Signed Bridgeway Notice of Award Form v.19.1.pdf

Notice of Award Form

V.19.1 Page 1 of 2

Agency and Awarded Vendor Information

*Description:

The Department of Healthcare and Family Services (HFS) intends to award a contract with the Bridgeway Inc., a workshop authorized to participate in the State use Program, to provide data entry/data correction services for the processing of paper medical claims.

*Bid Number: 19-478HFS-MEDPR-B-7336 *Agency: Healthcare and Family Services

*Vendor Selected for Award: Bridgeway, Inc.

*Line Item Description: Data Entry Services

*Award Amount: 2,475,000 *Length of Initial Term: 3 years No. of Renewals: 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: Bid Amount:

Agency Contact

Contact Name: Karen Mankowski Telephone Number: 217-558-6282

Email Address: Karen.Mankowski@illinois.gov Fax Number:

Street Address: 201 South Grand Avenue East City: Springfield

State: Illinois Zip Code: 62704

V.19.1 Page 2 of 2

SPO Written Determination for Contract Award Decision

General - Applies to Emergencies, 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.

Change Order- The contract is a change order where the circumstances that necessitate the change in performance were not reasonably foreseeable at the time the contract was signed, or the change is germane to the original contract and reasonable in size and scope, or the change is in the best interest of the State. The change order is based on the purchasing agency's justification.

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: State Use Committee authorization received and attached

Other:

Explanation of other terms:

SPO Signature: Date: Apr 19, 2019

V.19.1 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:

Bid Amount:

Agency Contact SPO Written Determination for Contract Award Decision 11.0.0.20130303.1.892433.887364