A.02.04_JA-16-RHCO-P-113-001r.pdf

Control Number: 16-RHCO-P-113-001 Amendment

For Official Use Only (See FAR 2.101 and 3.104-4)

(1 October 2015)

Sole Source Justification and Approval Under FAR 13.501

1. Contracting Activity: Regional Health Contracting Office – Pacific (P), US Army Medical Command, Fort Shafter, Hawaii

2. Description of Action: The requested amendment to the original J&A is to increase the dollar amount from $764,137.56 to $1,012,962.50 an increase of $248,824.94.

3. Description of Supplies/Services: This requirement is for the reagents and the instruments: Benckmark Ultra, the Symphony, and the Benchmark Special Stains to be used at the Tripler Army Medical Center Department of Pathology for a base plus two option years.

4. Authority Cited: No Change

5. Reason for Authority Cited: No Change

6. Efforts to Obtain Competition:

No Change

7. Actions to Increase Competition: No Change

8. Market Research:

No Change

9. Interested Sources: No Change

10. Other Facts: Amendment 001 to JA 16-RHCO-P-113 is being issued due to the fact that the original maximum quantity needed to be increased. The increase in the maximum quantity is due to an error in the original quantity. the quantity has now been verified with historical usage. The increase was identified by the RAand notified RHCO-P on 5 April 2016; after the JA signed date of 8 March 2016 by the Contracting Officer.

There is no change to the original justification.

11. Technical Certification: Include the following statement:

I certify 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.

Signature: ________________________________Date: __________ 07 Apr 2016

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For Official Use Only (See FAR 2.101 and 3.104-4)

(1 October 2015)

Typed Name: Alison K. Knight Title:__________________________

12. Requirements Certification: Include the following statement:

I certify 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.

Signature: ________________________________Date: __________

Typed Name: ____________________________Title:__________________________

Only the most senior persons within the organization responsible for acquiring the supplies or services described in the justification (e.g. program manager, depot commander, or senior program engineer) and with specific knowledge of the individual requirement (commodity, technology, and/or function) shall sign the technical and requirements certifications.

13. Fair and Reasonable Cost Determination: Include the following determination:

I hereby determine that the anticipated cost to the Government for this contract action will be fair and reasonable. The basis of this determination will be using available competitively published price list, and contracts awarded for similar items. Additionally, certified cost or pricing data is not required per FAR 15.403-1(b)(3).

Signature: ________________________________Date: __________

Typed Name: _Sandy H. Mitsuda_____________Title:___Contracting Officer________

14. Contracting Officer Certification: This certification shall be made by the contracting officer who will sign the contract resulting from this justification and approval. Include the following statement:

I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature: ________________________________Date: __________

Typed Name: _Sandy H. Mitsuda_____________Title:___Contracting Officer________

Medical Technologist Supervisor

7 APR 2016

LTC Gregory A. Johnson Chief, DPALS

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Digitally signed by: MITSUDA.

SANDY.HYUNSOO.1258524337

DN: CN = MITSUDA.SANDY.

HYUNSOO.1258524337 C = US O

= U.S. Government OU = DoD Date: 2016.04.11 10:33:34 -09'00'

MITSUDA.

SANDY.

HYUNSOO.

1258524337

Digitally signed by: MITSUDA.

SANDY.HYUNSOO.1258524337

DN: CN = MITSUDA.SANDY.

HYUNSOO.1258524337 C = US O

= U.S. Government OU = DoD Date: 2016.04.11 10:34:15 -09'00'

MITSUDA.

SANDY.

HYUNSOO.

1258524337

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For Official Use Only (See FAR 2.101 and 3.104-4)

(1 October 2015)

Approval

Based on the foregoing justification, I hereby approve an additional increase in the amount of

$248,824.94 for a total amount of $1,012,962.50 for the procurement of the Benckmark Ultra, the Symphony, and the Benchmark Special Stains and reagents on an other than full and open competition basis pursuant to the authority of 41 U.S.C. 1901 as implemented by FAR 13.501, subject to availability of funds, and provided that the services and property herein described have otherwise been authorized for acquisition.

Signature: ________________________________Date: __________

Typed Name: Joseph S. Peck Title: Special Advocate for Competition

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