36C26225P0710_1.docx

Justification and Approval Notice Justification and Approval Notice

GENERAL INFORMATION

BASE NOTICE TYPE

Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

POINT OF CONTACT*

Contract Specialist Rochelle Malveaux Rochelle.Malveaux@va.gov 000-000-0000

AWARD INFORMATION

MODIFICATION NUMBER

LINE ITEM NUMBER

AWARD DATE (MM-DD-YYYY)*

AWARDEE NAME*

CONTRACTOR’S UEI

S.S. WHITE TECHNOLOGIES, INC.

N494F926NSA7

AWARDEE ADDRESS LINE 1*

AWARDEE ADDRESS LINE 2*

AWARDEE ADDRESS LINE 4*

ADDITIONAL INFORMATION

DESCRIPTION

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

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: 644-25-2-414-0224

1. Contracting Activity: Department of Veterans Affairs, Regional Procurement Office West (RPOW), Network contracting Office 22 (NCO-22), 4811 Airport Plaza Drive, suite 600, Long Beach, CA 90815 – as requested by the Phoenix VA Healthcare System.

Transaction Number: 644-25-2-414-0224

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The VA Arizona Healthcare System is requesting the Universal Broken& Stripped Screw Removal System to expand and replace the Shukla Orthopedic tray items that are used during surgery. The set includes drivers and drill bits that attach to each other for the purpose of removing any type of broken or damaged screws that have become embedded in the tissues or bones of the Veteran patients. The existing surgical sets have become obsolete and need to be upgraded because there are no existing part additions. These items will be integrated with the existing Trauma All-In- One System as well and assist in the prevention of further orthopedic complications. This request will be procured for the Sterile Processing Service department which is a critical department within the VA Phoenix Hospital.

Estimated amount: $44,000.00.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The orthopedic surgical department currently uses the Trauma All-In-One System and the request for the Universal Broken Screw System will be used in conjunction with the existing system. The existing equipment includes the Shukla Maxi Universal Screw System and the Shukla Maxi Universal Screw System. Shukla Medical is the only vendor capable of providing the surgical instrument sets for this acquisition request. Shukla Medical (D.B.A S. S White Technologies) is the sole proprietor and distributor for the Shukla Orthopedic Revision Instrumentation. The manufacturer only sells the items directly to hospital and medical facilities. No other brand of extraction sets can be used with the existing Trauma All-In-One System. Letter of authorization from Shukla Medical (DBA SS white Technologies Inc) has been provided and filed.

4. Description of market research conducted and results or statement why it was not conducted:

Market research was conducted utilizing DSBS, SAM, GSA, FPDS and internet websites. A search of the VA National Strategic Source Listing mandatory contracts (SAC) did not reveal BPA’s or IDIQs that list the required surgical supplies. Further research revealed that Shukla Medical is the sole proprietor and distributor for the items requested. Sole source memo provided. Additional market research was also conducted and revealed that Shukla Medical, a small business; is registered in SAM and does not appear on the Excluded Parties list (EPLS).

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.

Last Updated: 02/01/22 Page 1 of 2

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

Last Updated: 02/01/22 Page 2 of 2

Justification and Approval Notice