J_and_A-_redacted.pdf

Control No. .

JUSTIFICATION AND APPROVAL

FOR OTHER THAN FULL AND OPEN COMPETITION

(Actions NTE $650K for other than Simplified Acquisition Procedures)

1. Agency/Contracting Activity: 918th CB/MICC-Fort Carson

2. Description of Action:

Nature: � New Requirement D Follow-on Requirement D Mod to Existing Purchase Order/Contract Number _______ _

Pricing: � Firm-Fixed Price D Time & Materials

Funds: � OMA □ Other Funds:

Name of Proposed Contractor(s):

Street Address:

City, State, Zip:

Phone:

3. Description of Services or Supplies:

The total estimated value of the proposed action is

D Cost

a. Evans Army Community Hospital (EACH) has a requirement to keep the locally hosted Connexall application covered under a maintenance agreement. The application is used in the delivery of patient care and is a critical element used in system integration efforts at EACH. Maintaining a maintenance agreement will ensure the availability of support for the application when issues occur within the system that require assistance from Connexall to troubleshoot and resolve issues that are out of the scope of the organization.

b. The estimated cost of the maintenance agreement is which is for a base year of coverage and 4 additional option years.

c. Coverage needed is listed in attachment 1.

4. Authority: FAR 6.302-5(a)(2)(ii).

Actions other than simplified acquisition procedures (select one):

D FAR 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements, 10 USC 2304(c)(1)

D FAR 6.302-2: Unusual and compelling urgency, 10 USC 2304(c)(2)

D FAR 6.302-5: Authorized or Req"uired by Statute, 10 USC 2304(c)(5)

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Control No. insert control no.

10. Technical/ Requirements Certification: I certify that the supporting data under my cognizance which is included in this abbreviated J&A is accurate and complete to the best of my knowledge and belief.

Submitted By:

Position Title (Division Chief or higher):

Email address:

Signature:

U....Date: {¥'t)\l\ \)

11. Fair and Reasonable Price Determination: As contracting officer, I hereby determine that the anticipated cost to the Government for this contract action will be fair and reasonable.

12. Reviews: I have reviewed this justification and find it legally sufficient.

Legal Counsel (if value exceeds $1 SOK) Typed Name: ________ Date: _________ _ Signature: ________ _

13. Contracting Officer's Approval: I hereby certify that this justification is accurate and complete to the best of my knowledge and belief. Based on the foregoing, I approve this sole source justification subject to availability of funds, and provided that the services and supplies herein described have otherwise been authorized for acquisition. A sources sought was also used to further document/confirm the justification herein.

SIGNATURE: ____________ DATE: _______ _ NAME:

TITLE: Procuring Contracting Officer

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4/6/2018