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Sub-Agreement - Scope of Work Represented as Exhibit C in the Master Services Agreement Document Purpose: This document is identified as the template referenced in Exhibit C. This sub-agreement template is to be utilized for adding additional scope of work during the contract period and shall provide a template that shall be completed by the Agency for the purpose of formality and confirmation of the expectations for the agency site location scope of work. The final version of this document shall be approved by the Agency, the Contractor, and the State, as part of this contract. This Sub-agreement Scope of Work (“this SOW”), entered into by and between the Indiana School for the Blind & Visually Impaired (the “State Agency”) and the VENDOR (the “Contractor”), and reviewed for approval by Indiana Department of Administration on behalf of All State Agencies (the “State”), in consideration of those mutual undertakings and covenants, the parties agree as follows: Agency Department(s): Indian School for the Blind and Visually Impaired (ISBVI) (Residential, Education, Business and Operations) Facility Name and Address: Indiana School for the Blind & Visually Impaired 7725 N College Ave. Indianapolis, IN, 46240 Agency Site Designee Contact Information: Raouf Estefanos - Assistant Superintendent Phone: 317.253.1481 Ext. 134 Jim Durst - Superintendent Phone: 317.253.1481 Ext. 141 Facility Hours of Operation: Facility Hours: Monday – Friday, 24 hours a day (Note: plus 5 weekends per year.) Janitorial Hours: 6:00AM – 11:00PM Holidays observed not requiring janitorial services: Christmas, Thanksgiving, Memorial Day, Labor Day and 4 th of July. (Service is required while school is in session during the rest of the State Holidays)

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Sub-Agreement - Scope of Work Represented as Exhibit C in the Master Services Agreement

Document Purpose: This document is identified as the template referenced in Exhibit C. This sub-agreement template is to be utilized for adding additional scope of work during the contract period and shall provide a template that shall be completed by the Agency for the purpose of formality and confirmation of the expectations for the agency site location scope of work. The final version of this document shall be approved by the Agency, the Contractor, and the State, as part of this contract. This Sub-agreement Scope of Work (“this SOW”), entered into by and between the Indiana School for the Blind & Visually Impaired (the “State Agency”) and the VENDOR (the “Contractor”), and reviewed for approval by Indiana Department of Administration on behalf of All State Agencies (the “State”), in consideration of those mutual undertakings and covenants, the parties agree as follows: Agency Department(s): Indian School for the Blind and Visually Impaired (ISBVI) (Residential, Education, Business and Operations) Facility Name and Address: Indiana School for the Blind & Visually Impaired 7725 N College Ave. Indianapolis, IN, 46240 Agency Site Designee Contact Information: Raouf Estefanos - Assistant Superintendent Phone: 317.253.1481 Ext. 134 Jim Durst - Superintendent Phone: 317.253.1481 Ext. 141 Facility Hours of Operation: Facility Hours: Monday – Friday, 24 hours a day (Note: plus 5 weekends per year.) Janitorial Hours: 6:00AM – 11:00PM Holidays observed not requiring janitorial services: Christmas, Thanksgiving, Memorial Day, Labor Day and 4th of July. (Service is required while school is in session during the rest of the State Holidays)

Description of Facility:

Building Name Building Purpose Average

Daily Population

Sq. Ft.

Administrative Buildings- D Building Classroom/Storage 63 9334

Administrative Buildings- E Building Classrooms/Media Center 200 10460

Administrative Buildings- F Building

Administration Offices/Auditorium/Classrooms 200 19301

Administrative Buildings- G Building Classrooms/Student Center 200 11692

Administrative Buildings- J Building Classrooms/IREC Storage/Braille Project 4 8126

Administrative Buildings- K Building Indiana Educational Resource Center 8 9060

Administrative Buildings- Maintenance Offices Offices 13 1414

House 120 Independent Living Skills House 2 1294 Dormitories- A Dorm Boys Middle School Dormitory 13 8486 Dormitories- B Dorm Classroom/Dormitory 63 9023 Dormitories- C Dorm Girls Middle School Dormitory 8 8276

Dormitories- H Dorm Boys High School Dormitory/Housekeeping/IT Department 13 8129

Dormitories- I Dorm Girls High School Dormitory / Classroom 13 8149 House 140 Independent Living Skills House 8 1400 House 160 Independent Living Skills House 8 1300 Greenhouse Greenhouse/Horticulture Classroom 55 1300 Scout Cabin Scouts 18 1179 Activities Building Gymnasium/Classrooms/Bowling Alley 88 14230

AlDur/Lambert Hall Elementary School/Kitchen/Dining Room/Outreach 63 25570

Wilson Hall Classrooms/Elementary Dormitory/Central Receiving 33 13698

Churchman Dining Hall and Kitchen 113 8921 Aquatic Center Swimming Pool 100 21000

Keever Hall Middle School/ 3402 sq. ft, Health Center 3403 sq. ft 63 6805

Total 208,147

Service types: Area of Service: Administrative Buildings, House 120, Dormitories

Empty all trash, replace liners Daily Mop all restroom floors with a disinfectant Daily Clean toilets, urinals, sinks, counters, mirrors with a cleaner and disinfectant Daily Replenish all soap and paper products Daily Wet mop hallway floors Daily Clean water fountains Daily Clean up spills on landings, stairs and walls Daily Vacuum entrance door runners Daily Sweep and wet mop landings and stairs Daily Wet mop elevator Daily

Vacuum/Wet mop classrooms and office floors 3 times per week

Vacuum library Twice weekly

Dust furniture, , baseboards, windowsills, cabinets, top of heating units, doors, top of doors, and electrical doors Twice weekly

Wash down toilet and urinal stalls with disinfectant Daily

Remove spots and spills from carpet in halls, offices, library and classrooms Twice daily

Clean Chalk ledges Twice weekly Vacuum auditorium Twice weekly Hi-speed buff all tile hallway floors Weekly Wash furniture removing marks Annually Scrub and wax hallways Annually Shampoo carpeted hallways Annually Wash restroom and stairway-walls Annually High and low dust Annually Wastebaskets washed, liners replaced Annually Wash all tables and chairs in library Annually

Area of Service: House 140, 160, Green House, Scout Cabin

Empty trash, replace liners, Clean toilets, urinals, sinks, counters, showers, mirrors with a cleaner and disinfectant Daily Replenish all soap and paper products Daily Clean water fountains, shine all chrome Daily

Clean up all spills on floors, stairs, entrances and walls Daily Vacuum/Mop Co-Ed lounge Daily Mop all tile floors Twice weekly Clean and mop laundry room Twice weekly Wash down toilet and urinal stalls with disinfectant Daily Dust baseboards, top of lights in lobby, restrooms, door and door entrance Twice weekly Clean glass doors inside and outside As needed Clean/wash out bathtubs Twice weekly

Dust furniture, window sills, tops of heating units, under chairs, entrances and cabinets Weekly

Wet mop and Hi-speed buff halls Weekly Shampoo upholstered furniture Annually Wash restroom walls, showers, doors and entrance doors removing tape Annually Shampoo carpeted areas with carpet extractor and carpet deodorant Annually Wastebaskets washed Annually

Area of Service: Activities Building

Empty trash, replace liners as needed (including offices) Daily Mop all restrooms, showers and locker rooms with disinfectant Daily Clean all toilets, urinals, sinks and mirrors with a cleaner and disinfectant Daily Replenish soap and paper products Daily Dust mop all hallways and offices Daily Clean water fountain Daily Clean up spills on floors Daily During inclement weather, mop halls daily as needed As needed Vacuum door entrance and gym entry runners Daily Dust mop wrestling and bowling areas and gym floor Twice weekly Dust furniture, window sills, heating units, doors and tops of doors Twice weekly Wash down toilet and urinal stalls with disinfectant Twice weekly Dust stair railings, dust under chairs in classrooms and offices Weekly Hi-speed buff all halls Weekly Clean and disinfect wrestling mats, daily during season, weekly during non-season Daily/Weekly Wash locker room walls, scrub floors and wash shower stalls Annually Wash walls and scrub floors in lobby restrooms Annually Wash door glass, windows and doors removing tape Annually Wash wastebaskets, replacing liners Annually Shampoo carpeted office and conference room with carpet extractor and carpet deodorant Annually

Area of Service: AlDur/Lambert Hall/Wilson Hall/Keever Hall-2nd Floor Middle School/Churchman Buildings

Empty all trash, replace liners Twice Daily Mop all restroom floors with a disinfectant Twice Daily Clean toilets, urinals, sinks, counters, mirrors with a cleaner and disinfectant Twice Daily Replenish all soap and paper products Twice Daily Dust mop hallways Daily Clean all water fountains Daily Clean-up spills on floors Daily

During -inclement weather, hallways to be mopped for water and/or snow as needed Daily as needed

Vacuum entrance rugs to building Twice Daily Mop/Vacuum classroom, hallways, office and living room carpets Daily Dust furniture, window sills, cabinets, top of heating units, room dividers, counters, top of doors, and entrance doors Twice Weekly Wet mop and Hi-speed buff halls Weekly Wash restroom and stairway walls, showers and stair railings Annually Shampoo upholstered furniture Annually Wash furniture removing marks, tape and ink Annually Shampoo carpeted areas with carpet extractor and carpet deodorant Annually Wash windows, door glass and doors removing tape Annually Wastebaskets washed, liners replaced Annually Scrub and recoat hallways Annually

Area of Service: Keever Hall- 1st Floor Health Center

Empty all trash, replace liners as needed Daily Dust mop halls Daily Wet mop-patient rooms, medicine room, treatment room and nurses station with a disinfectant as needed

Daily as needed

Clean all toilets, sinks, mirrors with a cleaner and disinfectant Daily Replenish all soap and paper products Daily Clean water fountains and glass Daily Sweep and mop offices and kitchen floor Daily Sweep out rear entrance and door rugs inside and outside Health Center Daily Disinfect countertops in nurses station, patients rooms, treatment rooms and desk in offices (if desks are clear) Daily Dust furniture, mini blinds, window sills, cabinets, top of heating units, doors and tops of doors Twice weekly Mop entire Health Center removing all scuff marks, twice weekly Twice weekly Hi-speed buff all tile floors Weekly

Area of Service: Aquatic Center

Empty trash, replace liners as needed (including offices) Daily Mop all restrooms and locker rooms with disinfectant Daily Clean all toilets, urinals, sinks and mirrors with a cleaner and disinfectant Daily Replenish soap and paper products Daily Dust mop all hallways Daily Clean water fountains Daily Clean up spills on floors and walls Daily

During inclement weather, mop halls daily as needed Daily as needed

Vacuum door entrance and pool entry runners Daily Scrub and/or mop around swimming pool with a disinfectant Twice weekly Dust furniture, window sills, heating units, doors and tops of doors Twice weekly Wash down toilet and urinal stalls with disinfectant Twice weekly Hi-speed buff all halls Weekly Wash locker room walls, scrub floors and wash shower stalls Annually Wash walls and scrub floors in lobby restrooms Annually Wash door glass, windows and doors removing tape Annually Wash wastebaskets Annually Vacuum/Wet mop floors Twice Weekly Remove spots and spills from carpet in halls, offices, library and classrooms Twice Weekly Dust mop and damp mop tile floor areas, daily Daily Wash furniture removing marks Annually Dust baseboards and window sills Twice weekly Scrub and wax hallways Annually Shampoo carpeted hallways Annually

Unique needs specific to your facility:

• Background Checks: The Department of Administration requires assurances in its Quantity Purchase Agreements (QPA) for temporary personnel that the backgrounds of those temporary personnel do not reveal relevant past criminality or dishonesty. In addition, agencies should not utilize the services of contractual personnel who do not satisfy the agency’s criteria for employment. As such, the following background checks need to be successfully completed for each Contractor personnel assigned to the facilities detailed in this SOW:

o Federal Criminal History Records Check (CHRI) o State Criminal History Records Check (CHRI) o Employment Verification o Sex and Violent Offender Registry

• In the event of an emergency, extract water as necessary; clean carpets related to a water infiltration issue including, but not limited to: toilet, urinal or sinks

• Contractor Parking: Parking is available. Parking tags are provided to contractor staff.

• Cleaning Supplies: o The following unique cleaning items are being requested:

StarDust Super Absorbant Spill Control (Fastenal item# 1018450) • Disposables:

o The following unique disposable items are being requested: Disinfectant Wipes such as Fastenal item CLO15948EA

Non-Collusion and Acceptance The undersigned attests, subject to the penalties for perjury, that the undersigned is the Contractor, or that the undersigned is the properly authorized representative, agent, member or officer of the Contractor. Further, to the undersigned’s knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Contractor, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC 4-2-6-1, has a financial interest in the Contract, the Contractor attests to compliance with the disclosure requirements in IC 4-2-6-10.5. In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Sub-agreement Scope of Work, as represented from the Master Services Agreement for QPA# XXXXX. The parties, having read and understood the foregoing terms of this agreement, do by their respective signatures dated below hereby agree to the requirements thereof. Contractor: State of Indiana Agency: VENDOR Indiana School for the Blind & Visually Impaired Signature: Signature: Printed Name: Printed Name:Raouf Estefanos Title: Title: Assistant Superintendent Date: Date: 06/03/2019 Indiana Department of Administration Vendor Contract Manager Date: