36C24121D0004.docx

Contract Opportunity Justification and Approval Notice

PRODUCT SERVICE CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

DELIVERY/TASK ORDER NUMBER

(Required when using Statutory Authority FAR 6.302-1(c))

BASE NOTICE TYPE

ARCHIVE

DAYS AFTER THE POSTING DATE

RECOVERY ACT FUNDS

NAICS CODE

CONTRACTING OFFICE

ADDRESS

DESCRIPTION

See Attachment

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

STATUTORY AUTHORITY

AWARD NUMBER

(Not required when using Statutory Authority FAR 6.302-1(c))

MODIFICATION NUMBER

AWARD AMOUNT

LINE ITEM NUMBER

AWARD DATE (MM-DD-YYYY)

(Not required when using Statutory Authority FAR 6.302-1(c))

AWARDEE NAME

AWARDEE ADDRESS LINE 1

AWARDEE ADDRESS LINE 2

AWARDEE ADDRESS LINE 3

AWARDEE ADDRESS LINE 4

AWARDEE CITY

AWARDEE STATE

AWARDEE ZIP CODE

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

AWARD INFORMATION

ADDITIONAL INFORMATION

GENERAL INFORMATION

* = Required Field Contract Opportunity Justification and Approval Notice W065 Home Oxygen - Interim Contract 03104 36C24121R0012 None N 532283 Department of Veterans Affairs Network Contracting Office 1 Contracting Officer (90C) 718 Smyth Road Manchester NH 03104 Contract Specialist David Heslin david.heslin@va.gov 36C24121D0004 12,000,000.00 All 12-07-2020

COMMUNITY SURGICAL SUPPLY OF TOMS RIVER INC

1390 RT 37 W

TOMS RIVER

NJ

08755 Please see attached Sole Source Justification.

See attached document: Sole Source Justification - Interim Home Oxygen Contract - 36C241-21-AP-0029 - Signed_Redacted.