15BCTS25Q00000013 Solicitation Garden Grove CA.pdf

023-25

Federal Bureau of Prisons Western Regional Office 7338 Shoreline Drive Stockton, CA 95219

15BCTS25Q00000013 Page 2 of 45

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

15BCTS25Q00000013 Page 3 of 45

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 Page 4 of 45

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)

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

100 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

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

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

100 EA $________ $_________________

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

50 EA $________ $_________________

15BCTS25Q00000013 Page 5 of 45

PSC: G004

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

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

100 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

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

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

75 EA $________ $_________________

15BCTS25Q00000013 Page 6 of 45

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

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

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

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

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

150 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS25Q00000013 Page 7 of 45

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

100 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

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

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

100 EA $________ $_________________

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

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.

3,600 EA $________ $_________________

15BCTS25Q00000013 Page 8 of 45

Option Year One: 13 months through 24 months

PSC: G004

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

100 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

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.

Option Year One: 13 months through 24 months

PSC: G004

50 EA $________ $_________________

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

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

15BCTS25Q00000013 Page 9 of 45

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

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

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

PSC: G004

100 EA $________ $_________________

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

150 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

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000013 Page 10 of 45

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

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

2,400 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

100 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

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

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

100 EA $________ $_________________

15BCTS25Q00000013 Page 11 of 45

Option Year Two: 25 months through 36 months

PSC: G004

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

75 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

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

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

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

10 EA $________ $_________________

15BCTS25Q00000013 Page 12 of 45

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

1,200 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 Two: 25 months through 36 months

PSC: G004

100 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

150 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

100 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

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000013 Page 13 of 45

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

2,400 EA $________ $_________________

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

100 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

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

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

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

15BCTS25Q00000013 Page 14 of 45

Option Year Three: 37 months through 48 months

PSC: G004

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

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

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

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

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.

Option Year Three: 37 months through 48 months

1,200 EA $________ $_________________

15BCTS25Q00000013 Page 15 of 45

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

100 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

150 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

100 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

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

2,400 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000013 Page 16 of 45

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

100 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

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

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

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

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

50 EA $________ $_________________

15BCTS25Q00000013 Page 17 of 45

Option Year Four: 49 months through 60 months

PSC: G004

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

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

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

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

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

100 EA $________ $_________________

15BCTS25Q00000013 Page 18 of 45

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

150 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

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

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

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

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS25Q00000013 Page 19 of 45

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

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

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

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

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

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

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

38 EA $________ $_________________

15BCTS25Q00000013 Page 20 of 45

Potential Six Month Extension

PSC: G004

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

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

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

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

600 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

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

15BCTS25Q00000013 Page 21 of 45

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)

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

15BCTS25Q00000013 Page 22 of 45

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.

"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.

15BCTS25Q00000013 Page 23 of 45

(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.

(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)

15BCTS25Q00000013 Page 24 of 45

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 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 cancellation or material change adversely affecting the Government's interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If, during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.

15BCTS25Q00000013 Page 25 of 45

* Contracting Officer insert the dollar value(s) of standard coverage(s) prevailing within the local community as to the specific medical specialty, or specialties, concerned, or such higher amount as the Contracting Officer deems necessary to protect the Government's interests.

(End of clause)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR 2011)

The services, although not directly supervised, shall be reviewed by Federal Bureau of Prisons (BOP) staff to ensure contract compliance. The contractor's performance will be evaluated in accordance with FAR 42.15. Contract monitoring reports will be prepared by the Contacting Officer's Representative (COR) and maintained in the contract file.

In accordance with FAR 42.1502 and 42.1503, agencies shall prepare an evaluation of contractor performance and submit it to the Past Performance Information Retrieval System (PPIRS). The BOP utilizes the Department of Defense (DOD) web-based Contractor Performance Assessment Reporting System (CPARS) to provide contractor performance evaluations. The contractor shall provide and maintain a current e-mail address throughout the life of the contract. The contractor will receive an e-mail from the Focal Point thru the following website address webptsmh@navy.milwhen the contract is registered in CPARS. The e-mail will contain a "user ID" and temporary password to register in the CPARS system. The contractor must be registered to access and review its evaluation and/or provide a response. If assistance is required when registering, please contact the Contracting Staff/Focal Point.

(End of Clause)

DOJ-01 Whistleblower Information Distribution (Oct 2021)

Within 30 days of contract award, the contractor and its subcontractors must distribute the “Whistleblower Information for Employees of DOJ Contractors, Subcontractors, Grantees, or Sub-Grantees or Personal Services Contractors” (“Whistleblower Information”) document to their employees performing work in support of the products and services delivered under this contract (https://oig.justice.gov/sites/default/files/2020-04/NDAA-brochure.pdf). By agreeing to the terms and conditions of this contract, the prime contractor acknowledges receipt of this requirement, in accordance with 41 U.S.C. § 4712 and FAR

3.906 & 52.203-17, and commits to distribution. Within 45 days of award, the contractor must provide confirmation to the contracting officer verifying that it has distributed the whistleblower information as required.

(End of Clause)

DOJ-02 Contractor Privacy Requirements (JAN 2022)

A. Limiting Access to Privacy Act and Other Sensitive Information

(1) Privacy Act Information

In accordance with FAR 52.224-1 Privacy Act Notification (APR 1984) and FAR 52.224-2 Privacy Act (APR 1984), if this contract requires Contractor personnel to have access to information protected by the Privacy Act of 1974, the contractor is advised that the relevant DOJ system of records notices (SORNs) applicable to this Privacy Act information may be found at https://www.justice.gov/opcl/doj-systems-records.[1] Applicable SORNs published by other agencies may be accessed through those agencies’ websites or by searching the Federal Digital System (FDsys) available at http://www.gpo.gov/fdsys/. SORNs may be updated at any time.

(2) Prohibition on Performing Work Outside a Government Facility/Network/Equipment

Except where use of Contractor networks, IT, other equipment, or Workplace as a Service (WaaS) is specifically authorized within this contract, the Contractor shall perform all tasks on authorized Government networks, using Government-furnished IT and other equipment and/or WaaS and Government information shall remain within the confines of authorized Government networks at all times. Any handling of Government information on Contractor networks or IT must be approved by the Senior Component Official for Privacy of the component entering into this contract.