36C25220B0003-012.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: 36C252‐20‐AP‐0060

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: 695‐20‐1‐6908‐

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

Firestop Systems, is an integration of materials, assemblies and components to provide firestopping to prevent fire from spreading through penetrations in walls, ceiling and floors throughout the medical center.

The estimated cost for HILTI Firestop Systems products is $5,000.00

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: Firestopping is achieved through assemblies, not just materials and it is imperative approved assemblies are used and the assemblies are the same throughout the hospital to allow for inspections and adequate compliance when The Joint Commission and VA inspect for accreditation of the hospital and the safety of patients and staff. It is necessary to match existing systems to ensure there are no interface problems, approved assemblies are used in lieu just materials and all systems are UL approved.

4. Description of market research conducted and results or statement why it was not conducted: We established HILTI as our standard. The other Firestop systems on the market are not compatible with HILTI. The products cannot be mixed together in a penetration because this voids the UL rating required. Were to switch systems we would not be able to maintain the existing firestop in the hospital and would be forced to remove and replace entire systems.

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

VHAMIWSchleJ Typewritten Text 10-04-2019