15BCTS20Q00000036 FBO.pdf

15BCTS20Q00000036 Page 1 of 57

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS20Q00000036

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

12/05/2019

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Katherine Bowen kbowen@bop.gov

b. TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATE / LOCAL

TIME

01/10/2020 12:00:00

CODE BCTS

Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534

9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621420

SIZE STANDARD: $16,500,000

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

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 Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534

Katherine Bowen

(O) 202-307-5734 kbowen@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

BOP-RSD/PSBCTS-

BILL@bop.gov

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER SEE ADDENDUM

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Substance Use, Mental Health, and Sex Offender Treatment Services in Milwaukee, WI.

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

12/05/2019

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

036-20

15BCTS20Q00000036 Page 2 of 57

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

15BCTS20Q00000036 Page 3 of 57

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)

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

2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-- Commercial Items (Oct 2019)

4 List of Attachments 5 Solicitation Provisions

52.212-3 Offeror Representations and Certifications--Commercial Items (Oct 2018) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2019) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990)

15BCTS20Q00000036 Page 4 of 57

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE FEES AMOUNT

0001 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Base Period: Date of award - 12 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0002 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Base Period: Date of award - 12 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0003 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Base Period: Date of award - 12 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0004 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0005 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Base Period: Date of award - 12 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0006 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0007 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0008 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0009 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates

8.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 5 of 57

Base Period: Date of award - 12 months

PSC: G004

0010 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0011 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0012 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Base Period: Date of award - 12 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0013 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Base Period: Date of award - 12 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0014 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0015 Firm Fixed Price

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

PSC: G004

18.000000 EA $___________ $_________ $___________

0016 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0017 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0018 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0019 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates

50.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 6 of 57

Option Year 1 - 13 months through 24 months

PSC: G004

0020 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0021 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0022 Firm Fixed Price

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

PSC: G004

468.000000 SS $___________ $_________ $___________

0023 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0024 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0025 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0026 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0027 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0028 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0029 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates

5.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 7 of 57

Option Year 1 - 13 months through 24 months

PSC: G004

0030 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0031 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0032 Firm Fixed Price

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

PSC: G004

18.000000 EA $___________ $_________ $___________

0033 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0034 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0035 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0036 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0037 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0038 Firm Fixed Price

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

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0039 Firm Fixed Price

Family Counseling - Substance Use (2030)

468.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 8 of 57

(30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

0040 Firm Fixed Price

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

PSC: G004

25.000000 EA $___________ $_________ $___________

0041 Firm Fixed Price

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

PSC: G004

25.000000 EA $___________ $_________ $___________

0042 Firm Fixed Price

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

PSC: G004

25.000000 EA $___________ $_________ $___________

0043 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0044 Firm Fixed Price

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

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0045 Firm Fixed Price

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

PSC: G004

150.000000 EA $___________ $_________ $___________

0046 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0047 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0048 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0049 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates

18.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 9 of 57

Option Year 2 - 25 months through 36 months

PSC: G004

0050 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0051 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0052 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0053 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0054 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0055 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0056 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0057 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0058 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0059 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030)

25.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 10 of 57

(one per inmate) for Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

0060 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0061 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0062 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0063 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0064 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0065 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0066 Firm Fixed Price

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

PSC: G004

18.000000 EA $___________ $_________ $___________

0067 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0068 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0069 Firm Fixed Price

Intake - Substance Use (2000)

15BCTS20Q00000036 Page 11 of 57

(one per inmate) for Estimated 50 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

0070 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0071 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0072 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0073 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0074 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0075 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0076 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0077 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0078 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0079 Firm Fixed Price

Medication Monitoring - Mental Health (6051)

150.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 12 of 57

(6 visits per inmate) for Estimated 25 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

0080 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0081 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0082 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0083 Firm Fixed Price

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

PSC: G004

18.000000 EA $___________ $_________ $___________

0084 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0085 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0086 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0087 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0088 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0089 Firm Fixed Price

Group Counseling - Substance Use (2020)

1,800.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 13 of 57

(30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

0090 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0091 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0092 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0093 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0094 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0095 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0096 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0097 Firm Fixed Price

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

PSC: G004

5.000000 EA $___________ $_________ $___________

0098 Firm Fixed Price

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

PSC: G004

5.000000 EA $___________ $_________ $___________

0099 Firm Fixed Price

Sex Offender Individual Counseling (6012)

240.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 14 of 57

(30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

0100 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

18.000000 EA $___________ $_________ $___________

0101 Firm Fixed Price

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

PSC: G004

360.000000 SS $___________ $_________ $___________

0102 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0103 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0104 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0105 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0106 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0107 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0108 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

25.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 15 of 57

0109 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0110 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0111 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0112 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0113 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0114 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0115 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0116 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0117 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

18.000000 EA $___________ $_________ $___________

0118 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 6 - 73 months through 84 months

360.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 16 of 57

0119 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0120 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0121 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0122 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0123 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0124 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0125 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0126 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0127 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0128 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 7 - 85 months through 96 months

8.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 17 of 57

0129 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0130 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0131 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0132 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0133 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0134 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

18.000000 EA $___________ $_________ $___________

0135 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0136 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0137 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0138 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 8 - 97 months through 108 months

15BCTS20Q00000036 Page 18 of 57

0139 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0140 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0141 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

468.000000 SS $___________ $_________ $___________

0142 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0143 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0144 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0145 Firm Fixed Price

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

PSC: G004

8.000000 EA $___________ $_________ $___________

0146 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0147 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0148 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 8 - 97 months through 108 months

5.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 19 of 57

0149 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0150 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0151 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

18.000000 EA $___________ $_________ $___________

0152 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0153 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0154 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 50 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0155 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 50 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

50.000000 EA $___________ $_________ $___________

0156 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 50 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

2,400.000000 SS $___________ $_________ $___________

0157 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

1,800.000000 SS $___________ $_________ $___________

0158 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 13 Inmates Option Year 9 - 109 months through 120 months

468.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 20 of 57

0159 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0160 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0161 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

25.000000 EA $___________ $_________ $___________

0162 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 8 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

8.000000 EA $___________ $_________ $___________

0163 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0164 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 25 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

150.000000 EA $___________ $_________ $___________

0165 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0166 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

5.000000 EA $___________ $_________ $___________

0167 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

240.000000 SS $___________ $_________ $___________

0168 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 3 Inmates Option Year 9 - 109 months through 120 months

18.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 21 of 57

0169 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

360.000000 SS $___________ $_________ $___________

0170 Firm Fixed Price

Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

PSC: G004

24.000000 SS $___________ $_________ $___________

0171 Firm Fixed Price

Intake - Substance Use (2000) (one per inmate) for Estimated 25 Inmates Potential 6 Month Extension

PSC: G004

25.000000 EA $___________ $_________ $___________

0172 Firm Fixed Price

Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 25 Inmates Potential 6 Month Extension

PSC: G004

25.000000 EA $___________ $_________ $___________

0173 Firm Fixed Price

Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Potential 6 Month Extension

PSC: G004

1,200.000000 SS $___________ $_________ $___________

0174 Firm Fixed Price

Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 13 Inmates Potential 6 Month Extension

PSC: G004

936.000000 SS $___________ $_________ $___________

0175 Firm Fixed Price

Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 7 Inmates Potential 6 Month Extension

PSC: G004

252.000000 SS $___________ $_________ $___________

0176 Firm Fixed Price

Intake - Mental Health (5000) (one per inmate) for Estimated 13 Inmates Potential 6 Month Extension

PSC: G004

13.000000 EA $___________ $_________ $___________

0177 Firm Fixed Price

Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 13 Inmates Potential 6 Month Extension

PSC: G004

13.000000 EA $___________ $_________ $___________

0178 Firm Fixed Price

Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

13.000000 EA $___________ $_________ $___________

15BCTS20Q00000036 Page 22 of 57

Potential 6 Month Extension

PSC: G004

0179 Firm Fixed Price

Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Potential 6 Month Extension

PSC: G004

4.000000 EA $___________ $_________ $___________

0180 Firm Fixed Price

Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 13 Inmates Potential 6 Month Extension

PSC: G004

624.000000 SS $___________ $_________ $___________

0181 Firm Fixed Price

Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 13 Inmates Potential 6 Month Extension

PSC: G004

78.000000 EA $___________ $_________ $___________

0182 Firm Fixed Price

Intake - Sex Offender (6060) (one per inmate) for Estimated 3 Inmates Potential 6 Month Extension

PSC: G004

3.000000 EA $___________ $_________ $___________

0183 Firm Fixed Price

Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 3 Inmates Potential 6 Month Extension

PSC: G004

3.000000 EA $___________ $_________ $___________

0184 Firm Fixed Price

Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 3 Inmates Potential 6 Month Extension

PSC: G004

144.000000 SS $___________ $_________ $___________

0185 Firm Fixed Price

Administration of Medication (6050) (six per inmate) for Estimated 2 Inmates Potential 6 Month Extension

PSC: G004

12.000000 EA $___________ $_________ $___________

0186 Firm Fixed Price

Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 3 Inmates Potential 6 Month Extension

PSC: G004

216.000000 SS $___________ $_________ $___________

0187 Firm Fixed Price

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

12.000000 SS $___________ $_________ $___________

15BCTS20Q00000036 Page 23 of 57

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)

52.253-1 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)

52.242-13 Bankruptcy (July 1995)

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)Melissa Acevedo, Lead COR and SCTC, 913-551-1155; Michelle Blake, CTOS, 913-551-1112; Rhyan Brooks, CTOS, 913-551-1063 ,Katie Cook, CTOS, 913-551-1064; Stephanie Hamilton, CTOS, 913-551-8322 , and Stephanie Hughes, CTOS, 913-551-1037,Gateway Tower II, 400 State Ave. Suite 800, Kansas City, KS 66101, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

15BCTS20Q00000036 Page 24 of 57

(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 contractor 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 contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

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 commitment, 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…