15BCTS25Q00000001_Monroe LA.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Washington, D.C. 20534

January 07, 2024

Re: 15BCTS25Q00000001, Monroe, LA All Interested Parties:

This Request for Quotation (RFQ) is to provide Substance Abuse,and Mental Health treatment services for male and female Adults in Custody (AICs) held under authority of the United States in Monroe, LA. Services are to be provided in accordance with the enclosed Statement of Work entitled, “Federal Bureau of Prisons, Community Treatment Services, Statement of Work, 2022.”

The following must be completed and submitted with your Quotation:

Standard Form (SF) 1449 - Solicitation/Contract/Order for Commercial Items - Please complete blocks 12,17a, 17b, 23, 24, 30a, 30b, and 30c, of the SF-1449 and the continuation sheets. Please include your telephone number in Block 17a.

Original signatures are required.

Quoter Representations and Certifications (FAR 52.212-3) - Prospective quoters are required to submit Annual Representations and Certifications at https://www.sam.gov/portal/public/SAM/. By submission of a quote under this solicitation, the quoter acknowledges completion of the annual representations and certifications via SAM and verifies, by the submission of the quote, that the representations and certifications currently posted in SAM were entered or updated within the last 12 months and are current, accurate, complete and applicable to this solicitation. All quoters must be capable of and comply with FAR 52.212‑1(j), Instructions to Offerors ‑ Commercial Items, Unique Entity Identifier (Sept 2023) and FAR 52.204‑7, System for Award Management (SAM) (Nov 2024).

https://www.sam.gov/portal/public/SAM/

Required Documentation Identified at Addendum to FAR 52.212-1, Instructions to Offerors - Commercial Services

Government shall award to the lowest price, technically acceptable, responsive and responsible quoter.

Electronic copies of quotations shall be submitted via email to g3clark@bop.gov in Adobe Acrobat (PDF) format. Email attachments (PDFs only) cannot total more than 14 MB per email.

Please compress PDFs when possible, to reduce the file size. We understand you will likely need to send multiple emails.

Please confirm with the Contracting Officer that all emails and attachments were received.

Quotes will only be accepted via email. Please include SEPARATE FILE ATTACHMENTS for the following:

• Completed SF-1449 (Including the pricing table at section 2.1)

• Completed Business Quotation Information Packet

• Completed Technical Quotation Information Packet

• Proof of completed SAM registration (must be Active by time of quotation submission)

• A copy of your current Professional Liability Insurance

• Completed Attachment Quotation Form

Quotations shall be received by Monday, January 27, 2025 at 12:00 PM EST to g3clark@bop.gov

The solicitation will be distributed solely through the General Services Administration’s website Sam.gov. Hard copies of the solicitation document will not be available. The website provides downloading instructions. All future information about this solicitation, including solicitation amendments, will be solely distributed through this website. Interested parties are responsible for monitoring this website to ensure they have the most up-to-date information about this solicitation.

Please direct any questions to g3clark@bop.gov.

Sincerely, Gary Clark Senior Contracting Officer mailto:rbryant1@bop.gov mailto:rbryant1@bop.gov http://www.sam.gov/

15BCTS25Q00000001 Page 1 of 77

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 AND 30.

1. REQUISITION NUMBER PAGE 1 OF

5. SOLICITATION NUMBER

15BCTS25Q00000001

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

01/07/2025

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Gary Clark g3clark@bop.gov

b. TELEPHONE NUMBER (No collect calls)

(202) 598-3478

8. OFFER DUE DATE / LOCAL

TIME

01/27/2025 12:00 ET

CODE 15BCTS

Federal Bureau of Prisons

Community Treatment Services Contracting

320 First Street NW

Suite 901-5

Washington, DC 20534

9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

8(A)

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

621420

SIZE STANDARD:

$19,000,000

10. THE ACQUISITION IS

SEE SCHEDULE

11. DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER THE

DEFENSE PRIORITIES AND

ALLOCATIONS SYSTEM -

DPAS (15 CFR 700)

13b. RATING

X REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

14. METHOD OF SOLICITATION

CODE15. DELIVER TO

Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

CODE 15BCTS16. ADMINISTERED BY

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

Gary Clark

(O) (202) 598-3478 g3clark@bop.gov

FACILITY

CODE

CODE

TELEPHONE NUMBER

17a. CONTRACTOR/

OFFEROR

18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

CODE 15B100

BOP-RSD-CRBCTS-BILL-DAL-S@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 NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Delivery Date: 04/01/2025

Substance Use and Mental Health Treatment Services in Monroe, LA 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 Government Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

ARE 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: REFERENCE _____________________________

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)

Gary Clark

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

005-25

X X

15BCTS25Q00000001 Page 2 of 77

19.

ITEM NUMBER

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. 11/2021) BACK

15BCTS25Q00000001 Page 3 of 77

Table of Contents

Section Description Page Number

Solicitation/Contract Form 1 Commodity or Services Schedule 2 Contract Clauses

52.203-12 Limitation On Payments to Influence Certain Federal Transactions (Jun 2020) 52.204-12 Unique Entity Identifier Maintenance (Oct 2016) 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.242-13 Bankruptcy (July 1995) 52.253-1 Computer Generated Forms (Jan 1991)

52.203-3 Gratuities (Apr 1984) 52.242-15 Stop-Work Order (Aug 1989) 52.204-13 System for Award Management Maintenance (Oct 2018) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS

(APR 2011)

DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-03 Personnel Security Requirements For Contractor Employees (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) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) DOJ-02 Contractor Privacy Requirements (JAN 2022) DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National Emergency (OCT 2007) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Products and Commercial Services (Jan 2025)

3 List of Attachments 4 Solicitation Provisions

52.217-5 Evaluation of Options (July 1990) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.204-7 System for Award Management (Nov 2024) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023) 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006)

3.1 INSTRUCTIONS TO OFFERORS - COMMERCIAL SERVICES

2852.233-70 Protests Filed Directly with the Department of Justice (NOV 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-29 Federal Acquisition Supply Chain Security Act Orders-Representation and Disclosures (Dec 2023) 52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (May 2024)

15BCTS25Q00000001 Page 4 of 77

Section 1 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 15 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 15.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Substance Use Disorder Individual Counseling (2010)

40 Units Guaranteed Minimum; 1680 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 1,680.000000 FOB:

Delivery Address: Federal Bureau of Prisons

1,680 EA $________ $_________________

15BCTS25Q00000001 Page 5 of 77

South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Substance Use Disorder Group Counseling (2020)

240 Units Guaranteed Minimum; 2520 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 2,520.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

2,520 EA $________ $_________________

15BCTS25Q00000001 Page 6 of 77

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Mental Health Treatment Planning and Follow-up (5001)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 50.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS25Q00000001 Page 7 of 77

0010 Mental Health Intake Assessment & Report (5011)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Psychiatric Evaluation & Report (5030)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount. .

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Crisis Intervention Evaluation & Report (6000)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Mental Health Individual Counseling (6010)

48 Units Guaranteed Minimum; 1120 Units Estimated Maximum

1,120 EA $________ $_________________

15BCTS25Q00000001 Page 8 of 77

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 1,120.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 MH - Medication Monitoring & Report (6051)

6 Units Guaranteed Minimum; 70 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Base Period: 1 month through 12 months

PSC: G004

Delivery Schedule:

Quantity: 70.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

35 EA $________ $_________________

15BCTS25Q00000001 Page 9 of 77

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 15 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 15.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Substance Use Disorder Individual Counseling (2010)

40 Units Guaranteed Minimum; 1680 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 1,680.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

15BCTS25Q00000001 Page 10 of 77

South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Substance Use Disorder Group Counseling (2020)

240 Units Guaranteed Minimum; 2520 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 2,520.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive

100 EA $________ $_________________

15BCTS25Q00000001 Page 11 of 77

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Mental Health Treatment Planning and Follow-up (5001)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 50.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Mental Health Intake Assessment & Report (5011)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000001 Page 12 of 77

0026 Psychiatric Evaluation & Report (5030)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount. .

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Crisis Intervention Evaluation & Report (6000)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Mental Health Individual Counseling (6010)

48 Units Guaranteed Minimum; 1120 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 1,120.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

15BCTS25Q00000001 Page 13 of 77 amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 MH - Medication Monitoring & Report (6051)

6 Units Guaranteed Minimum; 70 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 1: 13 months through 24 months

PSC: G004

Delivery Schedule:

Quantity: 70.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 15 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

15 EA $________ $_________________

15BCTS25Q00000001 Page 14 of 77

Quantity: 15.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Substance Use Disorder Individual Counseling (2010)

40 Units Guaranteed Minimum; 1680 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 1,680.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

20 EA $________ $_________________

15BCTS25Q00000001 Page 15 of 77

South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Substance Use Disorder Group Counseling (2020)

240 Units Guaranteed Minimum; 2520 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 2,520.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Mental Health Treatment Planning and Follow-up (5001)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 50.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive

50 EA $________ $_________________

15BCTS25Q00000001 Page 16 of 77

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Mental Health Intake Assessment & Report (5011)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Psychiatric Evaluation & Report (5030)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount. .

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000001 Page 17 of 77

0042 Crisis Intervention Evaluation & Report (6000)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Mental Health Individual Counseling (6010)

48 Units Guaranteed Minimum; 1120 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 1,120.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 MH - Medication Monitoring & Report (6051)

6 Units Guaranteed Minimum; 70 Units Estimated Maximum

70 EA $________ $_________________

15BCTS25Q00000001 Page 18 of 77 amount.

Option Year 2: 25 months through 36 months

PSC: G004

Delivery Schedule:

Quantity: 70.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 15 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 15.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Substance Use Disorder Individual Counseling (2010)

40 Units Guaranteed Minimum; 1680 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

1,680 EA $________ $_________________

15BCTS25Q00000001 Page 19 of 77

Quantity: 1,680.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Substance Use Disorder Group Counseling (2020)

240 Units Guaranteed Minimum; 2520 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 2,520.000000 FOB:

2,520 EA $________ $_________________

15BCTS25Q00000001 Page 20 of 77

South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Mental Health Treatment Planning and Follow-up (5001)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 50.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive

20 EA $________ $_________________

15BCTS25Q00000001 Page 21 of 77

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Mental Health Intake Assessment & Report (5011)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Psychiatric Evaluation & Report (5030)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount. .

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Crisis Intervention Evaluation & Report (6000)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000001 Page 22 of 77

0058 Mental Health Individual Counseling (6010)

48 Units Guaranteed Minimum; 1120 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 1,120.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 MH - Medication Monitoring & Report (6051)

6 Units Guaranteed Minimum; 70 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 3: 37 months through 48 months

PSC: G004

Delivery Schedule:

Quantity: 70.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

15BCTS25Q00000001 Page 23 of 77 amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 15 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 15.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Substance Use Disorder Individual Counseling (2010)

40 Units Guaranteed Minimum; 1680 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 1,680.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,680 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

15BCTS25Q00000001 Page 24 of 77

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Substance Use Disorder Group Counseling (2020)

240 Units Guaranteed Minimum; 2520 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 2,520.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

2,520 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

15BCTS25Q00000001 Page 25 of 77

South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Mental Health Treatment Planning and Follow-up (5001)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 50.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 20 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 20.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Mental Health Intake Assessment & Report (5011)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive

15BCTS25Q00000001 Page 26 of 77

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Psychiatric Evaluation & Report (5030)

6 Units Guaranteed Minimum; 35 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount. .

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 35.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Crisis Intervention Evaluation & Report (6000)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Mental Health Individual Counseling (6010)

48 Units Guaranteed Minimum; 1120 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 1,120.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000001 Page 27 of 77

0074 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 100.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 MH - Medication Monitoring & Report (6051)

6 Units Guaranteed Minimum; 70 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Option Year 4: 49 months through 60 months

PSC: G004

Delivery Schedule:

Quantity: 70.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Substance Use Disorder Treatment Planning and Follow-up (2001)

3 Units Guaranteed Minimum; 18 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Potential 6 Month Extension

PSC: G004

Delivery Schedule:

Quantity: 18.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Substance Use Disorder Intake Screening (2005)

1 Unit Guaranteed Minimum; 8 Units Estimated Maximum

8 EA $________ $_________________

15BCTS25Q00000001 Page 28 of 77 amount.

Potential 6 Month Extension

PSC: G004

Delivery Schedule:

Quantity: 8.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Substance Use Disorder Individual Counseling (2010)

20 Units Guaranteed Minimum; 840 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Potential 6 Month Extension

PSC: G004

Delivery Schedule:

Quantity: 840.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

840 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Substance Use Disorder Intake Assessment & Report (2011)

3 Units Guaranteed Minimum; 18 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Potential 6 Month Extension

PSC: G004

Delivery Schedule:

Quantity: 18.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Co-occurring Intake Assessment & Report (2012)

1 Unit Guaranteed Minimum; 10 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Potential 6 Month Extension

10 EA $________ $_________________

15BCTS25Q00000001 Page 29 of 77

Quantity: 10.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Substance Use Disorder Group Counseling (2020)

120 Units Guaranteed Minimum; 1260 Units Estimated Maximum

Use the Estimated Maximum Quantity when developing the total amount.

Potential 6 Month Extension

PSC: G004

Delivery Schedule:

Quantity: 1,260.000000 FOB:

Delivery Address: Federal Bureau of Prisons South Central Regional Office 344 Marine Forces Drive Grand Prairie, TX 75051

1,260 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Substance…