CSP902021_DOH008_Contract_Rev.pdf

Index No.: DOH008

Eff. Date: 07/01/25 Page No.: 1

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: HEATHCARE REFORM AND STAKEHOLDER SYSTEM CHANGE CONSULTANT

CONTRACT NUMBER: CSP902021 EFFECTIVE DATES: 08/27/20 TO 06/30/21

* Renewal through 06/30/26

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

CSP902021 that opened on 07/24/20. 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 12 month renewal, per amendment 5.

Eff. Date: 07/01/22 Page No.: 2

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

The due date for deliverable b found on page 46 of the RFP response is 12/31/20.

Automobile insurance requirement is waived.

*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 (https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf) 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 07/01/22.

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%7CShaun.Roderer%40das.ohio.gov%7C1dc3d7c864c2466d072908da219079ff%7C50f8fcc494d84f0784eb36ed57c7c8a2%7C0%7C0%7C637859202055735466%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=WVwDL78CFoKzT8s%2BHisFGV%2FO1NADHzGDP4W1m%2BvWXlw%3D&reserved=0

Eff. Date: 08/27/20 Page No.: 3

COST SUMMARY FORM

Healthcare Reform and Stakeholder System Change Consultant

CSP902021

UNSPSC CATEGORY CODE: 80100000

OAKS

ITEM ID

DESCRIPTION

UNIT OF

MEASURE

COST

38584

Attend two-day project kickoff meeting at Ohio Department of Health, Columbus, OH (or, alternatively be available to meet virtually) EACH

$7,650

38585

Serve as lead on weekly conference calls, provide agenda, notes, and action items for calls. PER HOUR $175

38586 Submit and get approval of a completed final project plan.

EACH

$2,625

38587 Submit monthly progress reports on objectives in the approved project plan

PER MONTH $577.50

38588

Provide evidence of one (1) accomplished outcome from approved project plan relating to promoting health systems change. EACH $7,875

38589

Submit a report that shows one (1) accomplished outcome from approved project plan relating to enhancing quit line sustainability by increasing partnerships to diversify funding and working with private/public insurers and employers to provide or reimburse the cost of barrier-free quit support services. EACH $7,875

38590

Submit a report that shows one (1) accomplished outcome from approved project plan relating to expanded implementation and reach of evidence-based tobacco use dependence treatment services, including quit line services. EACH $3,500

38591

Submit a report that shows one (1) accomplished outcome from approved project plan relating to conducting strategic efforts to increase awareness of quit support services to providers, tobacco users, and populations experiencing tobacco-related disparities. EACH $15,750

38592

Submit a report that shows ongoing technical assistance for the development and implementation of long-term initiative to improve and sustain provider engagement and increased screening and referral to treatment, including the

OTQL. EACH $11,375

38593 Provide technical assistance to ODH, as required.

PER HOUR $175

38594

Prepare bi-annual healthcare reform updates to Tobacco Use Prevention & Cessation Program (TUPCP). EACH YEAR $4,025

OPTIONAL ITEM:

OAKS

ITEM ID

DESCRIPTION

UNIT OF

MEASURE

COST

38595 Hourly rate for additional services, if requested by the State

PER HOUR $175

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.

Eff. Date: 08/27/20 Page No.: 4

CONTRACTOR INDEX

CONTRACTOR AND TERMS: CONTRACT NO: CSP902021

184549 Segue Consulting TERMS: Net 30 Days

1975 S. Pearl St.

Denver, CO 80210

CONTRACTOR’S CONTACT: Claire Brockbank Telephone: (303) 316-2655 Fax: (360) 365-7441 Email: brockbank@segueconsulting.com

SUBCONTRACTORS:

Collaborative Health Solutions mailto:brockbank@segueconsulting.com

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

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

5 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.

4 07/01/24

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 07/01/24 through 06/30/25.

All other prices, terms and conditions remain unchanged.

3 07/01/23

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 07/01/23 through 06/30/24.

All other prices, terms and conditions remain unchanged.

2 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.

1 07/01/21

As a result of mutual agreement between the State and the Contractor, this amendment is issued to renew the subject contract for an additional twelve (12) months, effective 07/01/21 through 06/30/22.

All other prices, terms and conditions remain unchanged.