Amendment 1-Signed.pdf

PDF 289 KB Posted Dec 2, 2020

Attached to: SU MH SOT in Great Falls, MT
Solicitation number: 15BCTS21Q00000019
Issued by: Department of Justice Bureau of Prisons Central Office

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File	Type	Posted
Amendment 2-Signed.pdf	PDF	Dec 3, 2020
Subcontracting Plan 2020.pdf	PDF	Dec 3, 2020
15BCTS21Q00000019 Updated.pdf	PDF	Dec 2, 2020
15BCTS21Q00000019.pdf	PDF	Dec 1, 2020
Cover letter..pdf	PDF	Dec 1, 2020
Technical Quotation Information Sheet.docx	DOCX document	Dec 1, 2020
Business Quotation Information.pdf	PDF	Dec 1, 2020
SOW 2020.pdf	PDF	Dec 1, 2020
Subcontracting Plan.pdf	PDF	Dec 1, 2020
2.1.pdf	PDF	Dec 1, 2020
Whistleblower Information.pdf	PDF	Dec 1, 2020

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15BCTS21Q00000019/0001 Page 1 of 73

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

15BCTSCODE

Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Suite 5005 Washington, DC 20534

Shuwona Jones

(O) 202-616-9758 Sjones2@bop.gov

6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)

9A. AMENDMENT OF SOLICITATION NUMBER

15BCTS21Q00000019

CODE FACILITY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)

X 9B. DATED (SEE ITEM 11)

12/01/2020

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X XThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning __1__copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

ORDER NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return _______ copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

1. Amendment 1 is hereby issued to extend the solicitation closing date to 12/16/2020 at 12:00 p.m. EST.

2. This amendment hereby removes some MAT services.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Shuwona Jones

(Signature of person authorized to sign)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED

By (Signature of Contracting Officer)

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

12/02/2020 Previous edition unusable STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

15BCTS21Q00000019/0001 Page 2 of 73

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 (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

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

2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Nov 2020)

4 List of Attachments 5 Solicitation Provisions

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.212-3 Offeror Representations and Certifications-Commercial Items (Nov 2020) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998)

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

52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990)

15BCTS21Q00000019/0001 Page 3 of 73

Section 2 - Commodity or Services Schedule

Substance Use, Mental Health, and Sex Offender Treatment Services in Great Falls, MT.

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Intake - Substance Use (2005) (one per inmate) for Estimated 30 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

2,160

Change: 0

Current :

2,160

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

3,240

Change: 0

Current :

3,240

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS21Q00000019/0001 Page 4 of 73

0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,080

Change: 0

Current :

1,080

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 30 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 42

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 42

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,176

Change: 0

Current :

1,176

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 5 of 73

0013 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,176

Change: 0

Current :

1,176

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 42

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 7 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 42

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 5

Change: 0

Current : 5

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Intake - Mental Health (5005) (one per inmate) for Estimated 15 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

EA $________ $_________________

15BCTS21Q00000019/0001 Page 6 of 73

PSC: G004 Change: 0

Current : 15

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 15 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 15 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Transportation, Round Trip (1202) Estimated 8 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 21 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,008

Change: 0

Current :

1,008

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 21 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

1,008

Change: 0

15BCTS21Q00000019/0001 Page 7 of 73

PSC: G004 Current :

1,008

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Case Management Services (6030) Estimated 24 Units per Inmate; Estimated 10 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 21 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 21 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Medication Monitoring - Mental Health (6051) (5 visits per inmate) for Estimated 21 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 6 Inmates

Previous : 6 EA $________ $_________________

15BCTS21Q00000019/0001 Page 8 of 73

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 6

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 6 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Intake - Substance Use (2005) (one per inmate) for Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

15BCTS21Q00000019/0001 Page 9 of 73

PSC: G004 Change: 0

Current : 30

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

1,440

Change: 0

Current :

1,440

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

2,160

Change: 0

Current :

2,160

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 30 Inmates Option Year 1- 13 months through 24 months

15BCTS21Q00000019/0001 Page 10 of 73

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

15BCTS21Q00000019/0001 Page 11 of 73

PSC: G004 Current : 30

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 5

Change: 0

Current : 5

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Intake - Mental Health (5005) (one per inmate) for Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 12 of 73

0056 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Transportation, Round Trip (1202) Estimated 8 Units per Inmate; Estimated 30 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Case Management Services (6030) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000019/0001 Page 13 of 73

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 90

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Medication Monitoring - Mental Health (6051) (5 visits per inmate) for Estimated 15 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 75

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 6 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 6 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 14 of 73

0066 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 6 Inmates Option Year 1- 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Intake - Substance Use (2005) (one per inmate) for Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 15 of 73

0071 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

1,440

Change: 0

Current :

1,440

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

2,160

Change: 0

Current :

2,160

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 16 of 73

0077 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmates

Previous : 5 SS $________ $_________________

15BCTS21Q00000019/0001 Page 17 of 73

Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 5

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Intake - Mental Health (5005) (one per inmate) for Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Transportation, Round Trip (1202) Estimated 8 Units per Inmate; Estimated 30 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

SS $________ $_________________

15BCTS21Q00000019/0001 Page 18 of 73

Current :

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Case Management Services (6030) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 19 of 73

0096 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 90

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Medication Monitoring - Mental Health (6051) (5 visits per inmate) for Estimated 15 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 75

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 6 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 6 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

15BCTS21Q00000019/0001 Page 20 of 73

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 6 Inmates Option Year 2- 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 Intake - Substance Use (2005) (one per inmate) for Estimated 30 Inmates Option Year 3- 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

1,440

Change: 0

Current :

1,440

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

2,160

15BCTS21Q00000019/0001 Page 21 of 73

PSC: G004 Current :

2,160

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

15BCTS21Q00000019/0001 Page 22 of 73

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 5

Change: 0

Current : 5

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Intake - Mental Health (5005) (one per inmate) for Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

15BCTS21Q00000019/0001 Page 23 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Transportation, Round Trip (1202) Estimated 8 Units per Inmate; Estimated 30 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000019/0001 Page 24 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 Case Management Services (6030) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 90

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 Medication Monitoring - Mental Health (6051) (5 visits per inmate) for Estimated 15 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 75

15BCTS21Q00000019/0001 Page 25 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 6 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0133 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 6 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0134 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0135 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0136 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 6 Inmates Option Year 3 - 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000019/0001 Page 26 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0137 Intake - Substance Use (2005) (one per inmate) for Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0138 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0139 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

1,440

Change: 0

Current :

1,440

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0140 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

2,160

Change: 0

Current :

2,160

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0141 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000019/0001 Page 27 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0142 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0144 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0145 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0148 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0149 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000019/0001 Page 28 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0152 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0153 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 30

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0154 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 5

Change: 0

Current : 5

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0155 Intake - Mental Health (5005) (one per inmate) for Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0156 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 29 of 73

0157 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0158 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0159 Transportation, Round Trip (1202) Estimated 8 Units per Inmate; Estimated 30 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0160 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0161 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000019/0001 Page 30 of 73

0162 Case Management Services (6030) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0163 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0164 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 90

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0165 Medication Monitoring - Mental Health (6051) (5 visits per inmate) for Estimated 15 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 75

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0166 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 6 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0167 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 6 Inmates Option Year 4 - 49 months through 60 months

Previous : 6 SS $________ $_________________

15BCTS21Q00000019/0001 Page 31 of 73

PSC: G004

Change: 0

Current : 6

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0168 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0169 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0170 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 6 Inmates Option Year 4 - 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0171 Intake - Substance Use (2005) (one per inmate) for Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0172 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 15 Inmates Potential Six-Month Extension

15BCTS21Q00000019/0001 Page 32 of 73

PSC: G004

Change: 0

Current : 15

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0173 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0174 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

1,080

Change: 0

Current :

1,080

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0175 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0176 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC: G004

Change: 0

Current : 15

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0178 Buprenorphine Follow-Up and Report- MAT (4002) Estimated 6 Units per Inmate for Estimated 3 Inmates Potential Six-Month Extension

15BCTS21Q00000019/0001 Page 33 of 73

PSC: G004

Change: 0

Current : 18

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0179 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 3 Inmates Potential Six-Month Extension

Firm Fixed Price

PSC:…

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File details come from the government source that posted it. Updated Dec 2, 2020.