CSP905219_DOH034_A4.pdf

Index No.: DOH034 Contract No.: CSP905219 Eff. Date: 10/23/24

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. 4

TO: LIMITED DISTRIBUTION – OHIO DEPARTMENT OF HEALTH

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

SUBJECT: CONTRACT FOR FLEX EMS IMPLEMENTATION PROJECT

Attached are pages 2, 3 and 5 to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.

This amendment is issued to update the Cost Summary Form, effective with all orders issued on or after 10/23/24.

All other prices, terms and conditions remain unchanged.

This Amendment, the main Requirements 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):

238356 The Paramedic Foundation 2800 N. 7th Street St. Cloud, MN 56303

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

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.

INSURANCE

The Automobile Liability insurance requirement in ATTACHMENT THREE: GENERAL TERMS AND CONDITIONS is waived for this contract.

* COST SUMMARY FORM UPDATE

Update the Cost Summary Form to add EMT training courses for interested individuals. Said individuals must commit to serve a rural community in Ohio as defined by the Ohio Department of Health for at least one year post training.

* Denotes adding EMT training courses to the Cost Summary Form, per amendment 4.

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

ATTACHMENT NINE

COST SUMMARY FORM

RFP TITLE: Flex EMS Implementation Project

CSP NUMBER: CSP905219

UNSPSC CATEGORY CODE: 85100000

OAKS

ID

Number

DESCRIPTION

COST

35442

Correspond with Ohio Department of Health, State Office of Rural Health and Ohio Department of Public Safety, Division of EMSonce per month regarding assignments and related progress.

Contractor will respond to inquiries from either entity on project progress upon request. (Monthly)

$ 750.00

35443

Provide In-person trainings for rural EMS agencies (cost per training), 10 trainings per year estimated. (Each Training)

$ 825.00

35444

Provide refresher training courses for one hundred fifty (150) paramedics (estimated) for rural EMS agencies. (Cost per person)

$ 275.00

35445

Provide continuing education webinars for rural EMS agencies Ten (10) webinars per year estimated. (cost per webinar), (each)

$ 550.00

35446

Develop, plan, and distribute targeted surveys in collaboration with ODH and DPS. (Per year).

Delivery required: 3/31/19, 3/31/20, 3/31/21, 3/31/22

$ 46,650.00

35447

Conduct five (5) in-person regional meetings. (Per year) (includes all 5 regions in same trip) Delivery required: 6/30/19, 6/30/20, 6/30/21, 6/30/22, 6/30/24

$ 29,850.00

35448

Deliver final report(s) of the findings of the targeted surveys to ODH and dissemination to the participating Ohio EMS agencies. (Each) Delivery required: 8/31/19, 8/31/20, 8/31/21, 8/31/22

$ 14,500.00

35449

Conduct one (1) Statewide assessment of EMS. (Each) Delivery required: 7/31/23

$ 52,650.00

35450

Conduct one (1) Community level needs assessment. (Each) Delivery required: 7/31/24

$ 52,650.00

35451

Deliver final report(s) to ODH and dissemination to the participating Ohio EMS agencies. (Each) Delivery required: 7/31/23, 7/31/24

$ 14,500.00

40686 Provide once a year in person tutoring for twenty-four (24) EMS personnel in preparation to test for the National Registry certification. (Cost per student).

$ 450.00

N/A Provide EMT training course for interested individuals. (Each Course)

$ 1,500.00

For Planning Purposes - - - State Fiscal Years Shown Below

SFY19-20 SFY21-22 SFY23-24 SFY25

12/1/2018- 6/30/2019

7/1/2019- 6/30/2020

7/1/2020- 6/30/2021

7/1/2021- 6/30/2022

7/1/2022- 6/30/2023

7/1/2023- 6/30/2024

7/1/2024- 8/31/2024

All costs are in U.S. Dollars.

The State is not responsible for any costs not identified.

There is no additional reimbursement for travel or other related expenses.

* Indicates addition to the Cost Summary Form, per amendment 4.

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

4 10/23/24

This amendment is issued to update the Cost Summary Form, effective with all orders issued on or after 10/23/24.

All other prices, terms and conditions remain unchanged.

3 09/01/24

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 24 months, effective 09/01/24 through 08/31/26.

Additionally, this amendment is issued to add the Mutually Agreed Upon Modifications for the Prohibition of the Expenditure of Public Funds for Offshore Services, update the Insurance requirements and to repaginate.

All other prices, terms and conditions remain unchanged.

2 03/25/22 This amendment is issued to update to the contract pricelist in Ohio Buys, effective on all orders placed on or after 03/25/22.

1 02/18/22 This amendment is issued to update to the contract pricelist, effective on all orders placed on or after 02/18/22. Additionally, this amendment is issued to add the Summary of Amendments page.