P03 Part813.106_Atch1_SingleSourceJustification_MPT-SAT-PR- REDACTED.pdf

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6515---MED/SURGE- Hines CMOP
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36C77021Q0570
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VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

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)

Acquisition Plan Action ID:_______ 36C770-21-AP-0920_______________

Contracting Activity: Department of Veterans Affairs, NCO-15 (for Hines). 2237 : 765-21-4-715-0116

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

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

The product is being requested to fill prescriptions where the provider specifically requested this brand for the veteran. Prescriptions are entered as DAW or Dispense as Written meaning the pharmacy is not allowed to substitute any other brand for the prescription but can only fill the prescription with the brand that was ordered by the doctor. Contracting Officers has no authority to change Doctor prescription orders for name brand only.

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

The NAC website was searched and the requested ndc is not on contract.

Because the Government is not allowed to do business using Wholesale Trade or Retail Trade NAICS codes, searches must be conducted using the manufacturer NAICS code 325413 (In-Vitro Diagnostic Substance Manufacturing). Despite these results, there are no known SDVOSB, VOSB, HUBZone, LINE

ITE

M

NDC #/UPC DESCRIPTION QTY UNIT OF

MEASUR

E

1 MT2000 MORGAN LENS Mortan MT2000 480 EACH 12 PER

BOX

40 BX

2 Precept 15320 SURGICAL MASK (PRECEPT FLUIDGARD) 150 CS

3 DYND75050 TOURNIQUET (STRETCH) Medline 1000 EACH 25

PER BOX

40 BX

4 Covidien 3033 GAUZE 4x4 (2 PER PACKAGE) Covidien 3033 30 CS 5 Tricol 1003 HEMCON BANDAGE 4x4 Tricol 1003 123 CS 6 3M 1538S-1 TAPE 1in CLOTH (DURAPORE) QTY 500 3M 1538S-1 203 CS 7 3M 1532S-1 TAPE 1in PAPER (MICROPORE) 3M 1532S-1 244 CS 8 AmeriDerm ALL-

HAND CLEANER (ALCOHOL BASED) 4OZ AmeriDerm

ALL-241

441 CS

9 Covidien 6715 KERLIX BANDAGE ROLL (product 8073 or 6715) Covidien 6715

192 BX

10 Covidien 5750 ALCOHOL PREP PAD Covidien 5750 5090 BX

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 2 of 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

8(a), or small business organizations that manufacture the items required for this procurement.

Because the Non-Manufacturer Rule (NMR) and the Limitations on Subcontracting (LOS) clause apply to all SD/VOSB set-asides (and sole sources) regardless of the dollar value, a SD/VOSB set-aside is not feasible. Due to the urgency and risk to patient safety we do not have time to request and receive approval for a NMR waiver to set-aside for SDVOSB’s. Based on this research and policy, the rule of two cannot be met to set the procurement aside for a socioeconomic subcategory of small business.

Based on the exception to the NMR for acquisitions under $250K, a small business set-aside is feasible. This procurement will be solicited as a small business set-aside

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.

Jessica Hansroth Date Contract Officer

JESSICA HANSROTH

Digitally signed by

JESSICA HANSROTH

Date: 2021.08.24 07:15:31 -05'00'

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