15BCTS22Q00000012.pdf

15BCTS22Q00000012 Page 1 of 68

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

5. SOLICITATION NUMBER

15BCTS22Q00000012

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

01/01/2022

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Paul Clark p5clark@bop.gov

b. TELEPHONE NUMBER (No collect calls)

202-353-0382

8. OFFER DUE DATE / LOCAL

TIME

01/17/2022 14:00 ET

CODE 15BCTS

Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 901-5 Washington, DC 20534

9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621420

SIZE STANDARD: $16,500,000

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

15B100CODE15. DELIVER TO

Federal Bureau of Prisons Kansas City Field Office Office 400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

CODE 15BCTS16. ADMINISTERED BY

Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 901-5 Washington, DC 20534

Paul Clark

(O) 202-353-0382 p5clark@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B400CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons Kansas City Field Office

400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

BOP-RSD-CRBCTS-BILL-KC@bop.gov

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

OFFER SEE ADDENDUM

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

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Substance Use, Mental Health and Sex Offender Treatment Services in Manchester, KY.

Firm Fixed Price

See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE X ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED.

29. AWARD OF CONTRACT: REF. _____________________________ OFFER

DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK 5)

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN,

IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)

Paul Clark

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

012 - 22

15BCTS22Q00000012 Page 2 of 68

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

15BCTS22Q00000012 Page 3 of 68

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 (Nov 2021) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (Nov 2021) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Products and Commercial Services (Nov 2021) 52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights (Jun 2020) DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021); (Alt. I) -- Classified Information -- Cleared Contractors

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 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)

15BCTS22Q00000012 Page 4 of 68

Section 2 - Commodity or Services Schedule

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 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 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 48 Inmates Base Period: Date of award - 12 months

PSC: G004

2,304 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 48 Inmates Base Period: Date of award - 12 months

PSC: G004

3,456 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months

PSC: G004

429 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS22Q00000012 Page 5 of 68

0007 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 18 Inmates Base Period: Date of award - 12 months

PSC: G004

108 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 18 Inmates Base Period: Date of award - 12 months

PSC: G004

108 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 14 Inmates Base Period: Date of award - 12 months

PSC: G004

14 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 35 Inmates Base Period: Date of award - 12 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 30 Inmates Base Period: Date of award - 12 months

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 61 Inmates Base Period: Date of award - 12 months

2,928 EA $________ $_________________

15BCTS22Q00000012 Page 6 of 68

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 61 Inmates Base Period: Date of award - 12 months

PSC: G004

2,928 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 20 Inmates Base Period: Date of award - 12 months

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months

PSC: G004

429 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 61 Inmates Base Period: Date of award - 12 months

PSC: G004

366 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 61 Inmates Base Period: Date of award - 12 months

PSC: G004

305 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

6 EA $________ $_________________

15BCTS22Q00000012 Page 7 of 68

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 8 Inmates Base Period: Date of award - 12 months

PSC: G004

384 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 8 Inmates Base Period: Date of award - 12 months

PSC: G004

576 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 8 Inmates Base Period: Date of award - 12 months

PSC: G004

104 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Substance Use Intake Screening (2005) (one per inmate) for Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 35 Inmates Option Year One: 13 months to 24 months

35 EA $________ $_________________

15BCTS22Q00000012 Page 8 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year One: 13 months to 24 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year One: 13 months to 24 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 14 Inmates Option Year One: 13 months to 24 months

PSC: G004

14 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

15BCTS22Q00000012 Page 9 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

420 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

210 EA $________ $_________________

15BCTS22Q00000012 Page 10 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 35 Inmates Option Year One: 13 months to 24 months

PSC: G004

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year One: 13 months to 24 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year One: 13 months to 24 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year One: 13 months to 24 months

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year One: 13 months to 24 months

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 6 Inmates Option Year One: 13 months to 24 months

PSC: G004

78 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Substance Use Intake Screening (2005) (one per inmate) for Estimated 35 Inmates Option Year Two: 25 months to 36 months

15BCTS22Q00000012 Page 11 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Two: 25 months to 36 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Two: 25 months to 36 months

84 EA $________ $_________________

15BCTS22Q00000012 Page 12 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 14 Inmates Option Year Two: 25 months to 36 months

PSC: G004

14 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

1,680 EA $________ $_________________

15BCTS22Q00000012 Page 13 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

420 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

210 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 35 Inmates Option Year Two: 25 months to 36 months

PSC: G004

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Two: 25 months to 36 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Two: 25 months to 36 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year Two: 25 months to 36 months

288 EA $________ $_________________

15BCTS22Q00000012 Page 14 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year Two: 25 months to 36 months

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 6 Inmates Option Year Two: 25 months to 36 months

PSC: G004

78 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Substance Use Intake Screening (2005) (one per inmate) for Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

2,520 EA $________ $_________________

15BCTS22Q00000012 Page 15 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Three: 37 months to 48 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Three: 37 months to 48 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 14 Inmates Option Year Three: 37 months to 48 months

PSC: G004

14 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

15BCTS22Q00000012 Page 16 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

420 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

210 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

175 EA $________ $_________________

15BCTS22Q00000012 Page 17 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Three: 37 months to 48 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Three: 37 months to 48 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year Three: 37 months to 48 months

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year Three: 37 months to 48 months

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 6 Inmates Option Year Three: 37 months to 48 months

PSC: G004

78 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Substance Use Intake Screening (2005) (one per inmate) for Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

1,680 EA $________ $_________________

15BCTS22Q00000012 Page 18 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Four: 49 months to 60 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 14 Inmates Option Year Four: 49 months to 60 months

PSC: G004

84 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 14 Inmates Option Year Four: 49 months to 60 months

14 EA $________ $_________________

15BCTS22Q00000012 Page 19 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

420 EA $________ $_________________

15BCTS22Q00000012 Page 20 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

455 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 35 Inmates Option Year Three: 37 months to 48 months

PSC: G004

210 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 35 Inmates Option Year Four: 49 months to 60 months

PSC: G004

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Four: 49 months to 60 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 6 Inmates Option Year Four: 49 months to 60 months

PSC: G004

6 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 6 Inmates Option Year Four: 49 months to 60 months

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 6 Inmates Option Year Four: 49 months to 60 months

432 EA $________ $_________________

15BCTS22Q00000012 Page 21 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 6 Inmates Option Year Four: 49 months to 60 months

PSC: G004

78 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Substance Use Intake Screening (2005) (one per inmate) for Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

864 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Substance Use Intake Assessment & Report (2011) (one per inmate) for Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

1,296 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 13 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

234 EA $________ $_________________

15BCTS22Q00000012 Page 22 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 MAT – Buprenorphine Follow-Up and Report (4002) Estimated 6 Units per Inmate; Estimated 7 Inmates Potential Six Month Extension

PSC: G004

42 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 MAT – Naltrexone Follow-Up and Report (4003) Estimated 6 Units per Inmate; Estimated 7 Inmates Potential Six Month Extension

PSC: G004

42 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 MAT Psychiatric Evaluation & Report (4050) Estimated 1 Units per Inmate; Estimated 7 Inmates Potential Six Month Extension

PSC: G004

7 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Mental Health Intake (5005) Estimated 1 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 Mental Health Intake Assessment & Report (5011) Estimated 1 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 Psychiatric Evaluation & Report (5030) Estimated 1 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0133 Crisis Intervention Evaluation & Report (6000) Estimated 1 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

18 EA $________ $_________________

15BCTS22Q00000012 Page 23 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0134 Mental Health Individual Counseling (6010) Estimated 48 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

864 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0135 Mental Health Group Counseling (6020) Estimated 48 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

864 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0136 Case Management Services (6030) Estimated 12 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

216 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0137 Mental Health Family Counseling (6031) Estimated 13 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

234 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0138 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

108 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0139 Medication Monitoring and Report (6051) Estimated 5 Units per Inmate; Estimated 18 Inmates Potential Six Month Extension

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0140 Sex Offender Specific Intake Assessment & Report (5012) Estimated 1 Unit per Inmate; Estimated 3 Inmates Potential Six Month Extension

3 EA $________ $_________________

15BCTS22Q00000012 Page 24 of 68

QUANTITY

UNIT UNIT PRICE AMOUNT

0141 Sex Offender Intake Screening (6005) Estimated 1 Unit per Inmate; Estimated 3 Inmates Potential Six Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0142 Sex Offender Individual Counseling (6012) Estimated 48 Units per Inmate; Estimated 3 Inmates Potential Six Month Extension

PSC: G004

144 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0143 Sex Offender Group Counseling (6022) Estimated 72 Units per Inmate; Estimated 3 Inmates Potential Six Month Extension

PSC: G004

216 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0144 Sex Offender Family Counseling (6032) Estimated 13 Units per Inmate; Estimated 3 Inmates Potential Six Month Extension

39 EA $________ $_________________

15BCTS22Q00000012 Page 25 of 68

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2021)

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.

Clauses By Reference

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov

Clause Title Fill-ins (if applicable)

52.242-15 Stop-Work Order (Aug 1989)

52.203-3 Gratuities (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Nov 2021)

52.253-1 Computer Generated Forms (Jan 1991)

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial

Services (Nov 2021)

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

(Oct 2010)

52.242-13 Bankruptcy (July 1995)

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

Clauses By Full Text

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

15BCTS22Q00000012 Page 26 of 68

(a)Melissa Acevedo Lead COR, Michelle Blake, Stephanie Hamilton, Lindsey Martin, Lashanda Williams, Tesia Easley, Rick Dooley and Crystal Lotterberry ,Kansas City Office , 400 State Avenue, Suite 800, Kansas City, Kansas 20707,(913) 551-1155, (913) 551-1112, (913) 551-1064, (913)551-1086, (913)551-8322, 913-551-1037, 913-551-1063 and 972-730-8943, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, individuals or contractor employees providing services must have:

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

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

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

If the individual is not a U.S. citizen, they must be from a country allied with the U.S. The following website provides current information regarding allied countries: http://www.state.gov/s/l/treaty/collectivedefense.

By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.

[End of Clause]

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

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

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

Contractors are expected to have reasonable policies in place for continuing work performance, particularly those performing mission critical services, during a pandemic influenza or other emergency situation.

The types of actions a federal contractor should reasonably take to help ensure performance are:

* Encourage employees to get inoculations or follow other preventive measures as advised by the public health service.

* Cross-train workers as backup for all positions performing critical services. This is particularly important for work such as guard services where telework is not an option.

* Implement telework to the greatest extent possible in the workgroup so systems are in place to support successful remote work in an emergency.

* Communicate expectations to all employees regarding their roles and responsibilities in relation to remote work in the event of a pandemic health crisis or other emergency.

* Establish communication processes to notify employees of activation of this plan.

* Integrate pandemic health crisis response expectations into telework agreements.

* With the employee, assess requirements for working at home (supplies and equipment needed for an extended telework period). Security concerns should be considered in making equipment choices; agencies or contractors may wish to avoid use of employees' personal computers and provide them with PCs or laptops as appropriate.

* Determine how all employees who may telework will communicate with one another and with management to accomplish work.

* Practice telework regularly to ensure effectiveness.

* Make it clear that in emergency situations, employees must perform all duties assigned by management, even if they are outside usual or customary duties.

15BCTS22Q00000012 Page 27 of 68

* Identify how time and attendance will be maintained.

It is the contractor's responsibility to advise the Government Contracting Officer if they anticipate not being able to perform and to work with the Department to fill gaps as necessary. This means direct communication with the Contracting Officer or in his/her absence, another responsible person in the contracting office via telephone or email messages acknowledging the contractor's notification. The incumbent contractor is responsible for assisting the Department in estimating the adverse impacts of nonperformance and to work diligently with the Department to develop a strategy for maintaining the continuity of operations.

The Department does reserve the right in such emergency situations to use Federal employees, employees of other agencies, contract support from other existing contractors, or to enter into new contracts for critical support services. Any new contracting efforts would be acquired following the guidance in the Office of federal Procurement Policy issuance "Emergency Acquisitions", May, 2007 and Subpart 18.2. Emergency Acquisition Flexibilities, of the Federal Acquisition Regulations.

[End of Clause]

DJAR-PGD-15-03 Security of Department Information and Systems

I. Applicability to Contractors and Subcontractors

This clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of contractors, subcontractors, and CSPs (hereinafter collectively, “Contractor”) that may access, collect, store, process, maintain, use, share, retrieve, 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…