15BCTS19Q00000028_FBO.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS19Q00000028

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

03/19/2019

7. FOR SOLICITATION INFORMATION

CALL:

a. NAME

Katherine Bowen, Contracting Officer kbowen@bop.gov

b. TELEPHONE NUMBER (No collect calls)

202-307-5734

8. OFFER DUE DATE / LOCAL

TIME

04/24/2019 12:00:00

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

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

15B200CODE15. DELIVER TO

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

PHILADELPHIA, PA 19106

CODE 15BCTS16. ADMINISTERED BY

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

Katherine Bowen, Contracting Officer

(O) 202-307-5734 kbowen@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B200CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

PHILADELPHIA, PA 19106

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

Substance Use and Mental Health Treatment Services in Michigan City, IN.

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

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 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)

Katherine Bowen

31c. DATE SIGNED

03/19/2019

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

15BCTS19Q00000028 Page 1 of 46

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

15BCTS19Q00000028 Page 2 of 46

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 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 52.216-19 Order Limitations (Oct 1995) 52.216-18 Ordering (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.216-21 Requirements (Oct 1995) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) 52.232-18 Availability Of Funds (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) 52.252-6 Authorized Deviations in Clauses (Apr 1984) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders--Commercial Items (Jan 2019)

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.212-3 Offeror Representations and Certifications--Commercial Items (Oct 2018) 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016) 52.219-1 Small Business Program Representations (Oct 2014) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.217-5 Evaluation of Options (July 1990)

15BCTS19Q00000028 Page 3 of 46

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 35 Inmates Base Period: Date of award - 12 months

35.000000 EA $____________ $___________________

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates Base Period: Date of award - 12 months

35.000000 EA $____________ $___________________

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Base Period: Date of award - 12 months

840.000000 SS $____________ $___________________

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Base Period: Date of award - 12 months

2,520.000000 SS $____________ $___________________

0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 10 Inmates Base Period: Date of award - 12 months

120.000000 SS $____________ $___________________

0006 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Base Period: Date of award - 12 months

20.000000 EA $____________ $___________________

0007 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Base Period: Date of award - 12 months

20.000000 EA $____________ $___________________

0008 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 20 Inmates Base Period: Date of award - 12 months

20.000000 EA $____________ $___________________

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 6 Inmates Base Period: Date of award - 12 months

6.000000 EA $____________ $___________________

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Base Period: Date of award - 12 months

432.000000 SS $____________ $___________________

0011 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Base Period: Date of award - 12 months

108.000000 EA $____________ $___________________

0012 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 10 Inmates Base Period: Date of award - 12 months

360.000000 SS $____________ $___________________

0013 Administration of Medication (6050) (two per inmate) for Estimated 3 Inmates Base Period: Date of award - 12 months

6.000000 EA $____________ $___________________

0014 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 26 Inmates Base Period: Date of award - 12 months

156.000000 EA $____________ $___________________

0015 Intake - Substance Use (2000) (one per inmate) for Estimated 35 Inmates Option Year 1 - 13 months through 24 months

35.000000 EA $____________ $___________________

0016 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates Option Year 1 - 13 months through 24 months

35.000000 EA $____________ $___________________

15BCTS19Q00000028 Page 4 of 46

0017 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 1 - 13 months through 24 months

840.000000 SS $____________ $___________________

0018 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 1 - 13 months through 24 months

2,520.000000 SS $____________ $___________________

0019 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 10 Inmates Option Year 1 - 13 months through 24 months

120.000000 SS $____________ $___________________

0020 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Option Year 1 - 13 months through 24 months

20.000000 EA $____________ $___________________

0021 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Option Year 1 - 13 months through 24 months

20.000000 EA $____________ $___________________

0022 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 20 Inmates Option Year 1 - 13 months through 24 months

20.000000 EA $____________ $___________________

0023 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 6 Inmates Option Year 1 - 13 months through 24 months

6.000000 EA $____________ $___________________

0024 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Option Year 1 - 13 months through 24 months

432.000000 SS $____________ $___________________

0025 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 1 - 13 months through 24 months

108.000000 EA $____________ $___________________

0026 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 10 Inmates Option Year 1 - 13 months through 24 months

360.000000 SS $____________ $___________________

0027 Administration of Medication (6050) (two per inmate) for Estimated 3 Inmates Option Year 1 - 13 months through 24 months

6.000000 EA $____________ $___________________

0028 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 26 Inmates Option Year 1 - 13 months through 24 months

156.000000 EA $____________ $___________________

0029 Intake - Substance Use (2000) (one per inmate) for Estimated 35 Inmates Option Year 2 - 25 months through 36 months

35.000000 EA $____________ $___________________

0030 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates Option Year 2 - 25 months through 36 months

35.000000 EA $____________ $___________________

0031 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 2 - 25 months through 36 months

840.000000 SS $____________ $___________________

0032 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 2 - 25 months through 36 months

2,520.000000 SS $____________ $___________________

0033 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 10 Inmates Option Year 2 - 25 months through 36 months

120.000000 SS $____________ $___________________

0034 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Option Year 2 - 25 months through 36 months

20.000000 EA $____________ $___________________

15BCTS19Q00000028 Page 5 of 46

0035 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Option Year 2 - 25 months through 36 months

20.000000 EA $____________ $___________________

0036 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 20 Inmates Option Year 2 - 25 months through 36 months

20.000000 EA $____________ $___________________

0037 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 6 Inmates Option Year 2 - 25 months through 36 months

6.000000 EA $____________ $___________________

0038 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Option Year 2 - 25 months through 36 months

432.000000 SS $____________ $___________________

0039 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 2 - 25 months through 36 months

108.000000 EA $____________ $___________________

0040 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 10 Inmates Option Year 2 - 25 months through 36 months

360.000000 SS $____________ $___________________

0041 Administration of Medication (6050) (two per inmate) for Estimated 3 Inmates Option Year 2 - 25 months through 36 months

6.000000 EA $____________ $___________________

0042 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 26 Inmates Option Year 2 - 25 months through 36 months

156.000000 EA $____________ $___________________

0043 Intake - Substance Use (2000) (one per inmate) for Estimated 35 Inmates Option Year 3 - 37 months through 48 months

35.000000 EA $____________ $___________________

0044 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates Option Year 3 - 37 months through 48 months

35.000000 EA $____________ $___________________

0045 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 3 - 37 months through 48 months

840.000000 SS $____________ $___________________

0046 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 3 - 37 months through 48 months

2,520.000000 SS $____________ $___________________

0047 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 10 Inmates Option Year 3 - 37 months through 48 months

120.000000 SS $____________ $___________________

0048 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Option Year 3 - 37 months through 48 months

20.000000 EA $____________ $___________________

0049 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Option Year 3 - 37 months through 48 months

20.000000 EA $____________ $___________________

0050 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 20 Inmates Option Year 3 - 37 months through 48 months

20.000000 EA $____________ $___________________

0051 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 6 Inmates Option Year 3 - 37 months through 48 months

6.000000 EA $____________ $___________________

0052 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Option Year 3 - 37 months through 48 months

432.000000 SS $____________ $___________________

15BCTS19Q00000028 Page 6 of 46

0053 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 3 - 37 months through 48 months

108.000000 EA $____________ $___________________

0054 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 10 Inmates Option Year 3 - 37 months through 48 months

360.000000 SS $____________ $___________________

0055 Administration of Medication (6050) (two per inmate) for Estimated 3 Inmates Option Year 3 - 37 months through 48 months

6.000000 EA $____________ $___________________

0056 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 26 Inmates Option Year 3 - 37 months through 48 months

156.000000 EA $____________ $___________________

0057 Intake - Substance Use (2000) (one per inmate) for Estimated 35 Inmates Option Year 4 - 49 months through 60 months

35.000000 EA $____________ $___________________

0058 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates Option Year 4 - 49 months through 60 months

35.000000 EA $____________ $___________________

0059 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 4 - 49 months through 60 months

840.000000 SS $____________ $___________________

0060 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 4 - 49 months through 60 months

2,520.000000 SS $____________ $___________________

0061 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 10 Inmates Option Year 4 - 49 months through 60 months

120.000000 SS $____________ $___________________

0062 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 20 Inmates Option Year 4 - 49 months through 60 months

20.000000 EA $____________ $___________________

0063 Intake - Mental Health (5000) (one per inmate) for Estimated 20 Inmates Option Year 4 - 49 months through 60 months

20.000000 EA $____________ $___________________

0064 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 20 Inmates Option Year 4 - 49 months through 60 months

20.000000 EA $____________ $___________________

0065 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 6 Inmates Option Year 4 - 49 months through 60 months

6.000000 EA $____________ $___________________

0066 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Option Year 4 - 49 months through 60 months

432.000000 SS $____________ $___________________

0067 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 4 - 49 months through 60 months

108.000000 EA $____________ $___________________

0068 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 10 Inmates Option Year 4 - 49 months through 60 months

360.000000 SS $____________ $___________________

0069 Administration of Medication (6050) (two per inmate) for Estimated 3 Inmates Option Year 4 - 49 months through 60 months

6.000000 EA $____________ $___________________

0070 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 26 Inmates Option Year 4 - 49 months through 60 months

156.000000 EA $____________ $___________________

15BCTS19Q00000028 Page 7 of 46

0071 Intake - Substance Use (2000) (one per inmate) for Estimated 18 Inmates Potential Six Month Extension

18.000000 EA $____________ $___________________

0072 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 18 Inmates Potential Six Month Extension

18.000000 EA $____________ $___________________

0073 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

432.000000 SS $____________ $___________________

0074 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

1,296.000000 SS $____________ $___________________

0075 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 5 Inmates Potential Six Month Extension

60.000000 SS $____________ $___________________

0076 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 10 Inmates Potential Six Month Extension

10.000000 EA $____________ $___________________

0077 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Potential Six Month Extension

10.000000 EA $____________ $___________________

0078 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 10 Inmates Potential Six Month Extension

10.000000 EA $____________ $___________________

0079 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates Potential Six Month Extension

3.000000 EA $____________ $___________________

0080 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 9 Inmates Potential Six Month Extension

216.000000 SS $____________ $___________________

0081 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 9 Inmates Potential Six Month Extension

54.000000 EA $____________ $___________________

0082 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 5 Inmates Potential Six Month Extension

180.000000 SS $____________ $___________________

0083 Administration of Medication (6050) (two per inmate) for Estimated 2 Inmates Potential Six Month Extension

4.000000 EA $____________ $___________________

0084 Transportation, Round Trip (1202) Estimated 6 Units per Inmate; Estimated 13 Inmates Potential Six Month Extension

78.000000 EA $____________ $___________________

2.1 SF 1449, Schedule of Supplies and Services

SCHEDULE OF SUPPLIES/SERVICES

Provide Substance Use and Mental Health Treatment (SU/MH) services to offenders confined in community-based programs and on home confinement located within a 5 mile radius of the City Hall, 100 East Michigan Boulevard, Michigan City, IN 46360, and within walking distance of community-based transportation.

All references to Residential Re-Entry Center (RRC) and Community Correctional Center (CCC) shall be treated equally for the purpose of this contract.

15BCTS19Q00000028 Page 8 of 46

The anticipated total contract period is a one-year base period (to begin upon the effective date of contract award) and four additional one-year option periods. The anticipated total contract period is five years. The anticipated performance start date is October 1, 2019.

Substance Use Treatment and Mental Health Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:

Each quotation will be initially reviewed to determine that all document submission require-ments 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 review will also be conducted to determine whether or not it meets the minimum requirements contained in the De-cisional Rule Criteria below. Any quotation not meeting this criteria may not receive any fur-ther consideration for award.

Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capabil-ity to meet the Decisional Rule Criteria below. Quotes will be rated "Acceptable" or "Unaccept-able" based on the Decisional Rule Criteria. Quoters receiving an "Unacceptable" rating will be advised of their elimination from the procurement. Quoters receiving an "Acceptable" rating shall be considered for award.

OPERATIONS:

1. Quoter must demonstrate adherence to the Cognitive Behavioral Therapy (CBT) theoretical model.

2. Quoter must have a plan for completing crisis intervention assessments within 24-hours of request by CTS staff. Provide crisis intervention procedures for emergency referral and evalu-ation 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 proposed performance site(s). 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 notifying CTS and Residential Reentry Center (RRC) immediately of any ab-sences/late arrivals;

c. Addresses supervision of inmates while in common areas, to include hallways, restrooms and lobbies (specifically if there are businesses, 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 cell phone use while in the treatment facility.

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

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 sys-tem’s ability to meet the Bureau’s electronic security requirements (PGD 15-03, Security of In-formation and Information Systems). Submit proof that the proposed system meets the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements.

FACILITY:

5. Quoter must demonstrate ability to legally provide treatment services on the contract effect-ive date:

a. Must submit state or local licensing statutes to operate a treatment facility for substance use, mental health, and/or sex offender treatment (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);

15BCTS19Q00000028 Page 9 of 46

b. If applicable, provide the required state license(s) to provide treatment services at the pro-pose performance site(s);

c. 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 and/or other official documentation.

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

a. Proof that the proposed performance site(s) is within the solicitation’s geographic and mass transit restrictions;

b. 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 an RRC, the Quoter must submit a statement that ser-vices 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. Provide an office diagram with dimensions of both individual counseling offices and group rooms. Therapeutic group room must be no less than 200 square feet, with the ability to hold 13-15 adults comfortably seated in chairs in a circular fashion;

d. Proof of compliance with Americans with Disabilities Act (ADA), or a plan for ADA com-pliance, to include restroom accommodations;

e. Must submit a plan for maintaining confidentiality for all treatment sessions in accordance with HIPAA and American Counseling Association (ACA) standards.

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 solicitation re-quirements, 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 documentation, 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 ex-periential, educational, and appropriate licensure/certification as required by the state authority where the services will be provided. Note table below for acceptable licenses for specific scope of practice. Any licenses other than those listed will be reviewed on a case-by-case basis.

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 printouts are not acceptable substitutes, but may be sub-mitted in conjunction with copies of licenses or renewal cards to verify current expiration dates;

c. Must complete the Mental Health/Behavioral Health Professionals Scope of Practice Sum-mary to include all licenses listed on the Technical Personnel document.

Solicitations with mental health and psychiatric treatment must also address the following:

a. Must have a qualified practitioner with prescriptive authority who meets the standards of practice established by the state’s professional regulatory board to provide medication monitoring and psychiatric evaluations; submit resumes as required by 8a, professional li-censes as required by 8b and Drug Enforcement Agency Controlled Substance Registration Certificates;

b. Intended use of telepsychiatry must be detailed and address the system’s ability to meet the Bureau’s electronic security requirements: HIPAA compliance, system housed in Contin-ental US, secure network with 128-bit or higher encryption. Also, provide staffing proced-ures to ensure inmates are in the presence of a National Crime Information Center (NCIC) cleared, and Bureau approved, staff member at all times.

All Clinicians Must be Licensed or Certified in the State of INDIANA

Mental Health/Substance Use

15BCTS19Q00000028 Page 10 of 46

Licensed Independent Social Worker Licensed Marriage and Family Therapist Licensed Mental Health Counselor Licensed Psychologist

Substance Use

Certified Alcohol and Drug Abuse Counselor (II, III, IV) Certified Clinical Supervisor Co-Occurring Disorders Professional Standards Co-Occurring Disorders Professional-D

PRICING

Prices quoted to the Government shall be as low as or lower than those charges to the supplier’s most favored customer for comparable quantities under similar terms and conditions, in addi-tion to any discounts offered for prompt payment.

Please complete the following with total quoted price for the base period and each option year:

Base: $

Option Year 1: $ Option Year 2: $ Option Year 3: $ Option Year 4: $ Potential 6 Month Extension: $

Total of All Years: $

DELIVERIES

In accordance with Federal Acquisition Regulation (FAR) 16.505, and the clause located in FAR 52.216-18, Ordering, states that any supplies or services to be furnished under this con-tract shall be ordered by issuance of task orders by a warranted Contracting Officer in the CTS Contracting Section.

BILLING INFORMATION

The Government will make payment on a monthly basis via Electronic Fund Transfer. Invoices with the contract number should be submitted electronically to BOP-RSD/ PSBCTS-BILL@bop.gov. Contractors that are classified as a small business are required to indicate their small business size status on each invoice submitted for payment.

15BCTS19Q00000028 Page 11 of 46

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions--Commercial Items (Oct 2018)

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.

Clauses By Reference

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text.

Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov

Clause Title Fill-ins (if applicable)

52.242-15 Stop-Work Order (Aug 1989)

52.203-3 Gratuities (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.242-13 Bankruptcy (July 1995)

52.253-1 Computer Generated Forms (Jan 1991)

52.212-4 Contract Terms and Conditions--Commercial Items (Oct 2018)

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

(Oct 2010)

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

Clauses By Full Text

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

(a)Cordella Malloy, Supervisory Community Treatment Coordinator, 215-521-7470, Lead COR; ,Nicole Foster, Community Treat-ment Oversight Specialist, 215-521-7472; Angelo Giamusso, Community Treatment Oversight Specialist, 215-521-7499; , Sandra Hargesheimer, Community Treatment Oversight Specialist, 215-521-7473; Shannon Hart, Community Treatment Oversight Special-

15BCTS19Q00000028 Page 12 of 46 ist, 215-521-7474; and Robert Voorhees, Community Treatment Oversight Specialist, 215-521-7471,Federal Bureau of Prisons,US Custom House, 200 Chestnut Street, 7th Floor, Philadelphia, PA 19106, is hereby designated as the Contracting Officer's Representat-ive (COR) under this contract.

(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the con-tractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contrac-tual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

52.27-103-72 52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commit-ment, individuals or contractor employees providing services must have:

1. Legally resided in the United States (U.S.);

2. worked for the U.S. overseas in a Federal or military capacity; or

3. been a dependent of a Federal or military employee serving overseas.

If the individual is not a U.S. citizen, they must be from a country allied with the U.S. The following website provides current inform-ation regarding allied countries: http://www.state.gov/s/l/treaty/collectivedefense/ By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.

[End of Clause]

52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008)

During a Pandemic or other emergency we understand that our contractor workforce will experience the same high levels of absentee-ism as our federal employees. Although the Excusable Delays and Termination for Default clauses used in Government contracts list epidemics and quarantine restrictions among the reasons to excuse delays in contract performance, we expect our contractors to make a reasonable effort to keep performance at an acceptable level during emergency periods.

The Office of Personnel Management (OPM) has provided guidance to federal managers and employees on the kinds of actions to be taken to ensure the continuity of operations during emergency periods. This guidance is also applicable to our contract workforce.

Contractors are expected to have reasonable policies in place for continuing work performance, particularly those performing mission critical services, during a pandemic influenza or other emergency situation.

The types of actions a federal contractor should reasonably take to help ensure performance are:

• Encourage employees to get inoculations or follow other preventive measures as advised by the public health service.

• Cross-train workers as backup for all positions performing critical services. This is particularly important for work such as guard services where telework is not an option.

• Implement telework to the greatest extent possible in the workgroup so systems are in place to support suc-cessful remote work in an emergency.

• Communicate expectations to all employees regarding their roles and responsibilities in relation to remote work in the event of a pandemic health crisis or other emergency.

• Establish communication processes to notify employees of activation of this plan.

• Integrate pandemic health crisis response expectations into telework agreements.

• With the employee, assess requirements for working at home (supplies and equipment needed for an extended telework period). Security concerns should be considered in making equipment choices; agencies or contract-ors may wish to avoid use of employees' personal computers and provide them with PCs or laptops as appropri-ate.

• Determine how all employees who may telework will communicate with one another and with management to accomplish work.

• Practice telework regularly to ensure effectiveness.

• Make it clear that in emergency situations, employees must perform all duties assigned by management, even if they are outside usual or customary duties.

• Identify how time and attendance will be maintained.

It is the contractor's responsibility to advise the Government Contracting Officer if they anticipate not being able to perform and to work with the Department to fill gaps as necessary. This means direct communication with the Contracting Officer or in his/her ab-

15BCTS19Q00000028 Page 13 of 46 sence, another responsible person in the contracting office via telephone or email messages acknowledging the contractor's notifica-tion. The incumbent contractor is responsible for assisting the Department in estimating the adverse impacts of nonperformance and to work diligently with the Department to develop a strategy for maintaining the continuity of operations.

The Department does reserve the right in such emergency situations to use Federal employees, employees of other agencies, contract support from other existing contractors, or to enter into new contracts for critical support services. Any new contracting efforts would be acquired following the guidance in the Office of federal Procurement Policy issuance "Emergency Acquisitions", May, 2007 and Subpart 18.2. Emergency Acquisition Flexibilities, of the Federal Acquisition Regulations.

[End of Clause]

DJAR-PGD-15-03 Security of Department Information and Systems

I. Applicability to Contractors and Subcontractors

This clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of contractors, subcontractors, and CSPs (hereinafter collectively, “Contractor”) that may access, collect, store, process, maintain, use, share, retrieve, disseminate, transmit, or dispose of DOJ Information. It establishes and implements specific DOJ requirements applicable to this Con-tract. The requirements established herein are in addition to those required by the Federal Acquisition Regulation (“FAR”), including FAR 11.002(g) and 52.239-1, the Privacy Act of 1974, and any other applicable laws, mandates, Procurement Guidance Documents, and Executive Orders pertaining to the development and operation of Information Systems and the protection of Government Informa-tion. This clause does not alter or diminish any existing rights, obligation or liability under any other civil and/or criminal law, rule, regulation or mandate.

II. General Definitions

The following general definitions apply to this clause. Specific definitions also apply as set forth in other paragraphs.

A. Information means any communication or representation of knowledge such as facts, data, or opinions, in any form or me-dium, including textual, numerical, graphic, cartographic, narrative, or audiovisual. Information includes information in an electronic format that allows it be stored, retrieved or transmitted, also referred to as “data,” and “personally identifiable information” (“PII”), re-gardless of form.

B. Personally Identifiable Information (or PII) means any information about an individual maintained by an agency, includ-ing, but not limited to, information related to education, financial transactions, medical history, and criminal or employment history and information, which can be used to distinguish or trace an individual's identity, such as his or her name, social security number, date and place of birth, mother's maiden name, biometric records, etc., including any other personal information which is linked or linkable to an individual.

C. DOJ Information means any Information that is owned, produced, controlled, protected by, or otherwise within the custody or responsibility of the DOJ, including, without limitation, Information related to DOJ programs or personnel. It includes, without lim-itation, Information (1) provided by or generated for the DOJ, (2) managed or acquired by Contractor for the DOJ in connection with the performance of the contract, and/or (3) acquired in order to perform the contract.

D. Information System means any resources, or set of resources organized for accessing, collecting, storing, processing, main-taining, using, sharing, retrieving, disseminating, transmitting, or disposing of (hereinafter collectively, “processing, storing, or trans-mitting”) Information.

E. Covered Information System means any information system used for, involved with, or allowing, the processing, storing, or transmitting of DOJ Information.

III. Confidentiality and Non-disclosure of DOJ Information

A. Preliminary and final deliverables and all associated working papers and material generated by Contractor containing DOJ Information are the property of the U.S. Government and must be submitted to the Contracting Officer (“CO”) or the CO’s Represent-ative (“COR”) at the conclusion of the contract. The U.S. Government has unlimited data rights to all such deliverables and associated working papers and materials in accordance with FAR 52.227-14.

B. All documents produced in the performance of this contract containing DOJ Information are the property of the U.S. Gov-ernment and Contractor shall neither reproduce nor release to any third-party at any time, including during or at expiration or termina-tion of the contract without the prior written permission of the CO.

C. Any DOJ information made available to Contractor under this contract shall be used only for the purpose of performance of this contract and shall not be divulged or made known in any manner to any persons except as may be necessary in the performance of this contract. In performance of this contract, Contractor assumes responsibility for the protection of the confidentiality of any and all

15BCTS19Q00000028 Page 14 of 46

DOJ Information processed, stored, or transmitted by the Contractor. When requested by the CO (typically no more than annually), Contractor shall provide a report to the CO identifying, to the best of Contractor’s knowledge and belief, the type, amount, and level of sensitivity of the DOJ Information processed, stored, or transmitted under the Contract, including an estimate of the number of indi-viduals for whom PII has been processed, stored or transmitted under the Contract and whether such information includes social secur-ity numbers (in whole or in part).

IV. Compliance with Information Technology Security Policies, Procedures and Requirements

A. For all Covered Information Systems, Contractor shall comply with all security requirements, including but not limited to the regulations and guidance found in the Federal Information Security Management Act of 2014 (“FISMA”), Privacy Act of 1974, E- Government Act of 2002, National Institute of Standards and Technology (“NIST”) Special Publications (“SP”), including NIST SP 800-37, 800-53, and 800-60 Volumes I and II, Federal Information Processing Standards (“FIPS”) Publications 140-2, 199, and 200, OMB Memoranda, Federal Risk and Authorization Management Program (“FedRAMP”), DOJ IT Security Standards, including DOJ Order 2640.2, as amended. These requirements include but are not limited to:

1. Limiting access to DOJ Information and Covered Information Systems to authorized users and to transactions and functions that authorized users are permitted to exercise;

2. Providing security awareness training including, but not limited to, recognizing and reporting potential indicators of insider threats to users and managers of DOJ Information and Covered Information Systems;

3. Creating, protecting, and retaining Covered Information System audit records, reports, and supporting documentation to en-able reviewing, monitoring, analysis, investigation, reconstruction, and reporting of unlawful, unauthorized, or inappropriate activity related to such Covered Information Systems and/or DOJ Information;

4. Maintaining authorizations to operate any Covered Information System;

5. Performing continuous monitoring on all Covered Information Systems;

6. Establishing and maintaining baseline configurations and inventories of Covered Information Systems, including hardware, software, firmware, and documentation, throughout the Information System Development Lifecycle, and establishing and enforcing security configuration settings for IT products employed in Information Systems;

7. Ensuring appropriate contingency planning has been performed, including DOJ Information and Covered Information Sys-tem backups;

8. Identifying Covered Information System users, processes acting on behalf of users, or devices, and authenticating and veri-fying the identities of such users, processes, or devices, using multifactor authentication or HSPD-12 compliant authentication meth-ods where required;

9. Establishing an operational incident handling capability for Covered Information Systems that includes adequate prepara-tion, detection, analysis, containment, recovery, and user response activities, and tracking, documenting, and reporting incidents to ap-propriate officials and authorities within Contractor’s organization and the DOJ;

10. Performing periodic and timely maintenance on Covered Information Systems, and providing effective controls on tools, techniques, mechanisms, and personnel used to conduct such maintenance;

12. Protecting Covered Information System media containing DOJ Information, including paper, digital and electronic media;

limiting access to DOJ Information to authorized users; and sanitizing or destroying Covered Information System media containing DOJ Information before disposal, release or reuse of such media;

13. Limiting physical access to Covered Information Systems, equipment, and physical facilities housing such Covered Informa-tion Systems to authorized U.S. citizens unless a waiver has been granted by the Contracting Officer (“CO”), and protecting the phys-ical facilities and support infrastructure for such Information Systems;

14. Screening individuals prior to authorizing access to Covered Information Systems to ensure compliance with DOJ Security standards;

15. Assessing the risk to DOJ Information in Covered Information Systems periodically, including scanning for vulnerabilities and remediating such vulnerabilities in accordance with DOJ policy and ensuring the timely removal of assets no longer supported by the Contractor;

16. Assessing the security controls of Covered Information Systems periodically to determine if the controls are effective in their application, developing and implementing plans of action designed to correct deficiencies and eliminate or reduce vulnerabilities in such Information Systems, and monitoring security controls on an ongoing basis to ensure the continued effectiveness of the controls;

15BCTS19Q00000028 Page 15 of 46

17. Monitoring, controlling, and protecting information transmitted or received by Covered Information Systems at the external boundaries and key internal boundaries of such Information Systems, and employing architectural designs, software development techniques, and systems engineering principles that promote effective security; and

18. Identifying, reporting, and correcting Covered Information System security flaws in a timely manner, providing protection from malicious code at appropriate locations, monitoring security alerts and advisories and taking appropriate action in response.

B. Contractor shall not process, store, or transmit DOJ Information using a Covered Information System without first obtaining an Authority to Operate (“ATO”) for each Covered Information System. The ATO shall be signed by the Authorizing Official for the DOJ component responsible for maintaining the security, confidentiality, integrity, and availability of the DOJ Information under this contract. The DOJ standards and requirements for obtaining an ATO may be found at DOJ Order 2640.2, as amended. (For Cloud Computing Systems, see Section V, below.)

C. Contractor shall ensure that no Non-U.S. citizen accesses or assists in the development, operation, management, or mainten-ance of any DOJ Information System, unless a waiver has been granted by the by the DOJ Component Head (or his or her designee) responsible for the DOJ Information System, the DOJ Chief Information Officer, and the DOJ Security Officer.

D. When requested by the DOJ CO or COR, or other DOJ official as described below, in connection with DOJ’s efforts to…