CSP018990_DOH012_Contract.pdf

Index No.: DOH012

Eff. Date: 01/26/24

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: EVALUATION OF THE OHIO DIABETES PREVENTION AND MANAGEMENT

PROGRAM AND CARDIOVASCULAR HEALTH PROGRAM

CONTRACT NUMBER: CSP018990 EFFECTIVE DATES: 01/26/24 TO 06/29/26

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

SRC0000012922 that opened on 12/13/23. 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 Health 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/

Embedded Minority Set Aside Component in accordance with ORC CH. 125.081

MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP

1. CSP018990 Supplement S Response – response dated 01/12/24.

Index No.: DOH12

COST SUMMARY FORM

Evaluation of the Ohio DPMP

SRC0000012922

UNSPSC CATEGORY CODE: 85101700

PROJECT ONE – Evaluation of the Ohio DPMP

DESCRIPTION

UNIT OF

MEASURE

UNIT COST

Prepare for (e.g., develop an agenda, summarize progress) and participate in ODH monthly conference calls with 2320 program staff.

Participate in ad hoc calls, as needed.

Monthly $ 380.00

Prepare for (e.g., provide monthly progress update, identify questions for CDC) and participate in CDC monthly conference calls with CDC and 2320 program staff. Participate in ad hoc calls, as needed.

Monthly $ 380.00

Develop and implement a comprehensive, five- year EPMP for the 2320 program. Each $ 7,500.00

Update and implement the comprehensive, five- year EPMP for the 2320 program. Each $ 5,000.00

Complete an annual progress report (or other evaluation summary, as required) for CDC on the results of the EPMP. Each $ 22,000.00

Participate in CDC-sponsored 2320 meeting(s) in Atlanta, GA, or designated location and provide a written summary of each session attended, lessons learned, and resources from the meeting.

Each $ 5,200.00

Participate in one in-person or virtual site visit per year with 2320 program staff and provide a written summary of each session and key findings from the site visit.

Each $ 11,000.00

Develop and/or provide written feedback on surveys, inventories, questionnaires, or other data collection instruments. Each $ 15,000.00

Implement quantitative and qualitative data collection procedures, e.g., conduct surveys, focus groups, and interviews. Each $ 20,000.00

Analyze and evaluate data and information collected from surveys, inventories, other data collection instruments, focus groups, and interviews and provide a written summary of results.

Each $ 25,000.00

Develop dissemination products that include data and information from surveys, inventories, other data collection instruments, focus groups, interviews, program records, performance measures, evaluation indicators, and/or other sources for key audiences.

Each $ 7,500.00

All costs must be in U.S. dollars.

Cost will be Firm Fixed The State will not be responsible for any costs not identified.

There will be no additional reimbursement for travel or other related expenses.

COST SUMMARY FORM CONTINUED

PROJECT TWO – Evaluation of the Ohio CVH Program

DESCRIPTION

UNIT OF

MEASURE

UNIT COST

Prepare for (e.g., develop an agenda, summarize progress) and participate in monthly conference calls with 2304 program staff.

Participate in ad hoc calls, as needed.

Monthly $ 380.00

Prepare for (e.g., provide monthly progress update, identify questions for CDC) and participate in monthly conference calls with CDC and 2304 program staff. Participate in ad hoc calls, as needed.

Monthly $ 380.00

Revise and implement an existing comprehensive, five-year EPMP for the 2304 program. Each $ 7,500.00

Update and implement the comprehensive, five-year EPMP for the 2304 program. Each $ 5,000.00

Complete an annual progress report (or other evaluation summary, as required) for CDC on the results of the EPMP. Each $ 22,000.00

Participate in CDC-sponsored 2304 meeting(s) in Atlanta, GA, or designated location and provide a written summary of each session attended, lessons learned, and resources from the meeting.

Each $ 5,200.00

Participate in one in-person site visit per year in Columbus, OH or other designated location with 2304 program staff and provide a written summary of each session and key findings from the site visit.

Each $ 11,000.00

Develop and/or provide written feedback on surveys, inventories, questionnaires, or other data collection instruments. Each $ 15,000.00

Implement quantitative and qualitative data collection procedures, e.g., conduct surveys, focus groups, and interviews. Each $ 20,000.00

Analyze and evaluate data and information collected from surveys, inventories, other data collection instruments, focus groups, and interviews and provide a written summary of results.

Each $ 25,000.00

Develop dissemination products that include data and information from surveys, inventories, other data collection instruments, focus groups, interviews, program records, performance measures, evaluation indicators, and/or other sources for key audiences.

Each $ 7,500.00

All costs must be in U.S. dollars.

Cost will be Firm Fixed 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: CSP018990

0000190640 Professional Data Analysts, Inc.

657 19th Ave NE TERMS: Net 30 Days Minneapolis, MN 55418

CONTRACTOR’S CONTACT: Traci Capesius Phone: 612-623-9110 Fax: 612-623-8807

Email: traci@pdastats.com

APPROVED SUBCONTRACTOR

C. H. Smith & Associates, LLC dba Scale Strategic Solutions

CONTRACT FOR: EVALUATION OF THE OHIO DIABETES PREVENTION AND MANAGEMENT PROGRAM AND CARDIOVASCULAR HEALTH PROGRAM