CSP901921_DOH006_REV_Contract.pdf

Index No.: DOH006

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: EVALUATION SERVICES FOR TOBACCO USE PREVENTION AND CESSATION

PROGRAMS

CONTRACT NUMBER: CSP901921 EFFECTIVE DATES: 08/03/20 TO 06/30/21

* Renewal through 07/31/25

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

CSP901921 that opened on 06/22/20. 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:

www.ohio.gov/procure

*Denotes a one month renewal, per amendment 6.

Eff. Date: 07/01/22

Mutually Agreed Upon Changes*

PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES

No State Cabinet Agency, Board or Commission will enter into any contract to purchase services provided outside of the United States or that allows State data to be sent, taken, accessed, tested, maintained, backed-up, stored, or made available remotely outside (located) of the United States, unless a duly signed waiver from the State has been attained.

Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid for services the Contractor performs outside of the United States for which it did not receive a waiver. The State does not waive any other rights and remedies provided to the State in the Contract.

Further, no State agency, board, commission, State educational institution, or pension fund will make any purchase from or investment in any Russian institution or company. Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid to Contractor for purchases or investments in a Russian institution or company in violation of this paragraph. The provisions of this paragraph will expire when the applicable Executive Order is no longer effective.

The Contractor must complete the Contractor/Subcontractor Affirmation and Disclosure Form affirming the Contractor understands and will meet the requirements of the above prohibition. During the performance of this Contract, if the Contractor changes the location(s) disclosed on the Affirmation and Disclosure Form, Contractor must complete and submit a revised Affirmation and Disclosure Form reflecting such changes.

*Add the Mutually Agreed Upon Modifications, for the Prohibition of the Expenditure of Public Funds for Offshore Services to the contract, effective with all orders on or after 7/1/22.

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprocure.ohio.gov%2Fpdf%2FEO2022-02D%2F04-Affirmation%2520and%2520Disclosure%2520Form_3-4-22.pdf&data=04%7C01%7Ckristen.howard%40das.ohio.gov%7C67b3dec0fbd34bb061bc08da167d0103%7C50f8fcc494d84f0784eb36ed57c7c8a2%7C0%7C0%7C637847023397759707%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=xn01IrXdSqhxp4NGrdEXVYP%2FP1lKHOF0ZD9awFkpBhY%3D&reserved=0

Eff. Date: 07/01/23

Cost Summary Form

Evaluation Services for Tobacco Use Prevention and Cessation Programs

CSP901921

UNSPSC CATEGORY CODE: 85101707

Item Number Description Cost

Implement and maintain the strategic evaluation plan as shown below:

38450 1. Bi-weekly communication with contract manager. $500.00 / Per Meeting

38451 2. Evaluation Planning Team Established and first meeting held. $3,244.80 / Per Meeting

38452 3. Strategic Evaluation Plan Complete $15,568.80 / Per Evaluation Plan

38453

4. Quarterly Meetings of EPT - agenda, minutes, action items, accomplishments - evaluation finding presented to EPT/TFOA.

$130.00 / Per Hour

*38454 5. Mid-year Update and Annual Report for Ohio Tobacco Quit Line

$38.00 / Per Participant Interview Completed (not to exceed $54,450 per 6 months reporting period)

38455 6. Reports on seven individual evaluation reports $344,999.20 / AMT

38456

7. Participation in the design and implementation of quarterly reporting measures for Local Tobacco Grants $115.18 / Per Hour

38457 8. Updates to federal and state partners on evaluation activities $130.00 / Per Hour

38458

9. Ongoing technical support to program staff and stakeholders including smaller formative and process evaluations, as requested - attendance at no less than one program meeting per month

$109.38 / Per Hour

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: CSP901921-1

Strategic Research Group, Inc.

995 Goodale Blvd., Ste 200 TERMS: Net 30 Days Columbus, OH 43212

CONTRACTOR’S CONTACT: Tina Kassebaum, Ph.D. Telephone: (614) 220-8860 Fax: (614) 220-8845 Email: tkassebaum@strategicresearchgroup.com

* Indicates update to the pricelist, effective with all orders issued on or after 07/01/23, per amendment 5.

mailto:tkassebaum@strategicresearchgroup.com

Eff. Date: 07/01/25 Page No.: 4

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

6 07/01/25

The State of Ohio elects to exercise its option to renew the subject contract for an additional one month effective 07/01/25 through 07/31/25.

All other prices, terms and conditions remain unchanged.

5 07/01/23

As a result of mutual agreement between the State of Ohio and the Contractor, this amendment is issued to renew the subject contract an additional twenty-four (24) months, effective 07/01/23 through 06/30/25.

This amendment is also issued to update the pricelist, dated 07/01/23, effective with all orders issued on or after 07/01/23.

All other prices, terms and conditions remain unchanged.

4 10/19/22

This amendment is issued to update the unit of measure on the Ohio Buys price list for Item 38454. Effective with all orders placed on or after 10/19/22

All other prices, terms and conditions remain unchanged.

3 07/01/22

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 (12) months, effective 07/01/22 through 06/30/23. All other prices, terms and conditions remain unchanged.

This amendment is also issued to include updated language regarding the Prohibition of the Expenditure of Public Funds for Offshore Services, effective with all orders on or after 07/01/22 and to indicate repagination.

2 07/01/21

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 (12) months, effective 07/01/21 through 06/30/22. All other prices, terms and conditions remain unchanged.

1 10/08/20 This amendment is issued to repaginate page 2 and update the pricing structure for deliverable 5.