The Department of Veterans Affairs Veterans Integrated Service Network 20 issued a purchase order to American College of Surgeons on June 1, 2026, for annual Commission on Cancer accreditation services and subscription fees valued at $164,344, with ultimate completion on May 31, 2031. No set-aside was used. Performance occurs in Chicago, Illinois. The order covers accreditation services to maintain cancer program status and compliance for the Puget Sound and Portland VA Health Care Systems, including annual assessments and comprehensive site visits every three years. American College of Surgeons is the sole source provider. The underlying opportunity was RFQ 36C26026Q0369, posted April 30, 2026, with quotation due May 7, 2026; pricing is firm fixed.