LDC032_CSP906718_-_Amendment_4.pdf

Index No.: LDC032 Contract No.: CSP906718 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

AMENDMENT FOR CHANGE

AMENDMENT NO. 4

TO: LIMITED DISTRIBUTION - DEPARTMENT OF REHABILITATION AND CORRECTION AND THE

DEPARTMENT OF YOUTH SERVICES

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

SUBJECT: CONTRACT FOR STATEWIDE COMPREHENSIVE DENTAL SERVICES

Attached are pages one and five to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.

The State of Ohio elects to exercise its option to renew the subject contract for an additional one month effective 07/01/25 through 07/31/25.

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):

0000254246 Mid America Health of Ohio, Inc.

470 Olde Worthington Road Suite 200 Westerville, OH 43082 Jlopez@mahweb.com

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: STATEWIDE COMPREHENSIVE DENTAL SERVICES

CONTRACT NUMBER: CSP906718 EFFECTIVE DATES: 07/01/18 TO 06/30/21

* Renewal through 07/31/25

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

CSP906718 that opened on 03/21/18. 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 Rehabilitation and Correction (DRC) and the Ohio Department of Youth Services (DYS) 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:

http://www.ohio.gov/procure

*Denotes a one month renewal, per amendment 4.

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

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

4 07/01/25

The State of Ohio elects to exercise its option to renew the subject contract for an additional one month effective 07/01/25 through 07/31/25.

All other prices, terms and conditions remain unchanged.

3 04/12/24

This amendment is issued to denote an update to the pricelist with an increase of price effective on all orders placed on or after 04/01/24 and 07/01/24 respectively and the mutually agreed upon clarification of terms.

All other prices, terms and conditions remain unchanged.

2 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 twenty-four

(24) months, effective 07/01/23 through 06/30/25 and to update the pricelist, effective with all orders placed on or after 07/01/23.

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.

1 07/01/21

As a result of mutual agreement between the Contractor and the State of Ohio, this amendment is issued to renew the subject contract for twenty-four (24) months, effective 07/01/21-06/30/23. Additionally, this amendment is issued to indicate an update to the pricelist, effective on all orders placed on or after 07/01/21, the creation of the Summary of Amendments page, the mutually agreed upon clarification of terms, effective 07/01/21, and repagination.

All other prices, terms and conditions remain unchanged.