15BCTS21Q00000012.pdf

15BCTS21Q00000012 Page 1 of 60

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS21Q00000012

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

08/17/2020

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Robert Carroll, Jr. r1carroll@bop.gov

b. TELEPHONE NUMBER (No collect calls)

202-307-2594

8. OFFER DUE DATE / LOCAL

TIME

09/16/2020 14:00 ET

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 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

15B100CODE15. DELIVER TO

Federal Bureau of Prisons D.C. Office 320 First Street N.W.

Washington, D.C. 20534

CODE 15BCTS16. ADMINISTERED BY

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

Robert Carroll, Jr.

(O) 202-307-2594 r1carroll@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B400CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons D.C. Office 320 First Street N.W.

Washington, D.C. 20534

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

OFFER SEE ADDENDUM

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

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Substance Use and Mental Health Treatment Services in Richmond, Virginia

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)

Robert Carroll

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

012-21

BOP-RSD/PSBCTS-BILL@bop.gov

02/01/2021

15BCTS21Q00000012 Page 2 of 60

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

15BCTS21Q00000012 Page 3 of 60

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) 52.212-3 Offeror Representations and Certifications--Commercial Items (Jun 2020)

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Dec 2019) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 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)

15BCTS21Q00000012 Page 4 of 60

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS21Q00000012 Page 5 of 60

0006 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Base Period: Date of award - 12 months

25 SS $________ $_________________

15BCTS21Q00000012 Page 6 of 60

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 1 - 13 months through 24 months

1,400 SS $________ $_________________

15BCTS21Q00000012 Page 7 of 60

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 1 - 13 months through 24 months

192 SS $________ $_________________

15BCTS21Q00000012 Page 8 of 60

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 1 - 13 months through 24 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

28 EA $________ $_________________

15BCTS21Q00000012 Page 9 of 60

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

8 EA $________ $_________________

15BCTS21Q00000012 Page 10 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 2 - 25 months through 36 months

Firm Fixed Price

720 EA $________ $_________________

15BCTS21Q00000012 Page 11 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

10 EA $________ $_________________

15BCTS21Q00000012 Page 12 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 3 - 37 months through 48 months

Firm Fixed Price

15BCTS21Q00000012 Page 13 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

15BCTS21Q00000012 Page 14 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

15BCTS21Q00000012 Page 15 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

15BCTS21Q00000012 Page 16 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

15BCTS21Q00000012 Page 17 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 5 - 61 months through 72 months

Firm Fixed Price

15BCTS21Q00000012 Page 18 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

15BCTS21Q00000012 Page 19 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 6 - 73 months through 84 months

Firm Fixed Price

15BCTS21Q00000012 Page 20 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 6 - 73 months through 84 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

15BCTS21Q00000012 Page 21 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

15BCTS21Q00000012 Page 22 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 7 - 85 months through 96 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

15BCTS21Q00000012 Page 23 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

15BCTS21Q00000012 Page 24 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 8 - 97 months through 108 months

Firm Fixed Price

15BCTS21Q00000012 Page 25 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 Intake - Substance Use (2000) (one per inmate) for Estimated 30 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 28 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

28 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 28 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

840 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 28 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

1,400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

16 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 Intake - Mental Health (5000) (one per inmate) for Estimated 10 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

15BCTS21Q00000012 Page 26 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0133 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0134 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 8 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0135 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0136 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 8 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

192 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0137 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 12 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

12 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0138 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 5 Inmate Option Year 9 - 109 months through 120 months

Firm Fixed Price

15BCTS21Q00000012 Page 27 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0139 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 4 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0140 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 20 Inmates Option Year 9 - 109 months through 120 months

Firm Fixed Price

PSC: G004

720 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0141 Intake - Substance Use (2000) (one per inmate) for Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0142 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 14 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

14 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0143 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 30 Units per Inmate; Estimated 14 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

420 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0144 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 50 Units per Inmate; Estimated 14 Inmates Potential Six-Month Extension

Firm Fixed Price

700 SS $________ $_________________

15BCTS21Q00000012 Page 28 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0145 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 8 Units per Inmate; Estimated 1 Inmate Potential Six-Month Extension

Firm Fixed Price

PSC: G004

8 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0146 Intake - Mental Health (5000) (one per inmate) for Estimated 5 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0147 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 4 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0148 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 4 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0149 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 1 Inmate Potential Six-Month Extension

Firm Fixed Price

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0150 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 4 Inmates Potential Six-Month Extension

Firm Fixed Price

96 SS $________ $_________________

15BCTS21Q00000012 Page 29 of 60

QUANTITY

UNIT UNIT PRICE AMOUNT

0151 Medication Monitoring - Mental Health (6051) (3 visits per inmate) for Estimated 2 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

6 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0152 Administration of Medication (6050) Estimated 5 Unit per Inmate; Estimated 3 Inmate Potential Six-Month Extension

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0153 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 28 Units per Inmate; Estimated 2 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

56 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0154 Individual Transportation (1202) (1 unit= Round Trip) Estimated 36 Units per Inmate; Estimated 10 Inmates Potential Six-Month Extension

Firm Fixed Price

360 EA $________ $_________________

15BCTS21Q00000012 Page 30 of 60

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Stop-Work Order (Aug 1989)

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 (Mar 2020)

Clauses By Full Text

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

(a)Tyrone Miller, Lead COR, Sheena Carter, Brandi Kohr Joshua Hierstetter, and Nelson Richardson ,D.C. Office , 320 First Street, NW, Washington, DC 20534,202-307-0147, 202-305-7885, 202-532-3786, 202-514-7833 and 202-353-8464, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

15BCTS21Q00000012 Page 31 of 60

(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide he reunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contract or 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 ter ms, 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 commi tment, individuals or contractor employees providing services must have:

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

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

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

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

[End of Clause]

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

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

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