DEPARTMENT OF VETERANS AFFAIRS Justification for Single Source Awards IAW FAR 13.106-1 For Over Micro-Purchase Threshold but Not Exceeding the SAT ($150k) Acquisition Plan Action ID: VA259-17-AP-O161 Contracting Activity: Department of Veterans Affairs, VISN 19, Salt Lake City Veterans Affairs Medical Center Brief Description of Supplies/ Services required and the intended use/Estimated Amount: This requirement is for the Consignment of Cook Medical Brand name Zilver Stents. These stents are used for specific uses in the peripheral arteries. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The uniqueness of the Cook Medical Inc. Zilver Stents is that they are the only stents capable of augmenting existing inventory. The use of any other manufacturers stent in conjunction with the Zilver Stents pose a patient risk due to stent failure because of stent overlap areas being made of different materials making a non-conducive environment at the joint/bridgesCook medical Inc. is the only manufacturer capable of providing the supplies requested without the Satt Lake City Veterans Affairs Medical Center experiencing substantial duplication and possibly incurring additional costs. Description of market research conducted and results or statement why it was not conducted: The SLCVAMC utilizes multiple brands of stents, each has their own benefits and are case specific. For this requirement, no further Market research was conducted beyond contacting the manufacturer. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief. REDACTED Approvals: This part if filled out by Contracting Staff as part of the Justification Contracting Officer's Cenification: Purchase is approved in accordance with FAR13.105-1(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 IA W FAR 13.106.3. REDACTED Division or Branch Chief/Designee (Required over $3K, but not exceeding $150K): REDACTED VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17

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