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15BCTS20Q00000053 Page 1 of 63
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30
1. REQUISITION NUMBER
5. SOLICITATION NUMBER
15BCTS20Q00000053
2. CONTRACT NO. 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 6. SOLICITATION ISSUE
DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Stephen A. Deffenbaugh sadeffenbaugh@bop.gov
b. TELEPHONE NUMBER (No collect calls)
202-598-3483
8. OFFER DUE DATE / LOCAL
TIME
01/08/2021 14:00 ET
CODE 15BCTS
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS: 621420
SIZE STANDARD: $16,500,000
10. THE ACQUISITION IS
SEE
SCHEDULE
11. DELIVERY FOR FOB DESTINATION
UNLESS BLOCK IS MARKED
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER DPAS
(15 CFR 700)
13b. RATING
X RFQ IFB RFP
14. METHOD OF SOLICITATION
15B500CODE15. DELIVER TO
Federal Bureau of Prisons Northeast Regional Office
US CUSTOM HOUSE, 7TH FLOOR
2ND & CHESTNUT
PHILADELPHIA, PA 19106
CODE 15BCTS16. ADMINISTERED BY
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
Stephen A. Deffenbaugh
(O) 202-598-3483 sadeffenbaugh@bop.gov
FACILITY
CODE
CODE
TELEPHONE NO.
17a. CONTRACTOR/
OFFEROR
15B500CODE18a. PAYMENT WILL BE MADE BY
Federal Bureau of Prisons Northeast Regional Office
US CUSTOM HOUSE, 7TH FLOOR
2ND & CHESTNUT
PHILADELPHIA, PA 19106
BOP-RSD/PSBCTS-BILL@bop.gov
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER SEE ADDENDUM
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS
CHECKED
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Delivery Date: 02/01/2021
Provide community-based Outpatient Substance Use, Mental Health, and Sex Offender Treatment Services to Federal offenders residing in a residential re-entry center or home confinement in the Rochester, NY area.
See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)
X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ____ COPIES TO
ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH
OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE
TERMS AND CONDITIONS SPECIFIED.
29. AWARD OF CONTRACT: REF. _____________________________ OFFER
DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK 5)
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN,
IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)
Stephen Deffenbaugh
31c. DATE SIGNED
12/22/2020
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
15BCTS20Q00000053 Page 2 of 63
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
15BCTS20Q00000053 Page 3 of 63
Table of Contents
Section Description Page Number
1 Solicitation/Contract Form 2 Commodity or Services Schedule
2.1 Continuation of SF1449, Block 20
3 Contract Clauses
52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE
2004)
52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA
OR OTHER NATIONAL EMERGENCY (May 2008) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012) DJAR-PGD-15-03 Security of Department Information and Systems
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR
2011) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Nov 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-18 Ordering (Aug 2020) 52.217-8 Option to Extend Services (Nov 1999) 52.216-21 Requirements (Oct 1995) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016)
4 List of Attachments 5 Solicitation Provisions
52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016) 52.212-3 Offeror Representations and Certifications-Commercial Items (Nov 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 52.219-1 Small Business Program Representations (Nov 2020) 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)
15BCTS20Q00000053 Page 4 of 63
Section 2 - Commodity or Services Schedule
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
1,260 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
15BCTS20Q00000053 Page 5 of 63
0009 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0011 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0012 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0013 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0014 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
11 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0015 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0016 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
720 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0017 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
720 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0018 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
64 EA $________ $_________________
15BCTS20Q00000053 Page 6 of 63
Base Year - 2/1/2021-1/31/2022
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0019 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
60 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0020 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0021 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0022 Sex Offender Individual Counseling (6012) - Estimated 40 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0023 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0024 Sex Offender Family Counseling (6032) - Estimated 16 units per inmate
Base Year - 2/1/2021-1/31/2022
PSC: G004
32 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0025 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0026 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0027 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
15 EA $________ $_________________
15BCTS20Q00000053 Page 7 of 63
0028 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0029 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
900 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0030 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0031 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0032 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0033 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0034 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0035 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0036 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
4 EA $________ $_________________
15BCTS20Q00000053 Page 8 of 63
0037 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0038 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0039 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0040 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0041 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0042 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0043 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
60 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0044 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0045 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0046 Sex Offender Individual Counseling (6012) - Estimated 40 units per
160 EA $________ $_________________
15BCTS20Q00000053 Page 9 of 63
Option Year One - 2/1/2022-1/31/2023
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0047 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0048 Sex Offender Family Counseling (6032) - Estimated 16 units per inmate
Option Year One - 2/1/2022-1/31/2023
PSC: G004
32 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0049 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0050 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0051 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0052 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0053 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
900 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0054 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0055 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Option Year Two - 2/1/2023-1/31/2024
16 EA $________ $_________________
15BCTS20Q00000053 Page 10 of 63
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0056 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0057 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0058 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0059 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0060 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0061 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0062 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0063 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0064 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Option Year Two - 2/1/2023-1/31/2024
600 EA $________ $_________________
15BCTS20Q00000053 Page 11 of 63
0065 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0066 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0067 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
60 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0068 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0069 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0070 Sex Offender Individual Counseling (6012) - Estimated 40 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0071 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0072 Sex Offender Family Counseling (6032) - Estimated 16 units per inmate
Option Year Two - 2/1/2023-1/31/2024
PSC: G004
32 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0073 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
3 EA $________ $_________________
15BCTS20Q00000053 Page 12 of 63
0074 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0075 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0076 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0077 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
900 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0078 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0079 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0080 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0081 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0082 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0083 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
15BCTS20Q00000053 Page 13 of 63
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0084 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0085 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0086 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0087 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0088 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0089 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0090 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0091 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
60 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0092 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
15BCTS20Q00000053 Page 14 of 63
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0093 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0094 Sex Offender Individual Counseling (6012) - Estimated 40 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0095 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0096 Sex Offender Family Counseling (6032) - Estimated 16 units per inmate
Option Year Three - 2/1/2024-1/31/2025
PSC: G004
32 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0097 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0098 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0099 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0100 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0101 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Option Year Four - 2/1/2025-1/31/2026
900 EA $________ $_________________
15BCTS20Q00000053 Page 15 of 63
0102 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0103 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0104 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0105 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0106 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
16 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0107 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0108 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0109 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
15 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0110 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
15 EA $________ $_________________
15BCTS20Q00000053 Page 16 of 63
0111 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0112 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0113 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0114 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
64 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0115 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
60 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0116 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0117 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0118 Sex Offender Individual Counseling (6012) - Estimated 40 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0119 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
160 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0120 Sex Offender Family Counseling (6032) - Estimated 16 units per
32 EA $________ $_________________
15BCTS20Q00000053 Page 17 of 63
Option Year Four - 2/1/2025-1/31/2026
PSC: G004
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0121 Substance Use Intake Screening (2005) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0122 Substance Use Individual Counseling (2010) - Estimated 40 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
320 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0123 Substance Use Intake Assessment & Report (2011) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
8 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0124 Dual Diagnosis Intake Assessment & Report (2012) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0125 Substance Use Group Counseling (2020) - Estimated 60 units per Inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
480 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0126 Substance Use Family Counseling (2030) - Estimated 16 units per Inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
32 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0127 MAT - Buprenorphine Follow-Up and Report (4002) - Estimated 8 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
8 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0128 MAT - Naltrexone Follow-Up and Report (4003) - Estimated 5 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0129 MAT - Administration of Buprenorphine Injection (4030) - Estimated 5 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
5 EA $________ $_________________
15BCTS20Q00000053 Page 18 of 63
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0130 MAT - Administration of Naltrexone (4040) - Estimated 8 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
8 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0131 MAT - Psychiatric Evaluation & Report (4050) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0132 Mental Health Intake Screening (5005) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0133 Mental Health Assessment & Report (5011) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
8 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0134 Psychiatric Evaluation and Report (5030) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
8 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0135 Crisis Intervention Evaluation & Report (6000) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0136 Mental Health Individual Counseling (6010) - Estimated 40 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
320 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0137 Mental Health Group Counseling (6020) - Estimated 40 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
320 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0138 Mental Health Family Counseling (6031) - Estimated 16 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
32 EA $________ $_________________
15BCTS20Q00000053 Page 19 of 63
0139 Medication Monitoring and Report (6051) - Estimated 5 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0140 Sex Offender Specific Intake Assessment & Report (5012) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0141 Sex Offender Intake Screening (6005) - Estimated 1 unit per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
1 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0142 Sex Offender Individual Counseling (6012) - Estimated 40 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
80 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0143 Sex Offender Group Counseling (6022) - Estimated 40 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
80 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0144 Sex Offender Family Counseling (6032) - Estimated 16 units per inmate
Potential 6 Month Extension - 2/1/2026-7/31/2027
PSC: G004
16 EA $________ $_________________
Please note that for all therapy sessions 30 minutes = 1 unit
2.1 Continuation of SF1449, Block 20
CONTINUATION OF SF-1449, BLOCK 20
SCHEDULE OF SUPPLIES/SERVICES
The contractor shall be capable of providing outpatient substance use and mental health services to offenders confined in community-based programs. The contractor shall provide a physical location from where all required services can be provided. The location where services are to be provided should be within a 5 mile radius of Rochester City Hall, 30 Church St. Rochester, NY 14614. The location must also be located within a half-mile distance from a local public transportation stop.
All references to Residential Re-Entry Center (RRC) and Community Correctional Center (CCC) shall be treated equally for the purpose of this contract.
The anticipated total contract period is 5 years (to begin upon the effective date of contract award). The anticipated performance start date is February 1, 2021.
Community Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:
15BCTS20Q00000053 Page 20 of 63
Each quotation will be initially reviewed to determine that all document submission requirements listed under Addendum to FAR 52.212-1, Instructions to Offerors-Commercial Items, are met. By using the documentation submitted with each quotation, an initial review will also be conducted to determine whether or not it meets the minimum requirements contained in the Decisional Rule Criteria below. Any quotation not meeting this criteria may not receive any further consideration for award.
Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capability to meet the Decisional Rule Criteria below. Quotes will be rated "Acceptable" or "Unacceptable" 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.
DECISIONAL RULE CRITERIA – LPTA – COMMUNITY TREATMENT SERVICES 2020
1. Operational Requirement – Cognitive Behavioral Therapy (CBT): The Quoter must demonstrate adherence to the CBT model of treatment or other evidence-based programming compatible with CBT. [SOW 2.2]
1. Submit the cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of Community Treatment Services (CTS).
1. Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis interventions, if necessary. When applicable, the Quoter must have the ability to complete a Crisis Intervention Assessment contract line item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 4.3.9]
1. Submit a plan to provide an emergency crisis intervention, if the need arises at the facility. Include specific local information to include emergency psychiatric care facility, local hospital with crisis unit, or other emergency crisis intervention resources.
2. If applicable, submit a plan to conduct a crisis intervention session within 24 hours of referral, and submit the assessment within one business day.
1. Operational Requirement – Inmate Accountability: The Quoter must have a comprehensive accountability program that ensures every Bureau inmate is accounted for while at the facility. [SOW 7.2]
1. Submit a plan for notifying CTS and the Residential Reentry Center (RRC) of any late arrivals or absences from scheduled sessions.
2. Submit a plan to maintain accountability of inmates from arrival until departure from the facility, include all common areas, and inmate restroom facilities at the performance site.
1. Operational Requirement – Confidentiality: The Quoter must ensure complete confidentiality of all Bureau treatment records and sessions.
1. Submit a plan to ensure the privacy and confidentiality of individual and group sessions. [SOW 7.1.1]
2. Submit the agency’s policies and procedures to comply with all applicable provisions of HIPAA. [SOW 7.6]
3. Telehealth (if applicable): Identify the communication system and software application that will be used. Submit evidence of the proposed system’s ability to meet the Bureau’s electronic security requirements: HIPAA-compliant, FIPS 140-2 certified, 256- bit encryption, and housed in Continental US. [SOW 3.9.1.1]
4. Telehealth (if applicable): Submit a plan that specifically addresses the telehealth policies and regulations for the state where services will be rendered. Identify on the office diagram required in 5c where the inmates will receive telehealth sessions at the performance site. The plan should identify which National Crime Information Center (NCIC) cleared, and Bureau approved, staff member will be present at all times during every telehealth session and will ensure telehealth sessions are conducted in a secure and confidential setting. [SOW 3.9.1.2]
1. Facility Requirement – Proposed Location(s):The Quoter must provide treatment at performance sites that meet the specified restrictions, space requirements, ADA compliance guidelines, and that do not present safety risks to the community. [SOW 7.1 & 7.2.1]
1. List addresses for all proposed performance sites, to include psychiatric services, and any subcontractors, that are within: a five mile radius of the Rochester City Hall, 30 Church Street, Rochester, NY 14614 and within .5 miles of accessible public transportation.
2. Submit a deed, lease, bill of sale, option to lease, or option to buy in the name of the Quoter, or subcontractor, if applicable, for all addresses listed in 5a.
3. Submit an office diagram (see attached example) for each proposed performance site listed in 5a that identifies all rooms, provides room dimensions, and specifies the number of people each group room can comfortably
15BCTS20Q00000053 Page 21 of 63 accommodate. Therapeutic group rooms must be primarily dedicated to treatment or reserved for outpatient community treatment services.
4. Complete and submit the attached Americans with Disabilities Act (ADA) Checklist for each proposed performance site listed in 5a.
5. Submit photographs for each proposed performance site listed in 5a to include front entrance, emergency exits, restrooms, lobby, individual treatment rooms, and group room(s). Photographs must clearly indicate evidence of ADA compliance.
6. Complete and submit the attached Local Areas of Concern document. This document must identify the following areas of concern that are within: 500 feet radius. This must include the same space and/or same building, of each proposed performance site, and include a plan to mitigate risk to children and other vulnerable populations:
* Schools, day-care centers, playgrounds, developed or improved parks, athletic fields, churches, school bus stops, and any facilities/businesses that primarily care for/educate/entertain minors or other vulnerable populations.
1. Facility Requirement – Facility License: The facility must be appropriately licensed and/or certified to provide all required services on, or by, the contract effective date by the state authority where services will be rendered.
[SOW 7.4]
1. Submit the required state facility license and/or certification to provide all treatment services at the proposed performance site(s) listed in 5a.
* If in the process of obtaining a valid license, submit the completed application, provisional license, official email correspondence, and/or other official documentation as proof. Documentation must show that the Quoter may begin services on, or by, the contract effective date.
* If state or local law does not require facility licensing, the Quoter must provide a copy of the statute that this factor does not apply, or submit official documents that allow services to be performed (e.g., email from regulatory board).
1. Staffing Requirement: The Quoter must have key personnel to meet the solicitation requirements. The Quoter must ensure all personnel providing clinical services to Bureau inmates meet the experiential, educational, and appropriate licensure/certification as required by the state authority where the services will be rendered.
1. Submit the Technical Personnel document that identifies the position and responsibility of all personnel proposed to meet or exceed the minimum staffing requirements of key personnel in table 7a below. All key personnel must be identified on this document. [SOW 5.2]
2. Submit resumes for personnel providing direct clinical services to Bureau inmates. [SOW 5.3]
3. Submit copies of current and valid professional licenses for clinical staff. Clinical licenses submitted must be listed in table 7c below and must correspond to the respective clinical duties performed. [SOW 5.4]
* If unable to produce an original license, provide a license verification sheet with a copy of a government-issued photo identification card for the staff member.
* If submitting a non-medical license that is not listed on the table below, complete the Mental Health/Behavioral Health Professionals Scope of Practice Summary. Any licenses other than those listed below will be reviewed on a case-by-case basis.
1. Psychiatric (if applicable): Submit a Drug Enforcement Agency Controlled Substance Registration Certificate for a qualified practitioner with prescriptive authority who meets the standards of practice established by the state’s professional regulatory board to provide psychiatric evaluations and medication monitoring. [SOW 5.4.5]
7a. Minimum Staffing Requirements of Key Personnel Identify the following on the Technical Personnel Document:
Authorized Negotiator Key Personnel for Substance Use Disorder Services Key Personnel for Mental Health Services Key Personnel for Psychiatric Services Key Personnel for Sex Offender Treatment Services Key Personnel for Medication Assisted Treatment
7c. Clinical Licensing Requirements for Counselors
15BCTS20Q00000053 Page 22 of 63
All clinicians must be licensed or certified in the state of New York and must be able to practice independently, without supervision, in the state of New York.
Mental Health/Sex Offender/Substance Use Substance Use Licensed Psychologist Licensed Clinical Social Worker Licensed Master Social Worker Licensed Marriage and Family Therapist Licensed Mental Health Counselor
Credentialed Alcoholism and Substance Abuse Counselor
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 addition to any discounts offered for prompt payment.
Please complete the chart below with total quoted price for the base period and each option year.
Year Total Base Period $ Option Year 1 $ Option Year 2 $ Option Year 3 $ Option Year 4 $ Six 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 contract shall be ordered by issuance of task orders by a warranted Contracting Officer in the CTS Contracting Office.
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.
AWARD WITHOUT DISCUSSIONS
Quoters are advised an award may be made without discussions. The Contracting Officer cannot overemphasize the necessity for the initial quotation of a quoter to provide the Government with sufficient information identifying the quoter's best terms from a cost or price and technical standpoint.
ADMINISTRATIVE CONTRACTING OFFICER
Stephen A. Deffenbaugh Federal Bureau of Prisons CTS Contracting 320 First St. NW Room 901-5 Washington, DC 20534
CONTRACTING OFFICER'S REPRESENTATIVE (COR)
Robert Voorhees, SCTC 215-521-7471 Sandra Hargesheimer, CTC 215-521-7473 Cindy Benik, CTOS 215-521-7499 Ashanti Black, CTOS 215-521-7491 Angelo Giamusso, CTOS 215-521-7471 Sabina Medvinsky, CTOS 215-521-7461 Ewelina Rozkuszka, CTOS 215-521-7446
Federal Bureau of Prisons
15BCTS20Q00000053 Page 23 of 63
U.S. Customs House
200 Chestnut St., 7th Floor Philadelphia, PA 19106
15BCTS20Q00000053 Page 24 of 63
Section 3 - Contract Clauses
A.1 ADDENDUM TO FAR 52.212-4, Continuation of SF1449, Block 20
The terms and conditions for the…
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