NCB_6532_WestCare_California_Inc..pdf

STATE OF CALIFORNIA- GENERAL SERVICES PROCUREMENT OIVISION

CONTRACT ADVERTISING EXEMPTION REQUEST

(IN CALIFORNIA STATE CONTRACTS REGISTER)

Government Code Section 14825 (et seq.) requires that all agreements entered into by state agencies for services shall be published in the California State Contracts Register (CSCR), unless exempted. Agreements which have been exempted by Department of General Services shall be listed in the CSCR.

STD. 821 (REV. 10/2006)

TYPE OF REQUEST (Check one) f7l NON-COMPETITIVELY BID (NCB) l.!..J CONTRACT JUSTIFICATION (attach NCB) D EXEMPTION

FROM AOVERTISING

DEPARTMENTAL CONTACT INFORMATION

PLEASE TYPE

NAME: 'Mark Yonemura, Contract Analyst IMS co5EJ

DEPARTMENT: CA Dept. of Corrections and Rehabilitation D1v1s10N: Office of Business Services

ADDREss: 9838 Old Placerville Road, Suite B-2 c1Tv,sTATE,z1P: �cramento, CA 95827

_J

CONTRACT NUMBER AMENDMENT NUMBER /1/ AppHcable) CONTRACT AMOUNT

SERVICE TYPE

0 NON-IT/TELECOM RELATED SERVICE D IT/TELECOM RELATED SERVICES

AGENCY BILLING CODE 16732

CONTRACT DESCRIPTION

W estCare California provides evidence based programs and services including education, pre-employment and job training, substance abuse education, and cognitive behavioral interventions.

TELEPHONE NUMBER (Not CALNET·lnclude Area Code)

916-255-5697 AMENDMENT AMOUNT (II Applicable) CONTRACT PERIOD

5600003783 2 $1,908,000.00 $636,000.00 7/1/13 - 6/30/17

PROVIDE

CONTRACTOR'S

NAME AND ADDRESS

ONLY IF A NON

COMPETITIVELY BID

(NCB) CONTRACT IS

PROPOSED

CONTRACTOR'S NAME

W estCare California, Inc.

CONTRACTOR' S ADDRESS (Number, Street)

611 East Belmont A venue (C;ty, State, ZIP Code)

Fresno, CA 93701

FEDERAL EMPLOYER IDENTIFICATION

NUMBER

An exemption from advertising in the California State Contracts Register is not an exemption from Disabled Veteran Business Enterprise (DVBE) participation goal attainment.

EXEMPTION JUSTIFICATION {Attach additional sheets ii necessary)

Please see attached Non-Competitive Bid Justification to amend the current Agreement.

AUTHORIZED SIGNATURE

TELEP�- BER DATE SIGNED

0 CALNET 916-255-5697

SEND TO:

NAME; I

DEPARTMENT: DEPARTMENT OF GENERAL SERVI ES

DIVISION PROCUREMENT DIVISION

ADDRess: 707 THIRD ST., Second Floor

CITY.STATE.ZIP; WEST SACRAMENTO, CA 95605

L

2/3/16

FEB 2 2016

DENIED (See Below)

Department of General Services ?rocurem;mt Division GSPD-09-007 (New 11/09)

For PD Use only NCB #: "5°'3 i

NON-COMPETITIVELY BID (NCB) CONTRACT JUSTIFICATION

For use on all information technology (IT) and non-IT goods and services acquisitions.

Attach to Std. 65, Std. 66 or Std. 821, as applicable.

This justification document consists of two (2) pages. All information must be provided and all questions must be answered. The "Required

Approvals" section must include a date for each sianature, as aPorooriate for the transaction.

Requestina Deoartment Information

Agency: Department:

Department of Corrections and Rehabilitation Division of Rehabilitative Programs (DRP)

(*Includes Boards, Commissions, and Associations) Institution (if applicable):

N/A

Department Contact Information Contact/Buyers Name: Street Address:

Mark Yonemura, AGPA 9838 Old Placerville Road, Suite B-2

�-------'-----------------i Telephone: Sacramento, California 95827

(916) 255- 5697

FAX:

(916) 255-6187 �----------------------i

E-Mail:

Mark.Yonemurat@cdcr.ca.gov

Mailing Address:

P.O. Box 942883 Sacramento, CA 94283-0001

Technical Contact Name:

Nikki Gunter, Staff Services Mana!:ler II

Telephone:

( 916 ) 323-1764

I E-mail:

Nikki.Gunterln'lcdcr.ca.aov

Required Contract Information Contractor Name: WestCare California, Inc. Contract Number 5600003783 Contractor Address: 611 East Belmont Avenue, Fresno, California 93701 Original Contract Total Original Amendment Amended Contract Has work commenced? Amount Excluding:** Contract Amount:* Amount:* (if applicable) Amount:* D Yes [gJ No

$ 1,908,000.00 (*Includes original contract and previously approved amendments)

$1,908,000.00 (*Includes original contract and previously approved amendments)

$ 636,000.00 $ 2,544,000.00 (*Current amendment only) (*Includes original contract and all amendments, including current amendment)

Have goods been acquired?

D Yes [gJ No Attach explanations for any "Yes" answers.

Provide a brief description of the acquisition, includina air aoods and/or services the contractor will provide:

Contractor shall provide evidenced based programs and services targeted to address the criminogenic needs of parolees with moderate to high needs. The services will include education and literacy support, pre-employment and job training, substance abuse education, cognitive behavioral interventions to address criminal thinking, anger, aggression, poor family relationships and transitional housinQ.

Contract Type:

Select One: D Non-IT Goods

� Non-IT Service D ITGoods D IT Service D IT Goods &

Services

� Department l.SJApproved D Denied

Contract Type and Term Contract Term: Type of Award:

Begin: July 1, 2013 End: June 30, 2017 Explain late contract submittal (services only):

CMAS: D

Master: D Competitive: [gJ Form 42: D

Reauired APPllOV,itls

Will this transaction be financed?

No! Yes __

If yes, attach the Statement of Compliance to the State Financial Marketplace to this form

AgenoW J

�f General Services

A o

:' _T D �';'.' ' ( _ :�n.Jt

�1;1' b Signatu � of Director or Designee/Date Xd&Lc

Brant R. Choate, Director (A) / Date \ �,--v I -, L.._: l-fl� 1 See .. __ '"·", .; ., - ·-, I Date

�\t)�LLe, IJ � Ai ¥t/l� rdt!_,i.11r1..,�---------:i , Tvoe Name of Director or Desionee **Excluding sales and use tax, finance charges, postage and handling. · Shipping charges are also excluded from the dollar threshold limits unless the shipping charge is included in the evaluation such as Free On Board (FOB) Origin, Freight Collect or FOB Destination k_c.._ 2-/2_/; b I 2� '3 0

Remit completed form to: Procurement Division Intake and Analysis Unit 707 Third Street, 2nd Floor, MS201 West Sacramento, CA 95605