678/TUC - UNIVERSAL SCREW REMOVAL SET_ 678A60011

VHAPG Part 813.106 Simplified Acquisition Procedures:

Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT Page 1 of 2 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: _ 36C262-26-AP-2613 1.Contracting Activity: Department of Veterans Affairs, Regional Procurement Office West (RPOW), Network Contracting Office 22 (NCO-22), 4811 Airport Plaza Drive, Suite 600, Long Beach, CA 90815-as requested for the VA Tucson Healthcare System.

Transaction Number: 678-26-2-042-0001 2.Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The VA Tucson Healthcare System is requesting three Universal Broken Stripped Screw Removal System Sets as replacements, due to the fact that the current units are broken.

The S9MAXI Large Bone Screw Set, the S9Screw Removal Screw Set and the S9Nail-BR set, are Orthopedic tray kits used during surgery for the purpose of removing various types of broken or damaged screws that have become embedded in the tissue or bones of Veteran patients. The items requested are part of the Shukla Trauma-All-In-One System and assist in the prevention of further orthopedic complications.

Estimated amount: $57,200.00 3.Unique characteristics or circumstances that limit the requirement to Brand Name Only commodities. The Orthopedic surgical department at VA Tucson currently uses the Trauma-All-In-One System and the S9MAXI, S9SCREW and S9NAIL-BR sets will replace the broken sets. The purchase of these commodities will be integrated into the existing sets and be immediately available for surgical use, as this system incorporates uniquely design specifications for that purpose.

There are no other brands that can be used in conjunction with or attached to the current Trauma instrumentation system which will meet the surgeon s needs during orthopedic and spinal surgeries. 4.Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: No other manufacturers products can satisfy the Government s request.

VA Tucson Orthopedic department has existing systems already in use that require additional compatible instrument sets from the same manufacture. Procuring a different extraction system from an alternate brand will not provide the capabilities of compatibility and will require the replacement of the entire Trauma-All-In-One System and other components currently being used.

Based on market research and current procurement knowledge, SS White Technologies Inc, dba Shukla Medical remains the only responsible source capable of meeting the agency s requirement at a fair and reasonable price. 5.Description of market research conducted and results or statement why it was not conducted: Market research was conducted using DSBS, SAM, GSA, FPDS and the internet. A search of the NAC did not yield any information regarding the items listed in the request.

A search of the SAC did not render any mandatory contracts for these items. Further research revealed that the manufacturer, VHAPG Part 813.106 Simplified Acquisition Procedures:

Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT Page 2 of 2 SS White Technologies Inc, dba Shukla Medical is the sole proprietor and distributor for the items listed in the request. Additional market research was also conducted and revealed that SS White Technologies Inc, dba Shukla Medical, a small business; is registered on SAM.gov and does not appear on the Excluded parties list (EPLS). W9 tax documents were also collected listing SS White Technologies Inc, dba Shukla Medical with the identifier N494F926NSA7.

6. 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.