P03 J and A Signed.pdf

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for MPT up to SAT

Revision: 02 Effective Date: 12/30/2025 Page 1 of 2 Acquisition ID#

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the Simplified Acquisition Threshold

Acquisition Plan Action ID: VA-26-00069898

1. Contracting Activity: Department of Veterans Affairs, VISN 23, Iowa City VA

Medical Center 2237 # 636-26-4-4154-0232

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The Iowa City VA HCS MRI department is requesting the Invivo/Philips MR Patient Care Portal 5000. Estimated cost =

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

This software must interface seamlessly with the Philips Expression MR400 physiological monitoring devices currently deployed in the Iowa City VA MRI department. Because the MR400 units are already integrated into the VA’s MRI workflow and safety protocols, any new software used in conjunction with these devices must be fully compatible with Philips’ proprietary communication standards, data formats, and radio-frequency transmission architecture.

The MR Patient Care Portal 5000 serves as the required central software platform that receives, processes, and displays patient physiological data transmitted wirelessly from the MR400 monitors operating inside the MRI Zone. Due to the MRI environment’s strict electromagnetic safety constraints, only Philips-approved and Philips-certified hardware and software components can be used to ensure appropriate RF shielding, safety compliance, and reliable real-time data transmission.

The MR Patient Care Portal 5000 will be a part of a larger connecting system - MX2297809 (currently in use, one per each MRI (2)) at a cost of per each. No other vendor produces software or equipment that is technically compatible with the Philips Expression MR400 platform or capable of meeting Philips’ proprietary RF communication and safety requirements within an MRI Zone.

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for MPT up to SAT

Revision: 02 Effective Date: 12/30/2025 Page 2 of 2 Acquisition ID#

4. Description of market research conducted and results or statement why it was not conducted: Market Research concluded 3 VOSB/SDVOSB’s capable of distributing the MR Patient Care Portal 5000.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR

13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief. Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Name Date Title

6/17/2026