JA Single Source FAR 13 Tympanomoters_signed.pdf

Last Updated: 02/01/22 Page 1 of 2

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1

Acquisition Plan Action ID: 36C263-22-AP-3262

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office (NCO 23), 1303 5th St. Suite 300, Coralville, IA 52241

Requesting Activity: Minneapolis VA Medical Center, One Veteran Drive, Minneapolis, MN 55417.

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount:

The Minnneapolis VA Medical Center has a need to buy 19 Interacoustics Titan V4 Tympanometers (Model 8016195), with additional necessary add-ons:

Interacoustics Titan DPOAE add ons with 266hz tympanometry(Model 8121646), IA eartip kits (Model TS291), DO-180 Adult Foam Tip packs (Model W90247) Installation, configuration & training by an authorized distributor Service by an authorized distributor

…for use at the main hospital, Maplewood CBOC, Twin Ports CBOC, Northwest Metro CBOC, and the Whipple Building.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

The Minneapolis VA requires a unit that can perform both Tympanometry and DPOAE eliminating the need to have multiple pieces of equipment which increases cost and requires more wall and desk space than the VA’s small-sized Audiobooths currently have.

The Minneapolis VA has a need for a combined Tympanometer/DPOAE that is light weight, easy to handle, is portable (Not a desktop unit, not mounted to the wall). A unit that can be carried easily by hand, not requiring a cart, down the hall or to a different department.

The Interacoustics Titan V4 Tympanometers with DPAOE add-on is the only unit available that meets these needs.

Therefore, this brand-name model with the necessary add-ons are essential as the description of this requirement and preclude consideration of other brand-name models. Additionally, the OEM has only one authorized distributor for the state of Minnesota that can provide the units and all necessary add-ons with installation and service. Consequently this procurement will be a sole source procurement to that authorized distributor.

4. Description of market research conducted and results or statement why it was not conducted:

V

Last Updated: 02/01/22 Page 2 of 2

Market research was conducted to confirm the above statements including direct conversations with the OEM (Original Equipment Manufacturer) regarding verification of authorized distributors as possible sources.

SAM. GSA. FPDS.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Date

Name:

Title: Contract Officer

Wendy S.

Hoeschen 1488945

Digitally signed by Wendy S. Hoeschen 1488945 Date: 2022.07.26 09:29:33 -05'00' 7/26/22