JA OVER SAT - VISN GE - fully signed_Redacted.pdf

Part 806.3 Other Than Full and Open Competition (OFOC) Attachment 7: Request for Sole Source Justification Format >SAT

Rev: 12 Effective Date: 02/01/22 Page 1 of 7

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: 36C255-22-AP-2172

1. Contracting Activity:

Network Contracting Office (NCO) 15, 3450 S 4th Street Trafficway, Leavenworth, KS. 66048

Department of Veterans Affairs, Various VISN 15 Facilities

2. Nature and/or Description of the Action Being Processed: VISN 15 is pursuing an update to existing Cardiology modalities including an upgrade of the currently installed MARS software to the newest platform called CardioDay, an upgrade of CASE treadmills, replacement of several SEER Holter recorders, replacement of one (1) Tango monitor. This acquisition must include all peripherals and services to ensure a functioning solution and must flawlessly integrate with the current install base.

The Offeror shall provide all equipment, labor, material and supplies necessary, interfaces and provide clinical training and other related devices to the latest software version. These devices will be provided to all VISN 15 VA facilities including, but not limited to: St. Louis VAMC, Marion VAMC (including its subsidiary Evansville VA Health Care Center), Harry S. Truman Memorial VAMC, Kansas City VAMC, Dwight D. Eisenhower- Leavenworth VAMC, Colmery-O’Neil VA Medical Center – Topeka VAMC, Robert J. Dole VAMC, John J. Pershing Medical Center, Robert J Dole VAMC.

The total estimated value for this requirement is

3. Description of Supplies/Services Required to Meet the Agency’s Needs: This equipment will be delivered on an agreed upon date upon contract award. Following are the specific supplies and services and their respective quantities and estimated costs.

Item Description Qty.

CASE V6.7 Upgrade 1

CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 1 XML-PDF Export (EXPD/EPDF) 1

DICOM Option and Comformance Statement 1 Windows 10 Upgrade HDD Kit for CASE V6.73 Advantech system (Product code: SNP-Serial Number Required) 1

CASE V6.7 Upgrade 1 CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 1

XML-PDF Export (EXPD/EPDF) 1 DICOM Option and Comformance Statement 1

Windows 10 Upgrade HDD Kit for CASE V6.73 Advantech system (Product code: SNP-Serial Number Required) 1 CASE V6.7 Upgrade 1

CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 1 XML-PDF Export (EXPD/EPDF) 1

DICOM Option and Comformance Statement 1 Windows 10 Upgrade HDD Kit for CASE V6.73 Advantech system (Product code: SNP-Serial Number Required) 1

CARDIODAY V2.6 HOLTER ANALYSIS SYSTEM 1

Rev: 12 Effective Date: 02/01/22 Page 2 of 7

CARDIODAY V2.6, GLOBAL 1

Pacemaker Analysis 1

Advanced Afib Analysis 1 Holter Project Management for over 5 client licenses 1

CardioDay Networked Installation (Over 5 Clients) 1 Advanced Heart Rate Variability Analysis 1

QT Measurement Analysis 1 MUSE Connectivity 1

Additional Floating License, USCAN 8 CardioDay 1

CardioDay additional facility/site configuration 6 Holter On-Site Applications Training, 1 Day, On-Site 10

Remote Training Lab 1 Hour 25

CASE V6.7 2

CASE Premium Package With Display 2 CASE V6.7 Power Cord, North American 2

Thermal Paper, 8.5 "x 11", Red Grid 200MM Wide, Z-Fold, Hole Queue, 300 Sheets, 8 Packs 2

T2100-ST TREADMILL 2

T2100-ST2 TREADMILL 220V 2

Cable RS232 Interface T2100-ST to CASE/PC/MAC2000 2

Tango M2 System 2 Tango M2 NIBP Monitor (RoHS) For Stress Testing 2

Tango Power Cable US/Canada 2 Tango M2 Stress BP Operators Manual - English 2

Tango 2 Tango M2 Small Adult Orbit-K Cuff with Microphone (18-27 cm) 2

Tango+ ECG Splitter Cable for using with Echocardiograph - RoHS 2 Tango M2 LP XPOD Kit 2

Shortened Mounting Pole for Tango on CASE 2 CASE V6.7 CAM 14 Stress AHA 2

12SL Interpretation (RESI) 2 DICOM Option And Comformance Statement 2

CASE v6.7 Language Set, ENG US 2

INSTALLATION CASE 2

Special Handling Service 2

CASE V6.7 1

CASE Premium Package With Display 1 CASE V6.7 Power Cord, North American 1

CASE V6.7 Upgrade 1 Thermal Paper, 8.5 "x 11", Red Grid 200MM Wide, Z-Fold, Hole Queue, 300 Sheets, 8 Packs 1

T2100-ST TREADMILL 1

T2100-ST2 TREADMILL 220V 1

Cable RS232 Interface T2100-ST to CASE/PC/MAC2000 1 Tango M2 System 1

Tango M2 NIBP Monitor (RoHS) For Stress Testing 1 Tango Power Cable US/Canada 1

Tango M2 Stress BP Operators Manual - English 1 Tango 1

Tango M2 Small Adult Orbit-K Cuff with Microphone (18-27 cm) 1

Effective Date: 02/01/22 Page 3 of 7

Tango+ ECG Splitter Cable for using with Echocardiograph - RoHS 1 Tango M2 LP XPOD Kit 1

Shortened Mounting Pole for Tango on CASE 1 CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 1

DICOM Option and Comformance Statement 1 CASE V6.7 Upgrade 1

CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 1 DICOM Option and Comformance Statement 1

CASE V6.7 CAM 14 Stress AHA 1 12SL Interpretation (RESI) 1

DICOM Option And Comformance Statement 1 CASE v6.7 Language Set, ENG US 1

INSTALLATION CASE 1

Special Handling Service 1

CASE V6.7 2

CASE Premium Package With Display 2

CASE V6.7 Power Cord, North American 2 Thermal Paper, 8.5 "x 11", Red Grid 200MM Wide, Z-Fold, Hole Queue, 300 Sheets, 8 Packs 2

T2100-ST TREADMILL 2

T2100-ST2 TREADMILL 220V 2

Cable RS232 Interface T2100-ST to CASE/PC/MAC2000 2 Tango M2 System 2

Tango M2 NIBP Monitor (RoHS) For Stress Testing 2 Tango Power Cable US/Canada 2

Tango M2 Stress BP Operators Manual - English 2 Tango 2

Tango M2 Small Adult Orbit-K Cuff with Microphone (18-27 cm) 2 Tango+ ECG Splitter Cable for using with Echocardiograph - RoHS 2

Tango M2 LP XPOD Kit 2 Shortened Mounting Pole for Tango on CASE 2

CASE V6.7 CAM 14 Stress AHA 2 12SL Interpretation (RESI) 2

DICOM Option And Comformance Statement 2 CASE v6.7 Language Set, ENG US 2

INSTALLATION CASE 2

Special Handling Service 2

Tango M2 System 1 Tango M2 NIBP Monitor (RoHS) For Stress Testing 1

Tango Power Cable US/Canada 1 Tango M2 Stress BP Operators Manual - English 1

Tango 1 Tango M2 LP XPOD Kit 1

Shortened Mounting Pole for Tango on CASE 1

SEER 1000 10

SEER 1000 Recorder Kit, 48 Hour 10 SEER 1000 Leadwire set, 5 leadwire, 2 CH, 105 cm (41 in), AHA 10

SEER 1000 Language Kit, English 10 Global SEER Light Extend Recorder 10

Carry Pouch/Accessories And 2 Channel AHA Color SEER Light/Extend Patient Cable (57"/144Cm) 10

Effective Date: 02/01/22 Page 4 of 7

SEER Light Shoulder Strap, Waist Belt, Portable Pouch 10 CASE V6.7 Upgrade 3

CASE V6.7 ADD OPTIONS ONLY (Serial Number Required) 3 XML-PDF Export (EXPD/EPDF) 3

DICOM Option and Comformance Statement 3 Windows 10 Upgrade HDD Kit for CASE V6.73 Advantech system (Product code: SNP-Serial Number Required) 3

CASE V6.7 2

CASE Premium Package With Display 2

CASE V6.7 CAM 14 Stress AHA 2 12SL Interpretation (RESI) 2

DICOM Option And Comformance Statement 2 CASE v6.7 Language Set, ENG US 2

INSTALLATION CASE 2

Special Handling Service 2

CASE V6.7 Power Cord, North American 2 Thermal Paper, 8.5 "x 11", Red Grid 200MM Wide, Z-Fold, Hole Queue, 300 Sheets, 8 Packs 2

T2100-ST TREADMILL 2

T2100-ST2 TREADMILL 220V 2

Cable RS232 Interface T2100-ST to CASE/PC/MAC2000 2 Tango M2 System 2

Tango M2 NIBP Monitor (RoHS) For Stress Testing 2 Tango Power Cable US/Canada 2

Tango M2 Stress BP Operators Manual - English 2 Tango 2

Tango M2 Small Adult Orbit-K Cuff with Microphone (18-27 cm) 2 Tango+ ECG Splitter Cable for using with Echocardiograph - RoHS 2

Tango M2 LP XPOD Kit 2 Shortened Mounting Pole for Tango on CASE 2

4. Statutory Authority Permitting Other than Full and Open Competition:

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by FAR 6.302-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by FAR 6.302-4 ( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by FAR 6.302-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by FAR 6.302-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by FAR 6.302-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

GE Healthcare or their authorized distributor, are the only sources for these products and services.

This represents a logical follow-on to highly specialized equipment and services purchased through various previous contracts that now require upgrades. CardioDay is a Holter Monitoring (take home 24 or longer heart monitoring) solution provided by GE Healthcare. Is it an upgrade to the currently

Effective Date: 02/01/22 Page 5 of 7 used MARS system. The CASE solution is a treadmill stress test. We have several older devices that need replaced and several newer devices that require and upgrade to their operating systems. While other contractors can provide a Stress Test and Holter Monitoring solution, only GE Healthcare (or their approved distributor) can provide upgrades to existing systems. A change in contractor technologies represents a substantial duplication in costs as VISN 15 would need to procure new servers and replace newer technologies to keep with standardization of technologies.

Accordingly, GE Healthcare is the only acceptable brand and capable of meeting the requirement described in Section 2 above without the Veteran’s Health Administration experiencing substantial duplication of cost that could not be expected to be recovered through competition.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: This is a Brand Specific requirement above SAT that will be solicited as Unrestricted. This will allow GE Heathcare and its authorized distributors to submit a quote.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

The only basis to determine fair and reasonable price is (past) history, IGCE, and competition. The contracting officer, after review and consultation with appropriate technical personnel, will ensure that the price paid for the service is fair and reasonable. In accordance with FAR 15.403-1, this is a commercial service and cost and pricing data is not required.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

Effective Date: 02/01/22 Page 6 of 7

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: N/A

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to

Competition before Making subsequent acquisitions for the supplies or services required: This is a Brand Specific requirement, due to the NMR, this will be solicited as Unrestricted on the Open Market. This will allow GE Heathcare and its authorized distributors to submit a quote.