signed Amendment 3 15BCTS25Q00000013.pdf
PDF 341 KB Posted
- Attached to
- SU/MH in Garden Grove, CA Federal contract opportunity
- Solicitation number
- 15BCTS25Q00000013
About this file
This is an Amendment of Solicitation for Community Treatment Services issued by the Federal Bureau of Prisons (BOP), specifically for Mental Health, Substance Use, and Sex Offender treatment services for male and female offenders in Phoenix, AZ. The solicitation (15BCTS25Q00000013) is an Indefinite Delivery, Indefinite Quantity (IDIQ) contract with Firm-Fixed unit prices, Amendment 0003 extending the solicitation response date to September 29, 2025 at 2:00 PM Eastern Time.
The solicitation covers a comprehensive range of treatment services including Substance Use Disorder and Mental Health treatment planning, intake screenings, individual and group counseling, assessments, psychiatric evaluations, crisis interventions, and medication monitoring. The contract includes a base period and four option years, with guaranteed minimum and estimated maximum quantities for each service type. Offerors must submit electronic quotes via email with specific file attachments, including completed forms, SAM registration proof, professional liability insurance, and technical/business quotation packets. Quotes must be submitted to the Contracting Officer, Lisa Schwinge, at lschwinge@bop.gov, with a 180-day acceptance period.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| signed Amendment 2 15BCTS25Q00000013.pdf | ||
| Responses Questions for 15BCTS25Q00000013 (2).pdf | ||
| Responses Questions for 15BCTS25Q00000013 (1).pdf | ||
| signed Amendment 1 15BCTS25Q00000013.pdf | ||
| Corrected Section 2.1, Continuation SF1449 Garden Grove CA.pdf | ||
| 2022 Statement of Work.pdf | ||
| Technical Quotation Information Packet Phoenix AZ.docx | DOCX document | |
| Whistleblower Information 1 2.pdf | ||
| Cover Letter Garden Grove CA.pdf | ||
| 15BCTS25Q00000013 Solicitation Garden Grove CA.pdf | ||
| Section 2.1, Continuation SF1449 Garden Grove CA.pdf | ||
| FBOP ATU Vendor Attestation (FINAL) 1.docx | DOCX document | |
| FAR Clause 52.212-5 (JAN 2025) (DEVIATION FEB 2025).pdf | ||
| Business Quotation Information Packet.pdf | ||
| FAR Clause 52.212-3 (MAY 2024) (DEVIATION FEB 2025).pdf | ||
| Attachment Quotation Form.xlsx | XLSX spreadsheet |
Show all 16
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Text version
15BCTS25Q00000013/0003 Page 1 of 44
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE PAGE OF PAGES
1 44
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
09/18/2025
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
Lisa Schwinge
(O) 856-453-4143 lschwinge@bop.gov
6. ISSUED BY CODE7. ADMINISTERED BY (If other than Item 6)
9A. AMENDMENT OF SOLICITATION NUMBER
15BCTS25Q00000013
CODE FACILITY CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)
X 9B. DATED (SEE ITEM 11)
08/15/2025
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 extend the solicitation response date until September 29, 2025
THIS AMENDMENT EXTENDS THE SOLICITATION CLOSING DATE/TIME TO: 09/29/2025 - 14:00 ET US/Eastern
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
Lisa Schwinge 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
15BCTS25Q00000013/0003 Page 2 of 44
Table of Contents
Section Description Page Number
Solicitation/Contract Form 1 Commodity or Services Schedule 2 Contract Clauses
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) 52.212-4 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) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.242-13 Bankruptcy (July 1995) 52.242-15 Stop-Work Order (Aug 1989) 52.253-1 Computer Generated Forms (Jan 1991) 52.252-6 Authorized Deviations in Clauses (Nov 2020) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021) 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)
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) 52.217-5 Evaluation of Options (July 1990) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 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)
15BCTS25Q00000013/0003 Page 3 of 44
Section 1 - Commodity or Services Schedule
Substance Use and Mental Health Treatment Services in Garden Grove, CA
Firm Fixed Price
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)
25 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
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Substance Use Disorder Intake Screening (2005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Substance Use Disorder Individual Counseling (2010)
240 Units Guaranteed Minimum; 2400 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Substance Use Disorder Intake Assessment & Report (2011)
25 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
Previous :
Change: 0
Current :
EA $________ $_________________
15BCTS25Q00000013/0003 Page 4 of 44
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0005 Co-occurring Intake Assessment & Report (2012)
5 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0006 Substance Use Disorder Group Counseling (2020)
300 Units Guaranteed Minimum; 3600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
3,600
Change: 0
Current :
3,600
EA $________ $_________________
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
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Mental Health Treatment Planning and Follow-up (5001)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Mental Health Intake Screening (5005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 50
15BCTS25Q00000013/0003 Page 5 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Mental Health Intake Assessment & Report (5011)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Psychiatric Evaluation & Report (5030)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current : 75
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
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Mental Health Individual Counseling (6010)
240 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
EA $________ $_________________
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
Previous :
Change: 0
Current :
15BCTS25Q00000013/0003 Page 6 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 MH- Medication Monitoring & Reporting (6051)
15 Units Guaranteed Minimum; 150 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Base Period: 1 month through 12 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 Substance Use Disorder Treatment Planning and Follow-up (2001)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Substance Use Disorder Intake Screening (2005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Substance Use Disorder Individual Counseling (2010)
240 Units Guaranteed Minimum; 2400 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0019 Substance Use Disorder Intake Assessment & Report (2011)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
15BCTS25Q00000013/0003 Page 7 of 44
Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Co-occurring Intake Assessment & Report (2012)
5 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Substance Use Disorder Group Counseling (2020)
300 Units Guaranteed Minimum; 3600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
3,600
Change: 0
Current :
3,600
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 One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0023 Mental Health Treatment Planning and Follow-up (5001)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Mental Health Intake Screening (5005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Previous :
15BCTS25Q00000013/0003 Page 8 of 44
Option Year One: 13 months through 24 months
PSC: G004
Change: 0
Current : 50
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Mental Health Intake Assessment & Report (5011)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Psychiatric Evaluation & Report (5030)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 75
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 One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Mental Health Individual Counseling (6010)
240 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
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
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
Previous :
15BCTS25Q00000013/0003 Page 9 of 44
PSC: G004 Current :
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 MH- Medication Monitoring & Reporting (6051)
15 Units Guaranteed Minimum; 150 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year One: 13 months through 24 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0031 Substance Use Disorder Treatment Planning and Follow-up (2001)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0032 Substance Use Disorder Intake Screening (2005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0033 Substance Use Disorder Individual Counseling (2010)
240 Units Guaranteed Minimum; 2400 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS25Q00000013/0003 Page 10 of 44
0034 Substance Use Disorder Intake Assessment & Report (2011)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0035 Co-occurring Intake Assessment & Report (2012)
5 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0036 Substance Use Disorder Group Counseling (2020)
300 Units Guaranteed Minimum; 3600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
3,600
Change: 0
Current :
3,600
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 Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 Mental Health Treatment Planning and Follow-up (5001)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 75
15BCTS25Q00000013/0003 Page 11 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Mental Health Intake Screening (5005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0040 Mental Health Intake Assessment & Report (5011)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Psychiatric Evaluation & Report (5030)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
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 Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Mental Health Individual Counseling (6010)
240 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
15BCTS25Q00000013/0003 Page 12 of 44
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 Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 MH- Medication Monitoring & Reporting (6051)
15 Units Guaranteed Minimum; 150 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Two: 25 months through 36 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Substance Use Disorder Treatment Planning and Follow-up (2001)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Substance Use Disorder Intake Screening (2005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0048 Substance Use Disorder Individual Counseling (2010)
240 Units Guaranteed Minimum; 2400 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
2,400
15BCTS25Q00000013/0003 Page 13 of 44
Current :
2,400
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Substance Use Disorder Intake Assessment & Report (2011)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Co-occurring Intake Assessment & Report (2012)
5 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Substance Use Disorder Group Counseling (2020)
300 Units Guaranteed Minimum; 3600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
3,600
Change: 0
Current :
3,600
EA $________ $_________________
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 Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS25Q00000013/0003 Page 14 of 44
0053 Mental Health Treatment Planning and Follow-up (5001)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Mental Health Intake Screening (5005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Mental Health Intake Assessment & Report (5011)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Psychiatric Evaluation & Report (5030)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 75
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 Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Mental Health Individual Counseling (6010)
240 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Previous :
1,200
15BCTS25Q00000013/0003 Page 15 of 44
Option Year Three: 37 months through 48 months
PSC: G004
Change: 0
Current :
1,200
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 Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 MH- Medication Monitoring & Reporting (6051)
15 Units Guaranteed Minimum; 150 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Three: 37 months through 48 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Substance Use Disorder Treatment Planning and Follow-up (2001)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0062 Substance Use Disorder Intake Screening (2005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS25Q00000013/0003 Page 16 of 44
0063 Substance Use Disorder Individual Counseling (2010)
240 Units Guaranteed Minimum; 2400 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
2,400
Change: 0
Current :
2,400
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0064 Substance Use Disorder Intake Assessment & Report (2011)
25 Units Guaranteed Minimum; 100 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Co-occurring Intake Assessment & Report (2012)
5 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Substance Use Disorder Group Counseling (2020)
300 Units Guaranteed Minimum; 3600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
3,600
Change: 0
Current :
3,600
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 Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
15BCTS25Q00000013/0003 Page 17 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Mental Health Treatment Planning and Follow-up (5001)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Mental Health Intake Screening (5005)
10 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Mental Health Intake Assessment & Report (5011)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Psychiatric Evaluation & Report (5030)
15 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 75
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 Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current : 10
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS25Q00000013/0003 Page 18 of 44
0073 Mental Health Individual Counseling (6010)
240 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
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 Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0075 MH- Medication Monitoring & Reporting (6051)
15 Units Guaranteed Minimum; 150 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Option Year Four: 49 months through 60 months
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Substance Use Disorder Treatment Planning and Follow-up (2001)
13 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0077 Substance Use Disorder Intake Screening (2005)
5 Units Guaranteed Minimum; 25 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 25
15BCTS25Q00000013/0003 Page 19 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Substance Use Disorder Individual Counseling (2010)
120 Units Guaranteed Minimum; 1200 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
1,200
Change: 0
Current :
1,200
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Substance Use Disorder Intake Assessment & Report (2011)
13 Units Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0080 Co-occurring Intake Assessment & Report (2012)
3 Units Guaranteed Minimum; 25 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Substance Use Disorder Group Counseling (2020)
150 Units Guaranteed Minimum; 1800 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
1,800
Change: 0
Current :
1,800
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0082 Substance Use Disorder Relationship and Parenting Counseling (2030)
1 Unit Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 50
15BCTS25Q00000013/0003 Page 20 of 44
QUANTITY
UNIT UNIT PRICE AMOUNT
0083 Mental Health Treatment Planning and Follow-up (5001)
8 Units Guaranteed Minimum; 38 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 38
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Mental Health Intake Screening (5005)
5 Units Guaranteed Minimum; 25 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 25
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Mental Health Intake Assessment & Report (5011)
8 Units Guaranteed Minimum; 38 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 38
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Psychiatric Evaluation & Report (5030)
8 Units Guaranteed Minimum; 38 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 38
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Crisis Intervention Evaluation & Report (6000)
1 Unit Guaranteed Minimum; 5 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous : 5
Change: 0
Current : 5
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS25Q00000013/0003 Page 21 of 44
0088 Mental Health Individual Counseling (6010)
120 Units Guaranteed Minimum; 600 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current :
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Mental Health Relationship and Parenting Counseling (6031)
1 Unit Guaranteed Minimum; 50 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 50
EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 MH- Medication Monitoring & Reporting (6051)
8 Units Guaranteed Minimum; 75 Units Estimated Maximum
Use the Estimated Maximum Quantity when developing the total amount.
Potential Six Month Extension
PSC: G004
Previous :
Change: 0
Current : 75
EA $________ $_________________
Section 2 - Contract Clauses
A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023)
The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.
Clauses By Reference
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov
Clause Title Fill-ins (if applicable)
52.203-3 Gratuities (Apr 1984)
15BCTS25Q00000013/0003 Page 22 of 44
Clause Title Fill-ins (if applicable)
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)
52.212-4 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)
52.232-40 Providing Accelerated Payments to Small Business
Subcontractors (Mar 2023)
52.242-13 Bankruptcy (July 1995)
52.242-15 Stop-Work Order (Aug 1989)
52.253-1 Computer Generated Forms (Jan 1991)
52.252-6 Authorized Deviations in Clauses (Nov 2020)
Clauses By Full Text
52.21-603-70 Contracting Officer's Representative (COR) (June 2012)
(a)Tiffany Olivi Lead COR, Miriam Guzman, Derrick Hendley, Leissa Horiuchi, David Magarin, Lei Zhang ,Los Angeles Field Office , [Location],(202) 598-5783, (202)598-6482, (202) 598-1703, (202) 740-3180, (717) 245-4539, (202) 494-8229, (202) 598-9349, is hereby designated as the Contracting Officer's Representative (COR) under this contract.
(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.
(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.
52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021)
(a) Definitions. As used in this clause--
"Covered contractor information system" means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.
15BCTS25Q00000013/0003 Page 23 of 44
"Federal contract information" means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public Web sites) or simple transactional information, such as necessary to process payments.
"Information" means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction (CNSSI) 4009).
"Information system" means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).
"Safeguarding" means measures or controls that are prescribed to protect information systems.
(b) Safeguarding requirements and procedures.
(1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:
(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).
(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.
(iii) Verify and control/limit connections to and use of external information systems.
(iv) Control information posted or processed on publicly accessible information systems.
(v) Identify information system users, processes acting on behalf of users, or devices.
(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.
(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.
(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.
(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.
(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.
(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.
(xii) Identify, report, and correct information and information system flaws in a timely manner.
(xiii) Provide protection from malicious code at appropriate locations within organizational information systems.
(xiv) Update malicious code protection mechanisms when new releases are available.
(xv) Perform periodic scans of the information system and real-time scans of files from external sources as files are downloaded, opened, or executed.
15BCTS25Q00000013/0003 Page 24 of 44
(2) Other requirements. This clause does not relieve the Contractor of any other specific safeguarding requirements specified by Federal agencies and departments relating to covered contractor information systems generally or other Federal safeguarding requirements for controlled unclassified information (CUI) as established by Executive Order 13556.
(c) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (c), in subcontracts under this contract (including subcontracts for the acquisition of commercial products or commercial services, other than commercially available off-the-shelf items), in which the subcontractor may have Federal contract information residing in or transiting through its information system.
(End of clause)
52.217-8 Option to Extend Services (Nov 1999)
The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within the current contract's performance period. [insert the period of time within which the Contracting Officer may exercise the option].
(End of clause)
52.217-9 Option to Extend the Term of the Contract (Mar 2000)
(a) The Government may extend the term of this contract by written notice to the Contractor within 60 [insert the period of time within which the Contracting Officer may exercise the option]; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days [60 days unless a different number of days is inserted] before the contract expires. The preliminary notice does not commit the Government to an extension.
(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.
(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 6 months, 5 years (months)(years).
(End of clause)
52.232-18 Availability of Funds (Apr 1984)
Funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.
(End of clause)
52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984)
Funds are not presently available for performance under this contract beyond September 30th of the base year or any option year exercised. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond September 30th of the base year or any option year exercised, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.
(End of clause)
52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)
(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity
15BCTS25Q00000013/0003 Page 25 of 44 as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: *$1 million.
(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.
(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.
(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer.
(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any…
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