36C24218Q9563-003.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 4 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: 36C242-18-AP-1530

1. Contracting Activity:

Department of Veterans Affairs

VA Medical Center 400 Fort Hill Avenue Canandaigua, NY 14424

VISN 2

2237: 528-18-4-5122-0029

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

Department of Veterans Affairs, Network Contracting Office 2, and the VA Medical Center in Canandaigua, NY anticipate a new, single manufacturer (brand name only per FAR 6.302-1(c) firm fixed price procurement action for Optical equipment. The equipment identified below will be purchased and installed in the Eye Care Clinic at the new Rochester (NY) VA Outpatient Clinic

(ROPC).

The new Department of Veterans Affairs Rochester (NY) Outpatient Clinic is scheduled to fully open April 2019. The Rochester VA facility has a requirement to procure new equipment for the Eye Care Clinic. The Canandaigua and Bath VA Medical have integrated to what will be known as the VA Finger Lakes Health Care System. With that, the expectation is medical providers may work at any of the facilities within the region to include Bath, Canandaigua and/or Rochester. To ensure continuity in care, all facilities within the region must standardize medical equipment.

The following item with specifications is required:

Line # Description Long Description Qty

(Actual) Manufacturer Model

1 Lensometer

Automatic computerized lensmeter.

Features LCD touch panel, automatic mono and multi-focal detection, UV transmittance measurement and green measurement light beam. Printer included.

6 Marco Ophthalmic 4004

2 Lamp, Slit, w/Applanation Tonometer

Slit lamp. Unit consists of a base mounted ophthalmological slit lamp with head and chin rest and manual height and focusing adjustments.

The instrument features a microscope head with parallel optics that will accept an applanation tonometer. Designed for use in ophthalmology during diagnostic examinations.

5 Haag-Streit USA, Inc.

0900.0011

LED

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

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3 Lamp, Slit, w/Applanation Tonometer

Hand Held Slit Lamp to include carry case 3 Kowa

ASL17A,

Case SL-

TC17P

4 Applanation Tonometer Applination Tonometer for BQ Slit Lamp 5 Haag-Streit USA, Inc. 9004.4

5 Transilluminator Transilluminator 5 Welch Allyn 41100

6 Transilluminator Elite Retinoscope. Four streak and one spot 5 Welch Allyn 18245

7 Lens 20D Large Lens Clear 5 Volk V20LC

8 Lens 78D Clear 5 Volk V78C

9 Lens 90D Clear 5 Volk V90C

10 Diagnostic Prism Exophthalmometer 5 Marco Ophthalmic 1102

11 Diagnostic Algerbrush II w/.5mm Burr 1 Alger BR2-5

12 Diagnostic Pachmate 2 pachymeter 5 DGH Technologies DGH55B

13 Diagnostic HA-2 Hand held appln tonometer 5 Kowa ATO-6K

14 Diagnostic Calipers 1 Amcon HT3100

15 Diagnostic Lens Clock 1 Amcon HT-3104

16 Tools Amcon 10 piece plyers kit with rack 1 Amcon 21/106/1000

17 Ophthalmoscope, Binocular, Indirect

Indirect binocular ophthalmoscope.

Wireless, 2000 lux of light that can be turned down to 2% of total illumination, single control to change aperture size and position, built-in full time IR and UV barrier, PD range 47- 75mm. Includes LED Slimline Wireless with Charger & Two (2) Batteries. Dimmer control is standard.

5 Keeler Instruments, Inc. 1205P2000

18 Ophthalmometer/Keratometer

General keratometer. Dual reading knobs measure in millimeters and diopters, two-way adjustable head and chin rests, dual eye-level sighting system, positive fixation, coincidence focusing system, wide-angle eyepiece, precision objectives and achromatic lenses. Fits all standard instrument trays. Includes dust cover, one spare 15 watt bulb.

5 Topcon Medical Systems, Inc.

Topcon KM-

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19 Tester, Visual Acuity, Video/Microprocessor Based

Digital wall mount acuity chart. 19" high-resolution LCD flat panel display with remote control. Tests include Snellen characters, red/green test, optotypes, contrast acuity, cartoon loop with sound for pediatric fixation, and random sequencing; complies with ETDRS protocol. Can be used with room lights on or off; configured for direct or mirrored viewing. All-in-one design eliminates the need for a PC or additional components. Includes wall mount bracket.

Reichert Technologies Ophthalmic Instruments

ClearChart 4X

20 Unit, Exam, Eye, w/Motor Chair

Power exam chair with flip-up footrest. Features power lift base, coordinated power back/foot, flip-up lock-down arms, patient footrest, electrically operated lock/unlock of the swivel top, all steel frame and cushion substrates. Dual-side back mounted membrane switches with swivel lock/unlock feature, two user-settable program positions, auto return, stop/cancel, and any button cancellation. Choice of Velcro-attached upholstery in standard foams. Must select height options:

21 inch entry height, or 19 inch entry height, and upholstery color. ADA compliant.

5 Marco Ophthalmic 1220_Black

21 Lens, Trial

Trial lens frame set. Set consists of light weight and color-coded marked lenses, holding tray, and a complete assortment of other accessories. It is used to determine visual acuity. Set features horizontal and vertical bridge adjustments with individual adjustments for temple length and angle.

Reichert Technologies Ophthalmic Instruments

15015

22 Gauge, Distance, Pupillary

Handheld Pupillometer. Portable, battery powered, hand-held device used to measure pupil size in 2 seconds. Features one button activation, requires no calibration, VIP technology, stores data on the device, or can be recalled and/or printed. Video of the measurement can be played on the device's screen. Optional Printer Kit not included. Includes: Charging station, power supply, carrying case, battery, and eye cups (2).

Reichert Technologies Ophthalmic Instruments

15020R

23 Warmer, Spectacle, Plastic Plastic spectacle warmer. Bath type.

Thermostatically controlled. For use with glass beads or salt.

1 Hilco 12/051/0000

24 Frame Set Fix Trial Frame PD Scales- 50/52/54/56/58/60/62/64/66/68 6

Reichert Technologies Ophthalmic Instruments

15010R

25 Instrument Stand- 3 Arm-

Instrument Stand, Stand to included Phoropter arm attachment, an additive tray with keratometer arm and tray and a integral instrument tray. Unit is designed for use during ophthalmic examinations. Will need Ratchet and Coller Set, e chair mover, well desk and kertometer arm

5 Marco Ophthalmic 1206M

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26 Counterbalance Karatometer balance Arm/Stand

Keratometer arm. Unit is designed for use during ophthalmic examinations. Will need Ratchet and Coller Set, e chair mover, well desk and kertometer arm

5 MACRO 1204

27 Phoropter Phoropter, unit for eye examination 5

Reichert Technologies Ophthalmic Instruments

11625

28 Chair Glide Chair Glide system for handicapped accessibility 5 Reliance 940002

29 Diagnostic Probe for Pachmate II 3 DGH Technologies DET2006

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: This is a brand name specific make and model request. The Canandaigua and Bath VA Medical have integrated to what will be known as the VA Finger Lakes Health Care System. With that, the expectation is medical providers may work at any of the facilities within the region to include Bath, Canandaigua and/or Rochester. To ensure continuity in care, all facilities within the region must standardize medical equipment. In addition, this standardization further aligns the Eye Care Clinic’s association with the Flaum Eye Institute of the University of Rochester, NY. Providers from this institute are contracted by the Department of Veterans Affairs for the Upstate New York VA facilities to perform eye care exams, procedures and surgeries. The equipment purchased for the new VA Rochester Outpatient Clinic must be compatible with equipment currently in use at the Flaum Eye Institute.

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

In accordance with FAR Part 10, market research will be conducted by posting a sources sought notice and a synopsis of the proposed acquisition, advising industry of the pending acquisition and soliciting inquiries from interested parties

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.

Sam DeMuzio Date Contracting Officer https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466