Redacted JA - Hansen.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 3

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-3813

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Aleda E. Lutz Medical Center

PR 655-23-3-059-0662

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

This is a request for new equipment approved by the Equipment Committee at the Saginaw VA Medical Center, in order to start a new clinic/procedure within Speech Therapy. Requirement includes the following BRAND NAME ONLY line items:

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA $11,368.270000 $11,368.27

ALL-IN-ONE HD VIDEO SYS WITH

LOCAL STOCK NUMBER: CV-170

Funding/Req. Number: 1 $11,368.27 655-23-3-059-0662

2.00 EA $17,500.000000 $35,000.00

Flexible ultra thin video Rhino L

LOCAL STOCK NUMBER: ENF-V3

Funding/Req. Number: 1 $35,000.00 655-23-3-059-0662

1.00 EA $2,174.000000 $2,174.00

TROLLEY SET 3 US/CA

LOCAL STOCK NUMBER: K10030136

Funding/Req. Number: 1 $2,174.00 655-23-3-059-0662

1.00 EA $200.000000 $200.00

MAJ-2145 ENT SCOPE HANGER

LOCAL STOCK NUMBER: MAJ-2145

Funding/Req. Number: 1 $200.00 655-23-3-059-0662

1.00 EA $216.000000 $216.00

MAJ-2148 REAR PANEL

LOCAL STOCK NUMBER: MAJ-2148

Funding/Req. Number: 1 $216.00 655-23-3-059-0662 https://www.acquisition.gov/?q=/browse/far/13 VHABACDeweyB Highlight

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Last Updated: 02/01/22 Page 2 of 3

1.00 EA $288.000000 $288.00

MAJ-1686 DRAWER UNIT

LOCAL STOCK NUMBER: MAJ-1686

Funding/Req. Number: 1 $288.00 655-23-3-059-0662

1.00 EA $17,421.250000 $17,421.25

NCARE, REC, SINGLE, DIR SDI

LOCAL STOCK NUMBER: ISM-1006539

Funding/Req. Number: 1 $17,421.25 655-23-3-059-0662

1.00 EA $584.000000 $584.00

IS40020 DVR FOOT SWITCH

LOCAL STOCK NUMBER: IS40020

Funding/Req. Number: 1 $584.00 655-23-3-059-0662

1.00 EA $6,981.010000 $6,981.01

OEV- 262H HIGH DEFINITION LED L CD MONITOR

LOCAL STOCK NUMBER: OEV-262H

Funding/Req. Number: 1 $6,981.01 655-23-3-059-0662

1.00 EA $1,000.000000 $1,000.00

New DICOM Configuration

LOCAL STOCK NUMBER: VSS-DICOM-CONF

Funding/Req. Number: 1 $1,000.00 655-23-3-059-0662

1.00 EA $10.000000 $10.00

VaultStream Server Identification Key

LOCAL STOCK NUMBER: VSS-ID-KEY

Funding/Req. Number: 1 $10.00 655-23-3-059-0662

1.00 EA $2,000.000000 $2,000.00

Install new VSS test server

LOCAL STOCK NUMBER: VSS-INST-NEW-T-SVR

Funding/Req. Number: 1 $2,000.00 655-23-3-059-0662

1.00 EA $6,440.000000 $6,440.00

VaultStream Interfaces License

LOCAL STOCK NUMBER: ISM-1008563

Funding/Req. Number: 1 $6,440.00 655-23-3-059-0662

1.00 EA $5,880.000000 $5,880.00

VAULTSTREAM CONTENT MANAGEMENT LICENSE

LOCAL STOCK NUMBER: ISM-1010008

Funding/Req. Number: 1 $5,880.00 655-23-3-059-0662

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Last Updated: 02/01/22 Page 3 of 3

GRAND TOTAL $89,562.53

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

The RHINO-LARYNGO VIDEOSCOPES have been designed to be used with an Olympus video system center, light source, documentation equipment, display monitor, and other ancillary equipment for endoscopic diagnosis within the nasal lumens and airway anatomy (including nasopharyngeal and trachea) currently in use at the Aleda E. Lutz VA Medical Center. The requested equipment, slated for use within Speech Therapy at the Saginaw VA Medical Center, is of Olympus brand. This equipment is currently incorporated throughout the Medical Center and continuing use of the same equipment is essential for consistent patient care.

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

Searched NAICS 339112 on VetCert and received 597 results. Searched DSBS with NAICS 339112 and keyword Olympus and received 2 results. Contacted OEM, Katie McCrary Territory Manager – ENT/Neuro Division Olympus America Inc., katie.mccrary@olympus.com. Katie confirmed Olympus distributors their own products along with one SDVOSB, Alliant. One waiver for NAICS 339112 but descriptor doesn’t match requirement. OEM is a large business, one SDVOSB distributor. The VA rule of two is not attainable. The SBA rule of two is not attainable. Procurement will be posted as a brand name only, unrestricted combined synopsis/solicitation 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