36C77018Q0669-003.pdf

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

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

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:__ 760-18-3-050-1108__________________

1. Contracting Activity: Consolidated Mail Outpatient Pharmacy Leavenworth, KS the Department of Veterans Affairs Network 15 Contracting Office (NCO), 3450 S. 4th St Trafficway, Leavenworth, KS 66048 is the contracting agency . Supplies will be purchased for the CMOP Leavenworth location at 5000 S. 13th St Leavenworth, KS 66048. The Purchase Request number is 760-18-3-050-1108

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount:

Estimated cost:

LINE IFCAP NDF DESCRIPTION

QTY

ORDERED COST/ BT TOTAL

1 11023 XR244 RESERVOIR,OMNIPOD

2 494 XY284 BAG,LEG LARGE KEN#145516 20

3 13598 XI448 BAG,URINARY DRAINAGE MERIT #MDD600 100

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

This is a Justification and Approval request for the use of other than full and open competition. The requirement is for stock replenishment of medical supplies prescribed for patients and filled by CMOP at a firm fixed price. The purpose of this J&A request is to provide for the continued uninterrupted supply of direct patient care items required by the Facility.

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

VHAPM Part 813.106 Page 2 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

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

Market research was done to determine there were no contract sources for procurement.

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.

James Justus Date Contracting Officer

James D. Justus 1030208 Digitally signed by James D. Justus 1030208 Date: 2018.07.24 11:49:40 -05'00'