P03 Single Source Justification-Omni Hysteroscopy.pdf

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

Revision: 01 Effective Date: 11/15/2024 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 SAT ($250K)

Acquisition Plan Action ID: 36C246-25-AP-5213

1. Contracting Activity: Department of Veterans Affairs, VISN 06, Network Contract Office 6

(NCO 6), 100 Emancipation Drive, Hampton, VA 23667 in support of the Hampton VA Medical Center.

PR: 590-25-3-985-0354

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

This is a Brand Name Requirement for the OR at the Hampton VA Medical Center to acquire two new Hologic Omni Hysterocopes and Instrument Trays to be used in conjunction with the Fluent Management System (FMS) currently in use at the facility. The current scopes are approaching the end of life and are in need of replacement to ensure safety of patients and to provide the best quality of service.

Estimated cost of this request is $17,830.00

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

The Hologic Fluent System that is at use in the facility requires these specific scopes and instruments to be operable and be able to perform surgical and diagnostic procedures. Any other scope would require a replacement of the entire FMS system which could be costly and cause and unnecessary delay of patient care as the surgical staff would have to be trained to use it. The Hologic Fluent System and Omni Hysteroscopes are also highly recommended due to the short recovery time for patients and multiple functions they are able to perform.

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

These items used to be available on a mandatory FSS 65IIA contract with Sustainment Technologies LLC (SDVOSB), but it expired on 4/14/2025. There is a waiver on file for NAICS code 334510 and the VA Rule of Two has been met as there are at least two SDVOSB’s that can fulfill this requirement. Two very recent requirements (July 2025) were fulfilled by DGA Medical LLC (SDVOSB).

https://www.acquisition.gov/?q=/browse/far/13

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

Revision: 01 Effective Date: 11/15/2024 Page 2 of 2 Acquisition ID#:

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.

Jerry L Mann Date Contracting Officer https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466