Notice of Award Form LTC Imaging.pdf
PDF 336 KB Posted
- Attached to
- Renweal Notice - LTC Field Imaging
- Solicitation number
- 21-478HFS-MEDPR-B-22905
- Issued by
- St. Clair County, Illinois
About this file
This document is a Notice of Award for a renewal contract between the Illinois Department of Healthcare and Family Services and 360 Factor Consulting, LLC for LTC Field Imaging services. The contract has an initial term of 31 months and no available renewal options. The award amount is $36,000. The contract was procured through the Invitation for Bid process and was awarded to the lowest responsive and responsible bidder. There was 1 responding bidder and 0 unsuccessful bidders.
The contract is for web-based document management and storage services for nursing facility resident records and documentation collected by the Department as part of Minimum Data Set (MDS) rate validation reviews in nursing facilities and certification activities in Supportive Living Facilities. The contract is a renewal, with the agency executing the final 12-month renewal term after previously renewing the contract for 24 months in July 2019.
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Text version
Notice of Award Form
V.19.3 Page 1 of 2
Agency and Awarded Vendor Information
*Description: Renewal Notice - LTC Field Imaging
*Bid Number: 21-478HFS-MEDPR-B-22905 *Agency: Healthcare and Family Services
*Vendor Selected for Award: 360 Factor Consulting, LLC
*Line Item Description: LTC Field Imaging
*Award Amount: 36,000 *Length of Initial Term: 31 months *Length of available renewal options: 0
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
% of BEP Per Utilization Plan: 0 % of VBP Per Utilization Plan: 0
Other:
Unsuccessful Bidder(s)
*Number of Responding Bidders: 1 *Number of Unsuccessful Bidder(s) 0 *Number of Awarded Bidder(s): 1
Bidder(s)/Offeror(s) Not Selected:
Agency Contact
Contact Name: Karen Mankowski Telephone Number: 217-558-6282
Email Address: Karen.Mankowski@illinois.gov Fax Number:
Street Address: 201 South Grand Ave East 3rd Floor City: Springfield
State: Illinois Zip Code: 62704
V.19.3 Page 2 of 2
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.
Comments: Initial term was 31 months with 36 month renewal term. Agency executed 1st renewal July 2019 for 24 months. Agency is executing final renewal term of 12 months.
Other:
Explanation of other terms:
SPO Signature: Date: 6/3/2021
V.19.3 Page of Agency and Awarded Vendor Information 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 Unsuccessful Bidder(s) Bidder(s)/Offeror(s) Not Selected:
Agency Contact SPO Written Determination for Contract Award Decision 11.0.0.20130303.1.892433.887364
| CurrentPage: |
| PageCount: |
| DESCRIPTION: Renewal Notice - LTC Field Imaging |
| BIDNUMBER: 21-478HFS-MEDPR-B-22905 |
| AGENCY: Healthcare and Family Services |
| VENDORSELECTED: 360 Factor Consulting, LLC |
| LINEITEMDESCRIPTION: LTC Field Imaging |
| AWARDAMOUNT: 36,000 |
| LENGTHINITIALTERM: 31 months |
| NMBROFRENEWALS: 0 |
| VALUETOSTATE: |
| VALUETOVENDOR: |
| PERCENTBEPUPLAN: 0 |
| PERCENTVBPUPLAN: 0 |
| OTHER: |
| NoRespBidders: 1 |
| NoUnsuccessfulBidders: 0 |
| NumberAward: 1 |
| BdOffInfo: |
| ContactName: Karen Mankowski |
| PhoneNumber: 217-558-6282 |
| EmailAddress: Karen.Mankowski@illinois.gov |
| FaxNumber: |
| Streetaddress: 201 South Grand Ave East 3rd Floor |
| City: Springfield |
| State: Illinois |
| ZipCode: 62704 |
| CheckBox1: 0 |
| CheckBox2: 0 |
| CheckBox3: 0 |
| CheckBox5: 1 |
| TextField1: Initial term was 31 months with 36 month renewal term. Agency executed 1st renewal July 2019 for 24 months. Agency is executing final renewal term of 12 months. |
| TextField2: |
| TextField3: |
| SignatureField1: |
| DateField1: 6/3/2021 |
File details come from the government source that posted it. Updated .