435251-O24-IntNonFurn-03 R1.docx.pdf

Revision: 04/04/2024 (previous versions obsolete)

CONTRACT FOR GOODS MODIFICATION

between

State of Wisconsin Department of Health Services (DHS) and

Creative Business Interiors for

Intensive and Non-Intensive Use Furniture

This Contract is between the State of Wisconsin Department of Health Services (DHS), at 1 West Wilson Street, Madison, Wisconsin 53703, and Creative Business Interiors at 201 Moravian Valley Road, Suite A, Waunakee, WI

53597. With the exception of the terms being modified by this Contract modification, all other terms and conditions of the existing contract, including funding, remain in full force and effect. This Modification, including any and all attachments herein and the existing contract, collectively, are the complete contract of the parties and supersede any prior contracts or representations. DHS and the Contractor acknowledge that they have read the Modification and understand and agree to be bound by the terms and conditions of the existing contract as modified by this action. This

Modification becomes null and void if the time between the earlier dated signature and the later dated signature exceeds sixty (60) days, unless waived by DHS.

Contract ID Number: 435251-O24-IntNonFurn-03 R1

Contract Amount: $500,000

Contract Term: 8/25/23 – 8/25/25

Optional Renewal Terms: Three One (1) Year Renewals

DHS Division: Care and Treatment Services

DHS Contract Administrator: Annette Bender

DHS Contract Manager: Wendy Reince

Contractor Contract Administrator: Jeremy Trussoni

Contractor Telephone: 608/249-0904

Contractor Email: Jeremy.Trussoni@creativebusinessinteriors.com

Modification Description: This is the first renewal of the four year one-year renewal term option. Creative

Business Interiors (CBI) has agreed to renew without an increase in price.

State of Wisconsin Contractor

Department of Health Services Contractor Name:

Authorized Representative Authorized Representative

Name:

Name:

Title: Title:

Signature:

Signature:

Date: Date:

Docusign Envelope ID: DB076A58-EBB0-45FE-8D06-66438724ACC9

Account Executive

Jeremy Trussoni

Creative Business Interiors

7/30/2024

Administrator

Gynger Steele

7/30/2024

Revision: 04/04/2024 (previous versions obsolete)

SUPPLIER DIVERSITY AMENDMENT

The Wisconsin Department of Health Services (DHS) and Contractor agree to the below change to the Agreement. The below Agreement amendment is hereby incorporated by reference into the

Agreement and is enforceable as if restated therein in its entirety.

The Agreement is hereby amended by incorporating and adding the following Section:

SUPPLIER DIVERSITY AND REPORTING REQUIREMENTS

Minority-Owned Business Enterprises (MBE) and Disabled Veteran-Owned Businesses (DVB) are certified by the

Wisconsin Department of Administration (DOA). This program can be found at:

https://doa.wi.gov/Pages/DoingBusiness/SupplierDiversity.aspx

The State of Wisconsin is committed to the promotion of MBEs and DVBs in the State's purchasing program. The

Contractor is strongly urged to use due diligence to further this policy by awarding Subcontracts to MBEs and

DVBs or by using such enterprises to provide goods and services incidental to this Agreement.

The Contractor shall furnish appropriate monthly information about its efforts to subcontract with MBEs and

DVBs, including the identities of such businesses certified by the Wisconsin Supplier Diversity Program, their contract amount, and spend for each period to DHS. A listing of certified MBEs and DVBs, as well as the services and goods they provide, is available at: https://wisdp.wi.gov/Search.aspx

In accordance with WI Stats. Ch. 16.75 (3m), after completion of this contract, the Contractor shall report to DHS any amount of this contract that was subcontracted to DOA certified MBEs and DVBs.

DHS shall have the right to request any information regarding the use of subcontractors including, but not limited to, MBEs and DVBs. The Contractor shall provide any such information as requested by DHS and within a time period that is specified by DHS.

The Contractor shall submit monthly reports of efforts to subcontract with MBEs, DVBs, and other diverse entities/suppliers to DHS. A link to the Supplier Diversity PowerForm for submitting these reports can be found on the DHS Compliance Documentation page found here: https://www.dhs.wisconsin.gov/business/compliance.htm

For the duration of this Agreement, the Contractor shall provide monthly reporting of efforts to subcontract with

MBEs and DVBs no later than the 15th of the following month.

For questions about reporting, please contact DHS Contract Compliance at

DHSContractCompliance@dhs.wisconsin.gov

HIGH-RISK IT REVIEW

Pursuant to Wis. Stat. 16.973(13), Contractor is required to submit, via the contracting agency, to the Department of

Administration for approval any order or amendment that would change the scope of the contract and have the effect of increasing the contract price. The Department of Administration shall be authorized to review the original contract and the order or amendment to determine whether the work proposed in the order or amendment is within the scope of the original contract and whether the work proposed in the order or amendment is necessary. The

Department of Administration may assist the contracting agency in negotiations regarding any change to the original contract price.

Docusign Envelope ID: DB076A58-EBB0-45FE-8D06-66438724ACC9 https://doa.wi.gov/Pages/DoingBusiness/SupplierDiversity.aspx https://wisdp.wi.gov/Search.aspx https://www.dhs.wisconsin.gov/business/compliance.htm mailto:DHSContractCompliance@dhs.wisconsin.gov

SUPPLIER DIVERSITY AND REPORTING REQUIREMENTS