20260702 W81K0026QA221 JA Redacted.pdf

This is a Justification and Approval (J&A) document under RFO FAR Part 12 for the acquisition of commercial products and services on a sole-source basis.

The requiring activity is Brooke Army Medical Center (BAMC) at Joint Base San Antonio, Fort Sam Houston, Texas, seeking approval to award a follow-on noncompetitive contract for maintenance services supporting the Motek Computer Assisted Rehabilitation Environment (CAREN) system. The contractor is Motek Medical B.V., located in Utrecht, Netherlands. The contract covers software maintenance, system support, preventive maintenance site visits, and repair services for the CAREN equipment used in rehabilitation of lower-body injuries. The base period runs from October 1, 2026 through September 30, 2027, with four option years extending through September 30, 2031, followed by a FAR 52.217-8 renewal option from October 1, 2031 through March 31, 2032. The authority for sole-source procurement is Title 41 U.S.C. §1901(e)(2) as implemented in RFO FAR 12.102(b), which restricts competition for acquisitions valued over the simplified acquisition threshold.

The justification establishes that Motek Medical B.V. is the only authorized entity in the United States to supply original CAREN parts and perform certified service, as confirmed by a manufacturer letter dated April 13, 2026. The company does not authorize third-party organizations or independent service providers for maintenance or spare parts supply. Alternatives including indefinite suspension of support, in-house resources, or competing systems are impractical due to intellectual property controls, equipment-specific requirements, and the absence of comparable Virtual Reality rehabilitation systems on the market. Market research conducted on SAM.gov yielded no viable competing sources. The prior sole-source contract W81K00-21-P-0179 with Hocoma Inc. expires September 30, 2026, and was valued at a specific amount. The document includes procurement history showing an earlier sole-source Motek Medical contract W81K00-16-P-0576 from 2016-2018. Technical and fair and reasonable cost determinations, along with contracting officer certification, validate the acquisition approach.