Research
Triangle Institute


RTI
International, Global Supply Chain


PO
Box 12194, 3040 Cornwallis Road


Research
Triangle Park, NC 27709-2194


 


Master
Service Agreement Number 888-12-16-09


Subcontract
Number 8-312-0214131-52812


 





	Subcontractor
                                         Information

        Precision
        Opinion, Inc.

        101
        Convention Center Drive, Plaza 124

        101
        Convention Center Drive, Plaza 124

        Las
        Vegas, Nevada 89109 United States
	Subcontract
                                         Information

         

        Subcontract
        Amount           $559,728

         

        

        Funded
        Amount                   $275,610

         

        

        Period
        of Performance          02/06/17 - 09/30/18

        

         

        Subcontract
        Type                 Fixed Price

         

        Purchase
        Order Number       52812

         

        Taxpayer
        ID Number             26-0534872

         

	Subcontractor
                                         Size and Socio-Economic status:

                                                                     

                                                                     If
                                         a Small Business**, check  ALL that  apply and enter appropriate NAICS
                                         Number*, NAICS:___________ 

	[  ]
                                           Small Business Concern (SB)

        [  ]
          Small Disadvantaged Business. [Including Black-, Asian Pacific-, Subcontinent Asian·, Native-, Hispanic
        American-owned SBs or active 8(a)]

        [  ]
          Woman-Owned SB
	[  ]
                                           Veteran-Owned SB

        [  ]
          Service-Disabled Veteran-Owned SB

        [  ]
          HUBZone (Historically Underutilized Business Zone) certified SB

        [  ]
          Alaska Native Corporation Indian Tribe

	If
                                         not a Small Business, check one.

                                                                      

        [X]
        Large [  ] Non-Profit [  ] Foreign/Other(Including Govt) [  ] HBCU/MI***

         

        *North
        American Industry Classification System (NAICS) online search: www.census.ooy/eos/www/na1cs. **Small Business definitions
        and size standards are available in the Federal Acquisition Regulation 52,219·8 and 13 CFR Part 121; HUBZone SB
        must be certified by SBA (www.sam.gpy and www.sba.gov/size). Under 15 U.S.C. 645(d), any person who misrepresents
        Its size status shall (1) be punished by a fine, imprisonment, or both; (2) be subject to administrative remedies; and
        (3) be ineligible
        for participation in programs conducted under the authority of the Small Business Act. **** Historically Black Colleges
        and University (HBCU} or Minority Institutions (Ml).
	 

                                                          

                                                          

                                                         

                                                         

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                         Prime
                                         Contract Info:

         

        State
        of NY Contract C028511

         

        2017
        -2018 New York State Quarterly Tobacco Study - ATS

         

        CFDA
        Number (if applicable)

	 	 	 








	This Subcontract is
    between Research Triangle Institute, under the trade name RTI International (hereinafter referred to as RTI), a nonprofit
    organization, and Precision Opinion, Inc., acting as an independent contractor and not as an agent of RTI, (referred to throughout
    as “Subcontractor’’). Subcontractor agrees to deliver all items and perform all services In accordance with the following
    Subcontract Appendices:









	 	●	Appendix
    A: Special Contract Requirements
	 	●	Appendix
    B: Prime Agreement Flowdown Provisions
	 	●	Appendix
    C: Statement of Work/Budget
	 	●	Appendix
    D: Invoice Summary Template





	This
    Subcontract embodies the entire agreement between RTI and Subcontractor and supersedes all other agreements either written
    or oral. Officials signing this Subcontract certify that they have legal authority to enter into binding agreements on behalf
    of their organizations.
	 









	Subcontractor
    Contractual Personnel;	RTI Contractual
    Personnel;
	Bruce
    Baum	702/483-4000	Abbey
    Boggs	919-316-3141
	 	 	 	 
	Project
    Manager;	 	Project
    Manager;	 
	Guthrie
    Rebel	702/483-4000	Dr
    Matthew Farrelly	919-541-6852
	Signature:	/s/
    Bruce Baum	Signature:	 
	Typed
    Name:	Bruce
    Baum	Typed
    Name:	Abbey
    Boggs
	Title:	COO/CFO	Title:	Supply
    Chain Specialist
	Date:	2/17/17	Date:	 


 




    	 Page 1 of 16



     


    

 


Table
of Contents


 








	Appendix
    A: Special Contract Requirements (SCRs)	3
	SCR
    1      Type of Subcontract/Funding 	3
	SCR
    2      Payment Schedule	3
	SCR
    3      Period of performance	5
	SCR
    4      Designation of Contractual Representatives	5
	SCR
    5      Key Personnel	5
	SCR
    6      Additional Invoice Instructions 	5
	SCR
    7      Equal Opportunity Compliance	5
	Appendix
    B: Prime Agreement Flowdown Provisions	6
	Appendix
    Statement of Work/Budget	9
	Appendix
    D: Invoice summary Template	15







 



    	 Page 2 of 16



     


    

 


Appendix
A: Special Contract Requirements (SCRs)


 


SCR
1. Type of subcontract/Funding


 


This
is a Firm Fixed Price Subcontract in the amount of $559,728.00, for the completion of all the work requirements found in
Appendix D, Statement of Work/Budget. Upon completion and RTI acceptance of the work specified herein, the Subcontractor will
submit lnvoice(s) in accordance with the Payment Schedule set forth below. In addition to any other available remedies, if, in
the opinion of RTI, Subcontractor fails to perform in accordance with the terms of this Subcontract, the RTI Subcontract Administrator
may refuse or limit approval of any invoices for payment, and may cause payments to Subcontractor to be reduced or withheld until
such time as RTI determines that Subcontractor has met the performance terms as established by the Subcontract.


 


SCR
2. Payment Schedule


 


The
Subcontractor shall provide the services/supplies set forth in Appendix D, Statement of Work, and will invoice RTI in accordance
with the following Payment Schedule:


 


	Deliverables	 	Charge
    Code	 	Amount	 	Date
	Task1Q2ATS
                                         2017
 Landline:
                                         Launch & First
 33%
                                         of Data Collection
	 	 	0214131.000.004.007.001	 	 	$	9,698.53	 	 	 	4/28/2017	 
	Task1
                                         Q2ATS
                                         2017
 Landline:
                                         Second 33% of
 Data
                                         Collection
	 	 	0214131.000.004.007.001	 	 	$	9,698.53	 	 	 	5/31/2017	 
	Task1
                                         Q2ATS
                                         2017
 Landline:
                                         Final 34% of Data
 Collection
                                         & Data Delivery
	 	 	0214131.000.004.007.001	 	 	$	9,992.44	 	 	 	6/30/2017	 
	Task
                                         1 Q2 ATS 2017 Cell:
 Launch
                                         & First 33% of Data Collection
	 	 	0214131.000.004.007.001	 	 	$	18,011.57	 	 	 	4/28/2017	 
	Task
    1 Q2 ATS 2017 Cell: 
Second33%ofData
    Collection	 	 	0214131.000.004.007.001	 	 	$	18,011.57	 	 	 	5/31/2017	 
	Task
                                         1 Q2 ATS 2017 Cell:
 Final
                                         34% of Data Collection
 &
                                         Data Delivery
	 	 	0214131.000.004.007.001	 	 	$	18,557.36	 	 	 	6/30/2017	 
	Task
                                         1 Q2 ATS 2017: ABS
 Samplecall-inData
                                         Collection & Data Delivery
	 	 	0214131.000.004.007.001	 	 	$	10,300	 	 	 	6/30/2017	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Task1Q3ATS
                                         2017
 Landline:
                                         Launch & First
 33%
                                         of Data Collection
	 	 	0214131.000.005.007.001	 	 	$	9,282.74	 	 	 	7/31/2017	 
	Task1Q3ATS
                                 2017
 Landline:
                                         Second 33% of
 Data
                                         Collection
	 	 	0214131.000.005.007.001	 	 	$	9,282.74	 	 	 	8/31/2017	 
	Task1Q3ATS
                                         2017
 Landline:
                                         Final 34% of Data Collection & Data Delivery
	 	 	0214131.000.005.007.001	 	 	$	9,564.02	 	 	 	9/29/2017	 
	Task
                                         1 Q3 ATS 2017 Cell:
 Launch
                                         & First 33% of Data Collection
	 	 	0214131.000.005.007.001	 	 	$	17,239.37	 	 	 	7/31/2017	 
	Task
                                 1 Q3 ATS 2017 Cell:
 Second33%ofData
                                         Collection
	 	 	0214131.000.005.007.001	 	 	$	17,239.37	 	 	 	8/31/2017	 
	Task
                                 1 Q3 ATS 2017 Cell: Final 34% of Data Collection
 &
                                         Data Delivery
	 	 	0214131.000.005.007.001	 	 	$	17,761.76	 	 	 	9/29/2017	 
	Task 1
    Q3 ATS 2017: ABS 
Samplecall-inData
    Collection & Data Delivery	 	 	0214131.000.005.007.001	 	 	$	10,300	 	 	 	9/29/2017	 
	Contract
    Year 4 Subtotal (Quarters 2-3)	 	 	 	 	 	$	184,940	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Task1Q4ATS
    2017 
Landline: Launch &
    First 
33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,282.74	 	 	 	10/31/2017	 
	Task1Q4ATS
                                 2017
 Landline:
                                         Second 33% of
 Data
                                         Collection
	 	 	0214131.000.005.007.001	 	 	$	9,282.74	 	 	 	11/30/2017	 
	Task1
                                 Q4ATS 2017
 Landline:
                                         Final 34% of Data
 Collection
                                         & Data Delivery
	 	 	0214131.000.005.007.001	 	 	$	9,564.02	 	 	 	12/31/2017	 
	Task 1 Q4 ATS 2017
    Cell: Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	17,239.37	 	 	 	10/31/2017	 
	Task 1 Q4 ATS 2017
    Cell: 
Second33%ofData
    Collection	 	 	0214131.000.005.007.001	 	 	$	17,239.37	 	 	 	11/30/2017	 
	Task 1 Q4 ATS 2017
Cell: 
Final 34% of Data Collection 
&
Data Delivery	 	 	0214131.000.005.007.001	 	 	$	17,761.76	 	 	 	12/29/2017	 
	Task 1 Q4 ATS 2017:
ABS 
Samplecall-inData Collection
& Data Delivery	 	 	0214131.000.005.007.001	 	 	$	10,300	 	 	 	12/29/2017	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Overall
    Year 4 Budget Amount (Quarters 2-4)	 	 		 	 	$	275
                                         610	 	 	 	 	 



 



    	 Page 3 of 16



     


    




 


	Deliverables	 	Charge
    Code	 	Amount	 	Date
	Task1QlATS
    2018 
Landline: Launch &
    First 
33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	1/31/2018	 
	Task1QlATS
    2018 
Landline: Second 33%
    of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	2/28/2018	 
	Task1QlATS
                                 2018
 Landline:
                                         Final 34% of Data
 Collection
                                         & Data Delivery
	 	 	0214131.000.005.007.001	 	 	$	9,972.90	 	 	 	3/30/2018	 
	Task 1 Ql ATS 2018
    Cell: 
Launch & First
    33% of Data 
Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	1/31/2018	 
	Task 1 Ql ATS 2018
    Cell: 
Second33%ofData
    Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	2/28/2018	 
	Task 1 Ql ATS 2018
    Cell: 
Anal 34% of Data Collection
    
& Data Delivery	 	 	0214131.000.005.007.001	 	 	$	18,521.12	 	 	 	3/30/2018	 
	Task 1 Ql ATS 2018:
    ABS 
Samplecall-inData
    Collection & Data Delivery	 	 	0214131.000.005.007.001	 	 	$	10,900	 	 	 	3/30/2018	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Task1Q2ATS
    2018 
Landline: Launch &
    First 
33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	4/30/2018	 
	Task 1Q2ATS
    2018 
Landline: Second 33%
    of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	5/31/2018	 
	Task1Q2ATS
    2018 
Landline: Final 34%
    of Data 
Collection & Data Delivery	 	 	0214131.000.005.007.001	 	 	$	9,972.90	 	 	 	6/29/2018	 
	Task 1 Q2 ATS 2018
    Cell: Launch & First 33% of Data 
Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	4/30/2018	 
	Task 1 Q2 ATS 2018
    Cell: Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	5/31/2018	 
	Task 1 Q2 ATS 2018
    Cell: 
Final 34% of Data
    Collection 
& Data Delivery	 	 	0214131.000.005.007.001	 	 	$	18,521.12	 	 	 	6/29/2018	 
	Task 1 Q2 ATS 2018:
    ABS 
Samplecall-inData
    Collection & Data Delivery	 	 	0214131.000.005.007.001	 		$	10,900	 	 		6/29/2018
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Task1Q3ATS2018
    
Landline: Launch & First
    
33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	7/31/2018	 
	Task1Q3ATS2018
    
Landline: Second 33% of
    
Data Collection	 	 	0214131.000.005.007.001	 	 	$	9,679.60	 	 	 	8/31/2018	 
	Task1Q3ATS2018
    
Landline: Final 34% of Data
    Collection & Data Delivery	 	 	0214131.000.005.007.001	 	 	$	9,972.90	 	 	 	9/28/2018	 
	Task 1 Q3 ATS 2018
    Cell: 
Launch & First
    33% of Data Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	7/31/2018	 
	Task 1 Q3 ATS 2018
    Cell: 
Second33%ofData
    Collection	 	 	0214131.000.005.007.001	 	 	$	17,976.39	 	 	 	8/31/2018	 
	Task 1 Q3 ATS 2018
    Cell: 
Final 34% of Data
    Collection 
& Data Delivery	 	 	0214131.000.005.007.001	 	 	$	18,521.12	 	 	 	9/28/2018	 
	Task 1 Q3 ATS 2018:
    ABS 
Samplecall-inData
    Collection & Data Delivery	 	 	0214131.000.005.007.001	 	 	$	10,900	 	 	 	9/28/2018	 
	 	 	 	 	 	 	 	 	 	 	 	 	 
	Contract
    Year/Overall Year 5 Budget Amount (Quarters 1-3)	 	 	 	 	 	$	284,118	 	 	 	 	 



 



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SCR
3. Period of Performance


 


The
period of performance for this Subcontract shall begin on February 06, 2017 and continue through September 30, 2018
in accordance with the Appendix B, Standard Terms and Conditions and Appendix D, Statement of Work.


 


SCR
4. Designation of Contractual Representatives


 


	A.	Abbey
                                         Boggs is hereby designated as the RTI Subcontract Administrator and is the only one with
                                         the authority to direct changes under this Subcontract. All notices shall be in writing
                                         and addressed as follows:





 


	For RTI	For
                           subcontractor

         

	Abbey Boggs	Bruce Baum
	Global Supply Chain
    	Precision Opinion,
    Inc.
	SSES Subcontracts	101 Convention Center
    Drive Plaza 124
	RTI International	Las Vegas, Nevada 89109
    United States
	P.O. Box 12194	Phone: 702/483-4000
	Research Triangle Park,
    NC 27709-2194 	Email: bbaum@precisionopinion.com
	Phone: 919-316-3141	
	Email: aboggs@rti.org	


 


	B.	Toe RTI Principal
    Investigator/Project Manager assigned to this Subcontract Is Dr Matthew Farrelly.
	 	 
	C.	Invoices are to
    be submitted to RTI’s Accounts Payable Department via electronic mail at the following address: Accounting@rti.org.


 


SCR
5. Key Personnel


 


	A.	Mr. Guthrie Rebel
    is considered essential to the work being performed under this Subcontract. By mutual agreement, the list of key personnel
    may be amended from time to time during the course of this Subcontract to either add or delete key personnel as appropriate.
	 	 
	B.	During the first
    ninety (90) calendar days of performance, Subcontractor shall make no substitutions of key personnel unless the substitution
    is necessitated by illness, death, or termination of employment. Subcontractor shall notify the RTI Subcontract Administrator
    within ten (10) calendar days after the occurrence of any of these events and provide the information required by Paragraph
    C below. After the Initial ninety (90) calendar day period, Subcontractor shall submit the information required by Paragraph
    C to the RTI Subcontract Administrator at least ten (10) calendar days prior to making any permanent substitutions.
	 	 
	C.	Prior to diverting
    the above-named personnel to other programs, Subcontractor shall submit a justification (including the reason for the requested
    substitution and resumes of the proposed replacement key personnel) in sufficient detail to permit evaluation of the impact
    of the requested substitution on the program. Proposed substitutes should have comparable qualifications to those of the persons
    being replaced. The RTI Subcontract Administrator will notify Subcontractor of RTI’s decision about the substitutions within
    twenty (20) calendar days after receipt of all required information.


 


SCR
6. Additional Invoice Instructions


 


In
addition to the invoice instructions set forth in the above-mentioned Master Service Agreement, Subcontractor shall submit an
invoice summary page as incorporated herein with each invoice submission. Subcontractor may use its own invoice summary format
if such is substantially similar to the template provided in this Subcontract.


 


SCR
7. Equal Opportunity Compliance {Applicable to subcontracts funded via Federal contracts}


 


During
the performance of this Subcontract, Subcontractor agrees to comply with all Federal, state and local laws respecting
discrimination in employment and non-segregation of facilities including, but not limited to, applicable provisions of
Executive Order (herein “E.O.”) 11246, Rehabilitation Act of 1973, Vietnam Era Veterans’ Readjustment
Assistance Act of 1974, E.O. 13496 and respective regulations Including 41 CFR 60-1.4, 41 CFR 61-300.10, 29 CFR Part 471
Appendix A to Subpart A, 41 CFR 60-300.5       (Subcontractor and lower-tier
subcontractors and vendors shall abide by the requirements of 41 CFR 60—300.5(a) if if/when this Subcontract exceeds
$100,000. This regulation prohibits discrimination against qualified
protected veterans, and requires affirmative action by covered prime contractors, subcontractors, lower-tier subcontractors
and vendors to employ and advance In employment qualified protected veterans) and 41 CFR 60-741.5 (Subcontractor and
lower-tier subcontractors and vendors shall abide by the requirements of 41 CFR 60—741.5(a) if/when this Subcontract
exceeds $10,000. This regulation prohibits discrimination against qualified Individuals on the basis of disability, and
requires affirmative action by covered prime contractors, subcontractors, lower-tier subcontractors and vendors to employ and
advance in employment qualified individuals with disabilities.).


 


The
above-mentioned referenced regulations prohibit discrimination against qualified individuals based on their status as protected
veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion,
sex, or national origin. Moreover, these regulations require that covered prime contractors, subcontractors, lower-tier subcontractors
and vendors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex,
national origin, protected veteran status or disability.


 


These
equal opportunity clauses, and the employee notification clause, are hereby incorporated by reference.


 




    	 Page 5 of 16



     


    

 


Appendix
B: Prime Agreement Flowdown Provisions


 


The
following provisions included in this Appendix are contained In RTI’s prime agreement and shall be applicable to this Agreement.
Subcontractor agrees to flow down all provisions contained herein to any and all lower-tier subcontractors. In the event this
Appendix contains a Business Associate Provision, the term “Covered Entity” shall mean “RTI.”


 


The
following instances are exceptions to the general rules as provided above:


 


	 	1.	Where it is clear,
    by the context of the provision itself or the conditions under which it is being applied, that the reference is intended to
    specifically refer to Subcontractor, its officers or agents;
	 	 	 
	 	2.	Where access to
    proprietary financial information or other proprietary data is required


 


	 	1.	NON-DISCRIMINATION
    REQUIREMENTS


 


To
the extent required by Article 15 of the Executive Law (also known as the Human Rights Law) and all other New York State (“state”)
and Federal statutory and constitutional non-discrimination provisions, the Contractor will not discriminate against any employee
or applicant for employment because of race, creed, color, sex, national origin, sexual orientation, age, disability, genetic
predisposition or carrier status, or marital status. Furthermore, in accordance with Section 220-e of the Labor Law, if this is
a contract for the construction, alteration or repair of any public building or public work or for the manufacture, sale or distribution
of materials, equipment or supplies, and to the extent that this contract shall be performed within the State of New York, Contractor
agrees that neither it nor its subcontractors shall, by reason of race, creed, color, disability, sex, or national origin: (a)
discriminate in hiring against any New York State citizen who is qualified and available to perform the work; or (b) discriminate
against or intimidate any employee hired for the performance of work under this contract. If this is a building service contract
as defined in Section 230 of the Labor Law, then, in accordance with Section 239 thereof, Contractor agrees that neither it nor
its subcontractors shall by reason of race, creed, color, national origin, age, sex or disability: (a) discriminate in hiring
against any New York State citizen who is qualified and available to perform the work; or (b) discriminate against or intimidate
any employee hired for the performance of work under this contract. Contractor is subject to fines of $50.00 per person per day
for any violation of Section 220-e or Section 239 as well as possible termination of this contract and forfeiture of all moneys
due hereunder for a second or subsequent violation.


 


	 	2.	WAGE
    AND HOURS PROVISIONS


 


If
this is a public work contract covered by Article 8 of the Labor Law or a building service contract covered by Article 9
thereof, neither Contractor’s employees nor the employees of its subcontractors may be required or permitted to work
more than the number of hours or days stated in said statutes, except as otherwise provided in the Labor Law and as set forth
in prevailing wage and supplement schedules issued by the State Labor Department. Furthermore, Contractor and its
subcontractors must pay at least the prevailing wage rate and pay or provide the prevailing supplements, including the
premium rates for overtime pay, as determined by the State Labor Department in accordance with the Labor Law. Additionally,
effective April 28, 2008, if this is a public work contract covered by Article 8 of the Labor Law, the Contractor understands
and agrees that the filing of payrolls in a manner consistent with Subdivision 3-a of Section 220 of the Labor Law shall be a
condition precedent to payment by the State of any State approved sums due and owing for work done upon the
project.


 


	 	3.	INTERNATIONAL
    BOYCOTT PROHIBITION


 


In
accordance with Section 220-f of the Labor Law and Section 39-h of the State Finance Law, if this contract exceeds $5,000, the
Contractor agrees, as a material condition of the contract, that neither the Contractor nor any substantially owned or affiliated
person, firm, partnership or corporation has participated, is participating, or shall participate in an international boycott
in violation of the federal Export Administration Act of 1979 (SO USC App. Sections 2401 et seq.) or regulations thereunder. If
such Contractor, or any of the aforesaid affiliates of Contractor, is convicted or is otherwise found to have violated said laws
or regulations upon the final determination of the United States Commerce Department or any other appropriate agency of the United
States subsequent to the contract’s execution, such contract, amendment or modification thereto shall be rendered forfeit and
void. The Contractor shall so notify the State Comptroller within five (5) business days of such conviction, determination or
disposition of appeal (2NYCRR 105.4).


 



    	 Page 6 of 16



     


    




 


	 	4.	RECORDS


 


The
Contractor shall establish and maintain complete and accurate books, records, documents, accounts and other evidence directly
pertinent to performance under this contract (hereinafter, collectively, “the Records”). The Records must be kept for
the balance of the calendar year in which they were made and for six (6) additional years thereafter. The State Comptroller, the
Attorney General and any other person or entity authorized to conduct an examination, as well as the agency or agencies involved
in this contract, shall have access to the Records during normal business hours at an office of the Contractor within the State
of New York or, if no such office is available, at a mutually agreeable and reasonable venue within the State, for the term specified
above for the purposes of inspection, auditing and copying. The State shall take reasonable steps to protect from public disclosure
any of the Records which are exempt from disclosure under Section 87 of the Public Officers Law (the “Statute”) provided
that: (i) the Contractor shall timely inform an appropriate State official, in writing, that said records should not be disclosed;
and (ii) said records shall be sufficiently Identified; and (iii) designation of said records as exempt under the Statute is reasonable.
Nothing contained herein shall diminish, or in any way adversely affect, the State’s right to discovery in any pending or future
litigation.


 


	 	5.	EQUAL
    EMPLOYMENT OPPORTUNITIES FOR MINORITIES AND WOMEN


 


In
accordance with Section 312 of the Executive Law and 5 NYCRR 143, if this contract is: (i) a written agreement or purchase order
instrument, providing for a total expenditure in excess of $25,000.00, whereby a contracting agency is committed to expend or
does expend funds in return for labor, services, supplies, equipment, materials or any combination of the foregoing, to be performed
for, or rendered or furnished to the contracting agency; or (ii) a written agreement in excess of $100,000.00 whereby a contracting
agency is committed to expend or does expend funds for the acquisition, construction, demolition, replacement, major repair or
renovation of real property and improvements thereon; or (iii) a written agreement In excess of $100,000.00 whereby the owner
of a State assisted housing project is committed to expend or does expend funds for the acquisition, construction, demolition,
replacement, major repair or renovation of real property and improvements thereon for such project, then the following shall apply
and by signing this agreement the Contractor certifies and affirms that it is Contractor’s equal employment opportunity policy
that: (a) The Contractor will not discriminate against employees or applicants for employment because of race, creed, color, national
origin, sex, age, disability or marital status, shall make and document its conscientious and active efforts to employ and utilize
minority group members and women in its work force on State contracts and will undertake or continue existing programs of affirmative
action to ensure that minority group members and women are afforded equal employment opportunities without discrimination. Affirmative
action shall mean recruitment, employment, job assignment, promotion, upgradings, demotion, transfer, layoff, or termination
and rates of pay or other forms of compensation; (b) at the request of the contracting agency, the Contractor shall request each
employment agency, labor union, or authorized representative of workers with which it has a collective bargaining or other agreement
or understanding, to furnish a written statement that such employment agency, labor union or representative will not discriminate
on the basis of race, creed, color, national origin, sex, age, disability or marital status and that such union or representative
will affirmatively cooperate in the implementation of the Contractor’s obligations herein; and (c) the Contractor shall
state, in all solicitations or advertisements for employees, that, in the performance of the State contract, all qualified applicants
will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age,
disability or marital status. Contractor will Include the provisions of “a”, “b”, and “c” above,
in every subcontract over $25,000.00 for the construction, demolition, replacement, major repair, renovation, planning or design
of real property and improvements thereon (the “Work”) except where the Work Is for the beneficial use of the Contractor.
Section 312 does not apply to: (i) work, goods or services unrelated to this contract; or (ii) employment outside New York State.
The State shall consider compliance by a contractor or subcontractor with the requirements of any federal Jaw concerning equal
employment opportunity which effectuates the purpose of this section. The contracting agency shall determine whether the Imposition
of the requirements of the provisions hereof duplicate or conflict with any such federal law and if such duplication or conflict
exists, the contracting agency shall waive the applicability of Section 312 to the extent of such duplication or conflict. Contractor
will comply with all duly promulgated and lawful rules and regulations of the Department of Economic Development’s Division of
Minority and Women’s Business Development pertaining hereto.


 


	 	6.	PROHIBITION
    ON PURCHASE OF TROPICAL HARDWOODS


 


The
Contractor certifies and warrants that all wood products to be used under this contract award will be in accordance with, but
not limited to, the specifications and provisions of Section 165 of the State Finance Law, (Use of Tropical Hardwoods) which prohibits
purchase and use of tropical hardwoods, unless specifically exempted, by the State or any governmental agency or political subdivision
or public benefit corporation. Qualification for an exemption under this law will be the responsibility of the contractor to establish
to meet with the approval of the State.


 


	 	7.	PROCUREMENT
    LOBBYING


 


To
the extent this agreement is a “procurement contract” as defined by State Finance Law Sections 139-j and 139-k, by
signing this agreement the contractor certifies and affirms that all disclosures made in accordance with State Finance Law
Sections 139-j and 139-k are complete, true and accurate. In the event such certification is found to be intentionally false
or intentionally incomplete, the State may terminate the agreement by providing written notification to the Contractor in
accordance with the terms of the agreement.


 




    	 Page 7 of 16



     


    

 


	 	8.	CERTIFICATION
    OF REGISTRATION TO COLLECT SALES AND COMPENSATING USE TAX BY CERTAIN STATE CONTRACTORS, AFFILIATES AND SUBCONTRACTORS


 


To
the extent this agreement is a contract as defined by Tax Law Section 5-a, if the contractor fails to make the certification required
by Tax Law Section 5-a or if during the term of the contract, the Department of Taxation and Finance or the covered agency, as
defined by Tax Law 5-a, discovers that the certification, made under penalty of perjury, is false, then such failure to file or
false certification shall be a material breach of this contract and this contract may be terminated, by providing written notification
to the Contractor in accordance with the terms of the agreement, if the covered agency determines that such action is in the best
interest of the State.


 


	 	9.	NO
    SUBCONTRACTING


 


Subcontracting
by the contractor shall not be permitted except by prior written approval of the Department of Health, via the RTI Task Order
Administrator. All subcontracts shall contain provisions specifying that the work performed by the subcontractor must be in accordance
with the terms of included In this Contract, and that the subcontractor specifically agrees to be bound by the confidentiality
provisions set forth in this Contract.


 


	 	10.	CONFIDENTIALITY
    CLAUSES


 


A.
Any materials, articles, papers, etc., developed by the Contractor under or in the course of performing this Contract shall contain
the following, or similar acknowledgment: “Funded by the New York State Department of Health”. Any such materials must
be reviewed and approved by the State, via the RTI Task Order Administrator, for conformity with the policies and guidelines for
the New York State Department of Health prior to dissemination and/or publication. It is agreed that such review will be conducted
in an expeditious manner. Should the review result in any unresolved disagreements regarding content, the Contractor shall be
free to publish in scholarly journals along with a disclaimer that the views within the Article or the policies reflected are
not necessarily those of the New York State Department of Health. The Department reserves the right to disallow funding for any
educational materials not approved through its review process.


 


B.
Any publishable or otherwise reproducible material developed under or in the course of performing this Contract, dealing with
any aspect of performance under this Contract, or of the results and accomplishments attained in such performance, shall be the
sole and exclusive property of the State, and shall not be published or otherwise disseminated by the Contractor to any other
party unless prior written approval is secured from the State or under circumstances as indicated in paragraph 1 above. Any and
all net proceeds obtained by the Contractor resulting from any such publication shall belong to and be paid over to the State.
The State shall have a perpetual royalty-free, nonexclusive and irrevocable right to reproduce, publish or otherwise use, and
to authorize others to use, any such material for governmental purposes.


 


C.
No report, document or other data produced in whole or in part with the funds provided under this Contract may be copyrighted
by the Contractor or any of its employees, nor shall any notice of copyright be registered by the Contractor or any of its employees
in connection with any report, document or other data developed pursuant to this Contract.


 


D.
All reports, data sheets, documents, etc. generated under this contract shall be the sole and exclusive property of the Department
of Health. Upon completion or termination of this Contract, the Contractor shall deliver to the Department of Health upon its
demand all copies of materials relating to or pertaining to this Contract. The Contractor shall have no right to disclose or use
any of such material and documentation for any purpose whatsoever, without the prior written approval of the Department of Health
or Its authorized agents.


 


E.
The Contractor, its officers, agents and employees and subcontractors shall treat all information, which is obtained by it through
its performance under this Contract, as confidential information to the extent required by the laws and regulations of the United
States and laws and regulations of the State of New York.


 


		11.	PROVISIONS
                                         RELATED TO IRAN DIVESTMENT ACT



 


As
a result of the Iran Divestment Act of 2012 (Act), Chapter 1 of the 2012 Laws of New York, a provision has been added to
the State Finance Law (SFL), § 165-a, effective April 12, 2012. Under the Act, the Commissioner of the Office of
General Services (OGS) has developed a list (prohibited entities list) of “persons” who are engaged in
“investment activities in iran” (both are defined terms in the law). Pursuant to SFL § 165-a(3)(b), the
initial list has been posted on the OGS website at http://www.ogs.ny.goy/about/regs/docs/ListofEntities.pdf. By
entering into this Contract, Contract (or any assignee) certifies that it will not utilize on such Contract any subcontractor
that is identified on the prohibited entitles list. Additionally, Contractor agrees that should it seek to renew or extend
the Contract, it will be required to certify at the time the Contract is renewed or extended that it is not included on the
prohibited entitles list. Contractor also agrees that any proposed Assignee of the Contract will be required to certify that
it is not on the prohibited entitles list before the New York State Department of Health may approve a request for Assignment
of Contract. During the term of the Contract, should New York state Department of Health receive information that a person is
in violation of the above referenced certification, New York State Department of Health will offer the person an opportunity
to respond. If the person fails to demonstrate that it has ceased its engagement in the investment which is in violation of
the Act within 90 days after the determination of such violation, then New York State Department of Health shall take such
action as may be appropriate including, but not limited to, imposing sanctions, seeking compliance, recovering damages, or
declaring the Contractor in default. New York State Department of Health reserves the right to reject any request for
assignment for an entity that appears on the prohibited entitles list prior to the award of a contract, and to pursue a
responsibility review with respect to any entity that is awarded a contract and appears on the prohibited entities list after
contract award.


 




    	 Page 8 of 16



     


    

 


Appendix
C: Statement of Work/Budget


 


This
Scope of Work contains the work requirements for data collection on the 2017/2018 New York State Quarterly Tobacco Study - ATS.
The subcontractor will be responsible for all aspects of data collection, as detailed below.


 


2017/2018
data collection, will consist of 3 quarterly studies, per year in the State of New York.


 


	 	●	A dual frame RDD study of landlines and cell
    phones.
	 	●	263 land line and 487 cell phone interviews
    per quarter, with adults 18 plus years in the State of New York.
	 	●	Personnel overseeing the project through 2018
    - Glynis Kennedy, Senior Vice President of Client Services.


 


Scope
of Work:


 


The
tasks that the subcontractor would be required to perform are:


 


Work
with RTI to program and pre-test the CATI front-end, interview, and back-end scripts based on the final specifications provided
from RTI. The instrument will once again be designed to be completed using computer assisted telephone interviewing (CATI) methodology
only.


 


	 	●	Runs
    quarterly (data collection runs ~8-10 weeks)
	 	●	750
    completes/quarter: 487 cell completes, 263 landline completes
	 	●	RTI
    provides the sample. Landline sample members would receive a lead letter mailed by RTI
	 	●	Interviews
    conducted in both English/Spanish (RTI would provide Spanish translation of instrument)
	 	●	Respondents
receive a $10 incentive (RTI would send Incentives)
	 	●	Interview
    length: 20 to 25 minutes
	 	●	Would
    need dedicated toll-free line with capacity to handle inbound calls
	 	●	Outbound
    phone number must display a NY area code
	 	●	Recruit,
    train, supervise interviewing staff (RTI would provide project-specific training materials)
	 	●	AAPOR
    response rates of 20-30% expected for landline/cell samples
	 	●	Maintain
    calling procedures consistent with the Behavioral Risk Factor surveillance System (BRFSS) survey protocol. This includes making
    a minimum of 10 call attempts for all sampled landline phone numbers that have not been finalized. The calls will include
    at least one attempt during a weekend, one attempt during a weekday, and one attempt during a weeknight. Call attempts beyond
    10 should only be made when the call history indicates further attempts are likely to result in productive contact with an
    eligible housing unit. For cell phone numbers, cases will have up to 10 call attempts. If an appointment is generated for
    a case, an additional 10 attempts will be allowed to complete the case.
	 	●	Conduct
    approximately 80% of interviews during night/weekend hours, and the other 20% during weekday hours.
	 	●	Provide
    interviewer supervision and monitoring - general guideline is 15% of interviewing hours for supervision and 10% of
    interviewing     hours for monitoring
	 	●	Conduct
    refusal conversion efforts for sample members who initially decline participation
	 	●	Provide
    RTI with weekly production reports that include the disposition of all sampled cases and other key data collection results
	 	●	Provide
    preliminary SPSS data set after first 100 or so interviews completed, for quality checking purposes
	 	●	Provide
    incentive file every two weeks with names and addresses of survey participants eligible for incentive check
	 	●	Within
    two weeks of the completion of data collection, deliver a final cleaned SPSS data file. All CATI data, including preloaded
    sample data, front end screening data, and final sample dispositions must be Included. A codebook with all variable and value
    labels for all data elements must be included with the final data file.


 




    	 Page 9 of 16



     


    

 


During
the fielding of the ATS, an ATS online survey will be concurrently running (fielded at RTI). ABS sample is used for this online
survey and sample members will receive an invite via mail. In the third survey Invite sent, RTI will be offering sample members
the option to do the survey either online or by phone (via
call-in to Precision). Additional items needed to support
this effort:


 


	 	●	An additional 1-800
    number dedicated solely to this effort
	 	●	We estimate that
    at a maximum Precision would be completing 100 surveys with these participants. However, it is expected that Precision will
    receive a higher count of call-ins than 100
	 	●	The screener will
    be similar to the screener already programmed for the ATS, though with some changes. Enough changes are anticipated that a
    separate screener will need to be created for this effort. The next birthday method will be used for the selection procedure
	 	●	The main Instrument
    will be similar to the instrument already programmed for the ATS, though with some screen deletions at the end for collecting
    contact information and a change to the end screen.
	 	●	There is no incentive
    for the online survey, thus no incentive for this phone component.
	 	●	A sample file will
    not be provided for this study. Blank cases need to be set up. Call-ins will have a code which they give to the interviewer
    to enter in during the screener. This would be the unique identifier (in place of a phone number)
	 	●	In case we need
    to call people back (people leaving voicemail messages to participate after hours, break-off during interview, etc.), we are
    allowing up to 10 callbacks max. We can evaluate on a case by case basis further if we need to go beyond 10 to finish up the
    interview
	 	●	The usual case management
    system items like message attempts/call back attempt Information as well as call disposition codes will be collected
	 	●	This component will
    be delivered in a separate data file at the end of data collection


 




    	 Page 10 of 16



     


    

 


Milestone
Payment Schedule


Milestone Date % of contract Amount


 


	Deliverables	 	Charge
    Code	 	Amount	 	Date
	Task
                                                                                       1 Q2 ATS 2017 Landline:
 Launch & First 33% of Data Collection
	 	0214131.000.004.007.001	 	$	9,698.53	 	 	 	4/28/2017	 
	Task
    1     Q2 ATS 2017 
Landline:
    Second 33% of Data Collection	 	0214131.000.004.007.001	 	$	9,698.53	 	 	 	5/31/2017	 
	Task
    1 Q2 ATS 2017 Landline: 
 Final 34% of Data Collection & Data Delivery	 	0214131.000.004.007.001	 	$	9,992.44	 	 	 	6/30/2017	 
	Task
    1 Q2 ATS 2017 Cell: 
Launch
    & First 33% of Data Collection	 	0214131.000.004.007.001	 	$	18,011.57	 	 	 	4/28/2017	 
	Task
    1 Q2 ATS 2017 Cell:
 Second     33%
    of Data     Collection	 	0214131.000.004.007.001	 	$	18,011.57	 	 	 	5/31/2017	 
	Task
    1 Q2 ATS 2017 Cell: 
 Final 34% of Data
    Collection & Data Delivery	 	0214131.000.004.007.001	 	$	18,557.36	 	 	 	6/30/2017	 
	Task
    1 Q2 ATS 2017: ABS 
Sample
    Call-in     Data     Collection & Data Delivery	 	0214131.000.004.007.001	 	$	10,300	 	 	 	6/30/2017	 
	 	 	 	 	 	 	 	 	 	 	 
	Task
    1     Q3 ATS 2017 Landline:
 Launch &
    First     33% of Data Collection	 	0214131.000.005.007.001	 	$	9,282.74	 	 	 	7/31/2017	 
	Task
    1     Q3 ATS 2017 Landline: 
 Second 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,282.74	 	 	 	8/31/2017	 
	Task
                                                                           1                                          Q3 ATS 2017 Landline: 
 Final
                                                                           34% of Data Collection & Data Delivery
	 	0214131.000.005.007.001	 	$	9,564.02	 	 	 	9/29/2017	 
	Task
    1 Q3 ATS 2017 Cell: 
 Launch & First
    33% of Data Collection	 	0214131.000.005.007.001	 	$	17,239.37	 	 	 	7/31/2017	 
	Task
    1 Q3 ATS 2017 Cell: 
Second
    33% of Data     Collection	 	0214131.000.005.007.001	 	$	17,239.37	 	 	 	8/31/2017	 
	Task
    1 Q3 ATS 2017 Cell: 
Final 34% of Data
    Collection & Data Delivery	 	0214131.000.005.007.001	 	$	17,761.76	 	 	 	9/29/2017	 
	Task
    1 Q3 ATS 2017: 
 ABS Sample Call-in Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	10,300	 	 	 	9/29/2017	 
	Contract
    Year 4 Subtotal (Quarters 2-3)	 	 	 	$	184
                                         940	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	Task
    1 Q4 ATS     2017 Landline: 
 Launch
    & First 33%     of Data Collection	 	0214131.000.005.007.001	 	$	9,282.74	 	 	 	10/31/2017	 
	Task
    1     Q4 ATS 2017 Landline: 
 Second 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,282.74	 	 	 	11/30/2017	 
	Task
    1     Q4 ATS 2017 Landline: 
 Final 34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	9,564.02	 	 	 	12/31/2017	 
	Task
    1 Q4 ATS 2017 Cell: 
 Launch & First
    33% of Data Collection	 	0214131.000.005.007.001	 	$	17,239.37	 	 	 	10/31/2017	 
	Task
    1 Q4 ATS 2017 Cell: 
Second
    33% of Data     Collection	 	0214131.000.005.007.001	 	$	17,239.37	 	 	 	11/30/2017	 
	Task
1 Q4 ATS 2017 Cell: 

Final 34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	17,761.76	 	 	 	12/29/2017	 
	Task
    1 Q4 ATS 2017: 
 ABS Sample Call-in Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	10,300	 	 	 	12/29/2017	 
	 	 	 	 	 	 	 	 	 	 	 
	Overall
    Year 4 Budget Amount (Quarters 2-4)	 	 	 	$	275,610	 	 	 	 	 



 



    	 Page 11 of 16



     


    




 


	Deliverables	 	Charge
    Code	 	Amount	 	Date
	Task
    1 Q1 ATS 2018 Landline:
 Launch &
    First 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	1/31/2018	 
	Task
1 Q1 ATS 2018 Landline: 

Second 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	2/28/2018	 
	Task
1 Q1 ATS 2018 Landline: 

Final 34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	9,972.90	 	 	 	3/30/2018	 
	Task
    1 Q1 ATS 2018 Cell: 
Launch
    & First 33% of Data Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	1/31/2018	 
	Task
    1 Q1 ATS 2018 Cell: 
Second
    33% of Data     Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	2/28/2018	 
	Task
    1 Q1 ATS 2018 Cell: 
Final
    34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	18,521.12	 	 	 	3/30/2018	 
	Task
1 Q1 ATS 2018:

 ABS Sample Call-in Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	10,900	 	 	 	3/30/2018	 
	 	 	 	 	 	 	 	 	 	 	 
	Task
    1 Q2 ATS 2018 Landline: 
 Launch &
    First 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	4/30/2018	 
	Task
1 Q2 ATS 2018 Landline: 

Second 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	5/31/2018	 
	Task
    1 Q2 ATS 2018 Landline: 

Final 34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	9,972.90	 	 	 	6/29/2018	 
	Task
    1 Q2 ATS 2018 Cell: 
 Launch & First
    33% of Data Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	4/30/2018	 
	Task
    1 Q2 ATS 2018 Cell: 
Second
    33% of Data     Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	5/31/2018	 
	Task
    1 Q2 ATS 2018 Cell: 
Final 34% of Data
    Collection & Data Delivery	 	0214131.000.005.007.001	 	$	18,521.12	 	 	 	6/29/2018	 
	Task
    1 Q2 ATS 2018:
 ABS Sample Call-in Data
    Collection & Data Delivery	 	0214131.000.005.007.001	 	$	10,900	 	 	 	6/29/2018	 
	 	 	 	 	 	 	 	 	 	 	 
	Task
1 Q3 ATS 2018 Landline: 

Launch & First 33% of Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	7/31/2018	 
	Task
    1 Q3 ATS 2018 Landline: 
 Second 33% of
    Data Collection	 	0214131.000.005.007.001	 	$	9,679.60	 	 	 	8/31/2018	 
	Task
1 Q3 ATS 2018 Landline: 

Final 34% of Data Collection & Data Delivery	 	0214131.000.005.007.001	 	$	9,972.90	 	 	 	9/28/2018	 
	Task
    1 Q3 ATS 2018 Cell: 
Launch
    & First 33% of Data Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	7/31/2018	 
	Task
    1 Q3 ATS 2018 Cell: 
Second
    33% of Data     Collection	 	0214131.000.005.007.001	 	$	17,976.39	 	 	 	8/31/2018	 
	Task
    1 Q3 ATS 2018 Cell: 
Final 34% of Data
    Collection & Data Delivery	 	0214131.000.005.007.001	 	$	18,521.12	 	 	 	9/28/2018	 
	Task
    1 Q3 ATS 2018: ABS 
Sample
    Call-in Data     Collection & Data Delivery	 	0214131.000.005.007.001	 	$	10,900	 	 	 	9/28/2018	 
	 	 	 	 	 	 	 	 	 	 	 
	Contract
Year/Overall Year 5 Budget Amount

(Quarters 1-3 )
	 		 	$	284,118 	 	 	 	 	 



 



    	Page 12 of 16



     


    




 





	Task:	Tobacco
    Survey (2017)	 
	 	Adults
    18 Plus - New York State	 
	 	N=750                                
    N=263	 
	 	Landline
    - N=487 Mobile	 
	 	800
    Number Inbound Component	 
	 	Estimate
    N=100	 
	 	Quarterly
    Study (2, 3 & 4)	 






 





	Staff
	 	Project
    Title	 	Rate	 	Hours	 	Cost
	Labor	 	 	 	 	 	 	 	 
	Direct
    Labor	 	 	 	 	 	 	 	 
	Data
    Collection	 	Interview
    Phone	 	 	18.00	 	 	 	640	 	 	 	11,520	 
	Data
    Collection	 	Interview Mobile	 	 	18.00	 	 	 	2,180	 	 	 	39,240	 
	Data
    Collection	 	Monitor - Outbound &
    Inbound	 	 	15.00	 	 	 	367	 	 	 	5,499	 
	Data
    Collection	 	Supervisor	 	 	15.00	 	 	 	451	 	 	 	6,768	 
	Data
    Collection	 	Project Management	 	 	75.00	 	 	 	60	 	 	 	4,500	 
	Data
    Collection	 	Administration - Inbound
    Calls/800 Line	 	 	16.00	 	 	 	250	 	 	 	4,000	 
	Data
    Collection	 	Interview Phone Inbound	 	 	18.00	 	 	 	350	 	 	 	6,300	 
	Data
    Collection	 	Labor Burden	 	 	1.10	 	 	 	4,298	 	 	 	4,728	 
	Training	 	Interviewer	 	 	13.00	 	 	 	180	 	 	 	2,340	 
	Training	 	Supervisor	 	 	15.00	 	 	 	85	 	 	 	1,275	 
	Data
    Management	 	SPSS / ACSII / DAT Files
    / Out-Inbound Reports	 	 	75.00	 	 	 	45	 	 	 	3,375	 
	Data
    Management	 	Programming English     -
    Additional     Screener	 	 	75.00	 	 	 	45	 	 	 	3,375	 
	Data
    Management	 	Programming Spanish	 	 	75.00	 	 	 	18	 	 	 	1,350	 
	 	 		 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Subtotal Labor	 	 	 	 	 	 	4,298	 	 	 	94,270	 
	Fringe
    Benefits	 	0%	 	 	 	 	 	 	 	 	 	 	0	 
	 	 	Total Labor	 	 	 	 	 	 	4,298	 	 	 	94,270	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Subtotal
    Estimated Cost	 	 	 	 	 	 	 	 	 	 	 	 	94,270	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Total
    Estimated Cost	 	Q2	 	 	 	 	 	 	 	 	 	$	94,270	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Data
    Management	 	Quarterly Programming
    Revisions	 	 	75.00	 	 	 	15	 	 	 	1,125.00	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Cost for Quarters 3
    & 4,     Per Quarter	 	 	 	 	 	 	 	 	 	$	90,670	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Total Cost Per Year	 	 	 	 	 	 	 	 	 	$	275,610.00	 








 





 






    	Page 13 of 16



     


    

 


	Task:	Tobacco
    Survey (2018)	 
	 	Adults
    18 Plus - New York State	 
	 	N=750                                
    N=263	 
	 	Landline
    - N=487 Mobile	 
	 	800
    Number Inbound Component	 
	 	Estimate
    N=100	 
	 	Quarterly
    Study (1, 2 & 3)	 





 


	Staff
	 	Project
    Title	 	Rate	 	Hours	 	Cost
	Labor	 	 	 	 	 	 	 	 
	Direct
    Labor	 	 	 	 	 	 	 	 
	Data
    Collection	 	Interview
    Phone	 	 	18.00	 	 	 	680	 	 	 	12,240	 
	Data
    Collection	 	Interview Mobile	 	 	18.00	 	 	 	2,270	 	 	 	40,860	 
	Data
    Collection	 	Monitor - Outbound &
    Inbound	 	 	15.00	 	 	 	384	 	 	 	5,753	 
	Data
    Collection	 	Supervisor	 	 	15.00	 	 	 	472	 	 	 	7,080	 
	Data
    Collection	 	Project Management	 	 	75.00	 	 	 	62	 	 	 	4,650	 
	Data
    Collection	 	Administration - Inbound
    Calls/800 Line	 	 	16.00	 	 	 	265	 	 	 	4,240	 
	Data
    Collection	 	Interview Phone Inbound	 	 	18.00	 	 	 	370	 	 	 	6,660	 
	Data
    Collection	 	Labor Burden	 	 	1.10	 	 	 	4,503	 	 	 	4,953	 
	Training	 	Interviewer	 	 	13.00	 	 	 	192	 	 	 	2,496	 
	Training	 	Supervisor	 	 	15.00	 	 	 	85	 	 	 	1,275	 
	Data
    Management	 	SPSS / ACSII / DAT Files
    / Out-Inbound Reports	 	 	75.00	 	 	 	45	 	 	 	3,375	 
	Data
    Management	 	Programming - Quarterly
    Revisions	 	 	75.00	 	 	 	15	 	 	 	1,275	 
	 	 		 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Subtotal
    Labor	 	 	 	 	 	 	4,503	 	 	 	94,706	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Fringe
    Benefits	 	0%	 	 	 	 	 	 	 	 	 	 	0	 
	 	 	Total Labor	 	 	 	 	 	 	4,503	 	 	 	94,706	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Subtotal
    Estimated Cost	 	 	 	 	 	 	 	 	 	 	 	 	94,706	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Total
    Estimated Cost	 	Q1	 	 	 	 	 	 	 	 	 	$	94,706	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Cost for Quarters 2
    & 3, Per Quarter	 	 	 	 	 	 	 	 	 	$	94,670	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Total Cost Per Year	 	 	 	 	 	 	 	 	 	$	284,118.00	 





 





 



    	 Page 14 of 16



     


    




 


Appendix
E: Invoice Summary Template


 


INVOICE
SUMMARY


 


	Precision
    Opinion, Inc.	Date
    Prepared: 	 
	101
    Convention Center Drive, Plaza 124	Billing
    Period: 	 
	Las
    Vegas, Nevada 89109 United States	 	 
	Phone:
    702/483-4000	Invoice
    #: 	 
	 	Vendor
    #: 	041504






 


	RTI
    International	Subcontract
    #: 	8-312-0214131-52812
	ATTN: Accounts payable	Purchase
    Order #: 	52812
	P.O. Box 12106	Release
    #  	
	Research Triangle Park, NC 27709	Prime Contract
    #: 	C028511
	Phone:
    919-541-5877                 E-mail:
    accounting@rti.org	Contract
    Amount: 	$559,728.00
		Funded
    Amount: 	$275,610.00






 



    	 Page 15 of 16



     


    




 


Invoice
Summary


 


	Task # or Activity
    Name	 	RTl
    Task number	 	Amount
	Task 1 Q2 ATS 2017
    Landline: Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,698.53	 
	Task 1 Q2 ATS 2017
    Landline: Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,698.53	 
	Task 1 Q2 ATS 2017
    Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	9,992.44	 
	Task 1 Q2 ATS
    2017 Cell:     Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	18,011.57	 
	Task 1 Q2 ATS
    2017 Cell:     Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	
    18,011.57	 
	Task 1 Q2 ATS
    2017 Cell:     Final 34% of Data Collection  & Data Delivery	 	 	0214131.000.004.007.001	 	$	18,557.36	 
	Task 1 Q2 ATS 2017:
    ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	10,300.00	 
	 	 	 	 	 	 	 	 
	Task 1 Q3 ATS 2017
    Landline: Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,282.74	 
	Task 1 Q3 ATS 2017
    Landline: Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,282.74	 
	Task 1 Q3 ATS 2017
    Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	9,564.02	 
	Task 1 Q3 ATS 2017
    Cell: Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	17,239.37	 
	Task 1 Q3 ATS 2017
    Cell: Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	17,239.37	 
	Task 1 Q3 ATS 2017
    Cell: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	17,761.76	 
	Task 1 Q3 ATS 2017: ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	10,300.00	 
	 	 	 	 	 	 	 	 
	Task 1 Q4 ATS 2017
    Landline: Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,282.74	 
	Task 1 Q4 ATS 2017
    Landline: Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	9,282.74	 
	Task 1 Q4 ATS 2017
    Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	9,564.02	 
	Task 1 Q4 ATS 2017
    Cell: Launch & First 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	17,239.37	 
	Task 1 Q4 ATS 2017
    Cell: Second 33% of Data Collection	 	 	0214131.000.004.007.001	 	$	17,239.37	 
	Task 1 Q4 ATS 2017
    Cell: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	17,761.76	 
	Task 1 Q4 ATS 2017:
    ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.004.007.001	 	$	10,300.00	 
	 	 	 	 	 	 	 	 
	Task 1 Q1 ATS 2018
    Landline: Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q1 ATS 2018
    Landline: Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q1 ATS 2018
    Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	9,972.90	 
	Task 1 Q1 ATS
    2018 Cell: Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q1 ATS 2018
    Cell: Second 33% of Data Collection  	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q1 ATS 2018
    Cell: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	18,521.12	 
	Task 1 Q1 ATS 2018:
    ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	10,900.00	 
	 	 	 	 	 	 	 	 
	Task 1 Q2 ATS 2018
    Landline: Launch & First 33% of Data Collection 	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q2 ATS 2018
    Landline: Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q2 ATS 2018
Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	9,972.90	 
	Task 1 Q2 ATS 2018
    Cell:     Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q2 ATS 2018
    Cell: Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q2 ATS 2018
    Cell:     Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	18,521.12	 
	Task 1 Q2 ATS 2018:
    ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	10,900.00	 
	 	 	 	 	 	 	 	 
	Task 1 Q3 ATS 2018
    Landline: Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q3 ATS 2018
    Landline: Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	9,679.60	 
	Task 1 Q3 ATS 2018
    Landline: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	9,972.90	 
	Task 1 Q3 ATS 2018
    Cell:     Launch & First 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q3 ATS 2018
    Cell:     Second 33% of Data Collection	 	 	0214131.000.005.007.001	 	$	17,976.39	 
	Task 1 Q3 ATS 2018
    Cell: Final 34% of Data Collection & Data Delivery	 	 	0214131.000.005.007.001	 	$	18,521.12	 
	Task 1
    Q3 ATS 2018: ABS Sample Call-in Data Collection & Data Delivery	 	 	0214131.000.005.007.001

        
	 	$	10,900.00	 




 



    	 Page 16 of 16