S02 - 695-22-117 Fire Alarm 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 a Department of Veterans Affairs (VA) contract at the Zablocki Medical Center in Milwaukee, Wisconsin. The procurement involves renovating the Audiology Clinic and installing a Siemens Cerberus Pyrotronics fire alarm system, estimated to cost $18,085. The justification emphasizes the unique requirement to use this specific fire alarm system, which is already the campus-wide system, to ensure seamless integration, patient safety, and minimize maintenance costs. The acquisition is being processed under Simplified Acquisition Procedures (SAP) for purchases over the micro-purchase threshold but not exceeding the Simplified Acquisition Threshold (SAT) of $250,000, with the contract action ID 36C252-26-AP-0179. The document is prepared by Katherine Georgeson, a Health Care Engineer, and approved by Stacy Hoover, the Contracting Officer for NCO-12, with an effective date of 5/29/2025.

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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 1 Original Date: 08/30/17 Revision 01 Eff Date: 05/29/2025

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:

This product, Siemens Cerberus Pyrotronics System is the only product that allows for a single fire alarm system to be used throughout the Milwaukee facility. VA Milwaukee currently has the Cerberus Pyrotronics System as the campus-wide fire alarm system. The equipment to be installed will be monitored with the existing campus-wide Pyrotronics Fire Alarm.

Estimated Cost $18,085

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

The fire alarm system will activate alarms within the building to alert occupants that assistance may be required. Installation of a system that interfaces properly with the existing system will ensure patient safety is maintained at the highest level.

Additionally, installation of components that match the existing fire alarm system minimizes maintenance costs and bench stock requirements. No other system will integrate with our existing fire protection system. It is necessary to match the existing system to ensure there are no interface problems, and that system operation and maintenance is maintained to ensure patient and worker safety.

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

We have not been able to identify any other system that offers a seamless integration with our existing system.

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 5/9/2025 Name Date Health Care Engineer – COR – PM Stacy Hoover, Contracting Officer, NCO-12 Title https://www.acquisition.gov/?q=/browse/far/13 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466

2025-10-16T11:20:26-0500
STACY HOOVER

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