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s+ ♦1t.-�trJ • y.''— ,- OFFICE OF ACQUISmON POLICY(OAP) V REOUEST FOR AUTHORIZATION TO WAIVE SJ.EB PROGRAM REOUIt3EMENT6*a�R`1.1 ZOi2 for ALL Recluses 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 2602 copy(PDF or Word)to nakia.nealCa gegovorg. Upon approval,the procurement will be processed by GSA Purchasing. For Rawest;ovkr$25,000,a SLEB Waiver Number will be issued.This number is required to enter a Procurement Contract in ALCOLINK. OARwill email signed approvals(as appropriate,with Waiver Number)and denials to Requesting Departments,GSA Purchasing and Auditor Controller Office of Contract Compliance(OCC). 1.Please check appropriate box and complete department/contact information below. 0 Requesting Department Cr! GSA Purchasing managing the competitive process Depanment:Public Works Aaencv(PWA)Contact.Evelyn Benzon ail:evelvn.benzonC2acgov org Telephone ft(5 101 208-9622 2. Recommended Non-SLEB Vendor(Name): PO#: City of Pleasanton Street Address:P.O.Box 520 City,State&Zip: Pleasanton.CA 94566 3.Total PO/Contract Value(including increase,if any)$ 160.000 ;Increase Value(if any) Contract'Dr=Start Date:July L2012 End Date:June 30.2013 One-Time Purchase❑ 4.Procurement Type(cheek all appropriate boxes below): New Contract ❑Renewal Contract ❑Contract Amendment-Term ❑Contract Amendment-Value❑Other: S. Goods/Services Procurement Description:Q,peration and Maintenance Services of Sewer and Water Systems in the Alameda County Service Area(CSAI-1967-I 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,T)re Contractor will be responsible for operating, maintaining,repairing,testing and monitoring the Castlewood CSA domestic water/fire$ow system and wastewater collection "MOM. 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 sewatte system will be un-maintained and Lgpaonitored, 8. Explanation of why the non-SLEB contractor/subcontractor(in#2 above)is being recommended g why they are unable to subcontract with a SLEB(s)for a minimum of 20%: City of Pleasanton is a gomerrecnt 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 RFI was posted.on December 27.2011 and sent out to the 2,828 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 resnrnded to the RFP. a.0 Copies of bids received and/or detailed statement of efforts made to contact and negotiate with certified businesses,including Iist 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 to be performed by certified business in order to increase the likelihood of achieving the stated goal: c. Description ofinfonnation 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: ❑ If No,explain: I1. Department Certification; I certif to the accuracy of the preceding statements, o Sign of Agency/Department d or Designee or SA Print Name Da Pure Manager(if GSA Purchasing managed the process) Anmenwamm OAP to complete below• 12-04-1 I A 11 : A.Request Approved: Waiver Valid Throughe i�/L SLEB Waiver Number. / Reason:N4O m:1OAPeMno+ooeaimtrxrsupwt St.HB WAIVER rontAtR yuesa for Authorization lo Waive SLEB Requirements 112511 1