Amendment 0001 15BCTS21Q00000038.pdf

PDF 355 KB Posted Feb 18, 2021

Attached to: 15BCTS21Q00000038 - SU/MH/SOT/MAT in Fort Myers, FL
Solicitation number: 15BCTS21Q00000038
Issued by: Department of Justice Bureau of Prisons Central Office

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15BCTS21Q00000038/0001 Page 1 of 85

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

02/18/2021

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

15BCTS21Q00000038

CODE FACILITY CODE

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

X 9B. DATED (SEE ITEM 11)

01/29/2021

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 0001-0022, 0024, 0026-0027, 0032-0053, 0055, 0057-0059, 0063-0084, 0086, 0088-0090, 0094-0115, 0117, 0119-0121, 0125-0146, 0148, 0150-0152, 0156-0177, 0179 and 0181-0183. Details are in the individual line items.

Please use amendment 0001 to submit your pricing.

THIS AMENDMENT EXTENDS THE SOLICITATION CLOSING DATE/TIME TO: 03/08/2021 - 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

02/18/2021 Previous edition unusable STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

038-21

15BCTS21Q00000038/0001 Page 2 of 85

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 (Jan 2021)

4 List of Attachments 5 Solicitation Provisions

52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 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) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.213-3 Offeror Representations and Certifications- Commercial Items (Jan 2021) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990)

15BCTS21Q00000038/0001 Page 3 of 85

Section 2 - Commodity or Services Schedule

Substance Use, Mental Health, Sex Offender and Medication Assisted Treatment Services in Fort Myers, FL

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 46 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

2,208

Change: 0

Current :

2,208

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 24 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 8 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 8

Change: 0

Current : 8

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS21Q00000038/0001 Page 4 of 85

0005 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 46 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

3,312

Change: 0

Current :

3,312

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 4 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 MAT - Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 MAT - Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate for Estimated 4 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 MAT - Administration of Buprenorphine (4020) Estimated 168 Units per Inmate for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 5 of 85

0010 MAT - Buprenorphine and Administration (4021) Estimated 168 Units per Inmate for Estimated 2 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

0011 MAT - Administration of Buprenorphine Injection (4030) Estimated 6 Units per Inmate for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 MAT - Buprenorphine and Administration of Injection (4031) Estimated 6 Units per Inmate for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 MAT - Buprenorphine Implant and Removal (4032) Estimated 1 Units per Inmate for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 MAT - Administration of Naltrexone Injection (4040) Estimated 6 Units per Inmate for Estimated 4 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 MAT - Naltrexone and Administration of Injection (4041) Estimated 6 Units per Inmate; Estimated 4 Inmates

Base Period: Date of award - 12 months

EA $________ $_________________

15BCTS21Q00000038/0001 Page 6 of 85

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 MAT Psychiatric Evaluation and Report (4050) Estimated 1 Units per Inmate; Estimated 6 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Mental Health Intake Screening (5005) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Mental Health Intake Assessment and Report (5011) (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

0019 Psychiatric Evaluation and Report (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

0020 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

15BCTS21Q00000038/0001 Page 7 of 85

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Mental Health Individual Counseling (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 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

0023 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 18

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 3 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 9

Change: 0

Current : 9

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 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 :

15BCTS21Q00000038/0001 Page 8 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Medication Monitoring and Report (6051) (5 visits per inmate) for 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

0027 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 96

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000038/0001 Page 9 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 2 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 32 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

1,536

Change: 0

Current :

1,536

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 24 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 8 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 8

Change: 0

Current : 8

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 10 of 85

0036 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 32 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

2,304

Change: 0

Current :

2,304

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 4 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 MAT - Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 MAT - Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 MAT - Administration of Buprenorphine (4020) Estimated 168 Units per Inmate for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 11 of 85

0041 MAT - Buprenorphine and Administration (4021) Estimated 168 Units per Inmate for Estimated 2 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

0042 MAT - Administration of Buprenorphine Injection (4030) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 MAT - Buprenorphine and Administration of Injection (4031) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 MAT - Buprenorphine Implant and Removal (4032) Estimated 1 Units per Inmate for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 MAT - Administration of Naltrexone Injection (4040) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 MAT - Naltrexone and Administration of Injection (4041) Estimated 6 Units per Inmate; Estimated 4 Inmates

Option Year 1: 13 months through 24 months

15BCTS21Q00000038/0001 Page 12 of 85

PSC: G004

Change: 0

Current : 24

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 MAT Psychiatric Evaluation and Report (4050) Estimated 1 Units per Inmate; 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

0048 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Mental Health Intake Assessment and Report (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

0050 Psychiatric Evaluation and Report (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.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

15BCTS21Q00000038/0001 Page 13 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Mental Health Individual Counseling (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 :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Mental Health Group Counseling (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

0054 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 18

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 3 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 9

Change: 0

Current : 9

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 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

15BCTS21Q00000038/0001 Page 14 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Medication Monitoring and Report (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 96

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 15 of 85

0062 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 2 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

0063 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 32 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

1,536

Change: 0

Current :

1,536

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 24 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 8 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 8

Change: 0

Current : 8

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 32 Inmates

Option Year 2: 25 months through 36 months

2,304

15BCTS21Q00000038/0001 Page 16 of 85

PSC: G004

Change: 0

Current :

2,304

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 4 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 MAT - Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 MAT - Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 MAT - Administration of Buprenorphine (4020) Estimated 168 Units per Inmate for Estimated 2 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

0072 MAT - Buprenorphine and Administration (4021) Estimated 168 Units per Inmate for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

Change: 0

15BCTS21Q00000038/0001 Page 17 of 85

PSC: G004 Current :

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 MAT - Administration of Buprenorphine Injection (4030) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 MAT - Buprenorphine and Administration of Injection (4031) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 MAT - Buprenorphine Implant and Removal (4032) Estimated 1 Units per Inmate for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 MAT - Administration of Naltrexone Injection (4040) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 MAT - Naltrexone and Administration of Injection (4041) Estimated 6 Units per Inmate; Estimated 4 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

15BCTS21Q00000038/0001 Page 18 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 MAT Psychiatric Evaluation and Report (4050) Estimated 1 Units per Inmate; 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

0079 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Mental Health Intake Assessment and Report (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

0081 Psychiatric Evaluation and Report (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

0082 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 19 of 85

0083 Mental Health Individual Counseling (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 :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Mental Health Group Counseling (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

0085 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 18

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 3 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 9

Change: 0

Current : 9

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 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.

15BCTS21Q00000038/0001 Page 20 of 85

0088 Medication Monitoring and Report (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 96

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 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

0093 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 2 Inmates

Option Year 2: 25 months through 36 months

Previous : 6

15BCTS21Q00000038/0001 Page 21 of 85

PSC: G004

Current : 6

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 32 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

1,536

Change: 0

Current :

1,536

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 24 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 8 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 8

Change: 0

Current : 8

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 32 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

2,304

Change: 0

Current :

2,304

15BCTS21Q00000038/0001 Page 22 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 4 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 MAT - Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 MAT - Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 MAT - Administration of Buprenorphine (4020) Estimated 168 Units per Inmate for Estimated 2 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

0103 MAT - Buprenorphine and Administration (4021) Estimated 168 Units per Inmate for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current :

15BCTS21Q00000038/0001 Page 23 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 MAT - Administration of Buprenorphine Injection (4030) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 MAT - Buprenorphine and Administration of Injection (4031) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 MAT - Buprenorphine Implant and Removal (4032) Estimated 1 Units per Inmate for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 MAT - Administration of Naltrexone Injection (4040) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 MAT - Naltrexone and Administration of Injection (4041) Estimated 6 Units per Inmate; Estimated 4 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 MAT Psychiatric Evaluation and Report (4050) Estimated 1 Units per Inmate; Estimated 6 Inmates

Previous : 6 EA $________ $_________________

15BCTS21Q00000038/0001 Page 24 of 85

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 6

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Mental Health Intake Assessment and Report (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Psychiatric Evaluation and Report (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

0113 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Mental Health Individual Counseling (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 :

15BCTS21Q00000038/0001 Page 25 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Mental Health Group Counseling (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 :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 18

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 3 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 9

Change: 0

Current : 9

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 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

0119 Medication Monitoring and Report (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000038/0001 Page 26 of 85

0120 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 96

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 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

0124 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 2 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

Previous : 6

Change: 0

Current : 6

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

15BCTS21Q00000038/0001 Page 27 of 85

PSC: G004 Current : 10

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 32 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

1,536

Change: 0

Current :

1,536

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 Substance Use Intake Assessment and Report (2011) (one per inmate) for Estimated 24 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 Dual Diagnosis Intake Assessment and Report (2012) (one per inmate) for Estimated 8 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 8

Change: 0

Current : 8

SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 32 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

2,304

Change: 0

Current :

2,304

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 4 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

15BCTS21Q00000038/0001 Page 28 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 MAT - Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 MAT - Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0133 MAT - Administration of Buprenorphine (4020) Estimated 168 Units per Inmate for Estimated 2 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

0134 MAT - Buprenorphine and Administration (4021) Estimated 168 Units per Inmate for Estimated 2 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

0135 MAT - Administration of Buprenorphine Injection (4030) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

15BCTS21Q00000038/0001 Page 29 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0136 MAT - Buprenorphine and Administration of Injection (4031) Estimated 6 Units per Inmate for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 12

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0137 MAT - Buprenorphine Implant and Removal (4032) Estimated 1 Units per Inmate for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0138 MAT - Administration of Naltrexone Injection (4040) Estimated 6 Units per Inmate for Estimated 4 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0139 MAT - Naltrexone and Administration of Injection (4041) Estimated 6 Units per Inmate; Estimated 4 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 24

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0140 MAT Psychiatric Evaluation and Report (4050) Estimated 1 Units per Inmate; 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.

15BCTS21Q00000038/0001 Page 30 of 85

0141 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

Change: 0

Current : 10

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0142 Mental Health Intake Assessment and Report (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.

QUANTITY

UNIT UNIT PRICE AMOUNT

0143 Psychiatric Evaluation and Report (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

0144 Crisis Intervention Evaluation and Report (6000) (one per inmate) for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

Current : 2

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0145 Mental Health Individual Counseling (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 :

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0146 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 15 Inmates

Option Year 4: 49 months through 60 months

15BCTS21Q00000038/0001 Page 31 of 85

PSC: G004

Change: 0

Current :

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0147 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Change: 0

Current : 18

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0148 Mental Health Family Counseling (6031) (30 Minutes = 1 Unit) Estimated 3 Units per Inmate; Estimated 3 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 9

Change: 0

Current : 9

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0149 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

0150 Medication Monitoring and Report (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

EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0151 Sex Offender Intake Assessment and Report (5012) (one per inmate) for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

Previous : 2

Change: 0

15BCTS21Q00000038/0001 Page 32 of 85

QUANTITY

UNIT UNIT PRICE AMOUNT

0152 Sex Offender Intake Screening (6005) (one per inmate) for Estimated 2 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Feb 18, 2021.