eMax 2 Plus Handpiece

Added: Aug 26, 2012 11:42 am Modified: Sep 01, 2012 12:41 pmTrack Changes JUSTIFICATION FOR OTHER THAN FULL AND OPEN COMPETITION DUE TO SOLE

SOURCE REQUIREMENT

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1. FACILITY NUMBER-NAME- CITY, STATE: 636

2. VISN OR PROGRAM ACTIVITY: 16

3. POC NAME AND TELEPHONE NUMBER: Tim Kersey

4. PROPOSED ACTION: Brand Name or Sole Source Procurement of: COMMODITY

5. DESCRIPTION OF REQUIREMENT: Emax 2 plus system motor,, console, foot control with attachments and

cleaning brushes per quote 108715

" Supplies/Equipment: Technical Characteristics can include, but are not limited to model, make, part number,

color, size, quantity, delivery date, etc. Services: Refer to the statement of work, statement of objective, or performance work statement for your description.

6. STATUTORY AUTHORITY PERMITTING OTHER THAN FULL AND OPEN COMPETITION: Only One Source Reasonably Available

" FAR 6.302-1 Only one responsible source and no other supplies or services will satisfy agency requirements

" FAR 8.405.6 Limited sources justification and approval

" FAR 13,106-1(B) SAP Requirements - Soliciting From a Single Source. If contracting officer determines that circumstance of contract action deem only one source is considered reasonable available.

" This is a reference to the part of the Federal Acquisition Regulation that allows an Item to be purchased without being fully competed, This statement serves as a point of reference in case the justification is questioned. In this case, It would be reviewed for its relativity to this part of the Federal Acquisition Regulation.

7. NATURE & BACKGROUND OF ACQUISITION TO JUSTIFY SOLE SOURCE: This equipment is required to accomplish complex otology cases and cervical spine surgical cases. Facility currently owns one unit but requires two additional systems clue to demand of surgical case backlog of patients requiring this instrumentation This purchase also addresses surgical complexity standard requiring standardization for reusable medical equipment of primary and back-up equipment available per facility.

" Describe the minimum salient characteristics that will meet your needs. This Is the area where you explain why no other vendor anywhere can supply this requirement for you. Acceptable reasons for "sole source" Include (but are not limited to): bound by contract, technical order specification, warranty service, or regional standardization, If the reason for sole source is determined locally, offer what market research or clinical guidelines led to the decision.

8. PROVIDE INFORMATION SHOWING MARKET RESEARCH WAS CONDUCTED: For equipment standardization this quote was acquired to match what is currently utilized by surgeons In this facility. This Is a proprietary Item.

" This justification is for why no other vendor anywhere can supply your item or service and still meet your needs, Your rationale for barring other vendors Is crucial to your justification. If you already cited the statutory reason for a sole source, state, "See paragraph 7". If your rationale for a sole source purchase was determined locally, offer an explanation of the source selection process you went through to determine your sole source requirement. Unacceptable reasons Include (but are not limited to) personal taste, good relationship with existing vendor, or one's comfort level with a particular vendor.

" Describe the similarities and differences in vendors for the product that you are aware of that could assist or prevent the purchaser from obtaining the best value for you. Be sure to name the vendors. This section will





help the purchaser decide which vendors are available to purchase this item from, if market research was

not conducted, state It AND the reason that there was no market research.

9. PRICE ANALYSIS "FAIR AND REASONABLE": EMAX2PLUS, SC2101and E-FP are not on the FSS contract

V797P-4126B. lt Is being quoted off contract and the same discount percentage for similar products has been offered, Additional Items requested on quote are on contract

0 This section is mandatory, Do not leave this section blank. Even though this must be purchased from only

one source, you must still obtain a quote from the vendor for this purchase, This way you are able to verify added costs for delivery, your geographic region, or installation. Cite the pricing here, If you purchased this item before, compare this price to what you paid last time. Cite this as well In your answer.

10, LISTING OF SOURCES EXPRESSING INTEREST IN THIS REQUIREMENT: n/a

* Enter or attach contact information for sources you cited in the description of your source selection. If sole

source by statute, regulation, or standard, list contact information for that source here,

11. FUTURE ACTION TO OVERCOME BARRIER TO OTFOC: When all three systems require replacement, market research will be conducted.

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0 This section fulfills the legal requirement to affirm that the selection of a singular source for this requirement is

an anomaly and that action will be taken in the future to ensure full competition In the future. The reason this is needed Is to describe how the government will make an effort in the future to fully comply with standard acquisition practices and not resort to creating unnecessary partnerships with few vendors at the risk barring full competition to circumvent the FAR. By signing this, you are telling the contracting officer to avoid the processes that assure best value and fairness In this acquisition. If the reason for sole source purchase is because of statute, standard, or regulation, enter "THE SOURCE FOR THIS PURCHASE IS REQUIRED IAW." Cite this as well In your answer.

SUBMITTED BY:

___,------_-.1------;o"---:-

Signature: ...610 Air .,/' .6111-

_ SIGNED BY:

Signaturilli . 4.A_

( Department/Requestor

Date: 7:-/,7-7,--- I

Warranted C. frac ing Officer Date: 016 070 ..-



APPROVED BY:

Signature: Anegra-ttA/ Arm

NOM or Product Line Supervisor

Date: 7-1 ,..201,2

Note: Anything that is over 500K will need to strictly follow the SOP J&A Attachment.