P03 - Attachment 1 Single Source Justification MPT to SAT.pdf

Acquisition Plan Action ID: 36C250-26-AP-2836

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source

Attachment 1: Single Source Justification for SAP under the SAT

Revision: 02 Effective Date: 12/30/2025 Page 1 of 2 Acquisition ID#: 36C250-26-AP-1761

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

1. Contracting Activity:

Department of Veterans Affairs, VISN 10, Station 583, Richard L. Roudebush VA Medical Center submits to Network Contracting Office (NCO) 10 located at 24 Frank Lloyd Wright Drive, Lobby M, Suite M2200, Ann Arbor, MI 48105, the requesting activity VISN 10, Richard L. Roudebush VA Medical Center, Nursing Service, at 1481 W 10th Street, Indianapolis, IN 46202 a procurement request for Tag Removal and Etching Service.

The funds are available through IFCAP PR 583-26-3-041-0091 in the amount of $179,788.00.

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

The estimated value of the proposed action is $179,788.00. (base year with no options)

The Richard L Roudebush VA Medical Center, Indianapolis, IN, needs to have the labels removed from the instrument baskets of approximately 2100 sets of RMD. The label and any adhesive that was used to affix the label to the basket needs removed. The basket shall need to be completely cleaned of any adhesive residue then laser etched with an identifying label that shall be recognized in our Censitrac platform. The laser etches shall replace each label that is removed and shall identify the set by name, set number and provide a bar code / Data Matrix for scanning through the Censitrac system.

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

• Work needs to be completed on weekend days

• Work will take several months to complete

• Vendor is familiar with our requests and sets as they are the ones who does our preventative maintenance on our current equipment

• Vendor is equipped with a mobile lab that would be able to etch the tags on site as they are removing the current labels

• All work needs to be consistent with the format of the current labeling system, legible and able to withstand the reprocessing efforts.

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

• A GSA search utilizing the search term ‘Laser Etching’. No results were returned.

• AbilityOne Services List was reviewed. None of the services listed are compatible with the services need.

• HTME webpage with Pre-existing contracts was reviewed. No pre-existing contracts were discovered.

https://www.acquisition.gov/?q=/browse/far/13

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source

Attachment 1: Single Source Justification for SAP under the SAT

Revision: 02 Effective Date: 12/30/2025 Page 2 of 2 Acquisition ID#: 36C250-26-AP-1761

• An SBA DSBS Search was completed using NAICS 811210 and the search term ‘Laser Etching’.

One contractor American Surgical Instrument Repair, LLC, SDVOSB, returned. The contractor website does not indicate laser etching services.

• The labels are peeling or cracking and could be harboring contamination that would render the set not sterile. The issue of non-sterile or possibly contaminated Reusable Medical Device (RMD) has led to the delay and/or cancellation of surgical cases out of an abundance of caution. In addition, the etchings must be acceptable for scanning purposes

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

APPROVED BY:

Andrea J. Roach Contracting Officer, Services Team 2 Network Contracting Office (NCO) 10 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466