Redacted JA.pdf

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

Last Updated: 02/01/22 Page 1 of 4

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: 36C250-23-AP-1622

1. Contracting Activity: Department of Veterans Affairs, VISN 10, John D. Dingell Medical Center

PR 553-23-2-063-0067

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

Expression Patient Monitors to supplement existing equipment currently in use. Exact BRAND NAME items required. Requirement includes:

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA N/C $0.00

EXPRESSION PATIENT MONITOR (MR400) INCLS; 23012

LOCAL STOCK NUMBER: 866185

Funding/Req. Number: 1 $0.00 553-23-2-063-0067

_A01-STANDARD ACCESSORIES 45204

LOCAL STOCK NUMBER: 866185

1.00 EA $70,436.380000 $70,436.38

F07 BASIC + AA, O2, IBP(x2), TEMP

LOCAL STOCK NUMBER: 866185_F07

Funding/Req. Number: 1 $70,436.38 553-23-2-063-0067

EXPRESSION MR400 ACCESSORIES INCLS;

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LOCAL STOCK NUMBER: 866428

1.00 EA $1,506.750000 $1,506.75

F17 ADULT F07 ACCESSORIES

LOCAL STOCK NUMBER: 866428_F17

Funding/Req. Number: 1 $1,506.75 553-23-2-063-0067

1.00 EA $797.340000 $797.34

H01-POWER

LOCAL STOCK NUMBER: 866428_H01

Funding/Req. Number: 1 $797.34 553-23-2-063-0067

1.00 EA $5,138.400000 $5,138.40

H02-PATIENT CONNECTIONS

LOCAL STOCK NUMBER: 86428_H02

Funding/Req. Number: 1 $5,138.40 553-23-2-063-0067

1.00 EA $224.690000 $224.69

H06 PAT. CONNECTIONS-IBP

LOCAL STOCK NUMBER: 866428_H06

Funding/Req. Number: 1 $224.69 553-23-2-063-0067

1.00 EA $866.670000 $866.67

H07 PATIENT CONNECTIONS - TEMP

LOCAL STOCK NUMBER: 866428_H07

Funding/Req. Number: 1 $866.67 553-23-2-063-0067

MR PATIENT CARE PORTAL 5000

LOCAL STOCK NUMBER: 866162

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A01 STANDARD ACCESSORIES

LOCAL STOCK NUMBER: 866162-A01

1.00 EA $5,661.850000 $5,661.85

H01 DESKTOP UNIT

LOCAL STOCK NUMBER: 866162-H01

Funding/Req. Number: 1 $5,661.85 553-23-2-063-0067

1.00 EA $1,992.140000 $1,992.14

H02 18.5 INCH DISPLAY

LOCAL STOCK NUMBER: 866162-H02

Funding/Req. Number: 1 $1,992.14 553-23-2-063-0067

1.00 EA $2,831.250000 $2,831.25

S01 PATIENT MONITORS

LOCAL STOCK NUMBER: 866162-S01

Funding/Req. Number: 1 $2,831.25 553-23-2-063-0067

GRAND TOTAL $89,455.47

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

This equipment is high-quality monitoring of anesthetic agents and body temperature, advanced cardiac architecture for superior ECG signal and wireless gating, and positioning flexibility during functional MR procedures. This requirement is a logical purchase as it supplements the existing equipment our anesthesialogoists are currently using. It is being purchased to accommodate additional units for our patient care areas. Continuity of equipment and uniform set-up is essential for patient safety.

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Last Updated: 02/01/22 Page 4 of 4

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

Searched VIP with NAICS 339113 and received 547 results. Added keyword “EXPRESSION” and received 0 results. The VA Rule of Two cannot be met due to the NMR. Searched DSBS with NAICS 339113 and keyword “EXPRESSION” and received 0 results. Additional research was conducted to obtain other SB sources. OEM was contacted for a list of distributors and 4 SDVOSBs were provided.

The SBA Rule of Two was satisfied. (FAR 19.502-2). CS will post brand name only, small business set-aside (FAR 19.502-2) Combined Synopis on SAM.

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.

Name Date Title https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466

Expression Patient Monitors to supplement existing equipment currently in use. Exact BRAND NAME items required. Requirement includes: ITEM INFORMATION