Agenda 08/26/2025 Item #16A 7 (Resolution - Exemptions to the formal competitive process for the outsourcing of veterinary medical services for Domistic Animal Services) (2)SEE REVERSE SIDE
Proposed Agenda Changes
Board of County Commissioners Meeting
August 26, 2025
Notes:
• On Item 16.A.7, the Resolution title and fourth whereas clause should read “$850,000 per fiscal year.”
The Resolution has been corrected for signature.
• On Item 16.A.15, the text on Resolution Sections 3. and 4. should be corrected to read as follows:
“twenty-three thousand, three five hundred thirty-six and seven-tenths (23,536.7).”
TIME CERTAIN ITEMS:
Item 5C to be heard no sooner than 1:00 PM: Mission Critical Partners 800MHz radio system presentation.
Items 9B, 11A &11B to be heard at 10:00 AM: Permission to advertise amendments to Ordinance 2013-55
Standards of Care for Animal-Related Businesses and Organizations & Ordinance 2013-33 Animal Control
Ordinance.
8/25/2025 9:13 PM
8/26/2025
Item # 16.A.7
ID# 2025-2515
Executive Summary
Recommendation to approve a Resolution authorizing exemptions to the formal competitive process for the outsourcing
of veterinary medical services for Domestic Animal Services and approve expenditures on these exemptions up to a
maximum of $850,000 per fiscal year beginning in Fiscal Year 2026 through Fiscal Year 2028 to enable Domestic
Animal Services to remain in compliance with the Collier County Animal Control Ordinance and to continue purchasing
lifesaving veterinary services, spay/neuter services, and other veterinary medical services on an as-needed basis.
OBJECTIVE: To approve expenditures on exemptions to the formal competitive process of up to $850,000 from Fiscal
Year (FY) 2026 through Fiscal Year 2028.
CONSIDERATIONS: Whereas on June 12, 2018 (Agenda Item No. 16.D.14), the Board of County Commissioners
(Board) approved a waiver to the formal competitive process, to allow for the ability to procure off-site veterinary
services for the care and treatment of animals when the Shelter Veterinarian is not available or does not possess the
necessary equipment to diagnose, treat, or perform vital lifesaving measures or surgery.
On May 10, 2022 (Agenda Item No. 16.D.6), the Board approved a subsequent waiver of the formal competitive process
for off-site veterinary services with an increase of up to $500,000 annually through FY 2025. On February 14, 2023
(Agenda Item 16.D.7), the Board further approved increasing the expenditures under an exemption to the formal
competitive process for off-site veterinary medical services for up to a maximum of $850,000 annually through FY
2028. The exemption from the formal competitive process under this Board action is for services related to the care and
treatment of animals utilizing outsourced veterinary medical services. DAS intends to utilize outsourced veterinary
services, along with the use of both on-site and off-site Relief Veterinarians, and to purchase necessary medical services
as needed.
Since the Board's last approval in 2023, there have been significant cost increases for veterinary services. These cost
increases have coincided with the ongoing labor market volatility. DAS, like many County Departments and local
businesses, has continued to experience unusually high staffing turnover since 2020. DAS is currently operating without
a full-time, on staff veterinarian, with the ability to perform surgery. To maximize animal welfare and responsibly utilize
public resources, Staff have continued to partner with numerous organizations to provide medical services, spay/neuter
days at the shelter, sought volunteer veterinarian help in the shelter, and worked with community partners and local
veterinary practices to decrease operating costs. Notwithstanding those efforts, however, DAS regularly confronts a
high volume of significant or severe injuries/illnesses needing immediate and often rather expensive medical attention
and treatment, as well as animals requiring routine medical care.
In an effort to reduce expenditures under exemptions to the formal competitive process and gauge market
competitiveness, the Procurement Services Division issued an Intent to Negotiate (“ITN”) for Comprehensive
Veterinary Services. Procurement Services is currently in the process of finalizing negotiations for the ITN prior to
recommending an award for the Board’s consideration; however, the awarded vendor(s) will not be able to provide the
full scope of services and response time required by Domestic Animal Services due to increasingly high demand in the
shelter. The use of additional outsourced veterinary services will still be required to maintain in compliance with the
Collier County Animal Control Ordinance.
Approval of this item provides the continued ability to purchase these necessary veterinary services on an as-needed
basis and ensures DAS's ability to deliver on its mission to return strays to their owners and promote the adoption of
homeless animals to new families. Animals will continue to receive the routine or significant medical attention
required.
Pursuant to Section Eight, Exemption From the Competitive Process of the Collier County Procurement Ordinance
2017-08, as amended, staff requests that the Board find that it is in the best interest of the County to purchase veterinary
medical services from multiple outsourced vendors by approving the attached Resolution. Thus, allowing for an
exemption from the competitive process from October 1, 2025, through September 30, 2028, based upon either the lack
of available competition and/or a determination that such an exemption is in the best interest of the County. Domestic
Animal Services may increase, decrease, and add additional vendor(s) throughout the lifespan of this Resolution
8/26/2025
Item # 16.A.7
ID# 2025-2515
through the approved processes within the Procurement Services Division.
Develop and utilize partnerships to ensure that government facilities meet public expectations.
FISCAL IMPACT: FY 2024 expenditures on veterinary services were approximately $562,181. These expenditures
were offset in FY 2024 by the hiring of a full-time shelter veterinarian capable of performing surgeries, a position that
has since been vacated. FY 2025 expenditure is forecast to be $800,000. Expenses for outsourced veterinary medical
services are funded by the Animal Care Sterilization Trust Fund (1139), Domestic Animal Services Donations (1135),
DAS Medical Donations (1149), and General Fund (0001). The annual cost of these services will decrease significantly
once licensed shelter veterinarian vacancies are filled.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact related to this action.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires a majority vote for approval.
– CLD
RECOMMENDATIONS: To approve a Resolution authorizing exemptions to the formal competitive process for the
outsourcing of veterinary medical services at Domestic Animal Services and approve expenditures on these exemptions
up to a maximum of $850,000 per fiscal year beginning in Fiscal Year 2026 through Fiscal Year 2028.
PREPARED BY: Brooke Roxberry, Management Analyst II, Operations and Regulatory Management Division
ATTACHMENTS:
1. DAS Resolution No. 2025-___________
2. Agenda 06_12_2018 Item #16D14
3. Agenda 05_10_2022 Item #16D6
4. Agenda 2_14_2023 Item #16D7
5. 25-715-EM Humane Society of Naples
6. 25-716-EM Florida Veterinary Referral Center
7. 25-718-EM Gulf Coast Humane Society
8. 25-719-EM PURRR Inc
9. 25-720-EM Slomba Solutions
10. 25-721-EM SNIP Collier
11. 25-722-EM Flexivet
12. 25-217-EM Tursiops Veterinary
13. 25-711-EM Erica Renee Unz
14. 25-712-EM Emergency Pet Hospital
15. 25-713-EM Pet Dental Center
16. 25-714-EM Harborside Animal Clinic
RESOLUTION NO,2025-
A RESOLUTION OF THE BOARD OF COI]NTY COMMISSIONERS OF
COLLTER COUNTY, FLORIDA, AUTHORIZING AN EXEMPTION TO THE
COMPETITIVE PROCESS DESCRIBED IN THE COLLIER COUNTY
PROCUREMENT ORDINANCE NO. 2013-69, AS AMENDED, FOR DOMESTIC
ANIMAL SERVICES TO PURCHASE LIFE-SA\'ING VETERINARY SERVICES,
SPAY/Nf,UTER SERVICf,S, AN'D OTHER VETERINARY MEDICAL SERVICES
UP TO $85O,OOO.OO IN EXPEIIDITI]R-ES THROUGH FISCAL \'f,AR 2028.
WHEREAS, the Collier County Procurement Ordinance No. 2013-69, as amended, codifies and
formalizes Collier County's Procurement Policy to provide for fair and equitable treatment of all persons
involved in public purchasing by the County, to maximize the purchasing value of public funds in
procurement, and to provide safeguards for maintaining a procurement system ofquality and integrity; and
WHEREAS, Section 2-193 of the Collier County Procurement Ordinance provides for several
categories of procurements which are eligible for exemptions to the competitive process; and
WHEREAS, Section 2-193(17) of the Collier County Procurement Ordinance provides for the
following exemption to the competitive process:
"Where specified by general law, ordinance or Collier County Board of County
Commissioners policies, any purchase governed by explicit provisions of general Iaw or
other Collier County ordinance or Collier County Board ofCounty Commissioners policies
(resolution) unless the solicitation indicates the applicability ofthis Article, and this Article
shall apply only to the extent set out in the solicitation;" and
WIIEREAS, the Domestic Animal Services Division ("DAS") has requested an exemption from
the competitive process for up to Eight Hundred Fifty Thousand Dollars and Zero Cents ($850,000.00)
through Fiscal Year 2028 to enable DAS to remain in compliance with the Collier County Animal Control
Ordinance and to continue purchasing life-saving veterinary services, spay/neuter services, and other
veterinary medical services; and
WHERf,AS, the Board furds it necessary for these expenditures to be exempted from the
competitive process described in the Collier County Procurement Ordinance due to the significant cost
increases for veterinary services, ongoing labor market volatility, and the high demand for medical services
at the animal shelter; and
WIIEREAS, the Board finds that providing essential veterinary care to the animals at DAS serves
a public purpose and is in the best interest ofthe County.
NOW, THEREFORE, BE IT Rf,SOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COIINTY, FLORIDA, that:
l. The recitals set forth above are incorporated herein.
2. The Collier County Board ofCounty Commissioners hereby authorizes an exemption to the formal
competitive process for a maximum amount of$850,000.00 per fiscal year from Fiscal Year 2026
through Fiscal Year 2028 for the outsourcing ofveterinarian medical services for animals at DAS.
3. The County Manager or designee is hereby authorized to execute and submit all documents and
take any further actions necessary to effectuate this Resolution.
THIS RESOLUTION ADOPTf,D upon majority vote on the _ day of
ATTEST:
CRYSTAL K. KINZEL, Clerk
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By
Burt L. Saunders, Chairman
2025
By:
, Deputy Clerk
Approved as to form and legality:
Courtney L. DaSilva
Assistant County Aftomey
w
06/12/2018
EXECUTIVE SUMMARY
Recommendation to Waive the formal competitive process to purchase off-site veterinary medical
services.
OBJECTIVE: To enable the Domestic Animal Services (DAS) Division to purchase lifesaving
emergency veterinary services, spay/neuter services, and other veterinary medical services on an as-
needed basis.
CONSIDERATIONS: The purpose of these purchases is to care for and treat animals when the Shelter
Veterinarian is not available or does not possess the necessary equipment to diagnose , treat, or perform
vital lifesaving measures or surgery.
Animals may be the property of DAS, or they may be ill, or injured, stray animals that are picked up in
the field by Animal Control Officers. Animal Control Officers work around the clock and often pick up
animals after hours that have been hit by a car, or otherwise injured, and constitute a medical emergency.
These animals need to be examined by a licensed Veterinarian in order to determine the severity of their
injuries, administer pain medication if required, determine if humane euthanasia is necessary, and
medically stabilize the animal until the Shelter Veterinarian is able to take over the care and treatment.
Without the examination and treatment of these animals outside of regular business hours, the animals
would be left to suffer and possibly expire.
DAS does not possess the requisite equipment for radiographs or specialized treatments and procedures,
such as orthopedic surgeries, and must send animals to outside veterinary clinics for these diagnostics and
procedures when medically necessary. In addition, state law requires that all animals adopted from the
shelter be spayed or neutered and have a current rabies vaccine prior to leaving the shelter. It is
sometimes necessary to employ the services of outside veterinary clinics or on-site Relief Veterinarians to
administer these vaccines and perform these surgeries when the Shelter Veterinarian is on leave and not
available to do so.
On two separate occasions, the Procurement Services Division made attempts to solicit for both specialty
veterinary services and veterinary medications and supplies. Once on October 17, 2017, the Procurement
Services Division released notices of Request for Proposal No. 17-7215 to 384 vendors for Veterinary
Specialists. Three (3) bid packages were downloaded, and no offers were received on November 16,
2017. Then again on January 23, 2018, the Procurement Services Division released notices of Invitation
to Bid No. 18-7272 to 1,664 vendors for Veterinary Medications and Supplies. Thirty-one (31) bid
packages were downloaded, and no offers were received on February 23, 2018. A list of providers
recommended by DAS was also contacted with no outcome.
Cost is only one consideration when purchasing these services; skill , medical specialty, availability, and
geographic proximity are all important factors in determining what is in the best interest of the animal,
particularly during a medical emergency. DAS uses the services of a variety of emergency pet hospitals,
local veterinary clinics, and on-site Relief Veterinarians to ensure that all medical cases are treated, and
required surgeries are performed in a timely manner. DAS will continue to reach out to various clinics for
these services based on the needs of each case and the availability of the various providers.
Without the ability to purchase these services on an as-needed basis, there would be an immediate impact
on DAS’ ability to deliver on its mission to return strays to their owners and promote the adoption of
homeless animals to new families. Animals could not be vaccinated against rabies or sterilized and
therefore would be forced to remain at the shelter; injured or ill animals would be left to suffer,
16.D.14
Packet Pg. 1433
06/12/2018
undiagnosed and untreated, until the Shelter Veterinarian returns to duty.
FISCAL IMPACT: The estimated annual costs for these services are $250,000 and are paid for using
funds from the Domestic Animal Services Trust Fund and the Animal Care Sterilization Trust Fund. This
action will result in no Fiscal impact to the General Fund, and no additional increase in fees is required.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact.
LEGAL CONSIDERATIONS: This Item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: To authorize an exemption from the competitive process to DAS for the
purchase of off-site veterinary services.
Prepared By: Darcy Andrade, Director, Domestic Animal Services Division
16.D.14
Packet Pg. 1434
16.D.6
05/10/2022
EXECUTIVE SUMMARY
Recommendation to approve expenditures on exemptions to the formal competitive process for up
to $500,000 for off -site veterinary medical services.
OBJECTIVE: To approve expenditures on the existing waiver of the formal competitive process for up
to $500,000 to enable Domestic Animal Services (DAS) to continue to purchase lifesaving emergency
veterinary services, spay/neuter services, and other veterinary medical services on an as -needed basis.
CONSIDERATIONS: On June 12, 2018, the Board of County Commissioners (Board) approved a
Waiver of Competitive process: Agenda Item #16D14. The Agenda Item provides for the care and
treatment of animals when the Shelter Veterinarian is not available or does not possess the necessary
equipment to diagnose, treat, or perform vital lifesaving measures or surgery. At the time of its approval,
the estimated annual cost for the services was $250,000.
Since the approval of the waiver of the formal competitive process in 2018, there have been significant
cost increases for veterinary services and supplies. These cost increases have coincided with recent labor
market volatility. DAS like many County divisions and local employers has experienced staffing turnover
during the past year. DAS is currently operating without a full-time veterinarian on staff. Since the
position vacated earlier this year, staff has been actively attempting to fill the vacant veterinarian position.
Staff has also sought out volunteer veterinarian help in the interim and has worked with community
partners to achieve the greatest public value.
DAS is entrusted with the appropriate medical care for all animals collected as strays or surrendered to
the shelter. Staff has been coordinating with local veterinarian service providers to provide legally
required services, while also containing costs. The increase in demand for outsourced veterinarian service
for spay/neuter, fractures, disease, neglect, and a host of other maladies has increased substantially. DAS
is presented daily with a high volume of significant or severe injuries needing immediate and often rather
expensive medical attention and treatment, as well as animals requiring routine medical care. To sustain
needed services, as of April 1, 2022, DAS had expended $107,519.52 from the Domestic Animal Services
Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001) on veterinarian
services, and as expected, expenses are continuing to be incurred daily.
Approval of this item provides the continued ability to purchase these services on an as -needed basis, and
ensure DAS's ability to deliver on its mission to return strays to its owners and promote the adoption of
homeless animals to new families. Animals will continue to receive the routine or significant medical
attention required.
FISCAL IMPACT: The estimated annual costs for these services is expected to reach between $350,000
and $500,000. The veterinary expenses are currently being paid using funds from the Domestic Animal
Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001). The
annual cost will decrease significantly as soon as suitable shelter veterinarians can be hired to fill
vacancies. The multiple exemptions from local veterinarians will be valid through FY2025.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this
action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality and requires majority vote for approval. -JAK
Packet Pg. 755
05/10/2022
16.D.6
RECOMMENDATION: To approve and authorize the Chairman to approve expenditures on the current
exemptions from the formal competitive process for off -site veterinary services for up to $500,000.
Prepared By: Jeffrey Newman, Financial and Operational Support Manager, Operations and Veteran
Services Division
ATTACHMENT(S)
1. Agenda 06_12_2018 Item #16D14 (PDF)
Packet Pg. 756
16.D.7
02/ 14/2023
EXECUTIVE SUMMARY
Recommendation to approve an increase of expenditures on exemptions to the formal competitive process
for up to a maximum of $850,000, in total, for off -site veterinary medical services through FY2025.
OBJECTIVE: To approve an increase of expenditures on exemptions to the existing waiver of the formal
competitive process for up to a maximum of $850,000 in total to enable Domestic Animal Services (DAS) to
remain in compliance with the Collier County Animal Control Ordinance and to continue to purchase lifesaving
emergency veterinary services, spay/neuter services, and other veterinary medical services on an as -needed basis.
CONSIDERATIONS: On May 10, 2022, the Board of County Commissioners (Board) approved waiving
competition for off -site veterinary services up to $500,000 (Agenda Item #16D6) through FY2025. The waiver of
competition is for services related to the care and treatment of animals when the Shelter Veterinarian is not
available or does not possess the necessary equipment to diagnose, treat, or perform vital lifesaving measures or
surgery. At the time of its Board's 2022 approval, the estimated annual cost for the services was estimated $500,000
through FY2025.
Since the Board's approval, there have been significant cost increases for veterinary services and supplies. These
cost increases have coincided with recent labor market volatility. DAS like many County Divisions and local
employers has experienced unusually high staffing turnover since 2020. DAS is currently operating without a full-
time veterinarian on staff. Since the position was vacated in early 2022, staff has been actively attempting to fill the
vacant veterinarian position. To maximize animal welfare and public value, Staff has partnered with numerous not -
for -profit organizations to provide spay/neuter days at the shelter, has sought out volunteer veterinarian help in the
shelter, and has worked with community partners and local veterinary practices to decrease operating costs.
DAS is entrusted with providing necessary medical care for all impounded animals. Staff has been coordinating
with local veterinarian service providers to provide legally required services, while also containing costs. The
increase in demand for outsourced veterinarian services for spaying/neutering, fractures, disease, neglect, and a host
of other maladies has increased substantially. DAS is presented daily with a high volume of significant or severe
injuries/illnesses needing immediate and often rather expensive medical attention and treatment, as well as animals
requiring routine medical care. To sustain needed services, as of December 27, 2022, DAS had expended $116,346
from the Domestic Animal Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General
Fund (001) on veterinarian services, and as expected, expenses are continuing to be incurred daily. DAS has made
tremendous positive progress in improving outcomes for animals and has worked with local, state, and national
partners to further animal welfare and provide placement opportunities. In FY 2022 DAS significantly increased
animals transferred to Pet Placement Partners by 208%, increased animals reunited with their owners by 10%, and
increased animals placed in foster care by 29%. These significant increases in animal placement have resulted in a
97% live release.
Approval of this item provides the continued ability to purchase these services on an as -needed basis and ensures
DAS's ability to deliver on its mission to return strays to their owners and promote the adoption of homeless
animals to new families. Animals will continue to receive the routine or significant medical attention required. The
Procurement Services Division has made multiple attempts to solicit for emergency and specialty veterinary
services, and received no responses, despite having reached out to a list of providers recommended by DAS.
FISCAL IMPACT: FY22 expenditures for veterinary medical service were approximately $406,000. The FY23
annual costs for these services is expected reach between $600,000 and $850,000. Although a low -range outcome
is most likely, the requested increase in the exemption of $350,000 to $850,000 will ensure sufficient approved
capacity for FY23. Expenses for veterinary medical services are currently funded within Domestic Animal
Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001). The majority of
veterinary medical expenses are paid from the Domestic Animal Services Trust Fund (180) and the Animal Care
Sterilization Fund (610) and not the General Fund. The annual cost for these services will decrease significantly as
soon as licensed shelter veterinarian vacancies are filled.
Packet Pg. 1120
16.D.7
02/ 14/2023
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and
legality and requires majority vote for approval. -JAK
RECOMMENDATION: To approve and authorize the Chairman to approve an increase of expenditures on
exemptions from the formal competitive process for off -site veterinary services for up to $850,000 through
FY2025.
Prepared By: Jeffrey Newman, Manager - Financial Operations, Operations and Veteran Services Division
ATTACHMENT(S)
1. 16.13.6 (2022) and 16.13.14 (2018) (PDF)
Packet Pg. 1121
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised
Page 1 of 2
Instructions:The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
1. Government Agency/Non-Profit 10. Shop estimates on disassembled equipment
2. Registration/Dues/Training 11. Personnel/Recruitment Services
3. Subscriptions/Periodicals/Printed Materials 12. Works of art for public display
4. Advertisements 13. Direct Purchases
5. Utility Services – subject to government control 14. Financial Instruments
6. Education/Academic Programs/Trainers/Speakers 15. Entertainment Services for County Sponsored Events
7. Legal Services 16. Management Studies as directed by the County Manager
8. Purchases required by grants/gifts 17. Resolution/BCC Direction (include resolution number and
approval date)9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase.Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised
Page of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2
EXEMPTION REQUEST FORM
Revised 04/04/2025
Page 1 of 2
Instructions: The following procurement categories may be eligible for exemption from the competitive process per Procurement
Ordinance 17-08, as amended, Section Eight, Exemptions to the Competitive Process; based upon the determination of the County
Manager or designee that approval of such an exemption is in the best interest of the County. Purchases greater than $50,000 will
require final approval by the Board of County Commissioners. Complete all sections of this form prior to submitting it to Procurement.
Any quotes and/or documentation submitted must be dated within the last thirty (30) days. If applicable, submit with the form
associated terms and conditions or agreements.
Disclaimer: Exemptions are not active until the Procurement Director approves the request or the requested start date, whichever is
later. Exemptions that require review by the Board of County Commissioners are not valid until Board approval is received. No purchase
order requests will be processed until formal approval has been received.
Submit Exemption requests to Procurement Services via the Jira Ticketing System.
Exemption Category:
☐1. Government Agency/Non-Profit ☐10. Shop estimates on disassembled equipment
☐2. Registration/Dues/Training ☐11. Personnel/Recruitment Services
☐3. Subscriptions/Periodicals/Printed Materials ☐12. Works of art for public display
☐4. Advertisements ☐13. Direct Purchases
☐5. Utility Services – subject to government control ☐14. Financial Instruments
☐6. Education/Academic Programs/Trainers/Speakers ☐15. Entertainment Services for County Sponsored Events
☐7. Legal Services ☐16. Management Studies as directed by the County Manager
☐8. Purchases required by grants/gifts ☐17. Resolution/BCC Direction (include resolution number and
approval date)☐9. Compatibility/Proprietary with current systems
SECTION ONE
Division: Requested Not-to-Exceed Expenditure Per FY:
Vendor Corporate Name: Summary of Item(s)/Service(s):
SECTION TWO
One-Time Purchase Multiple Purchases
SECTION THREE
Detailed Description of Purchase. Enter a description of the item(s) that will be purchased under this waiver.
Detailed Public Purpose. Include why this purchase is essential to County operations.
Does this purchase require the County to accept terms and conditions, including those contained in hyperlinks?
Yes No If yes, attach documentation.
EXEMPTION REQUEST FORM
SECTION FOUR
Information Technology. Select Yes if the products/services are related to Information Technology. If yes, provide the
Purchasing Compliance Code (PCC) number or email approval documentation.
Yes No
If yes, provide the PCC number:
SECTION FIVE
Requester: Signature:
Division Director: Signature:
Department Head (Required if over $50,000): Signature:
Procurement Director or Designee: Signature:
PROCUREMENT USE ONLY
Historical Spend: Additional Commentary:
P-Card PO
Approved Date Range
Start Date:
End Date:
Contract #:
Contract Not Applicable
Exemption #:
Contingent Upon Board Approval:
Yes No
Agenda #:
Approval Date:
Revised 04/04/2025
Page 2 of 2