Master Blanket Purchase Order 99SWC-NV19-3684

Header Information
Purchase Order Number: 99SWC-NV19-3684 Release Number: 0 Short Description: Occupational Health Services
Status: 3PS - Sent Purchaser: Gail Burchett Receipt Method: Dollars
Fiscal Year: 2020 PO Type: Blanket Minor Status:
Organization: Statewide Contracts
Department: SWC - Statewide Contracts Location: 9999 - Statewide Contracts Type Code:
Alternate ID: 99SWC-S491 Entered Date: 11/22/2019 03:00:31 PM Control Code:
Days ARO: 0 Retainage %: 0.00% Discount %: 0.00%
Print Dest Detail: If Different
Catalog ID: Release Type: Direct Release Pcard Enabled: No
Contact Instructions: Gail Burchett; gburchett@admin.nv.gov Tax Rate: Actual Cost: $0.00
Emergency Purchase: No
Procurement Type: Services
Currently in Catalog (Statewide): No
Purchasing Division Led Solicitation: Yes
Statewide Contract Usage: Mandatory for State Agencies and Permissive for Political Subdivisions
Administrative Fee: No
Risk Management Insurance Schedule: B4 - Professional Service; Information Technology
Insurance risk contract value range: Under $5,000,000
Access to money, financial accounts, or data: Yes
General Liability 1: General Aggregate - $2,000,000 | Products - $1,000,000 | Personal Injury - $1,000,000 | Each Occurrence - $1,000,000
Automobile Liability 1: Combined Single Limit (CSL) - $1,000,000
Workers' Compensation: Workers' Compensation - Statutory | Each Accident - $100,000 | Disease - Each Employee - $100,000 | Disease - Policy Limit - $500,000
Professional Liability 1 - Errors and Omissions: Each Occurrence - $1,000,000 | Annual Aggregate - $2,000,000
Fidelity Bond or Crime Insurance 2 (contact Risk): $0.00
Network Security (Cyber) and Privacy Liability 1: Each Occurrence - $1,000,000 | Annual Aggregate - $2,000,000
Agency Attachments:


NOA~10.pdf
Consensus Score Sheet 99SWC-S653~1.pdf
Concentra Exec Contract 01142020.pdf
Concentra Attachment AA Negotiated Cost.pdf
RFP 99SWC-S653 Final 53019~1.docx
Concentra Attachment CC Insurance Schedule.pdf
Part IA - Technical SOQ Concentra.pdf
Part II - Cost Proposal Concentra.pdf
Vendor Attachments: Part IA - Technical SOQ
Part II - Cost Proposal
Part III - Confidential Financial Information








Primary Vendor Information & PO Terms
Vendor: VEN6757 - Concentra Medical Centers
Lisa Sanders
PO Box 9010
Broomfield, CO 80021-9010
US
Email: Lisa_Sanders@concentra.com
Phone: (303)282-4073
FAX: (303)733-1886
Payment Terms: 00.5/10 Net 30 Shipping Method: Best Way
Shipping Terms: F.O.B., Origin Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to Lisa_Sanders@concentra.com at 02/11/2020 09:26:04 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Vendor Name Preferred Delivery Method Vendor Distributor Status
VEN6757
Concentra Medical Centers Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 01/01/2020 Master Blanket/Contract End Date: 12/31/2023
Cooperative Purchasing Allowed: Yes
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ALL ORG - Organization Umbrella Master Control AGY - Agency Umbrella Master Control $7,000,000.00 $0.00 $0.00
Item Information   
Print Sequence # 2.0, Item # 1:   Occupational Health Services 3PS - Sent
NIGP Code: 948-48
   Health Care Services (Not Otherwise Classified)
Bid # / Bid Item #:  99SWC-S653 / 2 Quote # / Quote Item #:  99SWC-VQ5029 / 2
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $0.00 EA - Each 0.00 $0.00 $0.00 $0.00
Manufacturer: Brand: Model:
Make: Packaging:
 
NEVADA_NV_AWS_PROD_BUYSPEED_1_bso