SF1449_Final_7-20-16.docx
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- Solicitation number
- CSOSA16Q0031
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SF1449 Schedule of Supplies/Services
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_QA_2.docx | DOCX document | |
| Amendment_Q_and_A.docx | DOCX document | |
| Admendment_to_Anger_Management.docx | DOCX document | |
| RFQ_ltr_for_posting.docx | DOCX document | |
| SF1449_Final.pdf | ||
| SOW_Revised_7-14-16.docx | DOCX document |
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STANDARD FORM 1449 (REV. 2/2012) BACK
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Base Year – Anger Management (CEAC), Facilitate weekly cognitive-behavioral group sessions using evidence-based practice model for grief management.
Anger Management Groups
Criminal Thinking Intervention Groups
Grief And Loss Groups
Parenting And Family Unification Groups
Behavioral Health Support Groups
Support Group For Families Of Mentally Ill Clients
Peer Support Groups
“Credible Messenger” Services
· Group And Individual Service
· Community Events
Entrepreneurship Training Group
Up To 416
Up To 208
Up To 208
Up To 104
Up to 156
Up to 12
Up to 104
2 Hours
1 Hour
1 Hour
1 Hour
1.5 Hours
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
Option Year One – Anger Management (CEAC), Facilitate weekly cognitive-behavioral group sessions using evidence-based practice model for grief management.
Anger Management Groups
Criminal Thinking Intervention Groups
Grief And Loss Groups
Parenting And Family Unification Groups
Behavioral Health Support Groups
Support Group For Families Of Mentally Ill Clients
Peer Support Groups
“Credible Messenger” Services
· Group And Individual Service
Up To 208
Up To 208
1 Hour
1 Hour
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
Option Year Two – Anger Management (CEAC), Facilitate weekly cognitive-behavioral group sessions using evidence-based practice model for grief management.
Anger Management Groups
Criminal Thinking Intervention Groups
Grief And Loss Groups
Parenting And Family Unification Groups
Behavioral Health Support Groups
Support Group For Families Of Mentally Ill Clients
Peer Support Groups
“Credible Messenger” Services
· Group And Individual Service
Up To 208
Up To 208
1 Hour
1 Hour
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
Option Year Three – Anger Management (CEAC), Facilitate weekly cognitive-behavioral group sessions using evidence-based practice model for grief management.
Anger Management Groups
Criminal Thinking Intervention Groups
Grief And Loss Groups
Parenting And Family Unification Groups
Behavioral Health Support Groups
Support Group For Families Of Mentally Ill Clients
Peer Support Groups
“Credible Messenger” Services
· Group And Individual Service
Up To 208
Up To 208
1 Hour
1 Hour
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
Option Year Four – Anger Management (CEAC), Facilitate weekly cognitive-behavioral group sessions using evidence-based practice model for grief management.
Anger Management Groups
Criminal Thinking Intervention Groups
Grief And Loss Groups
Parenting And Family Unification Groups
Behavioral Health Support Groups
Support Group For Families Of Mentally Ill Clients
Peer Support Groups
“Credible Messenger” Services
· Group And Individual Service
Up To 208
Up To 208
1 Hour
1 Hour
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 TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE |
32g E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER |
| 34. VOUCHER NUMBER |
| 35. AMOUNT VERIFIED CORRECT FOR |
| 36. PAYMENT |
| 37. CHECK NUMBER |
PARTIAL FINAL
COMPLETE PARTIAL FINAL
| 38. S/R ACCOUNT NO. |
| 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 |
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