State of Maine Waiver of Competitive Bidding Request Form Form Instructions: Please provide the requested information in the white boxes below. This form is to precede all contract requests that are not the direct result of a competitive bid process. DHHS/DCM Contract Administrator: Melody Foster Est. Contract Amount: $ See Attachment Proposed Start Date: Vendor/Provider Name, City, State Short Description of Good or Service: 07/01/2018 See Attachment Office/Division/Program of Contract Administrator: Contract or RQS Number: Purchasing Maine ID: DHHS Agreement Number: Proposed End Date: DHHS/OADS/Emergency Transitional Housing/Lori Harding See Attachment See Attachment 06/30/2019 State-funded Home Support – “Emergency Transitional Housing” Services Please note, for transparency purposes, Waivers of Competitive Bidding will be publicly posted. Public postings are placed on the Division of Procurement Services website for a period of seven consecutive calendar days. To be completed by the Division of Procurement Services Posting dates on Division of Procurement Services Notice of Intent to Waive Competitive Bidding Number: NOI# website: 5/10/2018 From: ____________ 5/16/2018 To: ____________ 0520180596 1. Statutory Justification State of Maine statute (5 M.R.S. §1825-B(2)) allows waivers of competitive bidding only for the specific reasons listed below. Please mark the appropriate box (X) next to the justification which applies to this specific request. A. The procurement of goods or services by the State for county commissioners pursuant to Title 30-A, section 124, involves the expenditure of $2,500 or less, and the interests of the State would best be served; B. The Director of the Bureau of General Services is authorized by the Governor, or the Governor's designee, to make purchases without competitive bidding because, in the opinion of the Governor or the Governor's designee, an emergency exists that requires the immediate procurement of goods or services; If citing the above justification for this Waiver of Competitive Bidding request, please have the requesting Department’s Commissioner or Chief Executive (as the Governor’s “designee”) sign and date on the right. By signing below, I signify as the Governor’s designee there is an emergency that necessitates this non-competitive procurement. Signature: Printed Name: Date: C. After reasonable investigation by the Director of the Bureau of General Services, it appears that any required unit or item of supply, or brand of that unit or item, is procurable by the State from only one source; D. It appears to be in the best interest of the State to negotiate for the procurement of petroleum products; E. The purchase is part of a cooperative project between the State and the University of Maine System, the Maine Community College System, the Maine Maritime Academy, or a private, nonprofit, regionally accredited institution of higher education with a main campus in this State involving: (1) An activity assisting a state agency and enhancing the ability of the university system, community college system, Maine Maritime Academy, or a private, nonprofit, regionally accredited institution of higher education with a main campus in this State to fulfill its mission of teaching, research, and public service; (2) A sharing of project responsibilities and, when appropriate, costs; If citing the above justification for this sole source request, please note that the specific approval of the Governor’s Office is required, in accordance with Executive Order 26 FY 11/12, “An Order to Enhance Competitive Bidding”. The approval must be documented on DAFS/BGS/Division of Procurement Services “GOVCOOP” form, found here: http://www.maine.gov/purchases/info/forms/govcoop.doc. F. The procurement of goods or services involves expenditures of $10,000 or less, in which case the Director of the Bureau of General Services may accept oral proposals or bids; BP37WCB Page 1 of 3 Rev. 1/22/2018 State of Maine Waiver of Competitive Bidding Request Form X G. The procurement of goods or services involves expenditures of $10,000 or less, and procurement from a single source is the most economical, effective and appropriate means of fulfilling a demonstrated need. If a different authorization specifically allows for this nonAny willing and qualified competitive procurement, please provide that reference here: Please note that the following four points below (#2 through 5) all require a response. 2. Description of Specific Need Please identify, and fully describe, the specific problem, requirement, or need the resulting non- competitive contract would address and which makes the goods or services necessary. Explain how the requesting Department determined that the goods or services are critical and/or essential to agency responsibilities or operations. The purpose of this Agreement is to provide State-funded Home Support services to consumers as specified by the Department. The need for these services is unpredictable and is urgent when it occurs. The provided services are characterized as “Emergency Transitional Housing Services”. The Provider is expected to begin delivery of these services within 24 hours after referral of a consumer to the Provider by the Department. The need for these services is expected to be temporary, until they are no longer needed by the consumer or a permanent placement of the consumer is made. Provider shall provide Home Support Services to eligible consumers as directed by the Department, in accordance with the consumers’ Person-Centered Plans, and applicable provisions within 10-144 C.M.R. ch. 101, ch. II, §§ 21 – Home Support – Agency Per Diem. 3. Availability of other Public Resources Please explain how the requesting Department concluded that sufficient staffing, resources, or expertise is not available within the State of Maine’s government, or other governmental entities (local, other state, or federal agencies) external to the requesting Department, which would be able to address the identified need more efficiently and effectively than the identified vendor. The Department and any other governmental entity does not have the staff, resources and expertise to provide this service. 4. Cost Since a waiver of competitive bidding is being requested for this procurement, please explain how the requesting Department concluded the negotiated costs, fees, or rates are fair and reasonable. The cost of the service shall be the Agency Home Support rate specified in 10-144 C.M.R. ch. 101, ch. III, §§ 21, Appendix I. A maximum of 168 Regular Support Hours per week may be billed for each consumer. The cost is therefore considered fair and reasonable. 5. Future Competition Please describe potential opportunities which may be available to foster competition for these goods or services in the future. Any willing and qualified provider for this service is desired. The Department does not intend to RFP these services. BP37WCB Page 2 of 3 Rev. 1/22/2018 State of Maine Waiver of Competitive Bidding Request Form 6 Uniqueness - - - - - - Please explain if the goods or services requlred are unique to a speCIfIc vendor Descnbe the unique quailflcatlons, abilities, and/or expertise of the vendor and how those particular unique factors address the specific need unique assets above. If the vendor has unique equipment faCIlItIes, _or proprietary data, aiso explain the necessaty of these particular This provider is wiliing and able to provide to the Department the State?funded Home Support services characterized as ?Emergency Transitional Housing Services?. The Provider can begin delivery of these services within 24 hours after referral of a consumer to the Provider by the Department on a temporary basis until they are no longer needed by the consumer or a permanent placement of the consumer is made. Person-Centered Plans and the applicable provisions of 10444 C.M.R. ch. 101, ch. II, 21. This Provider is fully qualified to provide Home Support Services to eligible consumers in accordance with the consumers? I7 Timeframe (Complete only if B. is the Statutory Justification marked on Page 1) ,Piease explain it time is of the essence and an emergency exists which requires the immediate procurement of goods or iservrces Describe the nature of this emergency, provide the date by which the goods or services must be delivered iand explain how that date was determined and its significance e. impact if delayed beyond this date). Aiso, provide InformatIon as to how it was determined this vendor iS the best option to address this time sensitive procurement Signature of requesting - By signing below, I sr'gnri?j/ that my Department requests, and I approve at this Department's Commissioner Waiver of Competitive Bidding. or Chief Executive - (or designee within the Commissioner 5 Office) Printed-Name; 5/ 0/ Q3 its Date: .- - 3P37WCB Page 3 of 3 Rev. 1/22/2018 State of Maine Waiver to Competive Bidding Request Form The following list identifies all providers/vendors associated with this State of Maine Waiver of Competitive Bidding Request Form along with their specific contract information. DHHS Office: Service: Start Date: OADS Emergency Transitional Housing 7/1/2018 Vendor/Provider Name Address Contract (CT) Number DHHS Agreement # Amendment Amount (if applicable) Granite Bay Care, Inc. 64B Old Suncook Road, Concord, NH 03301 10A 20180330*2895 ADS-19-1551 N/A $ 300,000.00 Residential and Community Support Services 1293 Main Street, Suite F, Sanford, ME 04073 10A 20180330*2896 ADS-19-1801 N/A $ 300,000.00 Totals: 2 - Total Contract Amount 600,000.00 Other Difference