36C25019Q0766-001.pdf

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

VHAPM Part 813.106 Page 1 of 1 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

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: VA250‐19‐AP‐3914

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Aleda E. Lutz Medical Center

PR 655‐19‐3‐159‐0432

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

This is a BRAND NAME ONLY request for the following product:

Zeiss OS CIRRUS HD‐OCT Model 5000 with Angioplex OCT Angiography Version 9.5 – to replace older model (4000) which will significantly improve scans with higher definition OCT images.

Estimated amount: $101,450.00

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

Saginaw’s current Cirrus OCT 4000 has serial patient data and this information is only compatible with the Cirrus OCT 5000. This is critical for detecting progression of disease over this period of time for hundreds, possibly thousands of patients already in the system.

• Capabilities to capture and provide OCT Angiography

• Unit can scan at exactly 27,000 A‐scans a second and 68,000 A‐scans a second

• Ability to scan the retinal nerve fiber and optic nerve head analyst information using 200‐line by 200‐line scan

• Ability to scan retina nerve fiber layer and the optic nerve disc and neuro retina rim thickness at the same time in one scan.

• Can provide a 12 radial line scan for the macula/retina region

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

Through market research, Zeiss Cirrus HD‐OCT is the only model found to offer the functions above.

Reviewed items on NAC, ECAT, GSA, to find similar product, contacted vendors and subject matter experts in Optometry clinic. This brand name justification will be posted on FBO to maximize competition.

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.

Brooke L. Hansen Date Contract Specialist

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