36C77019Q0078-002.pdf

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

OFOC SOP Revision 03 Page 1 of 1 Revision 03 Date: 10/27/2014

JUSTIFICATION FOR SINGLE SOURCE AWARDS IAW FAR 13.106-1

(OVER MICRO-PURCHASE THRESHOLD($3K) 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. PURCHASE REQUEST OR REQUISITION

NUMBER:

760-19-1-050-0151

1A. PROJECT/TASK NUMBER 1B. ESTIMATED AMOUNT:

$121,392.00

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

Line# IFCAP NDF Description Btl Sz

NDC Qty Cost Total

14 6204 T0749 THYROID (ARMOUR) 60-65MG (1 GRAIN) TAB 100 00456-0459-01 1008 $74.85 $75,448.80

14 6206 T0751 THYROID (ARMOUR) 30-32.5MG (1/2 GRAIN)

TAB

100 00456-0458-01 720 $63.81 $45,943.20

Total 121,392.00

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

SUPPLIES OR SERVICES CAN BE USED:

The product is being requested to fill prescriptions where the provider specifically requested this brand for the veteran. Prescriptions are entered as DAW or Dispense as Written meaning the pharmacy is not allowed to substitute any other brand for the prescription but can only fill the prescription with the brand that was ordered by the doctor.

4. REASON THAT SUGGESTED SOURCE IS THE ONLY SOURCE, WHICH CAN PROVIDE THE SUPPLIES OR SERVICES:

Now, the physician has stated the above-mentioned name brand drug is the only brands that will meet the specific needs of the patients; however, we are still competing this amongst distributors.

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

The NAC website was searched and the requested ndc is not on contract.

6. 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.

Signature: ______________________________ Date:____________________ Name:__________________________________ Title:___________________________________ Facility:_________________________________ https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125454 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125503 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125467 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125503 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466

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