurement

Page 2 of 2 SPO Form 104 Standard Work (Rev 08-22)

Select the procurement method or process that will be used to award the off-contract

Select applicable option:

- Competitive solicitation (RFQ, IFB, RFP)

- Purchase order (under $10,000; A.A.C. R2-7-D301(3); A.A.C. R2-7-D304)

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

- Not practicable to quote (A.A.C. R2-7-D301(4))

- Sole source (A.A.C. R2-7-E301)

Describe the procurement process, efforts to locate other sources, and determination that the price is fair and reasonable

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

16 Signature * Signature of the authorized requestor. An authorized requester must have Delegation or SubDelegation authority. If you do not have this authority please send this to your procurement officer for signature

17 Date of Request Select the date of request from the drop-down calendar

Requestor: Upon completion of Sections I - III, send this signed form to the Contract Owner listed in the eProcurement system for their review and signature

Contract Owner's contact information is listed within the eProcurement system (APP Contracts > Contacts > Internal team)

SECTION IV - Contract Owner Review

19 Comments, conditions, and restrictions (as applicable)

Contract Owner to review the request and confirm whether the procurement need may not be met through the mandatory state contract.

Note(s):

- Contract Owner shall retain a copy of the request and if possible, include the procurement need in the scope of work when the mandatory state contract is resolicited

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

20 Print Name Printed name of the Contract Owner 21 Title Job title of the Contract Owner 22 Signature Signature of the Contract Owner 23 Date of Review Select the date of review from the drop-down calendar

24 Contract Owner: Upon completion of Section IV, send this signed form to SPOCompliance@azdoa.gov and cc Requestor for processing

SECTION V - Approval

25 Determination

Select the applicable option:

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

- Request Authorized with Conditions/Restrictions

- Request Returned for Additional Information

- Request Denied

26 Approved Expiration Date Specify date or term of expiration

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

28 Print Name Printed name of the approver 29 Title Job title of the approver 30 Signature Signature of the approving authority 31 Date of Approval Select the date of approval from the drop-down calendar

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

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

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

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

Page 1 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

Procurement Determination:

Off-Contract Procurement Authorization A.A.C. R2-7-A301(B)

SECTIONS I THROUGH III MUST BE COMPLETED BY THE REQUESTOR

USE ADDITIONAL PAGE AS NECESSARY

SECTION I - State Governmental Unit Request

1. State Governmental Unit

2. Requestor 3. Email

4. Title 5. Telephone

Arizona Corporation Commission

James Redican jredican@azazcc.gov

Procurement Manager 602-542-0652

Page 2 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

SECTION II - Background

6. Service(s)/Material(s)

7. Provide the number(s) of the mandatory state contract(s) that is/are not meeting the State Governmental Unit need

8. Suggested Supplier Name and Address

9. Off-Contract Procurement

10. Requesting Term 11. Estimated Cost

2 years, 4 Months $23,333.00

‐ Authorization request

Page 3 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

SECTION III - Justification

12. Rationale

13. Provide details of the procurement need, reason for the off-contract request, and how the proposed procurement is advantageous to the State

14. Select the procurement method or process that will be used to award the off-contract

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

- Not practicable to quote (A.A.C. R2-7-D301(4))

Page 4 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

15. Describe the procurement process, efforts to locate other sources, and determination that the price is fair and reasonable

16. Signature * 17. Date of Request

*Please note that only someone with a Delegated Procurement Authority or SubDelegated Procurement Authority is considered authorized for this signature

18. Requestor: Upon completion of Sections I - III, send this signed form to the Contract Owner listed in the eProcurement system for their review and signature

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.

8/25/25

Page 5 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

TO BE COMPLETED BY THE CONTRACT OWNER

SECTION IV - Contract Owner Review

19. Comments, conditions, and restrictions (as applicable)

20. Print Name 21. Title

22. Signature 23. Date of Review

24. Contract Owner: Upon completion of Section IV, send this signed form to SPOCompliance@azdoa.gov and cc Requestor for processing

Kelli Engelhart Sr. Procurement Specialist

8/27/25

Page 6 of 6 SPO Form 104 ‐ Off‐Contract Procurement Authorization (Rev 08-22)

TO BE COMPLETED BY PROCUREMENT AUTHORITY

SECTION V - Approval

25. Determination

26. Approved Expiration Date

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

28. Print Name 29. Title

30. Signature 31. Date of Approval

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

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

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

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

David Steuber (Aug 28, 2025 17:43:01 PDT)

- Request Authorized with Conditions/Restrictions

12/31/2027

David Steuber State Procurement Administrator

08/28/2025 https://na1.documents.adobe.com/verifier?tx=CBJCHBCAABAAEBFuRcogbYqrT5nedS69DJIBphBWT7qM

Text6: AZCC is requesting a response for Offsite Contractor Owned or Virtual Office/Teleworkers, All-inclusive Bilingual after hours Call Center Services.

2.1.Calls must be placed and received in a secure location with sufficient technical support to assure continuity of calls.

2.1.1. Agents shall be legally located within the United States of America and subject all laws.

2.2. After Hours consist of the following:

2.2.1. 24 Hour readiness to field rollover calls when Main Line is not manned.

2.2.2. Hours after close of business to opening of business,

2.2.3. All State Holidays as identified but not limited to in Exhibit A,

2.2.4. Any other times identified in writing to the Contractor on a case-by-case basis.

Text7: SAVILINX LLC CTR063059 Maximus US Services INC CTR063057

GATESTONE & CO INTERNATIONAL INC CTR063056

VALORIT CTR063060

Text8: CONTACT ONE CALL CENTER INC

818 W MIRACLE MILE

Tucson, AZ 85705

IV0000017486

Text12: Additional information from Section 6 Service Description:

2.3.Objectives:The AZCC Main Telephone Line shall have uninterrupted manned live coverage to assure there are no missed calls. The AZCC Main Telephone Line serves as an emergency notification line for Railroad and Pipeline issues. All calls must be taken by a live person that will complete the proper Incident Reports and immediately notify the proper AZCC authorities who will act accordingly.2.4. English and Spanish are required with accessibility to other translator services preferred.

AZCC is requesting services for a Off site Contractor Owned or Virtual Office/Teleworkers, All-inclusive Bilingual after hours Call Center Service. These services provide that the AZCC Railroad and Pipeline main phone line is always manned and answered in the event of an emergency situation. Without it, the State could be compromised and liable for neglecting to provide immediate response to notifications of Railroad and Pipeline incidents.