SingleSourceJustification unrestricted_Redacted.pdf

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 3 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

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: 36C244-22-AP-3000

1. Contracting Activity: Department of Veterans Affairs, VISN 04, (529) Butler VA Medical Center, 353 North Duffy Rd. Butler, PA 16001-1138. PR: 529-22-2-094-0051

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

Total estimated contract value is $ .

Line Item Part No. Description Qty 0001 601-2231112-01 X Series Advanced Manual Monitor/Defibrillator 1 0002 8000-000393-0 1 X Series Carry Case, Premium 1 0003 8000-001392 Rainbow, RC-4, 4FT, Reusable EMS Patient Cable 1

8000-000371 SpO2/SpCO/SpMet Rainbow DCI Adult Reusable Sensor with connector (3 ft)

8000-0895

Cuff Kit with Welch Allyn Small Adult, Large Adult and Thigh Cuffs

0006 REUSE-09-2MQ Cuff, Child, 2-Tube, Twist lock connector 1 0007 8000-0580-01 Six-hour rechargeable Smart battery 1

8300-0500-01 SurePower 4 Bay Charging System including 4 Battery Charging adapters

0009 8000-001128 AccuVent Sensors (10/box) 1 0010 8000-000876-01 Paper, Thermal, w/Grid, BPA Free (box of 6) 1 0011 8300-000676 OneStep Cable, X Series 1 0012 8009-0020 CPR-D Padz and CPR Stat Padz Connector for R Series 1 0013 8900-000219-01 OneStep Pediatric CPR Electrode (1 pair) 1 0014 8707-000503-01 Clear Plastic Display Protector. X Series 1 0015 8000-002005-01 Cable Sleeve, Propaq / X Series, ZOLL Blue 1 0016 8778-89033-WF Worry-Free Service Plan, 3 Years, On-Site 1 0017 8012-0206 12-lead ECG Simulator 1 0018 08900-0190 Training CPR stapadz 2

Brand Name Only request. The Butler VA Medical Center has a requirement for one (1) Part number 601-2231112-01 Zoll X Series Advanced Manual Monitor Defibrillator with a 4 trace tri-mode display monitor/defibrillator/printer. The equipment provides the ability to monitor, pace, shock, record, transmit and print vital reports for a patient who is experiencing a cardiac related emergency.

Equipment also provides a Real CPR Help Expansion Pack with CPR dashboard with quantitative depth and rate in real time, release indicator, interruption timer, perfusion performance indicator and Real BVM Help for ventilation feedback on both volume and rate on intubated and non-

VHAPM Part 813.106 Page 2 of 3 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020 intubated patients. - ity Butler Memorial Hospital and Butler Ambulance Service.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The brand name monitor Zoll is mandatory due to its interoperability with our local receiving facilities Butler Ambulance Service and Butler Memorial Hospital. Purchasing this equipment would ensure there are no delays in transferring patient care during CPR or other cardiac related emergencies. Also, the leads for this defibrillator are unique and if another brand was purchased the receiving site would need to remove the leads put on by VA personnel and replace with leads that are compatible with brand name Zoll. Butler VA Fire Department currently has one monitor in operation with at least one confirmed life saved. For equipment, leads, and continuity of training and operation this monitor will mirror our other monitor in service and add vital Real BVM feedback expansion.

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

A search of the marketplace was conducted between 02-04-2022 to 02-28-2022 to determine the acquisition approach for this requirement.

Zoll Medical Corporation (Original Equipment Manufacturer) (Large Business) is the manufacturer of the Zoll X Series Advanced Manual Monitor/Defibrillator needed by the Butler VA Medical Center Fire Department. The Contract Specialist (CS) later verified with the OEM for authorized distributors. OEM responded identifying one (1) vendor: After Action Medical and Dental Supplies, LLC (SDVOSB).

Sources Sought synopsis (36C24422Q0441) was posted from 02-18-2022 to 02-25-2022. This effort produced two (2) responses: After Action Medical and Dental Supplies, LLC (SDVOSB), Wilburn Medical USA (WOSB). After Action Medical and Dental Supplies, LLC (SDVOSB) responded with an Authorized Distributor Letter, replied items are not on GSA Contract. Wilburn Medical USA was nonresponsive to Authorized Distributor Letter request.

Small Business Administration Quick Market Search found zero (0) vendors.

-2231112- System-Next Generation, Interagency Contract Directory Portal, VA Supply Chain Medical Catalog, Defense Logistics Agency Troop Support Medical Electronic Catalog found zero (0) vendors.

-2231112- After Action Medical and Dental Supply, LLC (SDVOSB) Contract No. V797D-40111 and Zoll Medical Corporation (Large Business) Contract No. V797D-40135.

non-manufacturer rule database found one (1) waiver.

VHAPM Part 813.106 Page 3 of 3 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

RFQ1553345 posted on GSA EBuy from 04/22/2022-04/26/2022. This was cancelled and received one (1) nonresponse from Alliant Enterprises, LLC (SDVOSB). Alliant response was I would quote if we do not represent Zoll at this time.

Based on the Market Research, Zoll Medical Corporation (OEM) (Large Business) and After Action Medical and Dental Supplies, LLC (SDVOSB) are the only two (2) entities that can supply the needed items.

According to the Market Research above, the CS anticipates a Brand Name Unrestricted solicitation on SAM.

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.

Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.