Buy Indian Act Deviation Form_Siemens.pdf

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Sole Source Siemens Service Agreement for Rapidpoint Blood Gas Analyzer for Red Lake Hospital
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This is a Memorandum to the Contract File documenting an approved deviation from the Buy Indian Act for the Indian Health Service (IHS).

The deviation pertains to procurement action PR# IHS1529689 and addresses the requirement under 48 CFR Part 326, Subpart 326.603-3 and IHM 5.5-6 for IHS to provide preference to Indian Economic Enterprises (IEEs) whenever authorized and practicable. Red Lake Hospital requires ongoing service, maintenance agreements, and auto-shipped supplies for a Siemens Rapidpoint 500e blood gas analyzer. All supplies and services are analyzer-specific and proprietary to Siemens, cannot be interchanged with other vendors, and must be completed by Siemens representatives. The deviation is justified because the government already owns this equipment, replacement would require additional expenditure, and the current analyzer is not in need of replacement at this time. The document includes authorization thresholds requiring different approval levels based on contract value, ranging from the Contracting Officer for micro-purchase actions to HHS office leadership for contracts exceeding $68 million. The deviation was authorized prior to issuing the solicitation for simplified or commercial items, with the Contracting Officer determining through market research that there is no reasonable expectation of obtaining competitive offers from two or more IEEs. Contract Specialist Winona K. Kitto-S submitted this certification on July 7, 2026, confirming the accuracy of all supporting documentation and attachments.

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Manual Exhibit 5-5

DEPARTMENT OF HEALTH AND HUMAN SERVICES

INDIAN HEALTH SERVICE

IHM 5.5-6 EXHIBIT 1

ALL DEVIATIONS ARE REQUIRED TO BE REPORTED

MEMORANDUM TO THE CONTRACT FILE

Subject: Approved Deviation from the Buy Indian Act

PR #:

Sol #:

Control #:

Pursuant to 48 CFR Part 326, Subpart 326.603-3 and IHM 5.5-6, Indian Health Service must use the negotiation authority of the Buy Indian Act, 25 U.S.C. 47, to give preference to Indian Economic Enterprises (IEE) whenever the use of that authority is authorized and practicable. Requirements under FAR Part 26, Other Socioeconomic Programs, apply when deviating from the Buy Indian Act.

Supporting Facts for the Deviation:

IHM 5.5-6 EXHIBIT 1

ALL DEVIATIONS ARE REQUIRED TO BE REPORTED

Supporting Facts for the Deviation:

Check Box Proposed Contract Action Required Authorization

Exceeding the micro-purchase threshold but not exceeding $25,000.

Exceeding $25,000, but not exceeding $700,000.00

Exceeding $700,000, but not exceeding $13.5 million

Exceeding $13.5 million, but not exceeding $68 million.

Exceeding $68 million.

Contracting Officer

Chief Contracting Officer [or the IHS Division of Acquisition Policy (DAP) Director, absent a CCO]

IHS Competition Advocate

Head of Contracting Activity

HHS Office of Small & Disadvantaged Business Utilization (OSDBU), Office of General Counsel (OGC), HHS Department Competition Advocate and the HHS Senior Procurement Executive

Deviations may be issued prior to or after issuing the solicitation. Please check the appropriate box.

Deviation is authorized prior to issuing the solicitation for simplified or commercial items.

Basis: The Contracting Officer determines, after a thorough market survey/research, that there is no reasonable expectation of obtaining offers that will be competitive in terms of market price, quality, and delivery from two or more reasonable IEEs or at least one such enterprise that does not exceed the dollar threshold in FAR 13.003. The Contracting Officer shall not rely solely on the program for this determination.

Deviation is authorized prior to issuing the solicitation for other than simplified or commercial items.

Basis: The Contracting Officer determines, after a thorough research, that there is no reasonable expectation that offers will be received from two or more responsible IEEs at a reasonable and fair market price. The Contracting Officer shall not rely solely on the program for this determination.

Deviation is authorized after issuing the solicitation for simplified or commercial items.

Basis: Only one offer has been received from a responsible IEE and the price is unreasonable, or no offers have been received from a responsible IEE.

Deviation is authorized after issuing the solicitation for other than simplified or commercial items.

IHM 5.5-6 EXHIBIT 1

ALL DEVIATIONS ARE REQUIRED TO BE REPORTED

Basis:

All otherwise acceptable offers received from IEE’s are unreasonable;

Only one (1) offer has been received from an IEE and the CO determines the price to be unreasonable; or

No responsive offers have been received from IEE’s.

Certification:

Supporting documentation obtained through market research, sources sought, pre/post solicitation and any other information that assists in justifying the deviation is attached for review by the authorizing official.

I hereby certify that the information above, including ALL attachments, are true and accurate.

All signatures are required before the intended signature. (Select as required)

Requestor:

Concurrence:

Facts: Red Lake Hospital is in need of service, a maintenance agreement and auto-shipped supplies for the Siemens Rapidpoint 500e blood gas analyzer. Supplies can only be provided by Siemens as all supplies are analyzer specific and can not be interchanged with another vendor. All service on the analyzer must be completed by a Siemens representative.

This is equipment that is already owned by the government, its service and supplies are proprietary. It would cost the government additional funds to procure another analyzer to replace. The current analyzer is not in need of replacement at this time.

2026-07-07T14:54:56-0500
WINONA K. KITTO -S
ConcurrenceDropdown1: [Contracting Officer]
ConcurrenceDropdown2: [N/A]
ConcurrenceDropdown3: [N/A]
ConcurrenceDropdown4: [Head of Contracting Activity]
ConcurrenceDropdown5: [N/A]
ConcurrenceDropdown6: [N/A]
ConcurrenceDropdown7: [N/A]
ConcurrenceDropdown8: [N/A]
RequestorDropdown: [Contract Specialist]
Checkmicro: 0
CheckPriorFor: Yes
CheckPriorOther: 0
Check25K: Yes
Check700K: 0
Check13M: 0
Check68M: 0
PRnum: IHS1529689
SOLnum:
Controlnum:
CheckAfterFor: 0
CheckAfterOther: 0
CheckAllOffer: Off
Check1Offer: 0
CheckNone: 0
CheckCertDoc: Yes
CheckTrue: Yes

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