Amendment No. 0002.pdf
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- 15BCTS22Q00000005 - SU/MH/SOT in Flagstaff, AZ
- Solicitation number
- 15BCTS22Q00000005
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| File | Type | Posted |
|---|---|---|
| Amendment No. 0001.pdf | ||
| Section 2.1, Continuation of SF-1449.pdf | ||
| Solicitation 15BCTS22Q00000005.pdf | ||
| CTS Statement of Work October 2020.pdf | ||
| Whistleblower Information.pdf | ||
| Technical Quotation Information Sheet.docx | DOCX document | |
| Subcontracting Plan.pdf | ||
| Business Quotation Information.pdf |
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15BCTS22Q00000005/0002 Page 1 of 68
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE PAGE OF PAGES
1 68
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
11/24/2021
4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
15BCTSCODE
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
Coretta MaGee
(O) (202) 616-1293 cmagee@bop.gov
6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)
9A. AMENDMENT OF SOLICITATION NUMBER
15BCTS22Q00000005
CODE FACILITY CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)
X 9B. DATED (SEE ITEM 11)
10/28/2021
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.)
Amendment 0002 hereby updates the closing date to Tuesday, December 7, 2021 at 12:00 P.M. 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)
Coretta MaGee
(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
11/24/2021 Previous edition unusable STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
005-22
15BCTS22Q00000005/0002 Page 2 of 68
Table of Contents
Section Description Page Number
1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses
52.242-15 Stop-Work Order (Aug 1989) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012)
52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE
2004) DJAR-PGD-15-03 Security of Department Information and Systems 52.203-3 Gratuities (Apr 1984) 52.203-12 Limitation On Payments to Influence Certain Federal Transactions (Jun 2020) 52.204-12 Unique Entity Identifier Maintenance (Oct 2016) 52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018) 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) 52.242-13 Bankruptcy (July 1995) 52.253-1 Computer Generated Forms (Jan 1991) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Sep 2021) 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) 52.217-9 Option to Extend the Term of the Contract (Mar 2000)
52.218-000 52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC
INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008) 52.223-99 DEV Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors (Oct 2021)
(DEVIATION)
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) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021); (Alt. I) -- Classified Information -- Cleared Contractors 52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights (Jun 2020)
4 List of Attachments 5 Solicitation Provisions
52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.212-3 Offeror Representations and Certifications-Commercial Items (Feb 2021) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 52.212-1 Instructions to Offerors-Commercial Items (Sep 2021) 52.204-7 System for Award Management (Oct 2018) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.217-5 Evaluation of Options (July 1990)
15BCTS22Q00000005/0002 Page 3 of 68
Section 2 - Commodity or Services Schedule
Substance Use, Mental Health, and Sex Offender Treatment Services in Flagstaff, AZ.
Firm Fixed Price
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0001 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 11
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0005 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 16 Inmates
Base Period: Date of award - 12 months
Previous :
1,140
SS $________ $_________________
15BCTS22Q00000005/0002 Page 4 of 68
PSC: G004 Change: 0
Current :
1,140
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0006 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0007 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 13
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
15BCTS22Q00000005/0002 Page 5 of 68
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0012 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 70
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0014 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 65
15BCTS22Q00000005/0002 Page 6 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 6 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0019 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 6 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates
Base Period: Date of award - 12 months
PSC: G004
Previous :
Change: 0
Current : 48
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates
Previous : 5 EA $________ $_________________
15BCTS22Q00000005/0002 Page 7 of 68
Option Year 1: 13 months through 24 months
PSC: G004
Change: 0
Current : 5
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0022 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0023 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 11
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
15BCTS22Q00000005/0002 Page 8 of 68
Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0027 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0029 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 13
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0031 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS22Q00000005/0002 Page 9 of 68
0032 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0033 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 70
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0034 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0035 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 65
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0036 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0037 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates
Option Year 1: 13 months through 24 months
Previous : 3
15BCTS22Q00000005/0002 Page 10 of 68
PSC: G004
Current : 3
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0040 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates
Option Year 1: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 48
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0042 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
15BCTS22Q00000005/0002 Page 11 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 11
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0044 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 12 of 68
0048 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 13
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0052 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0053 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates
Option Year 2: 25 months through 36 months
Previous :
15BCTS22Q00000005/0002 Page 13 of 68
PSC: G004
Change: 0
Current : 70
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 65
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0057 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
15BCTS22Q00000005/0002 Page 14 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0059 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates
Option Year 2: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 48
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0062 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0063 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 11
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 15 of 68
0064 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0067 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
15BCTS22Q00000005/0002 Page 16 of 68
Current : 13
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0072 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0073 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 70
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0074 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
15BCTS22Q00000005/0002 Page 17 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0075 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 65
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0077 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 18 of 68
0080 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates
Option Year 3: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 48
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0082 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0083 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 11
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 4
Change: 0
Current : 4
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
15BCTS22Q00000005/0002 Page 19 of 68
Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0088 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 13
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 20 of 68
0091 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0092 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0093 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 70
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0094 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0095 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 65
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 21 of 68
0096 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0097 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0098 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0099 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0100 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates
Option Year 4: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 48
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0101 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 3 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
15BCTS22Q00000005/0002 Page 22 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0102 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0103 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 6 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 6
Change: 0
Current : 6
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0104 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 2 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0105 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 8 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0106 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 4 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current : 64
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0107 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 3 Inmates
Previous : 3 EA $________ $_________________
15BCTS22Q00000005/0002 Page 23 of 68
Potential 6 Month Extension
PSC: G004
Change: 0
Current : 3
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0108 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 8
Change: 0
Current : 8
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0109 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 7 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 7
Change: 0
Current : 7
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0110 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 3 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0111 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0112 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS22Q00000005/0002 Page 24 of 68
0113 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 4 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current : 40
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0114 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 4 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current : 64
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0115 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 7 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current : 35
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0116 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 3 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 3
Change: 0
Current : 3
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0117 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 2 Inmates
Potential 6 Month Extension
PSC: G004
Previous : 2
Change: 0
Current : 2
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0118 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 3 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
15BCTS22Q00000005/0002 Page 25 of 68
QUANTITY
UNIT UNIT PRICE AMOUNT
0119 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 3 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current :
SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0120 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 2 Inmates
Potential 6 Month Extension
PSC: G004
Previous :
Change: 0
Current : 32
Section 3 - Contract Clauses
A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Items (Oct 2018)
The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.
Clauses By Reference
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov
Clause Title Fill-ins (if applicable)
52.242-15 Stop-Work Order (Aug 1989)
52.203-3 Gratuities (Apr 1984)
52.203-12 Limitation On Payments to Influence Certain Federal Transactions
(Jun 2020)
15BCTS22Q00000005/0002 Page 26 of 68
Clause Title Fill-ins (if applicable)
52.204-12 Unique Entity Identifier Maintenance (Oct 2016)
52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018)
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)
52.242-13 Bankruptcy (July 1995)
52.253-1 Computer Generated Forms (Jan 1991)
Clauses By Full Text
52.21-603-70 Contracting Officer's Representative (COR) (June 2012)
(a)Mike Nichols, Lead COR and SCTC, 972-730-8940; Nicole Foster, CTC, 215-521-7472; , Lanita Bridges, CTOS, 972-730-8941;
Nicole Briscoe, CTOS, 972-730-8946; Keith Goodjoint, CTOS, 972-730-8835; Ian Jansz, CTOS, 202-451-7278; , Sheila Jones, CTOS, 972-730-8945; Bettina Suraez-Cromley, CTOS, 972-730-8944 & Nikki Kinnick, MA, 972-730-8947, Dallas Office, 344 Marine Forces Drive, Grand Prairie, TX 75051, 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) (DEVIATION)
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.state.gov/s/l/treaty/collectivedefense By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.
[End of Clause]
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, collect, store, process, maintain, use, share, retrieve, 15BCTS22Q00000005/0002 Page 27 of 68 disseminate, transmit, or dispose of DOJ Information. It establishes and implements specific DOJ requirements applicable to this Contract. The requirements established herein are in addition to those required by the Federal Acquisition Regulation (“FAR”), including FAR 11.002(g) and 52.239-1, the Privacy Act of 1974, and any other applicable laws, mandates, Procurement Guidance Documents, and Executive Orders pertaining to the development and operation of Information Systems and the protection of Government Information. This clause does not alter or diminish any existing rights, obligation or liability under any other civil and/or criminal law, rule, regulation or mandate.
II. General Definitions
The following general definitions apply to this clause. Specific definitions also apply as set forth in other paragraphs.
A. Information means any communication or representation of knowledge such as facts, data, or opinions, in any form or medium, including textual, numerical, graphic, cartographic, narrative, or audiovisual. Information includes information in an electronic format that allows it be stored, retrieved or transmitted, also referred to as “data,” and “personally identifiable information” (“PII”), regardless of form.
B. Personally Identifiable Information (or PII) means any information about an individual maintained by an agency, including, but not limited to, information related to education, financial transactions, medical history, and criminal or employment history and information, which can be used to distinguish or trace an individual's identity, such as his or her name, social security number, date and place of birth, mother's maiden name, biometric records, etc., including any other personal information which is linked or linkable to an individual.
C. DOJ Information means any Information that is owned, produced, controlled, protected by, or otherwise within the custody or responsibility of the DOJ, including, without limitation, Information related to DOJ programs or personnel. It includes, without limitation, Information (1) provided by or generated for the DOJ, (2) managed or acquired by Contractor for the DOJ in connection with the performance of the contract, and/or (3) acquired in order to perform the contract.
D. Information System means any resources, or set of resources organized for accessing, collecting, storing, processing, maintaining, using, sharing, retrieving, disseminating, transmitting, or disposing of (hereinafter collectively, “processing, storing, or transmitting”) Information.
E. Covered Information System means any information system used for, involved with, or allowing, the processing, storing, or transmitting of DOJ Information.
III. Confidentiality and Non-disclosure of DOJ Information
A. Preliminary and final deliverables and all associated working papers and material generated by Contractor containing DOJ Information are the property of the U.S. Government and must be submitted to the Contracting Officer (“CO”) or the CO’s Representative (“COR”) at the conclusion of the contract. The U.S. Government has unlimited data rights to all such deliverables and associated working papers and materials in accordance with FAR 52.227-14.
B. All documents produced in the performance of this contract containing DOJ Information are the property of the U.S.
Government and Contractor shall neither reproduce nor release to any third-party at any time, including during or at expiration or termination of the contract without the prior written permission of the CO.
C. Any DOJ information made available to Contractor under this contract shall be used only for the purpose of performance of this contract and shall not be divulged or made known in any manner to any persons except as may be necessary in the performance of this contract. In performance of this contract, Contractor assumes responsibility for the protection of the confidentiality of any and all DOJ Information processed, stored, or transmitted by the Contractor. When requested by the CO (typically no more than annually), Contractor shall provide a report to the CO identifying, to the best of Contractor’s knowledge and belief, the type, amount, and level of sensitivity of the DOJ Information processed, stored, or transmitted under the Contract, including an estimate of the number of individuals for whom PII has been processed, stored or transmitted under the Contract and whether such information includes social security numbers (in whole or in part).
IV. Compliance with Information Technology Security Policies, Procedures and Requirements
A. For all Covered Information Systems, Contractor shall comply with all security requirements, including but not limited to the regulations and guidance found in the Federal Information Security Management Act of 2014 (“FISMA”), Privacy Act of 1974, E- Government Act of 2002, National Institute of Standards and Technology (“NIST”) Special Publications (“SP”), including NIST SP 800-37, 800-53, and 800-60 Volumes I and II, Federal Information Processing Standards (“FIPS”) Publications 140-2, 199, and 200, 15BCTS22Q00000005/0002 Page 28 of 68
OMB Memoranda, Federal Risk and Authorization Management Program (“FedRAMP”), DOJ IT Security Standards, including DOJ Order 2640.2, as amended. These requirements include but are not limited to:
1. Limiting access to DOJ Information and Covered Information Systems to authorized users and to transactions and functions that authorized users are permitted to exercise;
2. Providing security awareness training including, but not limited to, recognizing and reporting potential indicators of insider threats to users and managers of DOJ Information and Covered Information Systems;
3. Creating, protecting, and retaining Covered Information System audit records, reports, and supporting documentation to enable reviewing, monitoring, analysis, investigation, reconstruction, and reporting of unlawful, unauthorized, or inappropriate activity related to such Covered Information Systems and/or DOJ Information;
4. Maintaining authorizations to operate any Covered Information System;
5. Performing continuous monitoring on all Covered Information Systems;
6. Establishing and maintaining baseline configurations and inventories of Covered Information Systems, including hardware, software, firmware, and documentation, throughout the Information System Development…
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