36A77619Q0127-005.pdf

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: 36C776-18-AP-0172

1. Contracting Activity: Department of Veterans Affairs, Program Contracting Activity – Central, on behalf of VISN 22, Tibor Rubin VA Medical Center (Station 600), 5901 E. Seventh Street, Long Beach, California 90822.

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

This procurement is for Welch Allyn (brand-name) physiological monitoring equipment which are commercial items as defined in FAR Subpart 2.101. The purchase of Physiological Monitoring Equipment in Project 402 of VA Long Beach Healthcare System (VALBHS) is essential in the standardization of the whole facility. These medical devices will be used by clinical staff to provide vital signs readings for patient care. At present, over 150 VALBHS’s Vital Signs Monitors used in direct patient care are Welch Allyn Connex 6800 Vital Signs Monitors.

FAR 13 – Simplified Acquisition Procedures: In accordance with FAR Subpart 13.106, for purchases not exceeding the simplified acquisition threshold (currently $250,000), Contracting Officers may solicit from one source if the Contracting Officer determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand-name, or industrial mobilization). In accordance with FAR 5.102(a)(6), this justification will be posted with the solicitation.

Description of Equipment or Accessory Quanti ty

Facility

Otoscope/Ophthalmoscope, Wall Mounted – Welch Allyn 77791-MX

• Wall mounted otoscope and ophthalmoscope

• Includes 6 foot line cord and plug and accepts/includes two handles

• Contains head turn-on/turn-off, built-in speculum tray and 8 foot coiled cords

• Unit is designed for use in patient exam rooms

• System should consist of:

• Wall Board

• Wall Transformer (compatible with 100-240 v, 50/60 Hz AC, IEC Plug Type

B)

• Ophthalmoscope

• Diagnostic Otoscope

• Disposable Speculum Tray

Approximate Dimensions (+/- 2”): .12” W 4” D 4” H

20 VALBHS

https://www.acquisition.gov/?q=/browse/far/13

68M XTX-B Welch Allyn Connex 6800 Vital Signs Monitor with Masimo SpO2, SureTemp Plus Thermometry, SureBP Non-invasive Blood Pressure, Pulse Rate, MAP, Custom Scoring, Nurse Call, Four USB Ports for Accessories, Internal 802.11

VALBHS

1000981 Welch Allyn Device Connectivity License

21 VALBHS

S3 – Premium-CS - Connex Premium Service Support Agreement; Hardware Support (if applicable); Software Updates/Upgrades; Corepoint license and support (if applicable); Onsite Services; 7x24x365 telephone and remote diagnosis technical support; Direct access to the Partners in Care Support Center. – Welch Allyn (one year of support)

1 VALBHS

4800-60 Welch Allyn Accessory Cable Management Mobile Stand for Connex Vital Signs Monitor 6000 Series; with Storage Bin – Welch Allyn

19 VALBHS

008-0834-01 GCX Wall Mount Kit for Welch Allyn Vital Signs Monitors 2 VALBHS 6000-916HS Welch Allyn HS-1M 2D Barcode Scanner with Coiled USB Cord;

High Performance – Welch Allyn

21 VALBHS

Installation – Inventory goods by material number, quantity and serial number where applicable, De-palletize shipment, Unbox and stage product, Unbox and assemble roll stands when applicable, Unbox and assemble wall mounts when applicable, Attach device to stand or wall mount, Attach accessories to device (SpO2 cable, NIBP hose and cuff, temperature sensor, power supply, barcode scanner, quick reference card), Affix customer-provided asset tag if required, Perform device in-service, Dispose of waste packaging, Register device warranty with WA Service, Partners in Care (PIC) activation for customers purchasing a PIC agreement, Perform ground continuity, leakage current and power-on test

21 VALBHS

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

VALBHS is standardizing to Welch Allyn physiological monitoring equipment. VALBHS has over 150 Welch Allyn Connex 6800 Vital Signs Monitors already in use throughout the healthcare system. All the end users are trained in the use of Welch Allyn Connex 6800 Vital Signs Monitors and the Biomed staff are trained in repair and maintenance. VALBHS is currently in the process of implementing the Welch Allyn Connex wireless system that will allow Welch Allyn Connex Vital Signs Monitors to transmit data to VistA CPRS (VA EMR). Any Vital Signs Monitor procured must be compatible with the Welch Allyn Connex server.

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

Market research included reviewing medical device supplier brochures and internet marketplaces.

Information from VA Long Beach Biomedical Engineering staff was incorporated in determining the healthcare system standard.

These items are considered medical equipment. VA requires medical equipment be provided by the manufacturer or manufacturer-authorized distributor. Welch Allyn was contacted for a listing of their authorized distributors as part of the market research conducted for this requirement.

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.

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