Medal of Appreciation, awarded by a major general

Versions found of this medal:

     
    Medal as found in 2005
Nickel medal
Reverse: pitted texture, 2 screws and hexagon nuts holding the ribbon
Clasp: pin back
 
The specification and design of the award, as publiced by Zechovoy company, Tel Aviv.
The design of the clasp and ribbon are identical for the Medal of Appreciation, awarded by a Major General and the medal of appreciation awared by the Chief of Staff
  
    Version of medal as found in 2022

Nickel medal
Reverse: surface smooth, 1 screw and round nut holding the ribbon.

Clasp: clutch back 
 
Version of medal as found in 2022

Nickel medal
Reverse: surface rough, 2 screws and round nuts holding the ribbon.

Clasp: clutch back

Zechovoy company manufactured this medal in a small amount and offered them to collectors.
This version was not adopted by the IDF.
Picture found at Israel-insignia | eBay Stores with thanks for their picture.
 
Sample of medal awarded
The medal  was awarded to Mr. Shahar Keshet, who assisted at October 27, 2002, in neutralizing a suicide bomber at the gas station in the Ariel settlement.
At noon on Sunday, October 27, 2002, a suicide bomber exploded in the Ariel settlement, the explosion killed three soldiers and injured 19 soldiers and civilians. The attack took place at the gas station where soldiers returned from Shabbat leave to their units. Mr. Shahar Keshet rushed to the scene to assist in neutralizing the terrorist from the explosive belt while risking his life.
This token of appreciation is awarded to Mr. Shahar Keshet, for his vigilance, concern, and pursuit of contact in the face of tangible danger, in this operation Shahar Keshet prevented an attack with many casualties of civilians and soldiers in the settlement of Ariel.
Yair Neve, Commander of the Central Command 8th in Tashri 2005 October 11, 2005

Source: https://www.gvura.org