A.02.04_Limited_Source_Justification_Signed.pdf

Control Number: 16 RHCO-C-740

Limited Sources Justification or

Sole Source Justification for Acquisitions under the Simplified Acquisition Threshold

(Simplified Acquisition Threshold is $150K)

1. Contracting Activity: This requirement is for Evans Army Community Hospital (EACH). The contracting activity is Regional Health Contracting Office-Central (RHCO-C).

2. Description of Action:

Requirement: New Repeat Pricing: Firm-Fixed Price Time & Materials Cost Funds: OMA Other Funds: _________ Total Dollar Value: $18,000.00

Name of Intended Contractor: Premier Shockwave, Inc

Street Address: 750 Hammond Drive

City, State, Zip: Atlanta, GA 30328

Phone: 1-800-229-7370

3. Description of Supplies/Services: This requirement is for the rental service of the only high-energy electro-hydraulic device that is FDA approved to treat chronic plantar fasciitis and chronic lateral epicondylitis. The Bilateral treatments and Non-Union treatments will be priced at $1,500.00 per treatment and unilateral treatments will be priced at $1,000.00 per treatment.

4. Authority Cited:

(a) FAR 13.106-1(b)(1)(i): Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization); OR

(b) FAR 13.106-1(b)(1)(ii): Only one source can provide a portion of the purchase that is a particular brand-name item; OR

(c) FAR 8.405-6(a)(1)(i)(A): An urgent and compelling need exists, and following the procedures would result in unacceptable delays; OR

(d) FAR 8.405-6(a)(1)(i)(B): Only one source is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized; OR

(e) FAR 8.405-6(a)(1)(i)(C): In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order not previously issued under sole-source or limited-sources procedures.

(10 February 2016)

Control Number: 16 RHCO-C-740

5. Reason for Authority Cited: Services are proprietary and available only through Premier Shockwave, to perform necessary rental service to support surgeries at Evans Army Community Hospital. Shockwave is the only nationwide provider of the mobile OssaTron service to military hospitals. OssaTron therapy service provides effective and better results for essential patient care and their healthcare providers.

6. Actions to Increase Competition: The requiring activity will continue to monitor the market for sources with the same or similar capabilities.

7. Market Survey: Due to economic and civilian reimbursement factors, there is no other nationwide provider of single-dose, high energy electro-hydraulic ESWT that can be identified. Premier Shockwave is the only nationwide provider of the mobile OssaTron service to military hospitals.

Premier Shockwave currently serves 15 Military Hospitals: including; Travis AFB, Lackland AFB, Fort Gordan, Fort Stewart, Fort Campbell, National Naval Medical Center in Bethesda and Fort Meade.

Research was accomplished by the command to obtain the right ESWT system and service provider, for Evans Army Community Hospital’s Orthopaedist and Podiatrists to use in order to non-invasively cure patients that suffer from chronic plantar fasciitis and lateral epicondylitis.

There are no other mobile OssaTron therapy service providers that meet the above criteria.

7. Procurement History:

Previous Contract or Purchase Order Number: W91YU0-13-A-0009 or N/A Previously competed? N/A No Yes Previous authority for less than Full & Open Competition:

8. Technical / Requirements Certification: I certify that the support data under my cognizance which are included in this mini-J&A are accurate and complete to the best of my knowledge and belief.

Signature:

9. Contracting Officer Certification and Approval: I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature:

Typed Name:

Position Title: Contracting Officer

Email address:

Date:

(10 February 2016)

Typed Name: Amy M. Marglin

Position Title : Supply Technician/ Operating Room/ SCM

Email address: Amy.m.marglin.civ@mail.mil Date: 17 October 2016 mailto:Amy.m.marglin.civ@mail.mil stewart.penrod Typewritten Text Stewart Penrod stewart.penrod Typewritten Text stewart.c.penrod.civ@mail.mil stewart.penrod Typewritten Text 24 October 2016 stewart.penrod Typewritten Text