S02 - Attachment 4 Single Source Justification MPT to SAT - Redacted.pdf

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Attached to
6515--Eyecon 9420 36C252-25-AP-2982
Solicitation number
36C25225Q0527
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About this file

This document is a Single Source Justification form for a federal procurement by the Department of Veterans Affairs, specifically for the Clement J. Zablocki Medical Center in VISN 12. The procurement involves purchasing 3 Eyecon Model 9420 visual medication dispensing systems from ScriptPro, along with associated field services, installation, and 12 months of support services, with a total estimated value of approximately $250,000. Market research identified only two potential sources (ScriptPro and Veterans Healthcare Supply Solutions), which does not meet the VA or SBA "rule of two" requirement, necessitating a single-source justification.

The justification notes the replacement is for an older model that is no longer functioning correctly, and the software is proprietary to ScriptPro. The document indicates that while this is a brand-name-only requirement, it will ultimately be competed on the open market. The acquisition is being processed under Simplified Acquisition Procedures (SAP) and is aligned with FAR 13.106-1, with the Contracting Officer certifying the accuracy and completeness of the justification. The effective date is 11/15/2024, and the acquisition plan action ID is 36C252-25-AP-2982.

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

Revision: 01 Effective Date: 11/15/2024 Page 1 of 1 Acquisition ID#

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: 36C252-25-AP-2982 Eyecon 9420

1. Contracting Activity: Department of Veterans Affairs, VISN 12, Clement J.

Zablocki Medical Center 2237: 695-25-3-969-0159

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

Item Qty Unit Description 0001 3 Ea Eyecon Model 9420

Trade in 0002 1 Ea Field Services 0003 1 Ea Installation 0004 12 Mo Support Services

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

This includes a replacement for an older model that is no longer functioning correctly. Software is proprietary to ScriptPro. The cost to replace the ScriptPro medication dispensing system is another visual pill counting device would be approximately $250,000.

4. Description of market research conducted and results or statement why it was not conducted: Market research identified two potential sources: the OEM ScriptPro (large business) and Veterans Healthcare Supply Solutions (SDVOSB).

This does not meet the VA or SBA rule of two. This brand name only requirement will be competed on the open market.

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.

Date

Name Title

JENNIFER MEAD

Digitally signed by JENNIFER

MEAD

Date: 2025.06.12 12:42:46 -05'00'

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