Sol_140A2322Q0376_Amd_0001.pdf

(x)

140A2322Q0376 x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

A23

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

Indian Education Acquisition Office

06/06/20220001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

06/06/2022

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Amendment No. 0001 to Request for Quotation No. 140A2322Q0376 is hereby amended as follows:

1. Added Attachment No 1 - Statement of Work

2. To remove the following statement, "THIS ACQUISITION IS FOR 100% INDIAN-OWNED SMALL

BUSINESS ECONOMIC ENTERPRISES (ISBEE)" and change to Total Small Business Set-Aside.

As Prescribed in 19.507 (c), insert the following clauses:

FAR 52.219-6 Notice of Total Small Business Set-Aside (Nov 2020)

(a) Definition. Small business concern, as used in this clause--

(1) Means a concern, including its affiliates, that is independently owned and operated, Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Natasha Bitsoi

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A2322Q0376/0001 not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the size standards in this solicitation.

(2) Affiliates, as used in paragraph (a)(1) of this clause, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

(b) Applicability. This clause applies only to-

(1) Contracts that have been totally set aside for small business concerns; and

(2) Orders set aside for small business concerns under multiple-award contracts as described in

8.405-5 and 16.505(b)(2)(i)(F).

(c) General.

(1) Offers are solicited only from small business concerns. Offers received from concerns that are not small business concerns shall be considered nonresponsive and will be rejected.

(2) Any award resulting from this solicitation will be made to a small business concern.

(End of clause)

Removing the following clauses and provisions:

1452.280-1 Notice of Indian small business economic enterprises set aside.

1452.280-2 Notice of Indian economic enterprises set-aside.

1452.280-3 Indian Economic Enterprises

Representation.

3.To extend the offer due date to July 18, 2022 at 3:00 p.m. MD

4. Email quotes to: natasha.bitsoi@bie.edu

ALL OTHER TERMS AND CONDITIONS ARE TO REMAINS THE

SAME IN FULL FORCE AND EFFECT.

Quotes must be submitted through email to natasha.bitsoi@bie.edu by July 18, 2022 at 12:00 pm (Mountain Daylight Time). Any submissions received after the date and time specified herein will NOT be considered for award. Any other

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A2322Q0376/0001 method of submission will NOT be considered.

Please allow time for any delays that may impact submitting your quote.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

D20M12 Behavioral Therapy Services 1

BEHAVIORAL THERAPY SERVICES

I. STATEMENT OF WORK

Contractor shall provide staff training, observation of classroom environment, assessment of needs of individual students, recommendations to classroom personnel, and assistance in implementation of strategies including providing supplemental materials, and resources as needed. Contractor shall also perform background checks on all their personnel for the 2021-

2022 school year. In addition, the contractor will provide all necessary supplies, materials, equipment and testing materials to perform the work as described below.

II. WORK REQUIREMENTS

After being provided a request from the IEP team or the Psychologist at the school, the contractor shall:

A. Provide behavioral support/consultation services for staff to address the needs of children on IEPs. BCBA will spend an extensive amount of time working with students on their behavior and treatment.

B. Provide Functional Behavior Assessment/Behavior Intervention Plan development support when requested

C. Provide consultation and reinforcement of parenting skills to parents and families

D. If required, provide training and education to school staff

E. Provide consultation to school personnel.

F. Coordinate all referrals for mental health services. Facilitate, as needed, contacts with mental health providers outside the school.

G. Attend IEP meetings for identified children when requested.

H. Maintain records of work performed for monthly invoicing

a. The contractor will be expected to sign in and keep a log regarding the actual duration of coaching/support session or meeting.

b. The contractor will maintain mileage log for each trip.

c. The contractor will be paid for services on a monthly basis. Invoices shall be submitted by the contractor directly to the contracting office and school serviced.

III. REPORTS

All reports shall contain information required to remain in compliance with all pertinent regulations mandated by Federal or State Laws including IDEA and Educational Standards for the state of New Mexico regarding Special Education Program Students. All strategies and tools

D20M12 Behavioral Therapy Services 2 will be provided in writing as a follow up to coaching sessions. Staff worked with will be able to provide data to the IEP or SAT. The reports may be hand delivered or mailed with the original protocols to the school special education coordinator.

The contractor is also required to log in and out of the school site and to schedule herself/himself for meetings/support sessions at the school’s request. Weekly schedules shall be approved by the school’s special education coordinator.

A. The contractor will be expected to provide data and tools to staff regarding student progress.

B. The contractor will be expected to meet with the parents of students and/or guardian of students receiving behavior support, to provide for consultation during which time the contractor will be available to meet with close family member to discuss those issues, problems or concerns which are pertinent to or impact on the progress of the student within the school environment. These meetings will be scheduled based on the willingness of family members to participate voluntarily and with consultation with the contractor.

IV. EVALUATION REPORT OF PROGRAM EVALUATION:

All reports should contain all necessary information required to remain in compliance with any and all pertinent regulations mandated by Federal or State Laws including IDEA and the Indian

School Equalization Program’s guidelines and criteria.

In addition the completion of behavioral therapy services, the contractor shall:

A. The contractor, when requested, shall be present at IEP/multidisciplinary placement team meetings to develop individual goals and objectives for each student to whom support is provided. The Board Certified Behavior Analyst will support the development of goals and objectives.

B. Meet the students on an individual basis for the purpose of providing behavioral services, and to determine the effectiveness of individual program goals and objectives and/or student progress in regard to his/her adaption to the educational environment, potential for integration into the regular program, and ability to cope outside a structured environment.

D20M12 Behavioral Therapy Services 3

V. CONFIDENTIALITY

All materials furnished or produced by the contractor under this agreement, including but not limited, to documents, reports, and correspondence will remain CONFIDENTIAL. The contractor shall not release information to any persons, group of persons, firm or organizations other than the Bureau of Indian Education, San Felipe Pueblo Elementary School with information related to work performed, research or information derived from work performed under this agreement. Breach of confidentiality shall be denied substantial breach of this agreement and may be grounds for rescission.