CSP905619_DOH036__Rev_Contract_A5.pdf

Index No.: DOH036

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: CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAM EVALUATION

CONTRACT NUMBER: CSP905619 EFFECTIVE DATES: 03/01/19 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.

CSP905619 that opened on 01/16/19. 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:

https://procure.ohio.gov/

* Indicates contract renewal through 06/30/26, per amendment 5.

Eff. Date: 07/01/23

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.

* 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 07/01/23.

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

* Page 3

COST SUMMARY FORM - A

RFP Title: Chronic Disease Prevention and Management Program Evaluation

RFP Number: CSP905619 Index Number: DOH036

UNSPSC CATEGORY CODE: 85100000

ESTIMATED BUDGET RANGE FOR ALL FOUR (4) PROJECTS: $350,000 TO $400,000

OAKS Item No.

PROJECT #1 - STATE PHYSICAL ACTIVITY AND NUTRITION (SPAN) PROGRAM

COST

35555

Prepare for (e.g., develop agendas, provide progress updates) and participate in monthly conference calls with CDC and SPAN program staff.

$ 7,800

35556

Develop/refine a comprehensive, five (5) year evaluation and performance measurement plan for the SPAN program that includes both process and outcome evaluation to assess program approach, effectiveness, efficiency, sustainability and impact.

$ 12,000

35557

Prepare for (e.g., develop agendas and materials for discussion) and conduct one (1) in-person site visit in Columbus, OH, or designated location with SPAN program staff and provide a summary report of findings from the meeting.

$ 10,500

35558

Complete a semi-annual progress/performance report on evaluation activities conducted during the previous six months and future activities for the next six months for the SPAN program.

$ 1,400

35559

Participate in one (1), CDC-sponsored SPAN meeting in Atlanta, GA, or designated location and provide a summary report of findings from the meeting that would inform the SPAN program.

$ 9,775

35560

Develop and/or provide written feedback on surveys, inventories, or other data/information collection instruments.

$ 5,500

35561

Implement data collection procedures, e.g., focus groups and interviews.

$ 18,000

35562

Analyze and evaluate data and information collected from surveys and other data collection systems, focus groups, and interviews, and provide a written summary of results.

$ 8,000

35563

Evaluate the effectiveness of virtual and in-person trainings and professional development programs.

$ 5,000

35564

Develop dissemination products (e.g., fact sheets, infographics, health impact statements, success stories) based on evaluation results for key audiences.

35565

Use the results of the evaluation to develop a summary report/product of recommendations for modifying, improving and sustaining SPAN program strategies, activities, and collaborations to achieve program outcomes.

$ 5,025

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 repagination, per amendment 3.

* Page 4

ATTACHMENT NINE - B

COST SUMMARY FORM

OAKS Item No

PROJECT #2 - DIABETES AND HEART DISEASE PREVENTION AND MANAGEMENT

(DHDPM) PROGRAM

35566

Prepare for (e.g., develop agendas, provide progress updates) and participate in two (2) monthly conference calls with CDC and 1815 program staff. Participate in ad hoc calls as needed.

** 35567

Develop/refine a comprehensive, five (5) year evaluation and performance measurement plan for the 1815 program that includes both process and outcome evaluation to assess program approach, effectiveness, efficiency, sustainability and impact.

*** 35568

Participate in one (1), CDC-sponsored 1815 meeting in Atlanta, GA, or designated location and provide a summary report of findings from the meeting that would inform the 1815 program.

N/A

*** 35569 during the previous six months and future activities for the next six months for the 1815

*** 35570

Prepare for (e.g., develop agendas and materials for discussion) and conduct one (1) in-person site visit in Columbus, OH, or designated location with 1815 program staff and provide a summary report of findings from the meeting.

*** 35571

Develop and/or provide written feedback on surveys, inventories, or other data/information collection instruments.

** 35572

Implement data collection procedures, e.g., focus groups and interviews. $ 10,000

** 35573

Analyze and evaluate data and information collected from surveys and other data collection systems, focus groups, and interviews, and provide a written summary of results.

$ 10,000

*** 35574

Evaluate diabetes and heart disease-related collaboratives (e.g., Diabetes Collaborative, Medication Therapy Management (MTM) Collaborative). Provide a summary report of

*** 35575

Assess effectiveness of using incentives to increase participation in the National Diabetes Program Lifestyle Change Program (e.g., stipends, transportation and childcare vouchers, Calorie King and other educational materials, measuring cups, Therabands) and provide a summary report of results.

*** 35576

Assess effectiveness of bi-directional referral systems (e.g., Community e-Connect, Workshop Wizard, Community Health Record) and provide a summary report of results.

*** 35577

Assess effectiveness of using non-traditional partners (e.g., libraries, barber shops) to increase access to hypertension and high blood cholesterol management resources and provide a summary report of results.

** 35578

Develop dissemination products (e.g., fact sheets, infographics, health impact statements, success stories) based on evaluation results for key audiences (e.g., stakeholders, providers, patients).

$ 7,500

** 35579

Use the results of the evaluation to develop a summary report/product of recommendations for modifying, improving and sustaining 1815 program strategies, activities, and collaborations to achieve program outcomes.

$ 12,200

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 repagination, per amendment 3.

** Indicates price reduction, per amendment 3.

*** Indicates discontinued line item, per amendment 3.

Eff. Date: 07/1/23

* Page 5

ATTACHMENT NINE - C

PROJECT #3 - CREATING HEALTHY COMMUNITIES (CHC) PROGRAM

35580

Participate in monthly conference calls on a recurring day/time for the CHC Program.

Participate in monthly CHC All-Project Calls.

35581

Refine and update the CHC 2015-2019 Evaluation Plan. $ 5,000

** 35582

Refine and update the logic model (roadmaps) for CHC Healthy Eating and Active Living.

35583

Prepare for (e.g., develop agendas and materials for discussion) and conduct one (1) in-person site visit and/or training in Columbus, OH, or designated location with CHC program staff and grantees. Provide a summary report of findings from the meeting.

$ 10,500

35584

Complete a semi-annual progress/performance report on evaluation activities conducted during the previous six months and future activities for the next six months for the CHC program.

$ 1,400

35585

Develop, select, evaluate and/or provide recommendations regarding surveys, inventories, focus groups, interviews, or other data/information collection instruments and provide a summary of results for the CHC program.

$ 6,000

35586

Implement data collection procedures, e.g., focus groups and interviews. $ 8,500

35587

Analyze and evaluate data and information collected from surveys and other data collection systems, focus groups, and interviews, and provide a written summary of

$ 6,300

** 35588

Provide an analysis of the 2018 CHC annual coalition evaluation survey. N/A

** 35589

Develop a draft comprehensive report and plan for summarizing outcomes from the 2015-2019 CHC grant cycle, including both state- and local-level work.

** Indicates discontinued line item, per amendment 3.

* Page 6

ATTACHMENT NINE - D

PROJECT #4 - EARLY CHILDHOOD OBESITY PREVENTION PROGRAM (ECOPP)

** 35590

Prepare for (e.g., develop agendas, provide progress updates) and participate in monthly conference calls with CDC and ECOPP program staff.

$ 6,500

35591

Develop/refine a comprehensive, five (5) year evaluation and performance measurement plan for the ECOPP program that includes both process and outcome evaluation to assess program approach, effectiveness, efficiency, sustainability and impact.

$ 10,000

35592

Refine and update the logic models (roadmaps) previously created for ECOPP for both healthy eating and active living, including but not limited to: activities, primary drivers, goals, and long-term results.

$ 3,000

35593

Prepare for (e.g., develop agendas and materials for discussion) and conduct one (1) in-person site visit/training in Columbus, OH, or designated location with ECOPP program staff and provide a summary report of findings the meeting.

$ 5,500

35594 during the previous six months and future activities for the next six months for the ECOPP

$ 1,000

35595

Develop and/or provide written feedback on surveys, inventories, or other data/information collection instruments.

35596

Implement data collection procedures, e.g., focus groups and interviews. $ 10,000

35597

Analyze and evaluate data and information collected from surveys and other data collection systems, focus groups, and interviews, and provide a written summary of results. $ 7,000

35598

Develop dissemination products (e.g., fact sheets, infographics, health impact statements, success stories) based on evaluation results for key audiences (e.g., stakeholders, early childhood professionals).

$ 1,500

35599

Use the results of the evaluation to develop a summary report/product of recommendations for modifying, improving and sustaining ECOPP program strategies, activities, and collaborations to achieve program outcomes.

$ 8,000

** Indicates a price increase, per amendment 3.

* Page 7

CONTRACTOR INDEX

CONTRACTOR AND TERMS: CONTRACT NO: CSP905619-1

190640 Professional Data Analysts, Inc.

** 657 19th Ave NE Minneapolis, MN 55418

Remit to Address: TERMS: Net 30 Days

190640 Professional Data Analysts, Inc.

** 657 19th Ave NE Minneapolis, MN 55418

CONTRACTOR’S CONTACT: Ms. Melissa Chapman Haynes, PhD Telephone: 1-612-623-9110 Fax: 1-612-623-8807 Email: mchapman@pdastats.com

** Indicates updated Contractor contact information, per amendment 3.

Eff. Date: 07/01/25

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, to update the pricelist, effective with all orders issued on or after 07/01/23, to update the Contractor contact information and to repaginate.

Additionally, 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 07/01/23.

All other prices, terms and conditions remain unchanged.

2 07/22/22 This amendment is issued to update the Ohio Buys pricelist effective 07/22/22 through 06/30/23. All other prices, terms and conditions remain unchanged.

1 06/24/22 This amendment is issued to update the Ohio Buys pricelist effective 06/24/22 through 06/30/23. Additionally, this amendment is issued to add the Summary of Amendments page.