Single Source Justification MPT to SAT CO SIGNED.pdf

Revision: 02 Effective Date: 12/30/2025 Page 1 of 2 Acquisition ID#36C263-26-AP-3464

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 12.201-1 For

Over Micro-Purchase Threshold but Not Exceeding the Simplified Acquisition Threshold

Acquisition Plan Action ID: 36C263-26-AP-3464

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office 23 located at 1303 5th Street, Suite 300 Coralville, IA 52241, in support of Omaha VA Medical Center 4101 Woolworth Ave Omaha, NE 68105.

2237 # 636-26-4-2306-1026

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

Amount:

The contractor will furnish all labor, transportation, remote and on-site support, licensing, software and materials needed to repair CARTO3 PIU, S/N-13375 and associated Patch Unit, EM-5405-20F Rev.:05, S/N-M128767. The CARTO3 Unit is located at the VA Omaha Medical Center, 4101 Woolworth Ave Omaha, NE 68105, 2nd Floor Cardiology Cath Lab B Room 2571-1.

The vendor shall proceed with repair not later than 2 business days after receipt of purchase order. Sole Source FFP contract repair required for the replacement of the PIU ACL TX Card P/N-EA5401263F, the PIU Backplane Card, P/N-EA5401271, and the Exchange of the entire Patch Unit, P/N-EM540520F, S/N-M128767. PR# 636-26-3-2306-0892. Estimated cost: $48,723.22.

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

This FDA approved medical equipment uses proprietary parts and software only available from the original equipment manufacturer Biosense Webster INC. Biosense Webster INC is the manufacturer of the CARTO3 Cardiology Cardiac Mapping and Ablation System and has confirmed that they are the only authorized provider of repair services for the CARTO3 System. Only certified and trained employees of Biosense Webster are authorized to service this medical equipment or risk compromising accuracy and the safety of patients and users.

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

Market research was conducted in accordance with RFO FAR 10 and VAAR 810. SBA Small business search tool did not find any SDVOSB, VOSB or SB capable of performing https://www.acquisition.gov/?q=/browse/far/13

Revision: 02 Effective Date: 12/30/2025 Page 2 of 2 Acquisition ID#36C263-26-AP-3464 this requirement. The Rule of Two was not satisfied. This requirement will not be set aside for SDVOSB, VOSB or SB competition.

OEM Biosense Webster INC, a large business, confirmed they are the only source authorized to make repairs to their proprietary system.

The market research has confirmed that OEM Biosense Webster INC is the sole provider of these repair services. A sole source award to Biosense Webster INC offers the best value to the VA.

5. Contracting Officer's Certification: Purchase is approved in accordance with RFO FAR

12.201-1. I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

X Contracting Officer https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466