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DEPARTMENT OF VETERANS AFFAIRS SOLE SOURCE JUSTIFICATION UNDER SIMPLIFIED PROCEDURES FOR CERTAIN COMMERCIAL ITEMS IN ACCORDANCE WITH FAR 13.5 Acquisition Plan Action ID: Circle Cardiovascular Imaging ... DEPARTMENT OF VETERANS AFFAIRS SOLE SOURCE JUSTIFICATION UNDER SIMPLIFIED PROCEDURES FOR CERTAIN COMMERCIAL ITEMS IN ACCORDANCE WITH FAR 13.5 Acquisition Plan Action ID: Circle Cardiovascular Imaging (CVI) Software 36C261-23-AP-2460 Contracting Activity: Department of Veterans Affairs, Network Contracting Office (NCO) 21 on behalf of VISN 21, VA Palo Alto Healthcare System (VAPAHCS). 2237#: 640-23-2-097-0016 Nature and/or Description of the Action Being Processed: The VA Palo Alto Healthcare System has a requirement for Circle Cardiovascular Imaging (CVI) Software Licenses with support services. The purpose for obtaining the Circle CVI Software is for comprehensive reading and reporting solution that encompasses Cardiac MR and CT that encompasses fully automatic Quantitative Perfusion, 4D Flow, myocardial Strain, Electrophysiology, and Interventional Planning. With the embedded AI, one is able to get faster reproducible reading and reporting with optimized cardiovascular workflows, while reducing user dependence and workloads, saving physicians more time. The workflow solution offered by Circle CVI offers the most clinically cleared tools for diagnosis and the most accurate tools to quantify and qualify for research purposes. With this software, the VA Palo Alto Radiologists will easily be able to detect wall motion abnormalities, as well as auto display of stroke volume, ejection fraction, and end diastolic. They will also be able to access transmittal flow patterns, pulmonary vein forward flow, aortic size, and quantification of shunt sizes. The quantitative perfusion add on will provide objective, user-independent, fully automatic quantitative analysis of myocardial blood flow with expert level accuracy. Overall, it allows the team to deliver the best experience and care to Veteran patients by diagnosing accurately and creating a treatment plan to meet their needs. Description of Supplies/Services Required to Meet the Agency s Needs: The VA Palo Alto Healthcare System has a requirement for Circle Cardiovascular Imaging (CVI) Software Licenses with support services. Base plus four (4) options years for the following items: Description/Part Number* Qty Base Year - EVOSxxx - CVi42 Evolve 4 EA Base Year - EAPSxxx - Auto Plaque Evolve 3 EA Base Year - EADSxxx - Evolve, ADAS 3D LV+LA 1 EA Circle CVI Annual Software Support 1 YR Contract Period Estimated Period of Performance Base 6/1/2023-5/31/2024 Option Year 1 6/1/2024-5/31/2025 Option Year 2 6/1/2025-5/31/2026 Option Year 3 6/1/2026-5/31/2027 Option Year 4 6/1/2027-5/31/2028 Statutory Authority Permitting Restricted Competition: FAR 13.5 Simplified Procedures for Certain Commercial Items. The statutory authority for applying the Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. § 1901 and is implemented by FAR 13.106-1(b)(2) for restricting competition on this procurement.  Competition is restricted on this procurement for the reason below:        (X ) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements     Demonstration that the Contractor s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): VA Palo Healthcare system has the Circle CVI Software installed for use by the Radiology Department. The workflow solution offered by Circle Cardiovascular Imaging, Inc. uniquely offers the most clinically cleared tools for diagnosis and the most accurate tools to quantify and qualify for research purposes. With this software, the VA Palo Alto Radiologists will easily be able to detect wall motion abnormalities, as well as auto display of stroke volume, ejection fraction, and end diastolic. They will also be able to access transmittal flow patterns, pulmonary vein forward flow, aortic size, and quantification of shunt sizes. The quantitative perfusion add on will provide objective, user-independent, fully automatic quantitative analysis of myocardial blood flow with expert level accuracy. Overall, it allows the team to deliver the best experience and care to Veteran patients by diagnosing accurately and creating a treatment plan to meet their needs. Market research has determined there is no other software on the market that meets the needs of the requirement. Circle CVI Software is proprietary to the manufacturer and there are no authorized distributors. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: Refer to paragraph 8 below for more details. The Contracting Officer published Sources Sought Notice #36C26123Q530 to Contract Opportunities from 3/30/2023-4/6/2023. No responses received as a result of the sources sought notice. Other: The Contracting Officer sent an email to the OEM, Circle Cardiovascular Imaging, Inc, requesting information on the existing contracts and authorized distributors. The OEM confirmed there are no existing contracts, and this software is proprietary to their company, no authorized distributors available. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: The Contracting Officer will determine price fair and reasonableness by comparing to the existing/previous contract prices of the same supplies. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: The Contracting Officer conducted a VetCert search for NAICS 513210 yielded 29 results. VetCert search for UEI TTXUXZE3LCZ5 (Circle Cardiovascular Imaging) yielded zero (0) results. The Contracting Officer conduced a search on GSA Advantage for circle CVI software , no results. The OEM, Circle Cardiovascular Imaging, Inc, confirmed the required software is not on existing FSS or other contracts. The Contracting Officer conducted an FPDS search for circle CVI software found several prior purchases made by the Department of Veteran Affairs, all awarded IAW FAR 13 to the OEM, Circle Cardiovascular Imaging, Inc. The Contracting Officer conducted reviewed the Acquisition history: NCO 21 awarded 36C26118C0138 for VA Palo Alto for the same requirement. This contract was sole sourced to OEM, Circle Cardiovascular Imaging, Inc. The market research concluded that the Circle CVI Software is proprietary to the OEM. The Contracting Officer published Sources Sought Notice #36C26123Q530 to Contract Opportunities from 3/30/2023-4/6/2023. No responses received as a result of the sources sought notice. Other: The Contracting Officer sent an email to the OEM, Circle Cardiovascular Imaging, Inc, requesting information on the existing contracts and authorized distributors. The OEM confirmed there are no existing contracts, and this software is proprietary to their company, no authorized distributors available. Any Other Facts Supporting the Use of Other than Full and Open Competition: There are no other facts. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: Circle Cardiovascular Imaging, Inc., SAM UEI: TTXUXZE3LCZ5 800 5 Ave SW STE 1100 Calgary, Canada A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: VA Palo Healthcare System and Networking Contracting Office (NCO) 21 will continue market research for future requirements.

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Department of Veterans Affairs (VA) Network Contracting Office 21 (NCO 21) hereby gives notice of the Government s intent to negotiate a sole source, Firm-Fixed-Priced Purchase Order with only one sou... Department of Veterans Affairs (VA) Network Contracting Office 21 (NCO 21) hereby gives notice of the Government s intent to negotiate a sole source, Firm-Fixed-Priced Purchase Order with only one source Circle Cardiovascular Imaging, Inc. The procurement is for VA Palo Alto Healthcare System is requesting to procure Circle Cardiovascular Imaging (CVI) software technology for the Radiology Department. The purpose for obtaining the Circle CVI Software is for comprehensive reading and reporting solution that encompasses Cardiac MR and CT that encompasses fully automatic Quantitative Perfusion, 4D Flow, myocardial Strain, Electrophysiology, and Interventional Planning. With the embedded AI, one is able to get faster reproducible reading and reporting with optimized cardiovascular workflows, while reducing user dependence and workloads, saving physicians more time. The workflow solution offered by Circle CVI offers the most clinically cleared tools for diagnosis and the most accurate tools to quantify and qualify for research purposes. With this software, the VA Palo Alto Radiologists will easily be able to detect wall motion abnormalities, as well as auto display of stroke volume, ejection fraction, and end diastolic. They will also be able to access transmittal flow patterns, pulmonary vein forward flow, aortic size, and quantification of shunt sizes. The quantitative perfusion add on will provide objective, user-independent, fully automatic quantitative analysis of myocardial blood flow with expert level accuracy. Overall, it allows the team to deliver the best experience and care to Veteran patients by diagnosing accurately and creating a treatment plan to meet their needs. Description/Part Number* Qty Base Year - EVOSxxx - CVi42 Evolve 4 Base Year - EAPSxxx - Auto Plaque Evolve 3 Base Year - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 1 - EVOSxxx - CVi42 Evolve 4 Option Year 1 - EAPSxxx - Auto Plaque Evolve 3 Option Year 1 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 2 - EVOSxxx - CVi42 Evolve 4 Option Year 2 - EAPSxxx - Auto Plaque Evolve 3 Option Year 2 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 3 - EVOSxxx - CVi42 Evolve 4 Option Year 3 - EAPSxxx - Auto Plaque Evolve 3 Option Year 3 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 4 - EVOSxxx - CVi42 Evolve 4 Option Year 4 - EAPSxxx - Auto Plaque Evolve 3 Option Year 4 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Circle CVI Annual Software Support - Base Year Circle CVI Annual Software Support - Option Year 1 Circle CVI Annual Software Support - Option Year 2 Circle CVI Annual Software Support - Option Year 3 Circle CVI Annual Software Support - Option Year 4 This action is for supplies for which the Government intends to solicit and negotiate with only one source under the authority of FAR 13.501(a)(1)(ii) and 41 USC §1901, only one will meet the Government s needs. Only one source is capable of responding due to the unique or specialized nature of the supplies and/or services. It is the Government s belief that the proposed candidate is the only provider of RALS Software that can meet the agency s needs. The applicable North American Industry Classification System (NAICS) code is 513210 (Software Publishers) and the Product Service Code (PSC) is 7A21 (IT and Telecom Business Application Software (Perpetual License Software). This notice of intent is not a request for competitive quotes. Telephone requests will not be accepted. However, any business that believes it can provide CVI Software may give written notice to amanda.hildreth@va.gov by 12:00PM Pacific Time on May 9, 2023. All responsible sources may submit a bid, proposal, or quotation which shall be considered by the agency. Supporting evidence must be furnished in sufficient detail to demonstrate the ability to comply with the above requirement. Responses will be considered by the Government; however, a determination by the Government not to compete the proposed acquisition based upon responses of this notice is solely within the discretion of the Government. THIS SYNOPSIS DOES NOT COMMIT THE GOVERNMENT TO CONTRACT FOR ANY SUPPLY OR SERVICE. THE GOVERNMENT WILL NOT PAY FOR ANY INFORMATION OR ADMINISTRATIVE COSTS INCURRED IN RESPONSE TO THIS SYNOPSIS.

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Page 5 of 5 Subject: Sources Sought, Circle CVI Software License w/ Support Services at the VA Palo Alto Healthcare System (VAPAHCS) The purpose of this sources sought is to conduct market research to... Page 5 of 5 Subject: Sources Sought, Circle CVI Software License w/ Support Services at the VA Palo Alto Healthcare System (VAPAHCS) The purpose of this sources sought is to conduct market research to support the procurement of Circle CVI Software License w/ Support Services for VA Palo Alto Healthcare System. This notice serves to survey the market in an attempt to ascertain whether or not sources are capable of providing the requested supplies/services. This notice allows potential contractors/vendors to submit a non-binding statement of interest and documentation demonstrating their capability. The sources sought effort is intended to assess industry capabilities and develop/support the intended direction of acquisition planning. The Network Contracting Office (NCO 21) is requesting responses from qualified business concerns; the qualifying NAICS code for this effort is 513210 Software Publishers. This sources sought is to gain knowledge of potential qualified sources and their size classifications (Service Disabled/Veteran Owned Small Business (SDVOSB/VOSB), Hub zone, 8(a), small, small disadvantaged, woman owned small business, or large business) relative to NAICS 513210. Responses to this notice, will be used by the Government to make appropriate acquisition decisions. After review of the responses to this notice, a solicitation announcement may be published. Responses to this notice are not considered adequate responses to any corresponding solicitation announcement. All interested offerors will have to respond to the solicitation announcement in addition to responding to this notice. See attached DRAFT Statement of Work (SOW) Description/Part Number* Qty Base Year - EVOSxxx - CVi42 Evolve 4 Base Year - EAPSxxx - Auto Plaque Evolve 3 Base Year - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 1 - EVOSxxx - CVi42 Evolve 4 Option Year 1 - EAPSxxx - Auto Plaque Evolve 3 Option Year 1 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 2 - EVOSxxx - CVi42 Evolve 4 Option Year 2 - EAPSxxx - Auto Plaque Evolve 3 Option Year 2 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 3 - EVOSxxx - CVi42 Evolve 4 Option Year 3 - EAPSxxx - Auto Plaque Evolve 3 Option Year 3 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Option Year 4 - EVOSxxx - CVi42 Evolve 4 Option Year 4 - EAPSxxx - Auto Plaque Evolve 3 Option Year 4 - EADSxxx - Evolve, ADAS 3D LV+LA 1 Circle CVI Annual Software Support - Base Year Circle CVI Annual Software Support - Option Year 1 Circle CVI Annual Software Support - Option Year 2 Circle CVI Annual Software Support - Option Year 3 Circle CVI Annual Software Support - Option Year 4 INSTRUCTIONS: Submit a brief description, two-three (2-3) pages (including cover letter) that demonstrates how your company can provide the requested services that are required. Include past experience in providing this system to the VA, other Government (Federal or State) agency, or for a private facility. Please specify your availability and your address. PLEASE INDICATE WHETHER YOU HOLD A GSA FEDERAL-SUPPLY SCHEDULE CONTRACT THAT COVERS THESE SERVICES AND, IF SO, THE CONTRACT NUMBER. Provide BUSINESS SIZE AND SOCIO-ECONOMIC STATUS; (a) Indicate whether your business is large or small (b) If small, indicate if your firm qualifies as a small, emerging business, or small disadvantages business (c) If disadvantages, specify under which disadvantaged group and if your firm is certified under Section 8(a) of the Small Business Act (d) Indicate if your firm is a certified Service-Disabled Veteran Owned Small Business (SDVOSB) or Veteran Owned Small Business (VOSB) (g) Include the DUNS number of your firm. (h) State whether your firm is registered with the System for Award Management (SAM) at http://www.sam.gov and/or the VetBiz Registry at http://vip.vetbiz.gov. If not, please NOTE that any future solicitation could only be awarded to a contractor who is registered in SAM and to receive award based on VOSB or SDVOSB status you must be registered in the VetBiz Registry (i) provide current commercial pricing and any applicable discounts. (j) link to the respondent s General Services Administration (GSA) schedule, or attached file of same, if applicable (k) citation of any current or past customers (i.e., within the past two (2) years) to include contract number, point of contact telephone number or e-mail address; and (l) other material relevant to establishing core competencies of the firm. Response is due by 4:00 PM PDT, Thursday, April 6, 2023. Please submit e-mail responses to Ms. Amanda Hildreth, Contract Specialist, at email address: amanda.hildreth@va.gov. Your response should include a STATEMENT OF CAPABLILITY, NASA SEWP CONTRACT INFORMATION, DUNS#, BUSINESS SIZE, AND SOCIO-ECONOMIC STATUS information as explained above. Please place Attention: Circle CVI Palo Alto CA in the subject line of your email. This notice is to assist the VA in determining sources only. NOTES: Issuance of this notice does not constitute any obligation whatsoever on the part of the Government to procure these services, or to issue a solicitation, nor to notify respondents of the results of this notice. No solicitation documents exists at this time; however, in the event the acquisition strategy demonstrates that NASA SEWP or GSA is a viable option for procuring a solution, the RFQ shall be posted to NASA SEWP or GSA eBuy where only those firms who currently hold a Contract with the applicable SIN will be able to respond. The Department of Veterans Affairs is neither seeking quotes nor accepting unsolicited quotes, and responses to this notice cannot be accepted as offers. Any information the vendor considers proprietary should be clearly marked as such. The U.S. Government will not pay for any information or administrative costs incurred in response to this sources sought notice.