7G21--AutonoMe Assistive Technology

VHAPG Part 806.3 OFOC Page 1 of 5 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C261-26-AP-2745 DEPARTMENT OF VETERANS AFFAIRS Justification and Approval (J&A) For Other Than Full and Open Competition (>SAT) Acquisition Plan Action ID: 36C261-26-AP-2745 RPOW JOFOC Tracker: FY26-NCO 21-1037 1. Contracting Activity: Department of Veterans Affairs (VA), Network Contracting Office 21 on behalf of Veterans Integrated Service Network (VISN) 21, VA Palo Alto Health Care System (VAPAHCS). Purchase Request: 640-26-2-394-0045. 2. Nature and/or Description of the Action Being Approved: This procurement is for the AutonoMe Hospital Environmental Control Unit (ECU) systems within VAPAHCS in accordance with FAR 12.102 Restricting Competition for the Acquisition of Commercial Products and Commercial Services, where acquisitions conducted are exempt from the requirements of FAR Part 6, but still requires a justification using the format of FAR 6.104-1. The action will not be competed and will be procured as a sole source. The contract will be a firm fixed price Open Market contract. This is a new requirement. 3. Description of Supplies/Services Required to Meet the Agency’s Needs: VAPAHCS requires an upgrade of the existing AutonoME Hospital ECU systems within the Spinal Cord Injury (SCI) Center. The scope of work includes replacing outdated AutonoMe components, installing upgraded AutonoMe Hospital systems, performing necessary device integrations, conducting functional testing, and providing training for designated staff groups. Qty Item Number Product Description 43 A10000F AutonoMe ECU hospital systems 1 Install Installation of the AutonoMe systems (includes installation and train-the-trainer training, unlimited remote technical support and a 2-year warranty on the products) 4 SERV0102 Annual Preventive Maintenance plan of AutonoMe systems -- 1 of 5 -- VHAPG Part 806.3 OFOC Page 2 of 5 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C261-26-AP-2745 4. Statutory Authority Permitting Other than Full and Open Competition: (X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by RFO 6.103-1; ( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by RFO 6.103-2; ( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by RFO 6.103-3; ( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by RFO 6.103-4 ( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by RFO 6.103-5; ( ) (6) National Security per 41 USC §3304(a)(6) as implemented by RFO 6.103-6; ( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by RFO 6.103-7; 5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): AutonoMe is the only responsible source capable of meeting the VAPAHCS requirements for upgrading existing ECU systems in the SCI Center. The current veteran rooms are fully outfitted with AutonoMe hardware, software, integration cabling, and room-specific mounting infrastructure. The AutonoMe systems are a proprietary platform, and only the original manufacturer Accessibility Services Inc can provide compatible replacement components, firmware, software updates, device-level integrations, and the required functional interoperability with the existing system architecture. Accessibility Services Inc is also the only source with proprietary technical data, configuration control, and integration rights necessary to install, calibrate, and verify the systems to VA clinical/biomedical standards. No other vendor can maintain, modify, or replace AutonoMe components without violating proprietary restrictions or compromising system functionality or veteran safety. To consider another manufacturer would create substantial duplication of cost to the government that is not expected to be recovered through competition. -- 2 of 5 -- VHAPG Part 806.3 OFOC Page 3 of 5 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C261-26-AP-2745 6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as possible (including whether a notice was or will be publicized as required by RFO Part 5 and, if not, which exception under RFO Part 5 applies): Market research was conducted, and no other distributors of the AutonoMe could be found. The equipment and software requested are proprietary to the Original Equipment Manufacturer (OEM) Accessibility Services Inc, it is not possible to procure the items needed from alternative sources. 7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: Fair and reasonable pricing will be compared to the Independent Government Cost Estimate, and Past procurement history. 8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted The Contract Specialist (CS) reviewed the following sources: The Small Business Administration (SBA) Small Business Search database, General Services Administration (GSA) Advantage, SAM.GOV and Space Administration (NASA) Solutions for Enterprise-Wide Procurement (SEWP). The CS reviewed Past Procurements on SAM.GOV: • Award ID: 36C24W25P0031 was found, awarded to Accessibility Services Inc on March 17, 2025, in the amount of $1,006,250.00 for AutonoMe systems via Open Market. The action was procured as a sole source to Accessibility Services Inc. • Award ID: 36C25723P0743 was found, awarded to Accessibility Services Inc on September 8, 2023, in the amount of $467,450.00 for AutonoMe systems via Open Market. The action was procured as a sole source to Accessibility Services Inc. Past Procurement history on SAM.GOV using keyword “Hospital Environmental Control Un…