36C25618Q0478-001.pdf

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Attachment 2: Request for Sole Source Justification Format >$150K

OFOC SOP Revision 06 Page 1 of 4 Original Date: 03/22/11 Revision 06 Date: 08/30/2017

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>$150K)

Acquisition Plan Action ID: VA256-18-AP-5048

1. Contracting Activity: Department of Veterans Affairs, NCO 16 Division II Supply Team C SHR Overton Brooks VA Medical Center 2237# 667-18-2-132-0216

2. Nature and/or Description of the Action Being Processed: Procurement set-aside for SDVOSB resulting in a Firm Fixed Price Purchase Order for a Brand Name Item.

FAR13.5 Simplified Procedures for Certain Commercial Items: This procurement is for Brand Name Karl Storz Endoscopy Products in accordance with FAR 13.5 Simplified Procedures for Certain Commercial Items and specifically FAR 13.501 Special Documentation Requirements, where acquisitions conducted under Simplified Acquisition Procedures are exempt from the requirements of FAR Part 6, but still require a justification using the format of FAR 6.303-2.

3. Description of Supplies/Services Required to Meet the Agency’s Needs: Urinary Endoscopy Equipment which will be compatible with existing in-use equipment

Item Description Qty UI Unit Price Part NUMBER 0001 Scopes (30 Degree) HOPKINS II 30? TELESCOPE, 4MM X 30CM, 6 EA XXXXX 27005BA 0002 Cysto Sets LIGHT CABLE, 3.5MM X 300CM (9.8 INCH) 6 EA XXXXX 495ND

0003 OPTICAL BIOPSY FORCEPS WITH DOUBLE ACTION JAWS 6 EA XXXXX 27072A

0004 FLEXIBLE GRASPING FCPS, DBL ACTION JAWS FOR 6 EA XXXX 27175A

FOREIGN BODY REMOVAL, 7FR X 40CM

0005 LUER-LOCK CONNECTOR WITH STOPCOCK 6 EA XXXXX 27502

0006 17FR 19FR CYSTO-URETHROSCOPE SHEATH WITH 27026DO 2 EA XXXXX 27026DAK

OBTURATOR

0007 19FR 17 FR CYSTO-URETHROSCOPE SHEATH WITH 27026UO 2 EA XXXXX 27026UAK

OBTURATOR

0008 TELESCOPE BRIDGE WITH ONE CURVED INSTRUMNT CHANNEL 6 EA XXXX 27025GFA

0009 CATHETER DEFLECTING MECHANISM WITH 2 INSTRUMENT 2 EA XXXXXX 27026EF

CHANNELS, WITH RATCHET

0010 MONOPOLAR COAGULATING BALL ELECTRODE, 5FRX53CM, 6 EA XXXXXX 27770B

UNSTERILE

0011 22FR 22FR CYSTO-URETHROSCOPE SHEATH WITH 27026BO 6 EA XXXXXX

27026BAK

OBTURATOR

0012 MONOPOLAR HIGH FREQUENCY CORD W/8MM 6 EA XXXXX 26006M PLUG F/VALLEYLAB ELECTROSURGICAL UNITS, 300CM 0013 2 in Each Set CRILE CURVED HEMOSTATIC ARTERY FORCEPS 12 EA XXXX 536514

LENGTH 14CM

0014 Resection Sets WORKING ELEMENT WITH SPRING ACTION 6 EA XXXXXX 27050E

AND MOVABLE THUMB SUPPORT

OFOC SOP Revision 06 Page 2 of 4 Original Date: 03/22/11 Revision 06 Date: 08/30/2017

0015 WORKING ELEMENT WITH FINGER GRIP ACTION AND 6 EA XXXXX 27050D

MOVABLE THUMB SUPPORT

0016 BIPOLAR WORKING ELEMENT ONLY WITH SPRING ACTION 6 EA XXXXX 27040EB

AND MOVABLE THUMB SUPPORT

0017 WORKING ELEMENT, BIPOLAR MOTION BY FINGER GRIP 6 EA XXXXX 27040DB

0018 26FR/28FR Sheaths 26FR CONTINUOUS FLOW RESECTOSCOPE 6 EA XXXXX 27040SLK

SHEATH WITH OBLIQUE BEAK AND FIXED INNER TUBE

0019 28FR CONTINUOUS FLOW RESECTOSCOPE SHEATH WITH 6 EA XXXXX 27040SMK

OBLIQUE BEAK AND FIXED INNER TUBE

0020 24FR RESECTOSCOPE SHEATH WITH OBLIQUE BEAK AND 2 EA XXXXX 27040BOK

27040OC OBTURATOR

0021 SCHMEIDT EXAMINATION INSERT TUBE AND VISUAL 8 EA XXXXX 27051A

OBTURATOR FOR 27/28FR SHEATHS

0022 SCHMIEDT EXAMINATION INSERT TUBE AND VISUAL 8 EA XXXXX 27051B

OBTURATOR FOR 24/26FR SHEATHS

0023 MONOPOLAR HIGH FREQUENCY CORD WITH 8MM PLUG FOR 6 EA XXXX 277KB

VALLEYLAB, LENGTH:300CM

0024 INSERTION WIRE STYLE FOR CATHETERS W/L 30CM 6 EA XXXX 27618

0025 LUER-LOCK CONNECTOR WITH STOPCOCK 6 EA XXXX 27502

0026 Camera Box/Camera Heads IMAGE1 S HX-P, PENDULUM 6 EA XXXXXXX TH111

HEAD, 1080P HD FOR USE WITH IMAGE1 S X-LINK MODULE

0027 IMAGE 1 S CONNECT WITH X-LINK, KEYBOARD AND ADAPTER 2 EA 11331.1 IMAGE1S-X-KT

(IMAGE1 S formerly know as IMAGE1 SPIES) KIT PART COMPOSED OF: TC200US, 20040240US, TC301US, TC009

0028 SCALE OR VIDEO SCALING SYSTEM 2 EA XXXXX 9503

0029 Semi-Rigid Ureteroscopes SEMI-RIGID 6? URETERO- 2 EA XXXXXXX 27010KA

RENOSCOPE W/STRGHT EYEPIECE, TIP:7FR, LENGTH:34CM, ACLAV

0030 SEMI-RIGID GRASPING FORCEPS, DBL ACTION JAWS, 3FR X 2 EA XXXXXX 27023FM

60CM FOR STONE FRAGMENTS

0031 Digital Flexible Ureteroscopes VIDEO-URETERO-RENOSCOPE 2 EA XXXXXXX 1278VSAK

FLEX-XC IMAGE1 S 8.5FR X 67.5CM, 3.6FR CH, REV DEFL 270/270

4. Statutory Authority Permitting Other than Full and Open Competition:

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3;

( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5;

( ) (6) National Security per FAR 6.302-6;

( ) (7) Public Interest per FAR 6.302-7;

FAR13.5 Simplified Procedures for Certain Commercial Items: The items must be fully compatible with current in-use equipment and supplies to avoid uneconomical duplicate investment.

OFOC SOP Revision 06 Page 3 of 4 Original Date: 03/22/11 Revision 06 Date: 08/30/2017

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): This is a purchase of new equipment to augment the inventory of current in-use urinary endoscopy equipment. The existing equipment is Karl Storz brand. This is the brand used throughout the Overton Brooks Healthcare System, to include the Medical Center and CBOCs supported. This equipment must be completely compatible with existing Karl Storz cameras, light sources, scopes, and attachments. The new equipment must also be familiar to all users and services in the system, including personnel assigned to cleaning, sterilizing, etc. The equipment must also be compatible with existing cleaning and sterilizing equipment, as well as with consumables and spare parts already stocked in the system for resupply. Purchase of another brand of endoscopy products would involve an uneconomical duplicate investment of over $500,000.00 to replace the existing items. This does not take into account the time for staff re-training for use, care, cleaning, repair, and sterilization of another brand of urinary scope. This is consistent with the DUSHOM Stndardization Policy on Endoscopy Equipment (attached.)

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: By law, the VA must set-aside its requirements for Veteran-Owned Small Business firms when practicable. Two or more SDVOSB firms have been identified as past awardees for Karl Storz products for Government requirements. This procurement will be offered to capable SDVOSB firms who can compete for the award.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: Price analysis will consider before the award whether competition has determined a Fair and Reasonable price or if comparison to the manufacturer’s FSS pricelist is required if no competition is received.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: A search of past awards for Karl Storz equipment was made in FPDS. The results were filtered by Socioeconomic Indicator “veteran”. This resulted in several potentially capable SDVOSB firms being identified.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: The safety of Veterans is of great concern, and until better methods of endoscopy and sterilization are developed, each brand of scope will have its own requirements.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: The customer conducted Market Research and found a SDVOSB firm, L1 Enterprises, stating full capability for the requirement.

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: By offering this procurement for competition, we will be promoting capability among the Small Business community.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance,