This is a federal contract award to Cirrus Concept Consulting, LLC, operating as Alto Healthcare Staffing, to provide registered nursing services for the 3 West Med Surg. Department at the Gallup Indian Medical Center. The contract, with a ceiling value of $62,940.00, was awarded by the Indian Health Service (IHS), a civilian agency within the Department of Health and Human Services. The contract was issued as a purchase order under Cirrus Concept's GSA Schedule 621I - Professional and Allied Healthcare Staffing Services contract. The requirement was originally solicited through a pre-solicitation notice seeking non-personal healthcare services from registered nurses to support various clinical departments at the Gallup Service Unit. The contract has no set-aside designation.