S02. Renovate ORs - Sole Source - PG LifeLink LIM Panels_Redacted.pdf

Attachment 1: Request for Sole Source Justification Format >SAT

VHAPG Part 806.3 OFOC Page 1 of 4 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C250-26-AP-0948

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: _36C250-26-AP-0948__

1. Contracting Activity: Department of Veterans Affairs, VISN 10, Network

Contracting Office (NCO) 10, Louis Stokes Cleveland Medical Center will enter into a construction contract that requires the procurement of this item which requires justification for other than full and open competition. The 0 Dollar 2237 purchase request number for the �Renovate Operating Rooms� Project is 541-26-1-5986- 0004.

2. Nature and/or Description of the Action Being Approved: This project is named �Renovate Operating Rooms� and this project renovates 22,000 square feet of current operating room suite providing new HVAC and addressing other identified condition gaps. FCA #124308, 124311.

3. Description of Supplies/Services Required to Meet the Agency�s Needs: PG

LifeLink Line Isolation Monitoring system and remote annunciation panels that will match those installed in the three A, B and C Operating Rooms. The estimated value of the PG LifeLink Line Isolation Monitoring system and remote annunciation panels is $123,344.

4. Statutory Authority Permitting Other than Full and Open Competition:

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by

RFO 6.103-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by RFO 6.103-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by RFO 6.103-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by RFO 6.103-4

( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by RFO 6.103-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by RFO 6.103-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by RFO 6.103-7;

5. Demonstration that the Contractor�s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability

VHACOSBurdiS Text Box

VHAPG Part 806.3 OFOC Page 2 of 4 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C250-26-AP-0948 of authority): The Medical Center is actively renovating and expanding the existing surgery suite that is nearly 20 years old. This project will replace the existing seven Operating Rooms with eight new Operating Rooms that are required to install a Line Isolation Monitor system per the Surgical Endovascular Services Design Guide. The existing ORs A, B and C use the PG LifeLink Line Isolation Monitoring system and remote annunciator panels that are wired to a remote monitoring workstation within the Electronics Shop that uses proprietary software to provide alerts and remote monitoring/ testing capabilities for the maintenance staff. The Medical Center requires one type of Line Isolation Monitoring system to reduce the maintenance and repair cost and ease of staff training. Other Line Isolation Monitor systems and remote annunciator panels are incompatible with the proprietary PG LifeLink server/client software installed on the remote monitoring workstation.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as possible (including whether a notice was or will be publicized as required by RFO Part 5 and, if not, which exception under RFO Part 5 applies): This procurement will be competed and synopsized on SAM.gov (https://sam.gov/) as an Invitation for Bid (IFB) and will indicate the requirement for brand name specification for the PG LifeLink Line Isolation Monitoring system with remote annunciator panels. Since the construction contract is being awarded as a firm fixed price contract through competitive sealed bidding, the bidders are incentivized to locate the supplier that will provide the item at the most economical price.

7. Determination by the CO that the Anticipated Cost to the Government will be

Fair and Reasonable: It is anticipated that two (2) or more bids will be received through the sealed bidding process. If two (2) or more bids are received than the cost of the entire project will be considered fair and reasonable to the government based on competition.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: While there are other Line Isolation Monitoring systems available, the only system currently being used in the Medical Center is by PG LifeLink. Continuation of the existing system will provide reduced maintenance and repair costs, reduce the need for a separate remote monitoring workstation and software license and provide ease of staff training.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

None. See Item 5 above.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

None. (A market Survey will be completed on the entire construction project).

VHAPG Part 806.3 OFOC Page 3 of 4 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C250-26-AP-0948

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: Not Applicable � See Item 5.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Richard E. Clark Date Design COR Louis Stokes Cleveland VAMC

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Stanley Burdine Date Contracting Officer Network Contracting Office (NCO) 10

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $900K): I certify the justification meets requirements for other than full and open competition.

Brian Kish Date Branch Chief Team 2 Network Contracting Office (NCO) 10

c. VHA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval (if over $90 million) or approve ($900K to $90 million) for other than full and open competition.