36C77018Q0410-003.pdf

Chapter VI: Other Than Full and Open Competition (OFOC) SOP Attachment 4: Single Source Justification for SAP under $150K

OFOC SOP Revision 05 Page 1 of 2 Original Date: 03/22/11 Revision 05 Date: 05/02/2016

JUSTIFICATION FOR SINGLE SOURCE AWARDS IAW FAR 13.106-1

(OVER MICRO-PURCHASE THRESHOLD($3.5K) BUT NOT EXCEEDING THE SAT ($150K))

IAW FAR13.104, COs must promote competition to the maximum extent practicable to obtain supplies and services from the source whose offer is the most advantageous to the Government, considering the administrative cost of the purchase. When competition is not practicable, IAW FAR13.106-1(b), COs solicit from a single source for purchases not exceeding the simplified acquisition threshold. COs may solicit from one source if the CO determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand-name or industrial mobilization). IAW FAR13.106-3(b)(3),COs are required to include additional statements explaining the absence of competition (see 13.106-1 for brand name purchases) if only one source is solicited and the acquisition does not exceed the simplified acquisition threshold (does not apply to an acquisition of utility services available from only one source) or supporting the award decision if other than price-related factors were considered in selecting the supplier. This template when completed can be used to document single source awards IAW FAR13.106-3(b)(3). Note: Statements such as "only known source" or "only source which can meet the required delivery date" are inadequate to support a sole source purchase.

1. ACQUISITION PLAN ACTION ID:

1A. PROJECT/TASK No.

765-18-3-021-0489

1B. ESTIMATED AMOUNT:

XXXXXXXXXXX

2. BRIEF DESCRIPTION OF SUPPLIES OR SERVICES REQUIRED AND THE INTENDED USE:

1 BARRIER,BRAVA STRIPS C#120700 CMOPID#XH218 NDC-82112073107 PACK SIZE-

2 ZINC OXIDE 16% TOP PASTE CMOPID#Z0054 62103033302 PACK SIZE-60 GRAM

3 SET,INFUSION MINIMED #MMT-382 CMOPID#XV653 NDC-76300038210 PACK SIZE-10

4 GLUCOSE SENSOR ENLITE MMT-7008 CMOPID#XH5019 NDC-76300000805 PACK SIZE-5

5 LUBRICATING TOP JELLY PKT 5GM CMOP

ID#L0524 NDC-00281020545 PACK SIZE -144

3. UNIQUE CHARACTERISTICS THAT LIMIT AVAILABILITY TO ONLY ONE SOURCE, WITH THE REASON NO

OTHER SUPPLIES OR SERVICES CAN BE USED:

This specific item/part number is the only item that meets the size requirements for individual patient’s needs. There are no known acceptable generic substitutions for this items.

4. DESCRIPTION OF MARKET RESEARCH CONDUCTED AND RESULTS OR STATEMENT WHY IT WAS NOT

CONDUCTED:

A search was conducted using the National Acquisition Center (NAC) Pharmaceutical Catalog Search tool and the McKesson prime vendor site. These search tools list all mandatory pharmaceutical drug sources available on Schedule 65 I B. The results of this search show all generic versions of a pharmaceutical drug or Medical Surgical items that are available on the NAC FSS schedules and the pricing available to VA customers. In addition, it shows the trade name (patent) pharmaceutical and Medical Surgical item. For these items the brand specific items are not available, and this must be procured via solicitation on FBO. The Veteran Business site was checked on www.vip.vetbiz.gov for SDVOSB, and were SDVOSB were found available, and will be given the opportunity to submit quotes.

https://www.acquisition.gov/?q=/browse/far/13 https://www.acquisition.gov/?q=/browse/far/13 https://www.acquisition.gov/?q=/browse/far/13 https://www.acquisition.gov/?q=/browse/far/13 http://www.vip.vetbiz.gov/

Chapter VI: Other Than Full and Open Competition (OFOC) SOP Attachment 4: Single Source Justification for SAP under $150K

OFOC SOP Revision 05 Page 2 of 2 Original Date: 03/22/11 Revision 05 Date: 05/02/2016

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. Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the Commercial Supply and Service SOP for Price Reasonableness templates.

Karen R. Griffin

Signature: ______________________________ Date:____________________

Name:__________________________________

Title:___________________________________ NCO:_________________________________ https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 http://vaww.pclo.infoshare.va.gov/PMWeb/Vol6Chapter5.aspx