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Mental Health Services for Blackwell Job Corps Center
Solicitation number
AG-82A7-S-12-0085
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Continuation of SF1449 - Schedule of Services etc.

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ATTACHMENT TO SF 1449 - SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL

| PAGE OF PAGES

ITEMS (AG-82A7-S-12-0085)

IN REFERENCE TO Contract Terms and Conditions | 3 | 37

TABLE OF CONTENTS

PART CONTENTS PAGE

I

STANDARD FORM (SF) 1449

1-6

Continuation of SF 1449

II

CONTRACT CLAUSES

7-12 FAR 52.212-4, Contract Terms and Conditions -

Commercial Items

Addendum to FAR 52.212-4

FAR 52.212-5, Contract Terms and Conditions Required to

Implement Statutes and Executive Orders

III

CONTRACT DOCUMENTS, EXHIBITS, AND ATTACHMENTS

16-25 Scope of Work / Performance Work Statement

Special Contract Requirements

Exhibit 1 -- U.S. Dept of Labor Wage Determination Exhibit 2 -- Quality Assurance Surveillance Plan

IV

SOLICITATION PROVISIONS

26-37 FAR 52.212-1, Instructions to Offerors – Commercial Items

FAR 52.212-2, Evaluation – Commercial Items

FAR 52.212-3, Offerors Representations & Certifications --

Commercial Items

Addendum to FAR 52.212-1

(Includes proposal submission instructions)

CONTINUATION OF STANDARD FORM 1449

1.

Continuation of Block 17b:

Remittance Address: When the Contractor wishes payments to be mailed to an address other than that shown in block 17a of the Standard Form 1449, the Contractor shall insert the remittance address below:

2.

Continuation of Blocks 19 through 24 (Schedule of Services):

BASIC SERVICES – See Special Contract Requirements, and Exhibits 1 & 2. Provide all management, supervision, labor, supplies, materials, and equipment (except as otherwise specified herein); and plan, schedule, and coordinate as necessary to ensure effective performance of all services as specified herein. The Contractor shall be fully responsible for providing Mental Health Services as indicated herein for the location listed below:

Blackwell Job Corps Center 4155 County Hwy H Laona, WI 54541 Prices for all years shall be based on the Wage Determination in Exhibit 1. Offerors shall not include any contingencies for increased labor costs for which adjustments are provided through FAR 52.222-43 or FAR 52.222-44, Fair Labor Standards Act and Service Contract Act -- Price Adjustment clause.

Contractor personnel will perform all work required in the Performance Work Statement (PWS) for the amounts agreed to below, specific days and hours of duty are provided in the Performance Work Statement (Part III) and shall be agreed to through coordination with Center personnel.

When Contractor personnel are on vacation, sick leave, or any other leave, a qualified substitute replacement shall be provided by the Contractor in accordance with the PWS.

A detailed breakdown of the proposed prices may be requested for evaluation purposes.

19.

ITEM NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

TOTAL AMT

BASE YEAR SERVICES – 8/01/2012 to 7/31/2013

001
Mental Health Services
480 Est.
Hours
$
$____________

19.

ITEM NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR I SERVICES – 8/01/2013 to 7/31/2014

101
Mental Health Services
480 Est.
Hours
$
$___________

19.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR 2 SERVICES – 8/01/2014 to 7/31/2015

201
Mental Health Services
480 Est.
Hours
$
$___________

19.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR 3 SERVICES – 8/01/2015 to 7/31/2016

301
Mental Health Services
480 Est.
Hours
$
$___________

19.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR 4 SERVICES – 8/01/2016 to 7/31/2017

401
Mental Health Services
480 Est.
Hours
$
$___________

PART II -- CONTRACT CLAUSES

FAR 52.212-4 CONTRACT TERMS AND CONDITIONS -- COMMERCIAL ITEMS (FEB 2012) (TAILORED) (As stated in Block 27 of the SF 1449, this clause is Incorporated By Reference; however, in accordance with FAR 12.302, the following paragraphs of this clause have been tailored, all other paragraphs remain unchanged.)

(c) Changes (tailored). Changes in the terms and conditions of this contract may be made only by written agreement of the parties. NOTE: Modifications to exercise option years are issued unilaterally, as it’s at the Government’s sole discretion to invoke additional performance periods.

ADDENDUM TO FAR 52.212-4

1.

FAR 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 these addresses:

https://www.acquisition.gov/far & http://www.dm.usda.gov/procurement/policy/agar.html

52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011

52.217-8 Option to Extend Services

30 calendar days prior to contract expiration date Nov 1999

52.228-5 Insurance -- Work on a Government Installation Jan 1997

52.237-7 Indemnification and Medical Liability Insurance Jan 1997

AGAR

452.204-71 Personal Identity Verification of Contractor Personnel Oct 2007

452.224-70 Confidentiality of Information Feb 1988

452.228-71 Insurance Coverage (see clause for specific coverage’s) Nov 1996

2.

FAR 52.216-1 Type Of Contract (Apr 1984) The Government contemplates award of a fixed price contract resulting from this solicitation.

3.

FAR 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 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days 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 5 years and 6 months.

4.

Key Personnel (Feb 1988)

(a) The Contractor shall assign to this contract the following key personnel: Mental Health Consultant.

(b) During the first ninety (90) days of performance, the Contractor shall make no substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

(c) The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes should have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on substitutions. The contract will be modified to reflect any approved changes of key personnel.

5.

Restrictions Against Disclosure (Feb 1988)

(a) The Contractor agrees, in the performance of this contract, to keep all information contained in source documents or other media furnished by the Government in the strictest confidence. The Contractor also agrees not to publish or otherwise divulge such information in whole or in part in any manner or form, or to authorize or permit others to do so, taking such reasonable measures as are necessary to restrict access to such information while in the Contractor's possession, to those employees needing such information to perform the work provided herein, i.e., on a "need to know" basis. The Contractor agrees to immediately notify in writing, the Contracting Officer, named herein, in the event that the Contractor determines or has reason to suspect a breach of this requirement.

(b) The Contractor agrees not to disclose any information concerning the work under this contract to any persons or individual unless prior written approval is obtained from the Contracting Officer. The Contractor agrees to insert the substance of this clause in any consultant agreement or subcontract hereunder.

3.

Term Of Contract: Performance of the work requirements under this contract is expected to begin on August 1, 2012, and continue through July 31, 2013, with four (4) 12-month option periods.

4.

Reporting Alleged Child Abuse:

Pursuant to the spirit and requirements of P.L. 101-647, Section 225 and 226, the following applies:

Any employee or representative of the Contractor who becomes aware of allegations that a child in the program covered by this contract is (a) a victim of a crime of physical abuse, sex abuse, or exploitation; or (b) a witness to a crime committed against another person; shall make a report of the suspected abuse to the Contracting Officer’s Representative within 24 hours. The initial report shall be made by phone and shall be followed-up in writing, providing salient points of the allegations.

When such allegations about a contractor employee occur as covered by this clause, the Contractor employee who is the subject of the allegations will immediately be required to vacate the work site and will be replaced by another contactor employee. The subject employee will remain away from the work site until an investigation is completed. The Government will not incur additional costs by the Contractor who must provide a replacement employee.

The Contractor shall limit disclosure of documents concerning alleged child abuse to the persons who by reason of their participation in the proceeding have reason to know such information.

Any conviction of a sex crime, an offense involving a child victim or drug felony, will be grounds for denying employment or for dismissal of an employee in any position-serving children. Conviction of a crime other than a sex crime may be considered if it bears on an individual’s fitness to have responsibility for the safety and well-being of children. The consideration of another crime bearing on an individual’s fitness will be mutually agreed upon between the NTC and agency involved.

FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders – Commercial Items (May 2012)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or executive orders applicable to acquisitions of commercial items:

(1) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)).

____ Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(2) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated into this contract by reference to implement provisions of law or Executive Orders applicable to acquisitions of commercial items:

X (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 253g and 10 U.S.C. 2402).

(2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

(3) 52.203-15, Whistleblower Protections under the American Recovery & Investment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery & Reinvestment Act of 2009).

X (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Feb 2012) (Pub. L. 109-282) (31 U.S.C. 6101 note).

(5) 52.204-11, American Recovery & Reinvestment Act – Reporting Requirements (Jul 2012) (Pub. L. 109-282)(31 U.S.C. 6101 note)

X (6) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Dec 2010) (31 U.S.C. 6101 note).

(7) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Feb 2012) (41 U.S.C. 2313).

X (8) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (section 740 of Division C of Pub. L. 111-117, section 743 of Division D of Pub. L. 111-8, and section 745 of Division D of Pub. L. 110-161).

(9) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a).

X (10) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Jan 2011) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

(11) [Reserved]

(12)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C. 644).

(ii) Alternate I (Nov 2011) of 52.219-6.

(iii) Alternate II (Nov 2011) of 52.219-6.

(13)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

Alternate I (Oct 1995) of 52.219-7.

(iii) Alternate II (Mar 2004) of 52.219-7.

X (14) 52.219-8, Utilization of Small Business Concerns (Jan 2011) (15 U.S.C. 637(d)(2) and (3)).

(15)(i) 52.219-9, Small Business Subcontracting Plan (Jan 2011) (15 U.S.C. 637(d)(4)).

Alternate I (Oct 2001) of 52.219-9.

(iii) Alternate II (Oct 2001) of 52.219-9.

(iv) Alternate III (Jul 2010) of 52.219-9.

(16) 52.219-13, Notice of Set-Aside of Orders (Nov 2011)(15 U.S.C. 644(r)).

(17) 52.219-14, Limitations on Subcontracting (Nov 2011)(15 U.S.C. 637(a)(14)).

(18) 52.219-16, Liquidated Damages – Subcontracting Plan (Jan 1999)(15 U.S.C. 637(d)(4)(F)(i)).

(19)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (Oct 2008)(10 U.S.C. 2323) (if offeror elects to waive the adjustment, it shall so indicate in its offer).

Alternate I (June 2003) to 52.219-23.

(20) 52.219-25, Small Disadvantaged Business Participation Program – Disadvantaged Status and Reporting (Dec 2010)(Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

(21) 52.219-26, Small Disadvantaged Business Participation Program – Incentive Subcontracting (Oct 2000)(Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

(22) 52.219-27, Notice of Service-Disabled Verteran-Owned Small Business Set-Aside (Nov 2011)(15 U.S.C. 657(f)).

X (23) 52.219-28, Post Award Small Business Program Rerepresentation (Apr 2012)(15 U.S.C. 632(a)(2)).

(24) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (Apr 2012)(15 U.S.C. 637(m)).

(25) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the WOSB Program (Apr 2012)(15 U.S.C. 637(m)).

X (26) 52.222-3, Convict Labor (June 2003)(E.O. 11755).

X (27) 52.222-19, Child Labor – Cooperation with Authorities and Remedies (Mar 2012)(E.O. 13126).

X (28) 52.222-21, Prohibition of Segregated Facilities (Feb 1999).

X (29) 52.222-26, Equal Opportunity (Mar 2007)(E.O. 11246).

X (30) 52.222-35, Equal Opportunity for Veterans (Sep 2010) (38 U.S.C. 4212).

X (31) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010)(29 U.S.C. 793).

X (32) 52.222.37, Employment Reports on Veterans (Sep 2010) (38 U.S.C. 4212).

X (33) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

X (34) 52.222-54, Employment Eligibility Verification (Jan 2009) (E.O. 12989) (not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803).

(35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008)(42 U.S.C. 6962(c)(3)(A)(ii)) (not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803).

Alternate I (May 2008) of 52.223-9 (not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803).

(36) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b).

(37)(i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (Dec 2007)(E.O. 13423).

Alternate I (Dec 2007) of 52.223-16.

X (38) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O. 13513).

(39) 52.225-1, Buy American Act – Supplies (Feb 2009)(41 U.S.C. 10a – 10d).

(40)(i) 52.225-3, Buy American Act – Free Trade Agreement – Israeli Trade Act (Mar 2012)(41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, Pub. L. 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, and Pub. L. 112-41).

Alternate I (Mar 2012) of 52.225-3.

Alternate II (Mar 2012) of 52.225-3.

(iv) Alternate III (Mar 2012) of 52.225-3.

(41) 52.225-5, Trade Agreements (Mar 2012)(19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

X (42) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008)(E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

(43) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007)(42.U.S.C. 5150).

(44) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007)(42.U.S.C. 5150).

(45) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002)(42 U.S.C. 255(f), 10 U.S.C. 2307(f)).

(46) 52.232-30, Installment Payments for Commercial Items (Oct 1995)(41 U.S.C. 255(f), 10 U.S.C. 2307(f)).

X (47) 52.232-33, Payment by Electronic Funds Transfer – Central Contractor Registration (Oct 2003)(31 U.S.C. 3332).

(48) 52.232-34, Payment by Electronic Funds Transfer – Other than Central Contractor Registration (May 1999) (31 U.S.C. 3332).

(49) 52.232-36, Payment by Third Party (Feb 2010)(31 U.S.C. 3332).

(50) 52.239-1, Privacy or Security Safeguards (Aug 1996)(5 U.S.C. 552a).

(51)(I) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006)(46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

Alternate I (Apr 2003) of 52.247-64.

(c) The contractor shall to comply with the FAR clauses in this paragraph (c), applicable to commercial services, which the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive Orders applicable to acquisitions of commercial items:

X (1) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

X (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 1989)(29 U.S.C. 206 and 41 U.S.C. 351, et seq.).**

X

52.222-43, Fair Labor Standards Act and Service Contract Act -- Price Adjustment (Multiple Year and Option Contracts) (Sep 2009)(29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

52.222-44, Fair Labor Standards Act and Service Contract Act -- Price Adjustment (Sep 2009)(29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment -- Requirements (Nov 2007)(41 U.S.C. 351, et seq.).

(6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services -- Requirements (Feb 2009)(41 U.S.C. 351, et seq.).

(7) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009)(Pub.L. 110-247).

52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008)(31 U.S.C. 5112(p)(1)).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records -- Negotiation.

The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e)(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), or (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those this paragraph (e)(1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clauses – (i) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010)(Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note).

(ii) 52.219-8, Utilization of Small Business Concerns (Dec 2010)(15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) [Reserved]

(iv) 52.222-26, Equal Opportunity (Mar 2007)(E.O. 11246).

(v) 52.222-35, Equal Opportunity for Veterans (Sep 2010) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010)(29 U.S.C. 793).

(vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

(ix) 52.222-50, Combating Trafficking in Persons (Feb 2009) (41 U.S.C. 351, et seq.).

Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment -- Requirements (Nov 2007)(41 U.S.C. 351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services -- Requirements (Feb 2009)(41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment Eligibility Verification (Jan 2009).

(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009)(Pub.L. 110-247). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006)(46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

PART III -- CONTRACT DOCUMENTS, EXHIBITS

AND ATTACHMENTS

SCOPE OF WORK

1.

INTRODUCTION:

Blackwell Job Corps Civilian Conservation Center (“the Center”) is a residential, educational and vocational training facility for students 16 to 25 years of age. The mission of the Center is to provide academic, vocational and life learning skills to at-risk youths. The primary purpose of this project is the establishment of Mental Health Services at the Blackwell Center.

2.

BACKGROUND:

Job Corps is a U.S. Department of Labor, Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need, and can benefit from, the wide range of services provided at a Job Corps Center. Through its Centers, Job Corps offers academic, vocational and life skills training using a unique approach of competency-based and individualized instruction. Services include basic education; High School Diploma (HSD) program; General Education Development (GED) program; vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen.

Approximately 205 students live full-time at the Blackwell Job Corps CCC. The students attend classes at the Center. The Center has classroom facilities, hands on trade education, a cafeteria, health services, recreational facilities, and dormitories.

Because Job Corps is a self-paced program, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately nine months. An optional third year is granted to students who qualify for advanced training. Upon completion of the program, students are better prepared to obtain meaningful employment or further their education through Job Corps sponsored Advanced Career Training (ACT) or college. Career transition services are provided to all students separating from Job Corps.

Student Eligibility: Applicants must meet the following criteria to participate in Job Corps:

· Each applicant must be at least 16 years of age and not yet 25 years of age; and

· Each applicant must be a U.S. citizen, a U.S. National, a lawfully admitted permanent alien, refugee, or other alien who has been authorized by the U.S Attorney General to work in the United States.

3.

REQUIREMENT:

This solicitation is for Mental Health Services at the Blackwell Job Corps Center, the Center Mental Health Consultant shall provide non-personal professional mental health services to the students at Blackwell Job Corps. The goal is to assist students in attaining and maintaining optimal mental health by providing basic on-center mental health services to include promotion, prevention, assessment, intervention, limited treatment and follow-up care.

Contractor personnel shall not be scheduled to work on the following Government holidays:

New Year’s Day

Martin Luther King Junior’s Birthday

President’s Day

Memorial Day Independence Day

Labor Day

Columbus Day

Veteran’s Day

Thanksgiving Day

Christmas Day The Center Mental Health Consultant shall provide a minimum of 8 hours weekly and a maximum of 10 hours weekly, on center, travel time excluded. The days and block times will be negotiated at time of contract award.

The schedule is flexible and the total hours may vary between the minimum and the maximum according to the work performed. Additional days or a change in work schedule must be agreed upon by the Contractor and the Contracting Officer, with the Contractor requesting such approval 24 hours in advance for cancellation of services or changes thereof, and the request must be submitted to the Contracting Officer through the Contracting Officer’s Representative for approval.

The Center Mental Health Consultant shall partake in a 1 hour monthly conference call.

Mental Health care shall be performed primarily at the Center. The Center Mental Health Consultant may be required to come to the Center for crisis intervention. Emergency mental health treatment is neither a part, nor covered under this contract and must be billed separately.

The Contracting Officer’s Representative will provide the Mental Health Consultant with a list of students needing Mental Health Services, with a predetermined appointment time.

The Mental Health Consultant shall coordinate with the Contracting Officer’s Representative to prepare a monthly/quarterly schedule for staff-oriented training and staff meetings. Such training may require altering the work schedule to accommodate the evening staff’s work schedule.

In addition, the Center is closed for approximately 4 weeks, during the year, for summer and winter recess. The Contracting Officer’s Representative will provide the Contractor with the Center calendar for planning purposes.

The Contractor shall adhere to all applicable laws, regulations, policies, procedures and guidelines and shall make no public statements concerning Job Corps students or Job Corps activities without prior written approval of the Center Director or their designated representative.

4.

QUALIFICATIONS/SKILLS OF CONTRACT EMPLOYEES:

The Center Mental Health Consultant including his/her substitute(s) shall be fully licensed, certified or accredited by the State of Wisconsin as a Professional Psychiatrist, Psychologist, or Psychiatric Social Worker. If the applicant is not licensed as in the specialties listed, allowance must be made for ongoing supervision by a fully qualified mental health professional. Credentials of the supervising individual must be submitted with the proposal, and approval of such by the regional office. In the absence (i.e. vacation, illness) of the primary Mental Health Consultant, the substitute Mental Health Consultant’s qualifications shall be equal to the primary, and the substitute must be pre-approved by the Contracting Officer’s Representative and the Contracting Officer.

5. TECHNICAL QUALIFICATIONS:

A. Skill requirements:

1. Ability to plan, develop, implement and administer the Center’s Mental Health Program (prevention, early detection, identification of mental health problems, and crisis intervention).

2. Ability to evaluate, diagnose, and counsel students.

3. Previous experience in a residential facility or treatment facility serving youth.

4. Demonstrate understanding of disadvantaged youth and specific needs of the Center as obtained through prior employment or through personal experience.

5. Demonstrate understanding of accommodating students with special needs.

6. Demonstrate ability to provide for staff development needs as obtained through previous organizational development consultations or the design and delivery of staff training.

7. Ability to perform training to the students who have applied for leadership or peer counselor roles.

8. Demonstrates knowledge of community resources.

9. Provide treatment as part of an overall wellness care approach; focusing on helping students live a healthy lifestyle emotionally, physically, and mentally.

B. Other required services:

1. The Center Mental Health Consultant shall make timely evaluation, diagnosis, treatment and follow-up services to students who are inpatient or outpatient, including recommendation for terminations for mental health reasons.

2. Limited mental health treatment including crisis intervention, brief psychotherapy, and intermittent supportive psychotherapy, and group psychotherapy as permitted by licensor or accreditation.

3. Provide psychotropic drug management monitoring and limited forms of mental health treatment with prior approval of Contracting Officer’s Representative.

4. Document the finding, assessment, diagnosis and plan in the medical records. Issue and maintain standing orders regarding mental health matters as prescribed in the Policy and Requirements Handbook Chapter 6.

5. Assist with appropriate referrals for students who must be terminated for mental health reasons.

6. Provide clinical assistance to the Trainee Employee Assistance Program (TEAP) Specialist and Counselors.

7. Be available for groups/informal sessions with students if required.

8. Provide clinical assistance to students, the TEAP Specialist, especially with those students with dual diagnosis.

9. Consultation with Wellness Staff, Counselors, Residential Advisors, and other appropriate staff members concerning the ongoing mental health problems of students.

10. Assistance with program development for the purpose of meeting the life crises of students in constructive ways. For example; involvement with the Center Disciplinary system, the Maximum Benefits Program, Trainee Employee Assistance Program, Leadership Employee Assistance Program, Leadership Program, Inter-Group Relations Program and the Zero Tolerance to Drugs and Violence Policies and other Programs.

11. Review student applicant folders and assist with the reasonable accommodation process.

12. Plan, develop, implement, administer and monitor the mental health program for the Blackwell Job Corps Center.

13. Provide advice to the Center Director, Contracting Officer’s Representative, Wellness Center Staff, and Disability Coordinator on all mental health matters. This shall include staffing requirements, recommending student terminations for mental health reasons, costs of mental health services including inpatient facility use.

14. Provide consultation on the planning, development, implementation, integration, administration and monitoring of the mental health program with other Center programs and activities including counseling, residential living, vocation, education and recreation. This will be done in cooperation with the Center Physician, Center Dentist, and other Center Health Professionals, as well as other staff members involved with students.

15. Emergency service/crisis intervention must be provided by the Mental Health Consultant at the Job Corps site unless a medical emergency exists. A telephone number shall be provided where they can be reached outside of normal work hours. Payment rates shall be at the Center rates for these services. Inpatient services will be provided by hospital personnel located at St. Mary’s Hospital in Rhinelander, WI., only when approved by the Center Director or the Contracting Officer’s Representative.

C. Psychiatric and Psychotropic Services:

The Center Mental Health Consultant and the Center Physician shall work closely together, and with students needing mental health services. If the Center Mental Health Consultant recommends a psychiatric evaluation or there is an emergency, or recommends the use of psychotropics, the student will be referred to the Center Physician. If the Center Physician feels that care is within his scope of practice, he will prescribe Psychotropics. If the Center Physician feels that further evaluation is needed; he may refer the student for a psychiatric evaluation and emergency services to a clinic or medical center in accordance with their

Center Physician’s Contract (This evaluation is not included in the Mental Health Services

Contract). Based upon the psychiatric evaluation, regarding appropriateness of the Job

Corps Program for this particular student, the following procedures will be adhered to:

1. If it is determined that the student would benefit from psychotropics and can be managed on Center, and the Center Physician feels comfortable managing treatment, the student would remain in the Job Corps Program and be managed by the Center Mental Consultant and the Center Physician.

2. If it is determined that the status of the student is not manageable and is out of the scope for Job Corps regulations, a medical termination will be recommended by the Center Mental Health Consultant with a referral to a treatment facility.

D. Short-Term Counseling Services Off-Center;

In the event of rape, sexual assault or other crisis (such as or similar to positive results to

HIV results, death of a close family member, etc.), and there is a consensus of the Center

Mental Health Consultant, Center Physician and other key staff members, a maximum of six short-term counseling sessions, off-center at the Center Mental Health Consultant’s Facility may be utilized. The Center Mental Health Consultant shall provide documentation with the specific information needed and recommendations. Charges for these services will be billed separately from this contract.

E. Staff Development:

1. Provide staff development in the use of mental health principles and techniques. This will include coping with problems of substance abuse, sexuality, aggressive behavior, and poor communication.

5.

MATERIALS, EQUIPMENT, TRAINING, AND UTILITIES.

A.

The Government Shall Furnish (at the discretion of the CO or COR):

All materials, supplies, property, and services such as office, desk, chair, telephone, access to fax machine, access to conference room. The Contractor shall be liable for all loss or damage of such Government Furnished Property. The Government furnished property shall be utilized for performance under this contract and not for personal or private use.

B.

The Contractor Shall Furnish: All …… Labor, equipment, supplies, services, transportation of Contractor personnel, and incidentals, as well as proof of certifications and/or licenses necessary to provide services to the students of the Center, and shall provide required liability insurance.

6.

THE ROLE OF GOVERNMENT PERSONNEL AND RESPONSIBILITY FOR CONTRACT

ADMINISTRATION

A.

Contracting Officer: The Contracting Officer (CO) has the overall responsibility for the administration of this contract. The CO alone, without delegation, is authorized to amend, modify, or deviate from the contract. Other responsibilities may be delegated to authorized representatives.

B.

Contracting Officer's Representative (COR): The COR will be designated in writing at the time of award to assist the CO in the day-to-day on-site administration of the contract requirements. The responsibilities of the COR include, but are not limited to;

(1) Determining the compliance and adequacy of performance by the Contractor in accordance with the terms and conditions of this contract;

(2) Requesting removal of unsuitable contractor employees;

(3) Ensuring adequacy of schedule and Quality Control Plan, including changes;

(4) Ordering re-performance of unacceptable work or performance by other mean, etc.

7.

RECORDS, REPORTS, AND REQUIRED SUBMITTALS:

The Contractor shall maintain accurate, legible records of patient mental health conditions and all services performed in the student’s health record. The information contained in the student records is confidential and is to be disclosed only to authorized personnel. All existing student health records will be available to the Contractor.

8.

GOVERNING REGULATIONS, HANDBOOKS, AND REFERENCES:

Contractor personnel shall be familiar with and all work shall be performed in accordance with the following applicable documents:

· 20 CFR Section 638 and 20 CFR Section 670: The CFR (available at http://www.gpo.gov/fdsys/browse/collectionCfr.action?collectionCode=CFR) states the operating regulations for Job Corps.

· FAR Part 37.1 Service Contracts: available at https:www.acquisition.gov/far/index.html

· AGAR: a FAR supplement which provides additional regulations for acquisitions done by Department of Agriculture agencies; the AGAR can be accessed at http://www.dm.usda.gov/procurement/policy/agar_x/agar04/index.html.

· PRH: Job Corps Policy and Requirements Handbook. The PRH is available at the following website: http://www.jobcorps.gov/Libraries/pdf/prh.sflb.

· Center Operating Procedures: Available at the Center.

Any documents referred to in any contractual documents that are not available online at a public website may be requested, in writing, from the Contracting Officer.

SPECIAL CONTRACT REQUIREMENTS

1.

INVOICING PROCEDURES.

A. Invoices. In addition to the clause language in FAR 52.212-4, the following direction is provided:

1) Invoices shall be submitted on a monthly basis, no later than ten (10) days following the period being invoiced;

2) Invoices shall include only those services rendered during the billing period;

3) Invoices shall bill by Line Items as listed in the Schedule of Items;

4) Billing rates shall be in accordance with the firm-fixed rates listed in the Schedule of Items.

B. Invoices shall be mailed to:

Blackwell Job Corps Civilian Conservation Center Attn: Health and Wellness Manager 4155 County Hwy H

Laona, WI 54541

C. Contractor Personnel, including substitute personnel, are responsible for keeping track of hours worked daily and shall maintain a record of hours worked daily, which shall be submitted with the Contractor’s invoice.

D. Sample invoice will be provided at the time of award.

EXHIBIT 1 -- U.S. DEPARTMENT OF LABOR WAGE DETERMINATION

This Wage Determination has been modified to reference only those classifications that apply to this Contract.

(The complete Wage Determination is available upon request.)

WD 05-2576 (Rev.-11) was first posted on www.wdol.gov on 06/17/2011

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2005-2576

Diane C. Koplewski Division of | Revision No.: 11

Director Wage Determinations| Date of Revision: 06/13/2011 State: Wisconsin Area: Wisconsin Counties of Brown, Calumet, Door, Florence, Fond Du Lac, Forest, Green Lake, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Sheboygan, Vilas, Waupaca, Waushara, Winnebago **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support and Clerical Occupations

01011 - Accounting Clerk I 12.76

01012 - Accounting Clerk II 14.43

01013 - Accounting Clerk III 16.22

01020 - Administrative Assistant 18.47

01040 - Court Reporter 17.06

01051 - Data Entry Operator I 11.32

01052 - Data Entry Operator II 12.35

01060 - Dispatcher, Motor Vehicle 17.62

01070 - Document Preparation Clerk 13.94

01090 - Duplicating Machine Operator 13.94

01111 - General Clerk I 11.83

01112 - General Clerk II 12.91

01113 - General Clerk III 14.49

01120 - Housing Referral Assistant 18.05

01141 - Messenger Courier 12.20

01191 - Order Clerk I 13.45

01192 - Order Clerk II 15.36

01261 - Personnel Assistant (Employment) I 13.55

01262 - Personnel Assistant (Employment) II 15.15

01263 - Personnel Assistant (Employment) III 16.90

01270 - Production Control Clerk 19.61

01280 - Receptionist 12.31

01290 - Rental Clerk 10.71

01300 - Scheduler, Maintenance 14.47

01311 - Secretary I 14.47

01312 - Secretary II 16.19

01313 - Secretary III 18.05

01320 - Service Order Dispatcher 16.04

01410 - Supply Technician 18.47

01420 - Survey Worker 13.91

01531 - Travel Clerk I 13.94

01532 - Travel Clerk II 15.05

01533 - Travel Clerk III 16.18

01611 - Word Processor I 12.10

01612 - Word Processor II 13.58

01613 - Word Processor III

15.13 07000 - Food Preparation and Service Occupations

07010 - Baker 11.24

07041 - Cook I 11.75

07042 - Cook II 13.08

07070 - Dishwasher 8.03

07130 - Food Service Worker 9.11

07210 - Meat Cutter 14.91

07260 - Waiter/Waitress

8.96 99000 - Miscellaneous Occupations

99030 - Cashier 8.84

99050 - Desk Clerk 9.40

99095 - Embalmer 32.56

99251 - Laboratory Animal Caretaker I 10.53

99252 - Laboratory Animal Caretaker II 11.22

99310 - Mortician 32.56

99410 - Pest Controller 17.06

99510 - Photofinishing Worker 13.35

99710 - Recycling Laborer 18.56

99711 - Recycling Specialist 20.65

99730 - Refuse Collector 17.02

99810 - Sales Clerk 12.02

99820 - School Crossing Guard 10.82

99830 - Survey Party Chief 25.04

99831 - Surveying Aide 14.63

99832 - Surveying Technician 19.12

99840 - Vending Machine Attendant 12.64

99841 - Vending Machine Repairer 15.00

99842 - Vending Machine Repairer Helper 12.64

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $2.36 an hour or $94.40 a week or $409.07 a month. H&W changes as authorized by DOL Memo #196, dated 5/23/03.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor; 3 weeks after 5 years, and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor, wherever employed, and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: A minimum of ten paid holidays per year: New Year's Day, Martin Luther King Jr.'s Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

** UNIFORM ALLOWANCE: If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract, by the employer, by the state or local law, etc.), the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition, where uniform cleaning and maintenance is made the responsibility of the employee, all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount, or the furnishing of contrary affirmative proof as to the actual cost), reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day). However, in those instances where the uniforms furnished are made of "wash and wear" materials, may be routinely washed and dried with other personal garments, and do not require any special treatment such as dry cleaning, daily washing, or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract, by the contractor, by law, or by the nature of the work, there is no requirement that employees be reimbursed for uniform maintenance costs.

EXHIBIT 2 -- QUALITY ASSURANCE SURVEILLANCE PLAN

The Contractor will receive performance evaluations in accordance with the Quality Assurance Surveillance Plan for this program, which shall be provided to the Contractor by the CO or the COR. Performance evaluations will include evaluation of the following:

Task
Quality/Performance Standards
Acceptable Quality Level
Means of Surveillance
Penalty for Unsuccessful Performance
Provides satisfactory services in accordance with the PWS
Timely mental health services on a priority basis and establishment of treatment plans

Appropriate referral to Center Physician

Provision of clinical support to Wellness and Counseling staff

100%
Review of records

Customer complaints Discussion with Center Mental Health Consultant and Center Physician Negative impact to Performance Evaluation

Staffing
Provides qualified staffing in accordance with the PWS
100%
Review of timesheets and invoices
Negative impact to Performance Evaluation
Staff development
Timely review of applicant folders

Assistance with accommodation process

Advise Center Director, and HWM on program management

95%
Review of records by HWM, Center Director Designee for Disabilities and counseling Supv.

Review of training records Negative impact to Performance Evaluation

Trainee Employee Assistance Program Consultation Services
Provision of clinical support to TEAP Specialist

Integration of Mental Health and Wellness Program with TEAP related programs

95%
Discussion with TEAP Specialist and CMHC

Review of records Negative impact to Performance Evaluation

Other required Services
Appropriate referrals to mental health agencies as appropriate

Management of emergency care and crisis intervention

Assistance with management of psychotropic services

100%
Review of referral process and documentation

Discussion with CMHC and Center Physician Negative impact to Performance Evaluation

Records
Contractor creates and maintains proper, legible documentation on services provided in accordance with the PWS
100%
Periodic review of student records
Negative impact to Performance Evaluation
Substitution
Provides substitutes when necessary in accordance with the PWS
100%
100% Surveillance
Negative impact to Performance Evaluation

PART IV -- SOLICITATION PROVISIONS

FAR 52.212-1 – INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS (FEB 2012)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show—

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) “Remit to” address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

If…

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