36C24418Q9349-002.pdf

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.1061 For

Over MicroPurchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID:___ VA24418AP6451____

1. Contracting Activity:

Department of Veterans Affairs, VISN 04, Corporal Michael J. Crescenz VA Medical Center

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

Zeiss Forum is an eye care data management solution designed to improve workflow efficiency. This system is a comprehensive ophthalmic Picture Archiving and Communication System (PACS) with unique features that integrates multiple ophthalmic devices allowing providers to identify eye disease progression. Estimated dollar amount is

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

Zeiss is exclusively qualified due to the proprietary nature of its equipment and its compatibility with existing equipment at our facilities. The PACS system to be purchased has components that are only compatible with the existing Zeiss equipment and would lose functionality and compatibility if another brand was used. This purchase is intended to continue an ongoing process of replacement of aging equipment.

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

Reviewed PACS systems for ophthalmology and this is the only vendor that can link ophthalmic equipment to all components of our existing ophthalmic equipment.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.1061(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 13.1063. See the S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Signature: _______________________ Signature: __________________________ Name: AMANDA SAUNDERS Name:

Title: Contracting Officer Title: Branch Chief, Hybrid 2 Facility: NCO4 Facility: NCO4 Date: Date: