The VA issued a sole-source, firm-fixed-price purchase order to Philips Medical Systems North America for a replacement uninterruptible power supply (UPS) for a Hybrid Operating Room as high-tech medical equipment. The order was placed against the VA’s mandatory National Acquisition Center HTME Multi-award IDIQ contract. Because fair opportunity was not provided, the VA posted a justification under FAR 16.505(b)(2)(D). Performance is required at the Department of Veterans Affairs Portland VA Medical Center, 3710 SW US Veterans Hospital Rd., Portland, OR 97239.