FSC Evaluation Committee Referral and Recommendation Form.doc

DOC document 57 KB Posted

Attached to
Master Agreement AZ|CTR076696
Contract number
CTR076696
Issued by
Arizona

About this file

This document is an Evaluation Committee Referral and Recommendation Form from the Arizona Department of Child Safety's Office of Procurement, located in Phoenix, Arizona. The form is specifically related to a solicitation titled "Fostering Sustainable Connections" (FSC), with Lauren Zanotti serving as the procurement officer of record. The document outlines the process for assembling a three-member evaluation committee, with recommendations for additional alternates.

The evaluation committee comprises three individuals from the Arizona Department of Child Safety: Lauren Sosinski (Youth Services Supervisor and FSC Statewide Coordinator), Joie Hudson (PYS Coordinator), and Thomas Cotton (Adoption Match Specialist). The estimated time commitment for the evaluation is approximately one week, including orientation, individual reviews, and committee meetings. The document provides contact information for each potential committee member and emphasizes the importance of disclosing potential conflicts of interest prior to participation. While specific details about the goods or services are not provided, the solicitation appears to be focused on youth services and connections within the child welfare system.

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Text version

EVALUATION COMMITTEE REFERRAL AND RECOMMENDATION

State of Arizona

Department of Child Safety

Office of Procurement

3003 N. Central Ave., 20th Fl.

Phoenix, AZ 85012

Solicitation Title: Fostering Sustainable Connections The Procurement Officer of record for this solicitation is: Lauren Zanotti Please complete the attached form and e-mail it to the procurement officer of record for the solicitation. The number of evaluation members on the committee will be 3. Please recommend that number plus one or two additional to serve as alternate(s). It is advisable not to recommend persons who are in an employee/supervisor relationship. The estimated commitment of time for this solicitation is approximately 1 wks., including orientation, individual reviews, and committee meetings. Please advise your prospective evaluators of the commitment required to evaluate proposals for this solicitation and ask your prospective evaluation committee members about potential conflicts of interest prior to recommending them.

You may also assign a non-participating, non-voting program person to attend evaluation meetings as a technical resource person on an as-needed basis, if such is needed.

Evaluator Name
E-mail Address
Telephone No.
Qualifications for Participating on this

Evaluation Committee

1
Lauren Sosinski
Lauren.Sosinski@azdcs.gov
(602) 255-3327
Youth Services Supervisor- FSC Statewide Coordinator
2
Joie Hudson
Joie.Hudson@azdcs.gov
(520) 589-8626
PYS Coordinator
3
Thomas Cotton
Thomas.Cotton@azdcs.gov
(520) 872-9463
Adoption Match Specialist

Complete the following information if referring a technical advisor or subject expert:

Tech Advisor Name/Subject Expert
E-mail Address
Telephone No.
Qualifications

Page 1 of 1 Revised: 10/19/11

File details come from the government source that posted it. Updated .