Amendment 3 - 15BCTS24R00000004.pdf
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- SU/MH/SOT in San Diego, CA
- Solicitation number
- 15BCTS24R00000004
About this file
This document is an Amendment to a Solicitation for Substance Use, Mental Health, and Sex Offender Treatment Services in San Diego, California. The contract (Solicitation Number 15BCTS24R00000004) is an Indefinite Delivery, Indefinite Quantity (IDIQ) type contract with a firm fixed price, issued by the Federal Bureau of Prisons' Community Treatment Services Contracting office.
The solicitation covers a comprehensive range of treatment services including Substance Use Disorder services (treatment planning, intake screening, individual and group counseling, assessment), Mental Health services (treatment planning, intake screening, individual and group counseling, psychiatric evaluations), and Sex Offender Treatment services. The contract has a base period and four option years, with each period spanning approximately 12 months. Guaranteed minimum and estimated maximum quantities are specified for each service type, with quantities ranging from 1 to 12,000 units per service category. Contractors must submit proposals electronically to specified email addresses, with a 180-day proposal acceptance period. The solicitation includes extensive requirements for contractor personnel, including background investigations, security clearances, citizenship verification, and privacy protections.
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15BCTS24R00000004/0003 Page 1 of 55
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE PAGE OF PAGES
1 55
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
15BCTSCODE
Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 901-5 Washington, DC 20534
6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)
9A. AMENDMENT OF SOLICITATION NUMBER
15BCTS24R00000004
CODE FACILITY CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)
X 9B. DATED (SEE ITEM 11)
08/05/2025
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 3 is hereby issued to incorporate clause 2852.212-4 to the solicitation and remove 52.212-5.
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)
Kia Warner Contracting Officer
(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
Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243
15BCTS24R00000004/0003 Page 2 of 55
Table of Contents
Section Description Page Number
Solicitation/Contract Form 1 Commodity or Services Schedule 2 Contract Clauses
52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023) 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) 52.204-13 System for Award Management Maintenance (Oct 2018) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.242-13 Bankruptcy (July 1995) 52.242-15 Stop-Work Order (Aug 1989) 52.252-6 Authorized Deviations in Clauses (Nov 2020) 52.253-1 Computer Generated Forms (Jan 1991) 2852.212-4 Contract Terms and Conditions, Commercial Items (FAR Deviation) (NOV 2020) 52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021) 52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-22 Indefinite Quantity (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) BOP 2852.201-71 Contracting Officer's Representative (COR) (June 2012)
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS
(APR 2011)
DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-02 Contractor Privacy Requirements (JAN 2022) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021) DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National Emergency (OCT 2007)
3 List of Attachments 4 Solicitation Provisions
52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.204-7 System for Award Management (Nov 2024) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023) 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) 52.204-29 Federal Acquisition Supply Chain Security Act Orders-Representation and Disclosures (Dec 2023) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 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 (NOV 2020)
15BCTS24R00000004/0003 Page 3 of 55
Section 1 - Commodity or Services Schedule
Substance Use, Mental Health and Sex Offender Treatment Services in San Diego, CA.
Firm Fixed Price
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 2200 Estimated Maximum Quantity: 6700
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,700
Change: 0
Current :
6,700
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Base Period: 1 month through 12 months
Previous :
Change: 0
EA $________ $_________________
15BCTS24R00000004/0003 Page 4 of 55
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Current : 50
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 2400 Estimated Maximum Quantity: 12000
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
12,000
Change: 0
Current :
12,000
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0009 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 75
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
15BCTS24R00000004/0003 Page 5 of 55
0011 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0012 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 10
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0013 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 800 Estimated Maximum Quantity: 2400
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0014 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 100
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0015 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0016 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 350
Base Period: 1 month through 12 months
Previous :
15BCTS24R00000004/0003 Page 6 of 55 amount.
PSC: G004
Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0017 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0018 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0019 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 12
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0020 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 800
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0021 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 400
Base Period: 1 month through 12 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 7 of 55
0022 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0023 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0024 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 2200 Estimated Maximum Quantity: 6700
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,700
Change: 0
Current :
6,700
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0025 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0026 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0027 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 2400 Estimated Maximum Quantity: 12000
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
Previous :
12,000
15BCTS24R00000004/0003 Page 8 of 55
PSC: G004 Current :
12,000
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0028 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0029 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0030 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 75
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0031 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0032 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 9 of 55
0033 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 10
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0034 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 800 Estimated Maximum Quantity: 2400
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0035 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 100
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0036 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0037 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 350
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0038 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 1: 13 months through 24 months
Previous :
15BCTS24R00000004/0003 Page 10 of 55 amount.
PSC: G004
Current : 15
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0039 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0040 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 12
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0041 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 800
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0042 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 400
Option Year 1: 13 months through 24 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0043 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 11 of 55
0044 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0045 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 2200 Estimated Maximum Quantity: 6700
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,700
Change: 0
Current :
6,700
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0046 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0047 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0048 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 2400 Estimated Maximum Quantity: 12000
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
12,000
Change: 0
Current :
12,000
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0049 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
Previous :
15BCTS24R00000004/0003 Page 12 of 55
PSC: G004 Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0050 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0051 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 75
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0052 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0053 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0054 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 10
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 10
15BCTS24R00000004/0003 Page 13 of 55
0055 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 800 Estimated Maximum Quantity: 2400
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0056 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 100
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0057 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0058 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 350
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0059 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0060 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 2: 25 months through 36 months
Previous :
15BCTS24R00000004/0003 Page 14 of 55 amount.
PSC: G004
Current : 15
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0061 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 12
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0062 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 800
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0063 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 400
Option Year 2: 25 months through 36 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0064 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0065 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
15BCTS24R00000004/0003 Page 15 of 55
0066 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 2200 Estimated Maximum Quantity: 6700
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,700
Change: 0
Current :
6,700
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0067 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0068 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0069 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 2400 Estimated Maximum Quantity: 12000
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
12,000
Change: 0
Current :
12,000
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0070 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0071 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 3: 37 months through 48 months
Previous :
15BCTS24R00000004/0003 Page 16 of 55 amount.
PSC: G004
Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0072 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 75
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0073 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0074 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0075 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 10
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0076 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 800 Estimated Maximum Quantity: 2400
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
15BCTS24R00000004/0003 Page 17 of 55
0077 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 100
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0078 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0079 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 350
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0080 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0081 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0082 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 12
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
Previous :
15BCTS24R00000004/0003 Page 18 of 55
PSC: G004 Current : 12
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0083 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 800
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0084 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 400
Option Year 3: 37 months through 48 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0085 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0086 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0087 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 2200 Estimated Maximum Quantity: 6700
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,700
Change: 0
Current :
6,700
15BCTS24R00000004/0003 Page 19 of 55
0088 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 70 Estimated Maximum Quantity: 200
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0089 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 50
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0090 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 2400 Estimated Maximum Quantity: 12000
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
12,000
Change: 0
Current :
12,000
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0091 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0092 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0093 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 10 Estimated Maximum Quantity: 75
Option Year 4: 49 months through 60 months
Previous :
15BCTS24R00000004/0003 Page 20 of 55 amount.
PSC: G004
Current : 75
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0094 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0095 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 150
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0096 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 10
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0097 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 800 Estimated Maximum Quantity: 2400
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0098 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 100
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 21 of 55
0099 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 100
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0100 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 40 Estimated Maximum Quantity: 350
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0101 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0102 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 15
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 15
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0103 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 12
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 12
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0104 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 800
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
15BCTS24R00000004/0003 Page 22 of 55
Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0105 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 4 Estimated Maximum Quantity: 400
Option Year 4: 49 months through 60 months
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0106 Substance Use Disorder Treatment Planning and Follow-up (2001)
Guaranteed Minimum Quantity: 35 Estimated Maximum Quantity: 100
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0107 Substance Use Disorder Intake Screening (2005)
Guaranteed Minimum Quantity: 5 Estimated Maximum Quantity: 25
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0108 Substance Use Disorder Individual Counseling (2010)
Guaranteed Minimum Quantity: 1100 Estimated Maximum Quantity: 3350
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
3,350
Change: 0
Current :
3,350
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0109 Substance Use Disorder Intake Assessment & Report (2011)
Guaranteed Minimum Quantity: 35 Estimated Maximum Quantity: 100
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 23 of 55
0110 Co-occurring Intake Assessment & Report (2012)
Guaranteed Minimum Quantity: 5 Estimated Maximum Quantity: 25
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0111 Substance Use Disorder Group Counseling (2020)
Guaranteed Minimum Quantity: 1200 Estimated Maximum Quantity: 6000
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
6,000
Change: 0
Current :
6,000
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0112 Substance Use Disorder Relationship and Parenting Counseling (2030)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 50
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0113 Mental Health Treatment Planning and Follow-up (5001)
Guaranteed Minimum Quantity: 20 Estimated Maximum Quantity: 75
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0114 Mental Health Intake Screening (5005)
Guaranteed Minimum Quantity: 5 Estimated Maximum Quantity: 38
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 38
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0115 Mental Health Intake Assessment & Report (5011)
Guaranteed Minimum Quantity: 20 Estimated Maximum Quantity: 75
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
15BCTS24R00000004/0003 Page 24 of 55
0116 Psychiatric Evaluation & Report (5030)
Guaranteed Minimum Quantity: 20 Estimated Maximum Quantity: 75
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0117 Crisis Intervention Evaluation & Report (6000)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 5
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0118 Mental Health Individual Counseling (6010)
Guaranteed Minimum Quantity: 400 Estimated Maximum Quantity: 1200
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0119 Mental Health Group Counseling (6020)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 50
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0120 Mental Health Relationship and Parenting Counseling (6031)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 50
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0121 MH - Medication Monitoring & Report (6051)
Guaranteed Minimum Quantity: 20 Estimated Maximum Quantity: 175
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
15BCTS24R00000004/0003 Page 25 of 55
Current :
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0122 Sex Offender Intake Assessment & Report (5012)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 8
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous : 8
Change: 0
Current : 8
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0123 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 8
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous : 8
Change: 0
Current : 8
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0124 Sex Offender Intake Screening (6005)
Guaranteed Minimum Quantity: 1 Estimated Maximum Quantity: 6
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous : 6
Change: 0
Current : 6
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0125 Sex Offender Individual Counseling (6012)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 400
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0126 Sex Offender Group Counseling (6022)
Guaranteed Minimum Quantity: 2 Estimated Maximum Quantity: 200
Potential 6 Month Extension
Use the Estimated Maximum Quantity when developing the total amount.
PSC: G004
Previous :
Change: 0
Current :
15BCTS24R00000004/0003 Page 26 of 55
Section 2 - Contract Clauses
52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .