Brand Name Justification Zeiss Forum 04-03-23.pdf

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Request for Brand Name Justification for SAP under the SAT

Last Updated: 02/01/22 Page 1 of 2

DEPARTMENT OF VETERANS AFFAIRS

Brand Name Justification under Simplified Procedures for Certain Commercial

Items In Accordance With IAW FAR 13.106-1

For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 564-23-1-081-0132, Carl Zeiss FORUM software upgrade

1. Contracting Activity: Department of Veterans Affairs, VISN 16, Veterans Health Care

System of the Ozarks, 1100 N College Avenue, Warehouse – Building # 8, Fayetteville, AR 72703.

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

Amount: $211

The VA is transitioning to a management system called Cerner. The Forum Data

Management solution of Carl Zeiss (CZ) FORUM is an ophthalmology data management solution of CZ which streamlines workflows for eye examination, diagnosis and compatible with Cerner. The FORUM provide the capability with dedicated pre-sets for two major pathologies, which are retina and glaucoma. The FORUM technology provides the ability for real-time access to diagnostic data from local and remote sites.

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

FORUM Image and Data Management equipment, software and license is proprietary to

Carl Zeiss Meditec, (CZM) the Original Equipment Manufacturer (OEM). CZM has authorized their preferred Small Disadvantaged Veteran Owned Small Business (SDVOSB) government distributor PROAIM America’s LLC., to sell their products.

FORUM Image and Data Management equipment, software and license is only available from the Original Equipment Manufacturer (OEM) distributor PROAIM America’s LLC.

Contact information: PROAIM America’s, LLC. d/b/a PROAIM Medical 209 Bountiful

Pointe Circle Grover, MO 63040, DUNS: 962568338, EIN: 27-2578777, Cage Code: 60B94

This also includes the FORUM Image Data Management System Software, that will integrate with the Cerner Electronic Health Record (EHR) which includes the Optime Post Warranty

Maintenance, The FORUM Archive, the Workplaces (Glaucoma, Retina, Cataract EQ

Workplace) and all the necessary software that includes but not limited to EHR integration via HL7 messaging.

4. Description of market research conducted and results or statement why it was not conducted: Contract Specialist posted Sources Sought Notice 36C25623Q0170 on

November 23, 2002 to Contracting Opportunities and received a response from PROAIM

Americas LLC, DBA PROAIM Medical a subcontractor for Carl Zeiss Meditec. Contract

Specialist conducted further market research and obtained a verification from the Original https://www.acquisition.gov/?q=/browse/far/13

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Request for Brand Name Justification for SAP under the SAT

Last Updated: 02/01/22 Page 2 of 2

Equipment Manufacturer (OEM) Carl Zeiss, which provided a proprietary letter stating the unique factors which limit service to their company. Veteran Small Business Certification

(VetCert) search did not identify SDVOSBs/VOSBs available to meet the VA’s rule of two.

Product is not available on NAC, SAC, ECAT, SEWP or FSS schedule.

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. See S19 Open Market Award Documentation form to document price reasonableness.

Contracting Officer Date https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466