CSP008598_A6.pdf

Index No.: LDC033 Contract No.: CSP008598 Eff. Date: 3/19/25

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

AMENDMENT FOR CHANGE

AMENDMENT NO. 6

TO: LIMITED DISTRIBUTION - DEPARTMENT OF INSURANCE, DEPARTMENT OF ADMINSTRATIVE

SERVICES, DEPARTMENT OF NATURAL RESOURCES, DEPARTMENT OF YOUTH SERVICES,

DEPARTMENT OF MENTAL HEALTH, DEPARTMENT OF REHABILITATION AND CORRECTION,

DEPARTMENT OF DEVELOPEMENTAL DISABILITIES, DEPARTMENT OF PUBLIC SAFETY, AND

DAPARTMENT OF TRANSPORTATION

FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES

SUBJECT: CONTRACT FOR INDEPENDENT MEDICAL EXAMINATIONS, OTHER MEDICAL EXAMINATIONS AND

INDEPENDENT MEDICAL REVIEWS

Attached are pages 1 and 5 to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.

This amendment is issued to add the Department of Insurance as a participating organization.

All other prices, terms and conditions remain unchanged.

This Amendment, the Contract and any additional Amendments thereto are available from the DAS Web site at the following address:

http://www.ohio.gov/procure

Affected Contractor(s):

0000007826 Medical Evaluators 28370 Kensington Ln.

Perrysburg, OH 43551 mrumman@medicalevaluators.com

Eff. Date: 03/19/25

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

OPTIONAL USE CONTRACT FOR: INDEPENDENT MEDICAL EXAMINATIONS, OTHER MEDICAL EXAMINATIONS AND

INDEPENDENT MEDICAL REVIEWS

CONTRACT NUMBER: CSP008598 EFFECTIVE DATES: 06/01/22 TO 03/31/24

Renewal through 03/31/26

The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.

SRC0000001635 that opened on 03/11/22. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest-ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.

This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.

*This Requirements Contract is available to the Department of Insurance, Department of Administrative Services, Department of Natural Resources, Department of Youth Services, Department of Mental Health, Department of Rehabilitation and Correction, Department of Developmental Disabilities, Department of Public Safety, and Department of Transportation as applicable.

The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.

This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:

www.ohio.gov/procure

*Indicates addition of the Department of Insurance as a participating organization.

Eff. Date: 03/19/25

SUMMARY OF AMENDMENTS

Amendment

Number Effective

Date Description

6 03/19/25

This amendment is issued to add the Department of Insurance as a participating organization.

All other prices, terms and conditions remain unchanged.

5 04/01/25

This amendment is issued to notify that as a result of mutual agreement between the State of Ohio and the Contractor, this contract is renewed for an additional 12 months, effective 04/01/25 through 03/31/26. Also, this amendment is issued to reflect revision to the Cost Summary Form for items 1-13 and 20, effective with all orders on or after 04/01/25. All other prices, terms and conditions remain unchanged.

4 04/01/24 This amendment is issued to notify that as a result of mutual agreement between the State of Ohio and the Contractor, this contract is renewed for an additional 12 months, effective 04/01/24 through 03/31/25. All other prices, terms and conditions remain unchanged.

3 04/05/23 This amendment is issued to add the Department of Transportation as a participating organization.

2 02/28/23 This amendment is issued to add the Department Public Safety as a participating organization.

1 07/12/22 This amendment is issued to add the mutually agreed upon cover letters, update the Cost Summary form, and add the summary of amendments page, effective with all orders on or after 7/12/22.