36C25618Q0467-001.pdf

VHAPM Part 808.405-6 Limiting Sources Attachment 1: Justification for Limiting Sources for Micro-Purchase Threshold up to $150K

VHAPM Part 808.405-6 Limiting Sources Page 1 of 3 Original Date: 08/30/2017

DEPARTMENT OF VETERANS AFFAIRS

FAR 8 – Justification for Limiting Sources (LSJ) For

Limiting Sources (<$150K)

Acquisition Plan Action ID: VA256-18-AP-4831

1. Contracting Activity: Department of Veterans Affairs, NCO 16 Div II Supply Team C SHR

667, Veterans Healthcare System of the Ozarks, Springfield CBOC 2237# 564-18-2-1099-

2. Description of Action: Procurement Resulting in the Issue of a Delivery Order against a VA

FSS Contract Order against: FSS Contract Number: V797P-4183B

Name of Proposed Contractor: ELLEX, INC.

Street Address: 7138 SHADY OAK ROAD City, State, Zip: EDEN PRAIRIE, MN 55344 Phone: 952-881-9100

3. Description of Supplies or Services: This equipment is needed for a new activation at

Springfield, MO.

Eye Cubed ABD, QUANTITY 1 40 MHz UMB Prob QUANTITY 1 SI Cart, Mobile QUANTITY 1 10 MHz B-Probe QUANTITY 1 Biometry A-Probe QUANTITY 1 Service/Schematics Manual QUANTITY 1 Digital Imaging and Communications in Medicine Software QUANTITY 1

The estimated value of the proposed action is Under $150K

4. Authority:

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 Act of 2002 (PL 107-107) and implemented by FAR 8.405-6. Mark the applicable exception:

An urgent and compelling need exists, and following the procedures would result in unacceptable delays(FAR 8.405-6(a)(1)(i)(A);

https://www.acquisition.gov/?q=/browse/far/8

VHAPM Part 808.405-6 Limiting Sources Page 2 of 3

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;

(FAR 8.405-6(a)(1)(i)(B));

In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order and the original order was placed in accordance with the applicable Federal Supply Schedule ordering procedures. The original order was not previously issued under sole-source or limited-sources procedures (FAR 8.405- 6(a)(1)(i)(C)); or

Items peculiar to one manufacturer. An item peculiar to one manufacturer can be a particular brand name, product, or a feature of a product, peculiar to one manufacturer). A brand name item, whether available on one or more schedule contracts, is an item peculiar to one manufacturer (FAR 8.405-6(b)).

Rational/explanation to support cited authority This equipment is required to equip a new activation, Optometry Clinic, Veterans Health Care System of the Ozarks (VHSO), Springfield, MO. Installation is included and no training is required.

This equipment allows for a seamless transition of providers from one clinic to another and allows for continuity of care when patients are examined at multiple clinics.

This equipment allows for direct comparison to images taken at other VHSO facilities in order to follow disease progession.

Specifications/Characteristics:

• Must be compatible with the equipment, infrastructure, and supplies already in use in the VHSO Eye Clinics.

• Must allow direct comparison to images taken at other VHSO sites in order to follow disease progression.

• Posterior Segment Visualization B-Scan

• UBM Wide-Field Anterior Segment B-Scan

• Axial Length Biometry A-Scan

• Standardized Diagnostic Biometry A-Scan

• Customized configuration: Customized Configuration of A-Scan and B-Scan modes

• Ability to capture 20 second movies

• High speed Imaging: Acquisition rate of up to 25 frames per second

• Minimum 40 Mhz UBM Wide Field Antermir Segment B-Scan Mode

VHAPM Part 808.405-6 Limiting Sources Page 3 of 3

5. BRAND NAME ONLY (Delete this section if it does not apply): This buy is estimated to exceed $25,000 and this documentation will be posted along with the RFQ on e-Buy, as required by FAR 8.405-1(e).

6. Note that this determination satisfies the requirements of FAR 8.405-6. The requirement to prepare a written justification IAW FAR 6.303 does not apply to Federal Supply Schedules.

PAUL FILHIOL

Contracting Officer Date: 3/6/2018 https://www.acquisition.gov/?q=/browse/far/6