SPO_Form_207_-_Control_Self-Assessment_10-28-22_Excel_Website_Version.xlsx

XLSX spreadsheet 513 KB Posted Feb 15, 2023

Attached to: Master Agreement AZ|CTR064426
Contract number: CTR064426
Issued by: Arizona

About this file

Written by GovTribe AI · Dec 4, 2025

This document is a State Procurement Office (SPO) Form 207 Control Self-Assessment (CSA) for the Arizona Department of Administration (ADOA), specifically for the Arizona Department of Veterans' Services (ADVS). The document is designed to monitor procurement compliance with the State of Arizona Procurement Code, state and federal laws, executive orders, and best practices. It serves as a comprehensive checklist for the agency's procurement activities, covering areas such as delegation of authority, procurement code compliance, reporting requirements, internal controls, and contract solicitation processes.

The specific contract highlighted in the document is for Septic Pump Services for Arizona Veterans Medical Centers (AVMC) located in Marana and Camp Navajo, with a contract estimated amount of $100,000. The procurement was conducted through an Invitation for Bids (IFB) process, with the procurement officer being Monica Delarosa. The contract appears to have been competitively bid, with the agency checking for existing mandatory contracts, ensuring proper delegation of authority, and following standard procurement guidelines. While the document does not provide extensive details about the specific service terms, it demonstrates a rigorous internal review process to ensure procurement compliance and transparency.

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2024.1.12_COI_CL_AL.pdf	PDF	Feb 15, 2023
CTR064426_Amendment_1_-_Signed.pdf	PDF	Feb 15, 2023
CTR064426_Contract_Amendment_2_-_Signed.pdf	PDF	Feb 15, 2023
CTR064426_Contract_Amendment_3.pdf	PDF	Feb 15, 2023
CTR064426_Contract_Amendment_4.pdf	PDF	Feb 15, 2023
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BPM005092_Old_Pueblo_Award_Determination.pdf	PDF	Feb 15, 2023
BPM005092_Solicitation_Amendment_No_1.pdf	PDF	Feb 15, 2023
BPM005092_IFB_Septic_Pump_Services_Part_1.pdf	PDF	Feb 15, 2023
CTR064426_Contract_Amendment_5.pdf	PDF	Feb 15, 2023
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Instructions

	Douglas Ducey
Governor		Andy Tobin

Director

Revised: 10-28-22 | Previous Revision: 10-24-22 | Initial Version: 04-12-18

Arizona Department of Administration

State Procurement Office

SPO Mission:

Help accelerate agency performance through value added services and

offering agencies world class best practices in procurement.

SPO Vision:

To be the #1 State Procurement office in the Nation,

where adding value is the norm and customer service is second to none.

SPO Form 207 - Control Self-Assessment (CSA)
ADVS
	SGU/Agency Delegation Amount:	$100,000.00

The State Procurement Office (SPO) monitors compliance of state governmental units (stated as SGUs or agencies herein) with state procurement laws. This Control Self-Assessment (CSA) is designed to focus on a SGU's/agency's compliance with the State of Arizona Procurement Code (APC), applicable state and federal laws, executive orders, SPO Technical Bulletins (TB), SPO Standard Procedures (SP), agency delegation of authority agreements, and best practices per TB 003 - Procurement Compliance Reviews (PCR).
The objective of the CSA, through collaboration with the SPO Compliance Unit, is to help identify and resolve areas of non-compliance within the SGU's/agency's procurement office. SPO and SPO Compliance are resources to the SGU/agency to help maintain procurement compliance controls.
This CSA may also serve as reference material in granting delegations of authority or in performing a regular SPO PCR. SGU/Agency management and end-users may also use this checklist as a tool to meet the complex demands of the state procurement process or as a guide to implementing procurement controls.
This checklist covers key issues addressed in the SPO PCR including, but is not limited to the following criteria:
	Section	Compliance Criteria		Delegation Amount
	1.0	Procurement Organization	$10,000	$100,000	>$100,000, including Unlimited
	2.0	Procurement Code Compliance
	3.0	Agency Reporting Requirements
	4.0	Procurement Internal Controls
	5.0	Solicitations and Contracts
		5.1 Request For Quotations (RFQ)
		5.2 Invitation For Bids (IFB)
		5.3 Request for Proposals (RFP)
	6.0	Limited Competition Procurements
		6.1 Sole Source (SS)
		6.2 Emergency Procurement (EP)
		6.3 Competition Impracticable (CI)

Instructions

1	SGUs/Agencies shall complete the applicable sections of the CSA on an annual basis and have it available to submit to SPOCompliance@azdoa.gov if requested by the SPA.
	1.1 $10,000 Delegated Authority SGUs/Agencies complete sections 1.0 through 4.0.
	1.2 $100,000 Delegated Authority SGUs/Agencies complete sections 1.0 through 5.1.
	1.3 >$100,000 to Unlimited Delegated Authority SGUs/Agencies complete all sections.

2 Sections 5.0 and 6.0 are worksheets to review individual contracts.

• Randomly select a minimum of five (5) current contracts from within the past twelve (12) months.

• For sole source, emergency, and competition impracticable contracts, select at least an additional five (5) files to review (review all files if less than 5 exist in total) from within the past twelve (12) months.

• Use the appropriate worksheet to determine your compliance with Arizona procurement rules and regulations. If you are reviewing more than one sample for the same type of contract, please use the additional columns in the respective worksheet. Do not include in your file selection any solicitations that were exempt from the APC per any existing approved SGU/agency exemptions.

3 Each question is designed to help you assess the current condition and business practices of your SGU's/agency’s procurement office. Please ensure that you answer each question accurately. Where circumstances permit, someone other than the Agency Chief Procurement Officer (ACPO) should complete and sign this CSA. The ACPO may provide guidance to this individual. If someone other than the ACPO is unable to complete this CSA (i.e. only ACPO in office), the ACPO should document this upon completing/signing the CSA.

4 A “No” answer to a question may or may not require an action on your part. Please make a note of this on the “Corrective Action” section of the checklist if corrective action is required. Please correct any issue as soon as you can. Detail the specific action that you took to keep your SGU/agency compliant.

5 An “N/A” answer may also require explanation. Please describe the circumstances regarding any “N/A” response. Keep this record to show to SPO Compliance that you took action(s) to fix any non-compliance issue.

6 Review your SGU's/agency’s completed CSA regularly to recheck the issues identified and to ensure your SGU's/agency’s continued compliance. Establish a SMART action plan your SGU/agency will follow to remedy noted issues and prevent future occurrences. A SMART action plan should be Specific, Measurable, Attainable, Results-Oriented, and Time-Bound. This plan should be evident in your CSA corrective actions at the end of each section.

7 A few of the compliance criteria contain multiple required items and must be completed in their entirety. In instances where items of a section are not required or applicable, it is the responsibility of the procurement officer to make a note of the file, so that all components are addressed for completeness.

8 For assistance with this checklist, contact SPO Compliance at SPOCompliance@azdoa.gov.

Arizona Department of Administration | State Procurement Office

&P of 3 SPO Form 207 - Control Self-Assessment (rev 07-22) https://spointra.az.gov/sites/default/files/media/Arizona%20Procurement%20Code%20%28Combined%20-%20Effective%20July%202020%29.pdf

1.0 Procurement Organization

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 07-13-22 | Previous Revision: 10-01-21 | Initial Version: 04-12-18

Note(s):	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
11
Section No.	Compliance Criteria	SGU's Response		SGU's Corrective Action
1.0	Procurement Organization	N/A, Yes, No, Requires Action	If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"	Assigned to	Estimated Completion
1.1	Delegated Authority
1.1.1	Does the procurement office have a Certificate of Delegation on file signed by the current Agency Chief Procurement Officer (ACPO)? (A.A.C. R2-7-202)	Yes
1.1.2	If yes to 1.1.1, was the Certificate of Delegation signed within the last three (3) years? (A.A.C. R2-7-202)	Yes
1.1.3	Has the ACPO completed necessary training applicable to delegated authority? (TB 002)	Yes
1.2	Sub-Delegates or Other Procurement Personnel
1.2.1	Has the ACPO sub-delegated procurement authority to the agency procurement staff in writing? (A.A.C. R2-7-203)	Yes
1.2.2	Does the agency sub-delegations include specific activities, functions, and limitations? (TB 002; see Delegated Procurement Authority agreement)	Yes
1.2.3	Does the agency provide in-house procurement training and mentoring programs for newly-hired procurement personnel?	Yes
1.2.4	Does procurement personnel undergo procurement training to enhance proficiency and professional status of procurement?	Yes
1.3	Agency Procurement Office
1.3.1	Does the agency have on file SPO Form 110 Procurement Disclosure Statements (PDS) for all delegated procurement employees and employees whose jobs regularly include significant procurement roles? (SP 003)
1.3.2	Does the agency have a documented process for notifying SPO of staff changes and modifying the Delegated Procurement Personnel/Sub-Delegation Report (SPO Form 208)?

Name of Person Completing Assessment:	Monica Delarosa
Name of Agency Chief Procurement Officer:	Elena Adame
Date of Self-Assessment:	2/6/23

2.0 Procurement Code Compliance

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 10-28-22 | Previous Revision: 07-13-22 | Initial Version: 04-12-18

Note(s):	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
2
Section No.	Compliance Criteria	SGU's Response		SGU's Corrective Action
2.0	Procurement Code Compliance	N/A, Yes, No, Requires Action	If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"	Assigned to	Estimated Completion
2.1	Are employees in compliance with the Arizona Procurement Code, applicable executive orders and Technical Bulletins (TB) and Standard Procedures (SP)?
2.2	Does your agency have an exemption from the Arizona Procurement Code that may apply to a contract reviewed during the PCR process? If "Yes", please cite the exemption(s) in the Agency Response section.
2.3	Has your agency received any protests under A.A.C. R2-7-A901, claims under A.A.C. R2-7-B901, or submitted any claims under A.A.C. R2-7-B905 in the last three (3) calendar years? If "Yes", please include a copy of all final documents related to the protest(s) and/or claim(s).

Name of Person Completing Assessment:	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	[Enter the ACPOs's full name]
Date of Self-Assessment:	[Enter date as m/d/yyyy]

3.0 Reporting Requirements

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 07-13-22 | Previous Revision: 10-01-21 | Initial Version: 04-12-18

Note(s):	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
2
Section No.	Compliance Criteria	SGU's Response		SGU's Corrective Action
3.0	Agency Reporting Requirements	N/A, Yes, No, Requires Action	If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"	Assigned to	Estimated Completion
3.1	Does the agency have Annual Procurement Disclosure Statements (SPO Form 110) for all employees as required by SP 003?
3.2	Are agency procurement personnel delegation changes reported within five (5) working days to SPOCompliance@azdoa.gov using the Delegated Procurement Personnel Report (SPO Form 208)? (See Delegated Procurement Authority agreement)
3.3	Are all agency requisitions, purchase orders, receipts, solicitations and contract administration conducted in the e-Procurement system? (TB 020, see Delegated Procurement Authority agreement)
3.4	Are quarterly sole source, emergency, and competition impracticable procurement reports submitted to SPOCompliance@azdoa.gov on time, using the Limited Competition Quarterly Report (SPO Form 209)? (If applicable, see Delegated Procurement Authority agreement) (A.R.S. § 41-2536, A.R.S. § 41-2537, TB 041)
3.5	Are procurement protests, claims, decisions, appeals and agency reports submitted to SPO within five (5) days of receipt or completion? (See Delegated Procurement Authority agreement on administrative actions.)
3.6	Does the agency follow the Contractor Compliance with the Arizona Legal Workers Act (SP 001) with regards to the employment verification? (A.R.S. § 41-4401, Executive Order 2005-30, SP 001)

Name of Person Completing Assessment:	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	[Enter the ACPOs's full name]
Date of Self-Assessment:	[Enter date as m/d/yyyy]

4.0 Internal Controls

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 07-13-22 | Previous Revision: 10-01-21 | Initial Version: 04-12-18

Note(s):	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
2
Section No.	Compliance Criteria	SGU's Response		SGU's Corrective Action
4.0	Procurement Internal Controls	N/A, Yes, No, Requires Action	If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"	Assigned to	Estimated Completion
4.1	Do employees attend ethics training as outlined by TB 001?
4.2	Does the agency have internal systems of control to guard against employee or public officer purchase of materials or services for their own personal, or business, use from contracts entered into by the state? (A.A.C. R2-7-204)
4.3	Are responsibilities divided between different employees so one individual does not control all aspects of procurement?
4.4	Upon receipt of a submission and CPO written determination, is the procurement office adequately safeguarding confidential information? (A.A.C. R2-7-103)
4.5	Does the agency routinely check statewide and set-aside contracts prior to issuing a requisition? (A.A.C. R2-7-607; TB 004)
4.6	Does the agency request off-contract determinations (SPO Form 104) in accordance with SP 040?
4.6.1	Does the agency regularly monitor P-card purchases? (TB 040)
4.7	Does the agency maintain complete procurement files/contract records? (A.R.S. § 41-2548)
4.8	Is the agency aware of the SPO Compliance Hotline?
4.9	Other than ADOA’s state financial system, does the agency have any other system of collecting financial data?
4.10	Cooperative Contracts (Effective 05/22/2015)
4.10.1	Did the agency obtain the SPA's written approval prior to the agency's participation in a cooperative contract with another public procurement group or unit? (A.A.C. R2-7-1001(B)(C))
4.10.2	Did the CPO issue an approval for use of the agency cooperative contract, with written determination that the use of the contracts is in the best interest of the State per TB 005?
4.10.3	Were the cooperative contracts awarded through a competitive process? (TB 005)
4.10.4	Were purchases from cooperative contracts less than 25% of the original contract or $500,000? (A.A.C. R2-7-1003(D))

Name of Person Completing Assessment:	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	[Enter the ACPOs's full name]
Date of Self-Assessment:	[Enter date as m/d/yyyy]

5.1 RFQ

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 10-24-22 | Previous Revision: 08-12-22 | Initial Version: 04-12-18

Note(s):	If you are reviewing more than one sample for the same type of contract, please use the additional columns.
	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
23
		Section - 5.0 Solicitations and Contracts
		Section - 5.1 Request for Quotations (RFQ)	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.
	Contract Number:	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]
	Contract Title or Description:	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]
	Contract Estimated Amount:	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]
	Procurement Officer:	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]

Section No.

Compliance Criteria

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

5.1

Request for Quotations (RFQ)

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

5.1.1

Was there an existing mandatory contract(s) (i.e. Statewide or agency) for these materials/services? (A.A.C. R2-7-A301)

5.1.2

If yes to question 5.3.1, was an Off-Contract authorization completed? (A.A.C. R2-7-A301(B))

5.1.3

Was this procurement performed by an authorized procurement officer within their delegated authority? (A.A.C. R2-7-206)

5.1.4

Was there any evidence that this procurement was artificially divided to circumvent this section? (A.R.S. § 41-2535(C))

5.1.5

Did the RFQ include a statement that only a small business, as defined in A.A.C. R2-7-101, shall be awarded a contract? (A.A.C. R2-7-D302(C))

5.1.6

If the RFQ was not awarded to a small business, was there a determination in the procurement file that less than three (3) small businesses were registered, or that restricting procurement to small business was not practical under the circumstances? (A.A.C. R2-7-D302(C)(3))

5.1.7

Did the RFQ include the following (A.A.C. R2-7-D302(A)):

5.1.7.1

Offer submission requirements, including offer due date and time, where offers will be received, and offer acceptance period?

5.1.7.2

Purchase description, specifications, delivery or performance schedule, and inspection and acceptance requirements?

5.1.7.3

Evaluation factors?

5.1.7.4

Whether negotiations may be held?

5.1.7.5

Contract options including renewal or extension?

5.1.7.6

The Uniform Terms and Conditions by text or reference?

5.1.8

Was the RFQ distributed to a minimum of three (3) small businesses? (A.A.C. R2-7-D302(B)

5.1.9

Were procurement disclosure statements (PDS) reviewed for everyone who participated in the development of the procurement, evaluation tool, served as technical advisors or evaluators, recommended or selected a vendor, or who approved sole source or competition impracticable? (SP 003)

5.1.10

Did the agency director, or designee, inform employees when the first PDS was signed, and notify the SPA or Deputy SPA? (A.R.S. § 41-753, SP 003)

5.1.11

Was there a written determination explaining the basis for the award in the procurement file? (A.A.C. R2-7-D303(C))

5.1.12

Was the contract awarded to the least number of suppliers necessary to meet the requirements of the State, or if not, did agency obtain authorization from the SPA or Deputy SPA? (A.A.C. R2-7-608)

5.1.13

For multi-term contracts greater than five (5) years, was there a written determination of approval from the SPA or Deputy SPA in the procurement file? (A.R.S. § 41-2546, A.A.C. R2-7-605)

5.1.14

In the eProcurement system, was the total spend limit locked in the “Not to Exceed Amount” field?

5.1.15

Contract Administration

5.1.15.1

Was the procurement file available to the public on the date of contract award? (A.A.C. R2-7-D303(D))

5.1.15.2

Did the procurement file contain the following records: a) list of notified vendors, b) final solicitation, c) solicitation amendments, d) bids and offers, e) offer revisions and best and final offers, f) discussions, g) clarifications, h) final evaluation reports, and i) any additional information requested by ACPO and approved by SPA or Deputy SPA, if any? (A.A.C. R2-7-101(38))

5.1.15.3

Was there a valid and current Certificate of Insurance in the procurement file, with amounts consistent with contract requirements? (Procurement Officer Insurance Modules)

5.1.15.4

Were documents named and uploaded to the eProcurement system following the naming conventions outlined in SP 006?

Name of Person Completing Assessment:	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]
Date of Self-Assessment:	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]

5.2 IFB

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) Arizona Department of Veterans' Services

Template Revised: 10-24-22 | Previous Revision: 08-12-22 | Initial Version: 04-12-18

Note(s):	If you are reviewing more than one sample for the same type of contract, please use the additional columns.
	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
19
		Section - 5.0 Solicitations and Contracts
		Section - 5.2 Invitation for Bids (IFB)	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.
	Contract Number:	BPM005092	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]
	Contract Title or Description:	Septic Pump Services for AVMC-Marana and AVMC-Camp Navajo	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]
	Contract Estimated Amount:	$100,000.00	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]
	Procurement Officer:	Monica Delarosa	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]

Section No.

Compliance Criteria

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

5.2

Invitation for Bids (IFB)

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

5.2.1

Was there an existing mandatory contract(s) (i.e. Statewide or agency) for these materials/services? (A.A.C. R2-7-A301)

Yes

5.2.2

If yes to question 5.3.1, was an Off-Contract authorization completed? (A.A.C. R2-7-A301(B))

Contract was expires 02/08, if service was needed NPTQ would have been done.

5.2.3

Was this procurement performed by an authorized procurement officer within their delegated authority? (A.A.C. R2-7-206)

Yes

5.2.4

For services other than those described in A.R.S. §§ 41-2513, 41-2578, 41-2579, and 41-2581, was there notice in a newspaper a minimum of fourteen (14) days before bid opening? (A.R.S. § 41-2533(C), A.A.C. R2-7-B301)

Yes

5.2.5

If a Pre-Offer Conference was conducted, was it held at a reasonably sufficient time before the offer due date? (A.A.C. R2-7-B302, TB 043)

5.2.6

Did the solicitation include Uniform Terms and Conditions? (A.A.C. R2-7-606, A.A.C. R2-7-B301(C)(3))

Yes

5.2.7

Did the solicitation include certification by the offeror(s) that submission of the offer(s) did not include collusion or other anti-competitive practices? (A.A.C. 2-7-C301(C)(1)(k), signed Offer & Acceptance)

N/A

5.2.8

Was the appropriate insurance module used in the solicitation? (A.R.S. § 41-621, A.R.S. § 23-901)

Yes

5.2.9

Yes

5.2.10

Did the agency director, or designee, inform employees when the first PDS was signed, and notify the SPA or Deputy SPA? (A.R.S. § 41-753, SP 003)

Yes

5.2.11

Was there a record showing the basis for determining the successful offeror(s) in the procurement file? (A.A.C. R2-7-B314(B))

Yes

5.2.12

Was the contract awarded to the lowest responsible and responsive offeror whose offer conforms in all material respects to the requirements and criteria in the solicitation? (A.A.C. R2-7-B314(A), SP 043)

Yes

5.2.13

If applicable, was there a non-responsibility determination on file? (A.A.C. R2-7-B313)

5.2.14

Were all offerors notified of the award? (A.A.C. R2-7-B314(C))

Yes

5.2.15

For multi-term contracts greater than five (5) years, was there a written determination of approval from the SPA or Deputy SPA in the procurement file? (A.R.S. § 41-2546, A.A.C. R2-7-605)

N/A

5.2.16

Contract Administration

5.2.16.1

Was the procurement file available for public inspection within three (3) days of award? (A.R.S. § 41-2533, A.A.C. R2-7-B314(E), A.A.C. R2-7-F309)

Yes

5.2.16.2

Did the procurement file contain the following records: a) list of notified vendors, b) final solicitation, c) solicitation amendments, d) bids and offers, e) offer revisions, f) discussions, and i) additional information requested by ACPO and approved by SPA or Deputy SPA, if any? (A.A.C. R2-7-101(38))

Note: Items "e) best and final offers, g) clarifications, and h) final evaluation reports" did not apply to this solicitation method and were removed.

5.2.16.3	Was there a valid and current Certificate of Insurance in the procurement file, with amounts consistent with contract requirements? (Procurement Officer Insurance Modules)	Yes
5.2.16.4	Were documents named and uploaded to the eProcurement system following the naming conventions outlined in SP 006?	Yes

Name of Person Completing Assessment:	Monica Delarosa	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	Elena Adame	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]
Date of Self-Assessment:	2/6/23	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]

5.3 RFP

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 10-24-22 | Previous Revision: 08-12-22 | Initial Version: 04-12-18

Note(s):	If you are reviewing more than one sample for the same type of contract, please use the additional columns.
	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
24
		Section - 5.0 Solicitations and Contracts
		Section - 5.3 Request for Proposals (RFP)	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.
	Contract Number:	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]
	Contract Title or Description:	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]	[Enter Contract Title or Description from eProcurement System]
	Contract Estimated Amount:	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]	[Enter Contract Estimated Amount]
	Procurement Officer:	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]	[Enter Procurement Officer's name]

Section No.

Compliance Criteria

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

SGU's Response

SGU's Corrective Action

5.3

Request for Proposals (RFP)

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

N/A, Yes, No, Requires Action

If answered "No" or "Requires Action" provide details of the Corrective Action or provide explanation for the "N/A"

Assigned to

Estimated Completion

5.3.1

Was there an existing mandatory contract(s) (i.e. Statewide or agency) for these materials/services? (A.A.C. R2-7-A301)

5.3.2

If yes to question 5.3.1, was an Off-Contract authorization completed? (A.A.C. R2-7-A301(B))

5.3.3

Was this procurement performed by an authorized procurement officer within their delegated authority? (A.A.C. R2-7-206)

5.3.4

5.3.5

If a Pre-Offer Conference was conducted, was it held at a reasonably sufficient time before the offer due date? (A.A.C. R2-7-C302, TB 043)

5.3.6

Were there instructions and information to offerors concerning the offer submission requirements, offer due date and time, the location where offers will be received, and the offer acceptance period? (A.A.C. R2-7-C301(C)(1)(a))

5.3.7

Were the evaluation factors set forth in the solicitation and listed in relative order of importance? (A.R.S. § 41-2534(E))

5.3.8

Were the evaluation criteria fair and appropriate to the solicitation?

5.3.9

Did the solicitation include specific responsibility or susceptibility criteria? (A.A.C. R2-7-C301(C)(1)(f), TB 047 - Attachment 1)

5.3.10

5.3.11

Was the appropriate insurance module used in the solicitation? (A.R.S. § 41-621, A.R.S. § 23-901)

5.3.12

5.3.13

Did the agency director, or designee, inform employees when the first PDS was signed, and notify the SPA or Deputy SPA? (A.R.S. § 41-753, SP 003)

5.3.14

Were the offers evaluated based on the evaluation criteria contained in the RFP? (A.A.C. R2-7-C316)

5.3.15

Was an evaluation report with consensus scoring and language for the final recommendation per SP 043 included in the procurement file?

5.3.16

Was the contract awarded to the responsible offeror whose offer is determined to be most advantageous to the state based on the evaluation factors set forth in the RFP? (A.A.C. R2-7-C317)

5.3.17

Was there a written determination explaining the basis for the award in the procurement file? (A.A.C. R2-7-C317(A))

5.3.18

Was the contract awarded to the least number of suppliers necessary to meet the requirements of the State, or if not, did agency obtain authorization from the SPA or Deputy SPA? (A.A.C. R2-7-608)

5.3.19

Were all offerors notified of the award? (A.A.C. R2-7-C317(B))

5.3.20

For multi-term contracts greater than five (5) years, was there a written determination of approval from the SPA or Deputy SPA in the procurement file? (A.R.S. § 41-2546, A.A.C. R2-7-605)

5.3.21

Contract Administration

5.3.21.1

Was the procurement file available for public inspection within three (3) days of award? (A.R.S. § 41-2533, A.A.C. R2-7-C317(D), A.A.C. R2-7-F309)

5.3.21.2

Did the procurement file contain the following records: a) list of notified vendors, b) final solicitation, c) solicitation amendments, d) bids and offers, e) offer revisions and best and final offers, f) discussions, g) clarifications, h) final evaluation reports, and i) additional information requested by ACPO and approved by SPA or Deputy SPA, if any? (A.A.C. R2-7-101(38))

5.3.21.3

Was there a valid and current Certificate of Insurance in the procurement file, with amounts consistent with contract requirements? (Procurement Officer Insurance Modules)

5.3.21.4

Were documents named and uploaded to the eProcurement system following the naming conventions outlined in SP 006?

Name of Person Completing Assessment:	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]	[Enter the person's full name completing the assessment]
Name of Agency Chief Procurement Officer:	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]	[Enter the ACPOs's full name]
Date of Self-Assessment:	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]	[Enter date as m/d/yyyy]

6.1 SS

STATE OF ARIZONA DEPARTMENT OF ADMINISTRATION (ADOA)

STATE PROCUREMENT OFFICE (SPO)

SPO Form 207 - Control Self-Assessment (CSA) ADVS

Template Revised: 08-11-22 | Previous Revision: 07-13-22 | Initial Version: 04-12-18

Note(s):	If you are reviewing more than one sample for the same type of contract, please use the additional columns.
	Certain cells have formulas linking to other source cell(s) for uniformity - please do not overwrite.
	Source authorities (i.e. A.R.S., A.A.C., Executive Orders, TB, SP, etc.) are referenced in the SPO For Agencies website (https://spointra.az.gov/resources-p).
14
		Section - 6.0 Limited Competition Procurements
		Section - 6.1 Sole Source Procurements	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.	Note: Use these columns if you have another sample to review.
	Contract Number:	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]	[Enter Contract Number from eProcurement System]

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Dec 4, 2025.