36C25219B0050-013.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: 36C252-19-AP-2732

1. Contracting Activity: Department of Veterans Affairs, Great Lakes Acquisition Center, NCO 12, 115

South 84th Street, Milwaukee, WI 53214. Requesting Activity: Department of Veterans Affairs, VISN 12, Clement J. Zablocki VA Medical Center, 5000 W. National Avenue, Milwaukee WI 53295.

Purchase Request (2237) number: 695-19-3-6913-0014

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: This product, Belden Brick (County Materials) Seal Brown Velour A, Modular Brick, is the exterior brick of the façade of Building 111. The Building was constructed in 1965 and the replacement of brick needs to match the existing brick, so facade is seamless.

The estimated expected cost for Belden Brick (County Materials) Seal Brown Velour A products on this contract is $28,350.00.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: It is important that the materials are compatible both in material and ascetics since replacement of brick will be in the corners and as needed in other areas to repair the façade. Installing brick that does not meet the physical and color characteristics of the existing brick would result in integrity issues to the façade and building envelope in addition to an 11-story building with various colored bricks throughout. It is necessary to match existing brick color and material characteristics on the 11-story hospital building to maintain the integrity and ascetics of the building and building envelope.

4. Description of market research conducted and results or statement why it was not conducted: We investigated samples of numerous bricks from different manufacturers. The other products on the market are not equal in color to match the existing and would result in integrity and ascetics problems for the building.

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.

Jerrod Schleis Date Contracting Officer https://www.acquisition.gov/?q=/browse/far/13 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 VHAMIWSchleJ Typewritten Text April 22, 2019