36C77019Q0311-003.pdf

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Attachment 2: Request for Sole Source Justification Format >SAT

OFOC SOP Revision 08 Page 1 of 3 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID:______ 36C770-19-AP-0333_________________

1. Contracting Activity: Department of Veterans Affairs, NCO 15 Contracting, Chelmsford CMOP

2237 # 761-19-2-014-0114

2. Nature and/or Description of the Action Being Processed:

XJ454 – GLUCOSE SENSOR ENLITE MMT-7008A

• NDC/PART# MMT-7008A

• QUANTITY OF REQEST: 288

• SUPPLIER: MEDTRONIC

XJ430 - GLUCOSE SENSOR (3) GUARDIAN MMT-7020A

• NDC/PART# - MMT-7020(A)

• Quantity of Request: 288

• SUPPLIER: MEDTRONIC

XJ313 - GLUCOSE SENSOR DEXCOM G6

• NDC/PART# - 08627005303/STS-OR-003

• Quantity of Request: 480

• SUPPLIER: DEXCOM

XZ835 - RESERVOIR,MINIMED #MMT-332A

• NDC/PART# 43169786554/ MMT-332A

• Quantity of request: 720

• SUPPLIER: MEDRONIC

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

The estimated value of the proposed action is

REQUESTING QUANTITY OF 1776 of the 4 Medical Surgical items needed fro Chelmsford MA CMOP

This order is to be delivered by February 22 , 2019.

4. Statutory Authority Permitting Other than Full and Open Competition:

(X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability

OFOC SOP Revision 08 Page 2 of 3

Revision 08 Date: 04/18/2018 or Expert Services per FAR 6.302-3;

( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5;

( ) (6) National Security per FAR 6.302-6;

( ) (7) Public Interest per FAR 6.302-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

The brand name specific items are standardized by the VA, and a generic or other item is not approved for dispensing. Any other item would compromise VA standardized patient care, as it would contradict physician’s orders.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: This will be posted on FBO as unrestricted so any vendor who can provide this item is welcome to quote.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and

Reasonable: The anticpated cost will be fair and reasonable based off competition or off the IGCE.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons

Market Research Was Not Conducted: Since the procurement is over SAT then the Non-manufacture rule applies. There are no SDVOSBs or VOSBs who manufacture this item so we cannot set-aside the procurement. This will be posted unrestricted on FBO.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: N/A

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: Qualified Small business vendors.

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to

Competition before Making subsequent acquisitions for the supplies or services required: N/A

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona

Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Joseph Sousa Date Inventory Management Specialist Chelmsford CMOP

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

Joseph M Sousa 367119

Digitally signed by Joseph M Sousa 367119 Date: 2019.02.14 10:55:41 -05'00'

OFOC SOP Revision 08 Page 3 of 3

Revision 08 Date: 04/18/2018

a. Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Julian Lake Date Contracting Officer

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $700K): I certify the justification meets requirements for other than full and open competition.

Penny Capps Date

Supervisory Contract Specialist, CMOP Team 3

Julian S.

Lake 251184

Digitally signed by Julian S. Lake 251184 Date: 2019.02.14 08:53:31 -06'00'

PENNY J

CAPPS 492179

Digitally signed by

PENNY J CAPPS 492179

Date: 2019.02.14 10:17:17 -06'00'