F3G4BA3334AW01 BNJ COsign.pdf

Single Source Justification (Simplified Acquisition)

CONTROLLED UNCLASSIFIED INFORMATION

April 2021 CONTROLLED UNCLASSIFIED INFORMATION Page 1 of 1April 2021 CONTROLLED UNCLASSIFIED INFORMATION Page 1 of 1

Section A: General Contract Information

Is this a Bridge Action as defined in the AF Bridge Action Reduction Plan? Yes No

Contracting Activity: 99th Contracting Squadron, 5865 Swaab Blv Bldg 588, Nellis AFB, NV 89191

Project/Program Name: 99 MDG Manoscan

Purchase Request / Local ID Number: F3G4BA3334AW01

Estimated Contract Cost (including Options): $0.00

Section B: Description of the Supplies/Services Required

The 99th Medical Group (99 MDG) is requesting the purchase of [Qty.:1] Manoscan ESO Z Catheter and [Qty.:1] HRM Catheter extended warranty 1 year.

Section C: Justification for Soliciting from a Single Source or Brand Name

The system in place at the 99 MDG is the Medtronic ManoScan System. The Medtronic ManoScan System is composed of 12 total pieces, in which the 99 MDG currently owns 11 pieces. The missing piece, Medtronic Manoscan Eso Z Catheter, is vital to the system's operability and must be Medtronic in order to be compatible with the system. If the Manoscan Eso Z Catheter were not Medtronic, it would require additional training and work, increasing the complexity of the requirement.

Section D: Efforts to Obtain Competition

A sources sought was published via www.sam.gov; which resulted in a response from one (1) contractor. This requirement will be solicited, on www.sam.gov, as a Total Small Business Set-Aside - Brand Name only to obtain maximum competition possible under the FSC 6515 and NAICS code 339112.

Section E: Steps to Preclude Future Single Source or Brand Name Awards

In the future, market research shall be performed for similar or like requirement to ascertain if other manufacturers are entering these specified markets that can meet the AFI and/or DoDI standards/requirements. Additional market research shall also be conducted to determine if there are other brands available for future similar or like requirements that will neither hinder the mission of the customer nor increase the cost/price for the government.

Section F: Contracting Officer's Determination

I have determined, in accordance with FAR 13.106-1(b)(1), that the circumstances of this contract action deem only a single source is reasonably available.

Date Typed Name and Rank/Grade of Contracting Officer

AGATHA KEITH MORRISON, CIV, DAF

Signature of Contracting Officer

Single Source Justification (Simplified Acquisition) April 2021 Page of Section A: General Contract Information Is this a Bridge Action as defined in the AF Bridge Action Reduction Plan?

Section B: Description of the Supplies/Services Required Section C: Justification for Soliciting from a Single Source or Brand Name Section D: Efforts to Obtain Competition Section E: Steps to Preclude Future Single Source or Brand Name Awards Section F: Contracting Officer's Determination I have determined, in accordance with FAR 13.106-1(b)(1), that the circumstances of this contract action deem only a single source is reasonably available.

9.0.0.2.20120627.2.874785