img0103.pdf

USE OF OTHER THAN FULL AND OPEN COMPETITION FOR AN

ACQUISITION UNDER THE SIMPLIFIED ACQUISITION THRESHOLD

8/13/2020

CJiriical ln_vestigation Department

I. BACKGROUND:

The service or material listed on I for competition is precluded for the reasons indicated below.on this justification for other than full and open competition, in accordance with:

FAR 13.106-1 (b )( 1 )(i): states for purchases not exceeding the simplified acquisition threshold, Contracting Officers may solicit from one source if the Contracting Officer detennines that the circumstances of the contract action deem only one source reasonably available FAR 13.106-3(b)(3)(i): this memorandum explains the absence of competition for this acquisition, as only one source will be solicited for this requirement ( or for a portion of the requirement) and the requirement is not expected to exceed the simplified acquisition threshold)

II. DESCRIPTION OF ITEM OR SERVICE:

Manufacturer Details:

Provide original manufacturer's name (ifa sole source manufacturer distributes via dealers, include dealer information as well).

Name: I

POC: I

Phone Number: '" _9 _____ E-mail: I Manufacturer's Dealer/Rep Details (i(applicable): ·

Name:

POC:

Phone Number: E-mail:

PROVIDE A DESCRIPTION OF THE ITEM OR SERVICE REQUIRED:

Estimated Cost: I $11,800.00 RDD/POP:

Descrintion:

Consultation support for research to be conducted at Naval Medical Center Portsmouth to develop and host an online research study. Project Implicit' s research scientists and Computer Programmers will provide technical assistance in developing a novel Implicit Association Test administere\l electronically to allow for secure data collection, storage, and analysis. The Implicit Association Test (IA T) measures attitudes and beliefs that people may be unwilling or unable to report.

III. THE DETERMINATION FOR USE OF OTHER THAN FULL AND OPEN COMPETITION IS

BASED ON THE FOLLOWING (select all that apply):

Pagel of 4

USE OF OTHER THAN FULL AND OPEN COMPETITION FOR AN

ACQUISITION UNDER THE SIMPLIFIED ACQUISITION THRESHOLD

IV.CERTIFICATIONS/APPROVALS:

Section I: Department Representative I Technical Reviewer complete t/ze following:

Requirements Certification: I certify that the facts and representation under my cognizance which are included in this justification are complete and accurate to the best of my knowledge and belief.

. ., Dlgitallysign ed b y-

2 . · ciiteSignature: . 675 . - --

I E-mai!J tPrint Name

I

I ____ _

Date Phone

Number: l¢iick here to enter a date.I

Section 2: Contracting Officer (KO) complete t/ze following:

Requirements Certification: I certify that the justification is accurate and complete to the best of the contracting officer's kruU¥1(:.cdge and belief.

KO Signature:

KO Print Name Phone Number: L. · - E-mail:

Date: IC! ick h re to .'Jtf./!.

enter a date

.I

The antici ated cost t!(!fe��ent will be fair and reasonable.

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