The Agency for International Development (USAID) is issuing a Justification and Approval notice for a ceiling increase and extension of the period of performance related to the AID-OAA-TO-15-00004 contract. This procurement aims to publish the Justification and Approval and Determination and Findings utilized for the extension, which is critical for ongoing operations under the PEPFAR EPP initiative. The goods and services involved pertain to medical and surgical instruments, equipment, and supplies, underscoring their importance in supporting health initiatives. Interested parties can reach out to Elton Fortson at efortson@usaid.gov or Shayn Tierney at stierney@usaid.gov for further details regarding this opportunity.