JEFO Madigan Varian Linear Accelerator FINALRedacted.pdf

This document is a Justification for an Exception to Fair Opportunity (JEFO) for contract SPE2D1-24-D-0015 issued by the Defense Logistics Agency (DLA) Troop Support Medical Supply Chain for the acquisition of one Varian TruBeam Linear Accelerator (LINAC) for Madigan Army Medical Center (AMC). The contract is valid through September 5, 2025, and is part of a congressionally mandated joint DLA and Department of Veterans Affairs program for radiation therapy equipment procurement.

The JEFO cites FAR 16.505(b)(2)(i)(B) to justify sole-source procurement from Varian Medical Systems, as they are the only vendor capable of providing equipment compatible with the existing proprietary ARIA operating system and Eclipse treatment planning software. The new LINAC will replace a Varian Trilogy LINAC installed in 2013 that has reached end-of-life. Once installed, this will be the second TruBeam LINAC at Madigan AMC, with the first having been installed in 2019. The justification emphasizes that using different systems would increase risk of treatment errors and notes that patient information cannot be migrated to non-Varian systems. The DLA commits to conducting market research for future LINAC procurements to identify additional qualified sources.