This is a single-source contract modification to evaluate and price an option for extending existing equipment services at the Baltimore Medical Center, with an estimated total of $164K. The work must be performed at the specified VA facility in Baltimore, MD. The justification states that the currently leased equipment is essential for ongoing surgical procedures, and removing it would cause adverse patient events and work stoppages. Due to the emergency nature of preventing these potential patient harms, no market research was conducted. The contract action is approved under the cited Federal Acquisition Regulation.