Attachment 06 534-CSI-714 Brand Name J A Fire Sprinkler Dampers.pdf

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

Revision: 01 Effective Date: 11/15/2024 Page 1 of 2 Acquisition ID#:

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:

1. Contracting Activity: Department of Veterans Affairs, VISN 07, Ralph H. Johnson VA Medical Center

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

The Ralph. H Johnson VAMC has a requirement to utilize specific products for basis of design. The requested brands for fire sprinklers and dampers are necessary to meet requirements and interface with existing hospital equipment. This equipment must be installed to maintain Factory Mutual/Underwriter’s Laboratory requirements for a unified system built and tested together. The fire dampers must integrate with the Gamewell FCI fire alarm control panel system to function properly and continue manufacturer certification that the fire alarm system will work as intended and per NFPA and VA Fire Protection Design Manual requirements.

Basis of design to be Ruskin Fire-Smoke Dampers and actuators and fire sprinkler assemblies as follows:

Type D upright sprinkler heads where Type D, defined as one of the following:

1. Tyco TY3151

2. Reliable Model G

3. Viking QR VK300 / VK350 Brass Upright

4. Victaulic Model V27 Upright

Type A semi-recessed ordinary coverage sprinkler heads where Type A, defined as one of the following:

1. Tyco TY3251

2. Reliable Model FI Head & Model G-FI Escutcheon

3. Viking QR VK302 / VK352 Pendent

4. Victaulic Model 34

The total cost for the above items is estimated to be approximately $

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

Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1. The listed supplies described are the only materials that can ensure compatibility with the existing fire protection and fire alarm systems that are in place. These systems must be uniform as that is how they are tested by the manufacturer and certified by national testing bodies

36C247-26-AP-2508

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

Revision: 01 Effective Date: 11/15/2024 Page 2 of 2 Acquisition ID#:

(Factory Mutual and Underwriter Laboratories). In order to maintain certifications that these systems meet code and VA design manual requirements, particular equipment must be installed to maintain certifications that the system will function properly and save life and property when activated.

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

Market research was not conducted because the supplies listed are necessary to form a unified, cohesive, and compliant fire protection and fire alarm system.

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.

Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the

S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Name Date Title