515-20-103 J-A Attachment - Siemens Brand Name Only Justification.pdf

ATTACHMENT 3

Justification and Approval (J&A)

For Other Than Full and Open Competition

Brand Name Only Justification

This form must be provided for each brand name only item required by the construction specifications. If the project has multiple brand name only items a separate form is required for each one.

Acquisition Plan Action ID: 36C250-21-AP0018 2237: 515-21-1-155-0003

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Battle Creek Medical Center

2. Nature and/or Description of the Action Being Processed: Description of the project, project no., etc.

Project#: 515-20-103; Project Title: Renovate Mental Health Clinic, B7-2; Statement of Work: The Contractor shall furnish all labor, material, equipment, supervision, As-Built Documentation, and all other related information for Project 515-20-103, Renovate Mental Health Clinic, at the VA Medical Center in Battle Creek, Michigan in accordance with the specifications and drawings. The project will renovate a portion of the second floor of Building 7 to house Mental Health programs and various Mental Health service staff.

3. Description of Supplies/Services Required to Meet the Agency’s Needs: Specifically describe the component, material, system, etc. to be acquired via the construction specification including the estimated value and quantity of the item that is restricted to a single brand, make, and/or model.

Fire Alarm System and all associated and connected components; esytiamted value Identify the specification section(s) were the brand name only item is listed: 28 31 00

4. Statutory Authority Permitting Other than Full and Open Competition: 41 USC §3304(a)(1), as implemented by FAR 6.302-1. The specific paragraph must be cited. Most likely, only the (1) or (2) authorities will be cited. Please be aware that failure to adequately plan for future requirements does not constitute appropriate use of the unusual and compelling urgency statutory authority.

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by FAR 6.302-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by FAR 6.302-4 ( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by FAR 6.302-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by FAR 6.302-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by 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): Provide, in narrative form, a

CONTRACTING ONLY BELOW

7. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP: This part if filled out by

Contracting Staff as part of the Justification

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.

Name Date Title Facility

Kyle A. Lipper 740596

Digitally signed by Kyle A.

Lipper 740596 Date: 2020.11.12 07:23:12 -05'00'