25-296_HR_CART_RTP_-round_1.pdf

40-FIN-01. B Effective 08-30-21

Request to Purchase (RTP)

Submit completed form to: ood.purchasing@ood.ohio.gov

Purchase Information

Date: 2/12/2025 Division/Bureau and Office: HR, DEIA Requestor Name: Taylor Sims Phone #: 614-842-3662 Email: ood.diversityandinclusion@ood.ohio.gov

One-time Purchase On-going Need throughout F.Y. Date Needed:

Projected Cost: $ Cost Center: 0221 Has this purchase/project been budgeted? No Yes

Notes/Comments:

If a Scope of Work has been developed for this purchase, it may be attached and in the appropriate text box(s), indicate “See attached Exhibit A”.

1. Describe the reason for purchase.

Reasonable Accommodations

2. What is the anticipated duration of contract/service needed? Note: If for a one-time purchase, indicate “N/A”.

N/A

3. Provide a detailed description of the goods (e.g., quantity, size, color) or services (e.g., number and description of units) being purchased.

CART Services

a. If this is a service, please include a detailed description of the duties/tasks to be completed and the expected deliverables.

Captioning services to staff and clients

4. What qualifications are necessary to meet the need? Please provide any required education, training, skills, knowledge, experience, licensure, or certifications.

5. Are there known suppliers? No Yes If yes, list potential supplier(s) and contact information below.

SignGlasses

6. If required, the Deputy Director has approved proceeding with the purchase. No Yes mailto:ood.purchasing@ood.ohio.gov

DIVISION OF FISCAL MANAGEMENT, FINANCE USE ONLY

If the purchase is for services, determine if the “Contractor Analysis and Acquisition” form (40-FIN-01.F) is required. If required, consult with HR, Legal, and/or IT.

Use of a contractor recommended? No Yes Justification:

Available from a Requisite Program? No Yes If yes, Program Name:

Available from a DAS Mandatory Contract? No Yes If yes, Contract #:

Available form a DAS Optional Contract? No Yes If yes, Contract #:

Utilize MBE Set-aside? No Yes DAS Release and Permit Required? No Yes If yes, a Blanket Release and Permit is available for use? No Yes Controlling Board Required? No Yes Recommended Procurement Method: Select One If Single or Sole Source, provide a detailed justification below.

Quote #1 - Company Name: see below Amount: $ Quote #2 - Company Name: Amount: $ Quote #3 - Company Name: Amount: $

Is a legal agreement (e.g. contract, MOU) required? No Yes Payment Method: Purchase Order

Please work with Legal to move forward into agreements with the vendors below. Results from sourcing project SRC0000027750 provided two (2) vendors to move forward with:

• National Captioning Institute- submitted a proposal to include:

o CART only: Remote, Mahoning

• Dearborn Reporting- submitted a proposal to include:

o CART and Captioning Services: Remote, Ashland, Ashtabula, o Carroll, Columbiana, Coshocton, Cuyahoga, Erie, Geauga, Guernsey, Holmes, Huron, Knox, Lorain, Medina, Muskingum, Portage, Richland, Sandusky, Stark, summit, Trumbull, Tuscarawas, Warren, Wayne