P03 36C262-25-AP-4535-FY25-1327 JOFOC Activations Pati.pdf

Effective Date: 11/15/24 Page 1 of 8

REVISION: 01

Acquisition ID#:

DEPARTMENT OF VETERANS AFFAIRS

SOLE SOURCE JUSTIFICATION UNDER SIMPLIFIED PROCEDURES FOR CERTAIN COMMERCIAL

ITEMS IN ACCORDANCE WITH FAR 13.5

Acquisition Plan Action ID:36C262-25-AP-4534 JOFOC Tracker #: FY25 - NCO 22 - 1725

1. Contracting Activity: Department of Veterans Affairs, VISN 22, VA Loma Linda Healthcare System (VALLHS) U.S. Department of Veterans Affairs VHA Regional Procurement Office West, Network Contracting Office 22, 4811 Airport Plaza Drive, Ste 600 Long Beach, CA 90815-1263 Nursing Service.

Transaction# 605-25-2-077-0243.

2. Nature and/or Description of the Action Being Processed: VALLHS located at 4811 Airport Plaza Drive, Ste 600 Long Beach, CA 90815 requires a Firm-Fixed Price (FFP) for a Brand Name Only requirement to upgrade the Philips Intellivue Patient Monitoring System. This upgrade is for the facility’s VA owned patient monitoring system, so the software will be compatible with VA owned Philips’s hardware and software. The estimated delivery date is 19 Sep 2025.

This procurement is a new FFP for a Brand Name Only requirement to Upgrade the Philip’s Intellivue Patient Monitoring System in accordance with FAR 13.5 Simplified Procedures for Certain Commercial items and specifically FAR 13.501 Special Documentation Requirements, where acquisitions conducted under Simplified Acquisition Procedures are exempt from the requirements of FAR Part 6, but still require a justification using the format of FAR 6.303-2. The estimated total value of the proposed action is : $1,110,248.93.

3. Description of Supplies/Services Required to Meet the Agency’s Needs: The Philips Intellivue monitoring software upgrade will provide additional features and is compatible with existing and future Cerner deployments, intergrations, and hardware for the Intellivue Monitoring System.

ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0001 3.00 EA $10,140.570000 $30,421.71

CT/CATH LAB- MONITOR IntelliVue MX450 U -SL1 MX450 Standard Monitor -E24 One Lithium Ion Battery -J13 RS232/MIB Interface -J45 Smart Hopping IF 1.4 GHz

0002 3.00 EA $7,553.980000 $22,661.94

CT/CATH LAB- MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

0003 3.00 EA $4,491.000000 $13,473.00

CT/CATH LAB- MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

0004 7.00 EA $7,553.980000 $52,877.86

GI-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

0005 7.00 EA $4,491.000000 $31,437.00

GI-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

Effective Date: 11/15/24 Page 2 of 8

Acquisition ID#:

0006 6.00 EA $5,386.410000 $32,318.46

GI-MONITOR IntelliVue MX450 Software Upgrade -R17 Innovation revision P -SUP Upgrade to SW Rev. P Base -DCP Doc. Set for SW Rev.Pxx

LOCAL STOCK NUMBER: 866362_SUM

0007 1.00 EA $967.380000 $967.38

GI-MONITOR IntelliVue MX800 Software Upgrades -SUM Upgrade to SW Rev. M -DCM Doc. Set for SW Rev.Mxx

LOCAL STOCK NUMBER: 865307-VA-4

0008 3.00 EA $4,517.080000 $13,551.24

GI-MODULE IntelliVue BIS Module -B01 BIS Device -K20 BIS 4-Electrode Sensors

LOCAL STOCK NUMBER: 866421-1

0009 3.00 EA $711.530000 $2,134.59

GI-IMPLEMENTATION SOLUTIONS Roll Stand: MX400-800, MP40-70, MP5

LOCAL STOCK NUMBER: MXU0462-1

0010 8.00 EA $7,553.980000 $60,431.84

GI RECOVERY-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0011 8.00 EA $4,491.000000 $35,928.00

GI RECOVERY-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0012 1.00 EA $7,553.980000 $7,553.98

IT-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0013 19.00 EA $50.440000 $958.36

CT/CATH/GI/RECOVERY/IR-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0014 9.00 EA $7,553.980000 $67,985.82

3SE-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0015 9.00 EA $4,491.000000 $40,419.00

3SE-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

0016 9.00 EA $50.440000 $453.96

Effective Date: 11/15/24 Page 3 of 8

Acquisition ID#:

3SE-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0017 10.00 EA $7,553.980000 $75,539.80

SICU-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0018 10.00 EA $4,491.000000 $44,910.00

SICU-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0019 11.00 EA $50.440000 $554.84

SICU-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0020 8.00 EA $7,553.980000 $60,431.84

SSU-MONITOR IntelliVue Multi-Measuremen\E\t Module X3 -C12 Conventional 12 Lead ECG - E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

021 6.00 EA $4,866.720000 $29,200.32

SSU-MONITOR IntelliVue MX400 Software Upgrade -R17 Innovation revision P -SUP Upgrade to

SW Rev. P Base -DCP Doc. Set for SW Rev.Pxx

LOCAL STOCK NUMBER: 866360-MX

0022 8.00 EA $4,491.000000 $35,928.00

SSU-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0023 9.00 EA $50.440000 $453.96

SSU-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0024 11.00 EA $7,553.980000 $83,093.78

OR-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0025 11.00 EA $50.440000 $554.84

OR-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0026 11.00 EA $4,491.000000 $49,401.00

OR-SUPPLIES IntelliVue Microstream Extension -B06 Add dual IBP, Temp

Effective Date: 11/15/24 Page 4 of 8

Acquisition ID#:

0027 15.00 EA $7,553.980000 $113,309.70

PACU-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0028 16.00 EA $50.440000 $807.04

PACU-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0029 15.00 EA $4,491.000000 $67,365.00

PACU-SUPPLIES IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0030 2.00 EA $7,553.980000 $15,107.96

BIOMED-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW - B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0031 2.00 EA $50.440000 $100.88

BIOMED-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0032 8.00 EA $322.990000 $2,583.92

BIOMED-IMPLEMENTATION SOLUTIONS Project Management: Advanced

LOCAL STOCK NUMBER: 989803208691

0033 16.00 EA $290.270000 $4,644.32

BIOMED-IMPLEMENTATION SOLUTIONS Labor: Install/De-Install Equipment

LOCAL STOCK NUMBER: 989805710138

0034 2.00 EA $7,553.980000 $15,107.96

ACC DENTAL-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0035 2.00 EA $50.440000 $100.88

ACC DENTAL-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0036 1.00 EA $10,140.570000 $10,140.57

CARDIOLOGY-MONITOR IntelliVue MX450 US -SL1 MX450 Standard Monitor -E24 One Lithium Ion Battery -J13 RS232/MIB Interface -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 866062_NAM-VA15

0037 5.00 EA $7,553.980000 $37,769.90

Effective Date: 11/15/24 Page 5 of 8

Acquisition ID#:

CARDIOLOGY-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0038 5.00 EA $4,491.000000 $22,455.00

CARDIOLOGY-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0039 5.00 EA $50.440000 $252.20

CARDIOLOGY-SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0040 1.00 EA $967.380000 $967.38

PAIN CLINIC-MONITOR IntelliVue MX800 Software Upgrades -SUM Upgrade to SW Rev. M -DCM Doc. Set for SW Rev.Mxx

LOCAL STOCK NUMBER: 865307-VA-4

0041 1.00 EA $7,553.980000 $7,553.98

DENTAL MAIN-MONITOR IntelliVue Multi-Measurement Module X3 -H72 Critical Care Transport SW -B06 Dual Press and Temp -SP5 Masimo rainbow SET SpO2 -A04 4-waves capability -C12 Conventional 12 Lead ECG -E31 Carrying Handle -J45 Smart Hopping IF 1.4 GHz

LOCAL STOCK NUMBER: 867030-1-V15

0042 1.00 EA $4,491.000000 $4,491.00

DENTAL MAIN-MONITOR IntelliVue Microstream Extension -B06 Add dual IBP, Temp

LOCAL STOCK NUMBER: 867041-1

0043 1.00 EA $50.440000 $50.44

DENTAL MAIN- SUPPLIES Air Hose 5mm bore connector

LOCAL STOCK NUMBER: 989803209771

0044 4.00 EA $711.530000 $2,846.12

SITE IMPLEMENTATION Roll Stand: MX400-800, MP40-70, MP5

LOCAL STOCK NUMBER: MXU0462-1

0045 8.00 EA $322.990000 $2,583.92

Project Management: Advanced

LOCAL STOCK NUMBER: 989803208691

0046 16.00 EA $290.270000 $4,644.32

Labor: Install/De-Install Equipment

LOCAL STOCK NUMBER: 989805710138

0047 8.00 EA $465.490000 $3,723.92

Labor: Upgrade Bedside

LOCAL STOCK NUMBER: 989805710168

GRAND TOTAL $1,110,248.93

Effective Date: 11/15/24 Page 6 of 8

Acquisition ID#:

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): This is to upgrade the existing VA owned monitoring system. The software is to be installed on the existing VA owned Philips equipment located at VALLHS. Currently, the Philips software upgrade for the Intellivue Patient Monitoring System is compatible for integration and the only product that will meet the needs of the VA. Accordingly, Philips is the only firm capable of providing the supplies and services described in Section III above without the Veteran's Health Administration experiencing substantial duplication of cost that could not be expected to be recovered through competition and unacceptable delays in fulfilling its requirements.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: VALLHS performed market research within Philips Healthcare to determine if any Service-Disabled Veteran-Owned Small Businesses (SDVOSB) were eligible to distribute their products. It was concluded that Four Points Technology (SDVOSB) is an authorized distributor.

Additional market research was conducted by the Contract Specialist and in a search of VetBiz, FPDS, and communication with Philips Healthcare representative it was confirmed that Alliant Healthcare (SDVOSB) is also an authorized distributor.

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

The solicitation will be posted on Contract Opportunities as a SDVOSB Set-Aside to include the Brand name Justification, allowing for all SDVOSB authorized distributors of the Philips software product to submit quotes. This will allow price competition and comparison for determination of fair and reasonableness.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Market research was conducted on May 6, 2025, and the results include the following: a search of www.vip.vetbiz.va.gov, using “Intellivue” and none was found, using the word “Philips” eleven (11) SDVOSB were found. During pre-solicitation exchanges, there were at least 2 SDVOSBs authorized to distribute the Philips products and they are Alliant Healthcare and Four Points Technology. In addition, Philips North America, LLC, the large business manufacturer, offers the product per National Acquisition Center(NAC) 36F79720D0042. The NAICS

Effective Date: 11/15/24 Page 7 of 8

Acquisition ID#:

Code 334510 is included on the Non-Manufacturer Rule Class Waiver List, including Product Service Code (PSC) 6525. This authorized the solicitation to be a SDVOSB Set-Aside. Philips IntelliVue monitoring software qualifies as a Commercially Available Off-The-Shelf (COTS) items. (COTS) and is sold commercially in substantial quantities and offered to the government without modification in the same form as sold to the public, therefore, exempt from the BAA's domestic content requirements. The origin of Philips IntelliVue monitoring software is in Germany, a TAA compliant country, however, it doesn’t apply for 100% SDVOSB Set-Aside. Although this item is COTS, IAW FAR 25.001(c)(1), only the second part of the two-part test (i.e., the domestic content test) may be waived, but the product must be manufactured in the U.S. at a minimum to be a domestic end product. Therefore, BAA still applies and a Waiver would be needed IAW VAAM M825 to proceed with Brand Name only.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: The software is proprietary to Philips; therefore, no other manufacturer’s products will meet the requirements for the the upgrade to the related Philips Intellivue Patient Monitoring Systems.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: Pre-solicitation exchanges, in writing, resulted in market research information regarding Four Points Technology , Alliant Healthcare, and Philips.

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: When there is a requirement for purchasing new Philips’ equipment or upgrades to existing equipment, there may be an opportunity to compete the requirement for consideration of other manufacturers' products.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Daniel Nitinthorn Date

Deputy Chief of Biomed Loma Linda Healthcare System

DANIEL

NITINTHORN

Digitally signed by DANIEL

NITINTHORN

Date: 2025.08.15 07:49:39 -07'00'

Effective Date: 11/15/24 Page 8 of 8

Acquisition ID#:

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Dr. Vinicky Ann Ervin Ph.D. Date Contracting Officer Regional Procurement Office West

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $750K): I certify the justification meets requirements for other than full and open competition.

Antonio Jackson Date Division Chief- Activations Regional Procurement Office West

c. VHA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve ($750K to $7.5 million (or $15.0 million for acquisitions described in FAR 13.500(c)) for other than full and open competition.

Curtis M. Jordan Executive Director, Regional Procurement Office West Date VHA Head of Contracting Activity (HCA)

VINICKY ERVIN Digitally signed by VINICKY ERVIN Date: 2025.08.19 11:26:12 -05'00'

ANTONIO JACKSON Digitally signed by ANTONIO JACKSON Date: 2025.08.21 07:53:58 -05'00'

CURTIS

JORDAN

Digitally signed by CURTIS

JORDAN

Date: 2025.08.25 19:06:19 -06'00'