america’s greatest family resort s greatest family resort ... craig r. farnswoth p: ... 88...

CITY OF OCEAN CITYAMERICA’S GREATEST FAMILY RESORT

PURCHASING DIVISION

SUMMARY OF BID PROPOSALS DATE RECEIVED: Tuesday, May 9, 2017 @ 2:00 PM, EDT

CITY CONTRACT #: 17-03

BY THE GOVERNING BODY OF THE CITY OF OCEAN CITY, NJ PROPOSAL NAME: Emergency Medical Billing Services for the City of Ocean City

NAME, ADDRESS &

BID OF EACH BIDDER

KEY Apparent Low Bidder

Material Defect

Contract

Year 1

Contract

Year 2

Contract

Year 3

Contract

Year 1

Contract

Year 2

Contract

Year 3

Contract

Year 1

Contract

Year 2

Contract

Year 3

Contract

Year 1

Contract

Year 2

Contract

Year 3

Contract

Year 1

Contract

Year 2

Contract

Year 3

1.4.75% 4.75% 4.75% 7.50% 7.50% 8.00% 4.50% 4.50% 4.70% 4.20% 4.20% 4.20%

Number of years for your Company/Firm has been in the

Emergency Medical Billing Service business

Number of days required prior to the start-up of services

Name & model of computer software being utilized for this

contract

REQUIRED INFORMATION

RIGHT TO EXTEND TIME FOR AWARD: YES/NO YES/NO YES/NO YES/NO YES/NO

STATEMENT OF OWNERSHIP DISCLOSURE: YES/NO YES/NO YES/NO YES/NO YES/NO

NON-COLLUSION AFFIDAVIT: YES/NO YES/NO YES/NO YES/NO YES/NO

NJ MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE: YES/NO YES/NO YES/NO YES/NO YES/NO

NJ AFFIRMATIVE ACTION REGULATION COMPLIANCE NOTICE: YES/NO YES/NO YES/NO YES/NO YES/NO

ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA (NONE ISSUED): YES/NO YES/NO YES/NO YES/NO YES/NO

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN STATEMENT (2 PART FORM): YES/NO YES/NO YES/NO YES/NO YES/NO

NJ BUSINESS REGISTRATION CERTIFICATE (BRC) SUBMITTED: YES/NO YES/NO YES/NO YES/NO YES/NO

STATEMENT OF AUTHORITY YES/NO YES/NO YES/NO YES/NO

W-9: YES/NO YES/NO YES/NO YES/NO YES/NO

REQUIRED REFERENCE LIST OF GOVERNMENTAL/MUNICIPAL CUSTOMERS: YES/NO YES/NO YES/NO YES/NO YES/NO

NUMBER OF COPIES (4): YES/NO YES/NO YES/NO YES/NO YES/NO

9 years

30 days

STI Computer Services - Chartmaker

Farnsworth-Semptimphelter, LLC

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

CATS Technology Solutions

DM Medical Billing, LLC

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

agifford@dmmedicalbillings.com

E-Med Rx Solutions, Inc

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

ddrennan@e-medrexsolutions.com

5 years

60 days

Medisoft V21 / HealtPAC

19 years

Emergency medical billing & response services, percentage of

the collections to be received by the bidder for said specified

services

Cape Professional Billing Inc.

5 Locust Lane

dba Cape Medical Billing

Cape May Court House, NJ 08210

Richard C. Papperman

P: 609-465-8900

F: 609-463-8106

richp@capebilling.com

27 years

HealthPAC2017

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

PURCHASING DIVISION

NAME, ADDRESS &

BID OF EACH BIDDER

Material Defect

692 Main Street

PO Box 467

Lumberton, NJ 08048

Craig R. Farnswoth

P: 609-261-1002

cfarns@comcast.net

88 Lakeview Drive

Gibbsboro, NJ 08026

Amy Gifford

P: 856-784-8004

F: 856-782-3707

117 W. Mulberry St

Chatham, IL 62629

Debbie Drennan

P: 217-697-5533

F: 800-830-1813

5 Locust Lane

P: 609-465-8900

F: 609-463-8106

america’s greatest family resort s greatest family resort ... craig r. farnswoth p: ... 88...

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