SSJ_Redacted.pdf

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Q201--Interim Holly Springs CBOC Services
Solicitation number
36C24925D0044
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This is a Sole Source Justification document for a VA contract to provide Community Based Outpatient Clinic (CBOC) services in Holly Springs, Mississippi. The document justifies awarding a new interim Fixed-Price Indefinite-Delivery Indefinite-Quantity sole source contract to the incumbent contractor who currently operates the Holly Springs CBOC.

The justification explains that transitioning to a new contractor would cause unacceptable delays in patient care, as the incumbent already has credentialed staff with proper clearances and an operational facility with necessary equipment. The incumbent is uniquely qualified to provide immediate continuity of care while a long-term competitive procurement is conducted. The contract will provide primary care and mental health services to veterans in the rural Holly Springs area. The VA determined pricing will be fair and reasonable based on current/historical pricing, comparable CBOC contracts in VISN 9, a CBOC estimating tool, and CPI adjustments. The document includes required approvals from VA contracting officials for a sole source award above the Simplified Acquisition Threshold but not exceeding $7.5M under FAR 13.5 procedures.

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VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification >SAT-$7.5M under FAR 13.5

Effective Date: 02/01/2022 Page 2 of 4

4. Statutory Authority Permitting Restricted Competition:

FAR 13.5 Simplified Procedures for Certain Commercial Items. The statutory authority for applying the Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. § 1901 and is implemented by FAR 13.106-1(b)(2) for restricting competition on this procurement. Competition is restricted on this procurement for the reason below:

(X) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements

( ) Unusual and Compelling Urgency ( ) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert

Services ( ) International Agreement ( ) Authorized or Required by Statute ( ) National Security ( ) Public Interest

5. Demonstration that the Contractor�s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

Operation of a CBOC is considered a highly specialized service. The incumbent Contractor, , currently operates the Holly Springs CBOC under Contract No.

. The fully-operational CBOC is staffed with providers and support personnel who are trained, credentialed, possess active Personal Identity Verification (PIV) cards, and have completed Office of Personnel Management (OPM) background investigations through the Lt. Col.

Luke Weathers, Jr. VA Medical Center. The CBOC facility is leased and managed by the incumbent Contractor, including all furniture, furnishing, and equipment. It would take another Contractor months to obtain, build out, and furnish a suitable site. Transitioning these services to any other Contractor effective would result in unacceptable delays, as hiring and onboarding providers and support staff can take upwards of eight (8) weeks due to the credentialing and background investigation process. Although the current contract expires the Contractor is willing and available to continue providing services effective under an interim contract, ensuring continuity of patient care.

Until the current long-term requirement is solicited and awarded, is the only Contractor that contains the unique qualifications in order to support the justification for awarding a sole source contract effective 11-01-2024, pursuant to 41 USC § 3304(a)(2) as implemented by FAR 6.302-1, Only One Responsible Source and No Other Supplies or Services will Satisfy Agency Requirements.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

Thorough market research was conducted for the long-term requirement, to include Integrated Product Team (IPT) market research support from the Office of Small & Disadvantaged Business Utilization (OSDBU), which concurred with a determination

. Therefore, the long-term requirement will be solicited via

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification >SAT-$7.5M under FAR 13.5

Effective Date: 02/01/2022 Page 3 of 4

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

An estimated cost to the Government was derived from the following pricing tools:

a. Current and historical contract pricing for Holly Springs CBOC Services

b. Current pricing for similar-sized CBOCs in the local area; specifically, CBOC services contracts established in VISN 9

c. Medical Sharing Office CBOC Estimating Tool

d. Consumer Price Index (CPI) Escalation (2024) Bureau of Labor Statistics (BLS)

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons

Market Research Was Not Conducted:

As described in Section 6 above, thorough market research was conducted for the long-term requirement, to include for the long-term Holly Springs CBOC procurement.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

None.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to

Competition before Making subsequent acquisitions for the supplies or services required:

As described in Sections 5 and 6 above, although the long-term requirement�s market research concluded , until the current long-term requirement is solicited and awarded, is the only Contractor that contains the unique qualifications in order to support the justification for awarding a sole source contract. This interim contract is needed for more than one (1) year to allow for solicitation, evaluations, award,

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