BID FORM- BH Evals Regions Capital, Eastern, Western 5 Year Contract- .xlsx
XLSX spreadsheet 33 KB Posted
- Solicitation number
- BPM053561
- Issued by
- Maryland
About this file
Bid Form Summary
This bid form document is issued by the Maryland Department of Juvenile Services for the procurement of community-based behavioral health evaluation services across three geographic regions: Capital South, Eastern, and Western. The solicitation seeks bids for psychological services, psychiatric services, Certificate of Need (CON) psychiatric evaluations, psychosexual evaluations, consultations, and court appearances for adjudicated and pre-adjudicated delinquent youth ages 12-20. Estimated annual service volumes vary by region, including 150 psychological evaluations, 10-20 updated psychological evaluations, 15 psychological consultations, 5 court appearances, 50 psychiatric evaluations, 15 psychiatric consultations, 5 court appearances, 5 CON psychiatric evaluations, 3 updated CON evaluations, 50 psychosexual evaluations, and 100 missed appointments (not to exceed $100 each). The contract term is five years from June 1, 2026 through May 31, 2031, with no renewal options. Bids are due April 1, 2026 at 2:00 p.m. via eMMA, with a virtual pre-bid conference scheduled for March 18, 2026 at 11:00 a.m., and written questions due March 25, 2026 at 2:00 p.m. The Department intends to make up to three awards, one per region.
All bid prices must be fully loaded and include all costs associated with service delivery, with labor rates fully loaded and no overtime payments authorized. Virtual evaluations must be billed at 20% reduction from the set in-person fee. Bidders must provide pricing for all five contract years and calculate totals accurately to the nearest cent; any blank fields or calculation errors may result in bid rejection. A 5% Minority Business Enterprise subcontracting participation goal applies, with MBE-certified prime contractors permitted to self-perform 2.5% of work. Insurance requirements include Commercial General Liability ($1 million per occurrence/$3 million aggregate), Professional Liability ($1 million per claim/$3 million aggregate), Cyber Security/Data Breach ($5 million per occurrence), and Workers' Compensation coverage. No federal funding is involved, and travel reimbursement is not authorized. All staffing must meet Maryland licensing requirements and complete CJIS criminal background checks prior to service delivery.
View the file
Other files
Show 40 more
Latest 50 of 60 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Instructions
ATTACHMENT B - BID FORM INSTRUCTIONS
| Solicitation No:___________________ |
| In order to assist Bidders in the preparation of their Bid and to comply with the requirements of this solicitation, Bid Pricing Instructions and a Bid Form have been prepared. Bidders shall submit their Bid on the Bid Form in accordance with the instructions on the Bid Form and as specified herein. Do not alter the Bid Form or the Bid Form may be rejected. The Bid Form is to be signed and dated, where requested, by an individual who is authorized to bind the Bidder to the prices entered on the Bid Form. |
| The Bid Form is used to calculate the Bidder's TOTAL BID PRICE. Follow these instructions carefully when completing your Bid Form: |
| A) All Unit and Extended Prices must be clearly entered in dollars and cents, e.g., $24.15. Make your decimal points clear and distinct |
B) All Unit Prices must be the actual price per unit the State will pay for the specific item or service identified in this IFB and may not be contingent on any other factor or condition in any manner.
C) All calculations shall be rounded to the nearest cent, i.e., .344 shall be .34 and .345 shall be .35.
D) Any goods or services required through this IFB and proposed by the vendor at No Cost to the State must be clearly entered in the Unit Price, If appropriate, and Extended Price with $0.00.
E) Every blank in every Bid Form shall be filled in. Any blanks may result in the Bid being regarded as non-responsive and thus rejected. Any changes or corrections made to the Bid Form by the Bidder prior to submission shall be initialed and dated.
F) Except as instructed on the Bid Form, nothing shall be entered on or attached to the Bid Form that alters or proposes conditions or contingencies on the prices. Alterations and/or conditions usually render the Bid non-responsive, which means it will be rejected.
G) It is imperative that the prices included on the Bid Form have been entered correctly and calculated accurately by the Bidder and that the respective total pricing agree with the entries on the Bid Form. Any incorrect entries or inaccurate calculations by the Bidder will be treated as provided in COMAR 21.05.03.03E and 21.05.02.12, and may cause the Bid to be rejected.
H) If option years are included, Bidders must submit pricing for each option year. Any options to renew will be exercised at the sole discretion of the State and will comply with all terms and conditions in force at the time the option is exercised. If exercised, the option period shall be for a period identified in the IFB at the prices entered in the Bid Form.
I) All Bid prices entered below are to be fully loaded prices that include all costs/expenses associated with the provision of services as required by the IFB. The Bid price shall include, but is not limited to, all: labor, profit/overhead, general operating, administrative, and all other expenses and cost necessary to perform the work set forth in the solicitation. No other amounts will be paid to the Contractor. If labor rates are requested, those amounts shall be fully-loaded rates; no overtime amounts will be paid.
J) Unless indicated elsewhere in the IFB, sample amounts used for calculations on the Bid Form are typically estimates for bidding purposes only. The Department does not guarantee a minimum or maximum number of units or usage in the performance of this Contract.
K) Failure to adhere to any of these instructions may result in the Bid being deteremined non-responsive and rejected by the Department.
Capital South
| ATTACHMENT B - BID FORM | |
| Solicitation No 26-Multi-CS-BH-001 | |
| STATE OF MARYLAND | |
| DEPARTMENT OF JUVENILE SERVICES | |
| Community Based Behavioral Health Evaluations | |
| Capital South Region | |
| Calvert, Charles, Montgomery, Prince George's, and St. Mary's |
Bidders Name:
| Treatment Services | Estimated Units of Service per Year | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
| PSYCHOLOGICAL SERVICES | ||||||
| Psychological Diagnostic Evaluation/Assessment (min 60 minutes) | ||||||
| Estimated Psychological Evaluations (in person) | 150 | |||||
| Updated Psychological Evaluations | 20 | |||||
| Estimated Psychological Consultations | 15 | |||||
| Estimated Psychological Court Appearance per year | 5 | |||||
| Total Annual Cost of Psychological Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| PSYCHIATRIC SERVICES | ||||||
| Psychiatric Diagnostic Evaluaton/Assessment (min 60 minutes) | ||||||
| Estimated Psychiatric Evaluations (in person) | 50 | |||||
| Estimated Psychiatric Consultations | 15 | |||||
| Estimated Psychiatric Court Appearances per year | 5 | |||||
| Total Annual Cost of Psychiatric Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Certificate of Need (CON) Psychiatric Evaluations | ||||||
| Estimated CON Psychiatric Evaluations per year (in person) | 5 | |||||
| Updated CON Psychiatric Evaluations per year | 3 | |||||
| Total Annual Cost of CON Psychiatric Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Psychosexual Evaluations | ||||||
| Estimated Psychosexual Evaluations per year (in person) | 50 | |||||
| Total Annual Cost of Psychosexual Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Missed Appointments Not to Exceed $100 | ||||||
| Estimated Missed Appointments per year | 100 | |||||
| Total Annual Cost of Missed Appointments | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Price per Year | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| If any evaluation is completed virtually, the vendor is required to bill at a 20% reduction of the set fee. | ||||||
| Bid Price - Capital Region (Sum of ALL 5 Years) | $0.00 |
| Authorized Signature |
| Printed Name and Title |
Eastern
| ATTACHMENT B - BID FORM | |
| Solicitation No 26-MULTI-CS-BH-001 | |
| STATE OF MARYLAND | |
| DEPARTMENT OF JUVENILE SERVICES | |
| Community Based Behavioral Health Evaluations | |
| Eastern Region | |
| Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, & Worcester |
Bidders Name:
| Treatment Services | Estimated Units of Service per Year | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
| PSYCHOLOGICAL SERVICES | ||||||
| Psychological Diagnostic Evaluation/Assessment (min 60 minutes) | ||||||
| Estimated Psychological Evaluations (in person) | 150 | |||||
| Updated Psychological Evaluations | 10 | |||||
| Estimated Psychological Consultations | 15 | |||||
| Estimated Psychological Court Appearance per year | 5 | |||||
| Total Annual Cost of Psychological Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| PSYCHIATRIC SERVICES | ||||||
| Psychiatric Diagnostic Evaluaton/Assessment (min 60 minutes) | ||||||
| Estimated Psychiatric Evaluations (in person) | 50 | |||||
| Estimated Psychiatric Consultations | 15 | |||||
| Estimated Psychiatric Court Appearances per year | 5 | |||||
| Total Annual Cost of Psychiatric Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Certificate of Need (CON) Psychiatric Evaluations | ||||||
| Estimated CON Psychiatric Evaluations per year (in person) | 5 | |||||
| Updated CON Psychiatric Evaluations per year | 3 | |||||
| Total Annual Cost of CON Psychiatric Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Psychosexual Evaluations | ||||||
| Estimated Psychosexual Evaluations per year (in person) | 50 | |||||
| Total Annual Cost of Psychosexual Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Missed Appointments Not to Exceed $100 | ||||||
| Estimated Missed Appointments per year | 100 | |||||
| Total Annual Cost of Missed Appointments | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Price per Year | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| If any evaluation is completed virtually, the vendor is required to bill at a 20% reduction of the set fee. | ||||||
| Bid Price - Eastern Region (Sum of ALL 5 Years) | $0.00 |
| Authorized Signature |
| Printed Name and Title |
Western
| ATTACHMENT B - BID FORM | |
| Solicitation No 26-MULTI-CS-BH-001 | |
| STATE OF MARYLAND | |
| DEPARTMENT OF JUVENILE SERVICES | |
| Community Based Behavioral Health Evaluations | |
| Western Region | |
| Allegany, Carroll, Frederick, Garrett & Washington Counties |
Bidders Name:
| Treatment Services | Estimated Units of Service per Year | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 |
| PSYCHOLOGICAL SERVICES | ||||||
| Psychological Diagnostic Evaluation/Assessment (min 60 minutes) | ||||||
| Estimated Psychological Evaluations (in person) | 150 | |||||
| Updated Psychological Evaluations | 10 | |||||
| Estimated Psychological Consultations | 15 | |||||
| Estimated Psychological Court Appearance per year | 5 | |||||
| Total Annual Cost of Psychological Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| PSYCHIATRIC SERVICES | ||||||
| Psychiatric Diagnostic Evaluaton/Assessment (min 60 minutes) | ||||||
| Estimated Psychiatric Evaluations (in person) | 50 | |||||
| Estimated Psychiatric Consultations | 15 | |||||
| Estimated Psychiatric Court Appearances per year | 5 | |||||
| Total Annual Cost of Psychiatric Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Certificate of Need (CON) Psychiatric Evaluations | ||||||
| Estimated CON Psychiatric Evaluations per year (in person) | 5 | |||||
| Updated CON Psychiatric Evaluations per year | 3 | |||||
| Total Annual Cost of CON Psychiatric Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Psychosexual Evaluations | ||||||
| Estimated Psychosexual Evaluations per year (in person) | 50 | |||||
| Total Annual Cost of Psychosexual Evaluations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Missed Appointments Not to Exceed $100 | ||||||
| Estimated Missed Appointments per year | 100 | |||||
| Total Annual Cost of Missed Appointments | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Price per Year | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| If any evaluation is completed virtually, the vendor is required to bill at a 20% reduction of the set fee. | ||||||
| Bid Price - Western Region (Sum of ALL 5 Years) | $0.00 |
| Authorized Signature |
| Printed Name and Title |
Bid Summary
| ATTACHMENT B - BID FORM | |
| Solicitation No 26-MULTI-CS-BH-001 | |
| STATE OF MARYLAND | |
| DEPARTMENT OF JUVENILE SERVICES | |
| Community Based Behavioral Health Evaluations |
| Regional Area | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Total Evaluated Bid Price |
| Capital South Region | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Eastern Region | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Western Region | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Award Basis-Total Evaluated Bid Price | $0.00 |
Authorized Signature Date
Printed Name and Title
Bidder's Name
Bidder's Address
FEIN eMMA#
Contact Information of Above Authorized Signatory:
Telephone Fax
File details come from the government source that posted it. Updated .