CSP011856_A1.pdf
PDF 99 KB Posted
- Attached to
- Competitive Selection OH|CSP011856
- Contract number
- CSP011856
- Issued by
- Ohio
About this file
This document is an Amendment (Amendment No. 1) to a contract between the State of Ohio's Department of Administrative Services and ICF Incorporated, LLC for data collection services for the Ohio Behavioral Risk Factor Surveillance System (BRFSS). The amendment is dated 03/17/23 and involves the Ohio Department of Health, with ICF Incorporated, LLC located in Fairfax, Virginia serving as the contractor.
The amendment updates the cost summary form to include pricing for 25-30 minute completed landline and cell phone interview services, specifically for interviews conducted between 03/01/23 and 12/31/23. The new interview rates are $134.20 per landline interview and $174.63 per cell phone interview for the 25-30 minute duration. Other existing interview types remain priced as before, including 20-25 minute interviews, 15-minute Asthma Call-Back interviews, and population weighting services. The contract uses Net 30 payment terms, with no additional reimbursement for travel or related expenses, and all costs are to be quoted in U.S. Dollars.
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Other files
| File | Type | Posted |
|---|---|---|
| CSP011856_DOH054_REV_Contract.pdf |
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Text version
Index No.: DOH054 Contract No.: CSP011856 Eff. Date: 03/17/23
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. 1
TO: LIMITED DISTRIBUTION – OHIO DEPARTMENT OF HEALTH
FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES
SUBJECT: CONTRACT FOR DATA COLLECTION FOR OHIO BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
(BRFSS)
Attached are pages 3 and 4 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 update the cost summary form to include 25 – 30 minute completed landline and cell phone interview services to the contract. Also, the addition of the Summary of Amendments page.
All other prices, terms and conditions remain unchanged.
This Amendment, the main Requirements 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):
0000084551 ICF Incorporated, LLC 9300 Lee Highway Fairfax, VA 22031 deborah.moser@icf.com
COST SUMMARY FORM
DATA COLLECTION FOR OHIO BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)
UNSPSC CATEGORY CODE: 93141600
Description Cost Per Interview Offeror’s costs to provide work and deliverables for the Ohio Department of Health (ODH) for
Data Collection for Ohio Behavioral Risk Factor Surveillance System (BRFSS) project as outlined in the Scope of Work, Attachment One, Part One.
1. 20 – 25 minutes completed landline BRFSS interviews. $122.00 / ea.
2. 20 – 25 minutes completed cell phone BRFSS interviews. $158.75 / ea.
* 3. 25 – 30 minutes completed landline BRFSS interviews.
(Only for interviews conducted during 03/01/23 – 12/31/23) $134.20 / ea.
* 4. 25 - 30 minutes completed cell phone BRFSS interviews.
(Only for interviews conducted during 03/01/23 – 12/31/23) $174.63 / ea.
5. 15 minutes completed Asthma Call-Back interviews. $57.05 / ea.
6. Weighting e.g., particular population (non-CDC supported) $225.00 / ea.
All costs must be in U.S. Dollars.
The State will not be responsible for any costs not identified.
There will be no additional reimbursement for travel or other related expenses.
CONTRACTOR INDEX
CONTRACTOR AND TERMS: CONTRACT NO.: CSP011856
0000084551 ICF Incorporated, LLC DELIVERY: As Specified 9300 Lee Highway Fairfax, VA 22031 TERMS: Net 30
CONTRACTOR CONTACT:
Deborah Moser PHONE: (703) 225-5737 EMAIL: deborah.moser@icf.com
* To update the cost summary form to include 25 – 30 minute completed landline and cell phone interview services to the contract.
mailto:deborah.moser@icf.com
SUMMARY OF AMENDMENTS
Amendment Number
Effective Date Description
1 03/17/23 This amendment is issued to update the cost summary form to include 25 – 30 minute completed landline and cell phone interview services to the contract. Also, the addition of the Summary of Amendments page.
| CONTRACTOR INDEX |
| SUMMARY OF AMENDMENTS |
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