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FACSIMILE TRANSMISSION COVER LETTER

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					                         VENDOR NET TRANSMISSION COVER LETTER


DATE:      September 7, 2010




When using Vendor Net, you may submit your proposal through one of the following options: U.S. mail, hand-
delivery or e-mail. Refer to ―SUBMITTAL INSTRUCTIONS”. Regardless of the option used, your proposal
must be received and time stamped in by Purchasing Services, 21 N Park St, Suite 6101, Madison, WI 53715-
1218, prior to 2:00 PM on the proposal due date to be considered on time. Proposals not so stamped shall be
considered late. Late proposals shall be rejected.

If you have any questions concerning these instructions, please contact the University of Wisconsin-Madison
Purchasing Services (Bid Processing) at (608) 262-6121.




                                                PURCHASING SERVICES
                  University of Wisconsin-Madison  21 N Park St, Suite 6101 Madison, WI 53715-1218
                  608/262-6121  (Fax) 608/262-4467  www.bussvc.wisc.edu  bids@bussvc.wisc.edu
                                  A REQUEST FOR PROPOSAL (RFP)

                                                   RFP #11-5685



         AGENT: Carl Hubbard at (608) 262-6557 / FAX: (608) 262-4467

         E MAIL: chubbard@bussvc.wisc.edu

         If NO BID (check here)      and return.


                           UNIVERSITY OF WISCONSIN – Madison

               WISCONSIN TOBACCO QUIT LINE
     INFORMATION, COUNSELING AND REFERRAL SERVICE FOR
                   TOBACCO USE CESSATION
                                            Issued by:
                                      STATE OF WISCONSIN
                               UNIVERSITY OF WISCONSIN - MADISON
                                     PURCHASING SERVICES

                                        Issue Date: September 7, 2010


                                       NO PUBLIC OPENING

                                       Proposals must be submitted by
                     November 1, 2010 - No later than 2:00 p.m. CDT

NOTE TO PROPOSERS: Questions and Intent to Respond due September 17, 2010.


   COMPANY NAME: _________________________________________________________________________________________________

                                               PURCHASING SERVICES
                 University of Wisconsin-Madison  21 N Park St, Suite 6101 Madison, WI 53715-1218
                 608/262-6121  (Fax) 608/262-4467  www.bussvc.wisc.edu  bids@bussvc.wisc.edu
                                      SUBMITTAL INSTRUCTIONS

A completed and signed proposal response must be received and date/time stamped in by UW-Madison
Purchasing Services prior to 2:00 p.m. CDT on the stated proposal due date to be considered. Proposals
not so date/time stamped in shall be considered late. Late proposals shall be rejected. We have
supplied you with a pre-addressed return label. Please fill in your vendor name and address on the return
label to help us identify this transaction. Please use one of the options below for return of your proposal.


MAILING:
Eleven (11) copies including one original of mailed proposals must be received at Purchasing Services, 21
N. Park Street, Suite 6101, Madison, WI 53715-1218, prior to 2:00 p.m. CDT on the stated proposal due
date.


HAND DELIVERY:
Eleven (11) copies including one original of hand-delivered proposals may be delivered by vendor or third-
party/courier service. Proposals must be received at Purchasing Services, 21 N. Park Street, Suite 6101,
Madison, WI 53715-1218, prior to 2:00 p.m. CDT on the stated proposal due date.


E-MAILING:
For your e-mailed proposal to be considered valid by UW-Madison Purchasing Services:
1. Send a complete copy of the entire response prior to 2:00 p.m. CDT on the stated proposal due date via
e-mail to: bids@bussvc.wisc.edu.         Submitting a proposal to any other e-mail address than
bids@bussvc.wisc.edu does not constitute receipt of a valid proposal by Purchasing Services.

2. Eleven (11) copies including one original to be delivered (via hand delivery, mail or courier) within one (1)
business day after the stated proposal due date must be received at Purchasing Services, 21 N. Park
Street, Suite 6101, Madison, WI 53715-1218.

Prior to the proposal deadline, proposer is responsible for confirming that their e-mailed proposal response
has been successfully received. Proof of transmission doesn't constitute proof of receipt. The original e-
mail submission must be supported by the last page of Section 6 ―RFP Checklist and Submittal Page‖. This
page must be signed and returned via fax (608-262-4467) and must be received prior to 2:00 p.m. CDT on
the proposal stated due date.


RETURN ADDRESS LABEL:

                          
          OFFICIAL SEALED PROPOSAL
          NUMBER: 11-5685
          DUE DATE: 11/01/10        TIME: 2:00 PM CDT
                             NO PUBLIC OPENING
          INSERT
          VENDOR NAME HERE: ______________________________________
          ADDRESS: ________________________________________________
                   ________________________________________________
                   ________________________________________________

          UNIVERSITY OF WISCONSIN-MADISON
          PURCHASING SERVICES
          21 N PARK ST, SUITE 6101
          MADISON, WI 53715-1218
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685

                                             TABLE OF CONTENTS
                                                                                            PAGE(S)
Section #1: General Information                                                             1-5
1.1    Purpose
1.2    Organization of this Solicitation Document
1.3    Definitions and Clarifications
1.4    Incurring Costs
1.5    Affirmative Action
1.6    Wisconsin Sales and Use Tax Registration
1.7    Debarment
1.8    VendorNet
1.9    Electronic Commerce/Online Ordering
1.10   Parking
1.11   Smoking Free Environment
1.12   Promotional Materials

Section #2: RFP Process Instructions                                                        6-7
2.1    Applicable Dates
2.2    Notice of Intent to Respond
2.3    Clarifications and/or Revisions through Designated Contact
2.4    Preparing the Proposal
2.5    Conflict of Interest
2.6    Multiple Proposals
2.7    Oral Presentations and Site Visits
2.8    Proprietary Information
2.9    Reasonable Accommodations
2.10   Protests

Section #3: Performance and Contract Requirements                                           8-14
3.1    Contract Terms and Conditions
3.2    Scope
3.3    Term of Contract
3.4    Firm Prices
3.5    Payment Terms
3.6    Invoicing Requirements
3.7    Protected Health Information (HIPAA) [Attachment I]
3.8    Contract Performance
3.9    Insurance
3.10   Travel Per Diems
3.11   Contract Termination
3.12   Record and Audit
3.13   Co-branding
3.14   Performance Meetings
3.15   Subcontractors
3.16   Fair Price Analysis
3.17   Executed Contract to Constitute Entire Contract
3.18   Severability
3.19   Client Database
3.20   Intellectual Property
3.21   Funding
3.22   Inspection of Work Performed
3.23   Nondisclosure and Confidential Information
3.24   Protection of University‘s Confidential Information
3.25   Active Recruiting and Non-Solicitation
3.26   Purchased Services – USA Requirement
3.27   Assignment
3.28   Limitation of Liability


Section #4: Requirements of All Proposals                                                   15-16
UNIVERSITY OF WISCONSIN                                         PROPOSAL NO.: 11-5685

                                        TABLE OF CONTENTS (cont.)
                                                                                           PAGE(S)

Section #5: Evaluation and Award of Contract(s)                                            17
5.1    Proposal Scoring
5.2    Scoring Criteria and Method
5.3    Best and Final Offers
5.4    Contract Award
5.5    Notification of Award

Section #6: RFP Checklist and Submittal Page                                               18-20

Attachment A – Specifications                                                              21-34
Attachment B – Cost Proposal Form - Directions                                             35
Attachment B– Cost Proposal Form – Price Proposal                                          36
Attachment B – Cost Proposal Form – Budget Narrative                                       37
Attachment B – Cost Proposal Form – Pricing Exercise                                       38
Attachment C – Client Reference List                                                       39
Attachment D – Supplier Diversity, Minority Business Enterprise (MBE) Program Commitment   40
Attachment E – Standard Terms and Conditions                                               41-45
Attachment F – Wisconsin Tobacco Quit Line Reporting Requirements                          46-47
Attachment G – Reporting Quit Rates                                                        48
Attachment H – Certificate of Non-Acceptance of Tobacco Funds                              49
Attachment I – HIPPA                                                                       50-53
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 1 OF 53

                                         Section #1: General Information
Requirements that include the word "must" or "shall‖ describe a mandatory requirement. All specifications are defined as
mandatory minimum requirements unless otherwise stated. FAILURE TO MEET A MANDATORY REQUIREMENT MAY
DISQUALIFY YOUR PROPOSAL. If no proposer is able to comply with a given specification or mandatory requirement,
Purchasing reserves the right to delete that specification or mandatory requirement. In the event that all proposers do not
meet one or more of the mandatory requirements, Purchasing reserves the right to continue the evaluation of the
proposals and to select the proposal which most closely meets the requirements specified in this RFP. This
Proposal document and the awarded proposer‘s (Contractor‘s) response information shall become the Contract.

1.1     Purpose
        The University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) is seeking proposals for the
        continued services of the Wisconsin Tobacco Quit Line (WTQL) tobacco cessation services currently being
        provided to help Wisconsinites quit using tobacco. Services will be based on the recommendations contained in the
        Center for Disease Control and Prevention‘s Telephone Quitlines: A Resource for Development, Implementation,
        and Evaluation, the Community Preventive Services Task Force recommendations
        (http://www.thecommunityguide.org/tobacco ) and the U.S. Public Health Service Clinical Practice Guideline on
        Treating Tobacco Use and Dependence, 2008 Update (http://www.surgeongeneral.gov/tobacco ). In addition to
        these guidelines, Wisconsin has additional requirements that must be fulfilled.

        As appropriate to each individual‘s readiness to quit, the Quit Line will provide assessment, reactive and proactive
        (counselor-initiated) follow-up counseling (as well as proactive services via Wisconsin‘s Fax to Quit program),
        screening and recommendations related to the use of FDA approved pharmacotherapy, support materials and/or
        referrals to community based cessation programs. In addition, FDA approved pharmacotherapy will be provided
        through the Quit Line.

        UW-CTRI is committed to its mission to expand our understanding of tobacco dependence and its treatment and to
        use this knowledge to design and implement interventions that will significantly reduce tobacco use in Wisconsin, in
        the nation and beyond.

        The primary target audience for the Quit Line is Wisconsin residents, 13 and over, who smoke cigarettes or use
        other tobacco products and have shown a readiness to quit. Sub-populations to be addressed include pregnant
        smokers, the uninsured, Medicaid/Badger Care recipients, Native Americans, youth, and other Wisconsin
        populations effected by tobacco related disparities. Health care providers, friends, and family members of tobacco
        users may also call for information and advice on helping a tobacco user quit and providing appropriate support
        through a quit attempt.

        This Request for Proposal (RFP) is issued by the University of Wisconsin-Madison Purchasing Services Department
        (hereinafter called Purchasing) which is the sole point of contact for the University of Wisconsin-Madison
        (hereinafter called the University) during the selection process. The person responsible for managing the
        procurement process is Carl Hubbard, Telephone #608-262-6557.

        The purpose of this document is to provide interested parties with information to enable them to prepare and submit
        a proposal for the continued implementation of the statewide Wisconsin Tobacco Quit Line.

        The University intends to use the results of this process to award a contract for UW-CTRI‘s Wisconsin Tobacco Quit
        Line.

        1.1.1 Funding
              Approximately $1 million is available for the first period of this contract from April 1, 2011 through March 31,
              2012. The initial contract period is for three fiscal years (partial FY 2011 - FY 2013) with the option to renew
              for two additional one year periods; however State agencies may not create any funding obligation exceeding
              any single twelve month period. Exercise of the renewal option is at UW-CTRI‘s sole discretion and shall be
              based on the Contractor‘s performance and on available funding. For each subsequent twelve month
              contract period the Contractor could anticipate that approximately $1 million will be available annually. It is
              anticipated that as the Quit Line is further institutionalized in Wisconsin, call volumes will continue to climb,
              and to the extent possible, funding may keep pace with call volumes. This is an indefinite quantity contract.
UNIVERSITY OF WISCONSIN                                           PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                     PAGE 2 OF 53


      1.1.2 University of Wisconsin – Center for Tobacco Research and Intervention
            Designated in 1992 by the University of Wisconsin as the lead campus agency addressing tobacco use in
            our society, the Center for Tobacco Research and Intervention (UW-CTRI) has grown from a staff of five to a
            multi-dimensional organization of over 70. The Center was founded and is directed by Michael Fiore, MD,
            MPH, MBA recognized internationally as a leading authority on tobacco use treatment. The death and
            suffering from tobacco use in Wisconsin is profound. More than 8,000 Wisconsin residents die from
            diseases caused by smoking each year, and smoking costs the state billions in healthcare costs and lost
            productivity. Over 70 percent of Wisconsin smokers want to quit and close to 60 percent try to quit each year.
            UW-CTRI saw the need for a comprehensive smoking cessation program in Wisconsin and created a
            statewide initiative designed to reduce tobacco use.

             UW-CTRI is a national leader in conducting and implementing cutting-edge research on treating tobacco
             use. The Center‘s focus is twofold—to better understand tobacco dependence and to increase the use of
             effective treatments to help smokers quit for good. In 2001, UW-CTRI sought to use its expertise to reduce
             tobacco use in Wisconsin by creating a comprehensive program to help Wisconsin residents quit tobacco
             use, including the establishment of the Wisconsin Tobacco Quit Line.

             The UW-CTRI Statewide Education and Outreach Program
             This program is charged with bringing effective tobacco use treatment to every corner of the state and
             instituting policies to help people quit. By providing training to healthcare providers, clinics and healthcare
             delivery systems, the UW-CTRI outreach staff enhances the ability of healthcare providers to treat tobacco
             users successfully. By providing technical assistance to systems and insurers statewide, outreach staff helps
             these organizations implement evidence-based tobacco dependence treatment.

             The Wisconsin Tobacco Quit Line
             The Wisconsin Tobacco Quit Line became operational in May 2001. Since then, it has helped more than
             150,000 callers and registered more than 100,000 tobacco users. Due to the efforts of UW-CTRI‘s Outreach
             Program, the Quit Line has been integrated into primary care practices across Wisconsin, and nearly a
             quarter of tobacco users enter Quit Line services through a healthcare provider referral. Provider fax referral
             has been particularly successful in Wisconsin. Since 2003, providers have submitted almost 20,000 fax
             referrals through the Quit Line‘s Fax to Quit program and almost 50% of referred tobacco users enroll in
             services. Additionally, for tobacco users interested in assistance at the local level, the Quit Line has made
             almost 30,000 referrals back to community-based quit-tobacco resources.

1.2   Organization of this Solicitation Document
      This document is divided into Six main sections. The sections also refer to ―Attachments‖ when such organization
      assists in making this document more fluid. The six main sections are:

      Section 1    General Information (generally states the intent of the solicitation)
      Section 2    Instructions to Proposers (contains Information on the proposal process)
      Section 3    Performance and Contract Requirements (contains performance clauses that will become part of any
                   awarded contract).
      Section 4    Requirements of All Proposals (contains all information Proposers must submit as part of their
                   proposal).
      Section 5    Evaluation (contains detail on the evaluation of proposals)
      Section 6    Checklist and Signature Page (contains check-off list)
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 3 OF 53


1.3   Definitions and Clarifications
      The following definitions are used throughout the Special Conditions of Proposal:

      Agent means UW Madison Purchasing Agent responsible for this Request for Proposal. Full contact information
      can be found in Section 2.3.
      Confidential Information shall mean information or data that may be exempt from disclosure to the public or other
      unauthorized persons under state or federal law. Confidential Information includes, but is not limited to, a
      combination of names, addresses, Social Security numbers, Campus ID numbers, e-mail addresses, NetID‘s,
      telephone numbers, financial profiles, credit card information, driver‘s license numbers, medical data, law
      enforcement records, agency source code or object code, and agency security data.
      Contractor means successful proposer awarded the proposal.
      Department means UW Madison Center for Tobacco Research and Intervention
      MBE means Minority Business Enterprise.
      PHS means U.S. Public Health Service Clinical Practice Guideline Treating Tobacco Use and Dependence and
      any future updates of these documents
      Proposer means a firm submitting a Proposal in response to this Request for Proposal.
      RFP means Request for Proposal.
      State means State of Wisconsin.
      University means University of Wisconsin-Madison.
      UW-CTRI means University of Wisconsin Center for Tobacco Research and Intervention

      a.   The term ―quit‖ as it relates to this contract shall be fully defined by self-reported 30 day point-prevalence
           abstinence at 7 and 13 months follow-up (post-registration) when the client is contacted to determine
           smoking/tobacco use status. Biochemical confirmation is not required. Applicants must provide the responder
           quit rate as well as the intent-to-treat quit rate. The responder quit rate includes only those program
           participants who were able to be reached for evaluation. The intent-to-treat quit rate assumes that all
           participants in the sample who were unable to be reached were continuing to use tobacco products. See
           Attachment G -Reporting Quit Rates.
      b.   “Demographic information” shall include, but is not limited to: gender, age, race, educational level, ethnicity,
           health status including pregnancy status, zip code, county, and any other characteristics not necessarily
           identifiable to any single person but useful in helping to identify the reach and population served by the
           Wisconsin Tobacco Quit Line.
      c.   “Personal information” indicates information identifiable to any person, including, but not limited to, name,
           health, finances, business, telephone numbers, social security numbers, driver’s license numbers, and other
           identifying numbers, and any financial identifiers.
      d.   NAQC refers to the North American Quitline Consortium. www.naquitline.org.
      e.   MDS refers to the NAQC Minimal Data Set. The MDS is a set of questions recommended by the NAQC which
           should be asked of all registered tobacco users. Note: these questions may change over time.
      f.   “Registered for Services” Definition

                Tobacco User & Tobacco User Self        Current users (adult and youth) of a tobacco product
                Help (materials only)                   Recent quitters of a tobacco product
                                                        Requesting services
                                                        Assessed for Stage of Readiness to quit
                                                        Provides contact information and answers to NAQC MDS
                                                        Fax referrals from healthcare professionals
                                                        Web enrollments
                Provider                                Healthcare or community professionals
                                                        Wanting information about Quit Line services
                                                        Wanting information about making referrals to the Quit Line
                                                        Requesting assistance with patient consult
                                                        Can request and be sent written self-help materials
                                                        Provides contact information
                Proxy                                   Friends or family members of a user or recent quitter of a
                                                         tobacco product
                                                        Wanting information about helping their friend/ relative quit
                                                         the tobacco product and/or stay quit
                                                        Can request and be sent written self-help materials
                                                        Provides contact information
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 4 OF 53

      g.    ―Other Calls Handled‖ Definition

                General Public                            Request brief information about the Quit Line or other
                                                           related tobacco information
                                                          May request and be sent materials
                Hang up                                   Callers who contact the Quit Line and do not leave any
                                                           information
                Out of state                              Caller from a state other than Wisconsin
                Prank                                     Caller making practical jokes or playing prank
                Voicemail unable to reach                 Caller who left voicemails but was not reached after five call
                                                           attempts by Registration
                Wrong Number                              Caller who misdialed; not intending to contact Quit Line

      h.    ―Ad hoc calls‖ refers to reactive calls from participants who are enrolled in a proactive, intensive counseling
            (up to 5-call) program and call in for support between scheduled calls, in response to an attempt letter, or call
            in after completion of program.
      i.    ―Proactive counseling calls‖ refers to calls initiated by Quit Line specialists to participants who have enrolled in
            the intensive, follow-up counseling (up to 5-Call) program, or have enrolled through Fax to Quit.
      j.    ―Registration staff‖ refers to employees of the Contractor that are often the initial point of contact on the Quit
            Line. Registration staff typically screen callers to identify the services requested, gather demographic and
            contact information, and facilitate the link between the caller and the services they request.
      k.    Quit Line specialists‖ refers to employees of the Contractor that are trained behavioral health specialists,
            preferably staff with bachelor‘s or master‘s degrees in social work, psychology or other behavioral health field
            with a minimum of two years of counseling experience. Quit Line specialists have received specialized
            training in effective tobacco dependence treatment interventions and counseling protocols.

1.4   Incurring Costs
      The State of Wisconsin is not liable for any cost incurred by proposers in replying to this RFP.

1.5   Affirmative Action
      As a State agency, the University requires contractors issued any purchase order exceeding $25,000.00 to provide
      an Affirmative Action Plan. Failure to comply appropriately with these requirements may lead to your company
      being banned from doing business with any agency of the State of Wisconsin. Additionally, failure to comply
      with this requirement may result in termination of this contract and withholding of payment. On the Requirements of
      All Proposals form please provide the requested information.
      For additional information see section 17.0 of the Standard Terms and Conditions
      (http://www.bussvc.wisc.edu/purch/stdterms1.html). Some exceptions may apply. FAQ info is available at:
      http://www.bussvc.wisc.edu/purch/VendorInfo/AffAction/AffirActionInfo.html. Instructions for completing a plan are
      available upon request.

1.6   Wisconsin Sales and Use Tax Registration
      No award can be made to a vendor who is not in compliance with Sec. 77.66 of the Wisconsin State Statutes
      (vendornet.state.wi.us/vendornet/wocc/certtax.asp) relating to sales and use tax certification.

      If you have not established a certification for Collection of Sale and Use Tax status with the Wisconsin Department
      of Revenue, the University and any other state agency can not issue any purchase orders to your firm. For
      additional information see http://www.dor.state.wi.us/html/vendlaw.html

1.7   Debarment
      Federal Executive Order (E.O.) 12549 ―Debarment― requires that all contractors receiving individual awards, using
      federal funds, and all subrecipients certify that the organization and its principals are not debarred, suspended,
      proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from
      doing business with the Federal Government. As a part of this proposal document there is debarment language
      and a signature block for you to self certify your debarment status on the Requirements of All Proposals form.
      Failure to supply this information may disqualify your proposal. Information on debarment is available at the
      following websites: www.epls.gov and https://www.acquisition.gov/far/.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 5 OF 53


1.8    VendorNet
       The State of Wisconsin has implemented a registration service on an internet system called ―VendorNet‖ to
       enable vendors to receive notice of all official sealed proposals (over $25,000.00) as solicited by all state
       agencies.

       To obtain information on the state‘s bidder registration, please visit the VendorNet Web site at
       http://vendornet.state.wi.us or call the VendorNet Information Center (1-800-482-7813). In the Madison area,
       please call 264-7898.

1.9    Electronic Commerce/Online Ordering
       Customers of this contract may want to take advantage of electronic ordering and ―E-Commerce opportunities that
       may be offered by the Contractor. If electronic ordering methods are used, the following conditions will apply:

       The terms of this RFP will take precedence over any auxiliary or ancillary contract that may be accepted by any
       employee of the University or State. Any terms, conditions, clauses or specifications that are not consistent with the
       terms, conditions, or specifications of the RFP will be considered null and void and will not be enforceable by the
       contractor unless agreed to in a written amendment format signed by the Contract Administrator. These contracts
       include, at a minimum, ―Wrap Around‖, ―Click and Wrap‖, Electronic Commerce contracts, auxiliary or ancillary
       service contracts, or any other additional contracts that further define or add additional service elements to the
       master contract.

1.10   Parking
       University parking is very limited. Each Contractor and/or employee(s) shall make their own arrangements for
       parking through UW Transportation Services at 610 N. Walnut Street, WARF Building Room #120, Madison, WI
       53726 (608) 263-6667. No additional costs will be allowed for parking fees or violations. Unauthorized vehicles
       parking in University lots or loading docks without permits will be ticketed and or towed.

1.11   Smoke-Free Environment
       All University buildings are smoke-free buildings.

1.12   Promotional Materials
       Contractor agrees to not use promotional or marketing material which states expressly or by fair implication that the
       University endorses either the Contractor or any sponsor of such material.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 6 OF 53

                                    Section #2: RFP Process Instructions
2.1   Applicable Dates

          Date                                    Event

          September 7, 2010                       Date of Issue of the RFP

          September 17, 2010                      Written questions and Intent to Respond due

          November 1, 2010 -- 2:00 PM             RFP Due Date (Local Madison Time)


2.2   Notice of Intent to Respond
      In order to ensure timely communication of matters related to this RFP, interested parties must send an e-mail
      confirmation of their intent to participate no later than the date indicated in section 2.1. The e-mail must have the
      RFP Number (11-5685) in the Subject Line and be sent to bids@bussvc.wisc.edu, and must contain the following
      information:

            A statement of intent to participate in the RFP process
            Name of Principle Contact for Your Company
            Their e-mail address
            Their Voice Phone Number
            Name of Secondary Contact
            Their e-mail address
            Their Voice Phone Number

2.3   Clarifications and/or Revisions through Designated Contact
      All communications and/or questions in regard to this request must be in writing and proposers are encouraged to
      FAX or e-mail written questions to the Agent. Verbal questions, when permitted, must be directed to the Agent.

      If a Proposer discovers any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in this
      RFP, they have ten (10) business days after to the Questions due date to notify, in writing, the Agent at the
      address shown below of such error and request modification or clarification of the RFP document. All written
      questions will be responded to in writing and provided to all proposers.

                                                    Carl Hubbard
                                                   UW Purchasing
                                              21 N Park St, Suite 6101
                                             Madison, WI 53715-1218
                                          E-mail: chubbard@bussvc.wisc.edu
                                        PHONE 608/262-6557 -- FAX 608/262-4467

      If a Proposer fails to notify the Purchasing Office of an error in the RFP document which is known to the Proposer,
      or which must have reasonably been known to the Proposer, then the Proposer shall submit a response at the
      Proposer‘s risk and if awarded a contract, shall not be entitled to additional compensation or time by reason of the
      error or its later correction.

      In the event that it becomes necessary to provide additional clarifying data or information, or to revise any part of
      this RFP, supplements or revisions will be provided to all recipients of this initial RFP.

2.4   Preparing the Proposal
      To be considered, Proposers must respond to each of the requirements listed in Section #4 and per the attached
      Submittal Instructions. Responses should be formatted to correspond numerically to the requirements listed in
      Section #4.

2.5   Conflict of Interest
      By submitting a proposal, the proposer certifies that no relationship exists between the proposer and the University
      that interferes with fair competition or is a conflict of interest, and no relationship exists between such proposer and
      another person or firm that constitutes a conflict of interest that is adverse to the University.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 7 OF 53


2.6    Multiple Proposals
       Proposers who wish to submit more than one proposal may do so, provided that each proposal stands alone and
       independently complies with the instructions, conditions and specifications of the request. If multiple responses are
       submitted, the University reserves the right to select the most advantageous proposal to the University.

2.7    Oral Presentations and Site Visits
       The University, at its sole discretion, may require oral presentations and/or site visits to supplement the proposals.
       Failure of a proposer to conduct a presentation on the date scheduled may result in rejection of the proposal. Oral
       presentations cannot be used as an opportunity to alter the proposals.

2.8    Proprietary Information
       Any information contained in the Bidder‘s response that is proprietary must be detailed separately on form DOA-
       3027. Marking of the entire response as proprietary will neither be accepted nor honored. The University
       cannot guarantee that all such material noted remains confidential, particularly if it becomes a significant
       consideration in contract award. Information will only be kept confidential to the extent allowed by State of
       Wisconsin Public Disclosure Law (refer to Standard Terms and Conditions, Section 27.0). A copy of the form
       needed to designate portions of your submission as proprietary can be found at:
       http://vendornet.state.wi.us/vendornet/doaforms/doa-3027.doc

2.9    Reasonable Accommodations
       University will provide reasonable accommodations, including the provision of informational material in an alternative
       format, for qualified individuals with disabilities upon request. If you think you need accommodations for your site
       visit, contact Carl Hubbard at (608) 262-6557.

2.10   Protests
       Any protest of the University's solicitation or intent to award must be made as provided by the Wisconsin
       Administrative Code and the State Procurement Manual.

       No later than five working days after the date of solicitation or the notice of intent to award is issued by the University,
       written notice of intent to protest must be received by:

                                                 The Office of the Chancellor
                                             The University of Wisconsin-Madison
                                                      500 Lincoln Drive
                                                 Madison, Wisconsin 53706
       with a copy to:
                                               Director of Purchasing Services
                                               University of Wisconsin-Madison
                                                   21 N Park St, Suite 6101
                                                   Madison WI 53715-1218

       The complete protest must be received by the Chancellor and the Director of Purchasing Services no later than ten
       working days after the date of solicitation or the intent to award is issued. The protest must be in writing. Protesters
       must make their protests as specific as possible and must specifically identify the Wisconsin State Statute and/or
       State of Wisconsin Administrative Code provision(s) allegedly violated.

       The decision of the University regarding the protest may be appealed to the Secretary of the Department of
       Administration within five working days of the issuance, with a copy of such appeal filed with the procuring agency,
       provided the appeal alleges a violation of a statute or a provision of a Wisconsin Administrative Code.
UNIVERSITY OF WISCONSIN                                                PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                          PAGE 8 OF 53


                            Section #3: Performance and Contract Requirements

3.1   Contract Terms and Conditions
      A contract will be awarded based on the criteria established in this RFP. The terms and conditions of the contract
      will minimally contain:

      3.1.1      The minimum contract requirements identified in this Section #3.
      3.1.2      The Proposer‘s commitments identified in their responses to Section #4.
      3.1.3      The University Standard Terms and Conditions of Contract as provided in Attachment E.
      3.1.4      A contract will be awarded based on the criteria established in this RFP. The Specifications, Special and
                 Standard Terms and Conditions, Attachments to the proposal document, Proposer response and any UW
                 Madison Purchase Order will become the Contract between the University and the Contractor. Proposer
                 must accept these Specifications, Special and Standard Terms and Conditions or submit detailed and
                 defined exceptions along with proposed alternative or additional language for each exception.

                 Submitting a standard Proposer Contract as a complete substitute or alternative for the language in this
                 solicitation will not be accepted and may result in rejection of the Proposer‘s proposal.

                 The University reserves the right to negotiate contractual terms and conditions or reject the Proposer‘s
                 response and proceed to the next qualified proposer.

3.2   Scope
      See also, Specifications (Attachment A)
      The Contractor will implement, at no-charge to the caller, a convenient telephone-based tobacco use cessation
      Quit Line to assist Wisconsinites with quitting smoking or using other tobacco products. As appropriate to each
      tobacco user‘s readiness to quit, the Quit Line will provide screening, assessment, proactive (counselor
      initiated) and reactive (externally initiated) counseling, support materials, and/or referrals to community based
      cessation programs. Additional services to be provided include, but are not limited to: integrated and/or stand-
      alone web-based services and FDA approved pharmacotherapy. The Quit Line will provide services in the
      following areas:

      a.      Provide screening of all callers to determine the services desired. Screening of tobacco users must include,
              but is not limited to, the Minimal Data Set questions as recommended by the NAQC, and obtaining permission
              of the tobacco user to be contacted by an independent evaluator.
      b.      Provide information and materials (as appropriate) to tobacco users and non-tobacco users, on tobacco
              dependence and its treatment, the dangers of secondhand smoke and other tobacco-related information.
              Information may include advice for family and friends on helping a tobacco user quit, and providing appropriate
              support through a quit attempt. A Notice of Privacy Practices must also be provided to participants speaking
              with a Quit Line Specialist.
      c.      Provide a simple, no-cost point of access to services to assist tobacco users in quitting by providing screening
              and assessment of readiness to quit, counseling and advice, support materials, information on the 2008 U.S.
              Public Health Service Guideline recommendations, and any future updates, on the use of pharmacological
              cessation aids and referral to community-based services as appropriate.
      d.      For callers who are ready to quit, the Quit Line will assist the caller to develop a personalized quit plan, provide
              comprehensive, proactive and reactive, phone-based behavioral counseling to interested participants,
              coordinate benefits with available employer or health plan coverage for tobacco dependence treatment, and
              referrals to community-based services, if desired and available. At this time, callers are offered a 1-call
              program only. It is anticipated that as Quit Line funding is restored, a proactive multiple call program will once
              again by available to tobacco users.
      e.      FDA approved pharmacotherapy may be provided to eligible callers. At this time, two weeks of
              pharmacotherapy is offered to all 1-call program participants, once per 12 months. Eligibility would likely be
              changed with the availability of the multiple call program. Any changes in eligibility will be determined by UW-
              CTRI and communicated in writing to the Contractor. As practicable, UW-CTRI will provide a minimum of 30
              days advance notice of changes in eligibility.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 9 OF 53


      f.   For healthcare professionals, the Quit Line will provide technical assistance and consultation on a variety of
           effective tobacco dependence treatment issues. Topics may include up-to-date information about Nicotine
           Replacement Therapy (NRT) or other pharmacotherapy, referrals to the Quit Line, implementation of in-office
           procedures following the 2008 PHS Clinical Practice Guidelines on Treating Tobacco Use and Dependence
           (and its updates), complicated patient case management issues, and the availability of community-based
           tobacco cessation programs.
      g.   Provide information and support to the family and friends of tobacco users who may request assistance in
           motivating and helping their loved one quit tobacco.
      h.   Provide Quit Line services that are culturally and linguistically appropriate for the following specific populations:
           1. Medicaid beneficiaries
           2. Uninsured/Low Socioeconomic Status
           3. Pregnant women
           4. Senior adults
           5. Smokeless tobacco users
           6. Native Americans
           7. African Americans
           8. Hispanic/Latinos
           9. Spanish speaking callers
           10. Deaf and Hard of Hearing
           11. Callers with mental health or substance abuse disorders
           12. Teens
      i.   Wisconsin has a significant population of Native Americans, who have a high prevalence of tobacco addiction
           as well as a deeply rooted traditional use of tobacco. If materials, protocols and/or staff training curricula
           specific to Native Americans indigenous to Wisconsin are not currently available, the Contractor will work with
           UW-CTRI to develop them. Additional materials, protocols, and/or staff training curricula may be developed by
           UW-CTRI and the Contractor for other specific populations.
      j.   To facilitate effective evaluation of the Quit Line, the Contractor will work collaboratively with UW-CTRI. Quit
           Line evaluation will be conducted by UW-CTRI or a third-party selected by UW-CTRI to verify tobacco use
           status and measure client satisfaction. This may involve data use agreements for the purpose of HIPAA
           compliance. Follow-up evaluation calls will be made to a random sample of callers meeting evaluation criteria 7
           months after registration.
      k.   The Contractor will work collaboratively with UW-CTRI to fulfill reporting requirements as outlined in the CDC
           American Recovery and Reinvestment Act of 2009: Cessation through Quitlines and Media grant.

3.3   Term of Contract
      The contract effective date shall commence upon the successfully negotiated signed contract of the successful
      proposer as required in this RFP. The initial contract term shall be for three years from the contract effective
      date with the option of four one year renewal periods.

      This contract shall automatically be extended into its subsequent years unless the Contract Administrator is notified
      in writing by the Contractor; or the Contractor is notified by the Contract Administrator in writing 60 calendar days
      prior to expiration of the initial and/or succeeding contract period(s).

      It is the intent of the University to start the resulting Contract April 1, 2011; contingent upon successful negotiations.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 10 OF 53


3.4   Firm Prices
      Prices must remain firm for the initial contract term. Prices established may be lowered due to general market
      conditions.

      Price increase requests proposed after the initial Contract term must be received by Purchasing in writing 90
      calendar days prior to the beginning of the next contract term for acceptance or rejection. Proposed price increases
      are limited to fully documented cost increases submitted with the request. If Purchasing deems cost increases are
      not acceptable, it reserves the right to rebid the contract in whole or part. Acceptance of the price increases shall be
      in the form of an amendment to the contract publication.

      Price increases must be labeled with the contract number and be submitted in the same format as the original
      Proposal. Any price increase requested that is not submitted in the proper format may be rejected.

3.5   Payment Terms
      The University will pay the Contractor Net 30 days.

3.6   Invoicing Requirements
      Invoices for Purchase Orders:
      3.6.1 Contractor must agree that all invoices and purchasing card charges shall reflect the prices and
             discounts established for the items on this contract for all orders placed even though the contract
             number and/or correct prices may not be referenced on each order.

             The University must meet a statutory mandate to pay or reject invoices within 30 days of receipt by
             University Accounts Payable. Before payment is made, it also must verify that all invoiced charges are
             correct as per this Contract. Only properly submitted invoices will be officially processed for payment.
             Prompt payment requires that your invoices be clear and complete in conformity with the instructions
             below. All invoices must be itemized showing:

                Contractor name
                remit to address
                purchase order number
                release number if given
                date of order/release
                complete item description identical to those stated in proposal
                prices per the Contract

             The original invoice must be sent to University Accounts Payable, 21 N Park St, Suite 5301, Madison,
             WI 53715-1218.

      3.6.2 Final payment may not be made until the item is operating according to specifications and has been
            accepted by the University.

3.7   Protected Health Information (HIPAA) – see Attachment I

3.8    Contract Performance
      All services to be performed and materials to be produced under the contract will be accomplished in consultation
      with UW-CTRI. All procedures developed and products provided under the contract will be subject to final approval
      by UW-CTRI. Contractor owns all right, title, and interest, including copyrights and all other intellectual property
      rights in any project materials, papers, forms, and other work product that Contractor has developed and fixed in
      tangible form prior to the effective date of this Agreement, and the enhancement of such materials made during the
      term of this Agreement (the ―Materials‖). All records and data pertaining to the contract, including the client
      information database and the community resource database will remain the property of UW-CTRI. All materials
      developed pertaining to this contract will become the property of UW-CTRI. Contractor and UW-CTRI may each
      use, copy, publish, modify, distribute, and display any jointly prepared materials, without payment or accounting
      other than as required by this contract. The Contractor will communicate with UW-CTRI staff through conference
      calls, email, or meetings, as required to provide these services. Nothing in this section permits any party, either
      during the term of this Agreement or at any time after termination, to use trademarks or services marks owned,
      created, or developed by the other party, unless otherwise authorized or permitted under this Agreement or
      authorized in writing.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 11 OF 53


3.9    Insurance
       The Contractor shall maintain insurance levels as required in STANDARD TERMS AND CONDITIONS, SECTION
       22.0. A certificate of insurance must be provided upon request and provided on an annual basis.

       The Contractor shall add the ―Board of Regents of the University of Wisconsin System, its officers, employees and
       agents‖ as an additional insured under the Contractor‘s commercial general liability policy.

3.10   Travel Per Diems
       All of the Contractor‘s travel and per diem expenses shall be the Contractor‘s sole responsibility. Payment to the
       Contractor by the University shall not include an additional amount for this purpose.

       In the event the University requests the Contractor to travel, the Contractor must follow State policies and will
       be reimbursed at State of Wisconsin travel rates only to the extent provided by Wisconsin Statutes and
       Administrative Rules. The information about those rates can be found at the web site listed below. These rates
       change on a yearly basis. Any difference between State of Wisconsin reimbursement rates and Federal or
       other reimbursement rates is the responsibility of the Contractor.
       (See website: http://www.uwsa.edu/fadmin/fppp/fppp36.htm) .

3.11   Contract Termination
       After the initial term of the Contract, the University may terminate the Contract at any time, without cause, by
       providing 90 days, written notice to the Contractor. If the Contract is so terminated, the University is liable only for
       payments for products provided or services performed, to the extent that any actual direct costs have been incurred
       by the contracted proposer pursuant to fulfilling the contract. The University will be obligated to pay such expenses
       to date of the termination.
       Contract Termination may occur for the following reason: Shall either party fail to perform under the terms of this
       Contract; the aggrieved party may notify the other party in writing via certified mail of such failure and demand that
       the same be remedied within 60 calendar days. Should the defaulting party fail to remedy the same within said
       period, the other party shall then have the right to terminate this Contract immediately. Performance failure can be
       defined as but not limited to: elimination or reduction of funding for this work, breach of security or confidentiality,
       inability of the Contractor to deliver in a timely fashion, failure to respond to communication requests on a timely
       basis, failure to resolve invoicing issued on a timely basis, or failure to provide any of the conditions of the
       Specifications or Special Conditions of Proposal.

       Failure to maintain the required Certificates of Insurance, Permits and Licenses shall be cause for Contract
       termination. If the Contractor fails to maintain and keep in force the insurance as provided in #22 of the
       University's Standard Terms and Conditions, the University has the right to cancel and terminate the Contract
       without notice.
       If at any time a petition in bankruptcy shall be filed against the Contractor and such petition is not dismissed within
       90 calendar days, or if a receiver or trustee of Contractor's property is appointed and such appointment is not
       vacated within 90 calendar days, the University has the right, in addition to any other rights of whatsoever nature
       that it may have at law or inequity, to terminate this contract by giving 90 calendar days notice in writing of such
       termination.
       If at any time the contractor performance threatens the health and/or safety of the University, the University has the
       right to cancel and terminate the Contract without notice.
       All notices of performance failure shall be submitted in writing to Purchasing, 21 N Park St, Suite 6101, Madison WI
       53715-1218. Purchasing will be the final authority for all grievances not resolved through the UW-CTRI.

3.12   Record and Audit
       The Contractor shall establish, maintain, report as needed, and submit upon request records of all transactions
       conducted under the contract. All records must be kept in accordance with generally accepted accounting
       procedures. All procedures must be in accordance with federal, State of Wisconsin and local ordinances.

       The University shall have the right to audit, review, examine, copy, and transcribe any pertinent records or
       documents held by the Contractor related to this contract. The Contractor shall retain all applicable documents for a
       period of not less than five years after the final contract payment is made. The University reserves the right to
       inspect any facilities used to support this Contract.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 12 OF 53


3.13   Co-branding
       The contractor will not co-brand on telephone messages, materials, and media promotion of the Helpline or other
       similar activities in which the proposer might be identified to the public without prior written approval from UW-CTRI.
       Co-branding, if it occurs, will be at the sole discretion of UW-CTRI. With approval from UW-CTRI, the contractor
       may use proprietary and/or copyrighted materials without listing including Wisconsin Tobacco Quit Line logo or other
       identifying information.

3.14   Performance Meetings
       The Account Representative and/or Proposer Contract Administrator must be available to meet upon request (as
       needed) with the University's Contract Administrator to evaluate contract implementation and performance and to
       identify continuous improvement. Frequency of these meetings may be modified by contract with both parties, or
       upon demand by the University.

3.15   Subcontractors
       3.15.1  Any Contract resulting from this proposal shall not be, in whole or in part, subcontracted, assigned, or
               otherwise transferred to any other Contractor without prior written approval by Purchasing.

       3.15.2    The Contractor shall be directly responsible for any subcontractor's performance and work quality when
                 used by the Contractor to carry out the scope of the job.

       3.15.3    Subcontractors must abide by all terms and conditions under this Contract.

       3.15.4    If subcontractors are to be used, the Contractor must clearly explain their participation.

3.16   Fair Price Analysis
       Purchases made under this proposal may require further fair price analysis. Prior to award, the awarded
       contractor will be required to provide documentation (i.e. published price list, list of previous buyers, etc.) to allow
       the University to complete this analysis

3.17   Executed Contract to Constitute Entire Contract
       The University's Request for Proposal, the proposal responses, written communications and this Contract constitute
       the entire Contract between the parties. The hierarchy of documents in descending order for resolution is as
       follows:

       A.   Contract Award Letter
       B.   Original Request for Proposal Number 11-5685, dated September 7, 2010 including amendments/attachments
       C.   Proposer response to RFP
       D.   Official Purchase Order (when applicable)

3.18   Severability
       If any provision of this contract shall be, or shall be adjudged to be, unlawful or contrary to public policy, then that
       provision shall be deemed to be null and separable from the remaining provisions, and shall in no way affect the
       validity of this contract.

3.19   Client Database
       Unless otherwise provided, all data collected or produced or derived exclusively from the Contractor‘s or
       subcontractor‗s work under this contract, including, but not limited to:

           Demographic Information of Quit Line callers
           Personal information of Quit Line callers

       Other characteristics of callers and/or calls to the Quit Line; tobacco consumption level; past or present quit advice,
       attempts, intentions and dates; any information related to referrals, services and/or costs of services provided to
       each caller; any information related to follow-up evaluation or services; and any information related to the provision
       and/or recommendation of pharmacotherapy; times and dates of calls; wait time for callers; and any other
       information related to the quality assurance or effectiveness of the Quit Line to callers individually or in aggregate;
       shall remain the sole property, including intellectual property, of UW-CTRI, whether in individual, aggregate,
       identified or de-identified form or any other form required by UW-CTRI. To facilitate follow-up, research, surveillance
       and evaluation of the Quit Line, any such data collected, used or acquired shall be made available in any form
       required by UW-CTRI, to UW-CTRI and any other contractor designated by UW-CTRI. UW-CTRI hereby agrees to
       comply with all applicable state and federal privacy laws, including HIPAA, in the use or release of any such data.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 13 OF 53

        UW-CTRI represents and warrants that it is authorized to receive such information as a covered entity under
        HIPAA, and that it will make reasonable efforts to limit the PHI requested to the minimum necessary to accomplish
        the intended purpose of the request. Any such data collected, used or acquired shall be used solely for the
        purposes of this contract. Contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or
        otherwise make known any such data to unauthorized persons without the express written consent of UW-CTRI or
        as otherwise required by law. Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any
        such data collected or work papers necessary to perform its duties under the contract and for its own treatment,
        payment and operations purposes as permitted or required by HIPAA and in accordance with professional
        standards.
3.20    Intellectual Property
        The contractor warrants that the purchase, use or sale of goods or services covered by this contract do not and will
        not infringe any patent, trademark, copyright, trade secret or other intellectual property right. UW-CTRI shall own all
        intellectual property rights resulting from any design or development work or any research completed by contractor
        in conjunction with this contract. The contractor agrees to hold harmless and indemnify UW-CTRI, its officers,
        agents, successors, assigns and customers against and from any and all claims, demands, losses cost, damages,
        suits, judgments, penalties, expenses and liabilities of any kind or nature whatsoever including reasonable attorney's
        fees that may be incurred arising directly or indirectly out of or in connection with the possession, use, reuse, sale or
        resale or said goods or services, including actual or alleged infringement of intellectual property rights, including
        invention rights pending applications, patents, trademarks, copyrights, trade names trade dress, trade secrets, right
        of privacy and right of publicity, and contractor agrees to step in and defend the same if requested by UW-CTRI.

        The contractor warrants and acknowledges UW-CTRI‘s reliance hereon, that the contractor has good and lawful title
        to all goods and services supplied by the contractor to UW-CTRI, and that the contractor conveys same free of
        encumbrance, including infringement of any known intellectual property rights, or if covered by intellectual property
        rights of the contractor and in consideration of UW-CTRI buying goods and services from the contractor, contractor
        covenants not to sue the University of Wisconsin for infringement of said intellectual property rights of contractor,
        subject to the exceptions made in writing by the contractor to UW-CTRI within (30) days thereof and specifically
        listing each excepted right. When using the consulting services of an artist, writer, or designer for the development
        of materials, all contractors must indicate "Work for Hire" on contracts and invoices.

        Copyright, as the Condition is to be included in all subcontracts. This will ensure that the copyright belongs to UW-
        CTRI and that the contractor has the authority to make derivative works and that no residual costs will be incurred
        by the contractor for additional printing or use.
3.21    Funding
        The awarding or continuance of a contract will be contingent upon the availability of funding as determined by the
        University of Wisconsin – Center for Tobacco Research and Intervention and the State of Wisconsin.

3.22    Inspection of Work Performed
        UW-CTRI or their authorized representatives shall, at all reasonable times, have the right to enter into contractor's
        premises, or such other places where duties under the contract are being performed, to inspect, monitor, or
        otherwise evaluate the quality, appropriateness, and timeliness of work being performed. The contractor and all
        subcontractors must provide access to all reasonable facilities and provide assistance, if deemed necessary by the
        requesting agency/personnel. All inspections and evaluations shall be performed in such manner as will not unduly
        delay work.
3.23    Nondisclosure and Confidential Information
       To the extent allowed by Federal or Wisconsin law, both parties agree, on behalf of themselves, their affiliates, and
       their employees, independent contractors and consultants, that they shall not use, except as otherwise expressly
       permitted hereunder, or disclose to anyone, without a need to know in order to perform under this Contract, either
       during or after the term of this Contract, any Confidential Information.

       To be deemed ―Confidential Information‖ for purposes of this Contract, any such Contractor information must be
       appropriately marked as confidential at the time of disclosure or should be reasonably understood by the receiving
       party under the circumstances.

       In recognition of the foregoing, each party agrees: (a) that it will use the same degree of care to prevent disclosure of
       Confidential Information as is used to protect its own confidential information of a similar nature; (b) unless otherwise
       required by Wisconsin Public Records Law, that it will not authorize disclosure of any Confidential Information to
       anyone outside of the party‘s organization, except with the disclosing party‘s prior written consent.
UNIVERSITY OF WISCONSIN                                                PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                          PAGE 14 OF 53


3.24   Protection of University’s Confidential Information
       Contractor acknowledges that some of the material and information that may come into its possession or knowledge
       in connection with this Contract or its performance may consist of information that is exempt from disclosure to the
       public or other unauthorized persons under state or federal laws (―Confidential Information‖). Contractor agrees to
       hold University‘s Confidential Information in strictest confidence and not to make use of Confidential Information for
       any purpose other than the performance of this Contract, to release it only to authorized employees or
       Subcontractors requiring such information for the purposes of carrying out this Contract, and not to release, divulge,
       publish, transfer, sell, disclose, or otherwise make the information known to any other party without the University‘s
       express written consent or as provided by law. Contractor agrees to implement reasonable physical, electronic, and
       managerial safeguards to prevent unauthorized access to University‘s Confidential Information.

       Immediately upon expiration or termination of this Contract, Contractor shall, at University‘s option: (i) certify to
       University that Contractor has destroyed all University‘s Confidential Information in Contractor‘s possession; or
       (ii) return all University‘s Confidential Information to University.

3.25   Active Recruiting and Non-Solicitation
       Neither the University nor the Contractor shall actively recruit any employee of the other party performing any of the
       services within the scope of this contract. Neither the University nor the Contractor will engage the services of any
       person or persons now employed by the other party to provide services relating to this agreement without the written
       consent of the employing agency of such person or persons. The University cannot legally enter into a contract which
       in any way restricts the rights of any individual to pursue employment with any State of Wisconsin agency. In the
       event a candidate for a State of Wisconsin job is hired as a result of a public job solicitation open to any qualified
       applicants, the University is not liable.

3.26   Purchased Services – USA Requirement
       The State of Wisconsin requires purchased contractual services to be performed in the United States. Contractor
       warrants that the services provided to the UW System under this contract will be performed in the United States.
       The inability to perform services in the United States shall be grounds for disqualifying your proposal for this contract.

3.27   Assignment
       No right or duty in whole or in part of the Contractor under this contract may be assigned or delegated without the
       prior written consent of the University; provided however that Contractor may assign some or all of its rights and/or
       obligations hereunder without such consent to any of its affiliates, or in connection with a sale or merger involving
       substantially all of the assets of its business which is related to this Agreement. UW-CTRI shall have the right,
       subsequent to any such assignment, to terminate the Agreement upon ninety (90) days advance written notice.

3.28    Limitation of Liability
        To the maximum extent permitted by law, neither party will be liable with respect to any subject matter of this
        agreement under any contract, negligence, strict liability or other legal or equitable theory for any special, incidental
        or consequential damages of any kind, including, without limitation, damages for loss of profit or goodwill or work
        stoppage, even if such party has been advised of the possibility of such damages.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 15 OF 53

                                  Section #4: Requirements of All Proposals

NOTE: Failure to respond to all items in this section may be deemed as sufficient reason to reject any proposal.
Please format your response to correspond numerically with items listed below.

4.1    Proposers must complete the RFP Checklist and Submittal Page in Section #6 of this RFP, and sign in ink.
          (Mandatory Response)

4.2    Proposers must complete the Specifications Form provided in Attachment A.
         (Mandatory Response)

4.3    Proposer must complete the Cost Proposal Form provided in Attachment B.
          (Mandatory Response)

4.4    Proposer must complete the Client Reference List provided in Attachment C. Using that format:

       (A)   Provide a minimum of four of the organization‘s current state and commercial Quitline clients, including the
             date the contractual relationship began, and a contact person and telephone number. These contacts
             should be for engagements where a comparable scope of service was provided. UW-CTRI may contact
             any of these current clients for reference information.

       (B)   Provide a list of at least four of the organization‘s former state Quitline clients, the dates of the contractual
             relationship, the reason that the contract was ended, and a contact person and telephone number. These
             contacts should be for engagements where a comparable scope of service was provided. UW-CTRI may
             contact any of these former clients for reference information
               (Mandatory Response)

4.5    Proposer must complete the Supplier Diversity, Minority Business Enterprise (MBE) Program Commitment provided in
       Attachment D.
          (Mandatory Response)

4.6    Proposer must provide contact information for the following:
       (Mandatory Response)

                                        NAME                                PHONE NUMBER               FAX NUMBER
       Contract Renewal/                _________________                   _______________            _____________
       Cancellation/Problems
       Invoice Information              _________________                   _______________            _____________

       Ordering/Expediting              _________________                   _______________            _____________

       Returns                          _________________                   _______________            _____________


       MINORITY REPORTING:                                                  PHONE NUMBER               FAX NUMBER
                 Contact Name:         __________________________           _______________            ___________
                      Address:         __________________________
                                       __________________________
                                       __________________________
                             E-mail:   __________________________


       AFFIRMATIVE ACTION:                                                  PHONE NUMBER               FAX NUMBER
                 Contact Name:         __________________________           _______________            ___________
                      Address:         __________________________
                                       __________________________
                                       __________________________
                                       __________________________
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 16 OF 53


      4.7 PROPOSAL REQUIREMENTS
      Each proposal must include the components below in the following order. Note: In responding to each of these
      items, please appropriately indicate the section/subsection number of each component.

         Response/Proposal to include:
          o   Detailed Management Proposal (See Attachment A, Section 16)
          o   Technical Proposal Specifications (See Attachment A, Section 17)
          o   Price Proposal, including the Cost Proposal, Budget Narrative and Pricing Exercise (See Attachment B)

         Appendices to include:
          o   Provide the most recent independent audit report (including the auditor’s letter or comments about the
              report), and describe the applicant's financial ability to carry out the project. Proposals shall include proof of
              the applicant's financial soundness and successful completion of other projects of a like size and scope.
          o   If applicable, include the site visit tool or protocols used during home visits to assess compliance.
          o   Resumés of all key personnel, including the Chief Executive Officer, Chief Financial Officer, Medical
              Director and other key management, supervisory and Quit Line personnel.
          o   Provide the resumé and job description of the person who will serve as Wisconsin‘s account
              representative. Also provide a list of other accounts for which the individual will be responsible in addition
              to Wisconsin.
          o   An organizational chart reflecting Wisconsin‘s account representative within the organization.
          o   Provide a summary of orientation, training and continuing education protocols for cessation specialists in
              the appendices.
          o   Provide a sample of the monthly report, with definitions of each item contained in the report.
          o   Provide a sample of the weekly call volume report.
          o   Provide an affirmation that UW-CTRI is the sole owner of the client database and that client data from the
              Quit Line will not be used by the Contractor for any purpose other than provision of Quit Line services,
              administrative and management analysis for operational improvements, benchmarking, or similar activities
              without prior written approval of UW-CTRI.
          o   Provide a list of Advisory Board members, if applicable.
          o   Provide a sample of a service performance report.
          o   Provide a detailed work plan including a timeline of activities to guide the implementation of the Quit Line
              from date of award to ―go live‖ date. Include a narrative description of the individual items or the timeline as
              a whole, as needed.
          o   Provide a diagram representing the flow of callers through the protocols
          o   Provide a recorded copy of calls/counseling sessions on either CD-ROM, or DVD format for each of the
              following call types (for a total of 5 recorded sessions):
              1.     initial call and registration for services
              2.     initial counseling/assessment call
              3.     follow-up counseling call
              4.     follow-up counseling call with a member of a specific population described in this Request for
                     Proposals.
              5.     A follow-up call with a woman in the post-partum period (if available)
          o Provide copies of all self-help and other support materials listed. Clearly label the materials to indicate the
             intended audience.
          o Provide a completed Certification of Non-Acceptance of Tobacco Industry Funds.

     DO NOT include or attach materials that are not specifically requested. Extraneous materials will be removed and not
     reviewed.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 17 OF 53


                             Section #5: Evaluation and Award of Contract(s)

5.1   Proposal Scoring
      Proposals meeting mandatory requirements will be reviewed by an evaluation committee and scored against the
      stated criteria. The committee may, at its sole discretion, review references, request oral presentations, and
      conduct an on-site visit and use the results in scoring the proposals. Proposals from certified Minority Business
      Enterprises may have points weighted by a factor of 1.00 to 1.05 to provide up to a five percent (5%) preference to
      these businesses. The evaluation committee's scoring will be tabulated and proposals ranked based on the
      numerical scores calculated.

5.2   Scoring Criteria and Method
      For each response required of the Proposer in Section #4, the points provided in parentheses represents the total
      possible points available for each response. The responses will be evaluated based on the relative merits to the
      needs of the State of Wisconsin (rather than relative to competing Proposer‘s responses). The proposals will be
      scored and ranked independently by each committee member and the resulting scores will be averaged to
      determine the highest scoring proposal.

      Only proposals that receive a minimum of 60% of performance points (Attachment A, Section 16 - 17) will be scored
      for cost.
      Experience and Operations                                         300 points
      Technical Specifications                                          350 points
      Cost Proposal – Budget Narrative & Pricing Exercise               150 points
      Cost Proposal - Pricing                                           200 points
      TOTAL:                                                          1000 POINTS

              Pricing
      5.2.1   The lowest priced proposal will receive 100% of the allotted cost points. All other proposals will be scored
              using the formula as follows:

               Lowest Proposed Cost
                      (constant) __     X        Maximum evaluation points given to cost             = SCORE
               Other Proposer's Cost
               (varies according to proposal being scored)

              Calculation of points awarded to subsequent proposals will use the lowest dollar proposal amount as a
              constant numerator and the dollar amount of the firm being scored as the denominator. This result will
              always be less than one. The result is then multiplied by the number of points given to the cost section of
              the RFP.

      5.2.2   For all other non-pricing related responses, points will be awarded relative to the needs of the State of
              Wisconsin, as solely determined by the evaluation committee members.

5.3   Best and Final Offers
      At the sole discretion of the University, the highest scoring Proposer or Proposers may be requested to submit a
      Best and Final Offer in order to further clarify the deliverables, contract language, or costs presented in the
      Proposer‘s RFP. If Best and Final Offers are requested, they will be evaluated against the stated criteria, scored
      and ranked. There is no obligation on the part of the University to request Best and Final Offers from any or all of
      the Proposers responding to the RFP.

5.4   Contract Award
      The contract will be awarded to the highest scoring proposer providing contract negotiations are successful.

5.5   Notification of Award
      All proposers who respond to this RFP will be notified in writing of the University's award of contract(s) as a result of
      this RFP. After notification by Purchasing of the intent to award, file copies of proposals will be available for public
      inspection. Proposers must schedule document inspection with the Contract Administrator responsible for
      managing this RFP.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 18 OF 53


                                Section #6: RFP Checklist and Submittal Page
6.1   Proposer has responded to all items in Section # 4,‖ Requirements of All Proposals‖. ___________(Initial)

6.2   In accordance with Wisconsin Statutes 16.75(3m), 16.752 and 560.035(1)(c), please indicate below if you are a
      Wisconsin Certified minority business (MBE), work center (WC) or woman owned business (WBE) (see websites:
      http://www.commerce.state.wi.us/bd/BD-MinorityandWomen.html or http://stateuseprogram.wi.gov/section.asp?linkid=1424&locid=65 ).

      ____ Minority (MBE) ____ Work Center (WC) ____ Woman Owned Business (WBE) ___ Not applicable
      (If no answer is indicated above, we will assume that you are none of the above when making the award.)

6.3   Pursuant to Public Law 95-507, indicate which of the following classifications apply to your organization. All
      vendors are considered Large Business unless otherwise indicated (see website: www.sba.gov/). (Check √ all that
      apply.)

      ____________ LARGE BUSINESS (LG)
      ____________ SMALL BUSINESS (SB)
      ____________ VETERAN OWNED SMALL BUSINESS (VOSB)
      ____________ SERVICE DISABLED VETERAN OWNED SMALL BUSINESS (SDVOSB)
      ____________ HISTORICALLY UNDER UTILIZED BUSINESS ZONE (HUBZONE)
      ____________ SMALL DISADVANTAGED BUSINESS (SDB)
      ____________ WOMAN-OWNED SMALL BUSINESS (WOSB)

6.4   MINORITY BUSINESS PARTICIPATION: As a mandatory component of this proposal, you must complete the ―Supplier
      Diversity, Minority Business Enterprise (MBE) Program Commitment‖ form that is a part of this document.

      I have reviewed and completed the ――Supplier Diversity, Minority Business Enterprise (MBE) Program Commitment‖.

      ____________ YES       ____________ NO

6.5   In preparing this RFP, this Proposer has not been assisted by any current or former employee of the State of
      Wisconsin whose duties relate to this RFP and who was assisting in other than his or her official capacity. Neither
      does such a person or any member of his or her immediate family have any financial interest in the outcome of this
      RFP. ____________(Initial)

6.6   AMERICAN MADE: Wisconsin Statutes S. 16.754, directs the state to purchase materials which are
      manufactured to the greatest extent in the United States when all other factors are substantially equal.
      ―Substantially equal‖ means when proposals are tied or proposal scores are equal. Indicate whether the material
      covered in your proposal were manufactured in whole or in substantial part within the United States, or the majority
      of the component parts thereof were manufactured in whole or in substantial part in the United States.

      ____________ YES       ____________ NO        ____________ UNKNOWN
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 19 OF 53


6.7   Proposer agrees to make the terms of the resulting contract available on a convenience use basis for other UW-
      System Campuses and to other State Agencies, municipalities, and school districts if awarded a contract.

      ____________ YES       ____________ NO

6.8   CONTRACT ADMINISTRATOR
      Any correspondence, price lists or other documents must include reference to Contract number 11-5685 and be
      sent to the Contract Administrator. The Contract Administrators are authorized to give the approvals required
      under this contract on behalf of the University.

      A.    University
            The Contract Administrator for the University is:

                                                   Carl Hubbard
                                         University of Wisconsin-Madison
                                               Purchasing Services
                                             21 N Park St, Suite 6101,
                                             Madison WI 53715-1218
                                     PHONE (608) 262-6557 -- FAX: (608) 262-4467
                                     EMAIL: chubbard@bussvc.wisc.edu

                               Day- to-day operations for the University will be handled by:

                                               Kate Kobinsky, MPH, CHES
                                                   Quitline Coordinator
                                      Center for Tobacco Research and Intervention
                                        University of Wisconsin Medical School
                                              1930 Monroe Street, Suite 200
                                                   Madison, WI 53711
                                      PHONE (608) 265-5617/ Fax: (608)265-3102
                                          EMAIL: ks6@ctri.medicine.wisc.edu
                                              WEBSITE: www.ctri.wisc.edu

        B. Contractor
           Contractor must provide knowledgeable individuals, acceptable to the University, who will provide the
           following administrative support functions:

            The Contract Administrator for the Contractor who is authorized to give the approvals required under this
            Contract is:

                                _______________________________________ (Name)
                              _______________________________________ (Company)
                               _______________________________________ (Address)
                               _______________________________________ (Address)
                                PHONE ________________ -- FAX ________________
                               EMAIL _________________________________________

            A Contract Administrator to act with full authority on the Contractor‘s behalf in all matters pertaining to the
            University.

            Day- to-day operations for the Contractor will be handled by:

                                _______________________________________ (Name)
                              _______________________________________ (Company)
                               _______________________________________ (Address)
                               _______________________________________ (Address)
                                PHONE ________________ -- FAX ________________
                               EMAIL _________________________________________
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 20 OF 53



The Proposer certifies by submission of the proposal that neither it nor its principals is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal
department or agency. ___________ (Initial)

In signing this proposal, we have read and fully understand and agree to all terms, conditions and specifications and
acknowledge that the University Purchasing Services proposal document on file shall be controlling. We certify that
we have not, either directly or indirectly, entered into any contract or participated in any collusion or otherwise taken
any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit
or not to submit a proposal; that this proposal has been independently arrived at without collusion with any other
proposer, competitor or potential competitor; that this proposal has not been knowingly disclosed prior to the opening
of proposals to any other proposer or competitor; that the above stated statement is accurate under penalty of perjury.

___________________________________________________________________________________
Name and Title of Signing Officer (print)

___________________________________________________________________________________
Company Name and Address

_______________________                       _____________________ __________________
Telephone                                       Fax Number            Tax I.D. Number

_____________________________________________________________                                 __________________
Signature                                                                                     Date
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 21 OF 53

ATTACHMENT A – SPECIFICATIONS

The following performance standards for the Wisconsin Tobacco Quit Line must be addressed in all
proposals:

   1. BUSINESS AND SYSTEM CAPABILITY
       a.   This is a reimbursement contract. The Contractor must have the financial capability and cash flow to provide
            and maintain services for a period of up to three months while awaiting reimbursement from UW-CTRI.

       b.   The Contractor must assure that it will not have a contract or affiliation with a tobacco company. (see
            Attachment H).

       c.   The Contractor must assure that it will not directly contact Wisconsin health plans for business opportunities.

       d.   The Contractor will assure core functionality to provide qualified personnel, facilities and equipment necessary
            to provide toll-free telephone, fax, and web-based services.

       e.   Office space must accommodate administrative, counseling and support staff and confidential records as well
            as sufficient telephone lines, telephones and computer hardware.

       f.   To provide services to the Deaf and Hard of Hearing, a TTY line and Video Relay Service capability must be
            available. However, UW-CTRI prefers a Contractor that is fully capable of providing video-to-video services by
            counselors proficient in American Sign Language.

       g.   The system must be able to handle multiple, simultaneous incoming and out-going calls with multi-lingual
            capability. English and Spanish must be offered. Provide real-time translation services for other languages.
            Systems must offer a strong, scalable communications server, automatic call distribution functionality, real-
            time monitoring of overall activity as well as individual calls, collection, analysis and reporting of data, and
            telephony integration allowing information exchange between voice and data systems. At a minimum, the
            system must be able to track during and outside of hours of operation, ―hits to the line‖, abandonment rates,
            wait times, length of call. The system must also be able to record all calls for quality assurance purposes.

       h.   Although UW-CTRI prefers that callers receive a ―live‖ (human) answer rather than navigating an automated
            answering system, it is understood that automated answering systems are commonly used by most quitline
            service providers. If an automated answering system is used, the caller must not be required to select more
            than two options prior to speaking with a registration specialist or other staff person.

       i.   If a new Contractor is selected, the current Contractor must work with UW-CTRI to assure a smooth transition
            of the Wisconsin Tobacco Quit Line and the fax referral system.

       j.   The Contractor must utilize the Wisconsin Tobacco Quit Line‘s current fax referral system that allows health
            care professionals to fax a referral to the Quit Line at no charge, so that the Quit Line may proactively contact
            a tobacco user to initiate services. Health care professionals obtain client consent for the referral and such
            consent is indicated by the client‘s signature on the faxed form. Specific services to be performed include:

                The Contractor will work with the UW-CTRI to maintain a current database of participating Wisconsin
                 Fax to Quit sites.
                The UW-CTRI will send a monthly update of new and/or updated Fax to Quit site information to further
                 ensure accuracy.
                The Contractor will attempt to contact the participant at least 5 times over a 3 day period within the ―best
                 times‖ identified by the patient.
                The Contractor will fax back a report on the outcome of the referral to the referring provider
                Healthcare providers experiencing difficulties with Fax to Quit, not receiving the fax referral reports, or
                 questioning the status of a referral can submit an inquiry to the UW-CTRI, and the UW-CTRI will
                 facilitate resolution with the Contractor.
                The UW-CTRI will work with the Contractor to investigate and resolve the problem within 7 days.
                Contractor will collaborate with UW-CTRI to evaluate Fax to Quit services and other program services as
                 needed.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 22 OF 53


      k.    UW-CTRI also prefers a Contractor who has experience in or the capability to accept referrals directly from a
            healthcare system‘s or site‘s electronic health care record (EHR), thus allowing a clinician to refer a patient to
            Wisconsin Tobacco Quit Line services directly from the EHR. In addition, UW-CTRI prefers a Contractor who
            has experience in or the capacity to electronically send back a report on the outcome of the referral via a
            secure, HIPAA compliant EMR link to the health system.

      l.    The Contractor must be capable of coordinating benefits for Wisconsin callers eligible for quitline services
            through a health plan, employer or other resource that is directly contracting with the Contractor. Contractor
            must identify callers who may be eligible for their health plan or employer-based quitline services and if such
            eligibility is determined, the Contractor must facilitate a warm transfer of those callers to the quitline services
            for which they are eligible, and not charge UW-CTRI for the quitline services received.

      m.    The Contractor must be able to develop mechanisms to assist UW-CTRI in fulfilling its contracted
            partnerships with Wisconsin Medicaid and various health plans to provide enhanced Quit Line services to
            their members (see section 10 in this Attachment).

      n.    The Contractor must maintain and update (on a monthly basis) a database of community-based tobacco
            cessation services to which callers may be referred. UW-CTRI will provide Contractor with the initial list of
            community-based resources and inform the Contractor of any updates to the list.

      o.    The Contractor must provide web-based services as an enhancement to the telephone-based services
            provided and/or as a stand-alone web-based cessation program. UW-CTRI prefers a system in which
            participants will be able to register telephone–based and web-based services through the Internet

      p.    The Contractor must implement precautions to ensure that files and programs can be re-created in the event
            of loss by any cause, including a plan to safeguard data files.

      q.    The Contractor must implement systems to assure confidentiality of caller records in accordance with HIPAA
            standards. If any Quit Line staff work from home, the Contractor must have a system in place to assure
            participant privacy that meets HIPAA standards, including periodic site visits to the home to assure adherence
            to the policies.

      r.    Willingness and demonstrated ability to work with UW-CTRI on research projects that may integrate use of
            the quitline as a resource and may call for modifications in the standard protocol.

      s.    The Contractor will also work with UW-CTRI in collaborations and reporting to NAQC, CDC, and HHS.

   2. HOURS OF OPERATION
      a. The Contractor will assure a system infrastructure to provide immediate response and counseling for a
          minimum of 112 hours per week, with availability seven days per week. Recorded information and voicemail is
          required for any period outside the Quit line‘s hours of operation.

      b.    At a minimum, the Contractor must offer live hours of operation from 7:00 a.m. to 11:00 p.m. seven days per
            week. All times listed are Central Standard Time.

      c.    Peak times for calls must be continuously monitored, and hours of live staffing shall be modified accordingly to
            meet peak volume times. Volume must be assessed during live hours of coverage, hours outside of live
            coverage, and as needed in collaboration with media events.

      d.    Operation is not required for Independence Day, Thanksgiving Day, and Christmas Day, however, coverage is
            expected for other holidays, especially New Year‘s Day. Early closure on Christmas Eve and New Year‘s Eve
            is acceptable. Holiday coverage may be renegotiated after the first year of the contract and completion of a
            call volume analysis.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 23 OF 53


   3. CALL VOLUMES AND CALL STANDARDS
      a.  For purposes of estimating call volumes, the following call data is available for Wisconsin Tobacco Quit Line
          since its inception in May 2001. From May 2001 through May 2010, the Wisconsin Tobacco Quit Line
          received a total of 147,577 incoming calls or ―hits to the line‖, 108,134 callers registered for services. These
          include tobacco users as well as calls from the general public, parents, and providers. Among those
          registered for services, about 20% participated in the 1-Call program and 80% enrolled in the 5-Call program.
          NRT was provided beginning in January 2008. The 5-Call program was reduced to the 1-Call program in
          October 2009 due to budget cuts.

       b.   Contractors should achieve the following performance measures to assess the incoming call center capability:
                90% - 95% of calls received during operating hours to the Wisconsin Tobacco Quit Line shall be
                 connected to a registration staff or Quit Line specialist at the time of the initial call.
                The average initial answer speed shall be within 30 seconds.
                Less than 5% abandonment for calls waiting greater than 30 seconds following the initial client queue
                 message (if a live response is not provided).
                100% of self-help materials shall be sent within one business day of registration.
                95% of voicemail messages shall be initiated for return within one day.
                70 to 80% of registered callers interested in speaking with a Quit Line Specialist shall be transferred
                 directly after completing registration.
                75%-80% of all registered tobacco users requesting an intervention will complete an intervention call
                 within one week of registration
                The Contractor will reach, or document an attempt to reach, 90% multiple call participants during their
                 established appointment time for all intervention calls.
                70% of multiple call participants will receive a time-sensitive quit date call within 48 hours of their quit
                 date.

   4. STAFFING
      a.  Contractor must provide a single point of contact (account representative) for communications between the
          Contractor and UW-CTRI.

       b.   Contractor must develop a staffing plan that will provide live call response for at least 112 hours per week, as
            specified in this document by trained behavioral health specialists, preferably staff with bachelor‘s or master‘s
            degrees in social work, psychology, or other behavioral health fields with a minimum of two years of
            counseling experience.

       c.   The Contractor must assure a ratio of at least one supervisor to every 10 to 15 counselors, and provide
            adequate orientation and ongoing training for all staff. Training must include cultural competency in working
            with American Indians, African Americans, Hispanic/Latinos, pregnant women, youth, and the Deaf and Hard
            of Hearing. Staff performance on calls shall be regularly assessed.

       d.   The Contractor must also have a clinical and/or medical director who is available to provide technical
            assistance and oversight as needed.

       e.   If any staff are allowed to work from home, the Contractor must have a plan for assuring adequate supervision
             and training of home-based workers.

       f.   The Contractor must work with UW-CTRI to manage the funds available under this contract in the event that
            demand begins to exceed the available budget.

   5. DATA COLLECTION AND REPORTING
      a.  The Contractor must submit weekly, monthly, quarterly and annual call volume reports to UW-CTRI to track
          use of the Quit Line, as well as caller participation levels and progress. A computerized tracking system to
          document Quit Line activity must be able to accurately tabulate discrete individuals, services provided, caller
          demographics and other characteristics including referrals into and out of the system. The system must be
          able to produce reports on the types and amounts of services provided per caller, call patterns by time of day,
          day of week and month, and estimates of costs by types of services provided. When Quit Line call volumes
          are expected to be high (due to television advertising or policy changes such as tax increases), the Contractor
          must provide daily call volume reports.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 24 OF 53


       b.   The Contractor must also be able to collect data that measures the performance of the Contractor in terms of
            waiting time for callers, volume of calls received during times when a live answer is not available,
            abandonment rates, the number and percent of registrants who complete at least a single-call intervention,
            and accuracy of counseling information given by the staff. In addition, the Contractor must be able to track
            and report on performance measures as describe in Section 3.b of this Attachment.

       c.   Required data elements are contained in Attachment F. Data collection and reporting requirements may
            change throughout the life of the contract upon mutual agreement of UW-CTRI and Contractor.

       d.   Weekly, monthly, quarterly and annual reports may be submitted electronically to UW-CTRI.

       e.   UW-CTRI is the sole owner of the client database. The Contractor may maintain a copy of the client database
            to be used by Contractor for its own treatment, payment and operations purposes as permitted or required by
            HIPAA. Client data from the Wisconsin Tobacco Quit Line may not be used by the Contractor for any purpose
            other than as provided in this Agreement without prior written approval of UW-CTRI.

   6. QUALITY ASSURANCE, QUALITY IMPROVEMENT
      a.  The Contractor must follow a comprehensive quality improvement plan. The quality improvement plan must
          describe the procedures, standards, and measures to be used to ensure quality and timeliness of counseling
          calls. It must also discuss how the organization‘s performance in the various areas of quality assurance is to
          be reported, how the reported data should be interpreted, and how that information will be used not only to
          maintain the quality of services, but to improve them as well.

       b.   The Contractor must have a system in place for addressing complaints and referring unresolved issues to
            UW-CTRI for resolution.

       c.   UW-CTRI may make ―secret shopper‖ calls to verify service quality and will provide feedback to the Quit Line
            on the results of those calls to facilitate quality improvement. UW-CTRI will in turn provide the Quit Line with
            the identifying information for each ―secret shopper‘‘ and the Quit Line will assure that the calls are removed
            from the data reports, evaluation database, and invoice.

   7. SERVICE DELIVERY PROTOCOL
      Protocols for all counseling interventions, both initial and follow-up, must be based on research showing their
      effectiveness in inducing behavior change. Current Wisconsin Tobacco Quit Line protocols utilize motivational
      interviewing and a cognitive-behavioral approach to treating tobacco use. All protocols require review and approval
      by UW-CTRI. Protocols must be revised as needed, to keep pace with research on effective telephone-based
      tobacco dependence treatment interventions.

       The Quit Line will provide the following deliverables using a consistent, systematic and research-based protocol:

       a.   Screen all callers and provide general information to callers requesting it.

       b.   As appropriate, review tobacco treatment benefits provided by caller‘s employer or health plan and facilitate
            linking the caller to the benefit.

       c.   At a minimum, tobacco users must be asked the MDS questions as recommended by the NAQC, tobacco use
            history and readiness to quit using tobacco must be assessed, and an attempt must be made to obtain
            permission from the caller to be contacted for evaluation.

       d.   For tobacco users ready to quit,
              i.  provide an immediate counseling intervention with a Quit Line specialist, unless the caller is unable or
                  unwilling to participate in the intervention at the time of the initial call,
             ii.  provide screening and U.S. Public Health Service and FDA approved recommendations on the use of
                  pharmacological cessation medications and refer callers to their physicians or other health care
                  professionals as needed,
            iii.  provide self-help materials and a Notice of Privacy Practices
            iv.   offer an opportunity to receive either a single call intervention or up to 5 proactive follow-up behavioral
                  counseling sessions based on the caller‘s need for the service or based on the service options which
                  are currently funded by UW-CTRI. This may include an initial counseling session, plus four follow-up
                  counseling sessions.
UNIVERSITY OF WISCONSIN                                                PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                          PAGE 25 OF 53


       e.    The Contractor will provide comprehensive proactive counseling support initiated by the Quit Line cessation
             specialists to callers who are ready to quit and agree to counseling. The counseling will be based on protocols
             that in randomized clinical trial research have been demonstrated to be effective in providing support and
             assistance in helping people successfully quit tobacco use and prevent relapse. The timing of intervention
             calls should be optimally designed to minimize relapse.

       f.    UW-CTRI prefers that callers will be assigned to a counselor who will follow-up with that person through each
             of their subsequent sessions. However, at a minimum, the Contractor will assign a counselor if specifically
             requested by the caller. In the event of staff turnover, illness, client availability for the sessions, or other event
             that would prohibit the same counselor from following up with a caller, the caller should be informed of the
             circumstances and offered an alternative.

       g.    The Contractor must strive to schedule the proactive follow-up counseling sessions at a specific date and
             range of time within which the session might be scheduled. For example, a counseling session might be
                                              th
             scheduled for Tuesday, June 12 sometime between 6:00 p.m. and 9:00 p.m.

       h.    For eligible callers, the Quit Line specialist will screen the caller for contraindications to FDA approved
             pharmacotherapy as appropriate with as few barriers as possible. At this time, two weeks of pharmacotherapy
             is provided to participants who receive the 1-call program (one shipment every 12 months).

       i.    Collaborate with UW-CTRI, and outside vendor to facilitate follow-up evaluation at 7 months post initial call or
             quit date to verify tobacco use status and client satisfaction.

       j.    For tobacco users who are not interested in receiving follow-up proactive counseling, offer encouragement to
             call the Quit Line again for assistance as needed. Self-help materials or referrals to community-based or
             web-based services may be provided.

       k.    For tobacco users who are not ready to quit tobacco use, provide:
              i. appropriate motivational messages to promote effective quitting,
             ii. send self-help or other appropriate materials and
            iii. encourage them to call back when they are ready to quit.

       l.    Provide information to family or friends of tobacco users who may be calling for information on how to support
            someone through a quit attempt.

   8. TECHNICAL ASSISTANCE FOR HEALTHCARE PROFESSIONALS
      The Contractor must provide technical assistance and advice to healthcare professionals who call the Quit Line.
      Topics should include, but not be limited to, up-to-date information and recommendations based on the 2008 PHS
      Clinical Practice Guideline: Treating Tobacco Use and Dependence, and any future updates, with regard to the use
      of pharmacotherapies, implementation of in-office procedures to address tobacco use, methods available for
      making referrals to the Quit Line, tobacco dependence treatment with special populations, and available community-
      based tobacco cessation resources.

   9. COORDINATION OF BENEFITS
      The Contractor must be capable of coordinating benefits for Wisconsin callers eligible for quitline services through a
      health plan, employer or other payor that is directly contracting with the Contractor. Contractor must identify callers
      who may be eligible for their health plan or employer-based quitline services and if such eligibility is determined, the
      Contractor must facilitate a transfer of those callers to the quitline services for which they are eligible, and not
      charge UW-CTRI for the quitline services received.

   10. PARTNERSHIPS BETWEEN UW-CTRI AND WISCONSIN MEDICAID AND HEALTH PLANS
       UW-CTRI has developed/is in the process of developing contracts with the Wisconsin Medicaid program and
       various health plans to provide enhanced Quit Line services to their enrollees and technical assistance and support
       to their organizations. This is a direct contract between Wisconsin Medicaid and/or health plans and UW-CTRI;
       therefore, the Contractor will continue to invoice UW-CTRI for all Wisconsin Quit Line services. The Contractor will
       work with UW-CTRI to provide the enhanced Quit Line benefits to these partnering organizations.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 26 OF 53


       Specifically, the Contractor will develop mechanisms to:
          i.    set up an account for the partnering organization(s) to track registrations and services delivered for each
                member of a health plan,
         ii.    receive a monthly member feed transmission via a secure ftp site from the organization, using it to verify
                membership status of callers at registration
        iii.    offer callers the enhanced tobacco cessation benefit through their health plan or Wisconsin Medicaid when
                available
        iv.     continue to collect the MDS questions as recommended by NAQC
         v.     provide a monthly billing report to UW-CTRI for each organization, detailing name, member ID, birthdate,
                health plan, service date, services received and associated costs (registration, 1-call, calls 2-5, ad hoc call,
                patch, gum, lozenge, etc)
        vi.     continue to provide client services support to UW-CTRI.

   11. REFERRAL DATABASE AND FEEDBACK
       a.  The Contractor will work with the UW-CTRI to operate and maintain a computerized, monthly updated, referral
           resource database of available cessation services other than the Quit Line throughout Wisconsin.

       b.   The database will provide sufficient information to match callers to resources by location, type of cessation
            service, the time services are available, any costs associated with participation or materials, and specialized
            services for target populations.

   12. SUPPORT MATERIALS
       a.  The Contractor will develop or use existing cessation support materials that address self-help cessation
           techniques for smokers. At a minimum, tailored materials should be made available for tobacco users,
           smokeless tobacco users, pregnant women, youth, Spanish-speaking callers, and Native American callers.
           The Contractor must inform UW-CTRI of any changes in materials. If new materials are developed, it is
           preferred that the Contractor involve UW-CTRI in the materials development process.

       b.   Materials should meet low literacy level needs, utilize pictures and graphics extensively and be available in
            English and Spanish, at a minimum. Materials may be required in additional languages if call volume or other
            analysis by either the contractor or UW-CTRI indicates the need. Information on secondhand smoke and
            other tobacco-related educational materials will also be appropriately mailed to callers.

       c.   UW-CTRI approval of all materials is required. Materials must be identified as being provided by the
            Wisconsin Tobacco Quit Line.

       d.   Tailored support materials should be mailed within 1 business day of registration.

   13. QUIT LINE MEDIA CAMPAIGNS
       a.  UW-CTRI will coordinate the development and implementation of any media campaign to promote the Quit
            Line to the general public. UW-CTRI will provide as much advance notice as possible to the Contractor about
            media campaigns and media events. A minimum of one to two weeks notice will be provided on all paid
            media campaign activities.

       b.   The Contractor will provide sufficient staffing in order to meet increased demand resulting from promotional
            activities. The Contractor will collaborate with UW-CTRI to assure effective coordination of media promotion
            and Quit Line services.

   14. EVALUATION AND RESEARCH
       a.  The Contractor must collect sufficient data and provide data analysis to implement a quality assurance and
           evaluation plan. This plan must address the operation and staffing of the Quit Line including the quality and
           effectiveness of the services and referrals.

       b.   The Contractor will work with UW-CTRI/outside vendors to facilitate follow-up research evaluation to
            determine quit rates and customer satisfaction. This may involve data use agreement for the purpose of
            HIPAA compliance, issuing a Notice of Privacy Practices identifying UW-CTRI as a recipient of participant
            information, and obtaining permission from the participant to be contacted by an independent evaluator.

       c.   The client database will be provided monthly to UW-CTRI in the form determined by UW-CTRI. The contractor
            and UW-CTRI will develop a secure, confidential, efficient means of transferring the database as needed in
            order to conduct evaluation.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 27 OF 53


       d.    Upon request, the Contractor must provide summary statistics or data sets for UW-CTRI or its outside
             vendors to conduct evaluations or special studies.

       e.    UW-CTRI may engage in research projects involving Wisconsin residents calling the quitline. These projects
             may include research related to tobacco use and dependence, tobacco cessation, quitline services, and/or
             quitline operations among other topics. The Contractor must facilitate these research activities including: a)
             offering participation to eligible callers as defined by the protocol, b) administering subject recruitment,
             eligibility, IRB, and research protocol scripts, c) administering research-based counseling and/or medication
             components that may vary substantially from standard practice, and, d) other research activities. UW-CTRI
             will retain ownership of all data collected in these research projects and will retain control over analysis of
             study data and reporting of results in manuscripts, conference presentations, and other reports. UW-CTRI
             and the Contractor will negotiate a separate contract for CTRI to pay for research related activities not
             included amongst standard quitline services.

   15. HAPPY CALLER FEEDBACK – NEED SPECIFIC DELIVERABLES
       Each quarter, the Contractor sends UW-CTRI a list of no less than 30 happy callers.

       a.    Contractor provides name, contact information, gender, ethnicity, race and quit date for each happy caller.

       b.    Contractor continues to prompt its telephone specialists to ask happy callers if they‘d like to leave a message
             on UW-CTRI‘s Happy Caller Comment Line.

       c.    Contractor responds to specific requests for happy callers in response to media requests and special events.

   16. DETAILED MANAGEMENT PROPOSAL
       Each proposal must detail the proposer‘s experience and familiarity with this specific type of service contract and
       demonstrated ability to serve the UW-CTRI‘s needs for services associated with these activities. The proposer
       must detail its experience and ability to provide quality service, meeting industry and government guidelines.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 28 OF 53

A.    DESCRIPTION OF EXPERIENCE
      a. Describe demonstrated successful experience in managing a telephone-based tobacco cessation quitline,
         including the provision of screening, assessment, proactive counseling, support materials, referrals to
         community-based cessation services, web-based services, and FDA approved pharmacotherapy.

      b.   Describe quit rates and satisfaction rates achieved for a state quitline as similar in size and scope to the
           Wisconsin Tobacco Quit Line as possible. Include quit rates for multiple call participants receiving counseling
           only and those receiving counseling plus nicotine replacement therapy (NRT). Provide both responder rates
           and an intent-to-treat quit rates at 7 and 13 months follow-up. See Attachment G for a more complete
           description of quit rates and related information requested, including definitions for responder and intent-to-
           treat rates.

      c.   Describe experience in providing counseling based on protocols that have been identified as effective in
           randomized controlled clinical trials.

      d.   Describe specific experience in coordinating benefits of quitline callers to available health plan or employer
           coverage of quitline services and/or other tobacco dependence treatment services.

      e.   Describe specific experience in working with each of the following specific populations, and how that
           experience will be a benefit to Wisconsin callers. Also provide the number of tobacco users served via state
           quitlines for each population listed over the last two years (calendar years 2008 and 2009):
             Medicaid beneficiaries
             Uninsured/Low Socioeconomic Status
             Pregnant women
             Senior adults
             Smokeless tobacco users
             American Indians
             African Americans
             Hispanic/Latinos
             Spanish speaking callers
             Deaf and Hard of Hearing
             Teens
             Callers with mental health or substance abuse disorders
             Other specific populations not identified above

      f.   Describe specific experience in providing technical assistance and consultation to health care professionals.

      g.   Describe specific experience in accepting referrals directly from an electronic health record (EHR).

      h.   Describe specific experience in working with external evaluators.

      i.   As applicable, describe proposed strategies for any additional enhancements to the existing Wisconsin
           Tobacco Quit Line infrastructure and describe the added value that a contract with the applicant organization
           would provide to the State of Wisconsin.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 29 OF 53

The following capabilities and performance measures are required for the Wisconsin Tobacco Quit Line and must be
addressed in the proposal submission:

B.     BUSINESS AND SYSTEM CAPABILITY
       a. Describe the applicant‘s ability to provide and maintain services and cash flow for up to three months while
           awaiting reimbursement from UW-CTRI. Provide the most recent independent audit report (including the
           auditor‘s letter or comments about the report), and describe the applicant's financial ability to carry out the
           project. Proposals shall include proof of the applicant's financial soundness and successful completion of other
           projects of a like size and scope. If an audit report is unavailable, an Income and Expense report for the most
           recent six month period, the two most recent quarterly bank statements, or similar documentation may be
           acceptable. All evidence under this requirement shall be in sufficient detail to allow an adequate evaluation by
           the State.

       b.   Provide a Certification of Non-Acceptance of Tobacco Funds (see Attachment H).

       c.   Describe the technology used in Quit Line operations, how it is used and what it means for the state of
            Wisconsin. Describe technical system capacity, including personnel, facilities and equipment available to
            provide a toll-free telephone service capable of handling multiple, simultaneous incoming and outgoing calls
            with multi-lingual capability and a fax line. Include a technical description of any web-based or email
            capabilities. Describe the system‘s automatic call distribution functionality, real-time monitoring of overall
            activity as well as individual calls, the collection, analysis, and reporting of data, and the system‘s ability to
            record calls for quality assurance. Describe any other relevant system capabilities not listed above.

       d.   Describe the office environment and the organization‘s capability to accommodate staff, records, telephone
            lines, computer hardware, and other operations.

       e.   Describe the applicant organization‘s current capability in providing services for the Deaf and Hard of Hearing
            including TTY, Video Relay Service, and video-to-video services provided by registration staff and Helpline
            Specialists proficient in American Sign Language.

       f.   Describe how calls are answered (live human response or automated answering system) and include the
            words or script that will be used to greet the caller. Indicate whether or not the Contractor‘s organization will be
            identified at any time during the call or on the materials provided to the participants.

       g.   If an automated answering system is used, clearly describe the levels and options a caller must navigate
            before reaching a registration or counseling specialist.

       h.   Describe how the applicant will transfer the existing Wisconsin Tobacco Quit Line and fax referral system to a
            new vendor, if necessary.

       i.   Describe how the applicant will work with UW-CTRI to implement a fax referral system to facilitate proactive
            outreach to tobacco users, and provide follow-up to referring health care professionals.

       j.   Describe the applicant organization's current capability in accepting referrals directly from a healthcare
            system's or site's electronic health record (EHR), thus allowing a clinician to refer a patient to Wisconsin
            Tobacco Quit Line services directly from the EHR; and describe how feedback on the outcome of the referral
            will be provided via a secure HIPAA compliant EMR link to the health system.

       k.   Describe how the applicant will coordinate benefits of callers who may be eligible for quitline services through a
            health plan, employer, or other payor and facilitate a warm transfer of those callers to the quitline service for
            which they are eligible so that UW-CTRI is not charged for services to those callers.

       l.   Describe how the applicant will develop mechanisms to support UW-CTRI‘s contracts with Wisconsin Medicaid
            and various health plans to provide additional tobacco cessation benefits through the Quit Line to their
            members.

       m.   Describe how a regularly maintained referral resource database of community programs and services will be
            operated in collaboration with UW-CTRI.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 30 OF 53


      n.   Describe any web-based services to be provided. Identify whether those services are integrated (e.g.
           participants may utilize we-based services but must also participate in telephone-based services) and/or stand-
           alone (e.g. participants can register and participate in a web-based program without engaging a Quit Line
           specialist over the telephone).

      o.   Describe precautions to ensure that files and programs can be re-created in the event of loss by any cause,
           including plan to safeguard data files (frequency of back-up copies, storage location, methodology for restoring
           from backup copies when activity has been processed in the interim.)

      p.   Describe systems to ensure confidentiality of caller records. Identify the specific measures used to assure the
           protection of personal health information as required under HIPAA.

      q.   If staff are allowed to work from home, describe the system used by the applicant organization to assure
           participant privacy that meets HIPAA standards. If applicable, include the site visit tool or protocols used during
           home visits to assess compliance. Include the number of staff working from home in calendar year 2008 and
           the number of home visits made during that same period of time.

      r.   Describe experience in working with state clients to collaborate on research projects.

      s.   Describe experience in working with state clients to collaborate on reporting to the NAQC and/or other national
           organizations seeking information about Quit Line services.

      t.   Provide an assessment of the applicant organization‘s strengths and weaknesses in addressing the Scope of
           Work described in this Request for Proposals.

      u.   Provide a complete list of the organization‘s current state and commercial Quitline clients, including the date
           the contractual relationship began, and a contact person and telephone number. UW-CTRI may contact any of
           these current clients for reference information.

      v.   Provide a complete list of all of the organization‘s former state Quitline clients, the dates of the contractual
           relationship, the reason that the contract was ended, and a contact person and telephone number. UW-CTRI
           may contact any of these former clients for reference information.

C.    HOURS OF OPERATION
      a. Describe the applicant organization‘s hours of operation for a minimum of 112 hours per week, seven days per
         week, and how calls will be handled for any period outside the hours of operation.

      b.   Describe how peak times for calls will be monitored and hours of live staffing will be modified to meet peak
           volume times.

      c.   Describe any applicable holiday coverage and closures.

D.    CALL VOLUMES AND CALL STANDARDS
      a. Describe the anticipated impact of Wisconsin‘s call volume on the applicant organization‘s operations and the
         organization‘s ability to meet the demand.

      b.   Describe the applicant organization‘s current performance standards and assess the organization‘s ability to
           meet Wisconsin‘s performance measures as listed in Section 3.b of this Attachment.

      c.   Describe the total call volume handled by the Contractor in 2009 (total number of callers, average number per
           day).
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 31 OF 53


E.    STAFFING QUALIFICATIONS
      a. Describe the management and organizational structure of the Quit Line. (Include an organizational chart in the
         appendices.)

      b.   Describe key job responsibilities, staff job descriptions and corresponding FTEs to carry out proposed work
           (information for each staff member not to exceed one page). Provide resumes of all key personnel, including
           the Chief Executive Officer, Chief Financial Officer, Medical Director and other key management and
           supervisory staff.

      c.   Provide the name and resume of the person who will serve as Wisconsin‘s account representative, including a
           job description and description of their experience and qualifications in providing such services. Please provide
           a list of other accounts for which the individual will be responsible in addition to Wisconsin.

      d.   Describe the minimum qualifications of registration staff, Quit Line specialists, and supervisory staff, and the
           ratio of supervisors to registration staff and Quit Line specialists.

      e.   Describe how all staff responding to Quit Line calls will be qualified and trained to address issues related to
           tobacco dependence, including the use of motivational interviewing, proactive cessation counseling,
           pharmacological cessation therapies, and treatment for special populations such as those listed in Section
           3.2.h of this RFP. Describe how staff will be trained when new techniques or methods are identified or
           protocols evolve.

      f.   If any staff members are allowed to work from home, describe the process for allowing staff to work from
           home, and how staff are supervised and trained.

      g.   Provide a summary of orientation and continuing education protocols in the appendices.

      h.   Describe how the applicant organization will adjust staffing and management to accommodate the anticipated
           call volume from the Wisconsin Tobacco Quit Line. Include a description of the methods used to project
           staffing needs and how the times of extraordinarily high call volumes are to be handled.

      i.   Describe how the applicant organization handled the increase in call volume as a result of the 2009 federal
           tobacco tax increase. Include a description of how this rise in call volume impacted ―live ― response rates,
           registration rates, and subsequent contact rates, and what extra measures were taken to assure that tobacco
           users were provided with an intervention.

      j.   Describe the process for managing the funds available under this contract in the event that demand begins to
           exceed the available budget.

F.    DATA COLLECTION AND REPORTING
      a. Describe the applicant organization‘s computerized tracking system to document Quit Line activity, including
         the ability to tabulate discrete individuals, services provided, call patterns, caller demographics, and the
         analysis and reporting of data (including all of the data elements listed in Attachment F) on a weekly, monthly,
         quarterly and annual basis.

      b.   Describe the applicant organization‘s ability to collect data that measures performance in terms of waiting
           times for callers, volume of calls received after hours, abandonment rates, and how the system will track and
           report on the performance measures as described in Section 3.b of this Attachment.

      c.   Provide a sample of the monthly report, with definitions of each item contained in the report.

      d.   Provide a sample of the weekly call volume report.

      e.   Provide an affirmation that UW-CTRI is the sole owner of the client database and that client data from the Quit
           Line will not be used by the Contractor for any purpose other than provision of Quit Line services,
           administrative and management analysis for operational improvements, benchmarking, or similar activities
           without prior written approval of UW-CTRI.

      f.   Describe the organization‘s current process for issuing a Notice of Privacy Practices and obtaining permission
           from participants to be contacted for evaluation.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 32 OF 53


G.    QUALITY ASSURANCE, QUALITY IMPROVEMENT
      a. Describe the mechanism by which current, science-based, high quality services are maintained, such as use of
         a Scientific Panel or Advisory Board. Provide a list of Advisory Board members, if applicable.

      b.   Describe the quality assurance plan as it relates to both Quit Line operations and clinical service delivery.
           Provide a sample of a service performance report.

      c.   Describe how the Quit Line will address complaints internally, as well as the types of complaints that will be
           expected to be addressed by UW-CTRI and the process by which such calls will be referred to UW-CTRI for
           follow-up, while maintaining participant privacy under HIPAA.

      d.   UW-CTRI may routinely make ―secret shopper‖ calls to verify service quality. Describe how the Quit Line will
           address issues that are identified as a result of ―secret shopper‖ calls and provide at least one example of a
           quality improvement measure taken as a result of ―secret shopper‖ feedback or other situations in which
           problems were identified by a state or commercial client.

H.    WORK PLAN AND TIMELINE
      a. Provide a detailed work plan including a timeline of activities to guide the implementation of the Quit Line from
         date of award to ―go live‖ date. Indicate responsible party, milestones and specific date estimates. Include a
         narrative description of the individual items or the timeline as a whole, as needed.

      b.   Subsequent work plans may be developed in collaboration with UW-CTRI when protocols change or other
           service adjustments are needed.

17.   TECHNICAL PROPOSAL SPECIFICATIONS
      A. DESCRIPTION OF COUNSELING SYSTEM
         a. Describe proposed protocols for the first contact during live hours; and outside of live hours of coverage.
         b. Describe proposed protocols to triage the caller‘s need for services.
         c. Describe proposed protocols to assess a tobacco user‘s readiness to quit. For callers ready to quit, detail
            how the following will be provided:
             registration for services
             initial counseling for successful quitting
             provision of self-help materials or other resources
             assessment of caller‘s interest in proactive cessation counseling and
             assessment of caller‘s employer and insurance status and transfer to other quitline services for which
                 they may be eligible, as applicable.
         d. Describe how comprehensive, proactive follow-up cessation counseling will be provided. Provide evidence
            that counseling is based on protocols from randomized research trials which have been demonstrated to
            be effective in supporting people as they cease the use of tobacco products and in preventing relapse.
            The timing of the intervention calls should be optimally designed to prevent relapse.
         e. Provide a diagram representing the flow of callers through the protocols.
         f. Describe unique protocols, if available, for each of the following specific populations and how the protocols
            were developed (note: it is not assumed that specific populations require unique protocols):
             Medicaid eligible
             Uninsured/low SES
             pregnant women
             senior adults
             smokeless tobacco users
             American Indians
             African Americans
             Hispanic/Latinos
             Spanish speaking
             Deaf and hard of hearing
             Callers with mental health or substance abuse disorders
             Teens
             Other specific populations not identified above
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 33 OF 53


           g. Describe how services will be provided to callers with limited English proficiency.
           h. It is important that Wisconsin callers feel that when they reach the Wisconsin Tobacco Quit Line, they have
              found meaningful help, and that the Quit Line staff will go the extra mile to assure that their needs are met,
              whether for information and referral, immediate counseling assistance, linkage to a health care
              professional or health plan for tobacco dependence treatment benefits, or just reassurance that this is a
              difficult and important step and the Quit Line‘s professional staff are capable of facilitating them through a
              quit process that will lead to success. Please describe how your organization will assure that this quality is
              conveyed in each call when dealing with Wisconsin callers. Please provide examples.
           i. Provide a recorded copy of calls/counseling sessions on either CD-ROM, or DVD format for each of the
              following call types (for a total of 5 recorded sessions):
               initial call and registration for services
               initial counseling/assessment call
               follow-up counseling call
               follow-up counseling call with a member of a specific population described in this Request for
                    Proposals.
               A follow-up call with a woman in the post-partum period (if available)

      B.   PHARMACOTHERAPY
           a. Describe the protocols for how callers will receive information on pharmacological cessation therapies,
              whether provided through the Quit Line or other source.
           b. Describe how callers will be screened to receive FDA approved over-the-counter pharmacotherapy through
              the Quit Line. Describe how algorithms or other decision processes will be used to select individual
              medications and doses for individual callers. List the medical conditions which would make a caller
              ineligible for pharmacotherapy. Describe the rationale for selecting these medical conditions and the
              process by which such conditions are to be updated.
           c. Describe how pharmacotherapy will be provided to eligible callers. Provide the name of the company or
              companies with which the organization contracts to provide the pharmacotherapy and fulfillment for
              pharmacotherapy.
           d. If the applicant is capable of providing prescription pharmacotherapy, describe how prescription
              pharmacotherapy could be provided to eligible callers in Wisconsin. Provide the name of the company or
              companies with which the organization contracts to provide prescription products.

      C.   COMMUNITY-BASED AND WEB-BASED SERVICES
           a. Describe the circumstances under which callers are referred to community-based services and how this
              linkage will take place.
           b. Describe web-based cessation services that may be included in this project and made available to
              Wisconsin Quit Line callers or Wisconsin tobacco users who may not otherwise contact the Quit Line for
              services.

      D.   TECHNICAL ASSISTANCE FOR HEALTH CARE PROFESSIONALS
           a. Describe how the Quit Line will provide technical assistance and consultation to health care professionals
              on a variety of effective tobacco dependence treatment issues.
           b. Describe the medical director‘s role in working with Quit Line staff and health care professionals to resolve
              complex issues.

      E.   SUPPORT MATERIALS
           a. Describe how resource materials were developed for, and will be provided within 1 business day of
              registration to:
                  proxy callers
                  health care professionals
                  tobacco users, not ready to quit
                  tobacco users, ready to quit but not interested in ongoing counseling
                  tobacco users, enrolled in the intensive counseling program.
                  specific populations listed in 3.2.h
           b. Provide hard copies of all self-help and other support materials listed. Clearly label the materials to
              indicate the intended audience. Provide the date the materials were last updated and describe the
              schedule for review and updating of materials.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 34 OF 53


      F.   QUIT LINE PROMOTION
           a. Describe how the Quit Line will work with UW-CTRI to respond to calls generated as a result of paid media
              promotion, earned media promotion, and promotion through health systems.
           b. Describe how the contractor can assist UW-CTRI to assure effective coordination with media promotion,
              and other tobacco control activities in Wisconsin.

      G.   EVALUATION AND RESEARCH
           a. Describe how the Quit Line will collaborate with UW-CTRI to facilitate evaluation of the quality and
              effectiveness of services and referrals.
           b. Describe how the client database will be provided to UW-CTRI monthly to assure a secure, confidential,
              efficient means of transferring the database as needed in order to conduct evaluation. Include a plan to
              address HIPAA requirements as necessary to assure that UW-CTRI is the sole owner of and has full
              access to the client database
           c. Describe ability to respond to specific requests for additional summary statistics or for additional data sets
              for evaluation or special studies.
           d. Describe the opportunities for Wisconsin to engage in Quit Line-related research in conjunction with other
              states or other Quit Line clients.
UNIVERSITY OF WISCONSIN                                          PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                    PAGE 35 OF 53


ATTACHMENT B – COST PROPOSAL FORM - DIRECTIONS

      A.   PRICE PROPOSAL
             a. Applicants must submit a Price Proposal utilizing the Cost Proposal form in the tables below.
             b. The price-per-call, price-per-course of pharmacotherapy, and program development amounts
                must be all inclusive rates, so that no additional charges are incurred for personnel,
                supervision, training, travel, administrative costs, quit kits or other materials, postage and
                handling, data collection and required reports, referral database, language and system
                capability, or other costs associated with the provision of services under this contract.
             c. UW-CTRI will not pay for attempt calls, or pay one price, up front, for an ―enrolled‖ caller.
                Reimbursement will only be provided for each call after it has actually been completed.
             d. UW-CTRI will not pay for ―other calls handled‖, including non-registered callers such as the
                general public, out-of-state calls, prank calls, hang-ups, wrong numbers voicemail, or letters or
                calls made in an attempt to reach participants. All prices listed must be for received/completed
                interventions and must not include those callers who enroll or agree to a protocol but do not
                receive it. Attempt calls and mailed letters and materials will not constitute an intervention.
                Reimbursement will only be provided for each call after it has actually been completed
             e. Reimbursement for pharmacotherapy will be provided based on the course of treatment as
                described in the price proposal. Pharmacotherapy prices must be provided for each of the
                durations listed in the Price Proposal.
             f. Program Development costs are the costs associated with issues or opportunities that may
                arise during the course of the contract. Examples of Program Development costs include UW-
                CTRI-requested protocol development or revisions, the development of Wisconsin-specific
                materials, research costs, or other similar items. After award, Program Development items
                must be agreed upon in writing by UW-CTRI and the Contractor prior to any work being
                performed under this item.
             g. UW-CTRI will not guarantee a minimum number of calls per month or minimum monthly
                reimbursement amount.
             h. Fees for services not included in this proposal will not be the responsibility of UW-CTRI.

             Cost Proposal –Budget Narrative
             i. A fully disclosed and detailed budget narrative (see Attachment B, Budget Narrative) must be
                included with the pricing proposal to support the reasonableness of the proposal. Fees for
                services not included in this request for proposal will not be the responsibility of UW-CTRI.
             Cost Proposal – Pricing Exercise
             j. A Pricing Exercise (Attachment B, Pricing Exercise) must be submitting using the prices listed
                on the Pricing Proposal. It is not expected that the Grand Total will equal the amount of the
                annual budget available.
UNIVERSITY OF WISCONSIN                                                PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                          PAGE 36 OF 53

ATTACHMENT B – COST PROPOSAL FORM – Price Proposal

Please Note: All prices, including but not limited to personnel, supervision, training, travel, administrative costs, quit kits or
other materials, postage and handling, data collection and required reports, referral database, language and system
capability, must be included in the cost per call completed. Quit Line services and provision of pharmacotherapy must
include day-to-day tracking and surveillance of calls.

SERVICE                  DEFINITION                                                                               PRICE PER
                                                                                                                    CALL
                                                                                                                 COMPLETED
Registered for           Completed registration of tobacco users, proxy and providers who request
services                 information only, materials only, or counseling. Registration may take place via       $____________
                         telephone, fax or web and must include the NAQC MDS questions.
Single Call or Call 1    Completed single intervention call – or – the first call of the multiple call
of the multiple call     program by a Quit Line specialist.                                                     $____________
program

Proactive Calls in the   Completed scheduled intervention calls made proactively by a Quit Line
multiple call program    specialist to participants enrolled in the multiple-call program.                      $____________

Ad hoc Calls             Completed unscheduled calls received by participants enrolled in the multiple
                         call program.                                                                          $____________

(Optional) Other         (Please describe)
contact completed                                                                                               $____________

(use additional lines
as needed)


PHARMACOTHERAPY             DEFINITION                                                                               PRICE
Type and Duration           (Provide a description of what is included in each course of treatment
(add additional lines as    below including quantity and dosage)
needed)
Patch (2 weeks)                                                                                                 $____________
Patch (4 weeks)                                                                                                 $____________
Patch (8 weeks)                                                                                                 $____________
Gum (2 weeks)                                                                                                   $____________
Gum (4 weeks)                                                                                                   $____________
Gum (8 weeks)                                                                                                   $____________
Lozenge (2 weeks)                                                                                               $____________
Lozenge (4 weeks)                                                                                               $____________
Lozenge (8 weeks)                                                                                               $____________
(Optional) Other FDA        (please describe)
approved
Pharmacotherapy

ADDITIONAL               DEFINITION                                                    BUDGET
SERVICES
Program                  Start-up costs and/or costs associated with protocol          (Provide a lump sum budget amount to
Development              revisions, materials development, research costs, or          be set aside annually for Program
                         other items necessary to meet a request by UW-CTRI            Development. In the budget narrative,
                         which result in a unique services offering. As necessary      list and describe the items that are
                         throughout the course of the contract, costs associated       anticipated to be included as Program
                         with each Program Development item shall be provided          Development).
                         in a detailed budget with narrative budget justification
                         and agreed to in writing by both parties.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 37 OF 53


ATTACHMENT B – COST PROPOSAL FORM – Budget Narrative


A detailed budget narrative must be included with the pricing proposal to support the reasonableness of the proposal (no
page limit). Fees for services not included in this RFP will not be the responsibility of UW-CTRI.

Provide a narrative description of the items to be provided under this agreement. Include an acknowledgement of the non-
billable items (i.e., those listed in the paragraphs above the price proposal and any other items for which the applicant will
not bill UW-CTRI.)

If “other Contact Completed” is used, clearly describe the type of contact, provide a thorough justification for this service and
price, and provide an estimate of the number of participants expected to use the service on an annual basis.

Pharmacotherapy: At this time, all callers who receive the 1-Call Program are eligible for pharmacotherapy once in a 12
month period. Participants receive 2-weeks of nicotine patch, gum or lozenge. Describe the types, amounts and dosages
of pharmacotherapy to be provided. If products other than patch, gum or lozenge are available, describe each product in
detail and provide a thorough justification for its price.
UNIVERSITY OF WISCONSIN                                                 PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                           PAGE 38 OF 53




ATTACHMENT B – COST PROPOSAL FORM– Pricing Exercise

In order to better illustrate the pricing provided in the price proposal, the following table provides a hypothetical call volume,
and rates of participation in the single call program, multiple call program and provision of NRT. For purposes of this
exercise, (1) the multi-call program is available to WI callers and the provision of NRT is contingent upon enrollment in that
program; and (2) nicotine gum and lozenges are not included.

Please complete the table by listing the price per call completed, and total cost of each service, as well as the price per
shipment of nicotine patches and total cost of each shipment. Provide sub-totals and a Grand Total. It is not expected that
the Grand Total will meet the amount of the annual budget available.

SERVICES
  Adult smokers                                            800,000
  Estimated callers                               3%       24,000
  General, info only,                             3%       720
proxy, self help
  Counseling                                      85%      20,400
  Single Call Program                             20%      4,080
  Multiple-Call Program                           80%      16,320
                                                                       Price per call               Total Cost
                                                                       completed
  Registered Single Call                          100%     4,080
    Call 1                                        100%     4,080

  Registered Multi-Call                           100%     16,320
    Call 1                                        80%      13,056
    Call 2                                        50%      8,160
    Call 3                                        35%      5,712
    Call 4                                        25%      4,080
    Call 5                                        20%      3,264
    Ad hoc calls                                  15%      2,448
                              Sub-Total
                              Services
NRT                                                                    PRICE PER                    TOTAL
2 week starter kit for callers who complete                            SHIPMENT                     COST
Call 1 of multiple call program
Patches                                           100%     13,056
                               Sub-Total NRT
Program Development
                               GRAND
                               TOTAL
UNIVERSITY OF WISCONSIN                                         PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                   PAGE 39 OF 53

ATTACHMENT C - CLIENT REFERENCE LIST

Proposer Name:____________________________________________________________________________________
The Proposer must provide a minimum of four (4) business references.


1.     Reference Name: _____________________________________________ Contact: ___________________________
Address: _____________________________________________________________________________________________
Phone #: (   ) ____________________ E-mail address_______________________________________________________
Fax/Internet address:____________________________________________________________________________________
Description and date(s) of commodities and services provided: __________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________


2.     Reference Name: _____________________________________________ Contact: ___________________________
Address: _____________________________________________________________________________________________
Phone #: (   ) ____________________ E-mail address_______________________________________________________
Fax/Internet address:____________________________________________________________________________________
Description and date(s) of commodities and services provided: __________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________


3.     Reference Name: _____________________________________________ Contact: ___________________________
Address: _____________________________________________________________________________________________
Phone #: (   ) ____________________ E-mail address_______________________________________________________
Fax/Internet address:____________________________________________________________________________________
Description and date(s) of commodities and services provided: __________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________


4.     Reference Name: _____________________________________________ Contact: ___________________________
Address: _____________________________________________________________________________________________
Phone #: (   ) ____________________ E-mail address_______________________________________________________
Fax/Internet address:____________________________________________________________________________________
Description and date(s) of commodities and services provided: __________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________


References may be contacted to confirm the Proposer’s abilities and qualifications as stated in the Proposer’s
Response. The University may perform due diligence by contacting any applicable business reference, including
references from within the UW System. The University reserves the right to disqualify any Proposer whose
references don’t support their stated claim of qualifications in their response.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 40 OF 53

ATTACHMENT D

SUPPLIER DIVERSITY, MINORITY BUSINESS ENTERPRISE (MBE) PROGRAM COMMITMENT

PROPOSAL NUMBER:                                                                           DATE
                        11-5685


As an agency of the State of Wisconsin, the University of Wisconsin-Madison shares the state goal of spending 5% of total
purchases with certified minority businesses. State policy provides that Minority owned Business Enterprises (MBE) certified
by the Wisconsin Department of Commerce; Bureau of Minority Development should have the maximum opportunity to
participate in the performance of its contracts. To support the University‘s pursuit of the 5% goal we expect all contracted
vendors to proactively subcontract with MBE companies wherever possible.

Your complete response to the questions below will confirm the following; a) an indication that you understand the
University’s goal, b) a listing of vendors with which you intend to subcontract, c) a description of the MBE
expenditures you will be able to report to us, and d) a statement expressing your commitment to complete the annual
report that will reflect your subcontracting efforts for the year.

A complete listing of all certified MBE firms is available at: http://www.doa.state.wi.us/mbe/report2.asp?locid=0 . A vendor or
commodity look up tool is available at: http://www.doa.state.wi.us/mbe/minority_search.asp?locid=0 or you can contact
Keith E. Broadnax, Wisconsin Department of Administration, Minority Business Enterprise Program at 608-267-3293
keith.broadnax@wisconsin.gov.

Information regarding certification of minority businesses is available at: http://commerce.wi.gov/BD/BD-
MinorityandWomen.html or you can direct further questions to Seyoum Mengesha at 414-220-5362 or
seyoum.mengesha@wisconsin.gov.

Authority for this program is found in Wisconsin Statutes 15.107(2), 16.75(4), and 16.755 and 560.036(2), and details about
the program can be found at: http://www.legis.state.wi.us/acts89-93/83Act390.pdf

Please complete and sign the following information:

1. Our company is a Wisconsin certified MBE.                                                        _____ YES      _____NO

2. We are aware of the University’s goal to spend 5% of their total purchasing dollars              _____ YES      _____NO
   with certified MBE firms.

3. If this is an on-going contract, we are aware that our company will receive an annual
   request from the University to report all expenditure activity with sub-contracted
   MBE vendors in support of this contract.                                                         _____ YES      _____NO

4. Our company intends to subcontract the indicated dollar volume with the MBE firms listed below:
   _____________________________________________________________________________
   _____________________________________________________________________________
   _____________________________________________________________________________

______________________________                            ________________________
Signature                                                 Date

______________________________                            ________________________
Printed name                                              Title
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 41 OF 53

                       ATTACHMENT E: STANDARD TERMS AND CONDITIONS
    1.0 SPECIFICATIONS: The specifications in this request are the minimum acceptable. When specific
        manufacturer and model numbers are used, they are to establish a design, type of construction, quality,
        functional capability and/or performance level desired. When alternates are bid/proposed, they must be
        identified by manufacturer, stock number, and such other information necessary to establish equivalency. The
        UW-Madison shall be the sole judge of equivalency. Bidders/proposers are cautioned to avoid bidding
        alternates which may result in rejection of their bid/proposal.

    2.0 DEVIATIONS AND EXCEPTIONS: Deviations and exceptions from original text, terms, conditions, or
        specifications shall be described fully, on the bidder's/proposer's letterhead, signed, and attached to the
        request. Each deviation and exception must be identified by the section, page and paragraph to which it
        applies. In the absence of such statement, the bid/proposal shall be accepted as in strict compliance with all
        terms, conditions, and specifications and the bidder/proposer shall be held liable.

    3.0 QUALITY: Unless otherwise indicated in the request, all material shall be first quality. Items which are used,
        demonstrators, obsolete, seconds, or which have been discontinued are unacceptable without prior written
        approval by the University.

    4.0 QUANTITIES: The quantities shown on this request are based on estimated needs. The University reserves
        the right to increase or decrease quantities to meet actual needs.

    5.0 PRICING AND DISCOUNT: The University qualifies for governmental discounts and its educational institutions
        also qualify for educational discounts. Unit prices shall reflect these discounts.

         5.1 Unit prices shown on the bid/proposal or contract shall be the price per unit of sale (e.g., gal., cs., doz.,
             ea.) as stated on the request or contract. For any given item, the quantity multiplied by the unit price shall
             establish the extended price, the unit price shall govern in the bid/proposal evaluation and contract
             administration.

         5.2 Prices established in continuing agreements and term contracts may be lowered due to general market
             conditions, but prices shall not be subject to increase for ninety (90) calendar days from the date of award.
             Any increase proposed shall be submitted to the University thirty (30) calendar days before the proposed
             effective date of the price increase, and shall be limited to fully documented cost increases to the
             Contractor which are demonstrated to be industry-wide. The conditions under which price increases may
             be granted shall be expressed in bid/proposal documents and contracts or agreements.

         5.3 In determination of award, discounts for early payment will only be considered when all other conditions
             are equal and when payment terms allow at least fifteen (15) days, providing the discount terms are
             deemed favorable. All payment terms must allow the option of net thirty (30).

    6.0 UNFAIR SALES ACT: Prices quoted to the University are not governed by the Wisconsin Unfair Sales Act.

    7.0 ACCEPTANCE-REJECTION: The University reserves the right to accept or reject any or all bids/proposals, to
        waive any technicality in any bid/proposal submitted, and to accept any part of a bid/proposal as deemed to be
        in the best interest of the State of Wisconsin.

    8.0 ORDERING: Purchase orders or releases via purchasing cards shall be placed directly to the Contractor by
        University. No other purchase orders are authorized.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 42 OF 53

    9.0 PAYMENT TERMS AND INVOICING: The University normally will pay properly submitted vendor invoices
        within thirty (30) days of receipt providing goods and/or services have been delivered, installed (if required), and
        accepted as specified.

         9.1 Invoices presented for payment must be submitted in accordance with instructions contained on the
             purchase order including reference to purchase order number and submittal to the correct address for
             processing. Invoice payment processing address is shown on the upper left corner of the purchase order.
             Send invoices to the Accounts Payable address on the purchase order. Do not send invoices to the ship to
             address.

         9.2 Payment shall be considered timely if the payment is mailed, delivered, or transferred within thirty (30)
             days after receipt of a properly completed invoice, unless the vendor is notified in writing by the agency of
             a dispute before payment is due.

         9.3 Bidders/proposers shall include discounts for early payment (See 5.3) as a percent reduction of invoice.
             Invoice discounts shall be determined, where applicable, from the date of acceptance of goods and/or the
             receipt of invoice, whichever is later. Discounts for early payment terms stated on the bid/proposal must
             be shown plainly on the invoice; discounts for early payment not shown on the invoice will be taken.

         9.4 Invoices submitted not in accordance with these instructions will be removed from the payment process
             and returned within ten (10) days.

         9.5 Payment terms and invoicing for purchasing card will be made in accordance with the purchasing card
             contact.

    10.0 TAXES: The University, an agency of the State of Wisconsin, is exempt from payment of all federal tax and
         Wisconsin state and local taxes on its purchases except Wisconsin excise taxes as described below. The
         Department of Revenue of the State of Wisconsin does not issue a tax exempt number; however, University is
         exempt from State of Wisconsin sales or use tax under s.77.54(9a)(a). Registration No. 39-73-1021-K, was
         issued by the Internal Revenue Service to authorize tax-free transactions under Chapter 32 of the Internal
         Revenue Code.

         10.1 The University, an agency of the State of Wisconsin, is required to pay the Wisconsin excise or
              occupation tax on its purchase of beer, liquor, wine, cigarettes, tobacco products, motor vehicle fuel and
              general aviation fuel. However, it is exempt from payment of Wisconsin sales or use tax on its purchases.
              The University may be subject to other states' taxes on its purchases in that state depending on the laws
              of that state. Contractors performing construction activities are required to pay state use tax on the cost
              of materials.

    11.0 GUARANTEED DELIVERY: Failure of the Contractor to adhere to delivery schedules as specified or to
         promptly replace rejected materials shall render the Contractor liable for all costs in excess of the contract price
         when alternate procurement is necessary. Excess costs shall include the administrative costs.

    12.0 ENTIRE AGREEMENT: These Standard Terms and Conditions shall apply to any contract or order awarded
         as a result of this request except where special requirements are stated elsewhere in the request; in such
         cases, the special requirements shall apply. Further, the written contract and/or order with referenced parts
         and attachments shall constitute the entire agreement and no other terms and conditions in any document,
         acceptance, or acknowledgment shall be effective or binding unless expressly agreed to in writing by the
         University.

    13.0 APPLICABLE LAW: This Agreement shall be construed under the laws of the State of Wisconsin. Jurisdiction
         and venue for any disputes under this Agreement shall be in Dane County, Wisconsin. The contractor shall at
         all times comply with and observe all federal and state laws, local laws, ordinances and regulations which are in
         effect during the period of this contract and which in any manner affect the work or its conduct.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 43 OF 53

    14.0 ANTITRUST ASSIGNMENT: The Contractor and the University recognize that in actual economic practice,
         overcharges resulting from antitrust violations are in fact usually borne by the purchaser. Therefore, the
         Contractor hereby assigns to the University any and all claims for such overcharges as to goods, materials or
         services purchased in connection with this contract.

    15.0 ASSIGNMENT: No right or duty in whole or in part of the Contractor under this contract may be assigned or
         delegated without the prior written consent of the University.

    16.0 DISPUTES: Disputes should be addressed to the University Purchasing Office, Director of Purchasing
         Services, 21 N Park St, Suite 6101, Madison, WI 53715 1218.

    17.0 NONDISCRIMINATION/ AFFIRMATIVE ACTION:
         17.1 In connection with the performance of work under this contract, the Contractor agrees not to discriminate
              against any employe or applicant for employment because of age, race, religion, color, handicap, sex,
              physical condition, developmental disability as defined in s.51.01(5), Wisconsin Statutes, sexual
              orientation as defined in s.111.32(13m) Wis. Stats., or national origin. This provision shall include, but not
              be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment
              advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training,
              including apprenticeship. Except with respect to sexual orientation, the Contractor further agrees to take
              affirmative action to ensure equal employment opportunities.

         17.2 Contracts estimated to be over twenty-five thousand dollars ($25,000) require the submission of a written
              affirmative action plan by the Contractor. An exemption occurs from this requirement if the Contractor has
              a workforce of less than twenty-five (25) employes. Within fifteen (15) working days after the contract is
              awarded, the Contractor must submit the plan to the contracting state agency for approval. Instructions
              on preparing the plan and technical assistance regarding this clause are available from the contracting
              state agency.

         17.3 The Contractor agrees to post in conspicuous places, available for employes and applicants for
              employment, a notice to be provided by the contracting state agency that sets forth the provisions of the
              State of Wisconsin nondiscrimination law.

         17.4 Failure to comply with the conditions of this clause may result in the Contractor's becoming declared an
              "ineligible" Contractor, termination of the contract, or withholding of payment.

         17.5 To the extent required by law, 41 CFR 60-1.4(a) and (b) are incorporated by reference in these Standard
              Terms and Conditions. Additionally, the Contractor certifies compliance with 41 CFR 60-1.8 and does not
              and will not maintain any facilities provided for employees in a segregated manner. The Contractor further
              agrees to obtain identical certifications from any subcontractors prior to the award of a subcontract
              exceeding $25,000 which is not exempt and will retain such certification for audit purposes.

    18.0 PATENT INFRINGEMENT: The Contractor selling to the University the articles described herein guarantees
         the articles were manufactured or produced in accordance with applicable federal labor laws. Further, that the
         sale or use of the articles described herein will not infringe any United States patent. The Contractor covenants
         that it will at its own expense defend every suit which shall be brought against the University (provided that
         such Contractor is promptly notified of such suit, and all papers therein are delivered to it) for any alleged
         infringement of any patent by reason of the sale or use of such articles, and agrees that it will pay all costs,
         damages, and profits recoverable in any such suit.

    19.0 SAFETY REQUIREMENTS: All materials, equipment, and supplies provided to the University must comply fully
         with all safety requirements as set forth by the Wisconsin Administrative Code, Rules of the Industrial
         Commission on Safety, and all applicable OSHA Standards.

    20.0 MATERIAL SAFETY DATA SHEET: If any item(s) on an order(s) resulting from this award(s) is a hazardous
         chemical, as defined under 29CFR 1910.1200, provide one (1) copy of a Material Safety Data Sheet for each
         item with the shipped container(s) and one (1) copy to UW Safety Department, 30 East Campus Mall, Madison
         WI 53715-2609.
UNIVERSITY OF WISCONSIN                                           PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                     PAGE 44 OF 53

    21.0 WARRANTY: Unless otherwise specifically stated by the bidder/proposer, equipment purchased as a result of
         this request shall be warranted against defects by the bidder/proposer for one (1) year from date of receipt.
         The equipment manufacturer's standard warranty shall apply as a minimum and must be honored by the
         Contractor.

    22.0 INSURANCE RESPONSIBILITY: The Contractor performing services to the University shall:

         22.1 Maintain worker's compensation insurance as required by Wisconsin Statutes for all employees engaged
              in the work.

         22.2 Maintain commercial liability, bodily injury and property damage insurance against any claim(s) which
              might occur in carrying out this agreement/contract. Minimum coverage shall be one million dollars
              ($1,000,000) liability for bodily injury and property damage including products liability and completed
              operations. Provide motor vehicle insurance for all owned, non-owned and hired vehicles that are used in
              carrying out this contract. Minimum coverage shall be one million dollars ($1,000,000) per occurrence
              combined single limit for automobile liability and property damage.

         22.3 The state reserves the right to require higher or lower limits where warranted.

         22.4 Upon request by the University, the Contractor is required to provide a Certificate of Insurance, from an
              insurance company licensed to do business in the State of Wisconsin, with a minimum AM Best rating of
              A-, and signed by an authorized agent. A minimum 60 day cancellation notice is desired.

    23.0 CANCELLATION: The University reserves the right to cancel any contract in whole or in part without penalty
         due to nonappropriation of funds or for failure of the Contractor to comply with terms, conditions, and
         specifications of this contract.

    24.0 VENDOR TAX DELINQUENCY: Vendors who have a delinquent Wisconsin tax liability may have their
         payments offset by the State of Wisconsin.

    25.0 OMNIBUS RECONCILIATION ACT: (Public Law 96-499) To the extent required by law, if this contract is for
         acquisition of services with a cost or value of $25,000 or more within any 12-month period, including contracts
         for both goods and services in which the services component is worth $25,000 or more within any 12-month
         period, the Contractor shall in accordance with 42 C.F.R., Part 420, Section 1861 of the Omnibus
         Reconciliation Act of 1980 (P.L. 96499) and permit the comptroller general of the United States, the United
         States Department of Health and Human Services, and their duly authorized representatives, access to the
         Contractor's books, documents and records until the expiration date of four (4) years after the approval of
         procurement activities.

    26.0 PUBLIC RECORDS ACCESS: It is the intention of University to maintain an open and public process in the
         solicitation, submission, review, and approval of procurement activities. Bid/proposal openings are public
         unless otherwise specified. Records may not be available for public inspection prior to issuance of the notice of
         intent to award or the award of the contract.

    27.0 PROPRIETARY INFORMATION: Any restrictions on the use of data contained within a request must be
         clearly stated in the bid/proposal itself. Proprietary information submitted in response to a request will be
         handled in accordance with applicable State of Wisconsin procurement regulations and the Wisconsin public
         records law. Proprietary restrictions normally are not accepted. However, when accepted, it is the vendor's
         responsibility to defend the determination in the event of an appeal or litigation.

         27.1 Data contained in a bid/proposal, all documentation provided therein, and innovations developed as a
              result of the contracted commodities or services cannot be copyrighted or patented. All data,
              documentation, and innovations become the property of the State of Wisconsin.

         27.2 Any material submitted by the vendor in response to this request that the vendor considers confidential
              and proprietary information and which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats.,
              or material which can be kept confidential under the Wisconsin public records law, must be identified on a
              Designation of Confidential and Proprietary Information form (DOA-3027). Bidders/proposers may
              request the form if it is not part of the Request for Bid/Request for Proposal package. Bid/proposal prices
              cannot be held confidential.
UNIVERSITY OF WISCONSIN                                            PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                      PAGE 45 OF 53

    28.0 DISCLOSURE: If a state public official (s. 19.42, Wisconsin Statutes), a member of a state public official's
         immediate family, or any organization in which a state public official or a member of the official's immediate
         family owns or controls a ten percent (10%) interest, is a party to this agreement, and if this agreement involves
         payment of more than three thousand dollars ($3,000) within a twelve (12) month period, this contract is
         voidable by the state unless appropriate disclosure is made according to s. 19.45(6), Wis. Stats., before signing
         the contract. Disclosure must be made to the State of Wisconsin Ethics Board, 44 E. Mifflin Street, Suite 601,
         Madison, Wisconsin 53703 (Telephone 608-266-8123). State classified and former employes and certain
         University faculty/staff are subject to separate disclosure requirements, s. 16.417, Wis. Stats.

    29.0 ANTI-KICKBACK ACT of 1986: (41 USC 51 et. seq): To the extent required by law, the officer or employe
         responsible for submitting this bid shall certify, in accordance with 48 CFR 52.203-7, to the best of their
         knowledge, that they have no information concerning the violation of the Anti- Kickback Act in connection with
         the submitted bid/proposal. Signing the bid/proposal with a false statement shall void the submitted
         bid/proposal and any resulting contract(s).

    30.0 RECYCLED MATERIALS: The University is required to purchase products incorporating recycled materials
         whenever technically or economically feasible. Bidders/proposers are encouraged to bid/propose products with
         recycled content which meet specifications.

    31.0 HOLD HARMLESS: The Contractor will indemnify and save harmless the State of Wisconsin and all of its
         officers, agents and employees from all suits, actions, or claims of any character brought for or on account of
         any injuries or damages received by any persons or property resulting from the operations of the Contractor, or
         of any of its Contractors, in prosecuting work under this agreement.

    32.0 PROMOTIONAL ADVERTISING/NEWS RELEASES: Reference to or use of the State of Wisconsin, any of its
         departments, agencies (University) or other subunits, or any state official or employee for commercial
         promotion is prohibited. News releases pertaining to this procurement shall not be made without prior approval
         of the University. Release of broadcast e-mails pertaining to this procurement shall not be made without prior
         written authorization of the contracting agency.

    33.0 WORK CENTER CRITERIA: A work center must be certified under s. 16.752, Wisconsin Statutes, and must
         ensure that when engaged in the production of materials, supplies or equipment or the performance of
         contractual services, not less than seventy-five percent (75%) of the total hours of direct labor are performed by
         severely handicapped individuals.

    34.0 FOREIGN CORPORATION: A foreign corporation (any corporation other than a Wisconsin corporation) which
         becomes a party to this Agreement is required to conform to all the requirements of Chapter 180, Wis. Stats.,
         relating to a foreign corporation and must possess a certificate of authority from the Wisconsin Department of
         Financial Institutions, unless the corporation is transacting business in interstate commerce or is otherwise
         exempt from the requirement of obtaining a certificate of authority. Any foreign corporation which desires to
         apply for a certificate of authority should contact the Department of Financial Institutions, Division of
         Corporation, P.O. Box 7846, Madison, WI 53707-7846; telephone (608) 261-7577.

    35.0 FORCE MAJEURE: Neither party shall be in default by reason of any failure in performance of this Agreement
         in accordance with reasonable control and without fault or negligence on their part. Such causes may include,
         but are not restricted to, acts of nature or the public enemy, acts of the government in either its sovereign or
         contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes and unusually
         severe weather, but in every case the failure to perform such must be beyond the reasonable control and
         without the fault or negligence of the party.

   36.0 WORK CENTER PROGRAM: The successful bidder/proposer shall agree to implement processes that allow
        the State agencies, including the University of Wisconsin System, to satisfy the State's obligation to purchase
        goods and services produced by work centers certified under the State Use Law, s.16.752, Wis. Stat. This shall
        result in requiring the successful bidder/proposer to include products provided by work centers in its catalog for
        State agencies and campuses or to block the sale of comparable items to State agencies and campuses.
UNIVERSITY OF WISCONSIN                                           PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                     PAGE 46 OF 53


ATTACHMENT F – Wisconsin Tobacco Quit Line Reporting Requirements

WEEKLY REPORTS: provide for current week
   Caller type by day
   How Heard About by County
   Services Report (Intervention requested, materials only, general questions)
   Calls by day (Cumulative to date) – including total number callers, registered callers, registered tobacco users, NRT
     shipped

MONTHLY REPORTS: provide the following information for current month and contract year-to-date
   Telecom Data
        o Total incoming calls
        o Live response rate
        o Average speed of answer
        o Messages left (both during business hours and non-business hours
   Number of callers registered for services by type of caller (tobacco user, proxy and provider)
   First time callers vs. repeat callers
   Other calls (calls not resulting in registered client): general public/info, prank, wrong number, etc.
   Tobacco users by stage of readiness to quit
   Tobacco users by type of tobacco
   Tobacco users by race
   Tobacco users by ethnicity
   Tobacco users by gender
   Tobacco users by age
   Tobacco users by education
   Tobacco users by language
   Tobacco users by chronic condition
   Pregnancy status, to include:
        o Currently Pregnant
        o Planning pregnancy in next 3 months
        o Currently breastfeeding
   “How heard about” responses
   Registered Callers by county
   Registered Callers by zip code
   “How heard about” by county
   Callers by health plan
   Quit Kits sent to registrants (number by type)
   Web activity report
   Services provided to clients during month, regardless of registration date:
        o Single call intervention: registered, completed, attempt letter, materials only
                                                                  st  nd  rd   th  th
        o Multiple call intervention: registered, completed 1 , 2 , 3 , 4 , 5 calls, etc., attempt letter, ad-hoc call
        o Pharmacotherapy shipped
   Referrals to Wisconsin’s Community Guide to Quit-Tobacco Resources
   Fax referral report by Clinic Site
   Fax referral report by Clinic Site by Services Requested
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 47 OF 53


QUARTERLY REPORTS:
Provide the following information on a quarterly basis:

       Service Performance Reports
       County Based Reports
            o How heard About by County
            o Registered Callers by County
            o Tobacco type by County
            o Tobacco usage by County
            o Tobacco user demographics (age, education, ethnicity, race and gender) by County
       Report specific to Native American utilization of the Quit Line -demographics, service utilization
       Compliments from WI Callers
       Happy Caller Extracts
       Enrollments by military personnel (Wisconsin’s Operation Quit Tobacco Enrollments)
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 48 OF 53



ATTACHMENT G – Reporting Quit Rates

      Using a state quitline as similar as possible to Wisconsin’s Quit Line in size and scope, provide a 30-day point
       prevalence quit rate for 7 and 13 months follow-up for a random sample of all state quitline participants who agreed
       to receive counseling in a multiple call program. Also provide the long-term continuous quit rate for a random
       sample of all state quitline participants who agreed to receive counseling in a multiple call program.
            o For each condition, provide both a responder rate and an intent-to-treat rate.
                     The responder quit rate includes only those program participants who were able to be reached for
                        evaluation. It is calculated by dividing the number of participants who reported that they have not
                        used tobacco for a stated length of time by the number of participants who were reached for follow-
                        up.
                     The intent-to-treat quit rate assumes that all participants in the sample who were unable to be
                        reached were continuing to use tobacco products. It is calculated by dividing the number of
                        participants who report that they have not used tobacco for a stated length of time by the number of
                        participants selected for the sample.

      Provide a complete account of how callers contacting the Quit Line were selected for the evaluation sample, since
       the quit rate can change dramatically depending on who was excluded.

      Describe any baseline caller characteristics in the evaluation sample that may predict quitting success or failure,
       such as the number of cigarettes smoker and intention to quit, education, income, etc.

      Specify the contact rate for the evaluation sample, since loss to follow-up can also affect the quit rate.

      Provide an additional analysis assuming that those lost to follow-up were still using tobacco, i.e., the number of
       participants who report that they have not used tobacco for a stated length of time divided by the number of
       participants who were selected for the evaluation sample, regardless of whether they were successfully followed up.

      The term “quit” as it related to this contract shall be defined by self-reported 30 day abstinence at the time the client
       is contacted to determine smoking/tobacco use status.
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 49 OF 53



ATTACHMENT H – Certificate of Non-Acceptance of Tobacco Funds


_______________________________________________
Company/Organization


The applicant named above certifies that it will not accept funding from nor have an affiliation or contractual relationship with
a tobacco manufacturer, any of its subsidiaries or parent company, or any tobacco wholesaler or distributor during the term
of its contract with the UW-CTRI.

I, the official named below, hereby swear that I am duly authorized legally to bind the contractor or grant recipient to the
above-described certification. I am fully aware that this certification, executed on the date below, is made under penalty of
perjury under the law of the State of Wisconsin.

________________________________________________________________
Printed Name & Title


____________________________________________________
Signature                        Date
UNIVERSITY OF WISCONSIN                                               PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                         PAGE 50 OF 53

ATTACHMENT I - HIPAA

                                  BUSINESS ASSOCIATE CONTRACT

This Business Associate Contract (―Contract‖), is entered into by ______________________ (the ―Business Associate‖) and
the Board of Regents of the University of Wisconsin System, an agency of the State of Wisconsin, on behalf of the
University of Wisconsin-Madison (―UW-Madison‖), collectively known as the ―Parties.‖ This Contract is intended to govern
the manner in which the Business Associate uses and discloses Protected Health Information obtained from or on behalf of
UW-Madison.

Both Parties are committed to using and disclosing Protected Health Information in compliance with the Standards for
Privacy of Individually Identifiable Health Information (―Privacy Rule‖) (45 C.F.R. Parts 160 and 164) under the Health
Insurance Portability and Accountability Act of 1996. The definitions set forth in the Privacy Rule are incorporated by
reference into this Contract (45 C.F.R. §§ 160.103 and 164.501).

The Parties mutually agree to the following provisions:

A. Permitted Uses or Disclosures of Protected Health Information
    1. Except as otherwise limited in this Contract, Business Associate may use or disclose Protected Health Information
       to carry out its obligations as set forth in [name of contract][if no written contract, describe the general nature of the
       services the BA is providing], provided that such use or disclosure would not violate the Privacy Rule if made by
       UW-Madison.

    2. Except as otherwise limited in this Contract, Business Associate may use Protected Health Information for the
       proper management and administration of the Business Associate or to carry out the legal responsibilities of the
       Business Associate.

    3. Except as otherwise limited in this Contract, Business Associate may disclose Protected Health Information, if
       necessary, for the proper management and administration of Business Associate or to carry out legal
       responsibilities of Business Associate if (a) such disclosures are required by law, or (b) Business Associate obtains
       reasonable assurances from the person to whom the information is disclosed that (i) the information will remain
       confidential and will be used or further disclosed only as required by law or for the purpose for which it was
       disclosed to the person, and (ii) the person will notify the Business Associate of any instances of which it is aware in
       which the confidentiality of the information has been breached.

B. Obligations of Business Associate

    1. Uses or Disclosures of Protected Health Information. Business Associate will neither use nor disclose Protected
       Health Information other than as permitted or required by this Contract, as otherwise authorized in writing by UW -
       Madison, or as required by law.

    2. Safeguards for Protected Health Information. Business Associate will employ appropriate administrative, technical,
       and physical safeguards to prevent the use or disclosure of Protected Health Information other than as provided in
       this Contract.

    3. Mitigate Harmful Effect. In consultation with UW-Madison, Business Associate will mitigate, to the extent possible,
       any harmful effect that is known to Business Associate related to the inappropriate use or disclosure of Protected
       Health Information.

    4. Reporting Unauthorized Uses or Disclosures. Business Associate will provide a written report regarding any
       unauthorized uses or disclosures of Protected Health Information to UW-Madison‘s HIPAA Privacy Officer within
       fifteen (15) business days of the discovery thereof or by some later date as mutually agreed upon by the Parties.
       The written report shall:
       a. Identify the Protected Health Information used or disclosed, and the nature of the use or disclosure;
       b. Describe the circumstances of the unauthorized use or disclosure; and
       c. Identify what measures the Business Associate proposes to take to mitigate any harm resulting from such
             unauthorized use or disclosure, and what Business Associate will do to prevent similar unauthorized uses or
             disclosures in the future.
UNIVERSITY OF WISCONSIN                                             PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                       PAGE 51 OF 53


       d.   The address to send the report is:
              UW-Madison HIPAA Privacy Officer
              Office of the Provost
              Room 90B, Bascom Hall
              500 Lincoln Drive
              Madison, WI 53706-1389

   5. Subcontractors and Other Agents. Business Associate will ensure that any agents and subcontractors to whom it
      provides Protected Health Information received from UW-Madison or created or received by the Business Associate
      on behalf of UW-Madison agrees in a written contract to the same restrictions and conditions that apply to the
      Business Associate with respect to such information.

   6. Access to Individual‘s Protected Health Information. If Business Associate maintains information that is part of a
      designated record set, as defined in the Privacy Rule, Business Associate will make this information available to
      UW-Madison, or, at UW-Madison‘s direction, to the individual, within fifteen (15) business days of request from UW-
      Madison, or by some later date as mutually agreed upon by the Parties. Business Associate will make this access
      available as necessary for UW-Madison to meet its obligations under 45 CFR § 164.524.

   7. Amendment of Protected Health Information. If Business Associate maintains information that is part of a
      designated record set, Business Associate shall make this information available to UW-Madison for amendment
      and shall incorporate any amendments to this information within fifteen (15) business days of such request, or by
      some later date as mutually agreed upon by the Parties. Business Associate will facilitate these amendments as
      necessary for UW-Madison to meet its obligations under 45 CFR § 164.526.

   8. Information Necessary for Accounting of Disclosures. Business Associate shall maintain an ongoing log of any
      disclosures of Protected Health Information it makes to any other person or entity, except disclosures (a) to carry
      out treatment, payment, or health care operations for or on behalf of UW-Madison; (b) to the individual who is the
      subject of the Protected Health Information so disclosed; or (c) to persons involved in that individual‘s health care or
      payment for health care. This log shall include the name and address of the person or organization receiving the
      information, a description of the information disclosed, and the reason why the information was disclosed. Business
      Associate will make this log available to UW-Madison as necessary for UW-Madison to meet its obligations under
      45 CFR § 164.528.

   9. Resources Necessary for HHS Secretary Determinations. Business Associate shall make internal procedures,
      books, and records relating to the use and disclosure of Protected Health Information received from UW -Madison,
      or created or received on behalf of UW-Madison, available to the Secretary of the Department of Health and Human
      Services (―Secretary‖) for purposes of determining UW-Madison‘s compliance with the Privacy Regulation. At UW-
      Madison‘s expense, Business Associate shall provide UW-Madison with copies of any information it has made
      available to the Department of Health and Human Services.

   10. Sanctions. Business Associate shall implement and maintain sanctions for any employee, agent, or subcontractor
       who violates the terms of this Contract.

   11. [To be inserted ONLY IF Business Associate assists with billing patients for medical services.] Compliance with
       Standard Transactions. If Business Associate conducts in whole or in part Standard Transactions, as defined at 45
       C.F.R. § 162.103, for or on behalf of UW-Madison, Business Associate will comply, and will require any
       subcontractor or agent involved with the conduct of such Standard Transactions to comply, with each applicable
       requirement of 45 C.F.R. Part 162. Business Associate will not enter into, or permit its subcontractors or agents to
       enter into, any trading partner agreement in connection with the conduct of Standard Transactions for or on behalf
       of UW-Madison that: (a) changes the definition, data condition, or use of a data element or segment in a Standard
       Transaction; (b) adds any data elements or segments to the maximum defined data set; (c) uses any code or data
       element that is marked ―not used‖ in the Standard Transaction‘s implementation specification or is not in the
       Standard Transaction‘s implementation specification; or (d) changes the meaning or intent of the Standard
       Transaction‘s implementation specification.
UNIVERSITY OF WISCONSIN                                              PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                        PAGE 52 OF 53

    12. Compliance with Security Rule. If this Contract will continue in effect on or after April 20, 2005, Business Associate
        will comply, as of April 20, 2005, with the following additional obligations, as prescribed in the HIPAA Security Rule,
        45 C.F.R. Part 164, Subpart C, with respect to electronic Protected Health Information.
        a. Safeguards for Protected Health Information. Business Associate will employ appropriate administrative,
              technical, and physical safeguards to protect the confidentiality, integrity, and availability of the electronic
              Protected Health Information it creates, receives, maintains, or transmits for or on behalf of UW-Madison.
        b.     Reporting Security Incidents. Business Associate will provide a written report regarding any security incidents,
              as defined in 45 C.F.R. § 164.304, involving electronic Protected Health Information, to UW-Madison‘s HIPAA
              Privacy Officer, in the manner described in subsection B(4), above.
        c. Subcontractors and Other Agents. Business Associate will ensure that any agents and subcontractors to whom
              it provides electronic Protected Health Information received from UW-Madison or created or received by the
              Business Associate on behalf of UW-Madison agrees in a written contract to implement safeguards with
              respect to such information as described in subsection B(12)(a), above.

 Obligations of UW-Madison

    1. When completed, and upon request, UW-Madison shall provide Business Associate with the notice of privacy
       practices that UW-Madison produces in accordance with 45 CFR § 164.520.
    2. UW-Madison shall provide Business Associate with any changes in, or revocation of, permission by an individual to
       use or disclosure Protected Health Information, if such changes affect Business Associate‘s permitted or required
       uses or disclosures.
    3. UW-Madison shall notify Business Associate of any restrictions to the use or disclosure of Protected Health
       Information that UW-Madison has agreed to in accordance with 45 CFR § 164.522.

D. Termination of the Agreement. UW-Madison may terminate all agreements with Business Associate if it determines
   that Business Associate has breached a material term of this Contract. Before termination, UW -Madison may choose
   to:
   1. Provide Business Associate with thirty (30) days written notice of the existence of an alleged material breach; and
   2. Afford Business Associate an opportunity to cure said material breach upon mutually agreeable terms.

E. Destruction of Protected Health Information upon End of Agreement.
   1. Within a mutually agreed upon period of time after termination, cancellation, expiration, or other conclusion of this
      Contract, Business Associate shall, if appropriate or feasible, return or destroy all Protected Health Information
      received from, or created on behalf of, UW-Madison that Business Associate maintains in any form.
   2. In the event that Business Associate determines that returning or destroying the Protected Health Information is
      infeasible, Business Associate shall provide notice to UW-Madison of the conditions that make the return or
      destruction infeasible. Upon mutual agreement of the Parties that the return or destruction of Protected Health
      Information is infeasible, Business Associate may continue to use such Protected Health Information for those
      purposes that make the return or destruction infeasible and shall continue to protect such Protected Health
      Information as required under this Contract for so long as the Business Associate maintains such Protected Health
      Information.

F. Hold Harmless.
   Business Associate agrees to hold harmless UW-Madison, and any of its employees or agent, from any and all liability,
   including claims, demands, losses, costs, damages, and expenses of any kind and description, arising out of or in
   connection with any non-permitted or violating use or disclosure of Protected Health Information by Business Associate
   or any subcontractor, agent, person, or entity under Business Associate‘s control.

G. Amendment to Contract.
  Upon the effective date of any amendment to final regulations promulgated by the U.S. Department of Health and Human
  Services with respect to Protected Health Information, this Contract will automatically amend such that the obligations it
  imposes on the Business Associate remain in compliance with these regulations.
UNIVERSITY OF WISCONSIN                                       PROPOSAL NO.: 11-5685
MADISON, WISCONSIN 53715-1218                                 PAGE 53 OF 53



IN WITNESS THEREOF, each of the undersigned has caused this Contract to be duly executed
in its name and on its behalf effective as of ________, 201__.


UW-MADISON

By: _____________________________

Print Name: ______________________

Print Title: ____________________________

Date: ___________________________



BUSINESS ASSOCIATE

By: _____________________________

Print Name: ______________________

Print Title: _______________________

Date: ___________________________

				
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