13 - Laserfiche WebLink

1108 , GSA-OAP 340.,09 OFFICE OF ACQUISITION POLICY(OAP) v` REQUEST FOR AUTHORIZATION TO WAIVE$LEB PROGRAM REOUIREMENTS*QPR XU 2012 For ALL Requests over$3.000:Complete 1.9& 10 below(First Source)if over$100,000,sign and print your n submit hard copy with supporting documentation for approval to GSA-OAP Business Outreach Officer,QIC 26021 ATJIS e i copy(PDF or Word)topakia,neal6i]aceov.org. Upon approval,the procurement will be processed by GSA Purchasing. For Requests over$25.000,a SLED Waiver Number will be issued.This number is required to enter a Procurement Contract in ALCOLINK. OAP.will email signed approvals(as appropriate,with Waiver Number)and denials to Requesting Departments,GSA Purchasing and Auditor Controller Office of Contract Compliance(OCC). I.Please check appropriate box and complete department/contact information below. ❑ Requesting Department ® GSA Purchasing managing the competitive process Department: Public Works Agency(PWA)Contact:Evelyn Benzon Email:evelvn.benzon6Zacgov.org Telephone H:(510)208-9622 2. Recommended Non-SLEB Vendor(Name):_PON: City of Pleasanton Street Address: P.O. Box 520 City,State&Zip: Pleasanton.CA 94566 3.Total PO/Contract Value(including increase,if any)$ 160.000 ;Increase Value(if any) Contract Term Start Date:July 1.2012 End Dale: June 30.2013 One-Time Purchase❑ 4. Procurement Type(check all appropriate boxes below): New Contract ❑Renewal Contract ❑Contract Amendment-Tam ❑Contract Amendment-Value['Other: 5. Goods/Services Procurement Description: Operation and Maintenance Services of Sewer and Water Systems in the Algmcda County Service Area(CSA)R-1967-1 Castlewood 6. Brief explanation of why goods/services are required: The County Service Area of Castlewood is located in an unincorporated part of the County and consists of several hundred homes and a County Club.The Contractor will be responsible for operating, maintaining.repairing,testing and monitoring the Castlewood CSA domestic water/fire flow system and wastewater collection system. 7. Date Goods/Services Needed; July 1.2012 a.What are the consequences if the date goods/services needed is not met?The Castlewood Service Area would be without a safe source of drinking water and their sewage system will be un-maintained and un-monitored. 8. Explanation of why the non-SLEB contractor/subcontractor(in#2 above)is being recommended and why they are unable to subcontract with a SLEB(s)for a minimum of 20%: City of Pleasanton is a government municipality and is exempt from the Small and Emerging Local Business(SLEB)requirement and are not required to subcontract with a SLEB. 9. Explain what attempts were made to locate a SLEB prime or subcontractor(s),including: An RH was posted on December 27.20]I and sent out to the 2228 subscribers of GSA'Goods and Services, .An RFP was issued on January 27,2012 and sent out to 2.821 subscribers of GSA good and Services. The City of Pleasanton was the only bidder who responded to the REF a.0 Copies of bids received and/or detailed statement of efforts made to contact and negotiate with emit fiat businesses, including list of SLEBs contacted,names of individuals,addresses,phone numbers,dates contacted and bid prices attached b. List of items or selected portions of work proposed tb be performed by certified business in order to increase the likelihood of achieving the stated goal: c. Description of information provided to certified contractors/subcontractors regarding the plans,specifications and anticipated time schedule for portions of the work to be performed: _ 10. If the contract is over$100,000,is the recommended vendor able to comply with the First Source Program? Yes; ® No: 0 If No,explain: 11. Department Certification: I certif to the accuracy of the preceding statements, P /. FoT0K"& 140.1( V--• L !0 Signed ire of Agency/Department d or Designee or SA Print ame Da Pure'asing Manager(if GSA Purchasing managed the process) OAP to complete below: 12-04-I 1A 11 .R, A. Request Approved: E Waiver Valid Througb6 4(/'D//3 SLEB Waiver Number: 7 a Reason:N_�Y7J,-yA._...i2L.'� !mil/- .Q 1-�-�, • , I;OAPIMAIN nOCUM DUE\DOA SUR WAIVER Pnnn\t Waltzes!for Auihorizmum In Waive SLFu Requirements IRS/II