CSP904519_DOH031_Contract.Rev.pdf

Index No.: DOH031 Eff. Date: 07/01/24

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: YOUTH RISK BEHAVIOR SURVEY/YOUTH TOBACCO SURVEY

CONTRACT NUMBER: CSP904519 EFFECTIVE DATES: 12/11/18 TO 06/30/23

* Renewal through 06/30/26

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

CSP904519 that opened on 11/14/18. 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

Embedded Minority Set Aside Component

*Indicates twenty-four (24) month renewal through 06/30/26, per Amendment 3, effective 07/01/24.

Eff. Date: 07/01/23

Mutually Agreed Upon Clarifications

Strategic Research Group (SRG) has agreed to a subcontracting partnership with two (2) certified MBE firms, C. H. Smith & Associates in Cincinnati, Ohio and Judith C. Allen (DBA Excellence Zone Marketing Strategies) in Twinsburg, Ohio. Strategic Research Group (SRG) will provide each MBE subcontractor firm with approximately 15% of the cost of the work on this project for a total of approximately 30% of the overall work on the project designated as work set aside for MBE subcontractors.

*The following language is added regarding the Prohibition of the Expenditure of Public Funds for Offshore Services:

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.

* Indicates addition of updated language regarding the Prohibition of the Expenditure of Public Funds for Offshore Services, per Amendment 2, effective 07/01/23.

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

Eff. Date: 12/18/18

ATTACHMENT NINE

COST SUMMARY FORM

Youth Risk Behavior Survey/Youth Tobacco Survey

CSP904519

UNSPSC CATEGORY CODE: 93141602, 93141605, 93141608, 93141610

OAKS

Item #

DELIVERABLES BI-ANNUAL DUE DATES Estimated Qty.

(for evaluation purposes only)

Unit Cost

35293

Participate in weekly meetings with contract manager.

Weekly

28 in Year 1, 42 in Years 3 and 5

$327.60

35294 Provide final workplan with details regarding contacting or communicating with selected school sample.

1/1/2019

10/1/2020

10/1/2022

$1830.40 Each Workplan

Middle School High School

35295

Survey administration complete at 10 middle schools with an average 75% student participation rate.

complete at 10 high schools with an average 75% student

On or before

3/30/2019

3/30/2021

3/30/2023

20 in each survey year, 60 total

$1090.57 Each Survey

35296 complete for an additional 10 middle schools (20 total) with an average 75% student participation rate.

Survey administration complete for an additional 10 high schools (20 total) with an average 75% student participation rate.

5/31/2019

5/31/2021

5/31/2023

20 in each survey

60 total

$1136.01

35297 complete for an additional 15 middle schools (35 total) with an average 75% complete for an additional 15 high schools (35 total) with an average 75%

6/1/2019

6/1/2021

6/1/2023

30 in each survey

90 total

$1226.89

35298 complete at more than 35 middle schools with an average 75% complete at more than 35 high schools with an average 75%

6/1/2019

6/1/2021

6/1/2023

$1363.21

35299

Provide evidence that answer sheets and required documentation were sent to CDC's designated contractor for data to be compiled.

6/30/2019

6/30/2021

6/30/2023

$1253.40 Each Occurrence

35338

*Provide $1,000 stipend to each school that completes administration of the survey.

The successful Offeror shall receive a separate purchase order during each survey cycle from ODH. These funds are specifically to be used to award a $1,000.00 stipend to schools that have successfully completed and returned the survey. The successful Offeror shall simply act as a 3rd party administrator or pass-through in this role. The total of awarded stipends shall not exceed the purchase order amount.

$1,000

Occurrence

*Indicates the addition of the Oaks Item Number and item description to the Cost Summary Form for stipend payments that will be provided to each participating school that completes administration of the survey.

Eff. Date: 12/11/18

CONTRACTOR AND TERMS: CONTRACT NO.: CSP904519

0000005807 TERMS: Net 30 Days Strategic Research Group, Inc.

995 Goodale Boulevard Columbus, OH 43212

CONTRACTOR’S TECHNICAL/CONTRACTUAL CONTACT:

Kristen Heimdal Partner/proposed Principal Investigator Strategic Research Group Inc. Phone: (614) 220-8860 995 Goodale Boulevard Fax: (614) 220-8845 Columbus, OH 43212 Email: kheimdal@strategicresearchgroup.com

Eff. Date: 07/01/24

SUMMARY OF AMENDMENTS

Amendment

Number Effective

Date Description

*3 07/01/24

This amendment is issued, by mutual agreement with the Contractor, renew the contract for an additional twenty-four (24) months, effective July 1, 2024 through June 30, 2026 and updates the Summary of Amendments page. All other costs and terms shall remain unchanged.

2 07/01/23

This amendment is issued, by mutual agreement with the Contractor, renew the contract for an additional twelve (12) months, effective July 1, 2023 through June 30, 2024, updates language regarding the Prohibition of the Expenditure of Public Funds for Offshore Services and updates the Summary of Amendments page. All other costs and terms shall remain unchanged.

1 12/18/18

This amendment is issued to add the Oaks Item Number and item description to the Cost Summary Form for stipend payments that will be provided to each participating school that completes administration of the survey, and to add the Summary of Amendments page to the contract.

*Indicates an update to the Summary of Amendments page to the contract.