P03. Part819.7007-7008_Atch1_FAR6_JA_OVER_SAT SIGNED.pdf

Attachment 1: Request for SDVOSB/VOSB Sole Source Justification Format >SAT

Effective Date: 02/01/2022 Page 1 of 3

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID:_36C263-22-AP-3923

1. Contracting Activity: Department of Veterans Affairs, VISN 23, Black Hills VA Medical Center, NCO 23, Supplies Coralville IA. 568-22-3-5954-0091 $270,887.34

2. Nature and/or Description of the Action Being Approved: A new purchase order for overhead slings.

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

(53 each) Likorall 243ES Patient Lift motors, 507 lbs Capacity, Hand controls, carriage, battery charger, universal Slingbar 450 with quick release hook, Q-link, to include installation (and removal of existing motor).

(1 each) Likorall 250 ES Patient Lift motor, 550 lbs capacity, Hand controls, carriage, battery charger, universal Slingbar 450 with quick release hook, Q-link, to include installation (and removal of existing motor). (5 each) Likorall 250ES Ceiling Mounted Patient Lift motors and Traverse Rail System, 550 lbs Capacity, including hand controls, carriage, battery charger, charger bracket, quick reference guide, hook for sling bar, with wall charger, Straight Rail H140, travers rail carrier, all required hardware, to include installation.

(5 each) Likorall 250ES Ceiling Mounted Patient Lift motors and Traverse Rail System, 550 lbs Capacity, HandControls, Carriage, Battery Charger, hook for sling bar, parking panel, universal slingbar 450, Straight Rails, traverse rail carrier, pendent, pendent cover, end cover, end stop, Q-link to include installation.

4. Statutory Authority Permitting Other than Full and Open Competition: 41 USC §3304(a)(5), 38 U.S.

Code § 8127(c), as implemented by FAR 6.302-5 (Authorized or Required by Statute). COs may use the non-competitive (sole source) procedures authorized in VAAR 819.7007 or 819.7008 up to $5,000,000. Check the specific VAAR clause used below:

(X ) 819.7007 Sole source awards to a verified service-disabled veteran-owned small business; or

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

The SDVOSB Vendor, the Janz Corp. Is an authorized distributor of the iteams and has provided proof as such. The authority to award to an SDVOSB is based on 38 U.S.C. 8127(c) and Janz Corp has been determined to be a responsible source with respect to performance. The is a Non- Manufacturer rule waiver for the NAICS 339113 and the items are TAA compliant.

Effective Date: 02/01/2022 Page 2 of 3

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable, including whether a notice was or will be publicized as required by subpart

5.2 and, if not, which exception under 5.202 applies:

These items are peculiar to a manufacturer, they are required to match in full fit and form the current items installed in the hospital. When the items are at end of life a full and open competition will be completed. A notice of this sole source will be published to SAM.gov.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: The price is determined to be fair and reasonable based off the vendors own catalog pricing. The price is within 5% of that price and under guidance from VA policy it is determined that price is fair and reasonable for an award to any SB concern.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: We contacted the manufacturer to get a list of authorized distributors. The Janz Corp was listed as an authorized distributor. Janz Corp met the eligibility criteria outlined in VAAR 819.7003, they are verified in VIP and the action is below the $5M threshold.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: None and the CO may award under the authority 38 USC 8127(c) to any qualified SD/VOSB.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: Electra Med Corp, also an SDVOSB, their market research quote was above the 5% threshold.

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:

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.

Date

Black Hills VA Health Care System

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

Emily A Apland 1034166

Digitally signed by Emily A Apland 1034166 Date: 2022.09.07 12:18:05 -06'00' 9/7/22

Effective Date: 02/01/2022 Page 3 of 3

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

Harry R. Grambo III Date Supply Team 1 Branch Chief Network 23 Contracting Office

b. One Level Above the Contracting Officer (Required over the SAT but not exceeding $750K): I certify the justification meets requirements for other than full and open competition.

Scott J. Petrin Date Division Chief

Network 23 Contracting Office

Harry R.

Grambo 941663

Digitally signed by Harry R.

Grambo 941663 Date: 2022.09.08 05:41:22 -05'00' 9/8/22

Date2_af_date: 9/8/22