RFQ-CTS-012-18_updated.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

RFQ-CTS-012-18

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

05/22/2017

7. FOR SOLICITATION INFORMATION

CALL:

a. NAME

Katherine Bowen kbowen@bop.gov

b. TELEPHONE NUMBER (No collect calls)

202-307-2500

8. OFFER DUE DATE / LOCAL

TIME

07/07/2017 12:00:00

CODE BCO

Federal Bureau of Prisons Central Office

320 FIRST STREET NW

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: $15,000,000

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

15B300CODE15. DELIVER TO

Federal Bureau of Prisons SouthEast Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331

CODE BCO16. ADMINISTERED BY

Federal Bureau of Prisons Central Office

320 FIRST STREET NW

WASHINGTON, DC 20534

Katherine Bowen

(O) 202-307-2500 kbowen@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B300CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons SouthEast Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331

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 Hattiesburg, MS.

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)

Katherine Bowen

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

RFQ-CTS-012-18 Page 1 of 41

012-18

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

RFQ-CTS-012-18 Page 2 of 41

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 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 52.216-19 Order Limitations (Oct 1995) 52.216-18 Ordering (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.216-21 Requirements (Oct 1995) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) 52.232-18 Availability Of Funds (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) 52.252-6 Authorized Deviations in Clauses (Apr 1984) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders--Commercial Items (Jan 2017) 52.233-3 Protest after Award (Aug 1996)

4 List of Attachments 5 Solicitation Provisions

52.209-7 Information Regarding Responsibility Matters (Jul 2013) 52.252-5 Authorized Deviations in Provisions (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998)

52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUG 2005)

52.217-5 Evaluation of Options (July 1990)

RFQ-CTS-012-18 Page 3 of 41

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Base Period: Date of award - 12 months

22.000000 EA $____________ $___________________

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Base Period: Date of award - 12 months

22.000000 EA $____________ $___________________

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Base Period: Date of award - 12 months

1,056.000000 SS $____________ $___________________

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Base Period: Date of award - 12 months

1,584.000000 SS $____________ $___________________

0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months

216.000000 SS $____________ $___________________

0006 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Base Period: Date of award - 12 months

12.000000 EA $____________ $___________________

0007 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Base Period: Date of award - 12 months

12.000000 EA $____________ $___________________

0008 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Base Period: Date of award - 12 months

12.000000 EA $____________ $___________________

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Base Period: Date of award - 12 months

4.000000 EA $____________ $___________________

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Base Period: Date of award - 12 months

576.000000 SS $____________ $___________________

0011 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Base Period: Date of award - 12 months

144.000000 EA $____________ $___________________

0012 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Base Period: Date of award - 12 months

2.000000 EA $____________ $___________________

0013 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Base Period: Date of award - 12 months

2.000000 EA $____________ $___________________

0014 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Base Period: Date of award - 12 months

10.000000 EA $____________ $___________________

0015 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Base Period: Date of award - 12 months

432.000000 SS $____________ $___________________

0016 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Base Period: Date of award - 12 months

5.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 4 of 41

0017 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Base Period: Date of award - 12 months

5.000000 EA $____________ $___________________

0018 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months

240.000000 SS $____________ $___________________

0019 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months

360.000000 SS $____________ $___________________

0020 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

24.000000 SS $____________ $___________________

0021 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Base Period: Date of award - 12 months

4,836.000000 EA $____________ $___________________

0022 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 1 - 13 months through 24 months

22.000000 EA $____________ $___________________

0023 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 1 - 13 months through 24 months

22.000000 EA $____________ $___________________

0024 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 1 - 13 months through 24 months

1,056.000000 SS $____________ $___________________

0025 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 1 - 13 months through 24 months

1,584.000000 SS $____________ $___________________

0026 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 1 - 13 months through 24 months

216.000000 SS $____________ $___________________

0027 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 1 - 13 months through 24 months

12.000000 EA $____________ $___________________

0028 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 1 - 13 months through 24 months

12.000000 EA $____________ $___________________

0029 Assessment & Report- Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 1 - 13 months through 24 months

12.000000 EA $____________ $___________________

0030 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Base Period: Date of award - 12 months

4.000000 EA $____________ $___________________

0031 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Base Period: Date of award - 12 months

576.000000 SS $____________ $___________________

0032 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 1 - 13 months through 24 months

144.000000 EA $____________ $___________________

0033 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 1 - 13 months through 24 months

2.000000 EA $____________ $___________________

0034 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 1 - 13 months through 24 months

2.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 5 of 41

0035 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 1 - 13 months through 24 months

10.000000 EA $____________ $___________________

0036 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 1 - 13 months through 24 months

432.000000 SS $____________ $___________________

0037 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 1 - 13 months through 24 months

5.000000 EA $____________ $___________________

0038 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 1 - 13 months through 24 months

5.000000 EA $____________ $___________________

0039 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 1 - 13 months through 24 months

240.000000 SS $____________ $___________________

0040 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 1 - 13 months through 24 months

360.000000 SS $____________ $___________________

0041 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

24.000000 SS $____________ $___________________

0042 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 1 - 13 months through 24 months

4,836.000000 EA $____________ $___________________

0043 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 2 - 25 months through 36 months

22.000000 EA $____________ $___________________

0044 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 2 - 25 months through 36 months

22.000000 EA $____________ $___________________

0045 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 2 - 25 months through 36 months

1,056.000000 SS $____________ $___________________

0046 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 2 - 25 months through 36 months

1,584.000000 SS $____________ $___________________

0047 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 2 - 25 months through 36 months

216.000000 SS $____________ $___________________

0048 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 2 - 25 months through 36 months

12.000000 EA $____________ $___________________

0049 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 2 - 25 months through 36 months

12.000000 EA $____________ $___________________

0050 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 2 - 25 months through 36 months

12.000000 EA $____________ $___________________

0051 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 2 - 25 months through 36 months

4.000000 EA $____________ $___________________

0052 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 2 - 25 months through 36 months

576.000000 SS $____________ $___________________

RFQ-CTS-012-18 Page 6 of 41

0053 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 2 - 25 months through 36 months

144.000000 EA $____________ $___________________

0054 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 2 - 25 months through 36 months

2.000000 EA $____________ $___________________

0055 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 2 - 25 months through 36 months

2.000000 EA $____________ $___________________

0056 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 2 - 25 months through 36 months

10.000000 EA $____________ $___________________

0057 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 2 - 25 months through 36 months

432.000000 SS $____________ $___________________

0058 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 2 - 25 months through 36 months

5.000000 EA $____________ $___________________

0059 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 2 - 25 months through 36 months

5.000000 EA $____________ $___________________

0060 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 2 - 25 months through 36 months

240.000000 SS $____________ $___________________

0061 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 2 - 25 months through 36 months

360.000000 SS $____________ $___________________

0062 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

24.000000 SS $____________ $___________________

0063 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 73 Inmates Option Year 2 - 25 months through 36 months

4,836.000000 EA $____________ $___________________

0064 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 3 - 37 months through 48 months

22.000000 EA $____________ $___________________

0065 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 3 - 37 months through 48 months

22.000000 EA $____________ $___________________

0066 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 3 - 37 months through 48 months

1,056.000000 SS $____________ $___________________

0067 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 3 - 37 months through 48 months

1,584.000000 SS $____________ $___________________

0068 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 3 - 37 months through 48 months

216.000000 SS $____________ $___________________

0069 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 3 - 37 months through 48 months

12.000000 EA $____________ $___________________

0070 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 3 - 37 months through 48 months

12.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 7 of 41

0071 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 3 - 37 months through 48 months

12.000000 EA $____________ $___________________

0072 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 3 - 37 months through 48 months

4.000000 EA $____________ $___________________

0073 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 3 - 37 months through 48 months

576.000000 SS $____________ $___________________

0074 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 3 - 37 months through 48 months

144.000000 EA $____________ $___________________

0075 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 3 - 37 months through 48 months

2.000000 EA $____________ $___________________

0076 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 3 - 37 months through 48 months

2.000000 EA $____________ $___________________

0077 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 3 - 37 months through 48 months

10.000000 EA $____________ $___________________

0078 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 3 - 37 months through 48 months

432.000000 SS $____________ $___________________

0079 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

5.000000 EA $____________ $___________________

0080 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 3 - 37 months through 48 months

5.000000 EA $____________ $___________________

0081 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

240.000000 SS $____________ $___________________

0082 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 3 - 37 months through 48 months

360.000000 SS $____________ $___________________

0083 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

24.000000 SS $____________ $___________________

0084 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 3 - 37 months through 48 months

4,836.000000 EA $____________ $___________________

0085 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 4 - 49 months through 60 months

22.000000 EA $____________ $___________________

0086 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 4 - 49 months through 60 months

22.000000 EA $____________ $___________________

0087 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 4 - 49 months through 60 months

1,056.000000 SS $____________ $___________________

0088 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 4 - 49 months through 60 months

1,584.000000 SS $____________ $___________________

RFQ-CTS-012-18 Page 8 of 41

0089 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 4 - 49 months through 60 months

216.000000 SS $____________ $___________________

0090 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 4 - 49 months through 60 months

12.000000 EA $____________ $___________________

0091 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 4 - 49 months through 60 months

12.000000 EA $____________ $___________________

0092 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 4 - 49 months through 60 months

12.000000 EA $____________ $___________________

0093 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 4 - 49 months through 60 months

4.000000 EA $____________ $___________________

0094 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 4 - 49 months through 60 months

576.000000 SS $____________ $___________________

0095 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 4 - 49 months through 60 months

144.000000 EA $____________ $___________________

0096 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 4 - 49 months through 60 months

2.000000 EA $____________ $___________________

0097 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 4 - 49 months through 60 months

2.000000 EA $____________ $___________________

0098 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 4 - 49 months through 60 months

10.000000 EA $____________ $___________________

0099 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 4 - 49 months through 60 months

432.000000 SS $____________ $___________________

0100 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

5.000000 EA $____________ $___________________

0101 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 4 - 49 months through 60 months

5.000000 EA $____________ $___________________

0102 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

240.000000 SS $____________ $___________________

0103 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 4 - 49 months through 60 months

360.000000 SS $____________ $___________________

0104 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

24.000000 SS $____________ $___________________

0105 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 4 - 49 months through 60 months

4,836.000000 EA $____________ $___________________

0106 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 5 - 61 months through 72 months

22.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 9 of 41

0107 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 5 - 61 months through 72 months

22.000000 EA $____________ $___________________

0108 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 5 - 61 months through 72 months

1,056.000000 SS $____________ $___________________

0109 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 5 - 61 months through 72 months

1,584.000000 SS $____________ $___________________

0110 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 5 - 61 months through 72 months

216.000000 SS $____________ $___________________

0111 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 5 - 61 months through 72 months

12.000000 EA $____________ $___________________

0112 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 5 - 61 months through 72 months

12.000000 EA $____________ $___________________

0113 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 5 - 61 months through 72 months

12.000000 EA $____________ $___________________

0114 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 5 - 61 months through 72 months

4.000000 EA $____________ $___________________

0115 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 5 - 61 months through 72 months

576.000000 SS $____________ $___________________

0116 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 5 - 61 months through 72 months

144.000000 EA $____________ $___________________

0117 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 5 - 61 months through 72 months

2.000000 EA $____________ $___________________

0118 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 5 - 61 months through 72 months

2.000000 EA $____________ $___________________

0119 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 5 - 61 months through 72 months

10.000000 EA $____________ $___________________

0120 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 5 - 61 months through 72 months

432.000000 SS $____________ $___________________

0121 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 5 - 61 months through 72 months

5.000000 EA $____________ $___________________

0122 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 5 - 61 months through 72 months

5.000000 EA $____________ $___________________

0123 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 5 - 61 months through 72 months

240.000000 SS $____________ $___________________

0124 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 5 - 61 months through 72 months

360.000000 SS $____________ $___________________

RFQ-CTS-012-18 Page 10 of 41

0125 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

24.000000 SS $____________ $___________________

0126 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 5 - 61 months through 72 months

4,836.000000 EA $____________ $___________________

0127 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 6 - 73 months through 84 months

22.000000 EA $____________ $___________________

0128 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 6 - 73 months through 84 months

22.000000 EA $____________ $___________________

0129 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 6 - 73 months through 84 months

1,056.000000 SS $____________ $___________________

0130 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 6 - 73 months through 84 months

1,584.000000 SS $____________ $___________________

0131 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 6 - 73 months through 84 months

216.000000 SS $____________ $___________________

0132 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 6 - 73 months through 84 months

12.000000 EA $____________ $___________________

0133 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 6 - 73 months through 84 months

12.000000 EA $____________ $___________________

0134 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 6 - 73 months through 84 months

12.000000 EA $____________ $___________________

0135 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 6 - 73 months through 84 months

4.000000 EA $____________ $___________________

0136 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 6 - 73 months through 84 months

576.000000 SS $____________ $___________________

0137 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 6 - 73 months through 84 months

144.000000 EA $____________ $___________________

0138 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 6 - 73 months through 84 months

2.000000 EA $____________ $___________________

0139 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 6 - 73 months through 84 months

2.000000 EA $____________ $___________________

0140 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 6 - 73 months through 84 months

10.000000 EA $____________ $___________________

0141 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 6 - 73 months through 84 months

432.000000 SS $____________ $___________________

0142 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 6 - 73 months through 84 months

5.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 11 of 41

0143 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 6 - 73 months through 84 months

5.000000 EA $____________ $___________________

0144 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 6 - 73 months through 84 months

240.000000 SS $____________ $___________________

0145 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 6 - 73 months through 84 months

360.000000 SS $____________ $___________________

0146 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

24.000000 SS $____________ $___________________

0147 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 6 - 73 months through 84 months

4,836.000000 EA $____________ $___________________

0148 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 7 - 85 months through 96 months

22.000000 EA $____________ $___________________

0149 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 7 - 85 months through 96 months

22.000000 EA $____________ $___________________

0150 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 7 - 85 months through 96 months

1,056.000000 SS $____________ $___________________

0151 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 7 - 85 months through 96 months

1,584.000000 SS $____________ $___________________

0152 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 7 - 85 months through 96 months

216.000000 SS $____________ $___________________

0153 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 7 - 85 months through 96 months

12.000000 EA $____________ $___________________

0154 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 7 - 85 months through 96 months

12.000000 EA $____________ $___________________

0155 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 7 - 85 months through 96 months

12.000000 EA $____________ $___________________

0156 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 7 - 85 months through 96 months

4.000000 EA $____________ $___________________

0157 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 7 - 85 months through 96 months

576.000000 SS $____________ $___________________

0158 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 7 - 85 months through 96 months

144.000000 EA $____________ $___________________

0159 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 7 - 85 months through 96 months

2.000000 EA $____________ $___________________

0160 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 7 - 85 months through 96 months

2.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 12 of 41

0161 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 7 - 85 months through 96 months

10.000000 EA $____________ $___________________

0162 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 7 - 85 months through 96 months

432.000000 SS $____________ $___________________

0163 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 7 - 85 months through 96 months

5.000000 EA $____________ $___________________

0164 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 7 - 85 months through 96 months

5.000000 EA $____________ $___________________

0165 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 7 - 85 months through 96 months

240.000000 SS $____________ $___________________

0166 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 7 - 85 months through 96 months

360.000000 SS $____________ $___________________

0167 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

24.000000 SS $____________ $___________________

0168 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 7 - 85 months through 96 months

4,836.000000 EA $____________ $___________________

0169 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 8 - 97 months through 108 months

22.000000 EA $____________ $___________________

0170 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 8 - 97 months through 108 months

22.000000 EA $____________ $___________________

0171 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 8 - 97 months through 108 months

1,056.000000 SS $____________ $___________________

0172 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 8 - 97 months through 108 months

1,584.000000 SS $____________ $___________________

0173 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 8 - 97 months through 108 months

216.000000 SS $____________ $___________________

0174 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 8 - 97 months through 108 months

12.000000 EA $____________ $___________________

0175 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 8 - 97 months through 108 months

12.000000 EA $____________ $___________________

0176 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 8 - 97 months through 108 months

12.000000 EA $____________ $___________________

0177 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 8 - 97 months through 108 months

4.000000 EA $____________ $___________________

0178 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 8 - 97 months through 108 months

576.000000 SS $____________ $___________________

RFQ-CTS-012-18 Page 13 of 41

0179 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 8 - 97 months through 108 months

144.000000 EA $____________ $___________________

0180 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 8 - 97 months through 108 months

2.000000 EA $____________ $___________________

0181 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 8 - 97 months through 108 months

2.000000 EA $____________ $___________________

0182 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 8 - 97 months through 108 months

10.000000 EA $____________ $___________________

0183 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 8 - 97 months through 108 months

432.000000 SS $____________ $___________________

0184 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 8 - 97 months through 108 months

5.000000 EA $____________ $___________________

0185 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 8 - 97 months through 108 months

5.000000 EA $____________ $___________________

0186 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 8 - 97 months through 108 months

240.000000 SS $____________ $___________________

0187 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 8 - 97 months through 108 months

360.000000 SS $____________ $___________________

0188 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

24.000000 SS $____________ $___________________

0189 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 8 - 97 months through 108 months

4,836.000000 EA $____________ $___________________

0190 Intake - Substance Use (2000) (one per inmate) for Estimated 22 Inmates Option Year 9 - 109 months through 120 months

22.000000 EA $____________ $___________________

0191 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 22 Inmates Option Year 9 - 109 months through 120 months

22.000000 EA $____________ $___________________

0192 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 22 Inmates Option Year 9 - 109 months through 120 months

1,056.000000 SS $____________ $___________________

0193 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 22 Inmates Option Year 9 - 109 months through 120 months

1,584.000000 SS $____________ $___________________

0194 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Option Year 9 - 109 months through 120 months

216.000000 SS $____________ $___________________

0195 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates Option Year 9 - 109 months through 120 months

12.000000 EA $____________ $___________________

0196 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates Option Year 9 - 109 months through 120 months

12.000000 EA $____________ $___________________

RFQ-CTS-012-18 Page 14 of 41

0197 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates Option Year 9 - 109 months through 120 months

12.000000 EA $____________ $___________________

0198 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Option Year 9 - 109 months through 120 months

4.000000 EA $____________ $___________________

0199 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates Option Year 9 - 109 months through 120 months

576.000000 SS $____________ $___________________

0200 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 12 Inmates Option Year 9 - 109 months through 120 months

144.000000 EA $____________ $___________________

0201 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 2 Inmates Option Year 9 - 109 months through 120 months

2.000000 EA $____________ $___________________

0202 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 2 Inmates Option Year 9 - 109 months through 120 months

2.000000 EA $____________ $___________________

0203 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 2 Inmates Option Year 9 - 109 months through 120 months

10.000000 EA $____________ $___________________

0204 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 9 - 109 months through 120 months

432.000000 SS $____________ $___________________

0205 Intake - Sex Offender (6060) (one per inmate) for Estimated 5 Inmates Option Year 9 - 109 months through 120 months

5.000000 EA $____________ $___________________

0206 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 5 Inmates Option Year 9 - 109 months through 120 months

5.000000 EA $____________ $___________________

0207 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 5 Inmates Option Year 9 - 109 months through 120 months

240.000000 SS $____________ $___________________

0208 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 5 Inmates Option Year 9 - 109 months through 120 months

360.000000 SS $____________ $___________________

0209 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

24.000000 SS $____________ $___________________

0210 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 39 Inmates Option Year 9 - 109 months through 120 months

4,836.000000 EA $____________ $___________________

0211 Intake - Substance Use (2000) (one per inmate) for Estimated 11 Inmates Potential 6 Month Extension

11.000000 EA $____________ $___________________

0212 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates Potential 6 Month Extension

11.000000 EA $____________ $___________________

0213 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 11 Inmates Potential 6 Month Extension

528.000000 SS $____________ $___________________

0214 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; 11 Estimated Inmates Potential 6 Month Extension

792.000000 SS $____________ $___________________

RFQ-CTS-012-18 Page 15 of 41

0215 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 3 Inmates Potential 6 Month Extension

108.000000 SS $____________ $___________________

0216 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 10 Inmates Potential 6 Month Extension

6.000000 EA $____________ $___________________

0217 Intake - Mental Health (5000) (one per inmate) for Estimated 6 Inmates Potential 6 Month Extension

6.000000 EA $____________ $___________________

0218 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 6 Inmates Potential 6 Month Extension

6.000000 EA $____________ $___________________

0219 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 2 Inmates Potential 6 Month Extension

2.000000 EA $____________ $___________________

0220 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 6 Inmates Potential 6 Month Extension

288.000000 SS $____________ $___________________

0221 Medication Monitoring - Mental Health (6051) (12 visits per inmate) for Estimated 6 Inmates Potential 6 Month Extension

72.000000 EA $____________ $___________________

0222 Psychological Evaluation and Report - Mental Health (5010) (one per inmate) for Estimated 1 Inmate Potential 6 Month Extension

1.000000 EA $____________ $___________________

0223 Psychological Testing and Report - Mental Health (5020) (one per inmate) for Estimated 1 Inmate Potential 6 Month Extension

1.000000 EA $____________ $___________________

0224 Administration of Medication - Mental Health (6050) (five per inmate) for Estimated 1 Inmate Potential 6 Month Extension

5.000000 EA $____________ $___________________

0225 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Potential 6 Month Extension

216.000000 SS $____________ $___________________

0226 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 3 Inmates Potential 6 Month Extension

3.000000 EA $____________ $___________________

0227 Intake - Sex Offender (6060) (one per inmate) for Estimated 3 Inmates Potential 6 Month Extension

3.000000 EA $____________ $___________________

0228 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmates Potential 6 Month Extension

12.000000 SS $____________ $___________________

0229 Sex Offender Group Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 3 Inmates Potential 6 Month Extension

216.000000 SS $____________ $___________________

0230 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 3 Inmates Potential 6…