CSP903722_DOH058_Amendment_5.pdf

Index No.: DOH058 Contract No.: CSP903722 Eff. Date: 09/01/24

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

AMENDMENT FOR CHANGE

AMENDMENT NO. 5

TO: LIMITED DISTRIBUTION - OHIO DEPARTMENT OF HEALTH

FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES

SUBJECT: CONTRACT FOR REAL-TIME SYNDROMIC SURVEILLANCE PROGRAM

Attached are pages 1,2,4, and 6 to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.

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 12 months, effective 09/01/24 through 08/31/25.

This amendment is also issued to include a mutually agreed upon modification, Ohio Implementation Proposal for Inpatient Data and to add items to the Cost Summary for inpatient data collection, effective with all orders issued on or after 09/01/24.

All other prices, terms and conditions remain unchanged.

This Amendment, the Contract and any additional Amendments thereto are available from the DAS Web site at the following address:

http://www.ohio.gov/procure

Affected Contractor(s):

0000141520

HEALTH MONITORING SYSTEMS INC

700 RIVER AVE STE 130

PITTSBURGH, PA 15212

Vicki.koebnick@hmsinc.com

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: REAL-TIME SYNDROMIC SURVEILLANCE PROGRAM

CONTRACT NUMBER: CSP903722 EFFECTIVE DATES: 06/29/21 TO 08/31/21

* Renewal through 08/31/25

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

CSP901121 that opened on 07/08/20. 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

* Indicates a 12 month renewal, per amendment 5.

MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP

1. Ohio Reinstatement Proposal Document – 06/02/21

2. The Contractor will be temporarily permitted to carry $2M Cyber Liability. The Contractor is required to provide Cyber

Liability coverage of $5M in accordance with the requirements outlined in the RFP as soon as possible. The Contractor will bill ODH the difference between the $2M and the $5M policy once the policy is in place.

3. 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.

4. *Ohio Implementation Proposal for Inpatient Data – 07/12/24

* Indicates the addition of a mutually agreed upon modification, Ohio Implementation Proposal for Inpatient Data, effective with all orders issued on or after 09/01/24, per amendment 5.

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

COST SUMMARY CONT.

OAKS

ITEM ID DESCRIPTION COST

40179 Urgent care center reconnection, July 1, 2021 - August 31, 2021; prorated amount of $83.33/each facility for the 2-month duration of the data period. $83.33/ ea.

N/A

Ambulatory group reconnection, already onboard, January 1, 2021 - June 30, 2021;

prorated amount of $500.00/each ambulatory group for the 6-month duration of the data period. Per agreement, there is no cost to reconnect the ambulatory group.

$0.00/ ea.

N/A

Ambulatory reconnection, not already onboard, January 1, 2021 - June 30, 2021;

prorated amount of $500.00/each ambulatory group for the 6-month duration of the data period. Per agreement, there is no cost to reconnect the ambulatory group.

$0.00/ ea.

40187 Ambulatory group reconnection, July 1, 2021 - August 31, 2021; prorated amount of

$166.67/each ambulatory group for the 2-month duration of the data period. $166.67/ ea.

* N/A Inpatient Data Project Administration $100,000.00 / yr.

* N/A Inpatient Data Connection and Correction $7,500.00 / facility

* N/A Validation of Inpatient Data Capabilities $2,500.00 / facility

* N/A Inpatient NSSP Service $25,000.00 / yr.

* N/A Inpatient Ohio Data Relay Service $25,000.00 / yr.

OTHER ITEMS:

OAKS

ITEM ID DESCRIPTION

39475 Cyber Liability Passthrough

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.

* Indicates the addition of items to the Cost Summary for inpatient data collection, effective with all orders issued on or after 09/01/24, per amendment 5.

SUMMARY OF AMENDMENTS

Amendment

Number Effective

Date Description

5 09/01/24

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 12 months, effective 09/01/24 through 08/31/25.

This amendment is also issued to include a mutually agreed upon modification, Ohio Implementation Proposal for Inpatient Data and to add items to the Cost Summary for inpatient data collection, effective with all orders issued on or after 09/01/24.

All other prices, terms and conditions remain unchanged.

4 09/01/23

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 09/01/23 through 08/31/24. All other prices, terms and conditions remain unchanged.

3 09/01/22

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 09/01/22 through 08/31/23. 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 09/01/22.

2 10/06/21 This amendment is issued to add items to the Cost Summary, effective with all orders on or after 10/06/21. Also, this amendment is for the repagination. All other prices and terms and conditions remain unchanged.

1 09/01/21

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 09/01/21 through 08/31/22.

Also, this amendment denotes the change of the contract effective date.

All other prices, terms and conditions remain unchanged.