36C26120Q0075-001.pdf

LIMITED SOURCES JUSTIFICATION

ORDER >SAT

FAR PART 8.405-6

Acquisition Plan Action ID: 36C261-19-AP-6722

1. Contracting Activity: Department of Veterans Affairs, Veterans Health Administration, Regional Procurement Office West, Network Contracting Office 21 on behalf of San Francisco VA Medical Center.

2237: 662-20-1-690-0002

2. Description of Action: This acquisition is conducted under the authority of the Multiple Award Schedule Program (41 U.S.C. 251 and 40 U.S.C. 501). This is a new requirement, and the action being reviewed is for a delivery order for a base plus 4 option years for the delivery of lmpella CP Catheters.

Order against: � FSS Contract Number: 36F79719D0138

Name of Proposed Contractor: Abiomed, Inc.

Street Address: 22 Cherry Hill Drive

City, State, Zip: Danvers, MA 01923

Phone: 978-646-1808

3. Description of Supplies or Services:

The Independent Government Cost Estimate (IGCE) for this procurement is $1,390,703.62

Base $226,130.67 Year 1 $226,130.67 Year 2 $226,130.67 Year 3 $226,130.67 Year 4 $226,130.67 Aggregate Total $1,130,653.35 ESTIMATED TOTAL COST: $1,390,703.62 (to include the option for increased quantities up to 23%)

The supplies to be provided are lmpella CP catheters (Item# 0048-0003) manufactured by

Abiomed, Inc. The item to be procured is peculiar to one manufacturer. This order would be for an estimated quantity of 9 each per year.

VHAPM Part 808.405-6 Limiting Sources

Original Date: 08/30/2017

Revision 01 Eff Date: 04/23/2018

VHAMACRobisB Typewritten Text

07 NOV 19