65--THERMOFORMER

Department of Veterans Affairs VISN 10 Contracting Activity 4100 West Third Street Dayton, OH 45428 JUSTIFICATION FOR OTHER THAN FULL AND OPEN COMPETITION Upon the Basis of the following justification, I as the Contracting Officer hereby approve the use of other than full and open competition of the proposed contractual action pursuant to the authority of 41 U.S.C. 253(C)(1) under FAR 6.302-1(a)(2) (Only one responsible source and no other supplies or services will satisfy agency requirements). 1. Identification of Agency and Contracting Activity The Department of Veterans Affairs, Veterans Integrated Service Network (VISN) 10 Contracting Activity. Nature/Description of Action This document sets forth the justification and approval for one of the exceptions to full and open competition allowed under Federal Acquisition Regulation Part 6.302-1(a)(2)(ii)(A) and (B). 2. Description of Supplies/Services The Provel Model T6 automated thermo former is a machine that molds plastic into prosthetic parts for joint replacement. 3. Identification of Statutory Authority The statutory authority permitting other than full and open competition is 41 U.S.C. 253(C)(1). 4. Demonstration of Contractors Unique Qualifications A. The Provel Model T6 automated thermo former is a one of a kind unit. There is no other unit available on GSA or the open market. 5. Anticipated Dollar Value of Proposed Acquisition . 6. Determination of Fair and Reasonable Cost It is in the best interest of the government to use this contractor. The contractor's price is considered fair and reasonable by the independent government estimate and compared to prices paid at other government facilities. 7. Description of Market Survey A market survey was conducted on GSA, the open market, and Fedbizopps to determine whether any other online resources met the unique needs of VISN 10. None did. Certification The information contained in this justification for other than full and open competition is certified accurate and complete to the best of my knowledge and belief. Technical Certification: I certify that the facts and representations under my cognizance, which are included in this justification and which form a basis for this justification, are complete and accurate to the best of my knowledge. ____________________ __________ Technical Representative Date Thomas Teklinsky VISN 10 Orthotist-Prosthetist Contracting Officer's Certification: The Contracting Officer has determined that the justification is accurate and complete to the best of the Contracting Officer's knowledge and belief. ____________________ __________ Ron Smith Date VISN 10 Contracting Activity