S02 - 695-22-117 Bldg Automation n HVAC Cntrl System Single Source Justification_Executed.pdf

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Z2DA--695-22-117 CN New Audiology Clinic 5BN
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36C25225B0024
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This document is a Single Source Justification form for the Department of Veterans Affairs (VA), specifically for VISN 12, Zablocki Medical Center in Milwaukee, Wisconsin. The procurement is for a renovation of the Audiology Clinic (Project 695-22-117), involving the installation of a new panel and controllers for the Johnson Controls Metasys Building Automation and HVAC Control System, with an estimated cost of $119,435. The justification emphasizes the uniqueness of the Johnson Controls system as the campus-wide building and HVAC control system, noting that alternative systems would require additional costly modifications and potentially compromise patient safety and staff familiarity. The document indicates the purchase is being made under Simplified Acquisition Procedures (SAP) and is certified by the Contracting Officer as compliant with Federal Acquisition Regulation (FAR) 13.106-1(b).

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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 Page 1 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 05/29/25

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: 36C252-26-AP-0179

1. Contracting Activity: Department of Veterans Affairs, VISN 12, Zablocki Medical Center NCO 12, 115

South 84th Street, Milwaukee, WI 53214. Requesting Activity: Department of Veterans Affairs, VISN 12, Clement J. Zablocki VA Medical Center, 5000 W. National Avenue, Milwaukee WI 53295. Purchase Request (2237) number:__695-26-1-6976-0001.

NCO 12 Construction Team - 695-22-117 Renovate Audiology Clinic

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

The equipment to be installed will be monitored and controlled by Johnson Controls Metasys Building Automation and HVAC

Control System. A new panel and necessary controllers will be installed and tied into the existing system, to be monitored and controlled by VA’s ‘Graphics’ shop.

Estimated Cost $ 119,435.

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

This product, the Johnson Controls Metasys Building Automation and HVAC Control System, is the only product that allows for a single HVAC control system for the Milwaukee facility. Johnson Controls Metasys control system is the campus-wide building and HVAC control System. An incompatible system may require installation of new “front-end” and remote workstations as well as new software and programming. Additionally, installation of components that match the existing building automation system minimizes maintenance costs and bench stock requirements. It is necessary to match the existing system to ensure there are no interface problems, impacts to patient safety and familiarity of the product to the staff and maintenance personnel. This is the only way to ensure complete compatibility, and that the campus will not have two

HVAC control systems on the Milwaukee campus.

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

We have conducted research into other Building Automation and HVAC Control systems and have found that they are not compatible with our standard. The other products on the market would require additional cost to maintain within the facility.

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.

Prepared by: Approved by:

Katherine Georgeson 11 July 2025 Name Date Health Care Engineer – COR – PM Stacy Hoover, Contracting Officer, NCO-12 https://www.acquisition.gov/?q=/browse/far/13 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466

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 Page 2 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 05/29/25

Title

2025-10-16T11:17:47-0500
STACY HOOVER

File details come from the government source that posted it. Updated .