Non-Competitive_Oversight_Committee_Justification_Form.docx

This is a Non-Competitive Oversight Committee Justification Form related to Pinellas County, Florida's procurement of Workers Compensation Third Party Administrator Services (RFP 26-0137-RFP). The form documents the internal approval process for a non-competitive purchase, requiring justification for the selection of a vendor outside of the standard competitive bidding process. The form requests identification of the project or purchase name, total budget estimate, duration of engagement, project manager, and requisitioning department. Additionally, the form requires an explanation of the justification for the non-competitive procurement and background information regarding any prior utilization of the proposed vendor on previous contracts.

The form includes approval signatures from members of the Non-Competitive Oversight Committee, including Merry Celeste, Don Crowell, Chris Rose, and the Department ACA representative, with yes or no approval boxes for each member's authorization of the non-competitive purchase. The document serves as an internal control mechanism to ensure that non-competitive procurements are properly reviewed, justified, and approved at the committee level before contract award. The specific contract details, budget amount, engagement duration, and vendor justification are not completed on the form provided.