C - USITC Form 050 JA-2-cf.pdf

Justification and Approval for Single Source Awards

USITC - 050 (Rev. 4/2022)

Print Form U.S. International Trade Commission 500 E Street, SW Washington, DC 20436 United States Phone: 202-205-3098 www.usitc.gov

Print Form

Consolidated J&A for actions Not Exceeding the Simplified Acquisition Threshold (SAT) (FAR 13.501)

Contracting Office Requiring Office

U.S. International Trade Commission

Office of Procurement

500 E Street S.W.

Washington, D.C. 20436

U.S. International Trade Commission

500 E Street S.W.

Washington, D.C. 20436

Office of Chief Information Officer

Justification and Approval for: Single Source Brand Name

1. REQUISITION NUMBER: ITC-6100-OCIO-26-079 ESTIMATED TOTAL VALUE: $0.00

2. Description of supplies or Services Required to Meet Agency:

Digital survey and website application feedback service with FedRAMP certification for administration and distribution of surveys.

3. Justification for Limited Competition:

Service is identified as the only product providing a comprehensive enterprise survey platform that meets requirements for advanced survey design, reporting and analytics, accessibility, secure data collection, and centralized administration. With FedRAMP authorization, the platform has the security and privacy controls needed to support the management of survey data.

It provides the flexibility necessary to accommodate a broad range of survey types, audiences, and organizational use cases within a single managed environment. Based on the agency’s security, technical, functional, and administrative requirements, other solutions do not provide the same combination of capabilities without additional integrations or customizations.

5. Requiring Officer's Certification:

I certify that the facts and representations in this justification, included herein, meet the Government's need and that the supporting data which forms the basis for this justification is complete and accurate.

Printed Name, Requiring POC

Christian Fluitt

Date

Sep 29, 2026

Signature

6. Contracting Officer Certification: Posted:

I have received this justification and find it to be accurate and complete to the best of my knowledge and belief.

Printed Name, Contracting Officer

Ian Quillman

DateSignature

DateUSITC.GOVPosted: www.sam.gov (>$25,000)

4. Description of Market Research Conducted and Results:

Conducted market research to compare options and functionality with the Qualtrics XM platform. Found that there are minimal FedRAMP moderate certified platforms that offer the same functionality of Qualtrics. Qualtrics XM is a common platform for federal government entities such as the Department of Labor. Carasoft is the sole authorized reseller of Qualtrics products, and we will utilize their GSA schedule to leverage pre-negotiated pricing and terms.

Vendor Name: Carasoft

U.S. International Trade Commission 500 E Street, SW Washington, DC 20436 United States Phone: 202-205-3098 www.usitc.gov J:\usitc graphics\seal in blue.jpg Justification and Approval for Single Source Awards USITC - 050 (Rev. 4/2022) Justification & Approval for Single Source Awards Form required for justification & approvals under the simplified acquisition threshold. currently there is only a form for over the SAT, which is much longer and in depth than required by the FAR 9.0.0.2.20101008.1.734229 Deborah Bridge 4/3/2018

OCFO

Shadara Peters 5/2/2018 J:\usitc graphics\seal in blue.jpg Consolidated J&A for actions Not Exceeding the Simplified Acquisition Threshold (SAT) (FAR 13.501) Contracting Office Requiring Office U.S. International Trade Commission Office of Procurement 500 E Street S.W.

Washington, D.C. 20436 U.S. International Trade Commission

500 E Street S.W.

Washington, D.C. 20436 Justification and Approval for:

5. Requiring Officer's Certification:

I certify that the facts and representations in this justification, included herein, meet the Government's need and that the supporting data which forms the basis for this justification is complete and accurate.

6. Contracting Officer Certification: Posted:

I have received this justification and find it to be accurate and complete to the best of my knowledge and belief.