Funding supports local community partners to address Opioid & Substance Use

REV 10/19/2021 Page 1 of 2 PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. PART I: OVERVIEW Department Office/Division/Program: DHHS/MeCDC/Maine Prevention Services Department Contract Administrator or Grant Coordinator: Chris Moiles Shawn Belanger (If applicable) Department Reference #: CD0-20-4425F Amount: (Contract/Amendment/Grant) Original: $7,516,945.00 Amend: $ 350,000.00 Revised: $ 7,866,945.00 Advantage CT / RQS #: CT 10A 20190806*0423 CONTRACT Proposed Start Date: Proposed End Date: AMENDMENT Original Start Date: 10/01/2019 Effective

Date: 10/01/2022 Previous End Date: 09/30/2022 New End Date: 12/31/2022 GRANT Project Start Date: Grant Start Date: Project End Date: Grant End Date: Vendor/Provider/Grantee Name, City, State: University of New England Biddeford, ME Brief Description of Goods/Services/Grant: This funding supports local community partners throughout the state to address Opioid & Substance Use Prevention at the local level. PART II: JUSTIFICATION FOR VENDOR SELECTION Mark an X before the justification(s) that applies to this request. (Check all that apply.) A. Competitive Process G. Grant B. Amendment H. State Statute/Agency Directed C. Single Source/Unique Vendor I. Federal Agency Directed D. Proprietary/Copyright/Patents J. Willing and Qualified E. Emergency K. Client Choice F. University Cooperative Project L. Other Authorization RFP Extended DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES iy DIVISION OF PROCUREMENT SERVICES Rsv wu he) BENNO} Procurement Justification Form (PJF) REV 10/21/2021 Page 2 of 2 Please respond to ALL of the questions in the following sections. PART III: SUPPLEMENTAL INFORMATION 1. Provide a more detailed description and explain the need for the goods, services or grant to supplement the response in Part I. The purpose of this agreement is to utilize Maine Prevention Services (MPS), Maines prevention arm where the State funds local community partners to work on the following: obesity, tobacco and substance use prevention; youth engagement and empowerment, health communication/social marketing and evaluation. The MPS contracts ensure essential prevention services are available statewide. The purpose of this amendment is to extend this contract by another three months to ensure the continuation of local level substance use prevention services while the Department proceeds with the competitive process. 2. Provide a brief justification for the selected vendor to supplement the response in Part II. Reference the RFP number, if applicable. The vendor was chosen through a competitive award process under RFP 201602047 and is in the last year of the award process. The Department recently issued and awarded contracts under RFP 202207119 for a 1/1/2023 contract start date. 3. Explain how the negotiated costs or rates are fair and reasonable; or how the funding was allocated to grantee. Cost is based upon the competitive award for this service and agreement. The costs are based upon what was originally proposed but with the expanded grant period. 4. Describe the plan for future competition for the goods or services. The Department is currently negotiating contracts under RFP 202207119 for a 1/1/2023 contract start date. PART IV: AMERICAN RESCUE PLAN ACT (ARPA) / MAINE JOBS & RECOVERY PLAN (MJRP) Does this request utilize ARPA/MJRP funds? Yes If Yes, please attach the approved Business Case(s). No If No, proceed to Part V PART V: APPROVALS The signatures below indicate approval of this procurement request. Signature of requesting Departments Commissioner (or designee): Typed Name: Debra Downer, Deputy Director for Competitive Procurement Date: Signature of DAFS Procurement Official: Typed Name: Date: Nov-07-2022 Kathy Paquette 12/1/2022 DocuSigned by: 5DC6307B8558482... DocuSigned by: 41C2BA36FAF44CD...