RFQ-CTS-018-18_FBO.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

RFQ-CTS-018-18

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

06/14/2017

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

07/14/2017 12:00:00

CODE BCO

Federal Bureau of Prisons Central Office

320 FIRST STREET NW

WASHINGTON, DC 20534

9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X 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 and Mental Health Treatment Services in Montgomery, AL.

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-018-18 Page 1 of 39

018-18

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-018-18 Page 2 of 39

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) 52.209-12 Certification Regarding Tax Matters (Feb 2016) 52.216-1 Type of Contract (Apr 1984) 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-018-18 Page 3 of 39

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 45 Inmates Base Period: Date of award - 12 months

45.000000 EA $____________ $___________________

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Base Period: Date of award - 12 months

45.000000 EA $____________ $___________________

0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

2,160.000000 SS $____________ $___________________

0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Base Period: Date of award - 12 months

3,240.000000 SS $____________ $___________________

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

432.000000 SS $____________ $___________________

0006 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Base Period: Date of award - 12 months

18.000000 EA $____________ $___________________

0007 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Base Period: Date of award - 12 months

18.000000 EA $____________ $___________________

0008 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Base Period: Date of award - 12 months

18.000000 EA $____________ $___________________

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Base Period: Date of award - 12 months

7.000000 EA $____________ $___________________

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Base Period: Date of award - 12 months

864.000000 SS $____________ $___________________

0011 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Base Period: Date of award - 12 months

108.000000 EA $____________ $___________________

0012 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Base Period: Date of award - 12 months

648.000000 SS $____________ $___________________

0013 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Base Period: Date of award - 12 months

7,812.000000 EA $____________ $___________________

0014 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

2.000000 EA $____________ $___________________

0015 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

2.000000 EA $____________ $___________________

0016 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months

12.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 4 of 39

0017 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 1 - 13 months through 24 months

45.000000 EA $____________ $___________________

0018 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 1 - 13 months through 24 months

45.000000 EA $____________ $___________________

0019 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 1 - 13 months through 24 months

2,160.000000 SS $____________ $___________________

0020 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 1 - 13 months through 24 months

3,240.000000 SS $____________ $___________________

0021 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 1 - 13 months through 24 months

432.000000 SS $____________ $___________________

0022 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 1 - 13 months through 24 months

18.000000 EA $____________ $___________________

0023 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 1 - 13 months through 24 months

18.000000 EA $____________ $___________________

0024 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 1 - 13 months through 24 months

18.000000 EA $____________ $___________________

0025 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 1 - 13 months through 24 months

7.000000 EA $____________ $___________________

0026 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 1 - 13 months through 24 months

864.000000 SS $____________ $___________________

0027 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 1 - 13 months through 24 months

108.000000 EA $____________ $___________________

0028 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 1 - 13 months through 24 months

648.000000 SS $____________ $___________________

0029 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 1 - 13 months through 24 months

7,812.000000 EA $____________ $___________________

0030 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

2.000000 EA $____________ $___________________

0031 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

2.000000 EA $____________ $___________________

0032 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 1 - 13 months through 24 months

12.000000 SS $____________ $___________________

0033 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 2 - 25 months through 36 months

45.000000 EA $____________ $___________________

0034 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 2 - 25 months through 36 months

45.000000 EA $____________ $___________________

0035 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates

2,160.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 5 of 39

Option Year 2 - 25 months through 36 months

0036 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 2 - 25 months through 36 months

3,240.000000 SS $____________ $___________________

0037 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 2 - 25 months through 36 months

432.000000 SS $____________ $___________________

0038 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 2 - 25 months through 36 months

18.000000 EA $____________ $___________________

0039 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 2 - 25 months through 36 months

18.000000 EA $____________ $___________________

0040 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 2 - 25 months through 36 months

18.000000 EA $____________ $___________________

0041 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 2 - 25 months through 36 months

7.000000 EA $____________ $___________________

0042 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 2 - 25 months through 36 months

864.000000 SS $____________ $___________________

0043 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 2 - 25 months through 36 months

108.000000 EA $____________ $___________________

0044 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 2 - 25 months through 36 months

648.000000 SS $____________ $___________________

0045 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 2 - 25 months through 36 months

7,812.000000 EA $____________ $___________________

0046 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

2.000000 EA $____________ $___________________

0047 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

2.000000 EA $____________ $___________________

0048 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 2 - 25 months through 36 months

12.000000 SS $____________ $___________________

0049 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 3 - 37 months through 48 months

45.000000 EA $____________ $___________________

0050 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 3 - 37 months through 48 months

45.000000 EA $____________ $___________________

0051 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 3 - 37 months through 48 months

2,160.000000 SS $____________ $___________________

0052 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 3 - 37 months through 48 months

3,240.000000 SS $____________ $___________________

0053 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 3 - 37 months through 48 months

432.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 6 of 39

0054 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 3 - 37 months through 48 months

18.000000 EA $____________ $___________________

0055 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 3 - 37 months through 48 months

18.000000 EA $____________ $___________________

0056 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 3 - 37 months through 48 months

18.000000 EA $____________ $___________________

0057 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 3 - 37 months through 48 months

7.000000 EA $____________ $___________________

0058 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 3 - 37 months through 48 months

864.000000 SS $____________ $___________________

0059 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 3 - 37 months through 48 months

108.000000 EA $____________ $___________________

0060 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 3 - 37 months through 48 months

648.000000 SS $____________ $___________________

0061 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 3 - 37 months through 48 months

7,812.000000 EA $____________ $___________________

0062 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

2.000000 EA $____________ $___________________

0063 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

2.000000 EA $____________ $___________________

0064 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 3 - 37 months through 48 months

12.000000 SS $____________ $___________________

0065 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 4 - 49 months through 60 months

45.000000 EA $____________ $___________________

0066 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 4 - 49 months through 60 months

45.000000 EA $____________ $___________________

0067 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 4 - 49 months through 60 months

2,160.000000 SS $____________ $___________________

0068 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 4 - 49 months through 60 months

3,240.000000 SS $____________ $___________________

0069 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 4 - 49 months through 60 months

432.000000 SS $____________ $___________________

0070 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 4 - 49 months through 60 months

18.000000 EA $____________ $___________________

0071 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 4 - 49 months through 60 months

18.000000 EA $____________ $___________________

0072 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 4 - 49 months through 60 months

18.000000 EA $____________ $___________________

RFQ-CTS-018-18 Page 7 of 39

0073 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 4 - 49 months through 60 months

7.000000 EA $____________ $___________________

0074 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 4 - 49 months through 60 months

864.000000 SS $____________ $___________________

0075 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 4 - 49 months through 60 months

108.000000 EA $____________ $___________________

0076 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 4 - 49 months through 60 months

648.000000 SS $____________ $___________________

0077 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 4 - 49 months through 60 months

7,812.000000 EA $____________ $___________________

0078 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

2.000000 EA $____________ $___________________

0079 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

2.000000 EA $____________ $___________________

0080 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 4 - 49 months through 60 months

12.000000 SS $____________ $___________________

0081 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 5 - 61 months through 72 months

45.000000 EA $____________ $___________________

0082 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 5 - 61 months through 72 months

45.000000 EA $____________ $___________________

0083 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 5 - 61 months through 72 months

2,160.000000 SS $____________ $___________________

0084 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 5 - 61 months through 72 months

3,240.000000 SS $____________ $___________________

0085 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 5 - 61 months through 72 months

432.000000 SS $____________ $___________________

0086 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 5 - 61 months through 72 months

18.000000 EA $____________ $___________________

0087 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 5 - 61 months through 72 months

18.000000 EA $____________ $___________________

0088 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 5 - 61 months through 72 months

18.000000 EA $____________ $___________________

0089 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 5 - 61 months through 72 months

7.000000 EA $____________ $___________________

0090 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 5 - 61 months through 72 months

864.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 8 of 39

0091 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 5 - 61 months through 72 months

108.000000 EA $____________ $___________________

0092 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 5 - 61 months through 72 months

648.000000 SS $____________ $___________________

0093 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 5 - 61 months through 72 months

7,812.000000 EA $____________ $___________________

0094 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

2.000000 EA $____________ $___________________

0095 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

2.000000 EA $____________ $___________________

0096 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 5 - 61 months through 72 months

12.000000 SS $____________ $___________________

0097 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 6 - 73 months through 84 months

45.000000 EA $____________ $___________________

0098 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 6 - 73 months through 84 months

45.000000 EA $____________ $___________________

0099 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 6 - 73 months through 84 months

2,160.000000 SS $____________ $___________________

0100 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 6 - 73 months through 84 months

3,240.000000 SS $____________ $___________________

0101 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 6 - 73 months through 84 months

432.000000 SS $____________ $___________________

0102 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 6 - 73 months through 84 months

18.000000 EA $____________ $___________________

0103 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 6 - 73 months through 84 months

18.000000 EA $____________ $___________________

0104 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 6 - 73 months through 84 months

18.000000 EA $____________ $___________________

0105 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 6 - 73 months through 84 months

7.000000 EA $____________ $___________________

0106 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 6 - 73 months through 84 months

864.000000 SS $____________ $___________________

0107 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 6 - 73 months through 84 months

108.000000 EA $____________ $___________________

0108 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 6 - 73 months through 84 months

648.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 9 of 39

0109 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 6 - 73 months through 84 months

7,812.000000 EA $____________ $___________________

0110 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

2.000000 EA $____________ $___________________

0111 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

2.000000 EA $____________ $___________________

0112 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 6 - 73 months through 84 months

12.000000 SS $____________ $___________________

0113 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 7 - 85 months through 96 months

45.000000 EA $____________ $___________________

0114 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 7 - 85 months through 96 months

45.000000 EA $____________ $___________________

0115 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 7 - 85 months through 96 months

2,160.000000 SS $____________ $___________________

0116 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 7 - 85 months through 96 months

3,240.000000 SS $____________ $___________________

0117 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 7 - 85 months through 96 months

432.000000 SS $____________ $___________________

0118 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 7 - 85 months through 96 months

18.000000 EA $____________ $___________________

0119 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 7 - 85 months through 96 months

18.000000 EA $____________ $___________________

0120 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 7 - 85 months through 96 months

18.000000 EA $____________ $___________________

0121 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 7 - 85 months through 96 months

7.000000 EA $____________ $___________________

0122 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 7 - 85 months through 96 months

864.000000 SS $____________ $___________________

0123 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 7 - 85 months through 96 months

108.000000 EA $____________ $___________________

0124 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 7 - 85 months through 96 months

648.000000 SS $____________ $___________________

0125 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 7 - 85 months through 96 months

7,812.000000 EA $____________ $___________________

0126 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

2.000000 EA $____________ $___________________

0127 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

2.000000 EA $____________ $___________________

RFQ-CTS-018-18 Page 10 of 39

0128 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 7 - 85 months through 96 months

12.000000 SS $____________ $___________________

0129 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 8 - 97 months through 108 months

45.000000 EA $____________ $___________________

0130 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 8 - 97 months through 108 months

45.000000 EA $____________ $___________________

0131 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 8 - 97 months through 108 months

2,160.000000 SS $____________ $___________________

0132 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 8 - 97 months through 108 months

3,240.000000 SS $____________ $___________________

0133 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 8 - 97 months through 108 months

432.000000 SS $____________ $___________________

0134 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 8 - 97 months through 108 months

18.000000 EA $____________ $___________________

0135 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 8 - 97 months through 108 months

18.000000 EA $____________ $___________________

0136 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 8 - 97 months through 108 months

18.000000 EA $____________ $___________________

0137 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 8 - 97 months through 108 months

864.000000 SS $____________ $___________________

0138 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 8 - 97 months through 108 months

7.000000 EA $____________ $___________________

0139 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 8 - 97 months through 108 months

108.000000 EA $____________ $___________________

0140 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 8 - 97 months through 108 months

648.000000 SS $____________ $___________________

0141 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 8 - 97 months through 108 months

7,812.000000 EA $____________ $___________________

0142 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

2.000000 EA $____________ $___________________

0143 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

2.000000 EA $____________ $___________________

0144 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 8 - 97 months through 108 months

12.000000 SS $____________ $___________________

0145 Intake - Substance Use (2000) (one per inmate) for Estimated 45 Inmates Option Year 9 - 109 months through 120 months

45.000000 EA $____________ $___________________

0146 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 45 Inmates Option Year 9 - 109 months through 120 months

45.000000 EA $____________ $___________________

RFQ-CTS-018-18 Page 11 of 39

0147 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates Option Year 9 - 109 months through 120 months

2,160.000000 SS $____________ $___________________

0148 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 45 Inmates Option Year 9 - 109 months through 120 months

3,240.000000 SS $____________ $___________________

0149 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates Option Year 9 - 109 months through 120 months

432.000000 SS $____________ $___________________

0150 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 18 Inmates Option Year 9 - 109 months through 120 months

18.000000 EA $____________ $___________________

0151 Intake - Mental Health (5000) (one per inmate) for Estimated 18 Inmates Option Year 9 - 109 months through 120 months

18.000000 EA $____________ $___________________

0152 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 18 Inmates Option Year 9 - 109 months through 120 months

18.000000 EA $____________ $___________________

0153 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 7 Inmates Option Year 9 - 109 months through 120 months

7.000000 EA $____________ $___________________

0154 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 18 Inmates Option Year 9 - 109 months through 120 months

864.000000 SS $____________ $___________________

0155 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 18 Inmates Option Year 9 - 109 months through 120 months

108.000000 EA $____________ $___________________

0156 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 18 Inmates Option Year 9 - 109 months through 120 months

648.000000 SS $____________ $___________________

0157 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 63 Inmates Option Year 9 - 109 months through 120 months

7,812.000000 EA $____________ $___________________

0158 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

2.000000 EA $____________ $___________________

0159 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

2.000000 EA $____________ $___________________

0160 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 2 Inmates Option Year 9 - 109 months through 120 months

12.000000 SS $____________ $___________________

0161 Intake - Substance Use (2000) (one per inmate) for Estimated 23 Inmates Potential 6 Month Extension

23.000000 EA $____________ $___________________

0162 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 23 Inmates Potential 6 Month Extension

23.000000 EA $____________ $___________________

0163 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 23 Inmates Potential 6 Month Extension

1,104.000000 SS $____________ $___________________

0164 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 23 Inmates Potential 6 Month Extension

1,656.000000 SS $____________ $___________________

RFQ-CTS-018-18 Page 12 of 39

0165 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 6 Inmates Potential 6 Month Extension

216.000000 SS $____________ $___________________

0166 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 9 Inmates Potential 6 Month Extension

9.000000 EA $____________ $___________________

0167 Intake - Mental Health (5000) (one per inmate) for Estimated 9 Inmates Potential 6 Month Extension

9.000000 EA $____________ $___________________

0168 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 9 Inmates Potential 6 Month Extension

9.000000 EA $____________ $___________________

0169 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 4 Inmates Potential 6 Month Extension

4.000000 EA $____________ $___________________

0170 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 9 Inmates Potential 6 Month Extension

432.000000 SS $____________ $___________________

0171 Medication Monitoring - Mental Health (6051) (6 visits per inmate) for Estimated 9 Inmates Potential 6 Month Extension

54.000000 EA $____________ $___________________

0172 Mental Health Group Counseling (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 9 Inmates Potential 6 Month Extension

324.000000 SS $____________ $___________________

0173 Transportation, Round Trip (1202) Estimated 124 Units per Inmate; Estimated 32 Inmates Potential 6 Month Extension

3,968.000000 EA $____________ $___________________

0174 Psychological Evaluation and Report (5010) Estimated 1 Unit per Inmate; Estimated 1 Inmate Potential 6 Month Extension

1.000000 EA $____________ $___________________

0175 Psychological Testing and Report (5020) Estimated 1 Unit per Inmate; Estimated 1 Inmate Potential 6 Month Extension

1.000000 EA $____________ $___________________

0176 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 1 Inmate Potential 6 Month Extension

6.000000 SS $____________ $___________________

2.1 SF 1449, Schedule of Supplies and Services

SCHEDULE OF SUPPLIES/SERVICES

Provide Transitional Drug Abuse and Mental Health Treatment (TDAT, MH) services to of-fenders confined in community-based programs and on home confinement located within 7 miles of 4365 S. Court Street, Montgomery, AL 36105, and accessible to community transportation.

All references to Residential Re-Entry Center (RRC) and Community Correctional Center (CCC) shall be treated equally for the purpose of this contract.

The anticipated total contract period is a one-year base period (to begin upon the effective date of contract award) and nine additional one-year option periods. The anticipated total contract period is ten years. The anticipated performance start date is November 1, 2017.

Transitional Drug Abuse Treatment and Mental Health Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:

Each quotation will be initially reviewed to determine that all document submission require-

RFQ-CTS-018-18 Page 13 of 39 ments listed under Addendum to FAR 52.212-1, Instructions to Offerors-Commercial Items, are met. By using the documentation submitted with each quotation, an initial review will also be conducted to determine whether or not it meets the minimum requirements contained in the De-cisional Rule Criteria below. Any quotation not meeting this criteria may not receive any fur-ther consideration for award.

Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capabil-ity to meet the Decisional Rule Criteria below. Quotes will be rated "Acceptable" or "Unaccept-able" based on the Decisional Rule Criteria. Quoters receiving an "Unacceptable" rating will be advised of their elimination from the procurement. Quoters receiving an "Acceptable" rating shall be considered for award.

OPERATIONS:

1. Quoter must demonstrate adherence to Cognitive Behavioral Therapy (CBT) or a compatible theoretical model.

• Quoter may submit a mission statement or treatment philosophy to satisfy this criterion.

• Quoter must clearly explain how any additional treatment protocols will be used and how the additional treatment protocols are compatible with CBT.

2. Quoter must submit a plan for addressing Crisis Intervention Assessments required to be completed within 24 hours of request by CTS staff. Quoter must provide crisis intervention pro-cedures for emergency referral and evaluation of inmates if the inmate cannot be evaluated by the agency’s mental health provider.

3. Quoter must submit a plan that details how treatment files for Bureau inmates shall be main-tained.

• Quoter must detail how Bureau inmate files will be maintained separately from non- Bureau files, kept on-site, and secured.

• Any intended use of electronic database systems must be detailed and address the elec-tronic system’s ability to meet the Bureau’s electronic security requirements. All per-sons with access to Bureau files on the electronic system must be identified and in-cluded on the Technical Personnel document.

4. Quoter must submit a plan to provide treatment services to non-English speaking inmates as necessary.

5. Quoter must have a comprehensive inmate accountability program to be used in conjunction with the Bureau provided Treatment Services and Accountability Log that ensures every inmate is accounted for upon arrival, during treatment, and departure from the proposed performance site.

FACILITY:

6. Quoter must demonstrate that the proposed performance site is within the geographic restric-tions, will be available on the contract effective date, able to accommodate the volume of treat-ment services required in the Statement of Work, and in compliance with Americans with Dis-abilities Act (ADA) requirements.

• Quoter must submit a map (e.g. MapQuest, Google, etc.) that illustrates that the pro-posed performance site(s) is within the geographic restrictions.

• Quoter must submit a deed, lease, bill of sale, options to lease, or option to buy in the name of the Quoter. If the proposed performance site is at an Residential Reentry Cen-ter, the Quoter must submit a statement that services will be provided in a space dedic-ated to treatment. All documentation submitted must show the proposed performance site will be available on the contract effective date.

• Quoter must submit documentation (e.g., written summary, pictures) that describes or illustrates the performance site layout, number of rooms, size of rooms.

• Quoter must address site compliance with ADA, or a plan for ADA accommodation to include restroom accommodations.

7. Quoter must submit State and local licensing statutes to operate an outpatient treatment facil-ity, and provide the necessary license to satisfy the requirements.

• Documents must be in the name of the Prime Contractor, sub-Contractor licensing is not acceptable.

• If the quoter is in the process of obtaining a valid license, they may submit the com-pleted application, provisional license, official email correspondence, certified letter, business license and/or other official documentation.

• If State or local law does not require facility licensing, the quoter must provide the stat-

RFQ-CTS-018-18 Page 14 of 39 ute that this factor does not apply, and submit official documents that allow services to be performed.

STAFFING:

8. Quoter must complete and sign the Technical Personnel document attached to the solicita-tion posting.

• Quoter must identify the position and responsibility of all personnel proposed to meet the SOW requirements, to include all employees, subcontractors, volunteers, and interns who have face-to-face interaction with inmates or who have access to their personally identifiable information, treatment records, contract documentation, billing invoices, or any other inmate information.

• All authorized negotiators must be identified on this document.

9. Quoter must ensure all personnel providing direct clinical services to Bureau inmates meet the experiential, educational and licensing requirements outlined in the SOW with appropriate licensure/certification to practice independently (i.e., without direct supervision) as required by the state authority where the services are being provided.

• Quoter must have a qualified practitioner with prescriptive authority meeting the stand-ards of practice established by his/her State’s professional regulatory board to provide medication monitoring and psychiatric evaluations.

• Resumes must be submitted for all personnel providing direct clinical services to Bur-eau inmates.

• DEA Controlled Substance Registration Certificates must be submitted for all staff with prescriptive authority.

• Professional licenses must be submitted for each applicable staff member. License veri-fication printouts are not acceptable substitutes, but may be submitted with original li-censes to verify current expiration dates.

• A provisional license is not acceptable as a valid license to provide services. Interns, trainees or unlicensed clinicians must work directly (i.e., in the same room) with a li-censed staff member when providing direct clinical services.

• Quoter must provide the State statutes that address the scope of practice for each license submitted.

• Any intended use of Telepsychiatry must be detailed and address the system’s ability to meet the Bureau’s electronic security requirements, as well as staffing procedures to en-sure inmates are physically with a cleared staff member at all times.

PRICING

Prices quoted to the Government shall be as low as or lower than those charges to the supplier’s most favored customer for comparable quantities under similar terms and conditions, in addi-tion to any discounts offered for prompt payment.

Please complete the following with total quoted price for the base period and each option year:

Base: $

Option Year 1: $ Option Year 2: $ Option Year 3: $ Option Year 4: $ Option Year 5: $ Option Year 6: $ Option Year 7: $ Option Year 8: $ Option Year 9: $

Total of All Years: $

DELIVERIES

RFQ-CTS-018-18 Page 15 of 39

In accordance with Federal Acquisition Regulation (FAR) 16.505, and the clause located in FAR 52.216-18, Ordering, states that any supplies or services to be furnished under this con-tract shall be ordered by issuance of task orders by a warranted Contracting Officer in the CTS Contracting Section.

BILLING INFORMATION

The Government will make payment on a monthly basis via Electronic Fund Transfer. Invoices with the contract number should be submitted on a monthly basis in duplicate to the Regional CTS Coordinator indicated in Item 15 of the SF-1449. Contractors that are classified as a small business are required to indicate their small business size status on each invoice submitted for payment.

RFQ-CTS-018-18 Page 16 of 39

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions--Commercial Items (Jan 2017)

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

Clauses By Reference

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text.

Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov

Clause Title Fill-ins (if applicable)

52.242-15 Stop-Work Order (Aug 1989)

52.203-3 Gratuities (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.242-13 Bankruptcy (July 1995)

52.253-1 Computer Generated Forms (Jan 1991)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

52.212-4 Contract Terms and Conditions--Commercial Items (Jan 2017)

Clauses By Full Text

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

(a)Kerry Curtis, Supervisory Community Treatment Coordinator,404-635-5677, Lead COR; ,Karen Donovan, Community Treatment Oversight Specialist, 404-635-5668; Sarah Dorsey, Community Treatment Oversight Specialist, 404-635-5691; Ana Harper, Com-munity Treatment Oversight Specialist, 404-635-5669; , and J. Edward Thacker, Community Treatment Oversight Specialist, 404-635-5693,Federal Bureau of Prisons, Atlanta Office, 719 McDonough Blvd, SE, Atlanta, GA 30315, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract;…