V797D-50367-005.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

IOWA CITY - NEUROSURGERY EMERGENT

POP 05.08.2019 TO 09.30.2019

55101 N 561320 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attn: Fay Chiappone, CS 316 Robert Street N. STE. 506 St. Paul MN 55101

FAR 6.302-2

V797D-50367 36C26319N0845 $434,400.00 05-09-2019

GOLDFISH LOCUMS, LLC

5741 LEGACY DR STE 200

PLANO

TX

75024 Fay.Chiappone@va.gov See attached document: P03 - JA_OVER_150K - FINAL 05.06.2019 - SIGNED BY ALL.