A.02 J&A Rv1 Signed by KO.pdf

Control Number: 20-RHCO-98 Solicitation: W91YTZ20Q0092

Sole Source Justification For Acquisitions under the Simplified Acquisition Threshold

(Simplified Acquisition Threshold is $250K)

1. Contracting Activity:

Regional Health Contracting Activity-Atlantic (RHCO-A) Bragg Contracting Cell 6021 5th Street, Building 1467 Fort Belvoir, VA 22060-5505

2. Description of Action:

Requirement: New Repeat Pricing: Firm-Fixed Price Time & Materials Cost Funds: OMA Other Funds: _________ Total Dollar Value: $149,000.00

Name of Intended Contractor: Alcon Vision. LLC.

Street Address: 6201 S Freeway City, State, Zip: Fort Worth, TX, 76134-2001

Phone: (800) 241-5999

Period of Performance: 18 Mar 2020 thru 16 Jun 2020.

3. Description of Supplies/Services: Womack Army Medical Center (WAMC) has a requirement to purchase Alcon Lenses of different sizes for scheduled surgical procedures.

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.

5. Reason for Authority Cited: In order to have access to Alcon Phaco packs and other Alcon products in relation to eye surgery, these are required for the Centurion machines. Without these brand-specific packs and any other Alcon items that are crucial to the success of the surgery, we cannot perform cataract surgery. In regards to Alcon Intraocular Lense (IOL) it is important that we have access to Alcon lenses for a variety of reasons. First, their toric IOLs have rotational stability in the market and therefore are most likely to yield consistent results for astigmatism patients. Second, Alcon is currently the only manufacturer of an FDA-approved trifocal IOL. The Alcon trifocal IOL is available for correction of vision at all distance ranges currently available in the United States. Third, Alcon makes the preferred 3-piece IOLs which must be available as back-ups lenses for every cataract surgery case. We don't implant many of these, but we always ensure we have access to them in case they're needed in the event of a complicated cataract surgery. Fourth, the Alcon SN60WF lenses has a blue-light blocking yellow tint which some research suggests may be beneficial to the health of the eye. This may be preferred in certain patient populations. Also, for patients that underwent unilateral implantation of an SN60WF IOL in the past, when they require surgery in their second eye, we would like to be able to use a similarly tinted IOL. Historically, the SN60WF has been the most commonly implantation IOL at WAMC for many years.

Alcon provides an intraocular lens implant as an artificial replacement for the lens of your eye. It's part of the surgery to fix cataracts. An intraocular lens implant, or IOL, is made of a clear plastic, and it's about a third the size of a dime. There are several different types: Monofocal IOL: This is the most common. Unlike your natural lens, which can stretch or bend to help your eye focus, this implant stays focused at one fixed distance. If yours focuses at a distance, you might be able to see things far away but need glasses to read or see close up. Multifocal implant: Like glasses with bifocal or progressive lenses, this lens has areas that help you see things at different distances. It could take several months for your brain to adapt so your vision seems natural. Accommodating IOL: This flexible option acts more like your natural lens and focuses at more than one distance. It makes you less likely to need reading glasses. Toric IOL: You'll get this if you have astigmatism, or a cornea that's more football-shaped than round. This can make vision blurry all over, not just close up or far away. This lens lessens astigmatism so you won't need glasses to correct it after your surgery. The surgeon has determined that these products are the most appropriate treatment to achieve the desired surgical outcome. Failure to provide the needed supplies for these surgeries will result in diminished healthcare for the patients.

6. Actions to Increase Competition: Sources sought has been posted on beta.SAM website to increase competition for this requirement, to date no responses have been received.

7. Market Survey: Market Research conducted in accordance with FAR Part 10. On 16 March 2020, a search was conducted on the Dynamic Small Business Quick Search website for NAICS code 339112. There were over 1,200 small businesses that met the search criteria. See below chart.

Economic Group Number of Firms Found

Service-Disabled Veteran 564

Currently HUBZone Certified 106

Currently SDB Certified 12

Currently 8(a) Certified 62

Woman or Women Owned 569

Veteran 763

On 16 March 2020, a search was conducted on the Dynamic Small Business Quick Search website for NAICS code 339112 and key words “cataract lenses”. The search showed that there were not any small businesses that met the search criteria. See below chart

Economic Group Number of Firms Found

Currently 8(a) Certified 0

Currently HUBZone Certified 0

Veteran 0

Currently SDB Certified 0

Service-Disabled Veteran 0

Woman or Women Owned 0

These items are not available on the General Schedule Administration (GSA) Schedule or the Federal Supply Schedule.

8. Procurement History:

a. Previous Contract or Purchase Order Number: BPA# W91YTZ-18-A-0027 in the amount of $250K dated 21 Sep 2018—

-o b. Previously competed? N/A No Yes

c. Previous authority for less than Full & Open Competition: FAR 13.106-1(b) (1) (i): Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization)

d. Subcontracting Plan is not required in accordance with 52.219-9.

9. 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. I certify the required supplies are not available using mandatory sources and delivery cannot be made by the required delivery date.

Submitted By: Stefan Lin Position Title : SGT, AN, Surgical Logistics

Email address: Stefan.lin.mil@mail.mil Date: 16 March 2020

10. 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: Lonnie K. Robinson Position Title: Contracting Officer

Email address: Lonnie.k.robinson.icv@mail.mil Date: 16 March 2020