36C77020Q0396-003.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:___ 764-20-3-078-0544________________

1. Contracting Activity: Department of Veterans Affairs, VISN 15, 764 Mid South CMOP The Mid South CMOP 764 located at 3209 Elam Farms Parkway, Murfreesboro, TN. 37129 is requesting contract support thru their contracting activity, VISN15. The corresponding 2237 is 764- 20-3-078-0544.

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

The Mid South CMOP 764 has the requirement for the replacement of consumable maintenance kits for the CASI automation Ricoh Patient Information Letter (PIL) printers (Ricoh Alficio SP 8300DN).

The replacement parts are as follows:

Ricoh Maintenance Kit SP 8200A, ID# 407057

Ricoh Maintenance Kit SP 8200B, ID# 402961

Each Ricoh Alficio SP 8300DN printer requires an A & B maintenance kit. We currently have forty printers =40 kits of A and 40 kits of B

With this request, we will be ordering Ricoh Maintenance Kit SP 8200A, ID# 407057 X 96 Kits and

Ricoh Maintenance Kit SP 8200B, ID# 402961 x 144 kits. These are to be delivered to Murfreesboro, TN. CMOP (Elam Farms location).

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

Ricoh Patient Information Letter (PIL) printers (Ricoh Alficio SP 8300DN) have specific maintenance kits that require replacement; an urgent and compelling need exists, and delays would directly affect outpatient patient care.

4. Description of market research conducted and results or statement why it was not conducted: GSA Advantage was reviewed as well as previous purchase order vendors that have provided this service.

However, there are not 2 SDVOSBs that can compete.

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

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 S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Jeffrey Crysler

Date 04/08/2020

Contracting Officer

Jeffrey S Crysler 1104355

Digitally signed by Jeffrey S Crysler 1104355 Date: 2020.04.08 11:20:52 -05'00'