Get 17-0004 - Notice & Request For Exemption From Competition - Studer Group - Hilomedicalcenter

Filling out the 17-0004 - Notice & Request For Exemption From Competition form is a crucial step for requesting procurement exemptions in the East Hawaii Region. This guide will provide professional, clear, and supportive instructions to assist users in completing the form accurately and efficiently.

Follow the steps to fill out the form correctly online.

1. Press the ‘Get Form’ button to access the document and open it in your editing tool.
2. In the ‘To’ field, enter the recipient's name, which is the Regional Chief Procurement Officer.
3. In the ‘From’ field, provide your name and title, ensuring the correct designation.
4. In section 1, specify the Department/Division/Agency requesting the procurement exemption.
5. In the ‘Description of goods, services or construction’ field, outline the healthcare process improvement consulting services requested.
6. Under ‘Name of Vendor’, input ‘The Studer Group, L.L.C.’ and check the provided details.
7. In the ‘Price’ section, write the total cost, which is $461,225.00.
8. Fill out the vendor address, ensuring accuracy for ‘350 West Cedar Street, Suite 300, Pensacola, Florida 32502’.
9. Complete the ‘Prior Exemption Ref.’ section with details of any previous exemptions, including terms.
10. In the explanation section, provide a clear rationale explaining why competitive procurement is impractical for this request.
11. Detail the process to ensure fair and open competition, highlighting your evaluation of the marketplace.
12. Outline the agency’s internal controls and the approval requirements related to the exempted procurement.
13. List the agency personnel involved in the approval process, and note their roles clearly.
14. Make any necessary inquiries in the designated section for requests or clarifications.
15. Indicate whether the exemption should be considered for the list of exemptions.
16. In the certification area, ensure that the department head signs and dates the document.
17. Once the form is completed, you can save changes, download, print, or share the form as needed.

Complete your exemption request form online today to ensure a smooth procurement process.