36C25021P2121_1.docx

SUBJECT*

EQUIPMENT-CLC AVASURE-DETROIT

GENERAL INFORMATION

SET-ASIDE

Columbus Chalmers P. Wylie Ambulatory Care Center 420 North James Road Columbus OH 43219-1834

POINT OF CONTACT*

Percy Johnson percy.johnson2@va.gov Percy.Johnson2@va.gov 614-257-5534

AWARD INFORMATION

LINE ITEM NUMBER

AWARDEE ADDRESS LINE 1*

AWARDEE ADDRESS LINE 2*

AWARDEE ADDRESS LINE 4*

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

Award Notice Award Notice

DESCRIPTION

*= Required Field Award Notice Award Notice

DEPARTMENTOFVETERANSAFFAIRS

JustificationandApproval(J&A)For OtherThanFullandOpenCompetition(>SAT)

AcquisitionPlanActionID:36C250-21-AP-3915

1. ContractingActivity:

Department of Veterans Affairs, VISN 10John D. Dingell VA Medical Center 4646JohnRSt,DetroitMI 48201

237:553-21-3-064-0053

2. Natureand/orDescriptionoftheActionBeingProcessed:

The John D. Dingell VA Medical Center is requesting to procure the AvaSure Telesitter Solution whichshall include the Server License, Monitoring License, 21 units (6 mobile units and 15 ceiling units),software,installationservices,projectmanagementandprogramdevelopmentservices,andtraining/support related to the installation and program implementation. This equipment will provide amorecosteffective,saferobservation,andcommunicationsolutiontopatientmonitoringneedsthroughouttheVAMedicalCenter.Thismonitoringsystemwillbeplacedinpatientroomsandaccessedfrom a central observation and communications station through built-in one-way video and two-wayaudio channels.

FAR13.5SimplifiedProceduresforCertainCommercialItems:Thisprocurementisfor Telesitter units in accordance with FAR 13.5 Simplified Procedures for certain Commercial Items andspecifically FAR 13.501 Special documentation Requirements, where acquisitions conducted underSimplified Acquisition Procedures are exempt from the requirements of FAR Part 6, but still require ajustificationusingtheformat ofFAR 6.303-2.

3. DescriptionofSupplies/ServicesRequiredtoMeettheAgency’sNeeds:

This procurement is for the AvaSure Telesitter Solution which shall include the Server License,Monitoring License, 21 units (6 mobile units and 15 ceiling units), required software, installationservices, project management and program development services, and training/support related to theinstallation and program implementation. This equipment will provide a more cost effective, saferobservation,andcommunicationsolutionto patientmonitoringneedsthroughouttheVAMedical

VHAPM

Part 806.3 Other Than Full and Open Competition

(OFOC)

SOP

Attachment 5:

Request for Sole Source Justification Format

>SAT

OFOC

SOP Revision Original Date: 03/22/11 Revision Date:

02/11/2021 Page of Center. This monitoring system willbe placed in patient rooms and accessed from a centralobservation and communications station through built-in one-way video and two-way audio channels.Thefollowingrequirements mustbe included.

ITEMINFORMATION

UNITPRICE AMOUNT

AVASURESOFTWARE -STANDARD-1YEAR

LOCALSTOCKNUMBER: AVA-E-0104-1Y

Funding/Req.Number:1

553-21-3-064-0053

GUARDIANHARDWARE -MOBILE

LOCALSTOCKNUMBER: AVA-M-0201-1

GUARDIANHARDWARE -CEILING- CEILINGTILE

LOCALSTOCKNUMBER: AVA-R-0203-1

GUARDIANHARDWARE-CEILING-DRYWALL

LOCALSTOCKNUMBER: AVA-R-0205-1

US POWER CORD - 10' MEDICALLOCALSTOCKNUMBER: A-000285

0006 2.00 EA

SPARE PARTS KIT WITH 10 FT POWER CORDLOCALSTOCKNUMBER:AVA-SK-0101-3

Funding/Req.Number:1 553-21-3-064-0053

SHIPPING AND HANDLING PER SOFTWARELOCALSTOCKNUMBER:AVA-SHIPHAND

IECE

AVASURE INSTALL SERVICES - REMOTELOCALSTOCKNUMBER:AVA-SERV-0115

AVASURE

PROJECT

MANAGEMENT

SERVICES

LOCAL

STOCK

NUMBER:

AVA-SERV-0118

Funding/Req.

Number:

553-21-3-064-0053

AVASURE CLINICAL SERVICES - ADVANCED CONSULTINGLOCALSTOCKNUMBER:AVA-SERV-0118

Funding/Req.Number:1 553-21-3-064-0053

MONITOR STATION - 40" MONITORLOCALSTOCKNUMBER: A-000214

PERPROPOSAL41952,LINEITEM1INCLUDES

A30%DISCOUNTPER

EACHITEM.

LOCALSTOCKNUMBER:DISCOUNT

553-21-3-064-0053

PERPROPOSAL41952,LINEITEM2INCLUESA20%DISCOUNTPEREACH

ITEM.

LOCALSTOCKNUMBER:DISCOUNT

553-21-3-064-0053

PERPROPOSAL41952,LINEITEM3INCLUDESA20%DISCOUNTPER

EACHITEM.

LOCALSTOCKNUMBER:DISCOUNT

Funding/Req. Number:1

553-21-3-064-0053

PERPROPOSAL41952,LINEITEM4INCLUDESA20%DISCOUNTPER

EACHITEM.

LOCALSTOCKNUMBER:DISCOUNT

Funding/Req.Number:1 553-21-3-064-0053

PERPROPOSAL41952,LINEITEM6INCLUDESA15%DISCOUNTPEREACH

ITEM.

LOCALSTOCKNUMBER:DISCOUNT

Funding/Req.Number:1 553-21-3-064-0053

PERPROPOSAL41952,LINEITEM11INCLUDESA15%DISCOUNTPEREACHITEM.

LOCALSTOCKNUMBER:DISCOUNT

Funding/Req.Number:1 553-21-3-064-0053

GRANDTOTAL

Deliverydate:10/30/2021

4. StatutoryAuthorityPermittingOtherthanFullandOpenCompetition:

(X ) (1) Only One Responsible Source and No Other Supplies or Services Will SatisfyAgencyRequirementsper41USC§3304(a)(1)asimplementedbyFAR6.302-1.

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by FAR 6.302-2.()(3)IndustrialMobilization,Engineering,DevelopmentalorResearchCapabilityorExpert Servicesper41USC§3304(a)(3)asimplementedbyFAR6.302-3.

()(4)InternationalAgreementper41USC§3304(a)(4)asimplementedbyFAR6.302-4( ) (5) Authorized or Required by Statute per 41 USC §3304(a) (5) as implemented by FAR6.302-5.

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by FAR 6.302-6.()(7)PublicInterestper41USC§3304(a)(7)asimplementedby FAR6.302-7.

5. DemonstrationthattheContractor’sUniqueQualificationsorNatureoftheAcquisitionRequirestheUseoftheAuthorityCitedAbove(applicability ofauthority):

The AvaSys Telesitter Program provides a combination of services and capabilities that impactand enhance system performance that are not readily available in a combined manner in anyother patient audio/video monitoring platforms. Services include planning, deployment, andtraining with live technical and clinical support. Capabilities include privacy mode with automaticin‐room audio/visual notification, wireless or hardwired carts or hardwired permanent roominstallations, verified, non‐sensor based alarm feature for emergent situations that do notcontribute to alarm fatigue, pan, tilt, zoom camera with automatic low light mode and infraredilluminator, instant, digital, two‐way audio, patient out of room feature with reminders, foreignlanguage feature, dynamic, custom notes for each patient, remote monitoring capability, mobileapplication and dynamic room view changes. Support includes 24x7 access to an AvaSys CertifiedTechnical Staff Member. AvaSure Clinical Sales Support assures that if needed, programassessment and adjustment recommendations will be made to ensure program meets both thesafety and financial goals desired. AvaSys Telesitter Solution is a sole source product:manufactured, sold, and distributed exclusively in the United States by AvaSure, LLC. Only theAvaSysTeleSitterprovidesacontinuousvirtualpatientengagementplatformwhichbenefitspatients,families,andcaregiversinhigh‐risksituations.Avasureholdsproprietaryrightstosoftware,upgrades,andcomponent equipmenttobeused withthevideomonitors. All repairs/upgrades must be completed with the use of OEM parts in accordance to allmanufacturer specifications. The Avasure Telesitter Solution will be used to centrally monitorpatients using 1way video and 2-way audio form the patient room via one of the Guardianoptions: mobile, ceiling or wall devices. These devices will utilize existing Hospital wired orwirelessnetworkandmaybemoved fromroomtoroomas needed.

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

Anintentto solesourcewaspostedto ContractingOpportunities,andthere were0responses.

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

The price on the current quote was compared to prices on PO 506A99001, PO 553C00115, andpricing found on GSA for the 4 items that were available, and the C/O has determined the price tobe fair andreasonable.

8. DescriptionoftheMarketResearchConductedandtheResults,oraStatementoftheReasonsMarketResearchWasNotConducted:

Searched VetBiz using keyword Telesitter and there were 0 SDVOSB/VOSB vendors. Searched again,using NAICS code 334290 and located 208 vendors. GSA revealed 1 vendor with the ability to providesome of the requested items but could not meet the full requirement. There were no vendors listedonVANACabletomeetthe requirement.The VARuleofTwo isnotattainablefor thisprocurement.

9. AnyOtherFactsSupportingtheUseofOtherthanFullandOpenCompetition:

FPDS shows 19 procurements for AvaSys Telesitter Program since January 2021, including 2 from NCO10,andall havebeen purchased throughAvasure.

10. ListingofSourcesthatExpressed,inWriting, anInterestintheAcquisition:

Avasure 5801SafetyDr.

BelmontDr,MI49306 Daniel.martin@avasure.com

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers toCompetition before Making subsequent acquisitions for the supplies or services required: J&A willbe posted to Contracting Opportunities as required (14 days after award) and will be available ashistorical data for similar purchase in the future.Should a requisition of this nature recur, themarketwill besurveyed.

12. Requirements Certification:I certify that the requirement outlined in this justification is a Bona FideNeed 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 andbelief.

SimonMaxwell Acquisition Utilization SpecialistDetroitVAMC

13. ApprovalsinaccordancewiththeVHAPMPart806.3OFOCSOP:

a. Contracting Officer or Designee’s Certification (required):I certify that the foregoingjustificationisaccurateandcomplete tothe bestofmy knowledgeandbelief.

Percy JohnsonContracting SpecialistNCO10

Kellie KonopinskiContracting OfficerNCO10

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $750K):Icertifythejustificationmeetsrequirements forotherthanfull andopencompetition.

DianaJ.Pittman SupplyTeam3BranchChiefNCO10