Significant Procurement Notification.pdf

11/29/23, 1:35 PM State of Arizona Mail - Significant Procurement Notification Form https://mail.google.com/mail/u/0/?ik=8d2ef3eb5d&view=pt&search=all&permmsgid=msg-f:1774963461727902865&simpl=msg-f:1774963461727902865 1/3

Nirosh De Silva <ndesilva@azadc.gov>

Significant Procurement Notification Form Google Forms <forms-receipts-noreply@google.com> Tue, Aug 22, 2023 at 1:44 PM To: ndesilva@azadc.gov

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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.

Please contact the State Procurement Office (SPO) at SPOCompliance@azdoa.gov for any questions.

Email * https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?usp=mail_form_link https://docs.google.com/forms/d/e/1FAIpQLSdxSzWnNvO30KUubljXrDSub3gfqJ1GX15weZF0kbYkDUx3Qw/viewform?edit2=2_ABaOnucPVz1YqypikxRkcNsgQy1BFif5fmqTPjI1LgXia-JHq9nxs1t3EsiY7rlKod-CnbY 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 mailto:SPOCompliance@azdoa.gov https://mail.google.com/mail/u/0/?ik=8d2ef3eb5d&view=pt&search=all&permmsgid=msg-f:1774963461727902865&simpl=msg-f:1774963461727902865 2/3 ndesilva@azadc.gov

What is the name of the person leading the procurement? *

Nirosh De Silva

Which agency is the procurement for? If it is a mandatory statewide contract, select your agency. *

Corrections, Rehabilitation, & Reentry, Arizona Department of

What is the title of the procurement? *

RFID - Inmate Tracking and Management System

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 Practical to Quote (Determination Template D301(4))

Other:

mailto:ndesilva@azadc.gov https://mail.google.com/mail/u/0/?ik=8d2ef3eb5d&view=pt&search=all&permmsgid=msg-f:1774963461727902865&simpl=msg-f:1774963461727902865 3/3

What is the date when the first procurement disclosure statement (PDS) was signed (i.e. SPO Form 120 or SPO Form 130)? *

MM

07 /

DD

26 /

YYYY

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

31 /

YYYY

What is your name (if different from above)?

What is your e-mail address (if different from above)?

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