P03 - Brand Name Justification Wallboards East Clinic signed_Redacted.pdf

Brand Name Justification for SAP under the SAT

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

DEPARTMENT OF VETERANS AFFAIRS

Justification for BRAND NAME Awards IAW FAR 13.106 1 For

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

Acquisition Plan Action ID: 36C252 24 AP 0938

1. Contracting Activity: Department of Veterans Affairs, VISN 12, William S. Middleton Memorial Veterans Hospital has submitted 2237 607 24 3 969 0078 for a “Ophthalmoscope And Otoscope Wallboard System” to the Great Lakes Acquisition Center (NCO12).

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

This justification and approval is for Brand Name Only Ophthalmoscope And Otoscope Wallboard System, procurement which will be set a side for Small Business and awarded as a firm fixed priced purchase order.

This order is estimated at

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

The Madison VA Ambulatory Care department is requesting purchase of the Welch Allyn GS777 Wallboard system for the East Clinic activation. This wallboard is an integrated tool system configured with multiple exam tools including opthalmoscope, otoscope, Aneroid blood pressure monitor and specula dispenser. The wallboard mounting and set up options allows for the tools to be within arm’s reach of provider and patient. Madison VA is standardizing their integrated wall systems and diagnostic equipment to provide the highest level of care and safety for the patients and staff.

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

Original Equipment Manufacturer (OEM) for this requirement is WELCH ALLYN, INC.

(DB5HN4VWDBU5) who is considered an Other Than Small Business (OTSB) per System for Award Management (Sam.gov) Reps & Certs. A Veteran Small Business Certification (sba.gov) search to identify verified capable SDVOSBs and VOSBs, under NAICS 339112 search identified six hundred and sixty one (661) SDVOSB and VOSB vendors. System limitation will not allow to search for keyword “OPHTHALMOSCOPE”. A SBA DYNAMIC Search of NAICS 339112 keyword “OPHTHALMOSCOPE” zero (0) SD VOSB vendors. An inquiry to the OEM was sent 5/14/24 to maximize competition, OEM identified a total of ten (10) Distributors Authorized to sell the Ophthalmoscope and Otoscope Wallboard to the Department of Veteran Affairs and its Facilities, six

(6) Small Business vendors and four (4) Other Than Small Business.

Research indicates that the procurement should be competed as a Small Business Set aside as the Small Business Administration Rule (FAR 19.502 2) has been met.

Brand Name Justification for SAP under the SAT

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

Nonmanufacturer Rule Limits competition to Small Business Only.

Based on the information provided above, it is determined this procurement shall be set aside for Small business (Brand Name Only), and that the award can be made at a fair and reasonable price that offers the best value to the United States IAW 13 CFR § 121.406(c), FAR 13.106 1(b), and FAR

19.502 2.

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.