EXP2596 PUR7776.pdf

PUR 7776 (Revised 07/2022) Page 1 of 2 Incorporated by Reference: Rule 60A-1.045, F.A.C.

DESCRIPTION OF INTENDED

SINGLE SOURCE PURCHASE

(PUR 7776)

This description of commodities or contractual services intended for purchase from a single source is posted in accordance with Sections 120.57(3) and 287.057(3), Florida Statutes (F.S.), and will remain posted for a period of at least 15 business days.

Commodity or Contractual Service Required (commodity or United National Standard Products and Services Code (NSPSC), manufacturer, model, and description, as appropriate):

86132100 Training planning, facilitation and delivery services 86132201 Training workshop service 86141500 Educational guidance services

Quantity or Term (as appropriate):

One Year

Requestor (division, bureau, office, individual, as appropriate):

DOH Bureau of Chronic Disease Prevention

Performance and/or Design Requirements (e.g. intended use, function or application, compatibility, requirements; reference to policy, rule, statute or other act of the Legislature, etc., as appropriate):

The DOH, Bureau of Chronic Disease Prevention, has the need to purchase tobacco education and referral services for Florida residents in accordance with section 385.207(2)(a), F.S. These services include updating the organizations website to provide Tobacco Free Florida information, as well as, referring a minimum of one resident per month to the local Area Health Education

AGENCY: Florida Department of Health (DOH)

TITLE: Pilot Project on Epilepsy and Tobacco Free Florida Services Program

Short description of the commodity or services desired: Providing tobacco education and referrals to residents that have epilepsy and their caretakers.

CONTACT

Name: Yasemin Sulker Address: 4052 Bald Cypress Way, Tallahassee, FL 32399 Telephone: (850) 245-4931 Email: Yasemin.Sulker@flhealth.gov

Internal tracking number, if any: EXP2596

Date posted: Last day for receipt of information:

mailto:Yasemin.Sulker@flhealth.gov

PUR 7776 (Revised 07/2022) Page 2 of 2 Incorporated by Reference: Rule 60A-1.045, F.A.C.

Centers (AHEC) for a smoking cessation program; conducting a minimum number of presentations for Epilepsy and Tobacco prevention and education; conducting an assessment and reporting on the baseline data and the current process of screening patients for tobacco use;

scheduling and conducting an one-hour training on tobacco assessment and cessation; and establishing closed-loop EHR-based referrals to Tobacco Free Florida.

In accordance with Chapter 60A-1.045 Florida Administrative Code, the Florida Department of Health, Bureau of Chronic Disease Prevention is requesting authorization to purchase, as a sole source, tobacco education and referrals from Epilepsy Services of West Central Florida dba Florida Epilepsy Services.

Intended Single Source:

Epilepsy Services of West Central Florida dba Florida Epilepsy Services

Estimated Dollar Amount:

$90,000.00

Justification for single source acquisition (what is necessary and unique about the product, services or source; steps taken to confirm unavailability of competition, as appropriate):

• The Florida Epilepsy Services is one of the five organizations of a well-established network of epilepsy providers in partnership with the Department’s Epilepsy Services Program providing services for Florida’s 67 counties, in accordance with section 385.207(2)(a), F.S.

• Florida Epilepsy Services is the only one that can provide the epilepsy service in Hillsborough, Highland, Hardee, and Polk counties as a part of the Department’s Epilepsy Services Program.

Approved By (names & titles, as appropriate, e.g., requestor, requestor management, information systems, budget, purchasing):

Allegra Small, Purchasing Director

Prospective vendors are requested to provide information regarding their ability to supply the commodities or contractual services described. If it is determined in writing by the agency, after reviewing any information received from prospective vendors, that the commodities or contractual services are available only from a single source, the agency shall provide notice of its intended decision to enter a single-source purchase contract in the manner specified in Rule 60A-1.045, Florida Administrative Code, and section 120.57(3), F.S.