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Notice of Award
Term Contract(s)
 
T-1857
MEDICAL EXAMINATIONS HEALTH SERVICES
DEPT. OF HEALTH & SENIOR SERVICES

Vendor Information
By Vendor
RFP Documents
Email to JONATHAN WALLACE

Downloadable NOA Documents
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NOAs By Number NOAs By Title Search NOAs
 
Index #:
T-1857
Contract #: 58566
Contract Period: FROM:   03/15/04   TO:   06/30/12
Applicable To: ALL STATE AGENCIES
Cooperative Purchasing: NOT APPLICABLE
Vendor Name & Address: ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
1 HAMILTON HEALTH PLACE
HAMILTON, NJ 08690-3542
For Purchase Bureau Use:  
Solicitation #: 35495
Bid Open Date: 10/15/03
CID #: 1026063
Commodity Code: 948-37
Set-Aside: NONE

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:

JONATHAN WALLACE BUYER 609-341-2976_0000
     
     
  PUB DATE: 12/30/11

VENDOR INFORMATION
Vendor Name & Address:
ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
1 HAMILTON HEALTH PLACE
HAMILTON, NJ 08690-3542
Contact Person: PETER J NEWELL
Contact Phone: 609-584-6654
Order Fax: 609-689-7149
Contract#: 58566
Expiration Date: 06/30/12
Terms: NONE
Delivery: 10 DAYS ARO
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:  ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
Contract Number:  58566
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00064 COMM CODE:  948-74-069114
PHYSICAL EXAMINATION/CONSULTATION
YEAR 1


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $175.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00065 COMM CODE:  948-74-069115
PULMONARY FUNCTION TESTING
YEAR 1


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00066 COMM CODE:  948-15-069116
AUDIOMETRY
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $18.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00067 COMM CODE:  948-74-069117
BASELINE CARDIOGRAM
YEAR 1

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00068 COMM CODE:  961-48-069118
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $23.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00069 COMM CODE:  948-97-069119
CHEST X-RAY (FOR RESPIATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
. YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $54.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00070 COMM CODE:  948-68-069120
VISION SCREENING
YEAR 1

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $8.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00071 COMM CODE:  948-92-069121
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 1

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00072 COMM CODE:  948-92-069122
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 1


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00073 COMM CODE:  948-97-069123
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $54.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00074 COMM CODE:  948-92-069124
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $70.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00075 COMM CODE:  948-92-069125
HEPATITIS B (RECOMBINANT VACCINE) -
(VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00076 COMM CODE:  948-92-069126
HEPATITIS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $26.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00077 COMM CODE:  948-92-069127
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $14.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00078 COMM CODE:  948-92-069128
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $60.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00079 COMM CODE:  948-92-069129
RABIES (IMOVAX) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $312.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00080 COMM CODE:  948-92-069130
RABIES ANTIBODY TITER -
(TITER FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $54.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00081 COMM CODE:  948-92-069131
TB MANTOUX (INCLUDES REACTION READING)
YEAR 1



SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $8.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00082 COMM CODE:  948-92-069132
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $13.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00083 COMM CODE:  948-92-069133
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
. YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $80.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00084 COMM CODE:  948-92-069134
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICES WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $8.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00085 COMM CODE:  948-74-069135
PHYSICAL EXAMINATION/CONSULTATION
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $180.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00086 COMM CODE:  948-74-069136
PULMONARY FUNCTION TESTING
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00087 COMM CODE:  948-15-069137
AUDIOMETRY
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00088 COMM CODE:  948-74-069138
BASELINE CARDIOGRAM
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $24.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00089 COMM CODE:  961-48-069139
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $24.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00090 COMM CODE:  948-97-069140
CHEST X-RAY (FOR RESPIRATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
YEAR 2


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $56.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00091 COMM CODE:  948-68-069141
VISION SCREENING
YEAR 2


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $9.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00092 COMM CODE:  948-92-069142
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 2


SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00093 COMM CODE:  948-92-069143
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00094 COMM CODE:  948-97-069144
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $56.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00095 COMM CODE:  948-92-069145
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $72.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00096 COMM CODE:  948-92-069146
HEPATITIS B (RECOMBINANT VACCINE) -
(VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00097 COMM CODE:  948-92-069147
HEPATITS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $27.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00098 COMM CODE:  948-92-069148
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $16.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00099 COMM CODE:  948-92-069149
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $62.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00100 COMM CODE:  948-92-069150
RABIES (IMOVAX) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
1.000 EACH N/A $312.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00101 COMM CODE:  948-92-069151
RABIES ANTIBODY TITER - (TITER
FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 2
1.000 EACH N/A $56.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00102 COMM CODE:  948-92-069152
TB MANTOUX (INCLUDES REACTION READING)
YEAR 2


1.000 EACH N/A $9.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00103 COMM CODE:  948-92-069153
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

1.000 EACH N/A $14.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00104 COMM CODE:  948-92-069154
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2

1.000 EACH N/A $83.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00105 COMM CODE:  961-48-069155
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICE WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
YEAR 2
1.000 EACH N/A $9.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00106 COMM CODE:  948-74-069156
PHYSICAL EXAMINATION/CONSULTATION
YEAR 3


1.000 EACH N/A $185.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00107 COMM CODE:  948-74-069157
PULMONARY FUNCTION TESTING
YEAR 3


1.000 EACH N/A $24.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00108 COMM CODE:  948-15-069158
AUDIOMETRY
YEAR 3


1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00109 COMM CODE:  948-74-069159
BASELINE CARDIOGRAM
YEAR 3


1.000 EACH N/A $26.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00110 COMM CODE:  961-48-069160
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 3

1.000 EACH N/A $25.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00111 COMM CODE:  948-97-069161
CHEST X-RAY (FOR RESPIRATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
YEAR 3

1.000 EACH N/A $58.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00112 COMM CODE:  948-68-069162
VISION SCREENING
YEAR 3


1.000 EACH N/A $10.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00113 COMM CODE:  948-92-069163
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 3


1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00114 COMM CODE:  948-92-069164
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 3

1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00115 COMM CODE:  948-97-069165
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 3

1.000 EACH N/A $58.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00116 COMM CODE:  948-92-069166
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3

1.000 EACH N/A $74.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00117 COMM CODE:  948-92-069167
HEPATITIS B (RECOMBINANT VACCINE) -
VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS
YEAR 3
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00118 COMM CODE:  948-92-069168
HEPATITIS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3

1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00119 COMM CODE:  948-92-069169
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS
YEAR 3

1.000 EACH N/A $18.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00120 COMM CODE:  948-92-069170
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS
YEAR 3

1.000 EACH N/A $64.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00121 COMM CODE:  948-92-069171
RABIES (IMOVAX) - (VACCINATION
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3

THIS CONTRACT HAS BEEN EXTENDED FOR
A PERIOD OF SIX MONTHS FROM
JANUARY 1, 2010 THROUGH JUNE 30, 2010.
THIS IS IN ACCORDANCE WITH THE TERMS
AND CONDITIONS OF THE ORIGINAL CONTRACT.
1.000 EACH N/A $312.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00122 COMM CODE:  948-92-069172
RABIES ANTIBODY TITER - (TITER
FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 3
1.000 EACH N/A $58.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00123 COMM CODE:  948-92-069173
TB MANTOUX (INCLUDES REACTION READING)
YEAR 3


1.000 EACH N/A $10.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00124 COMM CODE:  948-92-069174
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3

1.000 EACH N/A $15.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00125 COMM CODE:  948-92-069175
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3

1.000 EACH N/A $86.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00126 COMM CODE:  961-48-069176
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICE WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
YEAR 3
1.000 EACH N/A $10.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00127 COMM CODE:  961-48-069176
VACCINATIONS OF STATE-SUPPLIED H1N1
INFLUENZA TO STATE EMPLOYEES IN
ACCORDANCE WITH AMENDMENT 2 TO THIS
CONTRACT EFFECTIVE MARCH 18, 2010.


DELIVERY: 10 DAYS ARO
1.000 EACH N/A $15.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00128 COMM CODE:  961-48-069176
RUBELLA TITER ADMINISTRATION AND
ANALYSIS FOR DHSS EMPLOYEES IN
ACCORDANCE WITH AMENDMENT 3 TO THIS
CONTRACT EFFECTIVE OCTOBER 8, 2010.


DELIVERY: 10 DAYS ARO
1.000 EACH N/A $30.00000


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