Limiting-Competition-under-SAT_ACC (Patient Forms)-Re-dacted.pdf

For All Actions At or Below the Simplified Acquisition Threshold Use for FAR Part 8, FAR Subpart 13.1, or FAR Part 16, Including Brand Name

Control No: 21-RHCO-C-351

Version – February 2017

Memorandum for Record – Limiting Competition at or below the Simplified Acquisition Threshold

1. Contracting Activity: Fort Hood Health Contracting Branch, Ft. Hood TX

2. Description of Action:

Nature: New Requirement Follow-on Requirement

Contract Vehicle: Purchase Order Number PR 0011597032

Blanket Purchase Agreement (BPA) Number Order/BPA# against FSS Contract # Order # against Multiple Award IDIQ Contract Name or #

Order # against a single award IDC Contract

Modification # to existing PO/TO/DO/Call Order

Pricing/Contract Type: Fixed Price Time & Materials/Labor Hours Cost Reimbursable Hybrid

Funds: Operations & Maintenance, Army (OMA) Other Funds:

FY: 21

Name of Proposed Contractor(s) and Address:

NCS Pearson, Inc.

5601 Green Valley Dr., Ste 220 Bloomington, MN 55437-1186

Brand Name Buy: Yes No

3. Description of Services or Supplies: Irwin Army Community Hospital (IACH), Fort Riley, Kansas, has a requirement for Patient Forms. These supplies are needed by the Department of Behavioral Health (DBH) and the estimated cost is $46,727.88. The request is for commercial supplies and FY21 funds are available. The Period of Performance is for a twelve (12) month base period only 29 May 2021 to 28 May 2022.

4. Authority:

FAR 13.106-1(b)(1): For purchases not exceeding the simplified acquisition threshold (SAT), only one source reasonably available, urgency, exclusive licensing agreements, brand name, or industrial mobilization.

CUI

Or

FAR 8.405-6(a)(1)(i)(B) and 8.405-6(b)(1)Brand Name FAR 8.405-6(a)(1)(i)(A) Urgency FAR 8.405-6(a)(1)(i)(B) Only One Source is Capable FAR 8.405-6(a)(1)(i)(C) Logical Follow-on

Or

FAR 16.505(b)(2)(i)(B) Only One Awardee is Capable FAR 16.505(a)(4) Brand Name FAR 16.505(b)(2)(i)(A) Urgency FAR 16.505(b)(2)(i)(C) Logical Follow-on FAR 16.505(b)(2)(i)(D) Minimum Guarantee

5. Reasons for Authority Cited:

Irwin Army Community Hospital, DBH, has a need for Patient Forms. The assessments are copyrighted and only sold by NCS Pearson, Inc. These assessments are used for diagnostic clarification and treatment planning by the Psychologists, in order to enhance patient care.

Purchasing similar Patient Forms that are non-compatible, would risk proper diagnostic clarification and supporting evidence to determine service member’s fit for duty status, completion of military evaluation boards, completion of security evaluations, and treatment planning.

6. Publicizing Contract Actions: For FAR Part 13 actions, the public display and synopsis requirements of FAR 5.101 and FAR 5.203 do not apply due to the $ threshold, ☒ apply and will be followed, or ☐ do not apply due to an exception at 5.202 _____________________.

Requirement to post justification in accordance with FAR 8.405-6(b)(3), FAR 13.105(c), or FAR 16.505(a)(4)(iii)(A)

Action is NOT a brand name restriction and is under $150K, no posting required

Action is a brand name restriction, under $25K, no posting required Action is a brand name restriction, over $25K. It will be redacted and posted with the solicitation.

Action is a brand name restriction over $25K but will not be posted due to exception:

FAR 6.305(f) FAR 8.405-6(b)(3)(iii)(A) FAR 8.405-6(b)(3)(iii)(B) FAR 8.405-6(b)(3)(iii)(C) FAR 16.505(a)(4)(iii(C)

7. Market Research: A sources sought notice was posted to Beta.SAM.gov from 10

March 2021 – 16 March 2021. There were no responses to the sources sought.

8. Other Facts:

Procurement History:

W81K00-20-P-0152, NCS Pearson, Inc.

Method of procurement: Sole Source Period of Performance: 29 May 2020 to 28 May 2021

9. Technical/Requirements Certification: I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my knowledge and belief.

Typed Name:

Date:

Title:

10. Contracting Officer Certification/Approval:

I hereby determine that the anticipated cost or price to the Government for this contract action will be fair and reasonable based upon price analysis.

I certify that this justification is accurate and complete to the best of my knowledge and belief, and that completing this purchase as a sole source is in the best interest of the Government. Additionally, I approve this justification to limit competition subject to the availability of funds and provided that the services or supplies herein described have otherwise been authorized for acquisition.

Typed Name:

Date:

Title: Signature:

X Right-Click "Signature Setup"

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