Amendment 0002 15BCTS21Q00000034.pdf
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15BCTS21Q00000034/0002 Page 1 of 63
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
02/05/2021
4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
15BCTSCODE
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contracting 320 First Street NW Suite 5005 Washington, DC 20534
6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)
9A. AMENDMENT OF SOLICITATION NUMBER
15BCTS21Q00000034
CODE FACILITY CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)
X 9B. DATED (SEE ITEM 11)
12/21/2020
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.)
This amendment hereby clarifies line item descriptions for line items 0002-0014, 0016-0018, 0023-0035, 0037-0039, 0044-0056, 0058-0060, 0065-0077, 0079-0081, 0086-0098, 0100-0102, 0107-0119 and 0121-0123. Details are in the individual line items. Please use amendment 0001 to submit your pricing.
THIS AMENDMENT EXTENDS THE SOLICITATION CLOSING DATE/TIME TO: 02/24/2021 - 12:00 ET US/Eastern
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)
Shannon Mutts
(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
02/05/2021 Previous edition unusable STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
15BCTS21Q00000034/0002 Page 2 of 63
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 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Nov 2020) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 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) 52.217-9 Option to Extend the Term of the Contract (Mar 2000)
4 List of Attachments 5 Solicitation Provisions
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) 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 52.217-5 Evaluation of Options (July 1990)
15BCTS21Q00000034/0002 Page 3 of 63
Section 2 - Commodity or Services Schedule
Substance Use, Mental Health, and Sex Offender Treatment Services in Youngstown, OH
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0001 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS21Q00000034/0002 Page 4 of 63
0005 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0006 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0007 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
Base Period: Date of award - 12 months
Previous :
SS $________ $_________________
15BCTS21Q00000034/0002 Page 5 of 63
Firm Fixed Price
PSC: G004
Change: 0
Current : 25
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Crisis Intervention Evaluation and Report (6000) (one per inmate) for 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
0012 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0014 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
Previous :
Change: 0
EA $________ $_________________
15BCTS21Q00000034/0002 Page 6 of 63
PSC: G004 Current : 30
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Sex Offender Intake Screening (6005) (one per inmate) for 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 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
15BCTS21Q00000034/0002 Page 7 of 63
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0022 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0023 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Substance Use Individual Counseling (2010) (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
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
15BCTS21Q00000034/0002 Page 8 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0027 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0029 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 9 of 63
0031 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0032 Crisis Intervention Evaluation and Report (6000) (one per inmate) for 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
0033 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0034 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0035 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 10 of 63
0036 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0037 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Sex Offender Intake Screening (6005) (one per inmate) for 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
0040 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 1: 13 months through 24 months
Previous :
15BCTS21Q00000034/0002 Page 11 of 63
PSC: G004
Change: 0
Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0042 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0044 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 Substance Use Individual Counseling (2010) (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
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
Option Year 2: 25 months through 36 months
Previous :
15BCTS21Q00000034/0002 Page 12 of 63
PSC: G004
Change: 0
Current : 30
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0048 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
15BCTS21Q00000034/0002 Page 13 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0052 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0053 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous : 5
Change: 0
Current : 5
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
15BCTS21Q00000034/0002 Page 14 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0057 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0059 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous : 5
Change: 0
Current : 5
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 15 of 63
0062 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0063 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0064 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Substance Use Individual Counseling (2010) (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
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 16 of 63
0067 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0072 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
Option Year 3: 37 months through 48 months
Previous :
15BCTS21Q00000034/0002 Page 17 of 63
PSC: G004
Change: 0
Current : 25
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0073 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0074 Crisis Intervention Evaluation and Report (6000) (one per inmate) for 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
0075 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0077 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
Previous :
15BCTS21Q00000034/0002 Page 18 of 63
PSC: G004 Current : 90
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0080 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Sex Offender Intake Screening (6005) (one per inmate) for 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
0082 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
15BCTS21Q00000034/0002 Page 19 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0083 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Substance Use Individual Counseling (2010) (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
Previous :
Change: 0
Current :
15BCTS21Q00000034/0002 Page 20 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0088 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0091 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0092 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 21 of 63
0093 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0094 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0095 Crisis Intervention Evaluation and Report (6000) (one per inmate) for 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
0096 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0097 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 22 of 63
0098 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0099 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0100 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0101 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0102 Sex Offender Intake Screening (6005) (one per inmate) for 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
0103 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
Previous :
15BCTS21Q00000034/0002 Page 23 of 63
PSC: G004 Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0104 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0105 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0106 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
1,920
Change: 0
Current :
1,920
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0107 Substance Use Intake Screening(2005) (one per inmate) for Estimated 10 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0108 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates
6 Month Extension: 61 months through 66 months
Previous :
15BCTS21Q00000034/0002 Page 24 of 63
PSC: G004
Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0109 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 30 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0110 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 15 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 15
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0111 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
1,530
Change: 0
Current :
1,530
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0112 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0113 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 10
15BCTS21Q00000034/0002 Page 25 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0114 Mental Health Intake Assessment and Report (5011) (one per inmate) for Estimated 25 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0115 Psychiatric Evaluation and Report (5030) (one per inmate) for Estimated 25 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 25
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0116 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 5 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous : 5
Change: 0
Current : 5
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0117 Mental Health Individual Counseling (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0118 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
15BCTS21Q00000034/0002 Page 26 of 63
QUANTITY
UNIT UNIT PRICE AMOUNT
0119 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 90
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0120 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 30
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0121 Medication Monitoring and Report (6051) (4 visits per inmate) for Estimated 20 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 80
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0122 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 12 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0123 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 5 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous : 5
Change: 0
Current : 5
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000034/0002 Page 27 of 63
0124 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0125 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0126 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates
6 Month Extension: 61 months through 66 months
Firm Fixed Price
PSC: G004
Previous :
Change: 0
Current : 18
Section 3 - Contract Clauses
A.1 ADDENDUM TO FAR 52.212-4, INSTRUCTIONS TO OFFERORS - COMMERCIAL ITEMS
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)
15BCTS21Q00000034/0002 Page 28 of 63
Clause Title Fill-ins (if applicable)
52.242-15 Stop-Work Order (Aug 1989)
52.203-3 Gratuities (Apr 1984)
52.224-1 Privacy Act Notification (Apr 1984)
52.224-2 Privacy Act (Apr 1984)
52.232-40 Providing Accelerated Payments to Small Business Subcontractors
(Dec 2013)
52.253-1 Computer Generated Forms (Jan 1991)
52.203-12 Limitation On Payments to Influence Certain Federal Transactions
(Jun 2020)
52.242-13 Bankruptcy (July 1995)
52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018)
52.204-12 Unique Entity Identifier Maintenance (Oct 2016)
Clauses By Full Text
52.21-603-70 Contracting Officer's Representative (COR) (June 2012) (DEVIATION)
(a)Robert Voorhees, SCTC (LEAD) 215-521-7470, Ashanti Black, CTOS 215-521-7491 ,Ewelina Rozkuszka, CTOS 215-521-7446, Angelo Giamusso, CTOS 215-521-7471 , Cynthia Benik, CTOS 215-521-7499, Sabina Medvinsky, CTOS 215-521-7461,Philadelphia Field Office 200 Chestnut Street, 8th Floor Philadelphia, PA 19106, is hereby designated as the Contracting Officer's Representative (COR) under this contract.
(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.
(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.
52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)
For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, individuals or contractor employees providing services must have:
1. Legally resided in the United States (U.S.);
2. worked for the U.S. overseas in a Federal or military capacity; or
3. been a dependent of a Federal or military 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 information regarding allied countries: http://www.opm.gov/employ/html/citizen.htm By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.
[End of Clause]
15BCTS21Q00000034/0002 Page 29 of 63
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 absenteeism as our federal employees. Although the Excusable Delays and Termination for Default clauses used in Government contracts list epidemics and quarantine restrictions among the reasons to excuse delays in contract performance, we expect our contractors to make a reasonable effort to keep performance at an acceptable level during emergency periods.
The Office of Personnel Management (OPM) has provided guidance to federal managers and employees on the kinds of actions to be taken to ensure the continuity of operations during emergency periods. This guidance is also applicable to our contract workforce.
Contractors are expected to have reasonable policies in place for continuing work performance, particularly those performing mission critical services, during a pandemic influenza or other emergency situation.
The types of actions a federal contractor should reasonably take to help ensure performance are:
* Encourage employees to get inoculations or follow other preventive measures as advised by the public health service.
* Cross-train workers as backup for all positions performing critical services. This is particularly important for work such as guard services where telework is not an option.
* Implement telework to the greatest extent possible in the workgroup so systems are in place to support successful remote work in an emergency.
* Communicate expectations to all employees regarding their roles and responsibilities in relation to remote work in the event of a pandemic health crisis or other emergency.
* Establish communication processes to notify employees of activation of this plan.
* Integrate pandemic health crisis response expectations into telework agreements.
* With the employee, assess requirements for working at home (supplies and equipment needed for an extended telework period). Security concerns should be considered in making equipment choices; agencies or contractors may wish to avoid use of employees' personal computers and provide them with PCs or laptops as appropriate.
* Determine how all employees who may telework will communicate with one another and with management to accomplish work.
* Practice telework regularly to ensure effectiveness.
* Make it clear that in emergency situations, employees must perform all duties assigned by management, even if they are outside usual or customary duties.
* Identify how time and attendance will be maintained.
It is the contractor's responsibility to advise the Government Contracting Officer if they anticipate not being able to perform and to work with the Department to fill gaps as necessary. This means direct communication with the Contracting Officer or in his/her absence, another responsible person in the contracting office via telephone or email messages acknowledging the contractor's notification. The incumbent contractor is responsible for assisting the Department in estimating the adverse impacts of nonperformance and to work diligently with the Department to develop a strategy for maintaining the continuity of operations.
The Department does reserve the right in such emergency situations to use Federal employees, employees of other agencies, contract support from other existing contractors, or to enter into new contracts for critical support services. Any new contracting efforts would be acquired following the guidance in the Office of federal Procurement Policy issuance "Emergency Acquisitions", May, 2007 and Subpart 18.2. Emergency Acquisition Flexibilities, of the Federal Acquisition Regulations.
[End of Clause]
DJAR-PGD-15-03 Security of Department Information and Systems
I. Applicability to Contractors and Subcontractors
This clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of contractors, subcontractors, and CSPs (hereinafter collectively, “Contractor”) that may access,…
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