36C25020C0022-000.docx

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

FedBizOpps Justification and Approval Notice

CLASSIFICATION CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

BASE NOTICE TYPE

(Required when using Statutory Authority FAR 6.302-1(c))

ARCHIVE

DAYS AFTER THE POSTING DATE

RECOVERY ACT FUNDS

NAICS CODE

SET-ASIDE

CONTRACTING OFFICE

ADDRESS

DESCRIPTION

See Attachment

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

STATUTORY AUTHORITY

AWARD NUMBER

(Not required when using Statutory Authority FAR 6.302-1(c))

MODIFICATION NUMBER

AWARD AMOUNT

LINE ITEM NUMBER

AWARD DATE (MM-DD-YYYY)

(Not required when using Statutory Authority FAR 6.302-1(c))

AWARDEE NAME

AWARDEE ADDRESS LINE 1

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AWARDEE CITY

AWARDEE STATE

AWARDEE ZIP CODE

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

AWARD INFORMATION

ADDITIONAL INFORMATION

GENERAL INFORMATION

* = Required Field FedBizOpps Justification and Approval Notice Rev. March 2010 J Lumenis Holmium Laser Maintenance Services 46240 N 811219 Department of Veterans Affairs Indiana Healthcare System Network Contracting Office 10 8888 Keystone Crossing Indianapolis, IN Melanie Williams 317-988-1534 melanie.williams5@va.gov

FAR 6.302-1

36C25020C0022 70,400.00 09-27-2019

LUMENIS INC.

2077 GATEWAY PL STE 300

SAN JOSE

CA

95110 melanie.williams5@va.gov

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: 36C250-19-AP-4110

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Network Contracting Office (NCO) 10, 8888 Keystone Crossing Suite 1100, Indianapolis, Indiana 46240 on behalf of Richard L. Roudebush VA Medical Center, Healthcare Technology Management Department.

2237 # 583-20-1-169-0026

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The service requested is for a service maintenance plan for the Lumenis Holmium Laser equipment. Service include system upgrades and technical support for the equipment.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The original equipment manufacturer (OEM), Lumenis uses a proprietary process to provide services to the equipment and does not have any third-party agreements authorizing any other entity to service the equipment.

4. Description of market research conducted and results or statement why it was not conducted: Market research consisted of queries of Vendor Information Page (VIP) and the Federal Procurement Data System (FPDS).

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.

VHAPM Part 813.106 Page 2 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018