P03 Physiological Monitor System - Durham JA Redacted.pdf

36C246-21-AP-4468

PM Part 813.5 SAP for Certain Commercial Items Original Date: 08/30/17 Revision 03 Date: 02/11/2021

0003 IBE System Integration Services A21 FSE Onsite Labor & Travel 1 PCE, P07 PIICix Doc Export Config 1 PCE, P11 PIICix ADT Results Bundle

1 EA MXU0130

0004 Project Management Services 4 PCE A01 Foundation 4 EA MXU0575

0005 IntelliVue Microstream Extension x102 Includes B06 Add dual IBP, Temp x102

102 EA 867041

0006 IntelliBridge EC5 ID-Module Includes: 201 PB840 ID Module 15 PCE, L01 Connection Cables 1.5m 15 PCE

15 EA 865114

0007 IntelliBridge EC10 Module includes: 201 PB840 driver, A01 EC10 module RS232/LAN

15 EA 865115

0008 IntelliBridge EC5 ID-Module Includes: 702 Vigilance II ID Module L01 Connection Cables 1.5m

15 EA 865114

0009 IntelliBridge EC10 Module Includes: 702 Vigilance II Driver A01 EC10 module RS232/LAN

15 EA 865115

0010 IntelliVue BIS Module Includes: B01 BIS Device K20 BIS 4-Electrode Sensors

15 EA 866421

0011 Thermal Array Recorder Module 10 EA 866336

0012 Masimo Rainbow SET IV Module SP5 Masimo rainbow SET SpO2

15 EA 867191

0013 CBL 6 Lead ECG Trunk, AAMI/IEC 2.7m 28 EA 989803145051

0014 CBL 5 Lead ECG Trunk, AAMI/IEC 2.7m 102 EA 989803145061

0015 CBL 6 Lead Set Grabber AAMI, ICU 28 EA 989803145161

0016 CBL 5 Leadset, Grabber, AAMI, ICU 102 EA 989803125841

0017 Dual IBP Adapter 102 EA 989803199741

0018 Adult NIBP Air Hose 3.0m 102 EA 989803104341

0019 rainbowSET 10' Cable For LNCS 96 EA 989803186501

0020 SMART CAPNOLINE O2 plus, ADULT, intermed 102 EA 989803129751

Original Date: 08/30/17

0021 Installation Site Services A04 Facilities Implem Solutions 1 EA 890500

0022 Project Management Services, A01 Foundation 8 EA MXU0575

0023 IntelliVue X3 Includes: A04 4-waves capability B06 Dual Press and Temp C12 Conventional 12 Lead ECG E31 Carrying Handle H72 Critical Care Transport SW J45 Smart Hopping IF 1.4 GH SC2 System Cable - 2.0 m SP5 Masimo rainbow SET SpO2

71 EA 867030

0024 IntelliVue X3 Includes A04 4-waves capability B06 Dual Press and Temp C12 Conventional 12 Lead ECG E20 Fix Clamp Mount E21 Bedhanger Mount E24 Add 1 Lithium Ion Battery E29 Rotatable Quick Claw Mount E31 Carrying Handle H72 Critical Care Transport J45 Smart Hopping IF 1.4 GHz SC2 System Cable - 2.0 m SP5 Masimo rainbow SET SpO2

10 EA 867030

0025 IntelliVue MX800 Software Upgrades includes: C54

HEXAD

28 EA 865307

0026 IntelliVue MX700 Software Upgrades Includes: H42 Cardiac Care Software

34 EA 865308

0027 IntelliVue X3 SW Upgrade Includes: C12 Conventional 12 Lead ECG

21 EA 867032

0028 Patient Information Center iX Expand includes: 12C 12- Lead ECG Rev C NEW Add On or Expand RVC PIC iX Software Release C

8 EA 866390

0029 Patient Information Center iX Expand Includes: 12C 12- Lead ECG Rev C NEW Add On or Expand RVC PIC iX Software Release C

8 EA 866390

0030 Patient Information Center iX Expand Includes 12C 12- Lead ECG Rev C NEW Add On or Expand RVC PIC iX Software Release C

12 EA 866390

0031 Patient Information Center iX Expand Includes: 12C 12- Lead ECG Rev C 24 NEW Add On or Expand RVC PIC iX Software Release C

24 EA 866390

Original Date: 08/30/17

0032 Patient Information Center iX Expand Include 12C 12- Lead ECG Rev C NEW Add On or Expand RVC PIC iX Software Release C

10 EA 866390

0033 Installation Site Services includes A04 Facilities Implem Solutions

1 EA 890500

0034 Project Management Services Includes A01 Foundation 10 EA MXU0575

0035 24 Month Clinical Performance Agreement Includes:

A01 Basic CPA 24 months -

2 EA MXU0058

0036 Patient Information Center iX Expand Includes NEW Add On or Expand NLC PIC iX Enterprise Link PRC Pro Rev C RVC PIC iX Software Release C V1C Visibility Rev C

40 EA 866390

0037 PIC iX Hardware H1U UPS Hardware HS1 PC Hardware with SSD NEW Hardware or OS RVC PIC iX C

2 EA 866424

0038 MX40 1.4 GHz Smart Hopping C01 Enhanced Arrhythmia S02 ECG + Fast SpO2 Enabled

40 EA 865350

0039 CBL ECG 5lead Grabber, AAMI + SpO2, Tele 40 EA 989803171851

0040 LNC MP-10 Philips Dual Keyed Cable 40 EA 989803148221

0041 MX40 Lithium-ion battery pkg 3 277 EA 989803174131

0042 IntelliVue CL Charging Station 5 EA 856220

0043 IntelliVue Network Smart Hopping wired 14404 EA MXU0524

0044 SH coverage greater than 50,000 sq ft 14404 EA MXU0482

0045 Cable Implementation per sq ft Includes: A02 Cable 14404 EA MXU0532 Package 2 7

0046 PIC iX Hardware Includes: H1U UPS Hardware HS1 PC Hardware with SSD NEW Hardware or RVC PIC iX C 12

12 EA 866424

0047 Installation Site Services A04 Facilities Implem Solutions

1 EA 890500

0048 Project Management Services A01 Foundation 2 EA MXU0575

Original Date: 08/30/17

0049 Installation Site Services A04 Facilities Implem Solutions

1 EA 890500

0050 Cable Implementation - Hardwired A01 CABLE PACKAGE

18 EA MXU0533

0051 Cable Implementation - Hardwired A04 Cable Package 4 1 EA MXU0533

0052 Switch Gig Cisco 2960 24 port 1 EA MXU0568

0053 Project Management Services A02 Advanced 6 EA MXU0575

0054 Clinical Config. & Impl. Services (CMS) A03 3 Consecutive Standard Shifts

1 EA 890539

0055 MX40 1.4 GHz Smart Hopping Included: C01 Enhanced Arrhythmia 10 PCE, S02 ECG + Fast SpO2 Enabled

10 EA 865350

0056 MX40 Lithium-ion battery pkg 3 6 EA 989803174131

0057 MX40 Lithium ion battery pkg 1 2 EA 989803176201

0058 IntelliVue CL Charging Station 4 EA 865220

0059 CBL ECG 5lead Grabber, AAMI + SpO2, Tele 10 EA 989803171851

0060 MX40 Adapter SpO2-only 5 EA 989803199081

0061 Labor: Install/De-Install Equipment 8 EA 989805710138

0062 Wall Channel: 25" Seismic 4 EA 989805710358

0063 Display: 32" NEC, non-touch, 1920x1080 4 EA 989803206301

0064 M-Series: Large Display, Flush Mount 4 EA 989805710306

0065 2560: Multi-Video Mirror Sender 4 2 EA 989803207011

0066 2560: Multi-Video Mirror Receiver 4 EA 989803207031

0067 Mounting plate 989803207031 MV Receiver 4 EA 989803207891

Original Date: 08/30/17

0068 Cable: SF, Mats, Labor, Tent, Test 18301 EA 989803208551

0069 Smart Hop: Coverage, 10,001-50,000 SF 1.4GHz Smart hopping coverage per square foot (10,001 to 50,000 sq ft). Includes all smart hopping materials necessary to achieve the required wireless coverage within the defined area.

18301 EA MXU0481

0070 Network: Smart Hop Wired (per SF) 18301 EA MXU0524

0071 Cable: Fiber, 6-Strand Multimode, per ft 350 EA 989805710107

0072 Cable: HW, Mats, Labor, Tent, Test 4 EA 989803208601

0073 Project Management: Integrated 30 EA 989803208701

0074 Patient Information Center iX Expand Includes: 1XC PIC iX Base 25 PCE, NEW Add On or Expand 1 PCE NTP Network 25 PCE, PRC Pro Rev C 25 PCE, RVC PIC iX Software Release

1 EA 866390

0075 PIC iX Hardware Includes HS1 PC Hardware with SSD NEW Hardware or OS RVC PIC iX C

1 EA 866424

0076 24" Widescreen LCD Display - touch 1 EA 866126

0077 Labor: Install/De-Install Equipment 4 EA 989805710138

0078 Cable: HW, Mats, Labor, Tent, Test 1 EA 989803208601

0079 Cable: HW, Mats 1 EA 989803208631

0080 Mount: CPU, 4.5" to 7", Wall Channel 1 EA 989805710247

0081 Wall Channel: 25" Seismic 1 EA 989805710358

0082 UPS: Rack, PC, 6 Outlets, 500VA, 1U 1 EA 989805700057

0083 Project Management: Foundation 3 EA 989803208681

Original Date: 08/30/17

0084 Clinical Config. & Impl. Services (CMS) Included A03 3 Consecutive Standard Shifts

1 EA 890539

0085 Patient Information Center iX Expand Included: 12C 12- Lead ECG Rev C 1XC PIC iX Base NEW New Add On or Expand NTP Network 14 PRC Pro Rev C RVC PIC iX Software Release C V1C Visibility Rev C

14 EA 866390

0086 PIC iX Hardware Included: HS1 PC Hardware with SSD 1 NEW Hardware or OS 1 RVC PIC iX C

1 EA 866424

0087 24" Widescreen LCD Display - touch 1 EA 866126

0088 IntelliVue MX800 US Included: AL2 MX800 Advanced Monitor J13 RS232/MIB interface

14 EA 865240

0089 IntelliVue X3 Included: A04 4-waves capability B06 Dual Press and Temp C12 Conventional 12 Lead ECG E31 Carrying Handle H72 Critical Care Transport SW J45 Smart Hopping IF K14 Dual IBP Adapter SC2 System Cable - 2.0 m SP5 Masimo rainbow SET SpO2

14 EA 867030

0090 10 Lead ECG Trunk AAMI/IEC 2m 14 EA 989803144791

0091 5 Leadset, Grabber, AAMI, ICU 14 EA 989803125841

0092 5 Leadset, Grabber,Chest, AAMI,ICU 14 EA 989803125881

0093 Adult NIBP Air Hose 3.0m 14 EA 989803104341

0094 rainbowSET 10' Cable For LNCS 14 EA 989803186501

0095 MX40 1.4 GHz Smart Hopping Included: C01 Enhanced Arrhythmia S02 ECG + Fast SpO2 Enabled

14 EA 865350

0096 IntelliVue CL Charging Station 2 EA 865220

0097 MX40 Lithium-ion battery pkg 3 9 EA 989803174131

0098 MX40 Lithium ion battery pkg 1 1 EA 989803176201

0099 MX40 Adapter SpO2-only 5 EA 989803199081

Original Date: 08/30/17

0100 CBL ECG 5lead Grabber, AAMI + SpO2, Tele 14 EA 989803171851

0101 Mount: CPU, 4.5" to 7", Wall Channel 1 EA 989805710247

0102 Labor: Install/De-Install Equipment 8 EA 989805710138

0103 2560: Multi-Video Mirror Receiver 3 EA 989803207031

0104 2560: Multi-Video Mirror Sender 4 1 EA 989803207011

0105 M-Series: Large Display, Flush Mount 3 EA 989805710306

0106 Display: 27" Acer, Touch/Non-Touch, 2560 3 EA 989805710006

0107 Labor: Install/De-Install Equipment 26 EA 989805710138

0108 VHM-PL: MX600-850, AD75/85, SA, 9" DP 12 EA 989805710340

0109 Hook: 5 Hook, use with FMS 12 EA MXU0360

0110 Smart Hop: Coverage, 1-10,000 SF 5932 EA MXU0480

0111 Network: Smart Hop Wired (per SF) 5932 EA MXU0524

0112 Cable: SF, Mats, Labor, Tent, Test 5932 EA 989803208551

0113 Cable: HW, Mats, Labor, Tent, Test 4 EA 989803208601

0114 Project Management: Foundation 16 EA 989803208681

0115 Cable: HW, Mats, Labor, Tent, Test 12 EA 989803208601

0116 Cable: HW, Mats 1 EA 989803208631

0117 Mount: External Speaker, Flush 3 EA 989805710258

0118 UPS: Rack, PC, 6 Outlets, 500VA, 1U 2 EA 989805700057

0119 Network Engineer: Standard Hours 2 EA 989803208121

Original Date: 08/30/17

0120 Wall Channel: 19" Seismic 15 EA MXU0175

0121 Labor: Install/De-Install Equipment 7 EA 989805710138

0122 Clinical Config. & Impl. Services (CMS) A02 2 Consecutive Standard Shifts

1 EA 890539

0123 Patient Information Center iX Expand Included 1XC PIC iX Base NEW New Add On or Expand NTP Network PRC Pro Rev C RVC PIC iX Software Release C V1C Visibility Rev C

18 EA 866390

0124 PIC iX Hardware Included: H1U UPS Hardware HS1 PC Hardware with SSD NEW Hardware or OS RVC PIC iX C

1 EA 866424

0125 24" Widescreen LCD Display - touch 1 EA 866126

0126 MX40 1.4 GHz Smart Hopping Included C01 Enhanced Arrhythmia S02 ECG + Fast SpO2 Enabled

25 EA 865350

0127 CBL ECG 5lead Grabber, AAMI + SpO2, Tele 25 EA 989803171851

0128 MX40 Adapter SpO2-only 10 EA 989803199081

0129 MX40 Lithium-ion battery pkg 3 16 EA 989803174131

0130 MX40 Lithium ion battery pkg 1 2 EA 989803176201

0131 IntelliVue CL Charging Station 4 EA 865220

0132 Labor: Install/De-Install Equipment 4 EA 989805710138

0133 Mount: CPU, 4.5" to 7", Wall Channel 1 EA 989805710247

0134 Project Management: Foundation 40 EA 989803208681

0135 Cable: HW, Mats, Labor, Tent, Test 1 EA 989803208601

0136 Cable: HW, Mats 1 EA 989803208631

0137 UPS: Rack, PC, 6 Outlets, 500VA, 1U 1 EA 989805700057

Original Date: 08/30/17

0138 PIC iX Hardware Included: H3U Server UPS Hardware H41 Server Hardware NEW Hardware or OS RVC PIC iX C

3 EA 866424

0139 Project Management: Foundation 4 EA 989803208681

0140 Labor: Upgrade PIC iX, Per Server 3 EA 989805710175

0141 Labor: Install/De-Install Equipment PIC iX Hardware Included: H3U Server UPS Hardware H41 Server Hardware NEW Hardware or OS RVC PIC iX C

4 EA 989805710138

0142 UPS: Rack, PC, 6 Outlets, 500VA, 1U 1 EA 989805700057

0143 PIC iX Hardware Included: H3U Server UPS Hardware H41 Server Hardware NEW Hardware or OS RVC PIC iX C

1 EA 866424

0144 PIC iX Hardware NEW Hardware or OS RVC PIC iX C W2C SQL Svr Std 2-Core Add

20 EA 866424

0145 PIC iX Hardware Included NEW Hardware or OS 20 RVC PIC iX C 20 W2C SQL Svr Std 2-Core

20 EA 866424

0146 Patient Information Center iX Expand Included NEW New Add On or Expand RVC PIC iX Software Release C V1C Visibility Rev C

161 EA 866390

0147 PSN: Direct Connect Services 1 EA 989803208311

0148 Network Engineer: Standard Hours 8 EA 989803208121

0149 Project Management: Advanced 4 EA 989803208691

4. Statutory Authority Permitting Restricted Competition:

FAR 13.5 Simplified Procedures for Certain Commercial Items. The statutory authority for applying the Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. § 1901 and is implemented by FAR 13.106-1(b)(2) for restricting competition on this procurement. Competition is restricted on this procurement for the reason below:

( X ) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency

Requirements ( ) Unusual and Compelling Urgency ( ) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert

Services ( ) International Agreement

Original Date: 08/30/17 Revision 03 Date: 02/11/2021

( ) Authorized or Required by Statute ( ) National Security ( ) Public Interest

Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): Veterans Integrated Service Networks (VISN) 6 uses Philips Physiological Monitoring systems across the entire healthcare system. The Philips Intellivue system utilizes proprietary hardware and software. Equipment or software of a different manufacturer would not interface with the existing systems, would not be compatible or interchangeable with the configuration of the installed Philips patient monitoring system, and would require the replacement of existing equipment. Purchasing a different brand name would require facility-wide changes to infrastructure (data cabling), new servers, hardawre, etc.

Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: Correspondence was sent to National Director Government Channels with Philips North America LLC on 6/30/2021 requesting Service Disabled Veteran Owned Small Business partnerships able to meet the Governments requirements. The Philips Director confirmed that Alliant Enterprises LLC and Four Points Technology LLC are both authorized distributors and they encourage Veterans Affairs to use their SDVOSB partnerships to the maximum extent possible.

Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: The CO will determine that pricing will be fair and reasonable based on competition.

Prior to award price analysis of the proposed contract price will be performed and documented to sufficiently determine that the cost to the Government of the proposed acquisition will be fair and reasonable.

Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: The following market research was conducted to identify potential sources to fulfill the requirement for Durham VAMC.

A search was conducted querying Government-wide database of contracts, other procurement instruments, and commercial databases. The requirement was not available viaVA inventories including the VA supply stock program and VA excess, excess from other agencies, Federal Prison Industries (FPI), AbilityOne Program, Wholesale Supply Sources, and Medical Surgical Prime Vendor program.

Authorized distributor letters for Four Points Technology LLC and Alliant Enterprises LLC fromPhilips North America LLC are on file.

Veterans Information Pages (VIP): Search conducted on 7/6/2021 utilizing NAICS code 334510showed 3 SDVOSBs and 2 VOSBs. However, these vendors were not contacted because there was sufficient evidence that an SDVOSB set-aside would be possible.

A search conducted on VIP, Four Points Technology LLC and Alliant Enterprises LLC were

Original Date: 08/30/17 Revision 03 Date: 02/11/2021 both listed as a Service Disabled Veteran Owned Small Business.

In a review of the System for Award Management (SAM) website, Four Points Technology LLC (Duns No. 089896737) and Alliant Enterprises LLC (Duns No.

121170653) are listed as a small business under this requirement’s NAICS code 334510 –Electromedical and Electrotherapeutic Apparatus Manufacturing with Size Standard of 1,250 employees.

There is a Small Business Administration class waiver for Electromedical and electrotherapeutic apparatus equipment under NAICS code 334510.

Deliverables for this requirement will be for domestic end products in compliance with the Buy American Act FAR 52.225-1(d).

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: None

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: None

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: NCO 6 will continue to conduct market research to ascertain if there are changes in the marketplace that would enable competition for future actions.

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. Digitally signed by

Cevin Reers 243220

243220 Date: 2021.08.20 10:55:18 -04'00'

Ceving Reers Date Biomedical Equipment Support Specialist

VISN 6

Cevin Reers

Original Date: 08/30/17

KEESHIA R

NEWMAN

Digitally signed by

KEESHIA R

NEWMAN 254911

254911 11:40:59 -04'00' Date: 2021.08.23

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

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.

Keeshia Newman, Contracting Officer Date Division Chief 1, NCO 6

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

Nancy L. Bailey Date Director of Contracting, NCO 6

c. VHA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve ($750K to $7.5 million (or $15.0 million for acquisitions described in FAR 13.500(c)) for other than full and open competition.

Joseph P. Maletta Date Executive Director, RPO-East VHA Head of Contracting Activity (HCA)

Nancy L. Bailey 407136 Digitally signed by Nancy L. Bailey 407136 Date: 2021.08.24 16:56:15 -04'00'

JOSEPH MALETTA

1347841

Digitally signed by JOSEPH

MALETTA 1347841

Date: 2021.08.25 15:48:49 -04'00'