OC_ADG_Panel_Survey_8-13-25_-_signed.pdf

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 Department of Gaming

Abigail Medina Silas

Procurement Officer asilas@azgaming.gov

480-353-7753

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

1 Year 100,000

‐ 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

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

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.

8/6/25

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

It has been verified by the requesting department that none of the State's contracted suppliers could fulfill this requirement, so that is the reason why a completive solicitation (RFP) was issued previously. Based on the justification submitted, it would be in the department's best interest to use the same supplier to ensure consistency in replicating the same survey and analysis approach.

Simon Alvarez Statewide Procurement Manager

8/12/2025

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 14, 2025 09:14:24 PDT)

One year from date of award

David Steuber State Procurement Administrator

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

Aug 14, 2025 https://na1.documents.adobe.com/verifier?tx=CBJCHBCAABAAq7AprUKwljf6Uixk5ovNWOG5_ZWY2hPB

SPO Form 104 OC & SW_08-22

Text6: Probability-based panel survey of Arizona general population to assess gambling behaviors, attitudes, knowledge, and awareness of problem gambling services (including self-exclusion programs). Data analysis, technical report, and summary finding report.

General population survey research is an important tool for better understanding population needs, identifying groups of higher risk for problem gambling and tracking changes over time. Previous survey was completed Spring 2023.

Text7: CTR077543

CTR072213

CTR072212

CTR072211

CTR072210

CTR072209

CTR072208

CTR072207

CTR072206

CTR072205

CTR072204

CTR072203

CTR072202

CTR072201

CTR072200

CTR072199

CTR072198

CTR072197

CTR072196

CTR072195

CTR072194

CTR072193

CTR072192

CTR072191

CTR072190

CTR072189

CTR072188

CTR072187

CTR072186

CTR072185

CTR072183

CTR072182

Text8: Problem Gambling Solutions Inc 1602 SW Westwood Dr.

Portland, OR 97239 Text12: The Arizona Department of Gaming's strategic plan includes repeating the probability based panel survey (initially conducted in Spring 2023) by June 2026.

We are requesting to use the same supplier as the first survey to ensure consistency in replicating the same survey as well as the same analysis approach.

The proposed procurement is advantageous to the State because using the same supplier will ensure the survey is replicated in the most similar way possible. The proposed supplier is very experience in the problem gambling field.