P-87906_Advancing_States_BOA_FY2025-FY2026_signature_packet _Redacted.pdf

State of Illinois Chief Procurement Office General Services 1 BOA under $50,000 V.23.2

ORDERING INFORMATION

Item Description

(manufacturer, model, serial number, feature, etc.) Qty One Time Charge Periodic Charge

Unit Extension Unit Extension 1 FY26-Conduct a survey of both the CCP and OAA provider networks and analyze and compare resulting data to understand the state of the workforce including demographics, salary, benefits, hourly data, staffing shortages and impact on operations and network services.

1 $20,000.00

Page Total: $ 20,000.00

BOA Total (if multiple pages): $ 20,000.00

STATE OF ILLINOIS

BASIC ORDERING AGREEMENT (BOA) < $50,000

The terms and conditions of this BOA, including those terms and conditions set forth in the additional documents referenced below, and any continuation sheets, constitute the entire agreement between the parties with respect to the subject matter of this BOA. State documents will prevail in the event of a conflict between State and Vendor documents.

CONTACT INFORMATION

Vendor Name: Advancing States, Inc.

Address: 241 18th St. S., Ste 403, Arlington, VA 22043 Contact: Armando Holguin Phone #: 202-898-2578 Email: accounting@advancingstates.org Fax #: N/A

State Agency Name: Illinois Department on Aging Address: One Natural Resources Way, Suite 100, Springfield, IL 62702-1271 Contact: Veronica Williams Phone #: 217.524.5817 Email: Veronica.Y.Williams@illinois.gov Fax#: N/A

Bill To: Illinois Department on Aging Name: Veronica Williams Address: One Natural Resources Way, Suite 100, Springfield, IL 62702-1271

Ship To: Illinois Department on Aging Name: Veronica Williams Address: One Natural Resources Way, Suite 100, Springfield, IL 62702-1271

CONTRACT INFORMATION

Contract #: 26-402AGE-FINAD-P-87906 Action: New Acquisition Type: Service Payment Cycle: Lump Sum Per Delivery of Services Terms and Conditions: BOA Terms and Conditions

Term:

Begin Date:

Final Dated Signature

End Date:

6/30/2026

State of Illinois Chief Procurement Office General Services 2

V.23.2

ADDITIONAL INFORMATION / REFERENCES / ATTACHMENTS

See Bidbuy PO and attachments.

SIGNATURES The undersigned parties agree to these terms and conditions.

Vendor State of Illinois

Company Name: Advancing States, Inc. State Agency: Illinois Department on Aging

Company Signature: Signature Agency Representative:

Printed Name: Printed Name:

Title: Executive Director Title:

Date: Date:

STATE USE ONLY

Reference Number: 26-402AGE-FINAD-R-289749 Source Selection Method: Small Purchase Is Financing Needed? No Using Agency Funding Source:

Fiscal Year: 2026 Type: State

Approp. Account Code: 2026-644-402-04-4900-0099 Detailed Expenditure Object Code: 2026-644-402-04-4900-0099 Award Code: C Original Procurement Method: Small Purchase Subcontractors Utilized? No Subcontractors Disclosed? No

STANDARD TERMS AND CONDITIONS

State of Illinois Chief Procurement Office General Services 3

V.23.2

1. PAYMENT TERMS AND CONDITIONS:

1.1. Late Payment: Payments, including late payment charges, will be paid in accordance with the State Prompt Payment Act and rules when applicable. 30 ILCS 540; 74 III. Adm. Code 900. This shall be Vendor’s sole remedy for late payments by the State. Payment terms contained on Vendor’s invoices shall have no force and effect.

1.2. Minority Contractor Initiative: Any Vendor awarded a contract under Section 20-10, 20-15, 20-25 or 20- 30 of the Illinois Procurement Code (30 ILCS 500) of $1,000 or more is required to pay a fee of $15. The Comptroller shall deduct the fee from the first check issued to the Vendor under the contract and deposit the fee in the Comptroller’s Administrative Fund. 15 ILCS 405/23.9.

1.3. Expenses: The State will not pay for supplies provided or services rendered, including related expenses, incurred prior to the execution of this contract by the Parties even if the effective date of the contract is prior to execution.

1.4. Prevailing Wage: As a condition of receiving payment Vendor must (i) be in compliance with the contract,

(ii) pay its employees prevailing wages when required by law, (iii) pay its suppliers and subcontractors according to the terms of their respective contracts, and (iv) provide lien waivers to the State upon request. Examples of prevailing wage categories include public works, printing, janitorial, window washing, building and grounds services, site technician services, natural resource services, security guard and food services. The prevailing wages are revised by the Department of Labor and are available on the Department’s official website, which shall be deemed proper notification of any rate changes under this subsection. Vendor is responsible for contacting the Illinois Department of Labor to ensure understanding of prevailing wage requirements at 217-782-6206 or (https://labor.illinois.gov/).

1.5. Federal Funding: This contract may be partially or totally funded with Federal funds. If federal funds are expected to be used, then the percentage of the good/service paid using Federal funds and the total Federal funds expected to be used will be provided in the award notice.

1.6. Invoicing: By submitting an invoice, Vendor certifies that the supplies or services provided meet all requirements of the contract, and the amount billed and expenses incurred are as allowed in the contract.

Invoices for supplies purchased, services performed, and expenses incurred through June 30 of any year must be submitted to the State no later than July 31 of that year; otherwise Vendor may have to seek payment through the Illinois Court of Claims. 30 ILCS 105/25. All invoices are subject to statutory offset.

30 ILCS 210.

1.6.1. Vendor shall not bill for any taxes unless accompanied by proof that the State is subject to the tax. If necessary, Vendor may request the applicable Agency/University state tax exemption number and federal tax exemption information.

1.6.2. Vendor shall invoice at the completion of the contract unless invoicing is tied in the contract to milestones, deliverables, or other invoicing requirements agreed to in the contract.

2. ASSIGNMENT: This contract may not be assigned, transferred in whole or in part by Vendor without the prior written consent of the State.

State of Illinois Chief Procurement Office General Services 4

V.23.2

3. SUBCONTRACTING: For purposes of this section, subcontractors are those with contracts with an annual value exceeding $100,000 and who are specifically hired to perform all or part of the work covered by the contract.

Vendor must receive prior written approval before use of any subcontractors in the performance of this contract.

Vendor shall describe, in an attachment if not already provided, the names and addresses of all authorized subcontractors to be utilized by Vendor in the performance of this contract, together with a description of the work to be performed by the subcontractor and the anticipated amount of money that each subcontractor is expected to receive pursuant to this contract. If required, Vendor shall provide a copy of any subcontracts within fifteen (15) days after execution of this contract. All subcontracts must include the same certifications that Vendor must make as a condition of this contract. Vendor shall include in each subcontract the Standard Illinois Certification form available from the State. If at any time during the term of the Contract, Vendor adds or changes any subcontractors, then Vendor must promptly notify, by written amendment to the Contract, the State Purchasing Officer or the Chief Procurement Officer of the names and addresses, the expected amount of money that each new or replaced subcontractor will receive pursuant to the Contract , and the general type of work to be performed. 30 ILCS 500/20-120.

4. AUDIT/RETENTION OF RECORDS: Vendor and its subcontractors shall maintain books and records relating to the performance of the contract or subcontract and necessary to support amounts charged to the State pursuant the contract or subcontract. Books and records, including information stored in databases or other computer systems, shall be maintained by the Vendor for a period of three (3) years from the later of the date of final payment under the contract or completion of the contract, and by the subcontractor for a period of three (3) years from the later of final payment under the term or completion of the subcontract. If Federal funds are used to pay contract costs, the Vendor and its subcontractors must retain their respective records for five (5) years. Books and records required to be maintained under this section shall be available for review or audit by representatives of: the procuring Agency, the Auditor General, the Executive Inspector General, the Chief Procurement Officer, State of Illinois internal auditors or other governmental entities with monitoring authority, upon reasonable notice and during normal business hours. Vendor and its subcontractors shall cooperate fully with any such audit and with any investigation conducted by any of these entities. Failure to maintain books and records required by this section shall establish a presumption in favor of the State for the recovery of any funds paid by the State under this contract or any subcontract for which adequate books and records are not available to support the purported disbursement. The Vendor or subcontractors shall not impose a charge for audit or examination of the Vendor’s or subcontractor’s books and records. 30 ILCS 500/20-65.

5. TIME IS OF THE ESSENCE: Time is of the essence with respect to Vendor’s performance of this contract. Vendor shall continue to perform its obligations while any dispute concerning the contract is being resolved unless otherwise directed by the State.

6. NO WAIVER OF RIGHTS: Except as specifically waived in writing, failure by a Party to exercise or enforce a right does not waive that Party’s right to exercise or enforce that or other rights in the future.

7. FORCE MAJEURE: Failure by either Party to perform its duties and obligations will be excused by unforeseeable circumstances beyond its reasonable control and not due to its negligence, including acts of nature, acts of terrorism, riots, labor disputes, fire, flood, explosion, and governmental prohibition. The non-declaring Party may cancel the contract without penalty if performance does not resume within thirty (30) days of the declaration.

8. CONFIDENTIAL INFORMATION: Each Party, including its agents and subcontractors, to this contract may have or gain access to confidential data or information owned or maintained by the other Party in the course of carrying out its responsibilities under this contract. Vendor shall presume all information received from the State or to

State of Illinois Chief Procurement Office General Services 5

V.23.2 which it gains access pursuant to this contract is confidential. Vendor information, unless clearly marked as confidential and exempt from disclosure under the Illinois Freedom of Information Act, shall be considered public.

No confidential data collected, maintained, or used in the course of performance of the contract shall be disseminated except as authorized by law and with the written consent of the disclosing Party, either during the period of the contract or thereafter. The receiving Party must return any and all data collected, maintained, created or used in the course of the performance of the contract, in whatever form it is maintained, promptly at the end of the contract, or earlier at the request of the disclosing Party, or notify the disclosing Party in writing of its destruction. The foregoing obligations shall not apply to confidential data or information lawfully in the receiving Party’s possession prior to its acquisition from the disclosing Party; received in good faith from a third Party not subject to any confidentiality obligation to the disclosing Party; now is or later becomes publicly known through no breach of confidentiality obligation by the receiving Party; or is independently developed by the receiving Party without the use or benefit of the disclosing Party’s confidential information.

9. USE AND OWNERSHIP: All work performed or supplies created by Vendor under this contract, whether written documents or data, goods or deliverables of any kind, shall be deemed work for hire under copyright law and all intellectual property and other laws, and the State of Illinois is granted sole and exclusive ownership to all such work, unless otherwise agreed in writing. Vendor hereby assigns to the State all right, title, and interest in and to such work including any related intellectual property rights, and/or waives any and all claims that Vendor may have to such work including any so-called "moral rights" in connection with the work. Vendor acknowledges the State may use the work product for any purpose. Confidential data or information contained in such work shall be subject to confidentiality provisions of this contract.

10. INDEMNIFICATION AND LIABILITY: The Vendor shall indemnify and hold harmless the State of Illinois, its agencies, officers, employees, agents and volunteers from any and all costs, demands, expenses, losses, claims, damages, liabilities, settlements and judgments, including in-house and contracted attorneys’ fees and expenses, arising out of: (a) any breach or violation by Vendor of any of its certifications, representations, warranties, covenants or agreements; (b) any actual or alleged death or injury to any person, damage to any real or personal property, or any other damage or loss claimed to result in whole or in part from Vendor’s negligent performance;

(c) any act, activity or omission of Vendor or any of its employees, representatives, subcontractors or agents; or

(d) any actual or alleged claim that the services or goods provided under this contract infringe, misappropriate, or otherwise violate any intellectual property (patent, copyright, trade secret, or trademark) rights of a third party.

In accordance with Article VIII, Section 1(a),(b) of the Constitution of the State of Illinois and 1973 Illinois Attorney General Opinion 78, the State may not indemnify private parties absent express statutory authority permitting the indemnification. Neither Party shall be liable for incidental, special, consequential, or punitive damages.

11. INSURANCE: Vendor shall, at all times during the term and any renewals maintain and provide a Certificate of Insurance naming the State as additionally insured for all required bonds and insurance. Certificates may not be modified or canceled until at least thirty (30) days’ notice has been provided to the State. Vendor shall provide:

(a) General Commercial Liability occurrence form in amount of $1,000,000 per occurrence (Combined Single Limit Bodily Injury and Property Damage) and $2,000,000 Annual Aggregate; (b) Auto Liability, including Hired Auto and Non-owned Auto, (Combined Single Limit Bodily Injury and Property Damage) in amount of $1,000,000 per occurrence; and (c) Worker’s Compensation Insurance in amount required by law. Insurance shall not limit Vendor’s obligation to indemnify, defend, or settle any claims.

12. INDEPENDENT CONTRACTOR: Vendor shall act as an independent contractor and not an agent or employee of, or joint venture with the State. All payments by the State shall be made on that basis.

State of Illinois Chief Procurement Office General Services 6

V.23.2

13. SOLICITATION AND EMPLOYMENT: Vendor shall not employ any person employed by the State during the term of this contract to perform any work under this contract. Vendor shall give notice immediately to the Agency’s director if Vendor solicits or intends to solicit State employees to perform any work under this contract.

14. COMPLIANCE WITH THE LAW: The Vendor, its employees, agents, and subcontractors shall comply with all applicable federal, state, and local laws, rules, ordinances, regulations, orders, federal circulars and all license and permit requirements in the performance of this contract. Vendor shall be in compliance with applicable tax requirements and shall be current in payment of such taxes. Vendor shall obtain at its own expense, all licenses and permissions necessary for the performance of this contract.

15. BACKGROUND CHECK: Whenever the State deems it reasonably necessary for security reasons, the State may conduct, at its expense, criminal and driver history background checks of Vendor’s and subcontractor’s officers, employees or agents. Vendor or subcontractor shall reassign immediately any such individual who, in the opinion of the State, does not pass the background check.

16. APPLICABLE LAW:

16.1. PREVAILING LAW: This contract shall be construed in accordance with and is subject to the laws and rules of the State of Illinois.

16.2. EQUAL OPPORTUNITY: The Department of Human Rights’ Equal Opportunity requirements are incorporated by reference. 44 ILL. ADM. CODE 750.

16.3. COURT OF CLAIMS; ARBITRATION; SOVEREIGN IMMUNITY: Any claim against the State arising out of this contract must be filed exclusively with the Illinois Court of Claims. 705 ILCS 505/1. The State shall not enter into binding arbitration to resolve any dispute arising out of this contract. The State of Illinois does not waive sovereign immunity by entering into this contract.

16.4. OFFICIAL TEXT: The official text of the statutes cited herein is incorporated by reference. An unofficial version can be viewed at (www.ilga.gov/legislation/ilcs/ilcs.asp).

17. ANTI-TRUST ASSIGNMENT: If Vendor does not pursue any claim or cause of action it has arising under federal or state antitrust laws relating to the subject matter of the contract, then upon request of the Illinois Attorney General, Vendor shall assign to the State rights, title and interest in and to the claim or cause of action.

18. CONTRACTUAL AUTHORITY: The Agency that signs for the State of Illinois shall be the only State entity responsible for performance and payment under the contract. When the Chief Procurement Officer or authorized designee signs in addition to an Agency, they do so as approving officer and shall have no liability to Vendor. When the Chief Procurement Officer or authorized designee, or State Purchasing Officer signs a master contract on behalf of State agencies, only the Agency that places an order with the Vendor shall have any liability to Vendor for that order.

19. EXPATRIATED ENTITIES: Except in limited circumstances, no business or member of a unitary business group, as defined in the Illinois Income Tax Act, shall submit a bid for or enter into a contract with a State agency if that business or any member of the unitary business group is an expatriated entity.

State of Illinois Chief Procurement Office General Services 7

V.23.2

20. NOTICES: Notices and other communications provided for herein shall be given in writing via electronic mail whenever possible. If transmission via electronic mail is not possible, then notices and other communications shall be given in writing via registered or certified mail with return receipt requested, via receipted hand delivery, via courier (UPS, Federal Express or other similar and reliable carrier), or via facsimile showing the date and time of successful receipt. Notices shall be sent to the individuals who signed this contract using the contact information following the signatures. Each such notice shall be deemed to have been provided at the time it is actually received. By giving notice, either Party may change its contact information.

21. MODIFICATIONS AND SURVIVAL: Amendments, modifications and waivers must be in writing and signed by authorized representatives of the Parties. Any provision of this contract officially declared void, unenforceable, or against public policy, shall be ignored and the remaining provisions shall be interpreted, as far as possible, to give effect to the Parties’ intent. All provisions that by their nature would be expected to survive, shall survive termination. In the event of a conflict between the State’s and the Vendor’s terms, conditions and attachments, the State’s terms, conditions and attachments shall prevail.

22. PERFORMANCE RECORD / SUSPENSION: Upon request of the State, Vendor shall meet to discuss performance or provide contract performance updates to help ensure proper performance of the contract. The State may consider Vendor’s performance under this contract and compliance with law and rule to determine whether to continue the contract, suspend Vendor from doing future business with the State for a specified period of time, or whether Vendor can be considered responsible on specific future contract opportunities.

23. FREEDOM OF INFORMATION ACT: This contract and all related public records maintained by, provided to or required to be provided to the State are subject to the Illinois Freedom of Information Act (FOIA) (50 ILCS 140) notwithstanding any provision to the contrary that may be found in this contract.

24. SCHEDULE OF WORK: Any work performed on State premises shall be done during the hours designated by the State and performed in a manner that does not interfere with the State and its personnel.

25. WARRANTIES FOR SUPPLIES AND SERVICES:

25.1. Vendor warrants that the supplies furnished under this contract will: (a) conform to the standards, specifications, drawing, samples or descriptions furnished by the State or furnished by the Vendor and agreed to by the State, including but not limited to all specifications attached as exhibits hereto; (b) be merchantable, of good quality and workmanship, and free from defects for a period of twelve months or longer if so specified in writing, and fit and sufficient for the intended use; (c) comply with all federal and state laws, regulations and ordinances pertaining to the manufacturing, packing, labeling, sale and delivery of the supplies; (d) be of good title and be free and clear of all liens and encumbrances and; (e) not infringe any patent, copyright or other intellectual property rights of any third party. Vendor agrees to reimburse the State for any losses, costs, damages or expenses, including without limitations, reasonable attorney’s fees and expenses, arising from failure of the supplies to meet such warranties.

25.2. Vendor shall insure that all manufacturers’ warranties are transferred to the State and shall provide a copy of the warranty. These warranties shall be in addition to all other warranties, express, implied or statutory, and shall survive the State’s payment, acceptance, inspection or failure to inspect the supplies.

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25.3. Vendor warrants that all services will be performed to meet the requirements of the contract in an efficient and effective manner by trained and competent personnel. Vendor shall monitor performances of each individual and shall reassign immediately any individual who is not performing in accordance with the contract, who is disruptive or not respectful of others in the workplace, or who in any way violates the contract or State policies.

26. REPORTING, STATUS AND MONITORING SPECIFICATIONS: Vendor shall immediately notify the State of any event that may have a material impact on Vendor’s ability to perform the contract.

27. EMPLOYMENT TAX CREDIT: Vendors who hire qualified veterans and certain ex-offenders may be eligible for tax credits. 35 ILCS 5/216, 5/217. Please contact the Illinois Department of Revenue (telephone #: 217-524-4772) for information about tax credits.

28. TERMINATION FOR CAUSE: The State may terminate this contract, in whole or in part, immediately upon notice to the Vendor if: (a) the State determines that the actions or inactions of the Vendor, its agents, employees or subcontractors have caused, or reasonably could cause, jeopardy to health, safety, or property, or (b) the Vendor has notified the State that it is unable or unwilling to perform the contract.

28.1. If Vendor fails to perform to the State’s satisfaction any material requirement of this contract, is in violation of a material provision of this contract, or the State determines that the Vendor lacks the financial resources to perform the contract, the State shall provide written notice to the Vendor to cure the problem identified within the period of time specified in the State’s written notice. If not cured by that date the State may either: (a) immediately terminate the contract without additional written notice or (b) enforce the terms and conditions of the contract.

28.2. For termination due to any of the causes contained in this Section, the State retains its rights to seek any available legal or equitable remedies and damages.

29. TERMINATION FOR CONVENIENCE: The State may, for its convenience and with thirty (30) days prior written notice to Vendor, terminate this contract in whole or in part and without payment of any penalty or incurring any further obligation to the Vendor.

29.1. The Vendor shall be entitled to compensation upon submission of invoices and proof of claim for supplies and services provided in compliance with this contract up to and including the date of termination.

30. AVAILABILITY OF APPROPRIATION: This contract is contingent upon and subject to the availability of funds. The State, at its sole option, may terminate or suspend this contract, in whole or in part, without penalty or further payment being required, if (1) the Illinois General Assembly or the federal funding source fails to make an appropriation sufficient to pay such obligation, or if funds needed are insufficient for any reason (30 ILCS 500/20- 60), (2) the Governor decreases the Department’s funding by reserving some or all of the Department’s appropriation(s) pursuant to power delegated to the Governor by the Illinois General Assembly, or (3) the Department determines, in its sole discretion or as directed by the Office of the Governor, that a reduction is necessary or advisable based upon actual or projected budgetary considerations. Contractor will be notified in writing of the failure of appropriation or of a reduction or decrease.

TAXPAYER IDENTIFICATION NUMBER

State of Illinois Chief Procurement Office General Services 9 Taxpayer Identification Number V.23.2

I certify that:

The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

I am a U.S. person (including a U.S. resident alien).

If you are an individual, enter your name and SSN as it appears on your Social Security Card.

If you are a sole proprietor, enter the owner’s name on the name line followed by the name of the business and the owner’s SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s name on the name line and the D/B/A on the business name line and enter the owner’s SSN or EIN.

If the LLC is a corporation or partnership, enter the entity’s business name and EIN and for corporations, attach IRS acceptance letter (CP261 or CP277).

For all other entities, enter the name of the entity as used to apply for the entity’s EIN and the EIN.

Name: N/A Business Name: Advancing States, Inc.

Taxpayer Identification Number: N/A

Social Security Number: N/A or

Employer Identification Number: 39-6095459 Legal Status (check one):

Individual Governmental

Sole Proprietor Nonresident alien

Partnership Estate or trust

Legal Services Corporation Pharmacy (Non-Corp.)

Tax-exempt Pharmacy/Funeral Home/Cemetery (Corp.)

Corporation providing or billing Limited Liability Company medical and/or health care services (select applicable tax classification)

Corporation NOT providing or billing C = corporation medical and/or health care services P = partnership

Signature of Authorized Representative:

Date: Click here to enter a date.

ADvancing States www.advancingstates.org

NCI State of the Workforce Aging and Disabilities (SoTW-AD) Memoranda of Agreement

2024 – 2025 Cycle

NCI State of the Workforce – Aging and Disabilities Program Agreement and Scope of Work

This Memorandum of Agreement outlines the terms of participation for the NCI State of the Workforce-Aging and Disabilities (SoTW-AD) Year beginning July 1, 2025 and ending December 31, 2025 (and collecting data from calendar year 2024). The agreement outlines the roles and responsibilities of the managing entities, ADvancing States and ____ (the Participating State).

Overview of Governance and Management of the Program: The SoTW-AD is governed by the SoTW-AD Steering Committee, comprised of ADvancing States Board Members and ADvancing States Members committed to the NCI-AD Program. Program management and direction is provided by key staff from ADvancing States and the Human Services Research Institute (HSRI), ADvancing States’s partner in the SoTW-AD. ADvancing States and HSRI form the Project Team.

NCI-AD Program Survey Year:

Survey Year Period: July 1, 2025 – December 31, 2025 Survey Year Participation Fee: $20,000 During the SoTW-AD Survey Year, the Participating State will administer the SoTW-AD in their state. Activities include determining which providers should be included in the survey, compiling provider contact information (specifically e-mail addresses), educating provider agencies about the survey and the survey's utility, with assistance from the project team, using the online state portal to administer the survey, following up with providers for completion, reviewing the report draft, sharing feedback on implementation for the cycle, and following survey edits or quality improvement activities. The Project Team will provide technical assistance to the Participating State on all steps of program implementation. In addition, the Project Team provides management of the Participating State’s data, analysis and reporting as described below.

Project Team Responsibilities:

During the SoTW-AD Survey Year, the Project Team will provide the following to the Participating State:

ADvancing States www.advancingstates.org

Project Direction and Management: The Project Team provides general oversight and management of survey activities. The Project Team will consult and collaborate with Participating State agency partners on project operations, content focus, data and product development, research, and other related activities. Project management activities include:

• Reviewing and updating of the SoTW-AD Survey, as needed, and providing the current survey instrument to the Participating State;

• Developing project guidelines as needed for the Participating State;

• Preparing the state portal for data entry;

• Conducting periodic check-ins with the Participating State on status of data collection;

• Hosting a monthly cohort-collaborative-learning meeting for Participating States;

• Developing and monitoring project timelines and goals;

• Furnishing project data files to the Participating State as available and requested;

• Maintaining a data warehouse for all project data; and

• Developing and disseminating a national report on survey findings.

Data Analysis, Management, and Reporting: The Project Team prepares, distributes, and publishes a draft and final National SoTW-AD report. The Project Team may also work with Participating State staff to examine implications, consider use of state data, and collaborate on state and national publications and research opportunities. Specific activities include:

• Tracking and reviewing the State’s raw data for completeness and validity;

• Cleaning, formatting and recoding states’ raw data to ensure consistency and prepare for analysis;

• Merging individual state data files into aggregate files;

• Conducting descriptive and inferential analyses; and

• Testing for significant differences, when appropriate.

• Developing and distributing a draft National report to states for comment and incorporating feedback; and

• Finalizing and publishing a national report on the NCI-AD website.

The Participating State may request additional analyses of its SoTW-AD data to provide more detailed or focused information on system outcomes and performance, sub-state comparisons, correlations between select variables, etc. The scope, timeline, format and cost, if any, of such additional analyses and reports will be determined on a case-by-case basis (see “Other Support”).

ADvancing States www.advancingstates.org

Participating State Responsibilities:

Project Planning and Survey Implementation: The Participating State will provide feedback on, implement the SoTW-AD project, and provide input on future survey protocols and revisions.

The State is responsible for electronic distribution of surveys following the Project Team’s guidelines. There is no maximum number of completed surveys. States should aim to gather a number of surveys that reaches the 5% margin of error and 95% confidence level based on the total survey sample frame in the state. State responsibilities include:

• Internal project planning, to be carried out in consultation with the Project Team;

• Participating in technical assistance calls (may be completed as a cohort-collaborative learning group) with the Project Team to discuss program planning, implementation, and progress;

• Determining the state sample frame by defining the total population of provider agencies that are eligible for the survey. This will be based on guidelines produced by the Project Team in collaboration with the steering committee.

• Collecting provider e-mail addresses, providing education to providers on survey, and disseminating the electronic survey to providers through the state portal;

• Participate in steering committee meetings;

• Distributing surveys in accordance with the State’s pre-determined strategy;

• Monitor completion of surveys;

• Informing the Project Team of any changes in contact information for contacts at the state level as well as any updates or revisions to the state’s work plans, timelines, or data collection processes;

• Developing and providing state-specific training components and corresponding materials as needed;

• Working with aging and disability provider stakeholder groups to inform, educate and prepare them for the rollout of SoTW-AD in their state;

• Designating a point of contact or process for addressing questions from individuals about participating in the SoTW-AD survey;

• Follow up with providers to complete surveys, and ensure surveying is completed by due date, notifying Project Team when surveying is complete.

Reporting, Analysis, and Research: The Participating State will review and assist the Project Team with finalizing a national report as specified in the bullets below. In addition, the Participating State may be asked to provide input on project-related research and analysis.

State responsibilities include:

• Working with the Project Team to review its submitted data and, if needed, correct any issues identified;

ADvancing States www.advancingstates.org

• Reviewing a draft national report for accuracy and providing comments and feedback to the Project Team within 2 weeks of receiving the draft report;

• Consenting to have the State’s aggregate-level data become publicly available via published reports, data briefs, presentations, spotlights, or other means of the Project Teams work, on the NCI-AD website and be able to utilize summary findings in project-related presentations;

• Providing input on miscellaneous research activities and research requests that would involve analysis of the State’s individual-level data, as needed.

SoTW-AD Program Materials and Data Publication: The Participating State agrees all proprietary SoTW-AD materials, project manuals, newsletters, bulletins, publications, training materials, etc. provided to the State should only be used by the Participating State according to the terms of this Agreement.

Unless otherwise requested by the Participating State and as mutually agreed to by all parties, the Participating State agrees ADvancing States and HSRI may use the data collected in connection with the SoTW-AD survey for public reporting, including publishing reports with aggregate data on NCI-AD’s website, and for research that may result in presentations, topical data briefs and peer-reviewed articles also containing aggregate data. The Participating State also agrees that ADvancing States and HSRI may occasionally grant access to de-identified SoTW-AD data to other researchers who request it for the purposes of academic research. All such requests, along with the study plans and research goals, will be recorded and evaluated by the project team. The project team will provide the necessary data support to all approved studies and any data provided will be multi-state and stripped of state identifiers. As a condition of access, researchers will not be able to conduct state-level analyses and/or will agree not to identify individual states by name in any published work. No requests that deviate from the full de-identification condition (e.g. a request to include a state identifier) will be granted without the Participating State’s explicit permission.

Other Support:

The Participating State may request additional reports and/or analyses of its SoTW-AD data.

The Project Team will use good faith efforts to accommodate the Participating State’s request, provided the additional services do not interfere with or delay completion of the regular project tasks described in this Agreement. Additional charges may apply based on the timelines and scope of work involved and will be estimated by the Project Team upon receiving the State’s request.

ADvancing States www.advancingstates.org

The parties agree to participate in the SoTW-AD Program as described by this Agreement and Scope of Work.

Participating State:

Authorized Official (Name and Title):

Signature: Date:

Agreed: ADvancing States

Authorized Official (Name and Title): Martha A. Roherty, Executive Director, ADvancing States

Signature: Date: July 1, 2025

ADvancing States www.advancingstates.org 1

State of the Workforce – Aging and Disabilities

Memorandum

To: State Aging and Disability Procurement Directors

From: ADvancing States

Re: Sole Source Justification, State of the Workforce - Aging and Disabilities

Date: October

Background

ADvancing States’ National Core Indicators—Aging and Disabilities® portfolio grown to include the State of the Workforce - Aging and Physical Disabilities (SoTW-AD) survey tool. The initiative is available ONLY to ADvancing States members that participate in NCI-AD, through the project period of Dec. 31, 202 .

Focused on providers who serve older adults and people with physical disabilities, the survey will collect valid and reliable provider-reported data about the status of the participating states’ direct service workers (DSWs). The project is a collaborative effort between ADvancing States, Human Services Research Institute (HSRI), and the participating states. Lessons learned from the pilot year have been applied to launch the survey, only available to NCI-AD states in 202

The NCI-AD Project Team, comprised of key staff from ADvancing States and HSRI, provide program management and direction to the Participating State. This includes survey development, training as needed, data management, and analysis services. The project team also prepares a detailed report containing aggregated data from each participating state. The NCI-AD Project Team works closely with state staff throughout the program to provide individualized, collaborative guidance and project management, and technical assistance.

The SoTW-AD is based on the Staff Stability Survey, first launched by NCI-IDD in 2014 and developed in partnership between National Association of State Directors of Developmental Disabilities Services (NASDDDS) and HSRI. The NCI-IDD Staff Stability Survey examines the stability and quality of the direct support professional (DSP) workforce supporting adults with intellectual and developmental disabilities in participating states. The SoTW-AD project grew out of a desire from states and increased interest from the federal government for a reliable tool to capture state- and national-level data regarding the stability and quality of the workforce supporting older adults and people with physical disabilities. There is no other standardized national survey tool for use by states to collect benchmark data on DSWs in publicly funded Medicaid, disability, and Aging programs.

As a part of the NCI-AD portfolio, the data stewards and survey administrators have expertise on collecting and maintaining valid and reliable data to help states gain insight as to how their publicly funded LTSS impact quality of life and outcomes for consumers. The NCI-AD portfolio and tools are the

ADvancing States www.advancingstates.org 2

State of the Workforce – Aging and Disabilities only tools that can be used to survey both Medicaid and non-Medicaid provider populations, including those served by the Older Americans Act, or served by state funded programs. States are encouraged to use this data for overall quality improvement efforts and to identify service needs and gaps, and long-range workforce planning.

The State of the Workforce Surveys are unique and timely tools for states to assess the status, turnover, pay data, and other pertinent data points related to DSPs and DSWs. Critical areas of concern about state DSPs and DSW workforce will be collected directly from the source of the information, providers. It is anticipated that participating states will utilize the data for various purposes, including: workforce initiatives, government partnerships, creating a baseline dataset for future analysis, budget projections, policy planning, stakeholder engagement, and quality assurance. ADvancing States, as the membership association for Aging, Disability, and Medicaid agencies, is uniquely situated to advise states on these areas. After surveys are completed, raw data will be available to pilot states and the collected data will be utilized for a national report.

As an ADvancing States member that participates in NCI-AD, has the opportunity to participate in this unique and valuable national survey that is only available through ADvancing States.

Form W-9 (Rev. March 2024)

Request for Taxpayer Identification Number and Certification

Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information.

Give form to the requester. Do not send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

P ri n t o r ty p e

S ee

S p ec if ic In st ru ct io n s on p ag e

3.

1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)

2 Business name/disregarded entity name, if different from above.

3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor C corporation S corporation Partnership Trust/estate

LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.

Other (see instructions)

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions

4 Exemptions (codes apply only to certain entities, not individuals;

see instructions on page 3):

Exempt payee code (if any)

Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)

(Applies to accounts maintained outside the United States.)

5 Address (number, street, and apt. or suite no.). See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number or

Employer identification number

Part II Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and divid , later.

Sign Here

Signature of

U.S. person

General Instructions Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification.

New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they

Cat. No. 10231X Form W-9 (Rev. 3-2024) vid uctions N to this form A flow t

ADvancing States, Inc.

✔ Non-Profit Corporation

241 18th Street S, Ste 403

Arlington, VA 22202

Form W-9 (Rev. 3-2024) Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid).

• Form 1099-DIV (dividends, including those from stocks or mutual funds).

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds).

• Form 1099-NEC (nonemployee compensation).

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers).

• Form 1099-S (proceeds from real estate transactions).

• Form 1099-K (merchant card and third-party network transactions).

• Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition).

• Form 1099-C (canceled debt).

• Form 1099-A (acquisition or abandonment of secured property).

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued);

2. Certify that you are not subject to backup withholding; or

3. Claim exemption from backup withholding if you are a U.S. exempt payee; and

4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and

5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you…