P03 - Single Source Justification.pdf

Request for Sole Source >SAT-$7.5M under FAR13.5

Acquisition ID#: 36C252-25-AP-1869

DEPARTMENT OF VETERANS AFFAIRS

SOLE SOURCE JUSTIFICATION UNDER SIMPLIFIED PROCEDURES FOR CERTAIN COMMERCIAL ITEMS IN

ACCORDANCE WITH FAR 13.5

Acquisition Plan Action ID: 36C252-25-AP-1869

1. Contracting Activity:

Department of Veterans Affairs

VISN 12

Clement J. Zablocki Medical Center

695-26-2-133-0011 Anticipated Aggregated Total: $824,443.00

2. Nature and/or Description of the Action Being Processed:

Sole Source procurement of Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software maintenance and support by Elekta, Inc at Clement J. Zablocki VA Medical Center.

This procurement is for the license, maintenance, and support of the currently owned Elekta Radiation Treatment and Oncology software and Elekta Radiation Treatment hardware for the Clement J. Zablocki VA Medical Center in accordance with FAR 13.5 Simplified Procedures for Certain Commercial Items and specifically FAR 13.501 Special Documentation Requirements, where acquisitions conducted under Simplified Acquisition Procedures are exempt from the requirements of FAR Part 6, but still require a justification using the format of FAR 6.303-2. This will be awarded as Firm-Fixed Price purchase order with a base year and four (4) one-year options.

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

The proposed new purchase order is for the license, maintenance, and support of the Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software for the Clement J. Zablocki VA Medical Center. License, maintenance, and support shall consist of all on-site labor, travel, materials, and parts necessary to provide preventive and corrective (emergency) maintenance on the hardware, the software license, and unlimited telephone technical support. The purchase order shall be Firm-Fixed Price with a base year and four (4) one-year options with a proposed start date of 01/01/2026 and an ultimate completion date of 12/31/2030. To properly maintain the hardware and software to the OEM specifications, a service agreement is required.

Base Year anticipated total: 01/01/2026-12/31/2026 $164,888.60 Ordering Period 1 anticipated total: 01/01/2027-12/31/2027 $164,888.60 Ordering Period 2 anticipated total: 01/01/2028-12/31/2028 $164,888.60 Ordering Period 3 anticipated total: 01/01/2029-12/31/2029 $164,888.60 Ordering Period 4 anticipated total: 01/01/2030-12/31/2030 $164,888.60

Aggregated anticipated total: $824,443.00

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

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

Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software is proprietary to Elekta, Inc. Elekta, Inc does not provide proprietary parts and software through third party distributors.

Elekta, Inc is the only vendor that can provide the license, maintenance, and software support for the Elekta software and hardware at the Clement J. Zablocki VA Medical Center.

When searching for additional vendors who provide radiation therapy planning software via Google, three (3) vendors resulted, Accuray, Varian, and Elekta. Accuray provides a more specialized system that does not meet the requirements for the Clement J. Zablocki VA Medical Center. Elekta linear accelerator, and the associated proprietary software, is currently in use at the Clement J. Zablocki VA Medical Center. To replace the two (2) Elekta linear accelerators, it would cost an estimate of $4.8 million. Additionally, proprietary software for the replacement linear accelerators would cost an estimate of $300,000.00 annually. It would be cost prohibitive to replace the existing Elekta linear accelerators and associated proprietary software with other systems. Only Elekta can meet the needs for the Clement J. Zablocki VA Medical Center as the VAMC currently owns the Elekta system and maintenance of the Elekta system is required. It is in the Government’s best interest to continue with the new purchase order for the license, maintenance, and support of the Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software.

Elekta Radiation Therapy software and hardware are highly specialized as these systems provide a unified and efficient system for cancer treatment of patients as it integrates clinical data, optimize workflows, and precisely plan treatments. Lack of service to these vital systems would create delays in patient care which could result in death.

Utilizing non-authorized vendors would affect system integrity, performance, and compliance.

Additionally, critical safety features may be subject to failure or malfunction and cause treatment accuracy to be compromised as only Elekta possesses the validated software components and security patches. The systems may render inoperable over time if a non-authorized vendor provides the services.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

An Intent to Sole Source notice was published in Contract Opportunities on 05/28/2025 with a response date of 06/02/2025. Interested vendors were asked to provide capability statements. No responses were received.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

The anticipated cost to the Government will be determined fair and reasonable by comparing the cost to previously awarded contracts and purchase orders for similar services with similar scope that were already found fair and reasonable to the Government.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons

Market Research Was Not Conducted:

On 05/28/2025, VetCert was searched using NAICS 541519 which resulted in 4,750 SDVOSB and VOSBs. Further research was conducted on 05/28/2025 using SBA Small Business Search to evaluate capable SDVOSB, VOSB, and small businesses. When using keywords Elekta and SmartClinic, zero (0) vendors resulted. When using keyword Mosaiq, zero (0) SDVOSB and VOSBs were found. One (1) small business resulted, but upon further review, this vendor represented consulting services that help with accreditation which is not required for this procurement. When searching with keyword Monaco, zero (0) SDVOSB and VOSBs resulted. One (1) small business was found, but further research determined the small business represented Kimpton Hotel Monaco and would not have the ability to provide the required services.

FPDS was also searched on 05/28/2025 using keyword Elekta, NAICS 541519, and limiting the search to Department of VA. Forty-eight (48) actions resulted with twenty-six (26) with Elekta, Inc and twenty-two (22) with Computerized Medical Systems. It should be noted that Computerized Medical Systems was purchased by Elekta, Inc in 2008. When FPDS was searched using keyword Monaco, 541519, and Department of VA, one (1) action resulted with Elekta. When searching for keyword Mosaiq, four (4) actions resulted, with three (3) actions awarded to Elekta.

On 10/06/2025, a search was conducted on the NAC, using keywords Elekta, SmartClinic, Mosaiq.

Zero (0) results were generated. When using keyword Monaco, one (1) vendor resulted. Upon further research, the vendor listed provided retinal imaging devices which is not required for this procurement. Additionally, a search was conducted on GSA and SAC using the same keywords which resulted in zero (0) results.

AddsUp was also searched on 10/06/2025 using keywords SmartClinic, Mosaiq, and Monaco with NAICS 541519. All searches resulted in Elekta being the vendor providing the services.

An Intent to Sole Source was posted on 05/28/2025 with a closing date of 06/02/2025. Zero (0) vendors responded.

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:

Elekta, Inc (Original Equipment Manufacturer)

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:

At this time, only one source, Elekta, Inc is qualified to provide the license, maintenance, and software support on Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software and has shown to be reasonable and authorized. The Contracting Officer will continue to survey the marketplace during the purchase order option years taking into consideration any new and innovative methods for the Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software maintenance and support. Continual market research and contract administration will assist in determining the next purchase order’s procurement strategy.

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.

Meaghen Kresbach Date Biomedical Engineer Clement J. Zablocki VA Medical Center

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.

Joni Dorr Date NCO 12 – Contracting Officer Great Lakes Acquisition Center

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.

Erika Cannaday Date NCO 12 – Services Team 1 Branch Chief

JONI DORR Digitally signed by JONI DORR Date: 2025.10.24 07:27:21 -05'00'

MEAGHEN

KREBSBACH

Digitally signed by

MEAGHEN KREBSBACH

Date: 2025.10.24 08:57:28 -05'00'

MATTHEW

ZAWADA

Digitally signed by

MATTHEW ZAWADA

Date: 2025.10.24 10:52:05 -05'00'

c. Division Manager Review: I certify the justification meets requirements for other than full and open competition.

Scott Ivy Date NCO 12 – Division Chief

d. Director of Contracting Review: I certify the justification meets requirements for other than full and open competition.

Paul Lauro Date NCO 12 – Directing of Contracting

e. 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.

Daryl A. Berg Date Executive Director, RPO Central VHA Head of Contracting Activity (HCA)

SCOTT IVY

Digitally signed by

SCOTT IVY

Date: 2025.10.24 12:51:09 -05'00'

SCOTT

IVY

Digitally signed by

SCOTT IVY

Date: 2025.10.24 12:51:39 -05'00'

VHAMINBergD2 Typewritten Text 10/28/2025

VHA Streamlined Market Research and Acquisition Planning Report

VHAPG Part 810.001 Market Research Page 1 of 6 Revision: 05 Effective Date: 05/15/2025 Acquisition ID#: 36C252-25-AP-1869

Requirement Title: Elekta OIS, TPS, and SmartClinic Maintenance and Software Support

In accordance with FAR 7.102, contracting officers and acquisition planners are required to perform acquisition planning and conduct market research. The following information is a summary of the acquisition planning: In submitting this request for procurement, the customer considered available sources within the agency, any government-furnished information/property, and security considerations IAW VA Handbook 6500.6. The contract type for this procurement is Firm Fixed Price and the milestone schedule will be accomplished and documented in the Electronic Contract Management System (eCMS). The information below summarizes the market research results for this requirement.

1. Objective: Per FAR 10.001(a)(2), VAAR 810.001-70, and VAAM M810.002-70 this report is in support of (check as many as apply):

A new requirement

An acquisition with an estimated value in excess of the simplified acquisition threshold (see FAR subpart 2.1 for current threshold) (Utilize

Attachment 2: Market Research Report Template if action is over the $7.5 million)

An acquisition with an estimated value less than the simplified acquisition threshold where adequate information is not available to develop the requirements package and the circumstances justify the cost of performing the market research. If so, explain

An acquisition that could lead to a bundled contract (15 U.S.C.

644(e)(2)(A)) (see FAR subpart 2.1 for bundled contract definition);

Other:

2. Background:

a. Description of service/supplies being requested: Elekta OIS, TPS, and SmartClinic Maintenance and Software Support.

b. Product or Service Code: Q702

c. NAICS Code: 541519

d. Size Standard for NAICS: $34.0 Million https://www.acquisition.gov/far/part-7#FAR_7_102 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=471&FType=2 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=471&FType=2 https://www.acquisition.gov/far/part-10#FAR_10_001 https://www.va.gov/oal/library/vaar/vaar810.asp https://dvagov.sharepoint.com/sites/VACOOALALF/ALFA/SitePages/VAAM.aspx?reg=M810#_M810.002-70__General https://www.acquisition.gov/far/part-2#FAR_Subpart_2_1 https://dvagov.sharepoint.com/sites/vhaproguide/ProGuide/Atch%202%20Market%20Research%20Report%20Temp%20over%20SAT.docx https://uscode.house.gov/view.xhtml?req=granuleid:USC-2007-title15-section644&num=0&edition=2007 https://uscode.house.gov/view.xhtml?req=granuleid:USC-2007-title15-section644&num=0&edition=2007 https://www.acquisition.gov/far/part-2#FAR_Subpart_2_1 https://www.acquisition.gov/PSC_Manual https://www.census.gov/naics/ https://www.sba.gov/document/support--table-size-standards

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e. Estimated contract value (to include any option years): $824,443.00

3. Market Research Methods/Techniques/Sources: In accordance with FAR Part 10, VAAR 810, and VAAM M810 market research has been conducted for this acquisition. The following techniques were used and the timeframes/date of the research (check as many as apply):

Used Veteran Small Business Certification (VetCert) database to identify certified capable SDVOSBs and VOSBs.

4750 vendors resulted using NAICS 541519

Applying personal knowledge in procuring supplies/services of this type.

Contacting knowledgeable individuals in Government and industry regarding market capabilities to meet requirements.

Reviewing the results of recent market research undertaken to meet similar or identical requirements.

Publishing formal requests for information in appropriate technical or scientific journals or business publications.

Querying the Government-wide database of contracts and other procurement instruments intended for use by multiple agencies available at www.contractdirectory.gov and other Government and commercial databases that provide information relevant to agency acquisitions.

AddsUp and FPDS were searched using NAICS 541519. See Market

Research Findings for details.

Participating in interactive, on-line communication among industry, acquisition personnel, and customers.

Obtaining source lists of similar items from other contracting activities or agencies, trade associations or other sources.

Reviewing catalogs and other generally available product literature published by manufacturers, distributors, and dealers or available on-line https://www.acquisition.gov/far/part-10 https://www.va.gov/oal/library/vaar/vaar810.asp https://dvagov.sharepoint.com/sites/VACOOALALF/ALFA/SitePages/VAAM.aspx?reg=M810 https://veterans.certify.sba.gov/ https://www.contractdirectory.gov/

VHAPG Part 810.001 Market Research Page 3 of 6 Revision: 05 Effective Date: 05/15/2025 Acquisition ID#: 36C252-25-AP-1869

Conducting interchange meetings or holding pre-solicitation conferences to involve potential offerors early in the acquisition process.

Conducting market survey:

Other:

4. Nonmanufacturer Rule (NMR) Findings (if the acquisition is for manufactured products or other supplies) (See the Nonmanufacturer Rule Decision Tree to assist with this determination):

There are currently no SDVOSB or VOSBs who can meet the requirements of the agency. All required software licenses, support, and maintenance are only provided by Elekta, Inc, which is a large business. It is determined that only Elekta, Inc can provide the requirements of the Government as a sole source vendor.

5. Market Research Findings

On 05/28/2025, VetCert was searched using NAICS 541519 which resulted in 4,750 SDVOSB and VOSBs. Further research was conducted on 05/28/2025 using SBA DSBS to evaluate capable SDVOSB, VOSB, and small businesses.

When using keywords Elekta and SmartClinic, zero (0) vendors resulted.

When using keyword Mosaiq, zero (0) SDVOSB and VOSBs were found. One

(1) small business resulted, but upon further review, this vendor represented consulting services that help with accreditation which is not required for this procurement. When searching with keyword Monaco, zero (0) SDVOSB and VOSBs resulted. One (1) small business was found, but further research determined the small business represented Kimpton Hotel Monaco and would not have the ability to provide the required services.

FPDS was also searched on 05/28/2025 using keyword Elekta, NAICS 541519, and limiting the search to Department of VA. Forty-eight (48) actions resulted with twenty-six (26) with Elekta, Inc and twenty-two (22) with Computerized Medical Systems. It should be noted that Computerized Medical Systems was purchased by Elekta, Inc in 2008. When FPDS was searched using keyword Monaco, 541519, and Department of VA, one (1) action resulted with Elekta. When searching keyword Mosaiq, four (4) actions resulted, with three

(3) actions awarded to Elekta.

On 10/06/2025, a search was conducted on the NAC, using keywords Elekta, SmartClinic, Mosaiq. Zero (0) results were generated. When using keyword Monaco, one (1) vendor resulted. Upon further research, the vendor listed provided retinal imaging devices which is not required for this procurement.

https://dvagov.sharepoint.com/:b:/r/sites/VHAProcurement/ProPolicy/Shared%20Documents/VHA%20PG%20Attachments/NMR%20Decision%20Tree.pdf?csf=1&web=1&e=X0GKke

VHAPG Part 810.001 Market Research Page 4 of 6 Revision: 05 Effective Date: 05/15/2025 Acquisition ID#: 36C252-25-AP-1869

Additionally, a search was conducted on GSA and SAC using the same keywords which resulted in zero (0) results.

An authorization letter was provided by Elekta, Inc which states that Elekta is the only authorized vendor to provide service to the Monaco, Mosaiq, and SmartClinic software.

An Intent to Sole Source was posted on 05/28/2025 with a closing date of 06/02/2025. Zero (0) vendors contested.

6. Customary Commercial Practices/Standards

Contractor shall ensure conformance with The Joint Commission, VA standards, and all OEM specifications

7. Estimated Market Price:

Base Year: $164,888.60 Option Year 1: $164,888.60 Option Year 2: $164,888.60 Option Year 3: $164,888.60 Option Year 4: $164,888.60

Estimated Aggregated Total: $824,443.00

8. Acquisition History:

Purchase Order 36C25221P0001 was awarded to Elekta, Inc on 12/07/2020 for a base year period of performance of 01/01/2020-12/31/2020 with four (4) one-year options.

9. Buy American Statute: Determine applicability of Buy American Act, Trade

Agreement Act, or exception to Buy American Act by using the Buy American

Decision Tool Clause and Provision Selection. Detail whether there are domestic end products available for this acquisition. Reference FAR Part 25:

While this is a service purchase order, it includes the furnishing of supplies.

However, there is no reasonable expectation that the value of the supplies to be furnished over the life of this purchase order will exceed the micro-purchase threshold of $10,000.00. Therefore, the Buy American Act does not apply.

10. Other pertinent information (e.g., certifications/licenses required to perform the work):

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fai.gov%2Ftools%2FBuy-American-and-Trade-Agreements-Decision-Tools&data=05%7C02%7C%7C7f82845b167c49df5c3308dc43754f57%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638459418325671523%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=iwxTc3sLRBK4TEPadidUVg8XzjAl8gBz8O2IZ%2BgICQ8%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fai.gov%2Ftools%2FBuy-American-and-Trade-Agreements-Decision-Tools&data=05%7C02%7C%7C7f82845b167c49df5c3308dc43754f57%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638459418325671523%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=iwxTc3sLRBK4TEPadidUVg8XzjAl8gBz8O2IZ%2BgICQ8%3D&reserved=0 https://www.acquisition.gov/far/part-25

VHAPG Part 810.001 Market Research Page 5 of 6 Revision: 05 Effective Date: 05/15/2025 Acquisition ID#: 36C252-25-AP-1869

Contractor personnel shall be OEM factory trained and authorized to provide software maintenance.

11. Based on the above information, the basic clauses and provisions prescribed in FAR Part 12:

Are sufficient for use in this acquisition and do not require any tailoring to be consistent with industry's commercial practices.

Require tailoring to be consistent with industry's commercial practices as noted below. All such tailoring will be included in the solicitation issued for the required supplies/services.

- Identify affected clause/provision paragraph and your recommended change(s); and

The following source appears qualified and interested to fulfill this requirement:

Firm 1: Elekta, Inc

PREPARED BY:

NAME: Joni Dorr

LOCATION: NCO 12

DATE: 6/2/2025

12. Contracting Officer Responsibilities:

a. When applicable, state if requirement is suitable for Use of Performance-Based Acquisition (PBA) (FAR 37.6)? and if yes, and PBA is not being used, provide rationale for not using PBA:

The use of PBA is not applicable for this requirement as the services provided are regulated via The Joint Commission and OEM. Services must be 100% and therefore a QASP/PWS is not included.

b. Identify any IT involvement. (Note: Requires CIO or Designee review/approval and/or coordination with Information Security Officer.) Describe administrative, technical, and physical safeguards to protect Government data, facilities, and networks. Currently, contractors and their personnel shall be subject to the same Federal laws, regulations, standards, and VA policies as VA personnel, https://www.acquisition.gov/far/part-12 https://www.acquisition.gov/far/subpart-37.6

VHAPG Part 810.001 Market Research Page 6 of 6 Revision: 05 Effective Date: 05/15/2025 Acquisition ID#: 36C252-25-AP-1869 regarding information and Information System Security (see FAR 7.105(b)(18)):

FITARA is not applicable as PSC Q702 – Technical Medical Support – Medical Logistics, Biomedical Equipment, Occupational/Public Health, Medical Supply, Medical Readiness is exempt.

c. Recommendations:

Elekta, Inc is the sole proprietor of the software and hardware components and only authorized vendor to provide the maintenance and software support for the currently owned Elekta Radiation Treatment Planning Hardware, Elekta Radiation Treatment Planning Software (TPS), Elekta Oncology Information System (OIS), and Elekta Smart Clinic Software. A sole source, firm-fixed price purchase order will be awarded to Elekta, Inc.

Name: _______________________________ Date: __________________ Contracting Officer Signature https://www.acquisition.gov/far/7.105 https://www.acquisition.gov/far/7.105

Elekta Inc. | 400 Perimeter Center Terrace, Suite 50 | Atlanta, GA 30346 | USA Phone: +1 770.300.9725 | Fax: +1 770.448.6338 | www.elekta.com

Restricted Information and Basic Personal Data Restricted Information and Basic Personal Data

February 12, 2025

VA Medical Center Milwaukee 5000 W National Ave Bldg 111 Milwaukee, WI 53295-0001

Re: Sole Sourcing Confirmation

Elekta has continuously strengthened its marketplace reputation by not only developing world-class solutions, but also by acquiring companies with complementary best-in-class technology.

Since 1996, such acquisitions have included Philips Medical, 3D Line, IMPAC Medical Systems, Computerized Medical Systems (CMS), Medical Intelligence and Resonant Medical.

Elekta Inc. is the sole source provider and able to service the Monaco® Treatment Planning.

Best Regards, Signature:__________________________

Name: _____________________________

Title:_______________________________

Restricted Information and Basic Personal Data Restricted Information and Basic Personal Data

5000 W National Ave Bldg 111

Elekta has continuously strengthened its marketplace reputation by not only developing world-class solutions, but also by acquiring companies with complementary best-in-class technology.

Since 1996, such acquisitions have included Philips Medical, 3D Line, IMPAC Medical Systems, Computerized Medical Systems (CMS), Medical Intelligence and Resonant Medical.

Please accept this letter as confirmation that Elekta Inc. is the sole source provider for MOSAIQ software and services.

Restricted Information and Basic Personal Data

5000 W National Ave Bldg. 111

Elekta has continuously strengthened its marketplace reputation by not only developing worldclass solutions, but also by acquiring companies with complementary best-in-class technology. Since 1996, such acquisitions have included Philips Medical, 3D Line, IMPAC Medical Systems, Computerized Medical Systems (CMS), Medical Intelligence and Resonant Medical.

Elekta Inc. is the sole source provider and able to service the Elekta MOSAIQ SmartClinic.

Restricted Information and Basic Personal Data

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Item # Description/Part Number* Qty Price Extended Amount

SUBTOTAL (Products) -$

Estimated Amount

$76,650.00 $71,228.60 $8,505.00 $8,505.00

$76,650.00 $71,228.60 $8,505.00 $8,505.00

01/01/2026-12/31/2026

Service Contract for Elekta SmartClinic Radiation Linac - OY1 01/01/2027-12/31/2027 Service Contract for Elekta SmartClinic RO Dept - OY1 01/01/2027-12/31/2027

Service Contract for Elekta SmartClinic RO Dept - Base Year 01/01/2026-12/31/2026 Service Contract for Elekta SmartClinic Radiation Linac - Base Year 01/01/2026-12/31/2026

INDEPENDENT GOVERNMENT COST ESTIMATE (IGCE)

Service Contract for Elekta TPS - Base Year 01/01/2026-12/31/2026

Service Contract for Elekta OIS - OY1 01/01/2027-12/31/2027 Service Contract for Elekta TPS - OY1 01/01/2027-12/31/2027

C Service Contract for Elekta OIS - Base Year

Period of Performance

Products (including software, licenses)

Services

$76,650.00 $71,228.60 $8,505.00 $8,505.00

$76,650.00 $71,228.60 $8,505.00 $8,505.00

$76,650.00 $71,228.60 $8,505.00 $8,505.00

SUBTOTAL (Services) $824,443.00

$824,443.00

Service Contract for Elekta SmartClinic Radiation Linac - OY4 01/01/2030-12/31/2030

Service Contract for Elekta OIS - OY4 01/01/2030-12/31/2030 Service Contract for Elekta TPS - OY4 01/01/2030-12/31/2030

Service Contract for Elekta SmartClinic RO Dept - OY4 01/01/2030-12/31/2030

Phone: x46557 Date: 11/15/2019

POC NAME: Meaghen Krebsbach Email: Meaghen.Krebsbach@va.gov

Informal Vendor Quotes Prior Bills of Material Prior Monthly Vouchers Catalog Pricing Other (Please Explain ): For official government use only

Service Contract for Elekta OIS - OY2 01/01/2028-12/31/2028

*Check block(s) below that describe the basis for the IGCE:

Past Contract Pricing GSA Federal Supply Schedule Published Prices Government Wide Acquisition Contract (GWAC) Published Prices

TOTAL IGCE

Engineering Estimates

Service Contract for Elekta TPS - OY2 01/01/2028-12/31/2028

Service Contract for Elekta SmartClinic Radiation Linac - OY2 01/01/2028-12/31/2028 Service Contract for Elekta SmartClinic RO Dept - OY2 01/01/2028-12/31/2028

Service Contract for Elekta OIS - OY3 01/01/2029-12/31/2029 Service Contract for Elekta TPS - OY3 01/01/2029-12/31/2029

Service Contract for Elekta SmartClinic RO Dept - OY3 01/01/2029-12/31/2029 Service Contract for Elekta SmartClinic Radiation Linac - OY3 01/01/2029-12/31/2029

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