Equipment - HD Ultra-light URO Camera Head Eyepiece, IND

VHAPG Part 813.106 Simplified Acquisition Procedures:

Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT Last Updated: 02/01/22 Page 1 of 1 DEPARTMENT OF VETERANS AFFAIRS Justification for Single Source Awards IAW FAR 13.106-1 For Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID:

36C250-24-AP-3337 Contracting Activity: Department of Veterans Affairs, VISN 10, Richard L. Roudebush Veteran Affairs Medical Center, Network Contracting Office 10, located at 1481 W. 10th Street, Indianapolis Indiana, 46202. [VA Form 2237: 583-24-3-179-0481] Brief Description of Supplies/ Services required and the intended use/Estimated Amount: This acquisition is for installation and replacement on one Siemens Uroskip Omnia Max Cystology X-Ray Unit foot switch device and its installation.

The foot switch is a replacement for the Uroskip Omnia Uro/Litho imaging currently purchased and in use. The X-Ray unit cannot operate as intended without a functional foot switch. ITEM QTY DESCRIPTION LIST GOVT DISCOUNT FINAL PRICE Â Â Â Â Â Â 7757607 1 FOOT SWITCH, URO/LIT 14,400.00 20% 11,520.00 INSTALL 2 INSTALLATION 740.00 12% 651.20 SHIPPING N/A SHIPPING 165.00 Â 165.00 TOTAL Â Â Â Â 12,336.20 The total estimated firm fixed price of the Seimens foot switch Uro/Lit and installation is $12,336.20.

There are no options. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: This acquisition is for the Richard Roudebush Veteran Affairs Medical Center Surgical Services. In a previous acquisition, this VA purchased the Seiman Uroskip Omnia Max cystology X-Ray unit. The Indianapolis VA Medical Center requires specific brand name supplies to ensure the compatibility with previously purchased X-Ray unit.

This system is high tech, high cost and will require specialized components and vendor training to properly install and configure appropriately with the rest of the X-ray system. Description of market research conducted and results or statement why it was not conducted: This procurement is for the replacement and installation of the Siemens Uroskop Omnia Max Cystology X-Ray Unit foot switch.

Siemens Healthineer (Large) was originally awarded the high cost, high tech acquisition for the Uroskop Omnia Max Xystology X-Ray Unit. Per the HTME Ordering Division, purchasing thresholds, radiology local purchase thresholds are $50,000. The acquisition is less that $15,000 and meets the requirement. Vet Cert NAICS 334510 identified 310 SD/VOSB profiles The CS verified Vet Cert results with SBA DSBS NAICS 334510 keywords foot switch resulting in 0 profiles.

MedSurge, GSA, and SAC failed to identify any potential vendors. FPDS clearly identified Siemens Healthineer (Large) as the sole source for this commodity. Exclusive set-aside to SD/VOSB is not permitted.

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. .

Lillie Grey April 17, 2024 Title