36C25024Q0317 Page 1 of 53 Page 53 of 53 Page 1 of 53 VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT DEPARTMENT OF VETERANS AFFAIRS Justification for Brand Name Awards IAW FAR 13.106-1 For Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K) Acquisition Plan Action ID: 36C250-24-AP-1773 1. Contracting Activity: Department of Veterans Affairs, VISN 10, Dayton VA Medical Center Brief Description of Supplies/ Services required and the intended use/Estimated Amount: A new ENT Doctor is starting, and the additional scopes are needed to expand veteran care. The proposed action is for the items listed below: Item # Description/Part Number* Qty 1 Sinuscope, 4 x 175 mm, 0 degree HD 6 2 Sinuscope, 4 x 175 mm, 30 degree HD 4 3 Hightrans light cable, 4.8x230 2 4 Connector/Light Source Pentax 2 5 PENTAX Adaptor w/ Filter 2 Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: Brand Name Then new scopes have to be compatible with the Pentax Image Processors currently in use at the Dayton VA Medical Center. Only Pentax scopes will work with Pentax Processors. OEM is a Large Business and has 1 distributor (Thundercat Technology, LLC (SDVOSB) for this product. Description of market research conducted and results or statement why it was not conducted: Searched VetCert using NAICS code 339112 and located 659 vendors. Searched GSA and the requested items were not available. Searched DSBS (quick market research) and there were no vendors listed. Pentax (OEM, LB) advised they have 1 distributor (Thundercat Technology LLC, SDVOB). Neither the VA Rule of Two, nor the SBA Rule of Two can be met. This action will be posted to Contract Opportunities as an Brand Name, unrestricted solicitation. Contracting Officers 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. ____________________________ Percy Johnson Contracting Officers Last Updated: 02/01/22

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