CTR079191_Pre-Contract_Documents.pdf

STATE OF ARIZONA

DEPARTMENT OF TRANSPORTATION

PROCUREMENT GROUP

1739 W. Jackson Street, Suite A MD 100P

Phoenix, Arizona 85007

(602) 712-7211

EMERGENCY PROCUREMENT REQUEST

Original Request Date:

Confirmation of Verbal Approval RX:

Requester:

Location:

Telephone: Fax:

Emergency Description & Justification:

Quotes Received:

Recommended Vendor:

I have reviewed the circumstances cited above and have determined they constitute an emergency condition under the Emergency Procurement Policy and Procedure that cannot be processed using normal procurement.

This occurrence was at other than normal duty hours and ADOT Procurement personnel were unavailable for consultation. Therefore, I have authorized procurement of the needed goods or services in accordance with the Emergency Procurement Policy and Procedure.

Division Director or Representative Date Division Director or Representative Date

Approved

Disapproved Chief Procurement Officer Date

Added to AzSPO Report By:

Name Date

✔ 10/17/2025

Todd Emery US 60, Milepost 241.4 to 242.0

520-260-8356

On September 25th, 26th and October 11th, 12th & 13th of 2025, a substantial amount of rain fell in the Globe / Miami area. The area between milepost 241.4 and 242.0, along US 60, just west of the Town of Miami, experienced flood damage as a result of the recent heavy rain events. The eastbound lane of US60 at the above referenced location is currently closed due to said flood damage and is in need of immediate repair. Only having one lane of US60 available to the traveling public at this location is a tremendous impact to the travelers along this route as well as a drain on our ADOT Maintenance forces who are currently staffing a 24 hour traffic control operation to safely allow the passage of motorists through this location.

Ames Construction: $2,334,619.75

Deliverables: rebuild shoulder embankment and grade shoulder; traffic control; paving and striping.

Ames Construction

Docusign Envelope ID: 9E5F6486-D755-4F88-B07F-B56E5DD69D59

10/17/2025

10/17/2025

X

Megan Walker <mwalker2@azdot.gov>

Assignment of PRF 5140mwal

Amar Greasham <agreasham@azdot.gov> Tue, Oct 21, 2025 at 3:00 PM To: Megan Walker <mwalker2@azdot.gov> Cc: Todd Emery <temery@azdot.gov>, Mark Guerena <mguerena@azdot.gov>, Meagan Anaya <MAnaya2@azdot.gov>, Olivier Mirza <omirza@azdot.gov>, Elise Harmon <eharmon3.consultant@azdot.gov>

Hi Megan, This PRF is being assigned to you. Please see the details below.

Timestamp 10/21/2025 9:32:02 Email Address mwalker2@azdot.gov Project Manager Email mwalker2@azdot.gov Project Name/Description US 60 Emergency Road Repair Customer Division Infrastructure Delivery & Operations (IDO) Is there an existing or previous contract? No Contract No. N/A Request Type One-time purchase What is the anticipated expenditure? 2,334,619.75 Annual estimated quantities Specifications/Scope of work https://drive.google.com/open?id=1Yk8DGRYSZ8LEWTs5B_DFZh7IfUJPJM-K Additional Information https://drive.google.com/open?id=19tp-riAX0hQcTtAnU3qj1GwsawcA-CKo 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 https://drive.google.com/open?id=1y87tg0ZeCEFDpkBpTlXTPUyi6PogAoBK Division Finance Officer (DiFO): Approval https://drive.google.com/open?id=1UeaQdnA87E-zCX7UlWolFMunrQkrfN7g

Requester Phone Number (602) 712-8407 Project Manager Phone Number

PRF No. 5140mwal

I've cc'd the customer so they're aware this has been assigned. Let me know if you have any questions.

Best Regards, Amar J. Greasham

PROCUREMENT MANAGER

ARIZONA DEPARTMENT

OF TRANSPORTATION

MD 100P, 1655 W Jackson St Phoenix, AZ 85007

602.712.8259 Cell: 480.404.2166 Website: azdot.gov

10/21/25, 4:01 PM State of Arizona Mail - Assignment of PRF 5140mwal https://mail.google.com/mail/u/0/?ik=e95959737d&view=pt&search=all&permmsgid=msg-f:1846630469341615204&simpl=msg-f:1846630469341615204 1/1 mailto:mwalker2@azdot.gov mailto:mwalker2@azdot.gov https://drive.google.com/open?id=1Yk8DGRYSZ8LEWTs5B_DFZh7IfUJPJM-K https://drive.google.com/open?id=1Yk8DGRYSZ8LEWTs5B_DFZh7IfUJPJM-K https://drive.google.com/open?id=1Yk8DGRYSZ8LEWTs5B_DFZh7IfUJPJM-K https://drive.google.com/open?id=19tp-riAX0hQcTtAnU3qj1GwsawcA-CKo https://drive.google.com/open?id=19tp-riAX0hQcTtAnU3qj1GwsawcA-CKo https://drive.google.com/open?id=19tp-riAX0hQcTtAnU3qj1GwsawcA-CKo https://drive.google.com/open?id=1y87tg0ZeCEFDpkBpTlXTPUyi6PogAoBK https://drive.google.com/open?id=1y87tg0ZeCEFDpkBpTlXTPUyi6PogAoBK https://drive.google.com/open?id=1y87tg0ZeCEFDpkBpTlXTPUyi6PogAoBK https://drive.google.com/open?id=1y87tg0ZeCEFDpkBpTlXTPUyi6PogAoBK https://drive.google.com/open?id=1UeaQdnA87E-zCX7UlWolFMunrQkrfN7g https://drive.google.com/open?id=1UeaQdnA87E-zCX7UlWolFMunrQkrfN7g https://drive.google.com/open?id=1UeaQdnA87E-zCX7UlWolFMunrQkrfN7g https://www.google.com/maps/search/1655+W+Jackson+St+Phoenix,+AZ%C2%A0+85007?entry=gmail&source=g https://www.google.com/maps/search/1655+W+Jackson+St+Phoenix,+AZ%C2%A0+85007?entry=gmail&source=g http://azdot.gov/

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

ProcurementCompliance - ADOT <procurementcompliance@azdot.gov> Tue, Nov 4, 2025 at 11:20 AM To: Megan Walker <mwalker2@azdot.gov>

Good day Megan, 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: Tue, Nov 4, 2025 at 11:19 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. If it looks suspicious, report it.

Here's what was received.

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.

11/6/25, 7:52 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=e95959737d&view=pt&search=all&permmsgid=msg-f:1847885021783125316&simpl=msg-f:1847885021783125316 1/3 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/u/0/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/reportabuse?source=https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform&usp=mail_receipt_abuse https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?edit2=2_ABaOnudzHQfNP230azJQPz0ow3sJ9C9MuPnJIn2zCLNGy515wRyNh9WK3dijnRlCcZR5DbQ 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

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? *

Megan Walker

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? *

CTR079191 - US 60 Emergency Road Repair

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

11 /

DD

04 /

YYYY

11/6/25, 7:52 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=e95959737d&view=pt&search=all&permmsgid=msg-f:1847885021783125316&simpl=msg-f:1847885021783125316 2/3 mailto:SPOCompliance@azdoa.gov mailto:Procurementcompliance@azdot.gov mailto:Procurementcompliance@azdot.gov

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

12 /

DD

11 /

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 Does this form look suspicious? Report

11/6/25, 7:52 AM State of Arizona Mail - Fwd: Thanks for filling out this form: Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=e95959737d&view=pt&search=all&permmsgid=msg-f:1847885021783125316&simpl=msg-f:1847885021783125316 3/3 mailto:gpaul@azdot.gov https://docs.google.com/forms?usp=mail_form_link https://docs.google.com/forms/u/0/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/reportabuse?source=https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform&usp=mail_receipt_abuse

ARIZONA DEPARTMENT OF

ADMINISTRATION STATE PROCUREMENT

OFFICE

PROCUREMENT DISCLOSURE STATEMENT

US 60 Emergency Road Repair

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: 48948844-D461-4D35-B8B3-05741585748A 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 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.

Docusign Envelope ID: 48948844-D461-4D35-B8B3-05741585748A

N/A

Mark Guerena

N/A 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: 48948844-D461-4D35-B8B3-05741585748A

X

ADOT

MGuerena@azdot.gov

10/28/2025

Mark Guerena

Sr Resident Engineer (928) 402-5603

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

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

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

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

Docusign Envelope ID: AB582209-C8F7-4E8C-89E1-69248A806A3D cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23) 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, The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the

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

1 “Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-

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

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: AB582209-C8F7-4E8C-89E1-69248A806A3D

Olivier Mirza 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

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes 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

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or

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

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

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than

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

Docusign Envelope ID: AB582209-C8F7-4E8C-89E1-69248A806A3D

Senior Project Manager

Olivier Mirza

(602) 712-4032

11/4/2025

OMirza@azdot.gov

HDR

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

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

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

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

Docusign Envelope ID: 74878196-CCE0-439A-BF73-21A1AAE8DF52 cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23) 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, The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the

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

1 “Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-

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

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: 74878196-CCE0-439A-BF73-21A1AAE8DF52

N/A

Through the course of my regular business I may have contact with any contractor who does work for ADOT

Todd Emery 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

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes 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

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or

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

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

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than

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

Docusign Envelope ID: 74878196-CCE0-439A-BF73-21A1AAE8DF52

Todd Emery TEmery@azdot.gov

10/28/2025

Arizona Dept of Transportation

SE District Administrator (928) 432-4919

CTR079191 - US 60 Emergency Road Repair

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

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

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

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

Docusign Envelope ID: A4237407-4244-4CD1-BA5D-76E80C907B35 cc: Agency File Page 2 of 3 SPO Form 120 - State Employee Procurement Disclosure Statement (rev 04-04-23) 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, The substantial interests, both pecuniary and proprietary, held by me and/or a relative which may involve the

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

1 “Relative” means my spouse, child, child’s child, parent, grandparent, brother or sister (of the whole or half-

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

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: A4237407-4244-4CD1-BA5D-76E80C907B35

D. Thompson n/a n/a 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

I shall not receive any direct benefit from the utilization of confidential information, specifications, plans, scopes 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

I shall maintain strict security and confidentiality regarding the process or decisions regarding any protest or

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

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

I understand that if I knowingly violate the terms of this Agreement, I will be subject to suspension for not less than

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

Docusign Envelope ID: A4237407-4244-4CD1-BA5D-76E80C907B35

11/7/2025

X

Risk Management Analyst

X

(480) 490-9459

DThompson@azdot.gov

ADOT

D. Thompson

ADOT Emergency Procurement Authorization (03/2025)

Pam

Procurement Determination:

Emergency Procurement Authorization R2-7-E302

SECTIONS 1 THROUGH 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 Megan Walker Title Senior Procurement Officer

Email Mwalker2@azdot.gov Telephone 602.712.8407

SECTION II - Background Provide full description of materials or services:

Emergency roadway repairs on US 60, Mileposts 241-242 due to flood damages

Request Type Authorization Request Justification Category Emergency Repairs

Contract No. CTR079191 Requesting

Term 12 Months

Supplier Ames Construction Inc Supplier ID IV0000006533 Estimated Cost $2,334,619.75 Commodity 30121600 - Asphalts

SECTION III - Justification

Rationale: There is an immediate and serious need for material, services or construction that is threatening the health and safety of the population

Provide details of the procurement need and reason for the emergency:

On the weekends of September 25-26 and October 11-13, a substantial amount of rainfall occurred in the Globe/Miami area, resulting in flood damage along the US 60 between mileposts 241 and 242. The eastbound land is currently closed to traffic due to the damages. The land closure has impacted motorists traveling through the area. ADOT Maintenance forces are currently providing 24 hour traffic control operations to manage the traffic flow and ensure safety. The ongoing traffic control is causing a strain on the maintenance resource. Immediate repair work is necessary to restore full lane capacity, stabilize the roadway and relieve the need for continuous traffic control from the Department.

Docusign Envelope ID:…