RFQ_No._DCSC-16-RQ-0030_-_Clinical_Psychologists.pdf

CONTRACTING OFFICER

THE DISTRICT OF COLUMBIA COURTS

REQUEST FOR QUOTATION

(This Is Not An Order) Page 1 of 1

ADDRESS REPLY: reginald.ramdat@dcsc.gov 616 H Street, N.W.; Suite 612, Washington, D.C. 20001 Please Contact: Reginald Ramdat Telephone No.: 202-879-2865 Facsimile No. : 202-879-2835 Your Quotation Must Be Received at the

Above Address Not Later Than March 14, 2016, by 3:00 p.m., EST

DELIVER, ALL CHARGES PREPAID, TO:

D.C. Superior Court

REQUISITION REFERENCE

DCSC-16-RQ-0030 - Clinical Psychologists

NOTE: YOUR BID MUST BE INCLUSIVE OF DELIVERY COST

DC COURTS IS TAX EXEMPT.

ITEM NO. Articles or Services (Also District or Federal Stock No. If Any)

The D. C. Courts are soliciting resumes, and supplemental information for two (2) qualified Clinical Psychologists (Contractors) with forensic experience to administer a series of standard psychological and educational tests to determine intellectual, educational and personality functioning to screen for signs of neuropsychological impairment and to diagnose, using the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The work to be performed shall be in accordance with Attachment 1 – Statement of Work (SOW) & Instructions.

The response must include a cover letter (limited to two (2) pages), a resume or curriculum vitae, any and all relevant licensing credentials specific to the field of mental and behavioral health, a minimum of three (3) references, of which at least two (2) must be professional references.

SUBMITTED BY_____________________________________

(Signature of Person Authorized to Sign)

TITLE____________________________DATE_____________

DCSC-16-RQ-0030 ATTACHMENT A

Clinical Psychologists

STATEMENT OF WORK (SOW) & INSTRUCTIONS

FOR

CHILD GUIDANCE CLINIC CLINICAL PSYCHOLOGIST

SERVICES TO COURT SOCIAL SERVICES DIVISION (CSSD)

SECTION A:

A.1 INTRODUCTION:

This Statement of Work (SOW) is issued by the District of Columbia Superior Court, Family Court Social Services Division - CSSD. The CSSD Child Guidance Clinic (CGC) has identified a need for two (2) qualified Clinical Psychologists with ample forensic experience to administer a series of standard psychological and educational tests to determine intellectual, educational and personality functioning, to screen for signs of neuropsychological impairment and to diagnose, using the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), for a population ranging in age from eight to eighteen and adults serving in a care-taking capacity for pre and post adjudicated youth. The successful applicant will use computer technology for scoring test instruments and production of final report product. The candidate should be able to analyze, interpret, synthesize and integrate test results into clinically sound, cohesive, practical and functional written evaluation appropriate to a forensic domain. The successful candidate should be prepared to provide clinical expert testimony for Court officials in matters related to evaluations and clinical procedures and findings. The successful candidate will also serve as a clinical supervisor for graduate and post-doctoral level psychology trainees and interns including, but not limited to, psychological evaluations, individual, group and family psychotherapy, case consultation and case conference. The position also includes participating in case conferences and consultation with Court officials such as judges, probation officers, social workers, case managers or affiliates with regard to psychological issues related to adjudication and/or disposition. The successful candidate should also expect to perform other clinic or division duties such as interagency assignments, as assigned by the Chief Psychologist. The anticipated commencement date for the required service is on or about April 18, 2016. Selected Contractors will be required to provide forty (40) hours of service delivery per week under this solicitation.

A.2 BACKGROUND:

The Superior Court of the District of Columbia, Court Social Services Division (CSSD) serves as the pre and post disposition juvenile probation agency for the Nation’s Capitol.

CSSD is responsible for serving and supervising all juveniles remaining under the jurisdiction of the Family Court, frequently referred to as the “front end” of the City’s juvenile justice system. Those juveniles include: 1.) All newly arrested youth entering the Court system in juvenile delinquency cases; 2.) Persons in Need of Supervision - PINS cases (e.g., youth referred for truancy and/or youth referred for habitual running away);

and 3.) Juveniles court-ordered to post-disposition probation case management, services coordination, and/or supervision/monitoring. The mission of CSSD is to assist in the rehabilitation of youth through the provision of comprehensive intervention services, probation supervision and investigative/clinical reports to enhancing public safety and prevent recidivism and protect the community. CSSD is responsible for all youth involved in DC’s juvenile justice system who are not committed to the Department of Youth Rehabilitation Services (DYRS); that is those who are awaiting trial and those on probation.

The Court Social Services Division focuses on the strengths, challenges and identified needs of each individual youth within the context of the family. To ensure public safety and address the developmental needs of District youth under probation supervision, the CSSD enhances its therapeutic services delivery, supervision, and interventions with objectively based and culturally grounded reports that inform interventions. To achieve these objectives, CSSD’s Child Guidance Clinic must respond to court-ordered requests for various types of comprehensive psychological reports to identify the self-reported and unacknowledged mental and behavioral health needs of referred youth. The CSSD CGC assesses and evaluates youth by appointment and in some cases on an emergency basis.

The reports generated will provide recommendations for rehabilitation of the youth and in the safety and welfare of the community. The responsibilities of the CSSD CGC Clinical Psychologist include:

1. Conducting face-to-face interviews with youth, family and identified individuals active in the maturation of the youth; evaluates youth’s mental health and risk to public safety, and develops associated psychological reports for the judiciary.

2. Supervising doctoral level graduate students and interns in psychological treatment and evaluation.

3. Exhibiting the knowledge and the utilization of community or other identified resources in the assistance of solving youth mental health challenges.

4. Maintaining files, records, and case related documents in a well-organized manner

5. Preparing accurate and proficient reports and makes oral and written presentations of facts, which impact the judicial decision-making process as well as the rehabilitation of the youth and his/her family

6. Performing other duties (community activities for youth and families, educational/recreational trips, etc.) as assigned, consistent with established Division and Branch performance standards.

7. In the absence of the supervisor, may be required to assume temporary supervision of the unit, and serve as team leader for special initiatives and committees

SECTION B:

B.1 PERIOD OF PERFORMANCE:

The term of the contract shall be for one year from the date of contract award. The date of contract award shall be the date the Contracting Officer signs the contract document. The anticipated commencement date for the required service is on or about April 18, 2016.

The actual start date shall be the contract award date.

B.1.1 OPTION PERIOD:

The Courts may extend the term of this contract for a one (1) year period, or a fraction, or multiple fractions thereof, by written notice to the Contractor before the expiration of the contract, provided that the Courts shall give the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. If the Courts exercise its option to extend the contract, Contractor shall be compensated at the same rate specified in the contract. The preliminary notice does not commit the Courts to an extension. The Contractor may waive the 30-day preliminary notice requirement by providing a written waiver to the Contracting Officer prior to expiration of the contract. If the Courts exercise this option, the extended contract shall be considered to include this option provision. The exercise of any option under this contract is contingent upon the appropriation of funds for the respective option period. However, the availability of funds does not obligate the Courts to exercise this option year.

The total duration of this contract including the exercise of any options under this clause, shall not exceed two (2) years.

B.2 MINIMUM QUALIFICATIONS AND EXPERIENCE:

A doctoral degree in Clinical or Counseling Psychology from an accredited college or university and a license to practice psychology in the District of Columbia plus four (4) years of experience where the candidate had to apply established scientific methods and principles. CANDIDATES MUST BE LICENSED TO PRACTICE PSYCHOLOGY

IN THE DISTRICT OF COLUMBIA. DOCUMENTATION/PROOF OF

EDUCATION (COLLEGE TRANSRIPT AND DEGREE) AND LICENSING

MUST BE INCLUDED WITH APPLICATION (RESUME). SEE ALSO,

SECTION D, PARAGRAPH D.3.

B.3 SALARY/RATE:

Doctoral Degree:

Clinical/Counseling Psychology

Compensation shall be based on the following range Hourly Rate:

Number of Hours per Week

$50.48 to $55.29 Per Hour

40 Hours Per Week

SECTION C:

C.1 EACH CONTRACTOR SHALL PROVIDE AND PARTICIPATE IN THE

SERVICES AND DELIVERABLE(S) AS FOLLOWS:

C.1.1 Orientation to Superior Court, CSSD and Child Guidance Clinic

The Contractor shall participate in orientation to the DC Courts as provided by the Human Resource Division. Furthermore, the Contractor shall participate in orientation training as provided by the Court Social Services Division, which may include any one or more of the following: CSSD orientation and CGC orientation. These trainings will familiarize the Contractor with policies and procedures, business as well as clinical practices within the CSSD, Court and the Child Guidance Clinic.

C.1.2 Orientation to Child Guidance Clinic - CGC

As provided by the Child Guidance Clinic - CGC (Acting Chief Psychologist, Malcolm H. Woodland, PhD). The Contractor shall participate in orientations to the clinical and forensic functions of the Clinic, organizational responsibilities, and points of authority. Likewise, the Contractor shall take part in the purpose and function of the research laboratory and the Contractor’s contribution to its ongoing mission.

C.1.3 Orientation of the Juvenile Behavioral Diversion Program – JBDP

The CGC, in conjunction with the JBDP Suitability Committee Co-Chair, Program Manager Shelia Roberson-Adams will take the lead responsibility for providing training regarding the mission and daily functions of the JBDP. This will include, but not be limited to the Administrative Authority/Order, JBDP Manual, JBDP Suitability Committee and Confidentiality Agreement, stakeholders such as the DC Office of the Attorney General, and selected Core Service Agencies.

C.1.4 Orientation on Current Screening Tools and Procedures

While there are screening instruments currently in use, there may be modifications or changes based on ongoing outcome research findings provided by the CGC Research Lab. The Contractor will be informed of the Conners Behavioral Rating Scale (CBRS -various versions). As evolving tools and screeners are developed or selected, the Contractor will be informed about screening instruments follow-up procedures.

C.1.5 Orientation to Commercial Sexual Exploitation of Children (CSEC) Protocol.

C.1.6 Provision of Evaluation Services

On an agreed upon and designated work schedule, the Contractor shall administer available evaluation tools to court-ordered juveniles. Likewise, the Contractor will supervise externs and/or interns as assigned by the Acting Chief Psychologist or designee. The Contractor shall implement pre-arranged emergency contact and/or on-the-spot intervention (FD-12) for youth in imminent danger of suicide, homicide, or other life or additional threatening mental/behavioral health circumstances in consultation with Acting Chief Psychologist or designee.

C.1.7 Written Reports

Upon completion of each individually administered evaluation, the Contractor shall computer score, obtain the results and begin the comprehensive written report. The format that is required for reports will be provided by the CGC. Reports may be subject to review and adjustment by the Acting Chief Psychologist or designee.

C.1.8 Supervision of Trainees

In accordance to the CGC’s mission and accreditation by the American Psychological Association (APA), the Contractor will be required to provide individual and/or group supervision to assigned trainees. The amount of supervision shall be guided by the individual need of the trainee and the guidelines of APA and the CGC. The Contractor shall keep notes and documentation of supervision for each trainee. The Contractor shall also report at CGC Training meetings on the progress of each individual trainee providing strengths, weaknesses, areas for improvement or remediation and general integration with the CGC, the CSSD and the Court.

C.1.9 Case Conferences/Seminars

Case conference and seminar attendance and supervision input is required of the Contractor. There are generally two standing conferences that occur on Mondays from 3:30 pm to 5:30 pm and Thursdays from 2:00 pm to 4:00 pm. The location is typically in the office e of the Chief Psychologist or as announced. There may be other seminars or meeting as announced by the Acting chief Psycho0logist that will require attendance and /or participation. It is the Contractor’s responsibility to bring forth any system or individual challenges, impediments, or dilemmas that impact effective execution of the scope of work. In all cases, the Acting Chief Psychologist should be notified of such factors or circumstances.

C.2 INSTRUCTIONAL SCHEDULE:

C.2.1 Five (5) days after Contract award, the Applicant/Contractor will meet with the

Contracting Officer Technical Representative (COTR) to establish the work schedule that shall remain throughout the contract year. There will be at least one late evening (up to 2 hours after 6 pm) per week. Flexible schedules are permitted with the approval of the Acting Chief Psychologist according to the needs of the CGC.

C.2.2 The administration of evaluations shall be conducted at the following locations: the Child

Guidance Clinic, Court Building “B” 510 – 4th Street, NW, Washington, DC 20001; the Youth Services Center - YSC (Pre-Trial Juvenile Detention Center) located at 1000 Mount Olivet Rd., NE. Washington 20002; Moultrie Courthouse located at 500 Indiana Avenue NW. Washington DC 20001, or any other CSSD operated site within the District of Columbia. Once established, any modifications/adjustments to the Contractor’s work schedule must be approved by the COTR or Acting Chief Psychologist.

C.3 SCHEDULING OF CONRTACTUAL HOURS

C.3.1 All Contractual work hours shall be coordinated to ensure youth referred to the CSSD’s

CGC for various psychological evaluations, supervision, case conferences and seminars are completed during CSSD’s hours of operations at all locations.

C.4 DELIVERABLES:

All Deliverables shall be in a form and manner acceptable to the Courts. The Contractor shall provide to the Contracting Officer’s Technical Representative (COTR) the deliverables specified below within the designated time frames:

C.4.1 The Contractor shall submit a weekly report detailing the number of evaluations, supervision sessions and case conferences/seminars conducted/attended via email to the Acting Chief Psychologist and COTR via email or as directed by the Acting Chief Psychologist. The report shall include the following information on each participant:

a. Date of Contact

b. Type of Contact

c. Site of Contact

d. Name of youth evaluated following referral

e. Number of supervision sessions of trainee’s

f. Type and number of case conferences/seminars attended/participated

C.5 PAYMENT AND INVOICES

The Contractor shall be compensated at the established hourly rate. The Contractor shall submit an invoice for payment on a monthly basis from the date of contract execution.

Invoices shall be prepared in duplicate and submitted to the Contracting Officer’s

Technical representative (COTR) and the D.C. Courts Accounting Branch for review and approval. The COTR shall review and approve or reject invoices. Following approval, the invoices will be sent by the COTR to the Budget & Finances Division for the processing of payments. At a minimum, the Contractor’s Invoice shall include the following information:

1. Name and Address of the Contractor;

2. Contract Number/Contract Order Number;

3. Invoice Date;

4. Service Description;

5. Contractor’s Electronic Fund Transfer (EFT), routing identification (bank name and code);

6. Signature certifying that services were provided as agreed and invoiced;

7. Name, Title, and Phone Number of person to be notified in the event of a defective invoice; and

8. Time and attendance documentation and verification forms

C.5.1 Submit Invoices to:

Michael E. Barnes, Ph.D., Acting Deputy Director 510 4th St., NW, Suite 215A Washington, DC 20001 202.508.1751

C.5.2 A duplicate copy of each invoice shall also be submitted to the D.C. Courts Accounting Branch:

Accounting Supervisor Budget and Finance Division D.C. Courts 616 H Street, N.W., Suite 600 Washington, D.C. 20001 202-879-2813

C.5.3 Billing/Payment Certification

Payment to the Contractor for services satisfactorily performed shall be made by the Courts once the Contractor’s certified invoice has been approved by the COTR, or in the case of a dispute, subject to final determination by the Contracting Officer.

C.5.4 Audits

At any time or times before final payment and three (3) years thereafter, the Contracting Officer may have the Contractor’s invoices or vouchers and statements of costs audited.

Any payment may be reduced by amounts found by the Contracting Officer not to constitute allowable costs as adjusted for prior overpayment or underpayment. In the event that all payments have been made to the Contractor by the Courts and a discrepancy of overpayment is found, the Courts shall be reimbursed for said overpayment within thirty (30) days after written notification.

C.6 CONTRACTING OFFICER (CO):

Contracts will be entered into and signed on behalf of the Courts only by contracting officer. The name, address and telephone number of the Contracting Officer is:

Louis W. Parker Administrative Officer Administrative Services Division District of Columbia Courts 616 H Street, N.W., Suite 622 Washington, DC 20001

C.6.1 Authorized Changes by the Contracting Officer:

The Contracting Officer is the only person authorized to approve changes in any of the requirements of this contract.

C.6.2 Contracting Officer’s Technical Representative (COTR):

A. The COTR is responsible for general administration of the contract and advising the Contracting Officer as to the Contractor’s compliance or noncompliance with the contract. In addition, the COTR is responsible for the day-to-day monitoring and supervision of the contract, of ensuring that the work conforms to the requirements of this contract and such other responsibilities and authorities as may be specified in the contract. The COTR or her Designee is authorized to place orders under this contract. The COTR for this contract is:

Michael Barnes, Ph.D., Chief Psychologist 510 4th St., NW, Suite 215A Washington, DC 20001 202.508.1751 Email: michael.barnes@dcsc.gov

b. The COTR shall not have authority to make any changes in the specifications or scope of work or terms and conditions of the contract.

c. The Contractor may be held fully responsible for any changes not authorized in advance, in writing, by the Contracting Officer; may be denied compensation or other relief for any additional work performed that is not so authorized; and may also be required, at no additional cost to the Court, to take all corrective action necessitated by reason of the unauthorized changes.

mailto:michael.barnes@dcsc.gov

C.7 CONTRACTOR’S CLEARANCE AND BACKGROUND REQUIREMENTS -

CRIMINAL BACKGROUND CHECKS

C.7.1 The District of Columbia Courts (Courts) shall require name based FBI fingerprint and Child Protection Registry clearance criminal background checks by means of fingerprints and National Criminal Information Center checks and procedures through the D.C.

Metropolitan Police Department (MPD) and the Child Protection Registries of Washington, D.C. (DC), Maryland (MD) and Virginia (VA).

C.7.2 Within five (5) days of request by the Contracting Officer the Applicant/ Contractor shall submit a completed District of Columbia Courts Security Clearance Form with information for each employee, consultant, trainee, volunteer and other personnel of the Contractor providing services including but not limited to those having direct contact with children (under the age of 18) or with individuals with intellectual disabilities, or providing services for the Criminal Division so a criminal background check may be conducted.

C.7.3 Within five (5) days of request by the Contracting Officer the Applicant/ Contractor shall submit a completed and notarized Child Protective Registry forms for DC, MD and VA.

The Contracting Officer shall obtain clearance, through the Child and Family Services Agency (CFSA) Child Protective Register (CPR), for all Contractor personnel providing services with direct contact with children (under the age of 18) and with individuals with intellectual disabilities, to include salaried personnel, consultants, trainees, volunteers and all other personnel.

C.7.4 The Contractor shall inform the Contracting Officer in writing, of any changes in staff, to include the full legal names of new or substituted key personnel under this contract. The Contractor shall inform the Contracting Officer of any changes prior to services being provided by replacement personnel. All key personnel changes are subject to the prior approval of the Contracting Officer.

C.7.5 The Courts shall require a Child Protective Register check on an annual basis, and a MPD criminal background check every two (2) years for personnel listed in Sections C.7.2 and C.7.3 above.

C.7.6 The Applicant shall submit traffic record checks, with their proposal, on any personnel who would be required to drive motor vehicles to transport children or individuals with intellectual disabilities in the course of performing services under this contract. A pattern of disregard for traffic regulations, particularly where there has been a conviction for driving under the influence of intoxicants or drugs, may be cause for rejection.

C.7.7 The Courts reserves the right to reject any current or proposed person providing services under this contract based on the outcome of the criminal background, CPR or traffic record checks. No person who has been convicted of, pleaded nolo contendere, been found not guilty by reason of insanity, or is on probation before judgment or placement of a case upon a stet docket, for any of the offenses listed in sections (C.7.9)(1), (5), (7) or

(8) of this Article, shall be permitted to provide services with direct contact with children or individuals with intellectual disabilities.

C.7.8 The Applicant shall submit, with its offer, a signed District of Columbia Courts

Background Check Statement affirmation for each person whom a criminal background check and Child Protective Registry check is required under Sections C.7.2 and C.7.3 of this Section stating whether or not the person:

(1) Has been convicted of any of the felony offenses listed in Section C.7.9 of this Article, or their equivalent, in the District of Columbia, or in any state or territory;

(2) Has pleaded nolo contendere to any of the felony offenses listed in section C of this Article, or their equivalent, in the District of Columbia, or in any state or territory;

(3) Is on probation before judgment or placement upon a stet docket of a case involving any of the felony offenses listed in section C.7.9, or their equivalent, in the District of Columbia, or in any state or territory; and

(4) Has been found not guilty by reason of insanity, for any sexual offense or intra-family offense in the District of Columbia; or for any of the felony offenses listed in section C of this Article, or their equivalent, in the District of Columbia, or in any state or territory.

C.7.9 The list of felony offenses referred to in section C.7.8.1 of this Article are as follows:

(1) Murder, attempted murder, manslaughter, or arson;

(2) Assault, battery, assault with a dangerous weapon, mayhem, malicious disfigurement, or threats to do bodily harm;

(3) Burglary;

(4) Robbery;

(5) Kidnapping;

(6) Illegal use or possession of a firearm;

(7) Sexual offenses, including indecent exposure; promoting, procuring, compelling, soliciting, or engaging in prostitution; corrupting minors (sexual relations with children); molesting; voyeurism; committing sex acts in public; incest; rape; sexual assault; sexual battery; or sexual abuse; but excluding sodomy between consenting adults;

(8) Child abuse or cruelty to children;

(9) Unlawful distribution or possession of or possession with intent to distribute a controlled substance;

(10) Theft, fraud, forgery, extortion, blackmail, larceny, or identity theft.

C.7.10 The Court shall maintain a personnel file on each Contractor containing a cover letter, up-to-date resume or curriculum vitae detailing education and work experience as well as any current applicable licenses and certifications, a list of at least three (3) references, verification of the most recent college degree and a current job description detailing the work undertaken by the Contractor. The Contractor shall inform the COTR immediately of any and all issues arising, which may impede fulfillment of contractual obligations.

The Court shall provide orientation sessions for each contractor detailing administrative procedures, services encompassing those required by Contract scope, CSSD’s policies and practices to be adhered to under this contract.

C.7.11 A Contractor that provides services as a covered child or youth services provider, as defined in section 202(3) of the Child and Youth, Safety and Health Omnibus Amendment Act of 2004, effective April 13, 2005 (D.C. Law 15-353; D.C. Official Code § 4-1501.01 et seq.), as amended (in this section, the “Act”), shall obtain criminal history records to investigate persons applying for employment, in either a compensated or an unsupervised volunteer position, as well as its current employees and unsupervised volunteers. The Contractor shall request criminal background checks for the following positions: All individuals providing direct service to the child, including volunteers.

C.7.12 The Contractor may not sub-contract services, nor can he or she make an offer of appointment to any individual (volunteer or other) whose position brings him or her into direct or indirect contact with CSSD youth.

C.7.13 Unless otherwise specified herein, the Court may conduct periodic criminal background checks throughout the duration of this contract.

C.8 MANDATORY REPORTING

The Contractor shall ensure that upon personally observing an incident of alleged or actual child abuse, neglect or fatality, having any other information indicating an alleged or actual risk to a child/children health or safety, he or she will make an immediate oral report and a written report within twenty-four (24) hours to the CFSA’s twenty (24) hour Child Abuse and Abuse and Neglect Hotline (202 671-SAFE).

C.8.1 The Contractor shall ensure that notification is made within (24) hours to the assigned COTR, Probation Officer, and Office of the Director.

C.8.2 The Contractor shall ensure that the written report includes, but need not be limited to, the following information if the person making the report knows:

a. The child/children who is the subject of the report;

b. Each of the child/children siblings;

c. Each of the child/children parents or other persons responsible for the child/children’s care

d. The nature and extent of the abuse or neglect of the child/children and any previous abuse or neglect, if known; and

e. All other information which the person making the report believes may be helpful in establishing the cause of the abuse or neglect and the identity of the person responsible for the abuse or neglect.

C.9 CONFIDENTIALITY:

During the course of this contract, the Contractor will have access to information that is deemed confidential by Federal and/or District Laws. Likewise, Contractors in this position will be held to Standard 4 (Privacy and Confidentiality) of the Ethical Principles of Psychologists and Code of Conduct by the American Psychological Association (2002 with 2010 Amendments). A copy of this document will be provided upon orientation.

The Contractor shall protect and hold strictly confidential all information to which the Contractor has access during the course of work under this contract. Contractor shall not disclose, directly or indirectly, any such information to third parties or use it for any purpose other than the work under this contract. Upon conclusion of work under this contract, the Contractor shall return any and all information and materials obtained from CSSD and any copies to CSSD.

C.10 COMPLETION OF CONTRACT:

Contractor shall have fulfilled its obligation when the Court determines the Contractor has consistently provided services as described in the Statement of Work (DC Courts Contract) until the end of the contract period.

C.11 COURTS RESPONSIBILITIES:

C.11.1 The Court shall evaluate the effectiveness of services provided by selected Contractors based upon on the above factors delineated in paragraph C.1 on through paragraph C.1.8

C.11.2 The Court shall work closely with Contractors.

C.113 The Court shall provide space for Contractors to fulfill obligations.

C.11.4 The Contractor shall be prepared to commence delivery of services detailed herein beginning on or about April 18, 2016, which shall also include duration of training provided by the Court that will enable Contractors to enhance skills necessary to carry out the services contemplated under this contract.

C.11.5 The Court is responsible for providing all training, assessment and support materials.

SECTION D:

D.1 QUESTIONS CONCERNING THIS REQUEST MUST BE DIRECTED BY

EMAIL TO:

Reginald Ramdat Contract Specialist Procurement and Contracts Branch Administrative Services Division District of Columbia Courts

Telephone: 202-879-2865 Email Address: reginald.ramdat@dcsc.gov

D.2 All questions must be submitted by email no later than 3:00 p.m., March 4, 2016.

D.3 REQUEST FOR QUOTATION (RFQ) SUBMISSION:

Eligible applicants must submit a response to this request on or before close of business 3:00 p.m., March 14, 2016. The response must include a cover letter (limited to two (2) pages), a resume or curriculum vitae, any and all relevant licensing credentials specific to the field of mental and behavioral health, a minimum of three (3) references, of which at least two (2) must be professional references. Each Applicant shall submit one (1) original and three (3) copies of their response. Each response shall be properly indexed and include all information requested in this RFQ. Applicants may submit responses either by e-mail, U.S. mail or by hand delivery/courier services.

A. Applicants submitting their responses by e-mail must e-mail their responses to the following address:

reginald.ramdat@dcsc.gov

B. Applicants submitting their responses by U.S. mail must mail their responses to the following address:

District of Columbia Courts Administrative Services Division Procurement and Contracts Branch Attn: Reginald Ramdat, Contract Specialist 616 H Street, N.W., Suite 612 Washington, D.C. 20001

C. Applicants submitting their responses by hand delivery/courier services must hand deliver their responses to the following address:

District of Columbia Courts Administrative Services Division Procurement and Contracts Branch Attn: Reginald Ramdat, Contract Specialist 701 7th Street, N.W., Suite 612 Washington, D.C. 20001 mailto:reginald.ramdat@dcsc.gov

D.4 APPLICABILITY OF GENERAL PROVISIONS APPLICABLE TO THE D.C.

COURTS CONTRACTS:

The General Provisions Applicable to D.C. Courts Contracts (Attachment 2) shall be applicable to the contract resulting from this solicitation.

D.5 RESTRICTION ON DISCLOSURE AND USE OF DATA:

Applicants who include in their proposals data that they do not want disclosed to the public or used by the Courts except for use in the procurement process shall so state in their proposal.

D.6 ETHICS IN PUBLIC CONTRACTING:

The Applicant shall familiarize itself with the Court's policy entitled "Ethics In Public Contracting". The Applicant shall abide by such provisions in submission of its proposal and performance of any contract awarded.

D.7 DISPUTES:

Any dispute arising under or out of this contract is subject to the provisions of Chapter 8 of the Procurement Guidelines of the District of Columbia Courts.

D.8 LAWS AND REGULATIONS:

All applicable laws, Courts rules, procurement guidelines and regulations shall apply to the contract throughout, and they will be considered to be included in the contract the same as though herein written out in full.

D.9 NON-DISCRIMINATION:

The Contractor agrees that it will comply with the nondiscrimination requirements set forth in D.C. Code, Section 2-1402.11(2001) which will be incorporated into any contract awarded. The Contractor agrees to comply with requests from the Courts to support the Contractor's adherence to this section.

D.10 DISCLOSURE OF INFORMATION:

D.10.1 Any information made available by the District of Columbia Courts shall be used only for the purposes of carrying out the provisions of this contract, and shall not be divulged nor made known in any manner to any person except as may be necessary in the performance of the contract.

D.10.2 In performance of this Contract, the Contractor agrees to assume responsibility for protection of the confidentiality of Courts records and that all work shall be performed under the supervision of the Contractor or the Contractor’s responsible employees.

D.10.3 Each office or employee of the Contractor to whom information may be available or disclosed shall be notified in writing by the Contractor that information disclosed to such officer or employee can be used only for a purpose and to the extent authorized herein, and that further disclosure of any such information, by any means, for a purpose or to an extent unauthorized herein, may subject the offender to criminal sanctions.

D.10.4 No information regarding the Contractor’s performance of the contract shall be disclosed by the Contractor to anyone other than the District of Columbia Courts officials unless written approval is obtained in advance from the Contracting Officer.

D.11 PUBLICITY:

The Contractor shall at all times obtain the prior written approval from the Court’s Contracting Officer before it, any of its officers, agents, employees or subcontractors, either during or after expiration or termination of the contract, make any statement or issue any material, for publication through any medium of communication, bearing on the work performed or data collected under this contract.

D.12 TYPE OF CONTRACT:

This is a firm-fixed hourly rate contract.

D.13 GOVERNING LAW:

This contract shall be construed in accordance with the laws of the District of Columbia, the D.C. Courts and federal government.

SECTION E:

E.1 EVALUATION CRITERIA:

The following criteria with a point system of relative importance with an aggregate total of one hundred points will be utilized to evaluate each response:

Item No. EVALUATION CRITERIA MAXIMUM

POINTS

A. QUALIFICATION:

Relevant Qualification/Education. (Please refer to Section B.2)

0 - 60

B. EXPERIENCE:

Relevant Experience. (Please refer to Section B.2)

0 – 40

TOTAL 100

E.2 The Court will schedule interviews with the applicants who are determined to be highly qualified based on the evaluation criteria set forth above.

DCSC-16-RQ-0030 ATTACHMENT A-1

COMPENSATION/RATE SHALL BE BASED ON THE FOLLOWING:

All successful applicants are required to have a PhD or PsyD in clinical or counseling psychology and have completed an APA accredited internship in psychology. Successful applicants must also have a license to practice psychology in the District of Columbia at the time of hire.

Junior level clinicians who have received their doctoral degrees within the last five years and have substantial experience in clinical and applied settings (e.g., schools, hospitals, etc.) with adolescents.

Compensation: $105,000/yr. or 50.48/hr.

Within 10 years of receiving their doctoral degree. This candidate will have substantial experience in a forensic setting working with adolescents conducting forensic evaluations, engaging in evidence-based treatments, and training doctoral students.

Compensation: $110, 000/yr. or $52.88/hr.

Senior level psychologist with at least 10 years of postdoctoral experience and several years of experience in a forensic setting. This psychologist should have substantial experience conducting forensic assessments, engaging in evidence based treatment, training doctoral level clinicians, and testifying in court.

Compensation: $115,000/yr. or $55.8/hr.

DISlRICT OF OOLUMBIA COURTS Human Resources Dirision 500 Indiana Avmue, NW

Washington. D.C. 20001-2131

ATTACHMENT J.10

CRIMINAL BACKQROUND CHECK AFFIRMATION FORM

Pursuant to the authority of28 U.S.C. § .534 and 42 U.S.C. § .5119a; any individual providing or being considered for the provision of services to the District of Columbia Courts will be required to undergo a criminal background check. Failure to obtain a criminal background check will affect your ability to work with minors at the District of Columbia Courts. Any individual who int.cntionally enrers information that misrepresents, misinforms, or misleads on this form, is subject to administrative action and removal.

(I) Murder, attempted murder, manslaughter, or arson;

(2) Assault, assault with a dangerous weapon, mayhem, malicious disfigurement, or threats to do bodily harm;

(3) Burglary;

(4) Robbery;

(5) Kidnapping;

(6) Illegal use or possession of a firearm;

(7) Sexual offenses, including indecent exposure; promoting, procuring, compelling, soliciting, or engaging in prostitution; corrupting minors (sexual relations with children); molesting; voyeurism; committing sex acts in public; incest; rape; sexual assault; sexual battery; or sexual abuse; but excluding sodomy between consenting adults;

(8) Child abuse or cruelty to children; or

(9) Unlawful distribution or possession of or possession with intent to distribute a controlled substance.

Directions: Circle one declaration to complete and a/firm each statement.

I have I I have not

I have I I have not lam/I am not

I have I I have not been convicted of any of the above listed offenses or their equivalent, either in the District of Columbia, or in any state or territory.

pleaded nolo contendere to any of the above listed offenses or their equivalent, either in the District of Columbia, or in any state or territory.

on probation before judgment or placement upon a stet docket of a case involving any of the felony offenses on the list above.

been found not guilty by reason of insanity of any of the above listed offenses or their equivalent, either in the District of Columbia, or in any state or territory.

I hereby affirm my responsive declaration to each statement on this Affinnation form.

Date: ___ _ Signature Printed Name

Supervisor:------------

Are you an (please circle one): Employee Contractor lnternl'/olunteer

Open to All • Trusted by All • Justice for All

GOVERNMENT OF THE DISTRICT OF COLUMBIA

Child and Family Services Agency

Request for a Child Protection Register Check (CPR Check)

INSTRUCTIONS: Please TYPE or PRINT LEGIBLY, filling in all requested information, and date and sign or initial in the places marked “Applicant Signature” or “Initial.” Thoroughly review the entire application before submitting to the CFSA CPR Office. Allow 30 days for results to be processed. Applications with incomplete or illegible information will be returned to the applicant resulting in delayed processing.

PART I: Applicant Source and Type

SOURCE:

CFSA Self DC/State Government Agency: ____________________________________________

Collaborative: ____________________________________________________________________________

Private Agency: __________________________________________________________________________

TYPE:

Applicant/New Hire1 Existing Employee Individual2 Court Order

Licensing (Foster Parent) Adoption Visitation Other

PART II: Applicant Information. Please indicate your full first, middle and last name, unless your legal first or middle name consists of only an initial.

FULL NAME: ___________________________________________________________________________________

FIRST NAME MIDDLE NAME LAST NAME

D.O.B. __________ ___________ __________ Social Security No. ________--______--________ Month Day Year

Race: ______________________________________ Gender: Male Female

List all names ever used (maiden name, married name, alias, etc.; continue on additional pages if needed):

FIRST NAME MIDDLE NAME LAST NAME

FIRST NAME MIDDLE NAME LAST NAME

FIRST NAME MIDDLE NAME LAST NAME

1 Allows access to substantiated reports of child maltreatment, to chief executive officers (CEO) or directors of day care centers, schools, or any public or private organization working directly with children, for the purposes of making employment decisions.

2 Results from requests by individuals for CPR checks may not be used for employment purposes. Employing entities must request CPR clearance for existing employees or applicants.

Request for a Child Protection Register Check – Revised 12/30/13 Page 1 of 4

PART II: Applicant Residency. In chronological order beginning with your current address, list all addresses (exclude zip code) where you resided during the past eighteen (18) years and include the dates lived there.

Complete street addresses are required in addition to P.O. Box numbers. Continue on additional pages if needed.

No. & Street (include apt. number if applicable) City State Dates of Residency

No. & Street (include apt. number if applicable) City State Dates of Residency

No. & Street (include apt. number if applicable) City State Dates of Residency

No. & Street (include apt. number if applicable) City State Dates of Residency

No. & Street (include apt. number if applicable) City State Dates of Residency

No. & Street (include apt. number if applicable) City State Dates of Residency

PART III: Household Information. List all persons living at the current address. Print full name, date of birth, and relationship to the applicant below.

NAME (first name, middle name, last name) D.O.B RELATIONSHIP TO APPLICANT

PART IV: Applicant Release. Go to Part IV-B if Part IV-A is not applicable.

Part IV-A. For use only by individuals requesting a CPR check in person.

Please READ, SIGN and DATE below: I request access to the Child Protection Register (“CPR”) for the limited purposes to determine if my name appears in the CPR as being responsible for the abuse or neglect of a child. I have shown photo identification (driver’s license, state-issued identification card or valid US passport) that is satisfactory to the CFSA CPR staff listed below.

Applicant’s Signature Date

CFSA USE ONLY: Identification has been shown to me that I have deemed satisfactorily identifies the applicant:

Type of ID _________________________________ ID # _______________________

Signature

Name of CFSA employee (print): _____________________________________

Title: ________________________________ _____________

Request for a Child Protection Register Check – Revised 12/30/13 Page 2 of 4

Part IV-B. For use by individuals to consent to a CPR check and authorize CFSA to release information to:

1. a CEO or director of a day care center, school, or any public or private organization working directly with children, for purposes of making an employment decision regarding employees and volunteers or prospective employees and volunteers.

2. a child-placing agency licensed in the District of Columbia for purposes of a child placement decision.

Instead of the consent below, the child-placing agency may attach the consent for release of information previously received in compliance with D.C. Official Code § 4-1407.01.

3. The applicant requesting a CPR check via mail. Mailed applications must be notarized prior to submission.

Please READ, CHECK the appropriate box, SIGN, DATE, and have NOTARIZED below:

I hereby consent and authorize the D.C. Child and Family Services Agency to provide the above-named agency/organization or me information concerning me that is contained in the Child Protection Register (“CPR”).

The information contained in the CPR (whether I am “in” or “not in”) may be released as indicated below:

1. to my employer or prospective employer. A written request from the CEO or director is attached and it states the reasons for the request.

2. to the child-placing agency.

3. I am requesting the CPR check for myself and the information may be mailed or faxed to me at the address indicated in Part V, below.

Name of Applicant

Applicant’s Signature (must be signed in the presence of a Notary) Date

STATE: ______________________________

Subscribed and affirmed or sworn to me, in my presence, on this __________day of ______________________, 20____.

Signature of Notary Public

Notary Public, _______________(State)

My commission expires on ___/___/____.

Request for a Child Protection Register Check – Revised 12/30/13 Page 3 of 4

PART V: Agency Information (Please review entire application before submitting to the CFSA CPR Office)

MAIL OR DELIVER COMPLETED ORIGINAL FORM TO:

Child and Family Services Agency 200 I Street, SE

Washington, DC 20003 Attn: Child Protection Register

202-727-8885

PART VI: Select Form of Response

Please READ and INITIAL below:

I understand that I will not receive an original copy in the mail if I request a faxed or emailed copy. ________

(Initials) To be completed by the referring agency only if requesting response via secure or encrypted email. (Responses may be sent only to secure or encrypted email accounts. This option is not available to individuals):

Please email response(s) to:

Organization: _____________________________________________ Attention: _______________________________ First and Last Name of Recipient

Secure Email Address: _____________________________________ Phone Number: _____________________________

To be completed by the referring agency only if requesting response via fax:

Please fax response(s) to:

Organization: _____________________________________________ Attention: _______________________________ First and Last Name of Recipient

Fax Number: ______________________________________ Phone Number: ________________________________

To be completed by referring agency/individual only if requesting response via mail:

Address: ________________________________________________________________________________________

City: _____________________________________ State: ____________________ Zip Code: __________

Attention: ________________________________________________ Contact Info: ____________________________ First and Last Name of Recipient Email address or phone number

Thank you. Please allow 30 days for general processing. Expedited requests will be processed according to guidelines established in the current policy or business process or in existing agreements between agencies.

CFSA STAFF ONLY BELOW THIS LINE

EXPEDITE RETURN OTHER ACTION: ______________________________

• All in-person applicants are required to present one of the following valid photo identifications: Driver’s License, State Identification Card, or Passport.

• All requests for a CPR check in accordance with Part IV-B (1) shall have Parts I, II, III and IV-B completed and shall have attached a written request from the CEO or director that clearly articulates the basis for the request.

• All requests for a CPR check in accordance with Part IV-B (2) and (3) shall have Parts I, II, III, IV-B, and V completed.

Note: If a request for a child-placing agency is accompanied by consent to release information from the CPR as required by D.C.

Official Code § 4-1407.01(1), then PART IV-B of this form does not need to be filled out by the applicant.

Request for a Child Protection Register Check – Revised 12/30/13 Page 4 of 4

032-02-0151-12-eng (08/15)

VA Department of Social Services Office of Background Investigations – Search Unit 801 East Main Street, 6th Floor, Richmond, VA 23219-2901

Central Registry Release of Information

Form

INSTRUCTIONS

Purpose

The Virginia Child Abuse and Neglect Central Registry is mandated by the Virginia Child Protective Law and contains the names of individuals identified as an abuser or neglector in founded child abuse and/or neglect investigations conducted in the state of Virginia. The findings are made by Child Protective Services staff in local departments of social services and are maintained by the Virginia Department of Social Services. Legal mandates for the Virginia Department of Social Services to provide a Central Registry and a mechanism for conducting searches of the registry are found in § 63.2-1515 of the Code Virginia.

Read all instructions before completing the form: (Incomplete forms will be returned)

1. Answer all questions completely and accurately by printing clearly in black ink or typing your answers. Failure to complete or print clearly may delay or deny your request. Given the nature of the form and the actions to be taken when received, the Office of Background Investigations shall not accept forms that have been altered in any fashion.