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- CTS Services in Springfield, MO Federal contract opportunity
- Solicitation number
- 15BCTS21Q00000006
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| 2 - Business Quotation Information March 2019.pdf | ||
| 5 - Whistleblower Info.pdf | ||
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15BCTS21Q00000006 Page 1 of 66
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30
1. REQUISITION NUMBER
5. SOLICITATION NUMBER
15BCTS21Q00000006
2. CONTRACT NO. 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 6. SOLICITATION ISSUE
DATE
08/13/2020
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Stephen A. Deffenbaugh sadeffenbaugh@bop.gov
b. TELEPHONE NUMBER (No collect calls)
202-598-3483
8. OFFER DUE DATE / LOCAL
TIME
08/28/2020 02:00 ET
CODE 15BCTS
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS: 621420
SIZE STANDARD: $16,500,000
10. THE ACQUISITION IS
SEE
SCHEDULE
11. DELIVERY FOR FOB DESTINATION
UNLESS BLOCK IS MARKED
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER DPAS
(15 CFR 700)
13b. RATING
X RFQ IFB RFP
14. METHOD OF SOLICITATION
15B500CODE15. DELIVER TO
Federal Bureau of Prisons Kansas City Office
400 STATE AVENUE
SUITE 800
KANSAS CITY, KS 66101
CODE 15BCTS16. ADMINISTERED BY
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
Stephen A. Deffenbaugh
(O) 202-598-3483 sadeffenbaugh@bop.gov
FACILITY
CODE
CODE
TELEPHONE NO.
17a. CONTRACTOR/
OFFEROR
15B400CODE18a. PAYMENT WILL BE MADE BY
Federal Bureau of Prisons Kansas City Office
400 STATE AVENUE
SUITE 800
KANSAS CITY, KS 66101
BOP-RSD/PSBCTS-BILL@bop.gov
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER SEE ADDENDUM
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS
CHECKED
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Delivery Date: 10/01/2020
Provide community-based Outpatient Substance Use, Mental Health, and Sex Offender Treatment Services to Federal offenders residing in a residential re-entry center or home confinement in the Springfield, MO area.
See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)
X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ____ COPIES TO
ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH
OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE
TERMS AND CONDITIONS SPECIFIED.
29. AWARD OF CONTRACT: REF. _____________________________ OFFER
DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK 5)
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN,
IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)
Stephen Deffenbaugh
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
15BCTS21Q00000006 Page 2 of 66
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
PARTIAL FINAL
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
COMPLETE PARTIAL FINAL
36. PAYMENT 37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV. 2/2012) BACK
15BCTS21Q00000006 Page 3 of 66
Table of Contents
Section Description Page Number
1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses
52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE
2004)
52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA
OR OTHER NATIONAL EMERGENCY (May 2008) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012) DJAR-PGD-15-03 Security of Department Information and Systems
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR
2011) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-18 Ordering (Aug 2020) 52.217-8 Option to Extend Services (Nov 1999) 52.216-21 Requirements (Oct 1995) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016)
4 List of Attachments 5 Solicitation Provisions
52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2020) 52.219-1 Small Business Program Representations (Mar 2020) 52.212-3 Offeror Representations and Certifications--Commercial Items (Jun 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990)
15BCTS21Q00000006 Page 4 of 66
Section 2 - Commodity or Services Schedule
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 Substance Use Intake (2000) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 Individual Counseling (2010) - Estimated 48 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 Group Counseling (2020) - Estimated 72 units per Inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 Family Counseling (2030) - Estimated 36 units per Inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 Mental Health Intake (5000) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0009 Crisis Intervention (6000) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
9 EA $________ $_________________
15BCTS21Q00000006 Page 5 of 66
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0011 Administration of Medication (6050) - Estimated 6 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0012 Medication Monitoring (6051) - Estimated 6 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0013 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0014 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0015 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0016 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0017 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Base Year - 10/1/2020-9/30/2021
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0018 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0019 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
45 EA $________ $_________________
15BCTS21Q00000006 Page 6 of 66
Option Year One - 10/1/2021-9/30/2022
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0020 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0021 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0022 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0023 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0024 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0025 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0026 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0027 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0028 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0029 Medication Monitoring (6051) - Estimated 6 units per inmate 210 EA $________ $_________________
15BCTS21Q00000006 Page 7 of 66
Option Year One - 10/1/2021-9/30/2022
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0030 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0031 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0032 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0033 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0034 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year One - 10/1/2021-9/30/2022
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0035 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0036 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0037 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0038 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
1,800 EA $________ $_________________
15BCTS21Q00000006 Page 8 of 66
0039 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0040 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0041 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0042 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0043 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0044 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0045 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0046 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0047 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0048 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
5 EA $________ $_________________
15BCTS21Q00000006 Page 9 of 66
0049 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0050 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0051 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Two - 10/1/2022-9/30/2023
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0052 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0053 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0054 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0055 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0056 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0057 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0058 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
35 EA $________ $_________________
15BCTS21Q00000006 Page 10 of 66
0059 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0060 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0061 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0062 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0063 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0064 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0065 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0066 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0067 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Three - 10/1/2023-9/30/2024
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0068 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Three - 10/1/2023-9/30/2024
24 EA $________ $_________________
15BCTS21Q00000006 Page 11 of 66
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0069 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0070 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0071 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0072 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0073 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0074 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0075 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0076 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0077 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0078 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Four - 10/1/2024-9/30/2025
1,680 EA $________ $_________________
15BCTS21Q00000006 Page 12 of 66
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0079 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0080 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0081 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0082 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0083 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0084 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0085 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Four - 10/1/2024-9/30/2025
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0086 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0087 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
45 EA $________ $_________________
0088 Individual Counseling (2010) - Estimated 48 units per inmate 2,160 EA $________ $_________________
15BCTS21Q00000006 Page 13 of 66
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0089 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0090 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0091 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0092 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0093 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0094 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0095 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0096 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0097 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
210 EA $________ $_________________
0098 Sex Offender Intake (6060) - Estimated 1 unit per inmate 5 EA $________ $_________________
15BCTS21Q00000006 Page 14 of 66
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0099 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0100 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0101 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0102 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Five - 10/1/2025-9/30/2026
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0103 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0104 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0105 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0106 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0107 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
432 EA $________ $_________________
15BCTS21Q00000006 Page 15 of 66
0108 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0109 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0110 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0111 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0112 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0113 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0114 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0115 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0116 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0117 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Six - 10/1/2026-9/30/2027
240 EA $________ $_________________
15BCTS21Q00000006 Page 16 of 66
0118 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0119 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Six - 10/1/2026-9/30/2027
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0120 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0121 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0122 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0123 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0124 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0125 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0126 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0127 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
35 EA $________ $_________________
15BCTS21Q00000006 Page 17 of 66
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0128 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0129 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0130 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0131 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0132 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0133 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0134 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0135 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0136 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Seven - 10/1/2027-9/30/2028
PSC: G004
24 EA $________ $_________________
0137 Substance Use Intake (2000) - Estimated 1 unit per inmate 45 EA $________ $_________________
15BCTS21Q00000006 Page 18 of 66
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0138 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0139 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
2,160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0140 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0141 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0142 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0143 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0144 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0145 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0146 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
1,680 EA $________ $_________________
15BCTS21Q00000006 Page 19 of 66
0147 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0148 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0149 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0150 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0151 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0152 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0153 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Eight - 10/1/2028-9/30/2029
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0154 Substance Use Intake (2000) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0155 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
45 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0156 Individual Counseling (2010) - Estimated 48 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
2,160 EA $________ $_________________
15BCTS21Q00000006 Page 20 of 66
0157 Group Counseling (2020) - Estimated 72 units per Inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
1,800 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0158 Family Counseling (2030) - Estimated 36 units per Inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0159 Mental Health Intake (5000) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0160 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0161 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0162 Crisis Intervention (6000) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
9 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0163 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0164 Administration of Medication (6050) - Estimated 6 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0165 Medication Monitoring (6051) - Estimated 6 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
210 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0166 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
5 EA $________ $_________________
15BCTS21Q00000006 Page 21 of 66
0167 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0168 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
240 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0169 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
360 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0170 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Option Year Nine - 10/1/2029-9/30/2030
PSC: G004
24 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0171 Substance Use Intake (2000) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
23 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0172 Substance Use Assessment & Report (2011) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
23 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0173 Individual Counseling (2010) - Estimated 48 units per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
1,104 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0174 Group Counseling (2020) - Estimated 72 units per Inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
936 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0175 Family Counseling (2030) - Estimated 36 units per Inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
216 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0176 Mental Health Intake (5000) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
18 EA $________ $_________________
15BCTS21Q00000006 Page 22 of 66
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0177 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0178 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0179 Crisis Intervention (6000) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0180 Mental Health Individual Counseling (6010) - Estimated 48 units per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
864 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0181 Administration of Medication (6050) - Estimated 6 units per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0182 Medication Monitoring (6051) - Estimated 6 units per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
108 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0183 Sex Offender Intake (6060) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0184 Sex Offender Specific Evaluation and Report (5012) - Estimated 1 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0185 Sex Offender Individual Counseling (6012) - Estimated 48 units per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0186 Sex Offender Group Counseling (6022) - Estimated 72 units per inmate
216 EA $________ $_________________
15BCTS21Q00000006 Page 23 of 66
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0187 Sex Offender Family Counseling (6032) - Estimated 12 unit per inmate
Potential 6 month extension - 10/1/2030-3/31/2031
PSC: G004
12 EA $________ $_________________
Please note that for all therapy sessions 30 minutes = 1 unit
2.1 Continuation of SF1449, Block 20
CONTINUATION OF SF-1449, BLOCK 20
SCHEDULE OF SUPPLIES/SERVICES
The contractor shall be capable of providing outpatient substance use and mental health services to offenders confined in community-based programs. The contractor shall provide a physical location from where all required services can be provided. The location wh ere services are to be provided should be within a 5 mile radius of the Springfield Post Office located at 500 W. Chestnut Expressway, Springfield, MO 65801. The location must also be located within a one-mile distance from a Springfield bus transit stop.
All references to Residential Re-Entry Center (RRC) and Community Correctional Center (CCC) shall be treated equally for the pur pose of this contract.
The anticipated total contract period is 10 years (to begin upon the effective date of contract award). The anticipated performance st art date is October 1, 2020.
Community Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:
Each quotation will be initially reviewed to determine that all document submission requirements listed under Addendum to FAR 52 .212-1, Instructions to Offerors-Commercial Items, are met. By using the documentation submitted with each quotation, an initial rev iew will also be conducted to determine whether or not it meets the minimum requirements contained in the Decisional Rule Criteria b elow. Any quotation not meeting this criteria may not receive any further consideration for award.
Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capability to meet the Decisional Rule Crite ria below. Quotes will be rated "Acceptable" or "Unacceptable" based on the Decisional Rule Criteria. Quoters receiving an "Unaccept able" rating will be advised of their elimination from the procurement. Quoters receiving an "Acceptable" rating shall be considered for award.
DECISIONAL RULE CRITERIA – LPTA – COMMUNITY TREATMENT SERVICES 2019
1. Operational Requirement – Cognitive Behavioral Therapy (CBT): The Quoter must demonstrate adherence to the CBT model of treatment or other evidence-based programming compatible with CBT. [SOW 1.3]
1. Submit the cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of C ommunity Treatment Services (CTS).
1. Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis interventions, if nec essary. When applicable, the Quoter must have the ability to complete a Crisis Intervention Assessment contract lin e item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 7.2.5]
1. Submit a plan to provide an emergency crisis intervention, if the need arises at the facility. Include specific local i nformation to include emergency psychiatric care facility, local hospital with crisis unit, or other emergency crisis in tervention resources.
2. If applicable, submit a plan to conduct a crisis intervention session within 24 hours of referral, and submit the ass essment within one business day.
15BCTS21Q00000006 Page 24 of 66
1. Operational Requirement – Inmate Accountability: The Quoter must have a comprehensive accountability pr ogram that ensures every Bureau inmate is accounted for while at the facility. [SOW 12.2]
1. Submit a plan for notifying CTS and the Residential Reentry Center (RRC) of any late arrivals or absences from s cheduled sessions.
2. Submit a plan to maintain accountability of inmates from arrival until departure from the facility, include all common a reas, and inmate restroom facilities at the performance site.
1. Operational Requirement – Confidentiality: The Quoter must ensure complete confidentiality of all Bureau treatm ent records and sessions.
1. Submit a plan to ensure the privacy and confidentiality of individual and group sessions. [SOW 11.1.1]
2. Submit the agency’s policies and procedures to comply with all applicable provisions of HIPAA. [SOW11.3.2]
3. Telehealth (if applicable): Identify the communication system and software application that will be used. Submit evi dence of the proposed system’s ability to meet the Bureau’s electronic security requirements: HIPAA-compliant, F IPS 140-2 certified, 256- bit encryption, and housed in Continental US. [SOW 2.2.7]
4. Telehealth (if applicable): Submit a plan that specifically addresses the telehealth policies and regulations for the state where services will be rendered. Identify on the office diagram required in 5c where the inmates will receive telehealth sessions at the performance site.
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