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Page 1 of 1 JUSTIFICATION FOR SINGLE SOURCE AWARDS IAW FAR 13.106-1 (OVER MICRO-PURCHASE THRESHOLD($3.5K) BUT NOT EXCEEDING THE SAT ($150K)) IAW FAR13.104, COs must promote competition to the maximum extent practicable to obtain supplies and services from the source whose offer is the most advantageous to the Government, considering the administrative cost of the purchase. When competition is not practicable, IAW FAR13.106-1(b), COs solicit from a single source for purchases not exceeding the simplified acquisition threshold. COs may solicit from one source if the CO determines that the circumstances of the contract action deem only one source reasonably available (e.g., urgency, exclusive licensing agreements, brand-name or industrial mobilization). IAW FAR13.106-3(b)(3),COs are required to include additional statements explaining the absence of competition (see 13.106-1 for brand name purchases) if only one source is solicited and the acquisition does not exceed the simplified acquisition threshold (does not apply to an acquisition of utility services available from only one source) or supporting the award decision if other than price-related factors were considered in selecting the supplier. This template when completed can be used to document single source awards IAW FAR13.106-3(b)(3). Note: Statements such as "only known source" or "only source which can meet the required delivery date" are inadequate to support a sole source purchase. 1. ACQUISITION PLAN ACTION ID: 537-17-1-969-0005 1A. PROJECT/TASK No. None 1B. ESTIMATED AMOUNT: 2. BRIEF DESCRIPTION OF SUPPLIES OR SERVICES REQUIRED AND THE INTENDED USE: Apollo Anesthesia Workstation This equipment provides low and minimal inhalation anesthesia to patients during surgical procedures. 3. UNIQUE CHARACTERISTICS THAT LIMIT AVAILABILITY TO ONLY ONE SOURCE, WITH THE REASON NO OTHER SUPPLIES OR SERVICES CAN BE USED: The Jesse Brown VA Medical Center currently owns Draeger Anesthesia Care Systems and requires replacement or equipment. This equipment will be a direct replacement of the outdated equipment that is past service-life. Purchasing a different system would require the existing OR monitoring network to be modified. Utilizing the identical models of anesthesia equipment would enhance patient safety through operator familiarity as well as maintain the established repair contract that only covers the Draeger Anesthesia System. This is the only equipment that can be customized to meet the facility needs and can be upgraded at any time vs. purchasing all new equipment to keep up with technology. 4. DESCRIPTION OF MARKET RESEARCH CONDUCTED AND RESULTS OR STATEMENT WHY IT WAS NOT CONDUCTED: Market research was conducted on Vet Biz, GSA/FSS websites, NAC Catalog and Fed Biz Ops. GSA/FSS and NAC Catalog revealed Draeger Medical as the manufacturer and only vendor that holds a FSS contract to supply the requirement. Fed Biz Ops sources sought revealed two Service Disabled Veteran Owned Small Businesses that can supply the brand name equipment. IAW 13.106-1 - Soliciting Competition this transaction shall be solicited as a brand name only procurement on Government Point of Entry Fed Biz Ops. 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 Commercial Supply and Service SOP for Price Reasonableness templates. Signature: ______________________________ Date:____________________ Name: Alea Barnes_______________________ Title: Contract Officer_____________________ NCO:_12__________________

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