0300-LSJ-Fallo updated signed.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 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

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: 36C250-22-AP-3611

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Indianapolis VA Medical Center

2237: 583-22-3-997-0300

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

Tourniquets will be used in the OR to personalize pressure for the patient by delivering the minimum tourniquet pressure at a specific time, with a specific cuff, for a specific patient limb.

Estimated amount: $80,595.34

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The Zimmer tourniquets possess the following features that no other tourniquet on the market has:

Limb Occlusion Pressure (LOP) Line Occlusion Detection (Acoustic Reflectometry) Cuff Alert Automatic IVRA Cuff Lock Out Advanced Leak Detection Pre-Op Cuff Test

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

Reviewed the National Strategic Source Listing, SAC, NAC, GSA Advantage, as well as performing a web search for items to meet the VA’s requirement. Stryker sells a tourniquet system, however, the Zimmer tourniquets were found to be the best option and had the best safety features. VIP queried using NAICS 339112 along with keywords “ATS 5000TS TELE IV POLE KIT” resulted in 193 findings. GSA queried using keywords “ATS 5000TS TELE IV POLE KIT” resulted in zero findings. Zimmer US Inc (Large) is the OEM and has one SDVOSB distributor that can provide the required items. Will post intent to sole source and award to OEM.

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.

https://www.acquisition.gov/?q=/browse/far/13 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://vaww.aams.ecms.va.gov/PMWeb/S19%20Open%20Market-FAR13%20Award%20Documentation%20Form.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 2 of 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

Erik Fallo Contracting Officer

NCO 10