CSP018733_AGE004_-_Contract_REV__SA7_.pdf

Index No.: AGE004

Eff. Date: 07/01/25

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: PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) EXPANSION

(SA7)

CONTRACT NUMBER: CSP018733 EFFECTIVE DATES: 12/15/23 TO 06/30/25

* Renewal through 06/30/26

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

SRC7632 that opened on 07/16/23. 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 Ohio Department of Aging 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/

*Indicates a renewal through 06/30/25, per amendment 2.

Eff. Date.: 02/07/25

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

AGE004 - Service Area 7 Clarifications - LIFE Northwestern Pennsylvania LLC PACE AGE004 Service Area 7 Clarifications

*EFFECTIVE 02/07/25

The spend by date for funds is updated to March 31st, 2025 with all funds requested by February 15th, 2025.

The below document is incorporated into the contract:

20. Financial-related Questionnaire (Updated)

*Denotes an update to the date funds need to be spent and requested by and an update to the Financial Related Questionnaire, per amendment 1.

Eff. Date.: 02/07/25

COST SUMMARY FORM

Program of All-Inclusive Care for the Elderly (PACE) Expansion

DESCRIPTION COST

Brick and Mortar Capital Costs Upfront Funds

*$611,764

Brick and Mortar Capital Costs Total Cost subject to Monthly Reimbursement

*$5,563,236

Establishing a Transportation Network - Upfront Funds

$0

Establishing a Transportation Network Total Cost subject to Monthly Reimbursement

IT Infrastructure - Upfront Funds

IT Infrastructure Total Cost subject to Monthly Reimbursement

Workforce Training and Development - Upfront Funds

Workforce Training and Development Total Cost subject to Monthly Reimbursement

The above costs are to be paid in accordance with the Financial-Related Questionnaire responses provided in the provided RFP response.

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.

*Denotes an update to the pricelist as a result of an update to the date funds need spent by, effective on all orders placed on or after 02/07/25.

Eff. Date: 12/15/23 Page No. 4

CONTRACTOR INDEX

CONTRACTOR AND TERMS:

0000315809 LIFE Northwestern Pennsylvania, LLC TERMS: Per Contract 100 State Street, Suite 200 Erie, PA 16507

CONTRACTOR’S CONTACT: Justin E. Miles Telephone: (814) 456-5433 Email: jmiles@lifenwpa.org

Eff. Date: 07/01/25 Page No. 5

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

2 07/01/25

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 twelve months, effective 07/01/25 through 06/30/26.

All other prices, terms and conditions remain unchanged.

1 02/07/25

This amendment is issued to update the spending date for contract funds to March 31st, 2025 with all funds requested by February 15th, 2025, update the pricelist as a result of the modification of the funds spend and request by date, effective on all orders placed on or after 02/07/25, and to update to the Financial Related Questionnaire.

All other prices, terms and conditions remain unchanged.