P03 LSJ.pdf

Attachment 1: Justification for Limiting Sources for Micro-Purchase Threshold up to the SAT

VHAPG Part 808.405-6 Limiting Sources Page 1 of 3 Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C250-26-AP-1907

DEPARTMENT OF VETERANS AFFAIRS

GSAR 538.7104-3(b)(1)(ii) – Justification for Limiting Sources (LSJ) For

Limiting Sources (<SAT)

Acquisition Plan Action ID: 36C250-26-AP-1907

1. Contracting Activity: The Department of Veterans Affairs, Veterans Integrated Service

Network (VISN) 10, Louis Stokes Cleveland VAMC (CLE VAMC) Network Contracting Office

(NCO) 10.

Transaction: 541-26-2-250-0072

2. Description of Action: Network Contracting Office (NCO) 10 intends to award a new, firm-fixed-price delivery order to Olympus American, Inc., a large business, under FSS contract 36F79721D0168 (expires: December 31, 2026). This requirement is for the a video system center for the GI scopes.

Order against: FSS Contract Number: 36F79721D0168

Name of Proposed Contractor: Olympus America, Inc.

Street Address: 3500 Corporate Parkway, PO BOX 61 City, State, Zip: Center Valley, PA 18034 Phone: (484) 896-5838

3. Description of Supplies or Services:

The Department of Veterans Affairs, CLE VAMC, requires a delivery order for the procurement of a video system center.

5 EA CV 1500

8 EA OEV321UH

6 EA AC-300MD

ESTIMATED DOLLAR VALUE: $261,114.00

REQUIRED DELIVERY DATE: 30 Days ARO

4. Authority:

5. Order Against FSS: Authority of the Multiple Award Schedule Program, Title III of the

Federal Property and Administrative Services Act of 1949 (41 USC 251, et seq.); Title 40 USC 501, Services for Executive Agencies; and Section 803 of the National Defense Authorization

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Acquisition ID#: 36C250-26-AP-1907

Act of 2002 (PL 107-107) and implemented by GSAR 538.7104-3. Mark the applicable exception:

Only one source is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized;

GSAR 538.7104-3(b)(1)(ii));

6. Rationale/explanation to support cited authority: Olympus America, Inc. is the only vendor capable of providing the required video system center components at the level of quality and compatibility required to meet the Cleveland VAMC’s clinical needs, both under the Federal Supply Schedule (FSS) and in the open market. The CV-1500 Video System Center, OEV321UH UHD monitors, and AC-300MD power components are Original Equipment Manufacturer (OEM) products designed to function as an integrated system with existing Olympus endoscopy platforms currently deployed at CLE VAMC.

The Medical Service requires equipment that is fully compatible with the existing Olympus-based endoscopy infrastructure to ensure continuity of care, maintain clinical image quality standards, and avoid disruption to established procedures and workflows. Market research determined that alternative manufacturers’ video system centers are not compatible with the existing Olympus systems and would require replacement of current equipment, additional interfaces, retraining of clinical staff, and potential workflow interruption. As such, these alternatives would not meet the Government’s minimum requirements.

Market research conducted through GSA eLibrary, the VA National Acquisition Center (NAC), SEWP, FPDS, SAM.gov, and the Small Business Search (SBS) database did not identify any other vendors—either on an FSS contract or in the open market—authorized or capable of providing the required Olympus video system center equipment. Olympus America, Inc.

confirmed that it supplies this equipment directly as the OEM and does not utilize authorized distributors for these products.

A Notice of Intent to Sole Source, RFI 36C25026Q0284, was posted on SAM.gov, Contract Opportunities on February 17, 2026 with a response date of February 10, 2026 with no responses.

Accordingly, only Olympus America, Inc. is capable of providing the required supplies at the level of quality, compatibility, and support necessary to meet the Government’s minimum requirements, and limiting sources is justified in accordance with GSAR 538.7104-3(b)(1)(ii).

7. BRAND NAME ONLY This buy is estimated to exceed $25,000 and this documentation will be posted along with the RFQ on e-Buy, as required by GSAR 538.7104.

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Acquisition ID#: 36C250-26-AP-1907

8. Note that this determination satisfies the requirements of GSAR 538.7104. In accordance with RFO 6 and GSAR 506.303, the requirement to prepare a justification under FAR Part 6 does not apply to orders placed against Federal Supply Schedule contracts.

Rachelle J. Hamer Contracting Officer

NCO 10