PM_Part813 Justification and Approval- REDACTED.pdf

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 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: 36C263‐20‐AP‐3238

1. Contracting Activity: Department of Veterans Affairs, Network 23 Contracting Officer (NCO 23), 4801 Veterans Drive, Saint Cloud, MN 56303

Organizational Activity: Department of Veterans Affairs, Nebraska Western Iowa VA Health Care System, 4101 Woolworth Ave, Omaha, NE 68105

2237 Number: 636‐20‐3‐1963‐0550

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: A firm‐ fixed price order for upgrade to the Biosense Webster Heart Mapping System utilized by the Cardiology Department. To include the following components:

1 each‐CARTO 3 REPLAY Module, Item Number: C3REPLAY

1 each‐FAM Dx Expansion Pack (for Carto 3 v6 base software), Item Number: KT5400165

1 each‐CARTO CONFIDENSE Module with Ripple Mapping, Item Number: KT5400170

1 each‐SmartAblate System (SuperKit), Item Number: M490006A

1 each‐VISITAG Surpoint Module Kit, Item Number: VSPEPU1

1 each‐CartoPRIME Module Kit, Item Number: KT5400222FG

Estimated Cost: [Redacted]

Period of Performance: Delivery 30 Days ARO

THIS IS A BRAND NAME ONLY JUSTIFICAITON AND APPROVAL

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: Biosense Webster Heart Mapping System is already in place, and in use in the Cardiology Department. These upgrades are only available directly from Biosense Webster the manufacture of the mapping system that is already in place.

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

Market Research was conducted of the Vetbiz Registry using NAICS code 339113, and 439 results were returned. There are two SDVOSB authorized distributors of these items, however Biosense Webster is a Large Business, so a small business set‐aside would be most appropriate given the non‐ manufacturer rule.

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 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

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. .

[REDACTED] 9/1/2020

Andrea Harter Date Contracting Officer