FSS_JA_(signed)_Redacted.pdf

Acquisition Title: Fibroscan - Transient Liver Elasticity Measure

Agency: IHS

Acquisition Year: 2019

Author: James McAuley

Nature: New Requirement Follow-on Requirement

Modification to Existing Purchase Order/Contract Number:

Pricing: Firm-Fixed Price Time & Materials Cost

Other:

Funds: OMA Other Funds:

Briefly describe the supplies or services to be provided, including make & model number where appropriate. Indicate whether the item to be procured is peculiar to one manufacturer (e.g., a particular brand name, product, or a feature of a product, peculiar to one manufacturer). If applicable, include quantities of supplies or period of performance for services. Provide information for any options included in the order. If the action is a modification to an existing order, distinguish clearly between the work covered by the basic order and the work to be obtained by the proposed modification.

et seq

Program Manager

Name:

Position Title:

Email address:

Phone:

Program Manager Supervisor (or one level above Program Manager)

Name:

Position Title:

Email address:

Signature

Date:

Name: Phone:

Signature: Date:

All J&As equal to or greater than $68 million must have a legal review from the General Law Division of the Office of the General Counsel prior to sending it to the Department.

Name: Phone:

Brian Campbell -S Digitally signed by Brian Campbell -S Date: 2019.08.05 15:17:07 -07'00'

Felicia A. Aspaas -S

Digitally signed by Felicia A.

Aspaas -S Date: 2019.08.21 10:54:39 -07'00'

(The below approval paragraph is required if the cumulative contract value, including all options, equals or exceeds $68 million.)