V797D40238-001.pdf

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 1 of 1 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 36C246-18-AP-1468 (652-18-3-165-0323)

1. Contracting Activity: Department of Veterans Affairs, VISN 06, Richmond VA Medical Center, Richmond, VA 23249.

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount:

Dynamic Thorax Phantom with GUI and related equipment. Equipment will be used for delivery of radiation therapy to patients undergoing 4D treatment.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: This phantom and its controlling software, provide the capability to produce a wide range of motion patterns, including the inclusion of patterns measured from patients. It includes inserts for imaging the motion with CT and PET/CT and measurement of the radiation delivery with ion chambers, radiochromic film and nano-dots. Medical staff are trained on the existing system. The requested system with interface with existing system and equipment.

4. Description of market research conducted and results or statement why it was not conducted:

Limited MR was conducted. This is a Brand Name requirement. A survey of the available systems found one system designed for MRI quality assurance (not designed for radiation therapy treatment delivery) and the CIRS 4D system, which encompasses CT and PET/CT imaging as well as a wide range of measurement techniques (film, ion chamber, and point dose devices) for assessing the accuracy of our deliveries.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Prepared By: Contract Specialist:

Tiffany Pimble

Approved By: Contracting Officer:

Keeshia Newman https://www.acquisition.gov/?q=/browse/far/13 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://vaww.pclo.infoshare.va.gov/PMWeb/S19%20Open%20Market-FAR13%20Award%20Documentation%20Form.pdf