J and A_Redacted.pdf

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Furnishing for 9E Renovations Iowa City
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36C26326Q0239
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This document is a Single Source Justification form for a Department of Veterans Affairs acquisition at the Iowa City VA Medical Center. The procurement involves specialized furniture for an Inpatient Mental Health (IPMH) unit, specifically 2 locking cupboards, 1 locking TV cabinet, 1 locking DVD console enclosure, 2 ligature safe notice boards, 4 weighted stools, 5 dining tables, 16 dining chairs, 8 club chairs, and 6 recliners. The Pineapple furniture was selected for its ergonomic design and compliance with Mental Health Environment of Care Checklist (MHEOCC) safety standards, with unique characteristics that limit availability to a single source. The acquisition is planned for implementation prior to or in alignment with the start of construction on the 4B Mental Health unit, with the justification signed by Becky De Los Santos on 12/23/2025 and an effective date of 11/15/2024. The total acquisition is under the Simplified Acquisition Threshold of $250,000, utilizing Simplified Acquisition Procedures under FAR 13.106-1.

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

Revision: 01 Effective Date: 11/15/2024 Page 1 of 2 Acquisition ID#

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:36C263-26-AP-1230

1. Contracting Activity: Department of Veterans Affairs, VISN 23, Station 636 Iowa

City VA Medical Center. 601 HWY 6 West, Iowa City, IA 52246 636-26-2-4196- 0005.

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The supplies include 2 locking cupboard, 1 locking tv cabinet, 1 locking dvd console enclosure, 2 ligature safe notice board,4 weighted stools, 5 dining tables with molded top, 16 dining chairs, 8 club chairs, and 6 recliners. All furniture requested is to improve patients physical and mental comfort.

The quote total for these items is The Pineapple furniture is functional, the bed design is more ergonomic at the base so patients who are using ambulatory aids (i.e., walkers) are able to easily back up to and sit down on the bed. All of the Pineapple furniture meets the Office of Mental Health’s safety standards.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

All IPMH (Inpatient Mental Health) interior finishes, fixtures and furnishings must provide a safe and secure environment and shall comply with the MHEOCC (Mental Health Environment of Care Checklist Section 3.1.3). The selection of finishes shall consider the following risks: Ligature presentation, hazardous item concealment, weaponization, cutting, ingestion and others as defined in the MHEOCC.

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

Market Research was conducted in accordance to the Office of Mental Health’s safety standards. This furniture must be received prior to or in alignment with the start of construction on 4B Mental Health to ensure we have no lapse in bed availability.

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

Name Date Title

12/23/2025BECKY DE LOS SANTOS

Digitally signed by BECKY DE LOS

SANTOS

Date: 2025.12.23 09:43:14 -06'00'

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

Revision: 01 Effective Date: 11/15/2024 Page 2 of 2 Acquisition ID#

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