P1. JML - 41593701 OMNISCAN.pdf

CUI 06/14/2024 10:50:44 AM

Page 1 of 1 CUI

JOB MATERIAL LIST – MRQT

1. ACTIVITY ID 1a. SOURCE CD 2. ICN 3. KO 4.REV 5. DOC NO.

81151-PAUT-TOFD-FY24 Work Order 811514PAUT S01 41593701

6. TYPE 7. HULL 8. SHIP/ACTIVITY 9. JML STAT 10. MATERIAL ITEM ID 11. KOI

/ FY24 PAUT TOFD EQUIPMENT CPL 00002 001

12. CU NAME TYPE PH REP 13. SYSTEM 14. JCN 15. WORK TYPE/ID

MATERIAL ORDERING SV S 0

16. CU PHASE/KO TITLE 17. DATE CD 18. RDD

Material Ordering CU Phase R 7/31/2024

19. FUND 20. RTE 21. PROJ CD 22. PRI 23. CRIT 24. URGENCY 25. XREF DOC XREF CUT 26. USE 27. DMD 28. SL 29. SLA 30. SC 31. SS 32. MCC

F3 PUR NY9 3 B 3 E R

33. MS 34. SO 35. TC 36. CMT 37. PM 38. WT 39. UIC 40. Supp UIC 41. SIG 42. DI 43. OPT REQ S B 2 N 32253 A

44. ADV 45. COG 46. FSC 47. NIIN 48. SMIC 49. REQD QTY 50. REQD UI 51. ACT QTY 52. ACT UI 53. UNIT/NET PRICE 54. EST COST

2B 9B 6635 2 EA 2 EA 90858.15 181716.3

55. DETAIL DWG 56. REV 57. PC 58. ASSY DWG 59. REV 60. PC

61. LMC 62. AIM MC 63. APC 64. APL/CID 65. SI 66. PLISN 67. NUC LVL 1

M N

68. REF CAGE 69. REFERENCE PART NO. 70. SHOP 71. TSD 72. DEL PT 73. IRPOD

1KY21 OMNIX3-64-PATFM64128PR-UE 35 GA 13

74. ESS LVL 75. QA 76. INSP PROC 77. CLEANLINESS CODE 78. HAZ PSH FR 79. HM BADGE 80. HM PCN 81. HM PID 82. MSDS

NA 4 NONE NON APPLICABLE 9||||

83. NOUN NAME 84. GENERIC TYPE 85. METAL

OMNISCAN X3

86. DESCRIPTION

**DTO BLDG. 1443, ATTN: ASHLEY MIYAKADO PH: 808-473-8000 EXT. 6667**

OMNISCAN X3-64 64:128PR PHASED ARRAY INSTRUMENT **CONT'D**

87. SUPPLEMENTAL DESCRIPTION

128-ELEMENT TFM, 2 UT

P/R CHANNELS, LOADED WITH THE LATEST REVISION OF MXU 5.X SOFTWARE. INCLUDES 1

EACH OF ALL FOLLOWING ITEMS: NORTH AMERICA POWER CORD, ENGLISH PRINTED

INSTRUCTIONS, RIGID TRANSPORT CASE, CALIBRATION CERTIFICATE, 93WH LI-ION BATTERY, SPARE SCREEN PROTECTOR, DC CHARGER WITH POWER CORD, USB KEY LOADED WITH

LATEST OMNIPC 5.X SOFTWARE REVISION AND USER MANUALS, WIRELESS LAN DONGLE,

AND EMPTY USB KEY FOR FILE TRANSFER PURPOSES.

**OLYMPUS BRAND OMNISCAN X3 REQUIRED. QUOTE AND BRAND SOURCE DOCUMENT ATTACHED.

88. STAMPS 89. ATTACHMENTS

Omniscan Brand Source Omniscan Quote

90. MATERIAL SPEC

91. MATERIAL MAINTENANCE STANDARD

92. ADDITIONAL INFORMATION

POC ASHLEY MIYAKADO PH: 808-473-8000 EXT. 6667.

FUNDING PROVIDED FROM C130 OHNL LINE ITEM 811514.

93. ORIGINATOR 94. CODE 95. PHONE 96. EXT. 97. ORIG ID 98. REVIEWER 99. CODE 100. PHONE

MIYAKADO, ASHLEY

A

135 8084738000 666 135B VILLARREAL,

MICHAEL V.

500 8084738000

SHOP STORES RECOMMENDATION

101. ORDER

QTY

102. ROP

QTY

103. CONV FACT 104. UI 105. MIN ORDER 106. YRDMD 107. UNIT PRICE 108. LOC 109. XREF NIIN 110. SMIC 111. TY 112. INS DATE

113. JUSTIFICATION

114. DISTRIBUTION CODE/QTY: 115. CIIC 116. DEMIL CD 117. SSLOC

U A

MEMORANDUM TO THE FILE

SUBJECT: USE OF OTHER THAN FULL AND OPEN COMPETITION FOR AN ACQUISITION

UNDER THE SIMPLIFIED ACQUISITION THRESHOLD

I. BACKGROUND

1. FAR 13.106-1(b)(1)(i) states for purchases not exceeding the simplified acquisition threshold, Contracting Officers may solicit from one source if the Contracting Officer determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand-name, or industrial mobilization).

2. As required by FAR 13.106-3(b)(3)(i), this memorandum explains the absence of competition for this acquisition, as only one source will be solicited for this requirement (or for a portion of the requirement) and the requirement is not expected to exceed the simplified acquisition threshold.

II. DESCRIPTION OF ITEM OR SERVICE

Manufacturer or Service Provider: ___________________________________________________

Point of Contact: __________________________ Phone Number: ________________________

Street: _________________________________________________________________________

City: _______________________ State: ________________ Zip Code: ________________

Dealer Representative (if applicable): ________________________________________________

Point of Contact: __________________________ Phone Number: ________________________

Street: _________________________________________________________________________

City: _______________________ State: ________________ Zip Code: ________________

Estimated Cost: ______________________

Required Delivery Date or Period of Performance: _________________________

Provide a description of the item or service required, to include its intended use. If applicable, provide manufacturer part number.

Evident Scientific, Inc.

Brandon Zach 206-200-6089

48 Woerd Ave.

Waltham MA 02453

Brandon Zach 206-200-6089

48 Woerd Ave.

Waltham MA 02453

$181,716.30

July 31, 2024

OmniScan X3-64 64:128PR Phased Array Testing equipment. To be used on surface craft and submarines.

III. THE DETERMINATION FOR USE OF OTHER THAN FULL AND OPEN

COMPETITION IS BASED ON THE FOLLOWING: (select all that apply):

A. ☐ ONLY ONE RESPONSIBLE SOURCE (select all that apply):

1. ☐ RESTRICTIVE RIGHTS

The source has established proprietary rights, limited rights in data, patent rights, copyrights or secret processes in the item or service required.

Explain what rights are restricted, why the restrictive rights make the required item or service available from only one source, and why another company could not satisfy the Government’s need.

2. ☐ EXCLUSIVE LICENSING AGREEMENTS

The item or service is only available from the Original Equipment Manufacturer (OEM), or there is only one authorized distributor or technical representative for the OEM.

Explain the circumstances surrounding why the item or service is only available from the manufacturer or service provider.

OR

Provide evidence of the exclusive licensing agreement as an attachment to this document.

NOTE: If there is more than one distributor/authorized technical representative for an OEM part, then Part B, BRAND NAME SOLE SOURCE, is applicable, and Part A, ONLY ONE RESPONSIBLE SOURCE, should be left blank.

3. ☐ OTHER REASONS

Other reason not identified above. Provide details on mission impact if requirement is not solicited from only one source.

B. ☐ BRAND NAME

Item required must be a brand name product, or feature of a product, particular to one manufacturer.

Discuss why you are precluding consideration of a product manufactured by another company. Describe how the particular brand name, product, or feature is essential to the Government’s requirements and why a “brand name or equal” purchase description cannot be used (see FAR 11.104). Describe how market research indicates other companies’ similar products or products lacking the particular feature do not meet, or cannot be modified to meet, the agency’s needs.

The Omniscan Ultrasonic Phased Array instrument has new features that are integral for applications for engineering analysis. NAVSEA is pushing this technology across all of the shipyards to save time and cost wherever it can be applied in lieu of radiography or conventional UT. This technology is the future of ultrasonic inspections and the Navy has begun implicating this inspection process on Virginia class submarines.

C. ☐ UNUSUAL AND COMPELLING URGENCY

The supplies or services are of such unusual and compelling urgency that the Government would be seriously injured unless the agency is permitted to limit the number of sources from which it solicits bids or proposals. Urgent requirements are supplies or services that will result in a work stoppage, or are mission critical and the routine processing time would result in injury to the Government. The determination that the procurement for the above item/service is an urgent and compelling requirement is based on the following:

1. Date on which the requirement was first identified: _______________________________

2. Explanation of why delivery/commencement of services by the date mentioned above is required:

Explain the impact to the mission if the date above is not met, any special circumstances or conditions that exist which validate the requirement as “urgent,” estimated production lead time for the item, etc.

3. If appropriate, include any additional pertinent information.

June 7, 2024

NAVSEA has recently provided exclusive funding for purchase of new Phased Array inspection machines and equipment for FY24.

IV. CERTIFICATIONS/APPROVALS

A. Technical / Requirements Certification (Requiring Activity):

I certify that the facts and representation under my cognizance which are included in this justification are complete and accurate to the best of my knowledge and belief.

Name: ___________________________ Title/Position: _______________________________

Activity: ____________________________________________________________________

Phone Number: ___________________________

Signature: ___________________________________________ Date: ______________

B. Approval (Contracting Activity):

Contracting Officer’s Name: ____________________________________________________

Signature: ___________________________________________ Date: ______________

Rano Keliikuli C135 General Foreman

PHNSY & IMF

808-368-0993

KELIIKULI.RANO.K.129523

Digitally signed by

KELIIKULI.RANO.K.1295236970

Date: 2024.06.07 11:54:13 -10'00'

06/07/2024

Page 1/2

48 Woerd Ave., Waltham MA, 02453, United States http://www.evidentscientific.com

Quotation Quote Version: Q-00150269-V2

Date of Issue: June 06, 2024 Expiration Date: July 06, 2024

Payment Terms: Net 30 Incoterms: EXW-ORIGIN

Contract ID:

Customer Ref. #:

Line No. Part Number Item Qty Description Unit Price Contract Price Extended Price

1. OMNIX3-64-

PATFM64128PR-

UE

Q1000151 2 OmniScan X3-64 64:128PR Phased Array instrument, 128-element TFM, 2 UT P/R channels, loaded with the latest revision of MXU 5.x software. Includes 1 each of all following items: North America power cord, English printed instructions, rigid transport case, calibration certificate, 93Wh Li-Ion battery, spare screen protector, DC charger with power cord, USB key loaded with latest OmniPC 5.x software revision and user manuals, wireless LAN dongle, and empty USB key for file transfer purposes.

- Lead Time: 10 Business Days

$92,395.00 $89,623.15 $179,246.30

Total Unit Price: $184,790.00 Total Savings: $5,543.70

Subtotal: $179,246.30 Shipping: $2,470.00

Tax (%): - Grand Total: $181,716.30

Prepared For:

John Ricks Pearl Harbor Naval Shipyard

Pearl Harbor, Hawaii 96860 United States

(808) 763-0845 john.s.ricks2.civ@us.navy.mil

Sales Rep Information:

Brandon Zach +1 206-200-6089 brandon.zach@evidentscientific.com

Quote Title: OmniScan X3 64:128 Instruments

To Place an Order:

Email purchase order to ordersindustrial@evidentscientific.com or for credit card payments call 800-225-8330, select Option #1.

Please address purchase orders to

Page 2/2

Quotation Quote Version: Q-00150269-V2

OmniScan X3 64:128 Instruments Evident Scientific, Inc.

48 Woerd Ave., Waltham MA, 02453, United States http://www.evidentscientific.com

Contract Information:

Contract Name : OAI: Special Federal Government Contract Number :

Contract Start Date : 9/9/2022 12:00:00 AM Contract End Date :

Contract Shipping Term : FOB-DEST and Prepaid Special Contract Term :

Contract Terms :

All other terms on this quotation are not applicable.

*Indicates Open Market Items with discount if applicable

Additional Terms:

• Changes, additions or deletions are from this package quotation may cause pricing adjustments.

• Prices quotes are FOB origin and in USD unless otherwise stated in this quotation. Shipping charges will be added to your invoice at the time of shipment. Evident will prepay and add shipping costs unless your carrier collect account number is provided.

• Orders and warranty for Evident equipment are accepted based on Evident terms and conditions. You can view these terms at http://www.olympus-ims.com/en/terms

• Orders received and confirmed for custom manufactured products may not be cancelled or returned without written authorization from Evident.

• Evident reserves the right to charge a restocking fee if confirmed order is cancelled or returned.

• Your quotation may be prepared as taxable due to the financial obligations for the state you are located in. If you are tax exempt and need to have tax removed from your quote, please provide your tax exempt form along with your purchase order.

• Decision Rule for accredited calibration: Pass or Fail is based solely on established tolerance with no additional accounting of uncertainty.