Brand Name SS Justification .doc

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source

Attachment 1: Single Source Justification for SAP under the SAT

DEPARTMENT OF VETERANS AFFAIRS

Justification for Brand Name Only Single Source Awards IAW FAR 13.106-1 For

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

Acquisition Plan Action ID: 36C246-23-AP-0230

1. Contracting Activity: Department of Veterans Affairs, VISN 6, VA Medical Center Hampton, Hampton VA., NCO 6 is the contracting agency and Salisbury VAMC is the organizational activity responsible for the proposed contracting action. The transaction number PR: 659-23-925-1196.

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

The Trilogy Evo Ventilator treats chronic and critical patients’ respiratory needs in variety of settings and during a variety of activities. It will be used for the patients at the Commonwealth Home Health Care facility. This Equipment is Brand Name Only for standardization at this facility and for the Salisbury VAMC. Estimated Amount: $0.00.

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

Brand Name Only (Trilogy Evo Ventilator) is being requested for this procurement for clinic standardization. It is imperative to maintain standardization from one VA facility to another for compatibilty of devices and standard of care. Using different devices would require additional training, costs, equipment and would impact patient care significantly.

4. Description of market research conducted and results or statement why it was not conducted:

Market research was conducted by searching FPDS, DSBS, VIP, and NAC. The VA Rule of Two could not be met and the SB rule of two could not be met. The manufacturer and one small business source were identified that could provide the required equipment.

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.

10/31/2022 Nicole Stewart Date

Contracting Officer Last Updated: 02/01/22