VA240C-17-D-0013-002.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 VISN 12 Home Oxygen DME Contract -Six month extension 55401

VA240C-17-R-0022

SNOTE

N 621610 Department of Veterans Affairs Service Area Office, Central Region 10F 212 3rd Ave South Suite 29 Minneapolis MN 55401 Jennifer M Johnson Contract Specialist 612-344-2192

FAR 6.302-1

VA240C-17-D-0013

$0.00 06-23-2017

THH ACQUISITION LLC I

780 S MCLEAN BLVD

ELGIN

IL

60123 jen.johnson@va.gov jen.johnson@va.gov See attached document: P03 Sole Source JA V12 Home Oxyge-DME-Modification to Extend-all signed.