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State of Ohio - Controlling Board Request
30 East Broad Street, 34th Floor
Columbus, Ohio 43215-3457
(614) 466-5721 FAX:(614) 466-3813
OPERATING REQUEST Controlling Board No.
Status:  Approved
Meeting Date:  2/26/2018

Youth Services

Finance & Planning
Waiver of Competitive Selection  (Revised Code Section 127.16B)
      No Competitive Opportunity
      Agency Released Competitive Opportunity
Agency Released Competitive Opportunity (Revised Code Section 127.162)
Other Statutory Authority/Bill Section:
Operating Transfer Request  (Revised Code Section 127.14)
      Other Statutory Authority/Bill Section:
Fiscal Year(s)
Bill No.
HB 49
Eligible for OBM
Director Approval?

For FYAmountNameAddressCityStateCountyZip Code
DYS01 2018 $62,400.00 Elizabeth Matera 6469 Portage Path Court Grove City OH Franklin 43123

Fund GroupFund CodeAppropriation Line ItemAppropriation Line Item NameFYAmountFYAmount
GRF 470401 RECLAIM OHIO 2018 $62,400.00 $.00

Harvey J. Reed 02/26/2018
Agency Director or Authorized Agent On The Date Of
01/30/2018 Christine Morrison
Date Controlling Board President/OBM Director
Name:  Steven Hrinko Title:  Administrator
Phone:  (614) 466 - 7225 Fax:  (614) 728 - 2576 E-Mail:
  Youth Services respectfully requests Controlling Board approval to waive competitive selection in the amount of $62,400 from fund GRF, ALI 470401 (Reclaim Ohio), in FY18 to contract with Elizabeth Matera, Franklin County, to provide psychology assistance services to the youth at Circleville Juvenile Correctional Facility, Circleville, Ohio .  
  It is a constant challenge to find qualified psychologists and psychology assistances that can provide this very valuable service to our youth population. As the need for psychology services arises, it?s important to find qualified people as soon as possible. Elizabeth Matera will work with facility staff to provide on-site mental health services to the youth at Circleville Juvenile Correctional Facility. These services may include, but are not limited to intake appraisals, individual therapy, crisis intervention and risk assessments. The contractor will also be required to complete documentation, which is to include clinical contact notes, intake appraisal forms and reception assessment summaries, psychological services summary reports, mental health treatment plans, monthly reports, daily services statistics, and interdisciplinary consultation & collaboration with other staff at the facility. A DAS approved a release and permit to DYS for this service and request. In addition, this service is not included on GDC030, Non I.T. staff augmentation services contract. This increase will continue services through the end of the fiscal year. Previous approved Controlling Board DYS0100662 8/8/16.
Attachments Controlling Board Request No.: DYS0100671
Attachment TypeAttachment Description
Contract amendment Consultant Amendment
Release and Permit Information
NameFYAmountR & P #R & P DateIssued ByComments
Elizabeth Matera 2018 $62,400.00

Operating Request Required Information
New Contract -
Controlling Board Request No.: DYS0100671
1. Selection Process: Was this contract subject to selection by a Request for Proposal (RFP),
Request for Qualification (RFQ), Request for Information (RFI) process? No
Explain why this contract was not subject to an RFP, RFQ or RFI process
It is a constant challenge to find qualified psychologists and psychology assistances that can provide this very valuable service to our youth population. We are continually recruiting and this individual reached out to the Department.
2. Provide the following selected contractor information:

3. Contractor's location from which all or most of the contract work will be performed, if different from the
location of principal place of business. (For institutional agencies, cite the location of the institution,
including the city and county, where services are to be performed.)

4. Institutional agencies only: Is the contractor currently performing services at the institution listed above?No
5. Specify the deliverables of this contract or describe the scope of service(s) to be performed by this contractor.
The contractor will provide on-site psychological services to the youth of Circleville Juvenile Correctional Facility. These services are for all population including intake/reception, general population and mental health.
6. Cite the account category of expense being used for this purchase of service(s).
Account CategorySubobjectAmountNon-Exempt Amount
510 $62,400.00 $62,400.00

Total Amounts $62,400.00 $62,400.00
Duration of this contract (beginning and ending dates) within the fiscal biennium.
Beginning Date Ending Date
02/26/2018 06/30/2018
8. Is the contractor already performing work under this contract? No
9. Identify all state contracts which the selected contractor has had approved by the Controlling Board
since the beginning of the last fiscal year through this fiscal year to date. Also include contracts approved
for this agency or institutions of higher education.
a. Total number of contracts. 0
b. For each contract list the state agency and the contract amount.
AgencyContract/Agreement AmountFY
10. Contractor Procurement Compliance:
a. Is this contractor in compliance with Buy America? Yes
  Explain: Ohio Vendor
b. Is this contractor in compliance with Buy Ohio? Yes
Explain: Ohio Vendor
Provide the following employee information: Nationwide Ohio
Total Number of Employees 1    1   
Percentage of Women 100% 0%
Percentage of Minorities 0% 0%
12. What percent of the work will be done by subcontractors?  0
  If more than 50%, provide the same information for each subcontractor as requested in number 11 above for the contractor.
# of Employees
% of Women
% of Minorities
# of Employees
% of Women
% of Minorities
13.  Provide all subsequent renewal schedules (beginning and ending dates) and amounts associated with this contract.

A contract renewal is the exercise of an option to enter into a subsequent contract with a vendor in accordance with renewal provisions specified in a preceding contract.
Beginning DateEnding DateTotal Lease Amount
Explain contract provisions.