36C25619D0004-001.docx

FedBizOpps Justification and Approval Notice

CLASSIFICATION CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

BASE NOTICE TYPE

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

ARCHIVE

DAYS AFTER THE POSTING DATE

RECOVERY ACT FUNDS

NAICS CODE

SET-ASIDE

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 FedBizOpps Justification and Approval Notice Rev. March 2010 Q Houma CBOC Emergency Bridge 39531 36C25619Q0033 N 621498 Department of Veterans Affairs for SL Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531

FAR 6.302-2

36C25619D0004 1,280,995.20 all 10-01-2018

VALOR HEALTHCARE, INC.

5000 SPECTRUM DR, STE 1200 W

ADDISON

TX

75001 www.va.gov VA agency website Melanie.Hawley@va.gov CO email address See attached document: JA 36C256-19-AP-0017 HCA approved.