B-30510 Notice of Award Form V22.2_1.pdf

Notice of Award Form

State of Illinois Chief Procurement Office Notice of Award V.22.2

Agency and Awarded Vendor Information Description: State Use Contract for Data Entry Services

Bid Number: 23-444DHS-444OC-B-30510 Agency: Department of Human Services

Vendor Selected for Award: Bridgeway Inc.

Line Item Description: Data entry services for FY23 & FY24. Initial Term 07/01/22-06/30/24. Data entry services for FY25, FY26 & FY27.

Renewal Term 07/01/24-06/30/27

Total Award Amount 500,000.00 Number of unsuccessful bidders/offerors 0

Terms (Add Renewal Terms as appropriate) Length Value

Initial Term 24 Months 200,000

Renewal Term 36 Months 300,000

Add Renewal Term 1,2,3 Delete Renewal Term

Farm Leases and Concessions

Value to the State:

Estimated Financial Return to the State for the Life of the Contract (Includes Renewals)

Value to the Vendor:

Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals)

Business Enterprise Program/Veterans Business Program

Awarded bidder/offeror BEP/VBP Utilization Plan Goals 30 ILCS 575/7 (6)

% of VBP Per Utilization Plan: 0.0 % of BEP Per Utilization Plan: 0.0

List each bidder or offeror's name

Total bid amount

The name(s) of the certified BEP firm(s) identified in the bidder's or offeror's submitted utilization plan

The bid's Amount awarded to certified BEP firms identified in the utilization plan

The Percentage of the bid's amount awarded to certified

BEP firms identified in the utilization plan

*NA indicates that the offeror's pricing remained sealed.

Add Row Delete Row

State of Illinois Chief Procurement Office Notice of Award V.22.2

Agency Contact Contact Name: Shannon Tribble Telephone Number: 217-558-0949

Email Address: shannon.tribble@illinois.gov Fax Number: 217-557-9300

Street Address: 401 N 4th St. City: Springfield

State: IL Zip Code: 62702

SPO Written Determination for Contract Award Decision

General - Applies to Split Awards, Award to Other than Lowest Responsible and Responsive Bidder. The Rationale described by the purchasing agency in the recommendation to award seems reasonable, and serves as the basis for the contract decision.

Invitation for Bid - The contract was procured through the Invitation for Bid Process, and the contract has been awarded to the lowest priced responsive and responsible bidder.

Request for Proposal - Based on factors set forth in the Request for Proposal, the contract has been awarded to the offeror whose proposal is most advantageous to the State.

Renewal - The contract is a renewal in accordance with the terms of the existing contract. The award decision is based on justification presented by the purchasing agency's justification.

Other: State Use Contract for Medicare Part D remittance data entry.

Signature Field Date: Jul 6, 2022

State of Illinois Chief Procurement Office Notice of Award V.22.2 Page of Agency and Awarded Vendor Information Terms (Add Renewal Terms as appropriate) Length Value Initial Term Farm Leases and Concessions Estimated Financial Return to the State for the Life of the Contract (Includes Renewals) Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals) Business Enterprise Program/Veterans Business Program Awarded bidder/offeror BEP/VBP Utilization Plan Goals 30 ILCS 575/7 (6) List each bidder or offeror's name Total bid amount The name(s) of the certified BEP firm(s) identified in the bidder's or offeror's submitted utilization plan The bid's Amount awarded to certified BEP firms identified in the utilization plan The Percentage of the bid's amount awarded to certified BEP firms identified in the utilization plan *NA indicates that the offeror's pricing remained sealed.

Agency Contact SPO Written Determination for Contract Award Decision 11.0.0.20130303.1.892433.887364