Counseling_IFB_Packet_Delta_Center.pdf

INVITATION FOR BID

NOTICE TO PROSPECTIVE BIDDERS

CALIFORNIA CONSERVATION CORPS

Delta Center

7000 S. Newcastle Rd., Stockton, CA 95215

On-Site Counseling Services Contract # C6669-132203

Bid Opening Date: 09/14/2026 @2PM

You are invited to review and respond to this Invitation for Bid (IFB) for counseling services offered by the California Conservation Corps (CCC).

Note that all agreements entered into with the State of California will include by reference General Terms and Conditions (GTC 02/2025) and Contractor Certification Clauses (CCC 4/2017) that may be viewed and downloaded at the following internet site:

https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List- Folder/Standard-Contract-Language.

The California Conservation Corps is committed to providing contracting opportunities to California Certified Small Businesses and Disabled Veteran Business Enterprises (DVBE).

Bidders are encouraged to carefully read the entire solicitation. The need to verify all documentation and responses prior to the submission of bids is the responsibility of the bidder and cannot be overemphasized.

In submitting your bid, you must comply with the instructions and requirements found herein. In the opinion of the California Conservation Corps, this IFB is complete and without need of explanation. However, if you have questions or need any clarifying information, please direct all questions through email to bidquestions@ccc.ca.gov by the date and time listed in Section 2 Paragraph A Key Action Dates. Please note that no verbal information given will be binding upon the State unless such information is issued in writing as an official addendum.

No questions will be addressed via phone calls or in person on or before the bid. All questions and answers must come through the above-mentioned email only.

Keeping the process fair for all. We will not accept questions via phone calls or in person.

Executive Order N-6-22 – Russia Sanctions On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. “Economic Sanctions” refers to sanctions imposed by the U.S. government in response to Russia’s actions in Ukraine, as well as any sanctions imposed under state law. By submitting a bid or proposal, Contractor https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language mailto:bidquestions@ccc.ca.gov represents that it is not a target of Economic Sanctions. Should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for rejection of the Contractor’s bid/proposal any time prior to contract execution, or, if determined after contract execution, shall be grounds for termination by the State.

GenAI Disclosure

The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these technologies.

Bidder/Offeror must notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term "materially impacts" shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

Failure to report GenAI to the State may result in disqualification. The State reserves its right to seek any and all relief to which it may be entitled to as a result of such non-disclosure.

Upon notification by a Bidder/Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State.

Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.

Mujib Sultani Contracts Unit Mujib.Sultani@ccc.ca.gov mailto:Mujib.Sultani@ccc.ca.gov%20

Table of Contents

Table of Contents

1. PURPOSE AND DESCRIPTION OF SERVICES

A. Description and Location of Work B. Estimated Cost C. Term of Agreement D. License Required:

2. BID REQUIREMENTS AND INFORMATION

A. Key Action Dates:

B. Written Questions C. Submission of Bids D. Evaluation and Selection E. Award and Protest F. Disposition of Bids G. Agreement Execution and Performance H. Loss Leader

3. PREFERENCE AND INCENTIVE PROGRAMS

A. Small Business Preference:

B. Non-Small Business Subcontractor Preference:

C. Disabled Veteran Business Enterprise Incentive:

D. Applying Preference and Incentives

4. MODEL CONTRACT

Exhibit A SCOPE OF WORK Exhibit B BUDGET DETAILS AND PAYMENT PROVISIONS EXHIBIT C General Terms and Conditions (GTC 02/2025)

EXHIBIT D SPECIAL TERMS AND CONDITIONS

1. PURPOSE AND DESCRIPTION OF SERVICES

A. Description and Location of Work

Contractor to provide all labor, materials, tools and incidentals necessary to provide individual counseling, group counseling and staff consultation for Corpsmembers 18-25 years of age located at:

CCC Delta Center 7000 S. Newcastle Road. Stockton, CA 95215

A full description of required services is provided in Section 4, Model Contract Exhibit A, Scope of Work. The winning Bidder will be required to adhere to all agreement terms as indicated in Section 4, Model Contract.

B. Estimated Cost

The estimated cost of this Agreement is $22,320.00

C. Term of Agreement

The term of this Agreement is 09/21/2026 Or Upon Approval through 06/30/2027

D. License Required:

Current Licensed Clinical Social Worker licensed clinical psychologist, marriage family and child therapist, or licensed clinical psychiatrist. Licensing must be included with the bidders bid proposal.

2. BID REQUIREMENTS AND INFORMATION

A. Key Action Dates:

Listed below are the important action dates and times by which actions must be taken or completed. If CCC finds it necessary to change any of these dates, it will be accomplished by addendum to this IFB.

Event Date IFB available to prospective Bidders 08/27/2026 Deadline to ask Questions 08/31/2026 at 4:00PM Deadline to post Q&A to Cal eProcure 09/03/2026 Final Date for Bid Submission 09/14/2026 at 2:00PM Bid Opening 09/14/2026 at 2:00PM

B. Written Questions

1. Bidders requiring clarification of the intent or content of this IFB, or on procedural matters regarding the competitive procurement process, may request clarification by submitting questions in writing. Bidders shall submit questions to bidquestions@ccc.ca.gov. Questions and any proposed changes must be submitted by the date and time listed in Section 2 Paragraph A Key Action Dates.

2. The subject line of the email should read, IFB #C6669-132203 Questions – Company Name.

3. The Bidder must reference the section and page number about which they are inquiring.

4. Written Questions and Answers will be provided without identifying the submitter. CCC may paraphrase questions, at its sole discretion, for clarity.

5. Questions and Answers will be posted to Cal eProcure on or before the Deadline to post Q&A to Cal eProcure date specified in Section 2 Paragraph A Key Action Dates.

C. Submission of Bids

1. All bids must be submitted via email to Mujib.Sultani@ccc.ca.gov by the dates and time shown in Section 2 Paragraph A, Key Action Dates.

Email must read as follows:

Bid #C6669-132203 DO NOT OPEN UNTIL 09/14/2026 @2PM

Email must also include the required attachment list

2. All bids shall include the documents identified in Attachment 2, Bid Submission Attachment Checklist. Bids not including the proper “required attachments” shall be deemed non- responsive. A non-responsive bid is one that does not meet the basic bid requirements.

mailto:bidquestions@ccc.ca.gov mailto:Mujib.Sultani@ccc.ca.gov

3. All documents requiring a signature must bear an original signature of a person authorized to bind the Bidder Contractually. The signature should indicate the title or position that the individual holds in the firm. That person shall sign Attachment 1, Bid/Bidder Certification Sheet. An unsigned Bid/Bidder Certification Sheet will be rejected.

4. Bids must be submitted for the performance of all the services described herein. Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

5. A bid will be rejected if it is conditional, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all bids and may waive an immaterial deviation in a bid. The State’s waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder for full compliance with all requirements if awarded the agreement.

6. Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

7. A Bidder may modify a bid after its submission by withdrawing its original bid and resubmitting new bid prior to the bid submission deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

8. A bidder may withdraw its bid by submitting a written withdrawal request to the State, signed by the bidder or an authorized agent. A bidder may thereafter submit a new bid prior to the bid submission deadline. Bids may not be withdrawn without cause subsequent to bid submission deadline.

9. The awarding agency may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

10. The awarding agency reserves the right to reject all bids. The agency is not required to award an agreement.

11. Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

12. Where applicable, bidder should carefully examine work sites and specifications.

Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications.

13. The State does not accept alternate contract language from a prospective contractor.

A bid with such language will be considered a counter proposal and will be rejected.

The State’s General Terms and Conditions (GTC are not negotiable).

14. No oral understanding or agreement shall be binding on either party.

D. Evaluation and Selection

1. At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

2. The State will evaluate each bid to determine its responsiveness to the published requirements.

3. Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, will be rejected.

4. Award if made, will be the lowest responsive responsible bidders.

E. Award and Protest

1. Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the awarding agency at least five (5) working days prior to awarding the agreement.

2. If any bidder, prior to the award of the Agreement, files a protest with the CCC and the Department of General Services (DGS), Office of Legal Services (OLS) the Agreement shall not be awarded until either the protest has been withdrawn or the DGS has decided the matter. (See Public Contract Code section 10345.)

3. Within five days after filing the protest, the protesting bidder shall file with DGS- OLS and the CCC, a detailed statement specifying the grounds for the protest. The written protest statement should include the IFB number, the name of the State agency involved, and the agency contract person. Protests may be sent by email, regular mail, or courier or personal delivery to the addresses shown below. Protestants should include their email address, if they have one, and advise the DGS Bid Protest Coordinator if they will accept service of documents pertaining to the protest via email.

Department of General Services Office of Legal Services

Attention: Bid Protest Coordinator 707 Third Street, 7th Floor, Suite 7-330

West Sacramento, CA 95605 Email: OLSProtests@dgs.ca.gov mailto:OLSProtests@dgs.ca.gov

California Conservation Corps Attention: Mujib Sultani

1719 24th Street Sacramento CA 95816 Email: Mujib.Sultani@ccc.ca.gov

F. Disposition of Bids

Upon proposal opening, all documents submitted in response to this RFP will become the property of the State of California and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

G. Agreement Execution and Performance

1. Execution of Performance shall start on the express date set by the awarding agency and the Contractor, after all approvals have been obtained and this Agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five (5) days written notice to the Contractor, reserves the right to terminate this Agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor's bid price and the actual cost of performing work by the second lowest Bidder or by another Contractor.

2. All performance under this Agreement shall be completed on or before the termination date of this Agreement.

3. The resulting Contract will be of no force or effect until it is signed by both parties and approved by the Department General Services, if required. The Contractor is hereby advised not to commence performance until all approvals have been obtained. Should performance commence before all approvals are obtained, said services may be considered to have been volunteered if all approvals cannot be obtained.

H. Loss Leader

It is unlawful for any person engaged in business within this state to sell or use any article or product as a “loss leader” as defined in Section 17030 of the Business and Professions Code.

mailto:Mujib.Sultani@ccc.ca.gov

3. PREFERENCE AND INCENTIVE PROGRAMS

Preference and Incentive Programs are each identified below. When the Bidder satisfies the requirements and requests bid preferences and incentives, the Bidder must clearly identify in their bid submission for which of the programs it qualifies. Denial of those preference or incentive requests is not a basis for rejection of the bid.

A. Small Business Preference:

California Government Code (GC) section 14835, et seq., requires a preference be given to Bidders who are California Certified Small Business (SB). The rules and regulations of this law, including the definition of a SB for the delivery of goods and services, are contained in California Code of Regulations, title 2, section 1896 et seq.

A preference is available to a certified SB. A Bidder claiming this preference must be certified by the Office of Small Business and Disabled Veteran Enterprise Services (OSDS) as a SB.

Questions regarding certification should be directed to the OSDS at (916) 375-4940.

To be considered as a certified SB, the Bidder must have a complete application package on file with the OSDS by 5:00 p.m. on the Deadline for Final Bid Submission date. Questions regarding the certification approval process should be directed to the OSDS. A copy of the regulations, instructions and format for claiming the Small Business Preference is available at:

https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List- Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

To claim the Small Business Preference please see Attachment 5, Bidder Declaration (GSPD- 05-105).

NOTE: Pursuant to GC 14837, only a SB who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder for a SB preference. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required for the contract, for negotiating price, determining quality and quantity, ordering, installing, if applicable, and making payment.

B. Non-Small Business Subcontractor Preference:

A preference is available to a non-small business (NS) claiming 25% California-certified small business subcontractor participation. A Bidder claiming this preference must list one or more SB subcontractor(s), whom the Bidder commits to subcontract in an amount of at least twenty-five percent (25%) of the work performed under this contract.

To claim the Non-Small Business Subcontractor Preference please see Attachment 5, Bidder Declaration (GSPD-05-105).

https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

NOTE: Pursuant to GC 14837, only a SB who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder for a SB preference. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required

C. Disabled Veteran Business Enterprise Incentive:

There is no minimum DVBE participation minimum requirement for this contract. Pursuant to Military and Veterans Code Section 999.5, subdivision (a), an incentive will be given to Bidders who provide DVBE participation on the contract.

The DVBE Incentive is as follows:

Confirmed DVBE Participation Incentive 5% and above 5% 4% to 4.99% 4% 3% to 3.99% 3% 2% to 2.99% 2%

1.01 to 1.99% 1%

0% - 1% No incentive

A Bidder is eligible to receive this additional DVBE incentive if they are a certified DVBE or if a non DVBE Bidder commits to use a certified DVBE(s) as subcontractor(s).

To claim the DVBE incentive please see Attachment 5, Bidder Declaration (GSPD-05-105).

Locating DVBE Subcontractors:

i. State Resources: Access the list of all certified DVBEs by using the Department of General Services, Procurement Division (DGS-PD), online certified firm database at:

www.caleprocure.ca.gov

To begin your search, click on “Small Business and Disabled Veteran Business Enterprise Services,” then click “SB/DVBE Search.” Search by “Keywords” or “United Nations Standard Products and Services Codes (UNSPSC) that apply to the elements of work you want to subcontract to a DVBE. Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at: www.caleprocure.ca.gov. For questions regarding the online certified firm database and the CSCR, please call the OSDS at (916) 375-4940 or send an email to: OSDSHelp@dgs.ca.gov http://www.caleprocure.ca.gov/ http://www.caleprocure.ca.gov/ mailto:OSDSHelp@dgs.ca.gov

ii. Local Resources: For a list of local DVBE organizations: https://www.dgs.ca.gov/- /media/Divisions/PD/OSDS/Certification/CUF/Referral- Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE

NOTE: Pursuant to Military and Veterans Code section 999 only a DVBE who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder or be used to qualify the Bidder for a DVBE participation and/or DVBE incentive. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required

D. Applying Preference and Incentives

Preferences and incentives are used for bid tabulation purposes to determine the lowest responsive responsible bid. Strict adherence to the laws and regulations to apply the preferences and incentives will be followed. If awarded the contract, the preference and/or incentive does not alter the amount of the resulting contract. Please be aware that contracts awarded with applied preferences or incentives will be monitored throughout the life of the contract for compliance to statutory, regulatory and contractual requirements.

The SB preference of 5% will be applied when a responsive and responsible bidder that is not a CA certified SB submits the lowest responsive bid. NSB will receive a 5% preference if the lowest responsive bid is not a SB after application of the SB Preference. (Note: Pursuant to Government Code (GC) 14838 (g) NSB claiming SB subcontractor preference cannot result in denial of the award to a certified SB.)

The DVBE incentive will be applied to each qualified bidder’s verified DVBE participation percentage from the number 1 ranked responsive and responsible net bid, regardless if the number 1 bidder is an SB/DVBE. If a SB is ranked number 1 after SB preference has been applied, the DVBE incentive is only calculated for bidders certified as SBs.

https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE

Sample bid tabulation:

Bidder A B C D Responsive & Responsible? Yes Yes Yes Yes

Small Business SB NSB No SB

NET BID AMOUNT $110,100.00 $109,500.00 $107,300.00 110,200.00

Initial Ranking 3 2 1 4 SB Preference Amount $5,365.00 none none $5,365.00

Subtotal -1 $104,735.00 $109,500.00 $107,300.00 $104,835.00 Ranking after SB

Preferences 1 4 3 2

Ranking after NSB Preference 1 4 3 2

DVBE Incentive % (Applied only to SBs if Rank 1 bidder is an

SB after application of SB Preference) 2% None 3% 3%

DVBE Incentive Amount $2,146.00 -

$3,219.00 (Not applied as SB is rank 1 after SB Preference is Applied)

$3,219.00

Subtotal - 3 $102,589.00 $109,500.00 $107,300.00 $101,616.00 Ranking after DVBE

Incentive 2 4 3 1

4. MODEL CONTRACT

Exhibit A

SCOPE OF WORK

Project Type: On-Site Counseling Services

Project Location: Delta Center – 7000 S. Newcastle Road, Stockton, CA 95215

[Contractor Name] now referred to as the “Contractor” agrees to provide the California Conservation Corps now referred to as “CCC” with On-Site Counseling Services.

Contractor will provide all labor and materials to complete services.

General Summary:

The California Conservation Corps is a work ethic program with a dual mission: the employment and development of young people, and the conservation and enhancement of the state's natural resources. The On-Site Counseling Program is a component of a comprehensive Corpsmember development program which includes programs in work learn, literacy, career development, conservation awareness, community activism and basic education. The On-Site Counseling program began in May of 1990. These counseling services are an effort to assist Corpsmembers, who are age 18-25, in exploring how they can contribute to their personal development.

In coordination with the service district Corpsmember Development staff (CD), the counselor provides counseling to Corpsmembers. Growing from that core element, the on-site counselor provides an expanded array of services such as: individual and group counseling, support groups, education and personal development classes/workshops (such as sexual assault prevention), peer leadership development, peer counseling, staff consultation and training, identifying and engaging Corpsmembers into the counseling program and referral to community services. In other words, the on-site counselor will work in conjunction with the CD and center staff in developing the overall design of the center on-site counseling program.

It is expected that the counselor will address Corpsmember problems on three levels: crisis intervention, case management, and education. Due to the limited amount of counseling hours available, it would be impractical to use a counselor's time to provide Corpsmembers with lengthy and intensive therapy. Therefore, the approach needs to be one of short-term crisis counseling, education and linking Corpsmembers with community resources for longer term care, and education/support activities, with the Contractor monitoring progress.

The contractor is expected to provide the following:

Provide between 4 to 6 hours of professional services per week, including individual and group counseling, as well as staff consultation, for young adults between the ages of 18 and 25 (Hours of professional services provided each week fluctuate and can exceed 10 hours, depending on the hourly rate and available counseling funds and possibly during fire or spike season or other declared emergencies no hours.) Hourly charges shall not include travel time.

Service breakdown is anticipated to be (approximately) as follows:

75% Individual counseling on anger management, stress reduction, depression, cultural diversity, alcohol, tobacco, and other drug related issues, etc. (this includes Corpsmember referrals to community resources when necessary);

15% Group counseling when appropriate;

5% Staff consultation and/or training;

5% Report writing and statistics.

Contractor shall be expected to provide program data to the CCC on a monthly basis, using the CCC Counseling Program Individual Contact Report and the CCC Counseling Program Group Contact Report.

Contractor will be available to work with CCC staff to seek bilingual services (Spanish and English) to accommodate non-English speaking Corpsmembers.

Contractor will provide a time-based, visual reference of management referred employees to note progress or non-progress of counseling efforts regarding the preferred issue. This will not contain any patient confidential information.

CCC Policies Related to Corpsmembers

Contractor agrees that he/she shall be required to abide by all CCC policies regarding staff relationships with Corpsmembers including the Fraternization, Nepotism, Sexual Harassment and EEO/Discrimination Policies.

Intern Use

The Contractor may utilize the services of a Marriage and Family Therapist Intern who is currently registered through the California Board of Behavioral Sciences. In the case of an Intern providing some of the counseling services, the Counselor will provide no less than 30% percent of the services and the Intern will provide no more than 70% of the services. Counseling services provided by an Intern may be billed at no more than 75% of the Contractor’s hourly rate. If the Intern accompanies the Contractor to provide services, only the Contractor’s time may be billed.

If Counselor elects to use an Intern to provide for 70% or less of the services, then the regulations pertaining to the supervision of that registered intern or trainee, apply. For example, a licensed MFCC cannot charge the intern or trainee for supervision, they need to have 2 years as a licensed MFCC in order to supervise the intern, the intern must be registered through the BBSE and the supervisor must provide the intern with either one hour of individual supervision or two hours of group supervision per week. Likewise, regulations which cover Intern positions for a LCSW, a psychologist or a psychiatrist, must be followed.

CCC 131A

California Conservation Corps Counseling Program

INDIVIDUAL CONTACT REPORT

Amount of Time Spent:____________

Date of Service:____________

Age: ____________ # of months in the CCC: ____________

Type of Referral: (Check one)

_____Self Referral _____Staff Referral _____Program Referral

New Client: _____Yes _____No New Issue? _____Yes _____No

Type of problems presented by Corpsmember (Check all that apply)

1. Alcohol____

2. Alcohol/Family____

3. Drug (specify) ____

4. Drug/ Family____

5. Poly Drug (Specify) ____

6. Emotional____

7. Psychiatric ____

8. Martial____

9. Family____

10. Physical Abuse____

11. Sexual Abuse____

12. Emotional Abuse____

13. Stress Related____

14. Job Related____

15. Interpersonal____

16. Financial____

17. Legal____

18. Smoking____

19. Weight____

20. Career____

21. Self Esteem____

22. Other (Specify) ____

23. CC/ADP Referral ____

Comments:

CCC131A Note: This form is to be submitted monthly with invoice

CCC 131B

California Conservation Corps Counseling Program

GROUP CONTACT REPORT

Amount of Time Spent:____________

Date of Service:____________

Number of Males in Group:

Number of Females in Group:

Type of Referral: (Check one)

_____Self Referral _____Staff Referral _____Program Referral

New Client: _____Yes _____No New Issue? _____Yes _____No

Type of problems presented by Corpsmember (Check all that apply)

1. Alcohol____

2. Alcohol/Family____

3. Drug (specify) ____

4. Drug/ Family____

5. Poly Drug (Specify) ____

6. Emotional____

7. Psychiatric ____

8. Martial____

9. Family____

10. Physical Abuse____

11. Sexual Abuse____

12. Emotional Abuse____

13. Stress Related____

14. Job Related____

15. Interpersonal____

16. Financial____

17. Legal____

18. Smoking____

19. Weight____

20. Career____

21. Self Esteem____

22. Other (Specify) ____

23. CC/ADP Referral ____

Comments:

CCC131B Note: This form is to be submitted monthly with invoice

CONFIDENTIALITY OF DATA

Client records and case notes are recognized as confidential: The Contractor, its employees, agents or subcontractors:

1. Shall protect from unauthorized disclosure names and other identifying information concerning persons either receiving services pursuant to this contract or persons whose names or identifying information become available or are disclosed to the Contractor, his/her employees, agents or subcontractors as a result of services performed under this agreement, except for statistical information not identifying any such person.

2. Shall not use such identifying information for any purpose other than carrying out the

Contractor’s obligations under this agreement.

3. Shall promptly transmit to the CCC all request for disclosure of such identifying information not emanating from the client or person.

4. Shall not disclose, except as otherwise specifically permitted by this agreement or authorized by the client, any such identifying information to anyone other then the CCC without prior written authorization from the CCC.

For the purpose of this article, identity shall include, but not be limited to name, identifying number, symbol, or other identifying assigned to the individual, such as finger or voice print or a photograph.

RIGHTS IN DATA: The Contractor is entitled to all material created before or outside of this Agreement. All materials developed under the terms of this agreement will become the property of the CCC.

MONITORING THE CONTRACT: The staff interaction and reporting writing and statistics which comprise 5% of the resulting contract, will be used for monitoring the performance of the contractor. An informal evaluation form may be developed in an effort to get feedback from Corpsmembers regarding services received.

Exhibit B

BUDGET DETAILS AND PAYMENT PROVISIONS

1. INVOICING AND PAYMENT

A. The maximum amount payable for this Agreement shall not exceed $22,320.00

Regular Counseling: $/Hr Emergency Counseling: $/Hr

B. For services rendered in accordance with the Scope of Work, and upon receipt of the invoice, the State agrees to compensate the Contractor for actual expenditures incurred in accordance with the rates specified herein, which is attached hereto and made a part of this Agreement.

C. The Contractor shall be paid Monthly in arrears upon submission of an original and two copies of the invoice, which properly details all charges, expenses, direct and indirect costs. Invoices shall be submitted to:

Contract Manager: Toni Perez (AO) Toni.Perez@ccc.ca.gov

Region / Division: CCC Delta Center

Address: 7000 S. Newcastle Road. Stockton, CA 95215

D. The original and one (1) approved copy of the invoice will be forwarded to the CCC’s

Accounting Claims Section by the Contract Manager. Payment of any invoice will be made only after receipt of a complete, supported, documented and accurately addressed invoice. Failure to use the address exactly as provided above may result in the return of the invoice to the Contractor. All invoices must be approved by the Contract Manager.

E. The invoice shall contain the following information:

1. The word “Invoice” should appear in a prominent location at the top of the page(s);

2. Printed name of the Contractor;

3. Business address of the Contractor including P.O. Box, City, State, and Zip

Code;

4. Name of the Region/Division of CCC being billed;

5. The date of the invoice and the time period covered;

6. The number of the agreement upon which the claim is based, and;

7. An itemized account of the services for which the CCC is being billed.

Include all of the following:

a. The time period covered by the invoice, i.e., the term

“from” and “to”.

b. A description of the services performed.

F. The method of computing the amount due based on a line item budget/cost reimbursement method. Payments will be made by the State to the Contractor, in arrears, upon receipt of an itemized invoice showing the time period covered and the work items accomplished. The invoice must be itemized using the categories and following the format of the attached budget.

mailto:Toni.Perez@ccc.ca.gov

G. The total amount due. This should be in a prominent location in the lower right-hand portion of the last page and clearly distinguished from other figures or computations appearing on the invoice; the total amount due shall include all costs incurred by the Contractor under the terms of this agreement; and

H. The original signature of the Contractor (not required of established firms or entities using preprinted letterhead invoices).

2. CONTRACT WRITTEN PRIOR TO APPROVAL OF THE BUDGET ACT

A. It is mutually understood between the parties that this Agreement may have been written prior to approval of the Budget Act for the mutual benefit of both parties in order to avoid program and fiscal delays.

B. This Agreement is valid and enforceable only if sufficient funds are made available by the Budget Act for the Fiscal Year(s) involved for the purposes of this program. In addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted by the Legislature and contained in the Budget Bill or any statute enacted by the Legislature which may affect the provisions, terms, or funding of this Agreement in any manner.

C. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the

D. program, this Agreement shall be of no further force and effect. In this event, the

State shall have no liability to pay any funds whatsoever to the Contractor or to furnish any other considerations under this Agreement and the Contractor shall not be obligated to perform any additional provisions of this Agreement.

E. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State, or offer an agreement amendment to the Contractor to reflect the reduced amount.

3. PROMPT PAYMENT CLAUSE

Payment will be made in accordance with, and within the time specified in Government Code Chapter 4.5, commencing with Section 927.

EXHIBIT C

General Terms and Conditions (GTC 02/2025)

1. APPROVAL: This Agreement is of no force or effect until signed by both parties and approved by the Department of General Services, if required. Contractor may not commence performance until such approval has been obtained.

2. AMENDMENT: No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties and approved as required. No oral understanding or Agreement not incorporated in the Agreement is binding on any of the parties.

3. ASSIGNMENT: This Agreement is not assignable by the Contractor, either in whole or in part, without the consent of the State in the form of a formal written amendment.

4. AUDIT: Contractor agrees that the awarding department, the Department of General Services, the Bureau of State Audits, or their designated representative shall have the right to review and to copy any records and supporting documentation pertaining to the performance of this Agreement. Contractor agrees to maintain such records for possible audit for a minimum of three (3) years after final payment, unless a longer period of records retention is stipulated. Contractor agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, Contractor agrees to include a similar right of the State to audit records and interview staff in any subcontract related to performance of this Agreement. (Gov. Code §8546.7, Pub. Contract Code §10115 et seq., CCR Title 2, Section 1896).

5. INDEMNIFICATION: Contractor agrees to indemnify, defend and save harmless the State, its officers, agents and employees from any and all claims and losses accruing or resulting to any and all contractors, subcontractors, suppliers, laborers, and any other person, firm or corporation furnishing or supplying work services, materials, or supplies in connection with the performance of this Agreement, and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Contractor in the performance of this Agreement.

6. DISPUTES: Contractor shall continue with the responsibilities under this Agreement during any dispute.

7. TERMINATION FOR CAUSE: The State may terminate this Agreement and be relieved of any payments should the Contractor fail to perform the requirements of this Agreement at the time and in the manner herein provided. In the event of such termination the State may proceed with the work in any manner deemed proper by the State. All costs to the State shall be deducted from any sum due the Contractor under this Agreement and the balance, if any, shall be paid to the Contractor upon demand.

8. INDEPENDENT CONTRACTOR: Contractor, and the agents and employees of Contractor, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of the State.

9. RECYCLING CERTIFICATION: The Contractor shall certify in writing under penalty of perjury, the minimum, if not exact, percentage of post-consumer material as defined in the Public Contract Code Section 12200, in products, materials, goods, or supplies offered or sold to the State regardless of whether the product meets the requirements of Public Contract Code Section 12209. With respect to printer or duplication cartridges that comply with the requirements of Section 12156(e), the certification required by this subdivision shall specify that the cartridges so comply (Pub. Contract Code §12205).

10. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement, Contractor and its subcontractors shall not deny the contract’s benefits to any person on the basis of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status, nor shall they discriminate unlawfully against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status. Contractor shall insure that the evaluation and treatment of employees and applicants for employment are free of such discrimination. Contractor and subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Gov. Code §12900 et seq.), the regulations promulgated thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code §§11135-11139.5), and the regulations or standards adopted by the awarding state agency to implement such article. Contractor shall permit access by representatives of the Department of Fair Employment and Housing and the awarding state agency upon reasonable notice at any time during the normal business hours, but in no case less than 24 hours’ notice, to such of its books, records, accounts, and all other sources of information and its facilities as said Department or Agency shall require to ascertain compliance with this clause.

Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105.)

Contractor shall include the nondiscrimination and compliance provisions of this clause in all subcontracts to perform work under the Agreement.

11. CERTIFICATION CLAUSES: The CONTRACTOR CERTIFICATION CLAUSES contained in the document CCC 04/2017 are hereby incorporated by reference and made a part of this Agreement by this reference as if attached hereto.

12. TIMELINESS: Time is of the essence in this Agreement.

13. COMPENSATION: The consideration to be paid Contractor, as provided herein, shall be in compensation for all of Contractor's expenses incurred in the performance hereof, including travel, per diem, and taxes, unless otherwise expressly so provided.

14. GOVERNING LAW: This contract is governed by and shall be interpreted in accordance with the laws of the State of California.

15. ANTITRUST CLAIMS: The Contractor by signing this agreement hereby certifies that if these services or goods are obtained by means of a competitive bid, the Contractor shall comply with the requirements of the Government Codes Sections set out below.

a. The Government Code Chapter on Antitrust claims contains the following definitions:

1) "Public purchase" means a purchase by means of competitive bids of goods, services, or materials by the State or any of its political subdivisions or public agencies on whose behalf the Attorney General may bring an action pursuant to subdivision (c) of Section 16750 of the Business and Professions Code.

2) "Public purchasing body" means the State or the subdivision or agency making a public purchase. Government Code Section 4550.

b. In submitting a bid to a public purchasing body, the bidder offers and agrees that if the bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, materials, or services by the bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the bidder. Government Code Section 4552.

c. If an awarding body or public purchasing body receives, either through judgment or settlement, a monetary recovery for a cause of action assigned under this chapter, the assignor shall be entitled to receive reimbursement for actual legal costs incurred and may, upon demand, recover from the public body any portion of the recovery, including treble damages, attributable to overcharges that were paid by the assignor but were not paid by the public body as part of the bid price, less the expenses incurred in obtaining that portion of the recovery. Government Code Section 4553.

d. Upon demand in writing by the assignor, the assignee shall, within one year from such demand, reassign the cause of action assigned under this part if the assignor has been or may have been injured by the violation of law for which the cause of action arose and (a) the assignee has not been injured thereby, or (b) the assignee declines to file a court action for the cause of action. See Government Code Section 4554.

16. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of $100,000, the contractor acknowledges in accordance with Public Contract Code 7110, that:

a. The contractor recognizes the importance of child and family support obligations and shall fully comply with all applicable state and federal laws relating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family Code; and

b. The contractor, to the best of its knowledge is fully complying with the earnings assignment orders of all employees and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Department.

17. UNENFORCEABLE PROVISION: In the event that any provision of this Agreement is unenforceable or held to be unenforceable, then the parties agree that all other provisions of this Agreement have force and effect and shall not be affected thereby.

18. PRIORITY HIRING CONSIDERATIONS: If this Contract includes services in excess of $200,000, the Contractor shall give priority consideration in filling vacancies in positions funded by the Contract to qualified recipients of aid under Welfare and Institutions Code Section 11200 in accordance with Pub. Contract Code §10353.

19. SMALL BUSINESS PARTICIPATION AND DVBE

PARTICIPATION REPORTING REQUIREMENTS:

a. If for this Contract Contractor made a commitment to achieve small business participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) report to the awarding department the actual percentage of small business participation that was achieved. (Govt. Code § 14841.)

b. If for this Contract Contractor made a commitment to achieve disabled veteran business enterprise (DVBE) participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) certify in a report to the awarding department: (1) the total amount the prime Contractor received under the Contract; (2) the name and address of the DVBE(s) that participated in the performance of the Contract; (3) the amount each DVBE received from the prime Contractor; (4) that all payments under the Contract have been made to the DVBE; and (5) the actual percentage of DVBE participation that was achieved. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Mil. & Vets. Code § 999.5(d); Govt. Code § 14841.)

20. LOSS LEADER: If this contract involves the furnishing of equipment, materials, or supplies then the following statement is incorporated: It is unlawful for any person engaged in business within this state to sell or use any article or product as a “loss leader” as defined in Section 17030 of the Business and Professions Code. (PCC 10344(e).)

21. GENERATIVE AI DISCLOSURE OBLIGATIONS:

a. The following terms are in addition to the defined terms and shall apply to the Contract:

1) “Generative AI (GenAI)” means an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system's training data. (Gov. Code § 11549.64.)

b. Contractor shall immediately notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

c.…