NEDU_NSpire_SSJ.pdf

1NAVSUPINST 4200.85D, Encl (1) of 2

JUSTIFICATION FOR SOLE SOURCE (Simplified Acquisitions <$150K)

The service or material listed on [document number] is sole source and competition is precluded for reasons indicated below. There are no substitutes available for this material or service.

Restricted to the following source.

Provide original manufacturer's name (If a sole source manufacturer distributes via dealers, ALSO provide dealer information.)

Manufacturer:

Manufacturer POC

Manufacturer Phone #:

Mfr. address

Dealer / Rep

Dealer / Rep Phone #:

Dealer / Rep address:

Description of the item or service required, the estimated cost, and required delivery date.

Specific characteristics of the material or service that limit the availability to a sole source (unique features, function of the item, etc.). Describe in detail why only this suggested source can furnish the requirements to the exclusion of other sources.

The requested material or service represents the minimum requirements of the government.

TBD

Nspire Health, Inc.

capitalsales@nspirehealth.com

800.574.7374

1830 Lefthand Circle Longmont, CO 80501

N/A

N/A

N/A

X

NSPIRE HEALTH, INC. 1 EACH, PART NUMBER PX3000 KOKO (PULMONARY

FUNCTION SYSTEM) PFT SYSTEM. ESTIMATED AT $29,800.00 WITH FOUR

OPTIONS FOR SERVICE RENEWAL FOR THE SOFTWARE PORTION AND

MEDICAL INSTRUMENT COMPONENTS. DELIVERY 60 DACA. FOB ORIGIN.

NTE SAT THRESHOLD.

X

THIS BRAND HAS BEEN USED FOR COLLECTING, STORING, AND ANALYZING

DATA ON CURRENT EXPERIMENTS. THE SYSTEM IS OUTDATED UNDER MS

WINDOWS 7 AND AN UPGRADE IS NEEDED THAT ALLOWS FOR DATA

TRANSFER WITHOUT LOSS OF FORM OR USAGE.

Laura Volz

2NAVSUPINST 4200.85D, Encl (1) of 2

CHECK & FILL IN ALL APPLICABLE BLANKS BELOW

The material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed/performing. Describe the equipment/function you have now and how the new item/service must coordinate, connect, or interface with the existing system.

A patent, copyright or proprietary data limits competition. The proprietary data is:

These are “direct replacements” parts/components for existing equipment.

Other information to support a sole source buy:

I CERTIFY THAT STATEMENTS CHECKED, AND INFORMATION PROVIDED ABOVE, ARE

COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THE

PROCESSING OF THIS SOLE SOURCE JUSTIFICATION PRECLUDES THE USE OF FULL AND

OPEN COMPETITION.

Signature Title

Activity Date

Contracting Officer Signature

Date SAP Sole Source

X

X FY18 BIOMEDICAL RESEARCH FUNDS. 10 U.S.C. 2304(c)(1) FAR 6.302-1.

ONLY ONE RESPONSIBLE SOURCE.

X

NSPIRE HEALT INC. IS THE OEM AND SOLE SELLER OF THE

AFOREMENTIONED PRODUCT. CHANING TO SIMILAR EQUIPMENT WILL

CAUSE LOSS OR CORRUPTION OF DATA, RETARINING OF PERSONNEL,

AND BASELINE INSTRUMENTS AND THESE COSTS ARE NOT EXPECTED TO

BE RECOVERED THROUGH COMPETITION.

2/26/18