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This contract involves a justification and approval for other than full and open competition to modify an existing agreement with Rwanda Medical Supply Ltd. The modification seeks to increase the contract ceiling and extend the period of performance to ensure uninterrupted delivery of essential, quality-assured, life-saving commodities and services. This extension is critical as the program transitions to new operational mechanisms and the current contract approaches its closeout phase. Issued by the Department of State under the Acquisitions - Aqm Momentum office, the contract carries the solicitation number 72069621D00001 and falls under the NAICS code 54161. The primary point of contact for this contract is Elton Fortson. The contract supports continuity of critical medical supply services without disruption, highlighting the government's commitment to maintaining vital international health support during the transition period.