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T-1619 MEDICAL CONSULTING: EXTERNAL QUALITY REVIEW ORGANIZATION, DMAHS
STATE OF NEW JERSEY
DEPARTMENT OF TREASURY
DIVISION OF PURCHASE AND PROPERTY
PURCHASE BUREAU INDEX #: T-1619
NOTIFICATION OF AWARD - TERM CONTRACT(S)
CONTRACT TITLE: MEDICAL CONSULTING: EXTERNAL QUALITY CONTRACT # 67693
REVIEW ORGANIZATION, DMAHS
CONTRACT PERIOD: APPLICABLE TO:
FROM: 12/20/06 TO: 12/19/09 SELECTED STATE AGENCIES
VENDOR NAME & ADDRESS: FOR PURCHASE BUREAU USE
MPRO Solicitation #: 38991
Bid Open Date : 09/26/06
22670 HAGGERTY RD/STE 100 CID # : 1033240
Commodity Code: 918-78
FARMINGTON HILL, MI 48335 Set-Aside : SMALL BUSINESS SUB
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.KEN DIETEL - BUYER 3. MARGARET QUINN - BUYER UNIT SUPERV
609-984-9322
E-MAIL: KEN.DIETEL@TREAS.STATE.NJ.US
2.EDWARD T. COTTERELL - BUYER SUPERVI 4. OFFICE OF THE BUREAU SUPERVISOR
609-984-6241 609-292-4751
PB177 (rev. 6/91) PUB. DATE: 04/30/09
INDEX NO: T1619
PAGE NO: 2
VENDOR INFORMATION SHEET
COOP *
VENDOR NAME AND ADDRESS SBE/MBE/WBE/PURCH
______________________________________________________________________________
MPRO NO /NO /NO /NO CONTRACT #: 67693
22670 HAGGERTY RD/STE 100 EXPIRATION DATE: 12/19/09
FARMINGTON HILL, MI 48335 TERMS: NONE
DELIVERY: SPECIFIED ELSEWHE
CONTACT PERSON: COLLEEN CIESZKOWSKI CONTACT PHONE: 248-465-7300
ORDER FAX # : 248-465-7428
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
INDEX NO: T1619
PAGE NO: 3
CONTRACT ITEMS/SERVICES
BY VENDOR
______________________________________________________________________________
VNDR: MPRO CNTRCT #: 67693
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 547540 / S001
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
PO BOX 712
TRENTON NJ 08625-0712
LINE# DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE: 918-78-062449 1.000 EACH N/A $12107.00000
[CONSULTING SERVICES]
ITEM DESCRIPTION:
YEAR 1
ALL INCLUSIVE FIRM FIXED PRICE FOR AWP
(RFP 3.2.2)
00002 COMM CODE: 918-78-062449 5.000 EACH N/A $33823.00000
[CONSULTING SERVICES]
ITEM DESCRIPTION:
YEAR 1
ANNUAL ASSESSMENT OF HMO OPERATIONS
(RFP 3.2.2.3)
00003 COMM CODE: 918-78-062449 1.000 EACH N/A $12058.00000
[CONSULTING SERVICES]
ITEM DESCRIPTION:
YEAR 1
MANAGED CARE PROGRAM QUALITY REPORT
(RFP 3.2.2.5)
00004 COMM CODE: 918-78-062449 5.000 EACH N/A $7004.00000
[CONSULTING SERVICES]
ITEM DESCRIPTION:
YEAR 1
MARCH REVIEW OF HMO QIP
(RFP 3.2.2.7)
00005 COMM CODE: 918-78-062449 5.000 EACH N/A $5779.00000
[CONSULTING SERVICES]
ITEM DESCRIPTION:
YEAR 1
SEPTEMBER REVIEW OF HMO QIP
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