MCD003_CSP008977_Contract_REV.pdf

Index No.: MCD003

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: MEDICAID VISION VOLUME PURCHASE PROGRAM: OPHTHALMIC

LABORATORY SERVICES AND DELIVERY

CONTRACT NUMBER: CSP008977 EFFECTIVE DATES: 07/01/22 TO 06/30/25

* Renewal through 06/30/26

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

SRC0000001893 that opened on 05/11/22. 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 Medicaid 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

*Denotes a 12 month renewal, per amendment 1.

Eff. Date: 07/01/22

MUTUALLY AGREED TO CLARIFICATIONS / MODIFICATIONS TO THE RFP

Final Clarifications – response dated 05/26/2022

Best and Final Offer – response dated 06/02/2022

Index No. MCD003 Eff Date: 07/01/22

COST PAGE

Medicaid Vision Volume Purchase Program Ophthalmic Laboratory Services and Delivery

SRC0000001893

UNSPSC CATEGORY CODE: 42142000

Please Refer to “Attachment A: Cost Summary Form” for pricing.

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.

Index No. MCD003 Eff Date: 07/01/22

CONTRACTOR INDEX

CONTRACTOR AND TERMS: BID CONTRACT NO.: CSP008977

0000060173 Classic Optical Laboratories Inc PO Box 1341 Youngstown, OH 44505

CONTRACTOR'S CONTACT:

Telephone: 330-759-8245 ext 1314 Morgan Hartzell FAX: 330-759-8300 E-Mail: mhartzell@classicoptical.com mailto:mhartzell@classicoptical.com

Eff. Date: 07/01/25

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

1 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 12 months, effective 07/01/25 through 06/30/26.

All other prices, terms and conditions remain unchanged.