Cover and Solicitation.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Washington, D.C. 20534

December 21, 2020

Re: 15BCTS21Q00000034, Youngstown, OH

All Interested Parties:

This Request for Quotation (RFQ) is to provide Mental Health, Substance Use, and Sex Offender Treatment services for male and female offenders held under authority of the United States in Youngstown, OH. Services are to be provided in accordance with the enclosed Statement of Work entitled, “Federal Bureau of Prisons, Community Treatment Services, Statement of Work, October 2020.”

The following must be completed and submitted with your Quotation:

Standard Form (SF) 1449 - Solicitation/Contract/Order for Commercial Items - Please complete blocks 12, 17a, 17b, 23, 24, 30a, 30b, and 30c of the SF-1449 and the continuation sheets.

Please include your telephone number in Block 17a. Original signatures are required.

Quoter Representations and Certifications (FAR 52.212-3) - Prospective quoters are required to submit Annual Representations and Certifications at https://www.sam.gov/portal/public/SAM/. By submission of a quote under this solicitation, the quoter acknowledges completion of the annual representations and certifications via SAM and verifies, by the submission of the quote, that the representations and certifications currently posted in SAM were entered or updated within the last 12 months and are current, accurate, complete and applicable to this solicitation. All quoters must be capable of and comply with FAR 52.212-1(j), Instructions to Offerors - Commercial Items, Unique Entity Identifier (Jun 2020) and FAR 52.204-7, System of Award Management(SAM) (Oct 2018).

Required Documentation Identified at Addendum to FAR 52.212-1, Instructions to Offerors - Commercial Items Government shall award to the lowest price, technically acceptable, responsive and responsible quoter.

Electronic copies of quotations shall be submitted by email in Adobe Acrobat (PDF) format only. Email attachments (PDFs only) cannot total more than 14 MB per email. Please compress PDFs when possible to reduce the file size. We understand you will likely need to send multiple emails. Please include SEPARATE FILE ATTACHMENTS for the following:

Completed SF-1449 (including the pricing table at Section 2.1) Completed Business Quotation Information sheet Completed Technical Quotation Information packet Proof of completed SAM registration (must be Active by time of quotation submission) A copy of your current Professional Liability Insurance

Quotations shall be emailed by Wednesday, January 20, 2021, 12:00 P.M. EST to smutts@bop.gov. Please confirm that all emails and attachments were received.

The solicitation will be distributed solely through the General Services Administration’s Beta SAM.gov website (beta.sam.gov).

Hard copies of the solicitation document will not be available. The website provides downloading instructions. All future information about this solicitation, including solicitation amendments, will be solely distributed through this website. Interested parties are responsible for monitoring this website to ensure they have the most up-to-date information about this solicitation.

Please direct any questions to smutts@bop.gov.

Sincerely, Shannon Mutts Contracting Officer

15BCTS21Q00000034 Page 1 of 64

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS21Q00000034

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

12/21/2020

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Shannon Mutts smutts@bop.gov

b. TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATE / LOCAL

TIME

01/20/2021 12:00 ET

CODE 15BCTS

Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Suite 5005 Washington, DC 20534

9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621420

SIZE STANDARD: $16,500,000

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

15B200CODE15. DELIVER TO

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

PHILADELPHIA, PA 19106

CODE 15BCTS16. ADMINISTERED BY

Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Suite 5005 Washington, DC 20534

Shannon Mutts smutts@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B200CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

PHILADELPHIA, PA 19106

Email invoices to: BOP-RSD-PSBCTS- BILL@bop.gov

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER SEE ADDENDUM

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Substance Use, Mental Health, and Sex Offender Treatment Services in Youngstown, OH

See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED.

29. AWARD OF CONTRACT: REF. _____________________________ OFFER

DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK 5)

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN,

IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)

Shannon Mutts

31c. DATE SIGNED

12/21/2020

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

034-21

15BCTS21Q00000034 Page 2 of 64

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

15BCTS21Q00000034 Page 3 of 64

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses

52.21-603-70 Contracting Officer's Representative (COR) (June 2012)

52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE

2004)

52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA

OR OTHER NATIONAL EMERGENCY (May 2008) DJAR-PGD-15-03 Security of Department Information and Systems 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Nov 2020) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

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

2011) 52.217-9 Option to Extend the Term of the Contract (Mar 2000)

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.212-3 Offeror Representations and Certifications-Commercial Items (Nov 2020) 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 52.217-5 Evaluation of Options (July 1990)

15BCTS21Q00000034 Page 4 of 64

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,920 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

720 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

15BCTS21Q00000034 Page 5 of 64

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

5 SS $________ $_________________

15BCTS21Q00000034 Page 6 of 64

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

80 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS21Q00000034 Page 7 of 64

0017 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

1,920 EA $________ $_________________

15BCTS21Q00000034 Page 8 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

720 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

90 EA $________ $_________________

15BCTS21Q00000034 Page 9 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

240 EA $________ $_________________

15BCTS21Q00000034 Page 10 of 64

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

80 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000034 Page 11 of 64

0040 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

1,920 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

720 SS $________ $_________________

15BCTS21Q00000034 Page 12 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 2: 25 months through 36 months

25 EA $________ $_________________

15BCTS21Q00000034 Page 13 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000034 Page 14 of 64

0057 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

80 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

432 EA $________ $_________________

15BCTS21Q00000034 Page 15 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

1,920 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

720 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

Option Year 3: 37 months through 48 months

15 SS $________ $_________________

15BCTS21Q00000034 Page 16 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

15BCTS21Q00000034 Page 17 of 64

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

80 SS $________ $_________________

15BCTS21Q00000034 Page 18 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

Option Year 4: 49 months through 60 months

1,920 EA $________ $_________________

15BCTS21Q00000034 Page 19 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

720 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

0091 Family Counseling - Substance Use (2030) 90 EA $________ $_________________

15BCTS21Q00000034 Page 20 of 64

(30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

600 SS $________ $_________________

15BCTS21Q00000034 Page 21 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

80 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

15BCTS21Q00000034 Page 22 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

432 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

18 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

1,920 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Intake - Substance Use (2005) (one per inmate) for Estimated 10 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000034 Page 23 of 64

0108 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 30 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

720 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 30 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 15 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

15 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 51 Units per Inmate; Estimated 30 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

1,530 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

90 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Intake - Mental Health (5005) (one per inmate) for Estimated 10 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

10 EA $________ $_________________

15BCTS21Q00000034 Page 24 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

25 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 10 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

240 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 18 Units per Inmate; Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

90 EA $________ $_________________

15BCTS21Q00000034 Page 25 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Medication Monitoring - Mental Health (6051) (4 visits per inmate) for Estimated 20 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

80 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 12 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

5 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 12 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

288 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates

432 EA $________ $_________________

15BCTS21Q00000034 Page 26 of 64

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 6 Units per Inmate; Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

18 EA $________ $_________________

15BCTS21Q00000034 Page 27 of 64

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, INSTRUCTIONS TO OFFERORS - COMMERCIAL ITEMS

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.

Clauses By Reference

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov

Clause Title Fill-ins (if applicable)

52.242-15 Stop-Work Order (Aug 1989)

52.203-3 Gratuities (Apr 1984)

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.253-1 Computer Generated Forms (Jan 1991)

52.203-12 Limitation On Payments to Influence Certain Federal Transactions

(Jun 2020)

52.242-13 Bankruptcy (July 1995)

52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

Clauses By Full Text

52.21-603-70 Contracting Officer's Representative (COR) (June 2012) (DEVIATION)

(a)Robert Voorhees, SCTC (LEAD) 215-521-7470, Ashanti Black, CTOS 215-521-7491 ,Ewelina Rozkuszka, CTOS 215-521-7446, Angelo Giamusso, CTOS 215-521-7471 , Cynthia Benik, CTOS 215-521-7499, Sabina Medvinsky, CTOS 215-521-7461,Philadelphia

15BCTS21Q00000034 Page 28 of 64

Field Office 200 Chestnut Street, 8th Floor Philadelphia, PA 19106, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, individuals or contractor employees providing services must have:

1. Legally resided in the United States (U.S.);

2. worked for the U.S. overseas in a Federal or military capacity; or

3. been a dependent of a Federal or military employee serving overseas.

If the individual is not a U.S. citizen, they must be from a country allied with the U.S. The following website provides current information regarding allied countries: http://www.opm.gov/employ/html/citizen.htm By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.

[End of Clause]

52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008)

During a Pandemic or other emergency we understand that our contractor workforce will experience the same high levels of absenteeism as our federal employees. Although the Excusable Delays and Termination for Default clauses used in Government contracts list epidemics and quarantine restrictions among the reasons to excuse delays in contract performance, we expect our contractors to make a reasonable effort to keep performance at an acceptable level during emergency periods.

The Office of Personnel Management (OPM) has provided guidance to federal managers and employees on the kinds of actions to be taken to ensure the continuity of operations during emergency periods. This guidance is also applicable to our contract workforce.

Contractors are expected to have reasonable policies in place for continuing work performance, particularly those performing mission critical services, during a pandemic influenza or other emergency situation.

The types of actions a federal contractor should reasonably take to help ensure performance are:

* Encourage employees to get inoculations or follow other preventive measures as advised by the public health service.

* Cross-train workers as backup for all positions performing critical services. This is particularly important for work such as guard services where telework is not an option.

* Implement telework to the greatest extent possible in the workgroup so systems are in place to support successful remote work in an emergency.

* Communicate expectations to all employees regarding their roles and responsibilities in relation to remote work in the event of a pandemic health crisis or other emergency.

* Establish communication processes to notify employees of activation of this plan.

* Integrate pandemic health crisis response expectations into telework agreements.

* With the employee, assess requirements for working at home (supplies and equipment needed for an extended telework period). Security concerns should be considered in making equipment choices; agencies or contractors may wish to avoid use of employees' personal computers and provide them with PCs or laptops as appropriate.

* Determine how all employees who may telework will communicate with one another and with management to accomplish work.

* Practice telework regularly to ensure effectiveness.

* Make it clear that in emergency situations, employees must perform all duties assigned by management, even if they are outside usual or customary duties.

* Identify how time and attendance will be maintained.

15BCTS21Q00000034 Page 29 of 64

It is the contractor's responsibility to advise the Government Contracting Officer if they anticipate not being able to perform and to work with the Department to fill gaps as necessary. This means direct communication with the Contracting Officer or in his/her absence, another responsible person in the contracting office via telephone or email messages acknowledging the contractor's notification. The incumbent contractor is responsible for assisting the Department in estimating the adverse impacts of nonperformance and to work diligently with the Department to develop a strategy for maintaining the continuity of operations.

The Department does reserve the right in such emergency situations to use Federal employees, employees of other agencies, contract support from other existing contractors, or to enter into new contracts for critical support services.