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T-0894 AUDITING SERVICES, ACUTE CARE HOSPITAL COMMON AUDIT PROGRAM
STATE OF NEW JERSEY
DEPARTMENT OF TREASURY
DIVISION OF PURCHASE AND PROPERTY
PURCHASE BUREAU INDEX #: T-0894
NOTIFICATION OF AWARD - TERM CONTRACT(S)
CONTRACT TITLE: AUDITING SERVICES, ACUTE CARE HOSPITAL CONTRACT # 62720
COMMON AUDIT PROGRAM
CONTRACT PERIOD: APPLICABLE TO:
FROM: 07/05/05 TO: 08/31/10 SELECTED STATE AGENCIES
VENDOR NAME & ADDRESS: FOR PURCHASE BUREAU USE
BLUE CROSS BLUE SHIELD OF Solicitation #: 37618
TENNESSEE Bid Open Date : 05/19/05
801 PINE STREET CID # : 1030318
Commodity Code: 946-20
CHATTANOOGA, TN 37402 Set-Aside : NONE
CONDITIONS AND METHODS OF OPERATION
Multi-Source Contracts: State Agencies and Cooperative Purchasing partners
should review each vendor's product/service and prices carefully and
place orders in accordance with the terms and conditions of the contract.
Note that
A. Delivery: All prices F.O.B. Destination
B. Method of Operation - State Agencies Only: Issue an agency purchase order
to the appropriate contract vendor(s).
In the event of an emergency, contact the following in the order listed:
1.ROY HAMBRECHT - BUYER 3. MARGARET QUINN - BUYER UNIT SUPERV
609-292-3689
E-MAIL: ROY.HAMBRECHT@TREAS.STATE.NJ.US
2.CHRISTINE WEILAND - BUYER SUPERVISO 4. OFFICE OF THE BUREAU SUPERVISOR
609-984-6269 609-292-4751
PB177 (rev. 6/91) PUB. DATE: 09/11/08
INDEX NO: T0894
PAGE NO: 2
VENDOR INFORMATION SHEET
COOP *
VENDOR NAME AND ADDRESS SBE/MBE/WBE/PURCH
______________________________________________________________________________
BLUE CROSS BLUE SHIELD OF NO /NO /NO /NO CONTRACT #: 62720
TENNESSEE EXPIRATION DATE: 08/31/10
801 PINE STREET TERMS: NONE
CHATTANOOGA, TN 37402 DELIVERY: SPECIFIED ELSEWHE
CONTACT PERSON: VICKY GREGG CONTACT PHONE: 423-755-5806
ORDER FAX # : 423-752-7711
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
INDEX NO: T0894
PAGE NO: 3
CONTRACT ITEMS/SERVICES
BY VENDOR
______________________________________________________________________________
VNDR: BLUE CROSS BLUE SHIELD OF CNTRCT #: 62720
TENNESSEE
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 464270 / S001
HEALTH CARE QUALITY & OVERSIGHT
369 SO WARREN ST 4TH FL
H & A BLDG.
TRENTON NJ 08625-0360
LINE# DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE: 946-20-016003 1.000 YEAR N/A $459200.00000
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
FY 2005 CHARITY CARE AUDITS 328 AUDITS
PER FY
THIS IS A TWO-MONTH EXTENSION FOR THE
PERIOD 7/1/08 THROUGH 8/31/08 AND WILL
BE IN ACCORDANCE WITH THE ORIGINAL
TERMS AND CONDITIONS OF THE ORIGINAL
CONTRACT.
SHIP TO: 464270 / S006
HEALTH CARE QUALITY & OVERSIGHT
HOSPITAL FINANCIAL REPORT & SUPPORT
369 SO WARREN ST ATH FL
H & A BLDG.
TRENTON NJ 08625-0360
00002 COMM CODE: 946-20-016003 1.000 YEAR N/A $472976.00000
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
FY 2006 CHARITY CARE AUDITS 328 AUDITS
PER FY
SHIP TO: 464270 / S006
HEALTH CARE QUALITY & OVERSIGHT
HOSPITAL FINANCIAL REPORT & SUPPORT
369 SO WARREN ST ATH FL
H & A BLDG.
TRENTON NJ 08625-0360
00003 COMM CODE: 946-20-016003 1.000 YEAR N/A $487165.28000
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
FY 2007 CHARITY CARE AUDITS 328 AUDITS
PER FY
SHIP TO: 464270 / S006
HEALTH CARE QUALITY & OVERSIGHT
HOSPITAL FINANCIAL REPORT & SUPPORT
369 SO WARREN ST ATH FL
H & A BLDG.
TRENTON NJ 08625-0360
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