36C24625Q0064.docx

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

GENERAL INFORMATION

BASE NOTICE TYPE

CONTRACTING OFFICE ADDRESS

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

POINT OF CONTACT*

AWARD INFORMATION

MODIFICATION NUMBER

LINE ITEM NUMBER

AWARDEE NAME*

CONTRACTOR’S UEI

SIEMENS MEDICAL SOLUTIONS USA, INC.

KFMJVLKNLZ75

AWARDEE ADDRESS LINE 1*

AWARDEE ADDRESS LINE 2*

AWARDEE ADDRESS LINE 4*

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

Justification and Approval Notice Justification and Approval Notice

DESCRIPTION

Justification and Approval Notice

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:______________________: 36C24624AP6777

1. Contracting Activity: Department of Veterans Affairs, VISN XX, XXXX Medical Center Fully identify the contracting agency and organizational activity responsible for the proposed contracting action. Identify purchase request (i.e. 2237) number, if applicable.

2. Department of Veterans Affairs, VAMC Hampton, NCO 6, 100 Emancipation Dr, Hampton, VA 23667

590-25-1-101-0024

3. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: Repair MRI - $73,688.61

4. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: To keep the MRI under warranty the manufacturer is the only authorized repair source.

Note: Pursuant to 38 U.S.C 8127(b), COs may use other than full and open competition when awarding to SDVOSB and VOSB firms for procurements under the SAT. However, Per HYPERLINK "https://www.va.gov/oal/docs/business/pps/ppm201605.pdf" VA PPM 2016-05 (Revised August 2019) Implementation of the Veterans First Contracting Program, the focus should be on competing requirements among SDVOSBs and VOSBs to achieve a fair and reasonable price.

5. Description of market research conducted and results or statement why it was not conducted: Market research resulted in only one source. The manufacturer does not have any associated authorized repair options.

6.

7. 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 HYPERLINK "https://dvagov.sharepoint.com/:b:/r/sites/VHAProcurement/VHAPG/S19%20Open%20Market%20(FAR%2013)%20Award%20Documentation%20Form%20with%20Abstract.pdf"S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Title

Revision: 00 Acquisition ID#:

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