S02_JnA_Knight_36C77025Q0049__allsigned.pdf

Combined order for stations: 760, 761, and 766 36C770 24 AP 0972, 36C770 25 AP 0019, and 36C770 25 AP 0030 760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22 Page of

Tuesday January 7 5

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22 Page of

4. Statutory Authority Permitting Restricted Competition:

Competition is restricted on this procurement for the reason below

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

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22 Page of

Line-Items: 1-3 – Reservoir, Omnipod 5 G6 | Local Stock Number/ MPN#: 08508-3000-21|

Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5 o

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22

8. Discuss consideration to BAATAA/Exception to BAA (See FAR Part 25

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

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

previous acquisitions have been a mix of large and small businesses.

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

12. Requirements Certification:

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Signature:

Jennifer Knight Digitally signed by Jennifer Knight Date: 2024.10.31 13:37:29 -05'00'

MICHELE FORD

Digitally signed by MICHELE

FORD

Date: 2024.10.31 14:45:06 -04'00'

RODNEY

YATES

Digitally signed by RODNEY

YATES

Date: 2024.10.31 14:43:19 -05'00'

JOSEPH

SOUSA

Digitally signed by JOSEPH

SOUSA

Date: 2024.11.01 06:06:47 -04'00'

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22 Page of

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

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

One Level Above the Contracting Officer (Required over SAT but not exceeding $750K): I certify the justification meets requirements for other than full and open competition.

KELLEY

CUNNINGHAM

Digitally signed by KELLEY

CUNNINGHAM

Date: 2024.11.01 13:55:11 -05'00'

JUSTIN SMITH

Digitally signed by JUSTIN

SMITH

Date: 2024.11.05 15:47:17 -06'00'

ANDREW

RAIBER

Digitally signed by ANDREW

RAIBER

Date: 2024.11.08 12:30:18 -06'00'

760 25 1 050 0001, 761 25 1 014 0012, and 766 25 1 400 0021

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201

36C77025Q0049 – Knight/Cunningham

VHAPG Part 813.5 Simplified Acquisition Procedures for Certain Commercial Items Attachment 1: Request for Sole Source Justification Template >SAT $7.5M under FAR13.5

Last Updated: 02/01/22 Page of

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 approve ($750K to $7.5million (or $15.0 million for acquisitions described in FAR 13.500(c)) for other than full and open competition.

DARYL BERG

Digitally signed by DARYL BERG Date: 2024.11.12 15:06:13 -06'00'