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T-1683
INDEPENDENT HEALTH CARE APPEALS PROGRAM
INDEPENDENT UTILIZATION REVIEW ORGANIZAT

Vendor Information
By Vendor
RFP Documents
Email to DAMIAN FANTINI

Downloadable NOA Documents
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NOAs By Number NOAs By Title Search NOAs
 
Index #:
T-1683
Contract #: VARIOUS
Contract Period: FROM:   03/01/09   TO:   06/30/14
Applicable To: SELECTED STATE AGENCIES
Cooperative Purchasing: NOT APPLICABLE
Vendor Name & Address: SEE VENDOR INFORMATION SECTION
For Procurement Bureau Use:  
Solicitation #: 20346
Bid Open Date: 07/17/08
CID #: 1036237
Commodity Code: 918-69
Set-Aside: SMALL BUSINESS SUBCONTRACTING

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:

DAMIAN FANTINI PROCUREMENT SPECIALIST 609-984-6530
ROY HAMBRECHT PROCUREMENT SPECIALIST SUPERVISOR 609-292-3689
ELIZABETH MACKAY ASSISTANT DIRECTOR 609-292-6817
  PUB DATE: 03/31/14

VENDOR INFORMATION
Vendor Name & Address:
ISLAND PEER REVIEW
ORGANIZATION
1979 MARCUS AVENUE
LAKE SUCCESS, NY 11042-1002
Contact Person: THEODORE O. WILL
Contact Phone: 516-326-7767
Order Fax: 516-328-2310
Contract#: 73581
Expiration Date: 06/30/14
Terms: NONE
Delivery: SPECIFIED ELSEWHERE
Small Business Enterprise: NO
Minority Business Enterprise: NO
Women Business Enterprise: NO
Cooperative Purchasing *: NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
 
Vendor Name & Address:
PERMEDION INC
ACH ELECTRONIC PAYMENTS
350 WORTHINGTON RD STE-H
WESTERVILLE, OH 43082
Contact Person: THOMAS A. SCHULTZ
Contact Phone: 800-473-0802
Order Fax: 614-895-6784
Contract#: 73582
Expiration Date: 06/30/14
Terms: NONE
Delivery: SPECIFIED ELSEWHERE
Small Business Enterprise: NO
Minority Business Enterprise: NO
Women Business Enterprise: NO
Cooperative Purchasing *: NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
 

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  ISLAND PEER REVIEW
ORGANIZATION
Contract Number:  73581
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 143120 / S001
FISCAL/PROCUREMENT OFFICE (DOI)
20 W STATE ST
PO BOX 325
TRENTON NJ 08625-0325
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 1
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00002 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 1
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $920.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00003 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 2
FOR CONDUCTING INDEPENDENT UTILZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00004 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 2
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $920.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00005 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 3
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00006 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 3
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $920.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00007 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 4
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00008 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 4
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
339.000 EACH N/A $920.00000
 
Vendor:  PERMEDION INC
ACH ELECTRONIC PAYMENTS
Contract Number:  73582
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 143120 / S001
FISCAL/PROCUREMENT OFFICE (DOI)
20 W STATE ST
PO BOX 325
TRENTON NJ 08625-0325
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 1
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00002 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 1
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $750.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00003 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 2
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $105.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00004 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 2
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $788.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00005 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 3
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $111.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00006 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 3
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
327.000 EACH N/A $827.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00007 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 4
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: PRELIMINARY REVIEW ONLY
(SECTION 3.2.1)
339.000 EACH N/A $111.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00008 COMM CODE:  918-69-074535
[CONSULTING SERVICES]
 
ITEM DESCRIPTION:
YEAR 4
FOR CONDUCTING INDEPENDENT UTILIZATION
REVIEW: FULL REVIEW INCLUDING
PRELIMINARY REVIEW
(SECTION 3.2.2)
339.000 EACH N/A $827.00000


Downloadable RFP Documents
(Please utilize scroll bar on right side of box if necessary to view all documents)
The Download All Documents hyperlink will place compressed files on your computer. Files may be unzipped and viewed using WinZip. The evaluation version is available for free. Click here to learn more about WinZip or to download the latest version from the WinZip web site.

Forms in this section are stored in Adobe Acrobat (PDF) format. PDF formatted documents appear the same as the original printed forms. To view and print these forms, you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.  



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