P03_36C261-26-AP-2745-FY26-1880 JOFOC NCO21 AutonoMe - HCA Approved__.pdf

VHAPG Part 806.3 OFOC Page 1 of 5 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C261-26-AP-2745

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: 36C261-26-AP-2745

RPOW JOFOC Tracker: FY26-NCO 21-1037

1. Contracting Activity: Department of Veterans Affairs (VA), Network Contracting

Office 21 on behalf of Veterans Integrated Service Network (VISN) 21, VA Palo Alto Health Care System (VAPAHCS).

Purchase Request: 640-26-2-394-0045.

2. Nature and/or Description of the Action Being Approved:

This procurement is for the AutonoMe Hospital Environmental Control Unit (ECU) systems within VAPAHCS in accordance with FAR 12.102 Restricting Competition for the Acquisition of Commercial Products and Commercial Services, where acquisitions conducted are exempt from the requirements of FAR Part 6, but still requires a justification using the format of FAR 6.104-1.

The action will not be competed and will be procured as a sole source. The contract will be a firm fixed price Open Market contract. This is a new requirement.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

VAPAHCS requires an upgrade of the existing AutonoME Hospital ECU systems within the Spinal Cord Injury (SCI) Center. The scope of work includes replacing outdated AutonoMe components, installing upgraded AutonoMe Hospital systems, performing necessary device integrations, conducting functional testing, and providing training for designated staff groups.

Qty Item Number Product Description 43 A10000F AutonoMe ECU hospital systems 1 Install Installation of the AutonoMe systems (includes installation and train-the-trainer training, unlimited remote technical support and a 2-year warranty on the products)

4 SERV0102 Annual Preventive Maintenance plan of AutonoMe systems

VHAPG Part 806.3 OFOC Page 2 of 5

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

RFO 6.103-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by RFO 6.103-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by RFO 6.103-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by RFO 6.103-4

( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by RFO 6.103-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by RFO 6.103-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by RFO 6.103-7;

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

AutonoMe is the only responsible source capable of meeting the VAPAHCS requirements for upgrading existing ECU systems in the SCI Center. The current veteran rooms are fully outfitted with AutonoMe hardware, software, integration cabling, and room-specific mounting infrastructure. The AutonoMe systems are a proprietary platform, and only the original manufacturer Accessibility Services Inc can provide compatible replacement components, firmware, software updates, device-level integrations, and the required functional interoperability with the existing system architecture.

Accessibility Services Inc is also the only source with proprietary technical data, configuration control, and integration rights necessary to install, calibrate, and verify the systems to VA clinical/biomedical standards. No other vendor can maintain, modify, or replace AutonoMe components without violating proprietary restrictions or compromising system functionality or veteran safety. To consider another manufacturer would create substantial duplication of cost to the government that is not expected to be recovered through competition.

VHAPG Part 806.3 OFOC Page 3 of 5

Acquisition ID#: 36C261-26-AP-2745

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as possible (including whether a notice was or will be publicized as required by RFO Part 5 and, if not, which exception under RFO Part 5 applies):

Market research was conducted, and no other distributors of the AutonoMe could be found. The equipment and software requested are proprietary to the Original Equipment Manufacturer (OEM) Accessibility Services Inc, it is not possible to procure the items needed from alternative sources.

7. Determination by the CO that the Anticipated Cost to the Government will be

Fair and Reasonable:

Fair and reasonable pricing will be compared to the Independent Government Cost Estimate, and Past procurement history.

8. Description of the Market Research Conducted and the Results, or a

Statement of the Reasons Market Research Was Not Conducted

The Contract Specialist (CS) reviewed the following sources: The Small Business Administration (SBA) Small Business Search database, General Services Administration (GSA) Advantage, SAM.GOV and Space Administration (NASA) Solutions for Enterprise-Wide Procurement (SEWP).

The CS reviewed Past Procurements on SAM.GOV:

• Award ID: 36C24W25P0031 was found, awarded to Accessibility Services Inc on March 17, 2025, in the amount of $1,006,250.00 for AutonoMe systems via Open Market. The action was procured as a sole source to Accessibility Services Inc.

• Award ID: 36C25723P0743 was found, awarded to Accessibility Services Inc on September 8, 2023, in the amount of $467,450.00 for AutonoMe systems via Open Market. The action was procured as a sole source to Accessibility Services Inc.

Past Procurement history on SAM.GOV using keyword “Hospital Environmental Control Unit” resulted in awards only to Accessibility Services Inc within January 1, 2018 - April 1, 2026.

SBA database for North American Industry Classification System (NAICS): 334118 (Computer Terminal and Other Computer Peripheral Equipment Manufacturing);

produced 519 Service-disabled Veteran-owned Small Businesses (SDVOSB) and 567 Veteran-owned Small Businesses (VOSB). However, these products are proprietary to Accessibility Services Inc. AutonoMe, is the only equipment that can be used with existing AutonoMe software within VAPAHCS. AutonoMe equipment and software systems can only be provided by Accessibility Services Inc.

VHAPG Part 806.3 OFOC Page 4 of 5

Acquisition ID#: 36C261-26-AP-2745

Accessibility Services Inc provided a sole source letter stating that they’re the developer and sole source provider.

SBA Search for “Environmental Control Unit” with NAICS: 334118 (Computer Terminal and Other Computer Peripheral Equipment Manufacturing); produced 0 SDVOSBs and VOSBs.

Accessibility Services Inc’s business size is a Small Business according to the NAICS: 334118 (Computer Terminal and Other Computer Peripheral Equipment Manufacturing).

GSA Advantage was reviewed, with no relevant results identified.

NASA SEWP was reviewed, with no relevant results identified.

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

There are no other facts.

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

Accessibility Services Inc (LPYHTAXSUDB8); 6241 S TEX PT, Homosassa, FL 34448-5923

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:

Market research will be conducted in the future as the need arises to review similar types of systems.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and 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.

Lavon Skeene Administrative Officer Spinal Cord Injury Service

LAVON

SKEENE

Digitally signed by LAVON

SKEENE

Date: 2026.05.04 07:52:57 -07'00'

VHAPG Part 806.3 OFOC Page 5 of 5

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Mathew Czeshinski Contracting Officer Network Contracting Office 21

b. One Level Above the Contracting Officer

: I certify the justification meets requirements for other than full and open competition.

Nicholas Kluch Director of Contracting Network Contracting Office 21

c. VHA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval

Curtis M. Jordan Executive Director, Regional Procurement Office West Head of Contracting Activity (HCA)

MATHEW

CZESHINSKI

Digitally signed by MATHEW

CZESHINSKI

Date: 2026.05.04 08:27:22 -07'00'

NICHOLAS

KLUCH

Digitally signed by NICHOLAS

KLUCH

Date: 2026.05.04 14:18:12 -07'00'

CURTIS

JORDAN

Digitally signed by CURTIS

JORDAN

Date: 2026.05.06 19:01:41 -06'00'