15BCTS18Q00000030_Chicago,_Illinois2.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS18Q00000030

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

01/08/2018

7. FOR SOLICITATION INFORMATION

CALL:

a. NAME

Victor McCall vmccall@bop.gov

b. TELEPHONE NUMBER (No collect calls)

202-307-1942

8. OFFER DUE DATE / LOCAL

TIME

02/07/2018 17:00:00

CODE 15BCTS

Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 5005 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: $15,000,000

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

NET 30

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

15B400CODE15. DELIVER TO

Federal Bureau of Prisons North Central Regional Office

400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

CODE 15BCTS16. ADMINISTERED BY

Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 5005 Washington, DC 20534

Victor McCall

(O) 202-307-1942 vmccall@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B400CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons North Central Regional Office

400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

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: 05/01/2018

Substance Use, Mental Health and Sex Offender Treatment Services in Chicago, Illinois.

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)

Victor McCall

31c. DATE SIGNED

01/08/2018

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

15BCTS18Q00000030 Page 1 of 50

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

15BCTS18Q00000030 Page 2 of 50

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses

52.21-603-70 Contracting Officer's Representative (COR) (June 2012)

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) DJAR-PGD-15-03 Security of Department Information and Systems 52.216-18 Ordering (Oct 1995) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 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) 52.252-6 Authorized Deviations in Clauses (Apr 1984)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR

2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.242-13 Bankruptcy (July 1995) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders--Commercial Items (Nov 2017)

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Jul 2013) 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.212-3 Offeror Representations and Certifications--Commercial Items (Nov 2017) 52.209-12 Certification Regarding Tax Matters (Feb 2016) 52.252-5 Authorized Deviations in Provisions (Apr 1984) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998)

52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUG 2005)

52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 52.217-5 Evaluation of Options (July 1990)

15BCTS18Q00000030 Page 3 of 50

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Base Period: Date of award - 12 months

150.000000 EA $____________ $___________________

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Base Period: Date of award - 12 months

150.000000 EA $____________ $___________________

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Base Period: Date of award - 12 months

7,200.000000 EA $____________ $___________________

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Base Period: Date of award - 12 months

10,800.000000 EA $____________ $___________________

0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Base Period: Date of award - 12 months

1,368.000000 EA $____________ $___________________

0006 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Base Period: Date of award - 12 months

40.000000 EA $____________ $___________________

0007 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Base Period: Date of award - 12 months

40.000000 EA $____________ $___________________

0008 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Base Period: Date of award - 12 months

40.000000 EA $____________ $___________________

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Base Period: Date of award - 12 months

20.000000 EA $____________ $___________________

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Base Period: Date of award - 12 months

1,920.000000 EA $____________ $___________________

0011 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Base Period: Date of award - 12 months

240.000000 EA $____________ $___________________

0012 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Base Period: Date of award - 12 months

1,440.000000 EA $____________ $___________________

0013 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Base Period: Date of award - 12 months

10.000000 EA $____________ $___________________

0014 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Base Period: Date of award - 12 months

10.000000 EA $____________ $___________________

0015 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Base Period: Date of award - 12 months

480.000000 EA $____________ $___________________

0016 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates

720.000000 EA $____________ $___________________

15BCTS18Q00000030 Page 4 of 50

Base Period: Date of award - 12 months

0017 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 3 Inmates

36.000000 EA $____________ $___________________

0018 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Base Period: Date of award - 12 months

12,400.000000 EA $____________ $___________________

0019 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 1 - 13 months through 24 months

150.000000 EA $____________ $___________________

0020 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Option Year 1 - 13 months through 24 months

150.000000 EA $____________ $___________________

0021 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 1 - 13 months through 24 months

7,200.000000 EA $____________ $___________________

0022 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 1 - 13 months through 24 month

1,080.000000 EA $____________ $___________________

0023 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 1 - 13 months through 24 months

1,368.000000 EA $____________ $___________________

0024 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 1 - 13 months through 24 months

40.000000 EA $____________ $___________________

0025 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 1 - 13 months through 24 months

40.000000 EA $____________ $___________________

0026 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 1 - 13 months through 24 months

40.000000 EA $____________ $___________________

0027 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 1 - 13 months through 24 months

20.000000 EA $____________ $___________________

0028 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 1 - 13 months through 24 months

1,920.000000 EA $____________ $___________________

0029 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 40 Inmates Option Year 1 - 13 months through 24 months

240.000000 EA $____________ $___________________

0030 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 1 - 13 months through 24 months

1,440.000000 EA $____________ $___________________

0031 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 1 - 13 months through 24 months

10.000000 EA $____________ $___________________

0032 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 1 - 13 months through 24 months

10.000000 EA $____________ $___________________

0033 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 1 - 13 months through 24 months

480.000000 EA $____________ $___________________

0034 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 1 - 13 months through 24 mon

15BCTS18Q00000030 Page 5 of 50

0035 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 3 Inmates Option Year 1 - 13 months through 24 month

36.000000 EA $____________ $___________________

0036 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 1 - 13 months through 24 months

12,400.000000 EA $____________ $___________________

0037 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 2 - 25 months through 36 month

150.000000 EA $____________ $___________________

0038 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Option Year 2 - 25 months through 36 months

150.000000 EA $____________ $___________________

0039 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 2 - 25 months through 36 month

7,200.000000 EA $____________ $___________________

0040 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 2 - 25 months through 36 month

10,800.000000 EA $____________ $___________________

0041 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 2 - 25 months through 36 months

1,368.000000 EA $____________ $___________________

0042 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 2 - 25 months through 36 months

40.000000 EA $____________ $___________________

0043 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 2 - 25 months through 36 months

40.000000 EA $____________ $___________________

0044 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 2 - 25 months through 36 months

20.000000 EA $____________ $___________________

0045 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 2 - 25 months through 36 months

20.000000 EA $____________ $___________________

0046 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 2 - 25 months through 36 month

1,920.000000 EA $____________ $___________________

0047 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 2 - 25 months through 36 months

240.000000 EA $____________ $___________________

0048 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 2 - 25 months through 36 months

1,440.000000 EA $____________ $___________________

0049 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 2 - 25 months through 36 months

10.000000 EA $____________ $___________________

0050 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 2 - 25 months through 36 months

10.000000 EA $____________ $___________________

0051 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 2 - 25 months through 36 months

480.000000 EA $____________ $___________________

0052 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 2 - 25 months through 36 months

15BCTS18Q00000030 Page 6 of 50

0053 Sex Offender Family Counseling (6032)

Inmates Option Year 2 - 25 months through 36 months

36.000000 EA $____________ $___________________

0054 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 2 - 25 months through 36 months

12,400.000000 EA $____________ $___________________

0055 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 3 - 37 months through 48 months

150.000000 EA $____________ $___________________

0056 Assessment & Report - Substance Use #(2011) (one per inmate) for Estimated 150 Inmates Option Year 3 - 37 months through 48 months

150.000000 EA $____________ $___________________

0057 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 3 - 37 months through 48 months

7,200.000000 EA $____________ $___________________

0058 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 3 - 37 months through 48 months

10,800.000000 EA $____________ $___________________

0059 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 3 - 37 months through 48 months

1,368.000000 EA $____________ $___________________

0060 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 3 - 37 months through 48 months

40.000000 EA $____________ $___________________

0061 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 3 - 37 months through 48 months

40.000000 EA $____________ $___________________

0062 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 3 - 37 months through 48 months

40.000000 EA $____________ $___________________

0063 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 3 - 37 months through 48 months

20.000000 EA $____________ $___________________

0064 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 3 - 37 months through 48 months

1,920.000000 EA $____________ $___________________

0065 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 3 - 37 months through 48 months

240.000000 EA $____________ $___________________

0066 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 3 - 37 months through 48 months

1,440.000000 EA $____________ $___________________

0067 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 3 - 37 months through 48 months

10.000000 EA $____________ $___________________

0068 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 3 - 37 months through 48 months

10.000000 EA $____________ $___________________

0069 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 3 - 37 months through 48 months

480.000000 EA $____________ $___________________

0070 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 3 - 37 months through 48 months

15BCTS18Q00000030 Page 7 of 50

0071 Sex Offender Family Counseling (6032)

Inmates Option Year 3 - 37 months through 48 months

36.000000 EA $____________ $___________________

0072 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 3 - 37 months through 48 months

12,400.000000 EA $____________ $___________________

0073 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 4 - 49 months through 60 months

150.000000 EA $____________ $___________________

0074 Assessment & Report - Substance Use #(2011) (one per inmate) for Estimated 150 Inmates Option Year 4 - 49 months through 60 months

150.000000 EA $____________ $___________________

0075 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 4 - 49 months through 60 months

7,200.000000 EA $____________ $___________________

0076 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 4 - 49 months through 60 months

10,800.000000 EA $____________ $___________________

0077 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 4 - 49 months through 60 months

1,368.000000 EA $____________ $___________________

0078 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 4 - 49 months through 60 months

40.000000 EA $____________ $___________________

0079 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 4 - 49 months through 60 months

40.000000 EA $____________ $___________________

0080 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 4 - 49 months through 60 months

40.000000 EA $____________ $___________________

0081 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 4 - 49 months through 60 months

20.000000 EA $____________ $___________________

0082 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 4 - 49 months through 60 months

1,920.000000 EA $____________ $___________________

0083 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 4 - 49 months through 60 months

240.000000 EA $____________ $___________________

0084 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 4 - 49 months through 60 months

1,440.000000 EA $____________ $___________________

0085 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 4 - 49 months through 60 months

10.000000 EA $____________ $___________________

0086 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 4 - 49 months through 60 months

10.000000 EA $____________ $___________________

0087 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 4 - 49 months through 60 months

480.000000 EA $____________ $___________________

0088 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 4 - 49 months through 60 months

15BCTS18Q00000030 Page 8 of 50

0089 Sex Offender Family Counseling (6032)

Inmates Option Year 4 - 49 months through 60 months

36.000000 EA $____________ $___________________

0090 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 4 - 49 months through 60 months

12,400.000000 EA $____________ $___________________

0091 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 5 - 61 months through 72 months

150.000000 EA $____________ $___________________

0092 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Option Year 5 - 61 months through 72 months

150.000000 EA $____________ $___________________

0093 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 5 - 61 months through 72 months

7,200.000000 EA $____________ $___________________

0094 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 5 - 61 months through 72 months

10,800.000000 EA $____________ $___________________

0095 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 5 - 61 months through 72 months

1,368.000000 EA $____________ $___________________

0096 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 5 - 61 months through 72 months

40.000000 EA $____________ $___________________

0097 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 5 - 61 months through 72 months

40.000000 EA $____________ $___________________

0098 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 5 - 61 months through 72 months

40.000000 EA $____________ $___________________

0099 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 5 - 61 months through 72 months

20.000000 EA $____________ $___________________

0100 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 5 - 61 months through 72 months

1,920.000000 EA $____________ $___________________

0101 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 5 - 61 months through 72 months

240.000000 EA $____________ $___________________

0102 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 5 - 61 months through 72 months

1,440.000000 EA $____________ $___________________

0103 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 5 - 61 months through 72 months

10.000000 EA $____________ $___________________

0104 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 5 - 61 months through 72 months

10.000000 EA $____________ $___________________

0105 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 5 - 61 months through 72 months

480.000000 EA $____________ $___________________

0106 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 5 - 61 months through 72 months

15BCTS18Q00000030 Page 9 of 50

0107 Sex Offender Family Counseling (6032)

Inmates) Option Year 5 - 61 months through 72 months

36.000000 EA $____________ $___________________

0108 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 5 - 61 months through 72 months

12,400.000000 EA $____________ $___________________

0109 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 6 - 73 months through 84 months

150.000000 EA $____________ $___________________

0110 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Option Year 6 - 73 months through 84 months

150.000000 EA $____________ $___________________

0111 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 7200 Inmates Option Year 6 - 73 months through 84 months

7,200.000000 EA $____________ $___________________

0112 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 6 - 73 months through 84 months

10,800.000000 EA $____________ $___________________

0113 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 6 - 73 months through 84 months

1,368.000000 EA $____________ $___________________

0114 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 6 - 73 months through 84 months

40.000000 EA $____________ $___________________

0115 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 6 - 73 months through 84 months

40.000000 EA $____________ $___________________

0116 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 6 - 73 months through 84 months

40.000000 EA $____________ $___________________

0117 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 6 - 73 months through 84 months

20.000000 EA $____________ $___________________

0118 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 6 - 73 months through 84 months

1,920.000000 EA $____________ $___________________

0119 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 6 - 73 months through 84 months

240.000000 EA $____________ $___________________

0120 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 6 - 73 months through 84 months

1,440.000000 EA $____________ $___________________

0121 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 6 - 73 months through 84 months

10.000000 EA $____________ $___________________

0122 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 6 - 73 months through 84 months

10.000000 EA $____________ $___________________

0123 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 6 - 73 months through 84 months

480.000000 EA $____________ $___________________

0124 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 6 - 73 months through 84 months

15BCTS18Q00000030 Page 10 of 50

0125 Sex Offender Family Counseling (6032)

Inmates Option Year 6 - 73 months through 84 months

36.000000 EA $____________ $___________________

0126 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 6 - 73 months through 84 months

12,400.000000 EA $____________ $___________________

0127 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 7 - 85 months through 96 months

150.000000 EA $____________ $___________________

0128 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 150 Inmates Option Year 7 - 85 months through 96 months

150.000000 EA $____________ $___________________

0129 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 7 - 85 months through 96 months

7,200.000000 EA $____________ $___________________

0130 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 7 - 85 months through 96 months

10,800.000000 EA $____________ $___________________

0131 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 7 - 85 months through 96 months

1,368.000000 EA $____________ $___________________

0132 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 7 - 85 months through 96 months

40.000000 EA $____________ $___________________

0133 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 40 Inmates Option Year 7 - 85 months through 96 months

40.000000 EA $____________ $___________________

0134 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 7 - 85 months through 96 months

40.000000 EA $____________ $___________________

0135 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 7 - 85 months through 96 months

20.000000 EA $____________ $___________________

0136 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 7 - 85 months through 96 months

1,920.000000 EA $____________ $___________________

0137 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 7 - 85 months through 96 months

240.000000 EA $____________ $___________________

0138 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 7 - 85 months through 96 months

1,440.000000 EA $____________ $___________________

0139 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 7 - 85 months through 96 months

10.000000 EA $____________ $___________________

0140 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 7 - 85 months through 96 months

10.000000 EA $____________ $___________________

0141 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 7 - 85 months through 96 months

480.000000 EA $____________ $___________________

0142 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 7 - 85 months through 96 months

15BCTS18Q00000030 Page 11 of 50

0143 Sex Offender Family Counseling (6032)

Inmates Option Year 7 - 85 months through 96 months

36.000000 EA $____________ $___________________

0144 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 7 - 85 months through 96 months

12,400.000000 EA $____________ $___________________

0145 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 8 - 97 months through 108 months

150.000000 EA $____________ $___________________

0146 Assessment & Report - Substance Use (2011)(one per inmate) for Estimated 150 Inmates Option Year 8 - 97 months through 108 months

150.000000 EA $____________ $___________________

0147 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 8 - 97 months through 108 months

7,200.000000 EA $____________ $___________________

0148 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 8 - 97 months through 108 months

10,800.000000 EA $____________ $___________________

0149 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 8 - 97 months through 108 month

1,368.000000 EA $____________ $___________________

0150 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 8 - 97 months through 108 months

40.000000 EA $____________ $___________________

0151 Assessment & Report - Mental Health (5011)(one per inmate) for Estimated 40 Inmates Option Year 8 - 97 months through 108 months

40.000000 EA $____________ $___________________

0152 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 8 - 97 months through 108 months

40.000000 EA $____________ $___________________

0153 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 8 - 97 months through 108 months

20.000000 EA $____________ $___________________

0154 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 8 - 97 months through 108 months

1,920.000000 EA $____________ $___________________

0155 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 8 - 97 months through 108 months

240.000000 EA $____________ $___________________

0156 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 8 - 97 months through 108 months

1,440.000000 EA $____________ $___________________

0157 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 8 - 97 months through 108 months

10.000000 EA $____________ $___________________

0158 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 8 - 97 months through 108 months

10.000000 EA $____________ $___________________

0159 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 8 - 97 months through 108 months

480.000000 EA $____________ $___________________

0160 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 8 - 97 months through 108 months

15BCTS18Q00000030 Page 12 of 50

0161 Sex Offender Family Counseling (6032)

Inmates Option Year 8 - 97 months through 108 months

36.000000 EA $____________ $___________________

0162 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 8 - 97 months through 108 months

12,400.000000 EA $____________ $___________________

0163 Intake - Substance Use (2000) (one per inmate) for Estimated 150 Inmates Option Year 9 - 109 months through 120 months

150.000000 EA $____________ $___________________

0164 Assessment & Report - Substance Use (2011)(one per inmate) for Estimated 150 Inmates Option Year 9 - 109 months through 120 months

150.000000 EA $____________ $___________________

0165 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 150 Inmates Option Year 9 - 109 months through 120 months

7,200.000000 EA $____________ $___________________

0166 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 150 Inmates Option Year 9 - 109 months through 120 months

10,800.000000 EA $____________ $___________________

0167 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 38 Inmates Option Year 9 - 109 months through 120 months

1,368.000000 EA $____________ $___________________

0168 Intake - Mental Health (5000) (one per inmate) for Estimated 40 Inmates Option Year 9 - 109 months through 120 months

40.000000 EA $____________ $___________________

0169 Assessment & Report - Mental Health(5011) (one per inmate) for Estimated 40 Inmates Option Year 9 - 109 months through 120 months

40.000000 EA $____________ $___________________

0170 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 40 Inmates Option Year 9 - 109 months through 120 months

40.000000 EA $____________ $___________________

0171 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 20 Inmates Option Year 9 - 109 months through 120 months

20.000000 EA $____________ $___________________

0172 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Option Year 9 - 109 months through 120 months

1,920.000000 EA $____________ $___________________

0173 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 40 Inmates Option Year 9 - 109 months through 120 months

240.000000 EA $____________ $___________________

0174 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Option Year 9 - 109 months through 120 months

1,440.000000 EA $____________ $___________________

0175 Intake - Sex Offender (6060) (one per inmate) for Estimated 10 Inmates Option Year 9 - 109 months through 120 months

10.000000 EA $____________ $___________________

0176 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 10 Inmates Option Year 9 - 109 months through 120 months

10.000000 EA $____________ $___________________

0177 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 10 Inmates Option Year 9 - 109 months through 120 months

480.000000 EA $____________ $___________________

0178 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 10 Inmates Option Year 9 - 109 months through 120 month

15BCTS18Q00000030 Page 13 of 50

0179 Sex Offender Family Counseling (6032)

Inmates Option Year 9 - 109 months through 120 months

36.000000 EA $____________ $___________________

0180 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Option Year 9 - 109 months through 120 months

12,400.000000 EA $____________ $___________________

0181 Intake - Substance Use (2000) (one per inmate) for Estimated 75 Inmates Potential 6 Month Extension

75.000000 EA $____________ $___________________

0182 Assessment & Report - Substance Use (2011)(one per inmate) for Estimated 75 Inmates Potential 6 Month Extension

75.000000 EA $____________ $___________________

0183 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 75 Inmates Potential 6 Month Extensions

3,600.000000 EA $____________ $___________________

0184 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 75 Inmates Potential 6 Month Extension

5,400.000000 EA $____________ $___________________

0185 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 19 Inmates Potential 6 Month Extension

684.000000 EA $____________ $___________________

0186 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Potential 6 Month Extension

20.000000 EA $____________ $___________________

0187 Assessment & Report - Mental Health (5011)(one per inmate) for Estimated 20 Inmates Potential 6 Month Extension

20.000000 EA $____________ $___________________

0188 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Potential 6 Month Extension

20.000000 EA $____________ $___________________

0189 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 10 Inmates Potential 6 Month Extension

10.000000 EA $____________ $___________________

0190 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 20 Inmates Potential 6 Month Extension

960.000000 EA $____________ $___________________

0191 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 20 Inmates Potential 6 Month Extension

120.000000 EA $____________ $___________________

0192 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 20 Inmates Potential 6 Month Extension

720.000000 EA $____________ $___________________

0193 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Potential 6 Month Extension

5.000000 EA $____________ $___________________

0194 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Potential 6 Month Extension

5.000000 EA $____________ $___________________

0195 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Potential 6 Month Extension

240.000000 EA $____________ $___________________

0196 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Potential 6 Month Extension

360.000000 EA $____________ $___________________

15BCTS18Q00000030 Page 14 of 50

0197 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Potential 6 Month Extension

24.000000 EA $____________ $___________________

0198 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 100 Inmates Potential 6 Month Extension

6,200.000000 EA $____________ $___________________

2.1 CONTINUATION OF SF-1449, BLOCK 20

CONTINUATION OF SF-1449, BLOCK 20

SCHEDULE OF SUPPLIES/SERVICES

The contractor shall be capable of providing outpatient substance abuse, mental health, and sex offender treatment services to offend-ers confined in community-based programs. The location where services are to be provided should be within 10- miles of the United States Federal Courthouse located at 219 S. Dearborn Street, Chicago, IL 60604 and within a 0.25 mile walk from a public transportation 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 performance period for the resulting contract will be a one-year base period (to begin upon the effective date of contract award) and nine additional one-year option period. The anticipated total contract period is ten years. The anticipated performance start date is May 01, 2018.

Community Treatment Services Substance Abuse, Mental Health, and Sex Offender Treatment

Decisional Rule Criteria Lowest Cost Technical Acceptable:

OPERATIONS:

1. Quoter must demonstrate adherence to Cognitive Behavioral Therapy (CBT) or another evidence-based compatible theoretical mod-

el. Solicitations with sex offender treatment must note any affiliation with ATSA.

2. Quoter must have a plan for completing Crisis Intervention Assessments within 24 hours of request by CTS staff. Provide crisis in-tervention procedures for emergency referral and evaluation of inmates if the inmate cannot be evaluated by the agency.

3. Quoter must have a comprehensive inmate accountability program to be used in conjunction with the Bureau provided Treatment Services and Accountability log that ensures every inmate is accounted for upon arrival, during treatment, and departure from the pro-posed performance sites. Quoter must provide a plan that:

a)Adheres to the Adam Walsh Child Protection and Safety Act of 2006 (Public Law 109-248) requirements as required by the state (provide state statute), b)Describes how they will notify CTS and RRC immediately of any absences/late arrivals, c)Addresses supervision of inmates while in common areas, to include hallways, restrooms and lobbies (specifically if there are busi-nesses, including your own, which cater to or provide services to children), d)Addresses a method for notifying RRC of inmate departure from treatment facility, and

e) Includes a mechanism for regulating inmate’s cell phone use while in the treatment facility.

4. Quoter must have a plan that details how treatment files for Bureau inmates shall be maintained.

If paper: Detail how Bureau inmate files will be maintained separately from non-Bureau files, kept on-site, and secured.

If electronic: Any intended use of electronic database systems must address the electronic system’s ability to meet the Bureau’s elec-tronic security requirements (PGD 15-03, Security of Information and Information Systems). Submit proof that the proposed system meets HIPAA requirements.

FACILITY:

5. Quoter must demonstrate ability to legally provide treatment services:

a)Must provide the required state license(s) to provide treatment services at the propose performance site(s).

b)If the quoter is in the process of obtaining a valid license, they may submit the completed application, provisional license, official email correspondence, certified letter, business license and/or other official documentation.

c)Must submit state or local licensing statutes to operate a treatment facility for substance use, mental health, and/or sex offender treat-ment (as applicable). If state or local law does not require facility licensing, the quoter must provide the statute that this factor does not apply, or submit official documents that allow services to be performed (e.g., email from regulatory board).

15BCTS18Q00000030 Page 15 of 50

6. Quoter must provide the following information for all proposed performance sites:

a)Must address that the proposed performance site(s) is within the geographic and mass transit restrictions on the solicitation.

b)Must submit a deed, lease, bill of sale, options to lease, or option to buy in the name of the Quoter. If the proposed performance site is at a Residential Reentry Center, the Quoter must submit a statement that services will be provided in a space dedicated to treatment.

All documentation submitted must show the proposed performance site will be available on the contract effective date.

c)Must submit documentation that describes or illustrates (e.g., written summary, pictures, diagram) the performance site layout, num-ber of rooms, size of rooms.

d)Must address site compliance with Americans with Disabilities Act (ADA), or a plan for ADA compliance, to include restroom ac-commodations.

STAFFING:

7. Quoter must complete and sign the Technical Personnel document. This document must identify the position and responsibility of all personnel proposed to meet the SOW requirements, to include all employees, subcontractors, volunteers, and interns who have face-to-face interaction with inmates or who have access to their personally identifiable information, treatment records, contract docu-mentation, billing invoices, or any other inmate information. All authorized negotiators must be identified on this document.

8. Quoter must ensure all personnel providing clinical services to Bureau inmates meet the experiential, educational, and licensing re-quirements outlined in the SOW with appropriate licensure/certification as required by the state authority where the services will be provided.

a)Must submit resumes for all personnel providing direct clinical services to Bureau inmates.

b)Must submit copies of original professional licenses or renewal cards for each applicable staff member. License verification prin-touts are not acceptable substitutes, but may be submitted in conjunction with copies of licenses or renewal cards to verify current ex-piration dates.

c)Must fully complete the Mental Health/Behavioral Health Professionals Scope of Practice Summary to include all licenses listed on the Technical Personnel document.

Solicitations with mental health/psychiatric treatment:

d)Must have a qualified practitioner with prescriptive authority that meets the standards of practice established by his/her state’s pro-fessional regulatory…