CSP012456_DAS026_Contract.pdf

Index No.: DAS026

Eff. Date: 04/01/23

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

MANDATORY USE CONTRACT FOR: EMPLOYEE ASSISTANCE PROGRAM THIRD-PARTY ADMINISTRATOR

CONTRACT NUMBER: CSP012456 EFFECTIVE DATES: 04/01/23 TO 06/30/26

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

SRC0000003098 that opened on 08/15/22. 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 State Human Resources Division (SHRD), Benefits Administration Services (BAS), of the Department of Administrative Services (DAS) 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:

https://procure.ohio.gov/

MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP/CONTRACT

ComPsych Interview – interview documents dated 10/17/22

Supplement Three – response dated 11/14/22

Revised Assumptions and Revised “Ownership of Deliverables” Clause – email response dated 12/13/22

PA Process Summary Document – document dated 12/21/22

Final Clarifications – responses dated 12/22/22

Final Performance Guarantees – response dated 12/05/22

Best and Final Offer – response dated 12/20/22

If there are any discrepancies between any of the above documents, the later dated response prevails.

PRICE SCHEDULE

TITLE: EMPLOYEE ASSISTANCE PROGRAM THIRD-PARTY ADMINISTRATOR

RFP NUMBER: SRC0000003098

UNSPSC: 85101700

6 SESSION MODEL PER EMPLOYEE PER MONTH (PEPM) COST

Description

PEPM Cost

6-Session Administration Fee $1.05 Coaching $0.00 Cognitive Behavioral Therapy (CBT) $0.00 Text-Based Therapy $0.00 Training - 250 Hours $0.00 Critical Incident Stress Management (CISM) - 200 Hours $0.00 Communications $0.00 WorkLife $0.00 Data Feed (up to 5) $0.00 Total PEPM $1.05

CONTRACTOR INDEX

CONTRACTOR AND TERMS: CONTRACT NO: CSP012456

0000310184 ComPsych Corporation TERMS: Net 30 Days 455 North Cityfront Plaza Drive Chicago, IL 60611

Remit to:

invoice@compsych.com

CONTRACTOR’S CONTACT: Erika Ryan Telephone: (312) 983-3674 Email: eryan@compsych.com mailto:invoice@compsych.com mailto:eryan@compsych.com

CONTRACT FOR: EMPLOYEE ASSISTANCE PROGRAM THIRD-PARTY ADMINISTRATOR