Document:

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 8-312-0214739-52940L

 

	Subcontractor
    Information	 	Subcontract
    Information	 
	 	 	 	 
	Precision
    Opinion, Inc.	 	Subcontract
    Amount	$1,210,478
	101
    Convention Center Drive, Plaza 124	 	Funded
    Amount	$323,622
	101
    Convention Center Drive, Plaza 124	 	Period
    of Performance 	06/01/17
    - 02/28/20
	Las
    Vegas, Nevada 89109 United States	 	Subcontract
    Type 	Fixed
    Price
	 	 	Purchase
    Order Number 	52940L
	Subcontractor
    Size and Socio-Economic Status:	 	Taxpayer
    ID Number	26-0534872
	If
    a Small Business**, check ALL that apply:	 	 	 
	 	 	DPAS Rating:	
	 	 	Not
    Applicable	

	✓	Small
    Business Concern (SB)	 	□	Veteran-Owned
    SB	 	 	 
	□	Small
    Disadvantaged Business. [Including Black-, Asian Pacific-, Subcontinent Asian-, Native-, Hispanic American-owned SBs or active
    8(a)]	 	□	Service-Disabled
    Veteran-Owned SB	 	 	 
	□	Woman-Owned
    SB	 	□	HUBZone
    (Historically Underutilized Business Zone) certified SB	 	 	 
	 	 	 	□	Alaska
    Native Corporation and Indian Tribe	 	 	 

	If
                                         not a Small Business, check one.

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

 

Enter
the NAICS Code and Small Business Size Standard: 541910 ($15.0 million size standard)

	 	 
	 	 	 
	*North
                                         American Industry Classification System (NAICS) online search: www.census.gov/eos/www/naics.
                                         **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.gov
                                         and www.sba.gov/size). Under IS 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 (MI). 
	 	Prime
                                         Contract Info:

        State
        of Florida Contract COTGC

         

        Florida
        ATS  Phone

         

	 	 	 
	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 Contract Flow-Down Clauses

        ●
        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.

	In
    accepting this Subcontract, the Subcontractor certifies that neither it nor its principals are presently debarred, suspended,
    proposed for debarment, declared ineligible or voluntarily excluded from participation in this type of transaction by any
    Federal department or agency. Any change in the debarred or suspended status of the Subcontractor during the life of this
    Subcontract must be reported immediately to RTI. The Subcontractor agrees to incorporate the Debarment and Suspension certification
    into any lower-tier subcontract or Subcontract that they may enter into as a part of this Subcontract.

	Subcontractor
    Contractual Personnel:	 	RTI
    Contractual Personnel:
	 	 	 	 
	Guthrie
    Rebel	702/483-4000	 	Abbey
    Boggs	919-316-3141
	 	 	 	 	 
	Project
                                         Manager:

        Guthrie
        Rebel
	702/483-4000	 	Project
                                         Manager:

        Dr
        Matthew Farrelly
	919-541-6852
	Signature:		 	Signature:	 
	Typed
    Name:	GUTHRIE
REBEL	 	Typed
    Name:	 
	Title:	EVP	 	Title:	 
	Date:	 	 	Date:	 

 

    	 	Page 1	 

    	 	 	 

    

 

Appendix
A: Special Contract Requirements (SCRs)

 

SCR
1. Type of Subcontract/Funding

 

This
is a Firm Fixed Price Subcontract in the amount of $1,210,478, for the completion of all the work requirements found in Appendix
C: Statement of Work/Budget. Upon completion and RTI acceptance of the work specified herein, the Subcontractor will submit invoice(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 the 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 C, Statement of Work, and will invoice RTI in accordance
with the following Payment Schedule:

 

	Description	 	Date	 	 	Year
    1	 	 	Year
    2	 	 	Year
    3	 
	 	 	 	 	 	6/30/17-2/28/2017	 	 	3/1/2017-2/28/2018	 	 	3/1/2018-2/28/2019	 
	 	 	 	 	 	0214739.000.003.006	 	 	0214739.000.004.006	 	 	0214739.000.005.006	 
	FL ATS Phone Q1	 	March 30th	 	 	 	n/a	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q1	 	April 30th	 	 	 	n/a	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q1	 	May 30th	 	 	 	n/a	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q2	 	June 30th	 	 	$	39,158.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q2	 	July 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q2	 	August 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q3	 	September 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q3	 	October 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q3	 	November 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q4	 	December 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone Q4	 	January 30th	 	 	$	35,558.00	 	 	$	36,429.00	 	 	$	37,475.00	 
	FL ATS Phone
    Q4	 	February
    28th	 	 	$	35,558.00	 	 	$	36,433.00	 	 	$	37,479.00	 
	Total	 	 	 	 	$	323,622.00	 	 	$	437,152.00	 	 	$	449,704.00	 
	 	 	 	 	 	 	 	 	 	Total Year 1-3	 	 	$	1,210,478.00	 

 

SCR
3. Period of Performance

 

The
period of performance for this Subcontract shall begin on June 01, 2017 and continue through February 28, 2020 in accordance with
the Appendix B, Standard Terms and Conditions and Appendix D, Statement of Work.

 

    	 	Page 2	 

    	 	 	 

    

 

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

 

	B.	The
    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: Accountinq@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 die 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.

 

    	 	Page 3	 

    	 	 	 

    

 

Appendix
B: Prime Contract Flow-Down Clauses

 

The
term “Provider” or “Subcontractor” shall mean “Subawardee”; the term “Department”
shall mean “RTI” and/or “The State of Florida Department of Health”;

 

The
provider and any subcontractors agree to comply with Pro-Children Act of 1994, Public Law 103-277, which requires that smoking
not be permitted in any portion of any indoor facility used for the provision of federally funded services including health, day
care, early childhood development, education or library services on a routine or regular basis, to children up to age 18. Failure
to comply with the provisions of the law may result in the imposition of civil monetary penalty of up to $1,000 for each violation
and/or the imposition of an administrative compliance order on the responsible entity.\

 

Audits,
Records, and Records Retention

 

	1.	To
    establish and maintain books, records, and documents (including electronic storage media) in accordance with generally accepted
    accounting procedures and practices, which sufficiently and properly reflect all revenues and expenditures of funds provided
    by the Department under this contract.
	 	 
	2.	To
    retain all client records, financial records, supporting documents, statistical records, and any other documents (including
    electronic storage media) pertinent to this contract for a period of six (6) years after termination of the contract, or if
    an audit has been initiated and audit findings have not been resolved at the end of six (6) years, the records shall be retained
    until resolution of the audit findings or any litigation which may be based on the terms of this contract.
	 	 
	3.	Upon
    completion or termination of the contract and at the request of the Department, the provider will cooperate with the Department
    to facilitate the duplication and transfer of any said records or documents during the required retention period as specified
    in Section I, paragraph D.2. above.
	 	 
	4.	To
    assure that these records shall be subject at all reasonable times to inspection, review, or audit by Federal, state, or other
    personnel duly authorized by the Department.
	 	 
	5.	Persons
    duly authorized by the Department and federal auditors, pursuant to 45 CFR, Part 92.36(i)(10), shall have full access
    to and the right to examine any of provider’s contract and related records and documents, regardless of the form in
    which kept, at all reasonable times for as long as records are retained.
	 	 
	6.	To
    provide a financial and compliance audit to the Department as specified in Attachment NA and to ensure that all
    related     party transactions are disclosed to the auditor.

 

Documentation.
To maintain separate accounting of revenues and expenditures of funds under this contract in accordance with generally accepted
accounting practices and procedures. Expenditures which support provider activities not solely authorized under this contract
must be allocated in accordance with applicable laws, rules and regulations, and the allocation methodology must be documented
and supported by competent evidence.

 

Provider
must maintain sufficient documentation of all expenditures incurred (e.g. invoices, canceled checks, payroll detail, bank statements,
etc.) under this contract which evidences that expenditures are:

 

1)
allowable under the contract and applicable laws, rules and regulations;

2)
reasonable; and

3)
necessary in order for the recipient or subrecipient to fulfill its obligations under this contract.

 

The
aforementioned documentation is subject to review by the Department and/or the State Chief Financial Officer and the provider
will timely comply with any requests for documentation.

 

Public
Records. Keep and maintain public records that ordinarily and necessarily would be required by the provider in order to perform
the service; provide the public with access to such public records on the same terms and conditions that the public agency would
provide the records and at a cost that does not exceed that provided in Chapter 119, F.S., or as otherwise provided by law; ensure
that public records that are exempt or that are confidential and exempt from public record requirements are not disclosed except
as authorized by law; and meet all requirements for retaining public records and transfer to the public agency, at no cost, all
public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that
are exempt or confidential and exempt. All records stored electronically must be provided to the public agency in a format that
is compatible with the information technology systems of the agency.

 

    	 	Page 4	 

    	 	 	 

    

 

Monitoring
by the Department

 

To
permit persons duly authorized by the Department to inspect any records, papers, documents, facilities, goods, and services of
the provider, which are relevant to this contract, and interview any clients and employees of the provider to assure the

 

Department
of satisfactory performance of the terms and conditions of this contract. Following such evaluation the Department will deliver
to the provider a written report of its findings and will include written recommendations with regard to the provider’s
performance of the terms and conditions of this contract. The provider will correct all noted deficiencies identified by the Department
within the specified period of time set forth in the recommendations. The provider’s failure to correct noted deficiencies
may, at the sole and exclusive discretion of the Department, result in any one or any combination of the following: (1) the provider
being deemed in breach or default of this contract; (2) the withholding of payments to the provider by the Department; and (3)
the termination of this contract for cause.

 

Safeguarding
Information

 

Not
to use or disclose any information concerning a recipient of services under this contract for any purpose not in conformity with
state and federal law or regulations except upon written consent of the recipient, or the responsible parent or guardian when
authorized by law.

 

Incident
Reporting

 

Abuse,
Neglect, and Exploitation Reporting

 

In
compliance with Chapter 415, F.S., an employee of the provider who knows or has reasonable cause to suspect that a child, aged
person, or disabled adult is or has been abused, neglected, or exploited shall immediately report such knowledge or suspicion
to the Florida Abuse Hotline on the single statewide toll-free telephone number (1-800-96ABUSE).

 

Purchasing

 

It
is agreed that any articles which are the subject of, or are required to carry out this contract shall be purchased from Prison
Rehabilitative Industries and Diversified Enterprises, Inc. (PRIDE) identified under Chapter 946, F.S., in the same manner and
under the procedures set forth in §946.515(2) and §(4), F.S. For purposes of this contract, the provider shall be deemed
to be substituted for the Department insofar as dealings with PRIDE. This clause is not applicable to subcontractors unless otherwise
required by law. An abbreviated list of products/services available from PRIDE may be obtained by contacting PRIDE, 1-800-643-8459.

 

Procurement
of Materials with Recycled Content

 

It
is expressly understood and agreed that any products or materials which are the subject of, or are required to carry out this
contract shall be procured in accordance with the provisions of §403.7065, and §287.045, F.S.

 

MyFloridaMarketPlace
Vendor Registration

 

Each
vendor doing business with the State of Florida for the sale of commodities or contractual services as defined in section 287.012,
Florida Statutes, shall register in the MyFloridaMarketPlace system, unless exempted under Rule 60A-1.030(3) F.A.C.

 

MyFloridaMarketPlace
Transaction Fee

 

The
State of Florida, through the Department of Management Services, has Instituted MyFloridaMarketPlace, a statewide procurement
system. Pursuant to §287.057(23), F.S. (2008), all payments shall be assessed a Transaction Fee of one percent (1.0%), which
the provider shall pay to the State.

 

For
payments within the State accounting system (FLAIR or its successor), the Transaction Fee shall, when possible, be automatically
deducted from payments to the vendor. If automatic deduction is not possible, the vendor shall pay the Transaction Fee pursuant
to Rule 60A-1.031(2), F.A.C. By submission of these reports and corresponding payments, vendor certifies their correctness. All
such reports and payments shall be subject to audit by the State or its designee.

 

The
provider shall receive a credit for any Transaction Fee paid by the provider for the purchase of any item(s) if such item(s) are
returned to the provider through no fault, act, or omission of the provider. Notwithstanding the foregoing, a Transaction Fee
is non-refundable when an item is rejected or returned, or declined, due to the vendor’s failure to perform or comply with
specifications or requirements of the agreement Failure to comply with these requirements shall constitute grounds for declaring
the vendor in default and recovering reprocurement costs from the vendor in addition to all outstanding fees. Providers delinquent
in paying transaction fees may be excluded from conducting future business with the State.

 

Civil
Rights Requirements

 

Civil
Rights Certification: The provider will comply with applicable provisions of Department of Health publication, “Methods
of Administration, Equal Opportunity in Service Delivery.”

 

    	 	Page 5	 

    	 	 	 

    

 

Sponsorship

 

As
required by §286.25, F.S., if the provider is a non-governmental organization which sponsors a program financed wholly or
in part by state funds, including any funds obtained through this contract, it shall, in publicizing, advertising, or describing
the sponsorship of the program, state: Sponsored by (provider’s name) and the State of Florida, Department
of Health. If the sponsorship reference is in written material, the words State of Florida, Department of Health shall
appear in at least the same size letters or type as the name of the organization.

 

Use
of Funds for Lobbying Prohibited

 

To
comply with the provisions of §216.347, F.S., which prohibit the expenditure of contract funds for the purpose of lobbying
the Legislature, judicial branch, or a state agency.

 

Public
Entity Crime and Discriminatory Vendor

 

	1.	Pursuant
    to §287.133, F.S., the following restrictions are placed on the ability of persons convicted of public entity crimes
    to transact business with the Department: When a person or affiliate has been placed on the convicted vendor list following
    a conviction for a public entity crime, he/she may not submit a bid on a contract to provide any goods or services to a public
    entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public
    work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor,
    supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public
    entity in excess of the threshold amount provided in §287.017, F.S, for CATEGORY TWO for a period of 36 months from the
    date of being placed on the convicted vendor list.
	 	 
	2.	Pursuant
    to §287.134, F.S., the following restrictions are placed on the ability of persons convicted of discrimination to transact
    business with the Department: When a person or affiliate has been placed on the discriminatory vendor list following a conviction
    for discrimination, he/she may not submit a bid on a contract to provide any goods or services to a public entity, may not
    submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not
    submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor,
    or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the
    threshold amount provided in §287.017, F.S., for CATEGORY TWO for a period of 36 months from the date of being placed
    on the discriminatory vendor list.

 

Patents,
Copyrights, and Royalties

 

	1.	If
    any discovery or invention arises or is developed in the course or as a result of work or services performed under this contract,
    or in anyway connected herewith, the provider shall refer the discovery or invention to the Department to be referred to the
    Department of State to determine whether patent protection will be sought in the name of the State of Florida. Any and all
    patent rights accruing under or in connection with the performance of this contract are hereby reserved to the State of Florida.
	 	 
	2.	In
    the event that any books, manuals, films, or other copyrightable materials are produced, the provider shall notify the Department
    of State. Any and all copyrights accruing under or in connection with the performance under this contract are hereby reserved
    to the State of Florida.
	 	 
	3.	The
    provider, without exception, shall indemnify and save harmless the State of Florida and its employees from liability of any
    nature or kind, including cost and expenses for or on account of any copyrighted, patented, or unpatented invention, process,
    or article manufactured by the provider. The provider has no liability when such claim is solely and exclusively due to the
    Department of State’s alteration of the article. The State of Florida will provide prompt written notification of claim
    of copyright or patent infringement. Further, if such claim is made or is pending, the provider may, at its option and expense,
    procure for the Department of State, the right to continue use of, replace, or modify the article to render it non-infringing.
    If the provider uses any design, device, or materials covered by letters, patent, or copyright, it is mutually agreed and
    understood without exception that the bid prices shall include all royalties or cost arising from the use of such design,
    device, or materials in any way involved in the work.

 

Information
Security

 

The
provider shall maintain confidentiality of all data, files, and records including client records related to the services provided
pursuant to this agreement and shall comply with state and federal laws, including, but not limited to, §384.29, §381.004,
§392.65, and §456.057, F.S. Procedures must be implemented by the provider to ensure the protection and confidentiality
of all confidential matters. These procedures shall be consistent with the Department of Health Information Security Policies,
as amended, which is incorporated herein by reference and the receipt of which is acknowledged by the provider, upon execution
of this agreement. The provider will adhere to any amendments to the Department’s security requirements provided to it during
the period of this agreement. The provider must also comply with any applicable professional standards of practice with respect
to client confidentiality.

 

	f.	Not
    to employ unauthorized aliens. The Department shall consider employment of unauthorized aliens a violation of §274A(e)
    of the Immigration and Naturalization Act (6 U.S.C. 1324 a) and §101 of the Immigration Reform and Control Act of
    1986. Such violation shall be cause for unilateral cancellation of this contract by the Department. The provider agrees to
    utilize the U.S. Department of Homeland Security’s E-Verify system, https://e-verify.uscis.gov/emp. to verify
    the employment eligibility of all new employees hired during the contract term by the provider. The provider shall also include
    a requirement in subcontracts that the subcontractor shall utilize the E-Verify system to verify the employment eligibility
    of all new employees hired by the subcontractor during the contract term. Contractors meeting the terms and conditions
    of the E-Verify System are deemed to be in compliance with this provision.
	 	 
	h.	The
    provider and any subcontractors agree to comply with Pro-Children Act of 1994, Public Law 103-277, which requires that smoking
    not be permitted in any portion of any indoor facility used for the provision of federally funded services including health,
    day care, early childhood development, education or library services on a routine or regular basis, to children up to age
    18. Failure to comply with the provisions of the law may result in the imposition of civil monetary penalty of up to $1,000
    for each violation and/or the imposition of an administrative compliance order on the responsible entity.

 

    	 	Page 6	 

    	 	 	 

    

 

Appendix
C: Statement of Work/Budget

Florida
Adult Tobacco Survey

Phone Scope of Work

 

Background:
RTI Is conducting a comprehensive evaluation of the Florida Department of Health Bureau of Tobacco-Free Florida. To inform
the evaluation, RTI has devised the Florida Tobacco Surveillance System to capture timely public health surveillance data on tobacco
outcome indicators and related socioecological influences across multiple Florida populations.

 

Objective:
RTI requires the services of an outside organization with demonstrated experience conducting telephone surveys with computer
assisted telephone Interviewing (CATI) methodology to execute the Florida Adult Tobacco Survey. The subcontractor will be responsible
for all aspects of data collection, as outlined below.

 

Specific
Tasks: The specific tasks expected of the subcontractor include the following:

 

	 	1.	Project
    Management and Set Up. The subcontractor will manage and administer survey execution. RTI will design the instrument to
    be completed using computer assisted telephone interviewing (CAT!) methodology only.
	 	 	 
	 	 	The
    subcontractor will 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. All outbound calls to sample members must display a Florida area code. Additionally,
    the subcontractor is responsible for setting-up a dedicated toll-free line with capacity to handle in-bound calls.
	 	 	 
	 	2.	Interviewer
    Training, Supervision, and Monitoring. The subcontractor will recruit, train, and supervise interviewing staff. RTI will
    provide project-specific training materials. During data collection, the subcontractor will provide interviewer supervision
    and monitoring. The general guideline is 15% of interviewing hours for supervision and 10% of interviewing hours for monitoring.
	 	 	 
	 	3.	Data
    Collection. The subcontractor will conduct quarterly data collection (~ 10-12 weeks) to obtain 1,000 completed telephone
    surveys per quarter (800 cell phone completes, 200 landline completes; RTI will provide the sample). Specifications of data
    collection are outlined in Attachment 1.
	 	 	 
	 	4.	Incentives.
    The subcontractor will provide an incentive file every two weeks with the names and addresses of survey participants eligible
    to receive an incentive check. RTI will be responsible for the cost and processing of the incentives.
	 	 	 
	 	5.	Data
    Collection Tracking. The subcontractor will provide RTI with weekly production reports that include the disposition of
    all sampled cases and other key data collection results.
	 	 	 
	 	6.	Data
    Files. During the first quarter of data collection, the subcontractor will provide a preliminary data set after first
    100 or so interviews completed, for quality checking purposes. At the end of each quarter, within 10 business days of die
    completion of data collection, the subcontractor will deliver a final cleaned data file in SPSS, SAS, or Stata. The data file
    will include all CATI data, including preloaded sample data, front end screening data, and final sample dispositions. A codebook
    with all variable and value labels for all data elements must be included with the final data file. The subcontractor will
    also include a record of call data file at the end of each quarter.

 

    	 	Page 7	 

    	 	 	 

    

 

Please
include total billing amount by activity name and corresponding RTI Task Number when submitting invoice to RTI.

 

    	 	Page 8	 

    	 	 	 

    

 

	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 8-312-0214739-52940L

 

	Subcontractor
    Information	 	Subcontract
    Information	 
	 	 	 	 
	Precision
    Opinion, Inc.	 	Subcontract
    Amount	$1,210,478
	101
    Convention Center Drive, Plaza 124	 	Funded
    Amount	$323,622
	101
    Convention Center Drive, Plaza 124	 	Period
    of Performance 	06/01/17
    - 02/28/20
	Las
    Vegas, Nevada 89109 United States	 	Subcontract
    Type 	Fixed
    Price
	 	 	Purchase
    Order Number 	52940L
	Subcontractor
    Size and Socio-Economic Status:	 	Taxpayer
    ID Number	26-0534872
	If
    a Small Business**, check ALL that apply:	 	 	 
	 	 	DPAS Rating:	
	 	 	Not
    Applicable	

	✓	Small
    Business Concern (SB)	 	□	Veteran-Owned
    SB	 	 	 
	□	Small
    Disadvantaged Business. [Including Black-, Asian Pacific-, Subcontinent Asian-, Native-, Hispanic American-owned SBs or active
    8(a)]	 	□	Service-Disabled
    Veteran-Owned SB	 	 	 
	□	Woman-Owned
    SB	 	□	HUBZone
    (Historically Underutilized Business Zone) certified SB	 	 	 
	 	 	 	□	Alaska
    Native Corporation and Indian Tribe	 	 	 

	If
                                         not a Small Business, check one.

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

 

Enter
the NAICS Code and Small Business Size Standard: 541910 ($15.0 million size standard)

	 	 
	 	 	 
	*North
                                                                                                                                                            American Industry Classification System (NAICS) online search: www.census.gov/eos/www/naics. **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.gov and www.sba.gov/size). Under IS 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 (MI). 
	 	Prime
                                         Contract Info:

        State
        of Florida Contract COTGC

         

        Florida
        ATS Phone

         

	 	 	 
	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 Contract Flow-Down Clauses

        ●
        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.

	In
    accepting this Subcontract, the Subcontractor certifies that neither it nor its principals are presently debarred, suspended,
    proposed for debarment, declared ineligible or voluntarily excluded from participation in this type of transaction by any
    Federal department or agency. Any change in the debarred or suspended status of the Subcontractor during the life of this
    Subcontract must be reported immediately to RTI. The Subcontractor agrees to incorporate the Debarment and Suspension certification
    into any lower-tier subcontract or Subcontract that they may enter into as a part of this Subcontract.

	Subcontractor
    Contractual Personnel:	 	RTI Contractual Personnel:
	 	 	 	 
	Guthrie
    Rebel	702/483-4000	 	Abbey
    Boggs	919-316-3141
	 	 	 	 	 
	Project
                                         Manager:

        Guthrie
        Rebel
	702/483-4000	 	Project
                                         Manager:

        Dr
        Matthew Farrelly
	919-541-6852
	Signature:	 /s/
    Guthrie Rebel 	 	Signature:	 /s/
     Terry George-Waterfield 
	Typed
    Name:	GUTHRIE
    REBEL	 	Typed
    Name:	Terry George-Waterfield
	Title:	EVP	 	Title:	Manager,
Global Supply Chain
	Date:	 	 	Date:	 

 

    	 	Page 9SUBCONTRACT
MODIFICATION #1

 

This
agreement, entered into this 8 day of September, 2017,

 

	BY
    AND BETWEEN:	Precision
    Opinion, Inc.
	 	101
    Convention Center Drive, Plaza 125,
	 	Las
    Vegas, NV 89109 
	 	 
	 	hereafter
    “Subcontractor”,
	 	 
	AND:	IMPAQ
    INTERNATIONAL, LLC
	 	10420
    LITTLE PATUXENT PARKWAY, SUITE 300
	 	COLUMBIA,
    MD 21044
	 	 
	 	hereafter
    “Contractor”;
	 	 
	RELATING
    TO:	IMPAQ
    Internal Contract No. 2536 (Option Year 1), 2537 (Option Year 2),
	 	2538
    (Option Year 3)
	 	Prime
    Contract No. HHSM-500-2011-00013I
	 	Task
    Order No. HHSM-500-T0008
	 	“National
    Implementation of the Medicare Fee-For-Service CAHPS Survey Data Collection and Data File Preparation”
	 	 
	CHANGES:	The
    changes listed below shall replace the corresponding sections of the original Subcontract Agreement executed on January 13,
    2016 in their entirety, unless otherwise noted. 

 

Change
1: Replace section 3 with the following:

 

3. SUBCONTRACT
PRICE: Subcontractor shall be paid on a firm-fixed-price
basis. Contractor agrees to pay Subcontractor for the satisfactory performance of the Subcontract Scope of Work with
Subcontractor charges not to exceed $425,000.00 for Prime Contract Option Year 2 (September 30, 2016 through September 29,
2017) and $550,400 for Prime Contract Option Year 3 (September 30, 2017 - September 29, 2018), as determined to be allowable
provided under FAR Part 31, et seq. (the “Subcontract Price”), pursuant to the terms and pricing
information provided by Subcontractor (“Subcontractor Pricing Information”), attached hereto as Revised
Exhibit D and incorporated in its entirety as if fully and correctly set forth herein. In the event of a multi-year
period of performance, or where funds are authorized by year, funds are not transferable between years and shall not
roll-over from year to year unless explicitly authorized by Contractor in writing.

 

3.1.
As of the Effective Date of this Subcontract,
the Client has authorized funding for the scope of work required under this Subcontract in the amount of $975,400.00 for Prime
Contract Option Years 2 and 3 of the project (the “Current Funded Subcontract Price”). Upon the Client’s authorization
of additional funding, the Current Funded Subcontract Price may be increased accordingly. At no time shall Subcontractor be entitled
to payment from Contractor that would cause the aggregate of all payments under this Subcontract to exceed the current Funded
Subcontract Price.

 

    	Subcontract Modification #1
IMPAQ International, LLC
	Page 1	IMPAQ Internal Contract No. 2538
 Option Year 3 (2538)

    	 

    

 

 

Change
2: Replace section 4 with the following:

 

4.
PERIOD OF PERFORMANCE: The
period of performance of the Subcontract shall be from the Effective Date of the Agreement through September 29, 2017 for Prime
Contract Option Year 2 and September 30, 2017 through September 29, 2018 for Prime Contract Option Year 3, unless terminated as
provided by Article 8 of this Subcontract. Subcontractor acknowledges that to the extent the Prime Contract and/or Task Order
allows the Client to extend the period of performance of the Task Order for an additional period of time and the Client extends
the Task Order period of performance, Contractor has the right, at its sole option, to extend the Period of Performance of this
Subcontract accordingly, and any such extension shall be effective upon receipt by Subcontractor of written notice from Contractor.
In addition, Contractor and Subcontractor may agree to extend the term of the Subcontract through the execution of a written agreement,
which written agreement shall specify a new completion date for the Subcontract.

 

Change
3: Replace section 6.5 with the following:

 

6.5.
On each of its payment requests, Subcontractor shall include, if applicable, the Task Order number and/or Subtask Order number,
the billing code (2537 for Option Year 2 and 2538 for Option Year 3 of this project), the deliverable number, description, submission
date and price. The invoice should indicate the current amount billed for each staff member, and the cumulative amount billed
to date for each staff member. Subcontractor’s payment requests shall be based on the Subcontractor Pricing Information
in Revised Exhibit D, and shall refer to such Subcontractor Pricing Information as required by Contractor in order to allow
Contractor to identify the costs requested by Subcontractor.

 

Change
4: Replace Exhibit C, Subcontract Scope of Work with the Attached, Revised Exhibit C.

 

Change
5: Replace Exhibit D, Subcontractor Pricing Information with the Attached, Revised Exhibit D.

 

	TERMS:	Other terms and conditions of the
    Contract remain the same.
	 	 
	COST OF MODIFICATION:	Increase in the amount of Subcontract
    funding by $550,400.00 for Prime Contract Option Year 3.

 

(Signatures
Appear on the Next Page)

 

    	Subcontract Modification #1
IMPAQ International, LLC
	Page 2	IMPAQ Internal Contract No. 2538
 Option Year 3 (2538)

    	 

    

 

 

IN
WITNESS WHEREOF, the CONTRACTOR and SUBCONTRACTOR, by their representatives duly authorized have executed this agreement as
of the day and year last written below.

 

	 	 	PRECISION
    OPINION INC.
	 	 	 
	CONTRACTOR:	 	SUBCONTRACTOR:
	 	 	 
	  /s/
    Avi Benus 	 	/s/
    Guthrie Rebel
	Avi
    Benus, President	 	Guthrie
    Rebel, EVP
	 	 	 
	 	 	9/8/17
	(Date)	 	(Date)

 

    	Subcontract Modification #1
IMPAQ International, LLC
	Page 3	IMPAQ Internal Contract No. 2538
 Option Year 3 (2538)

    	 

    

 

REVISED
EXHIBIT C

SUBCONTRACT
SCOPE OF WORK

 

    	 	 	 

    	 

    

 

National
Implementation of Medicare CAHPS Fee for Service Survey Subcontract Scope of Work for Precision Opinion

 

This
document details the scope of work for Option Year 3 of the National Implementation of Medicare CAHPS Fee-for Service survey for
Precision Opinion, under subcontract to IMPAQ International (Task Order No. HHSM-500-T0008). It includes components 1 and 2. The
period of performance is September 30, 2017 to September 29, 2018.

 

COMPONENT
1: PROJECT SETUP AND MANAGEMENT

 

The
project setup and management component includes fixed tasks required to prepare for field operations, receive and process sample
information, provide for data security and the protection of respondent confidentiality, prepare datasets of survey results and
sample dispositions and transmit these to IMPAQ, participate in internal team status meetings, and respond to occasional ad hoc
requests. These setup and management tasks are independent of the size of the sample and the amount of the field data collection
requirements and would fixed in scope.

 

Task
1.1 Maintain Confidentiality Procedures.

 

Confidentiality
shall be maintained in a secure manner including storing data electronically in a FISMA enclave with dual-factor authentication
and limiting the number of staff with access to the data. For data obtained in hard copy, data should be kept in a secure location
with access restricted to authorized staff. Confidentiality agreements with all staff are to be obtained. The subcontractor will
provide IMPAQ with documentation describing their confidentiality procedures and data security processes.

 

Task
1.2 Develop and Implement Data Security Procedures.

 

The
subcontractor shall develop and implement procedures to ensure the secure and confidential storage of all Medicare CAHPS data
files. As noted above, the subcontractor shall put in place all paperwork, including appropriate Data Use Agreements and any other
data security documents required to obtain access to and assure confidentiality of all person-level information of persons with
Medicare in the survey samples and data files preparation processes. All data collection procedures and data storage shall also
comply with all Health Insurance Portability and Accountability Act (HIPAA) requirements of the Federal government. Additional
information on the HIPAA regulations can be found at: http://www.hhs.gov/ocr/hipaa/.

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	1

    	 

    

 

Task
1.3 Program CATI for Telephone Interviews.

 

The
follow-up telephone survey shall be conducted through the use of a Computer Assisted Telephone Instrument (CATI) using Voxco Command
Center. IMPAQ will provide the questionnaire programming files and a final specification document for testing. The subcontractor
shall set up and test the programming provided by IMPAQ. Subcontractor and IMPAQ will work closely via emails, weekly check-in
calls and ad-hoc meetings to finalize all programing.

 

The
CATI instrument and telephone follow-up shall be prepared and conducted in both English and Spanish languages. We (“Contractor”)
estimate that the Medicare FFS CAHPS survey will include approximately 69 questions (a total of 90 items). The project should
be set up by subcontractor so that the call-out number is masked with the project toll-free telephone number.

 

Task
1.4 Receive Sample Files.

 

The
subcontractor will conduct CATI interviews with a sample of non-respondents to the mail survey. IMPAQ will provide all sample
files. IMPAQ will arrange for the subcontractor to receive the sample file via a secure transfer mechanism. Upon receipt, the
subcontractor will inspect the file and perform appropriate quality control processes to ensure smooth upload to their CATI software.
The subcontractor will be responsible for loading the telephone sample into their CATI software and sample management system.
Daily, IMPAQ will provide additional files of late arriving mail responders, and the subcontractor will cease calling attempts
on these numbers.

 

Task
1.5 Daily File Delivery.

 

Subcontractor
will deliver daily files of cumulative survey results as well as IDs for all records that have reached a final disposition. IMPAQ
will arrange for the subcontractor to transmit these files via a secure transfer mechanism.

 

Task
1.6 Sample and Daily File Test Run

 

Prior
to the start of the survey administration, the subcontractor will participate in a test run of all sample and data processes including,
but not limited to, testing the sample file receipt and upload to the subcontractor’s CATI system, completion of mock interviewers
to obtain dummy survey data, sample exports of the daily files and survey results files. IMPAQ will review all files and instruct
the subcontractor on any necessary revisions. IMPAQ will work closely with the subcontractor to develop a timeline for these activities
so that final approval of the processes is given well before the survey fielding date.

 

Task
1.7 Prepare Training Materials for Telephone Interviewers.

 

The
subcontractor will work closely with IMPAQ to prepare and implement training for all telephone interviewers with electronic materials
provided by IMPAQ. IMPAQ staff will attend and conduct training with subcontractor with the expectation that additional trainings
will continue as needed and be concluded no later than the start of the outbound CATI phase (dates to be determined by IMPAQ/CMS).
IMPAQ staff will lead the general project training, questionnaire review, and HIPAA training. The subcontractor will be responsible
for leading training on the CATI system, interviewing techniques, refusal avoidance and conversion, and other procedural issues.

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	2

    	 

    

 

Task
1.8 Deliver Final Results.

 

At
the conclusion of the field period, subcontractor will prepare a final clean dataset of collected cases in a mutually agreeable
format and provide this dataset to IMPAQ via a secure transfer mechanism. Additionally, subcontractor will provide the complete
calling record file showing all call attempts to each number in the original sample with a call disposition code assigned.

 

Task
1.9 Participate in Internal Status Meetings and Respond to AdHoc Requests. 

 

During
the startup period as well as the telephone follow-up field period, subcontractor will participate in periodic internal team conference
calls to monitor project status. Additionally, subcontractor will respond to occasional reasonable requests from IMPAQ for information
related to specific respondents, current field status, and clarification of processes.

 

COMPONENT
2: FIELD DATA COLLECTION

 

The
field data collection component includes those tasks related to conducting telephone survey operations, exclusive of the fixed
setup and management tasks. Resource requirements for this component would be directly related to the size of the initial sample.

 

Task
2.1a Conduct Telephone Interviews.

 

We
expect there will be up to 190,000 cases, dependent of the availability of telephone numbers and IMPAQ’s capacity to retain
sample in-house. We estimate that outbound calling will begin in April 23 and will last until June 8.1
Up to two telephone numbers will be provided for each case at the outset and up to 5 call attempts can be made for
each individual telephone number. No number shall receive more than 5 call attempts. Calls should be made from 9am to 12am EST.
Approximately 75% of the sample will be in the Eastern and Central time zones. Calls must be conducted in English or Spanish.
Predictive dialing is not permissible for this project.

 

Contractor
anticipates that the Subcontractor shall obtain 10,500 CATI completes. In the event Subcontractor does not obtain at least 10,500
CATI, any such shortage to this number will result in a decrease in the overall contract value by $48.00 per complete. Upon prior
written approval by IMPAQ, Subcontractor may exceed the 10,500 CATI completes. Upon an increase in the number of completes obtained
in excess of the 10,500, the contract value shall result in an increase of the overall contract value by $48.00 per additional
complete.

 

 

1
Please note that the timeframe is approximate. CMS will determine the final timeline after the contract start.

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	3

    	 

    

 

The
subcontractor will provide IMPAQ with access to their reporting portal and provide real-time reporting with the following reports:

 

	 	●	Interviewer
    productivity report (by day)
	 	 	 
	 	●	Daily
    disposition report
	 	 	 
	 	●	All
    call breakdown report.

 

Task
2.1b Provide Telephone Monitoring and Oversight.

 

Telephone
interviewers shall be adequately supervised and monitored throughout the telephone data collection period in order to ensure that
they are following established protocols and procedures. The monitoring and evaluation program shall include, but is not limited
to the following oversight activities:

 

	 	●	Allowing
    IMPAQ staff to silently monitor.
	 	 	 
	 	●	Randomly
    monitoring 10% interviews through silent monitoring using electronic telephone interviewing system software or an alternative
    system. This monitoring shall include attempts as well as completed interviews, and be conducted across all interviewers and
    times of the day.
	 	 	 
	 	●	Provide
    a weekly report to IMPAQ with aggregate numbers on
	 	 	 
	 	 	○	Number
    of calls monitored
	 	 	 	 
	 	 	○	Monitoring
    metrics as determined by subcontractor
	 	 	 	 
	 	 	○	Any
    problems identified during monitoring and solutions
	 	 	 	 
	 	 	○	Other
    items to be determined through collaboration with IMPAQ.

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	4

    	 

    

 

FFS
CAHPS SURVEY DELIVERABLES 2

 

Table
1. Precision Deliverables

 

	Option Year 3 - 9/30/17 to
    9/29/18	 	 
	Component
    1: Project Management and Setup	 	Due
    Date
	Task 1.1 Maintain confidentiality procedures	 	2/28/18
	Task 1.2 Develop data security procedures	 	10/30/18
	Task 1.3 Program CATI for telephone
    interviewers	 	2/28/18
	Task 1.4 Receive sample files	 	4/23/18
	Task 1.5 Daily file delivery	 	6/8/18
	Task 1.6 Sample and daily file test
    run	 	3/30/18
	Task 1.7 Prepare training materials
    for telephone interviewers	 	3/30/18
	Task 1.8 Deliver final results	 	6/11/18
	Task 1.9 Internal status meetings
    and adhoc requests	 	6/30/18
	Component 2: Field Data Collection	 	 
	Task 2.1a Conduct interviews	 	6/8/18
	Task 2.1b Provide telephone monitoring
    and oversight	 	6/8/18

 

 

2
Dates subject to change based on the final MA&PDP schedule and CMS input.

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	5

    	 

    

 

PAYMENT
SCHEDULE

 

The
subcontractor will submit an invoice at the completion of each task following the payment schedule below. Subcontractor should
split Tasks 2.1a and 2.1b across two invoices. The first invoice should include the costs for the CATI completes obtained by the
midpoint of the fielding (estimated to be May 11, 2018). The second invoice should include the costs for the remainder of the
CATI completes obtained through the end of the fielding (estimated to be June 8, 2018).

 

	Task	 	Invoice
    Month	 	Amount	 
	Task 1.1 Maintain confidentiality
    procedures	 	February	 	$	5,500	 
	Task 1.2 Develop data security procedures	 	October	 	$	5,500	 
	Task 1.3 Program CATI for telephone
    interviewers	 	February	 	$	7,100	 
	Task 1.4 Receive sample files	 	April	 	$	3,550	 
	Task 1.5 Daily file delivery	 	June	 	$	3,550	 
	Task 1.6 Sample file and data file
    test run	 	March	 	$	5,200	 
	Task 1.7 Prepare training materials
    for telephone interviewers	 	March	 	$	4,500	 
	Task 1.8 Deliver final results	 	June	 	$	5,300	 
	Task 1.9 Internal status meetings
    and adhoc requests	 	July	 	$	6,200	 
	Task 2.1a Conduct interviews	 	 	 	$	48.00
                                         per complete	 
	Task 2.1b Provide telephone monitoring
    and oversight	 	 	 	 	 	 
	Completes at midway
    point	 	May	 	 	 	 
	Remainder of completes	 	June	 	 	 	 

 

    	IMPAQ International | Precision Opinion OY3 SOW | September 8, 2017	6

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