RFQ-CTS-030-15_Amendment_1.pdf

11. CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 I 8

2. AMENOMENTIMODIFICAnON NO. 3. EFFECTIVE DATE 4. REQUISinON I PURCHASE REO. NO. PROJECT NO. (If Applicable)

0001 08/08/2014

G. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE Administrative Contracting Officer Federal Bureau of Prisons James J.C.L. Spence

D. Ray James Correctional Facility Contracting Officer

Highway 252 East (91 2) 496-6981 Folkston, Georgia 31537

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county. State and ZIP Code) 9A. AMENDMENT OF SOLICIT AnON NO

RFQ-CTS-030-15

X 9B. DATED (See Item 11) 07/14/2014

10A. MODIFICATION OF CONTRACT/ORDER NO.

CODE : Tax 10# I FACILITY CODE: DUNS# 10B. DATED (See Item 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[X) The above number solicitation is amended as set forth In Item 14. The hour and date specified for receipt of Offers [ ] is extended, [X] is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods.

(a) By completing Items 8 and 15, and retuming copy of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or© By separate letter or telegram which Includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECnON OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted. such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment. and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OR CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A . THIS CHANGE ORDER IS ISSUED PURSUANT TO. (Specify Authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B . THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying offoce. appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORI1Y OF FAR 43, 103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D . OTHER (Specify type of modifiCation and autl10tity)

E. IMPORTANT: Contractor [ ] is not [X] is required to sign this document and retum ......Q!!JL copies to the issuing office.

14. DESCRIPnON OF AMENDMENT/MODIFICATION (Organized by UCF sec/Jon headings, including sotk::itationlcontract svbjecf matter where feasible)

RFQ-CTS-030-15 is hereby amended as follows: See attached continuation pages.

Except as provided herein. all items and conditions of the document referenced in item 9A or 10A. as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITlE OF SIGNER (Type or print)

158. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

NSN 7540-01-152-8070

PREVIOUS EDtnON UNUSABLE

15C. DATE '

SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

James J.C.L. Spence Contracting Officer

16B. UNITED STATES OF AMERICA

SY

'- _fSiolJJJure bf Contracting Officer)

16C. DATE

SIGNED

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

I

SF-30 Continued Amendment # 0001 Block 14 - Description of Amendment Continued

RFQ-CTS-030-15 is hereby amended as follows:

I. Change the NA ICS in Blocks 10 and 20 of the SF-1449 from $14,000.00 to $15,000.00.

2. Replace Pages 4-6 of the SF-1449 with the attached Pages 4-6.

3. Replace Attachment V, Subcontracting Plan Certification with the attached Attachment V.

4. The following FAR Provisions are incorporated by reference: FAR 52.204-7, System for Award Managemmt, and FAR 52.217-5, Evaluation of Options (JUL 1990).

5. FAR Clause 52.209-5 (Deviation) Representation Regarding Felony Conviction Under any Federal Law or Unpaid Delinquent Tax Liability (NOV 20 13), is incorporated by full text(attached).

6. FAR 52.209-7, Information Regarding Responsibility Matters is updated to JUL 20 13 (attached).

7. FAR 52.252-5, Authorized Deviations in Provisions (APR 1984), is incorporated by full text (attached).

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RFQ-CTS-030-15 Page 4 of 32

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Substance Abuse Intake Assessment & Report (2011) (1 per 25.000000 EA $ $ inmate~Estimated for 25 inmates.

BASE EAR: 10/01/2014-09130/2015

0002 Substance Abuse Individual Counseling (2010) (30 min.= 1 unit) 1,200.000000 EA $ $ Estimated 48 units per inmate for 25 inmates.

BASE YEAR: 10/01/2014- 09/30/2015

0003 Substance Abuse Group Counseling (2020) (30 min. = 1 unit) 1,800.000000 EA $ s Estimated 72 units per 1nmate for 2 inmates.

BASE YEAR: 10/01/2014 -09130/2015

0004 Substance Abuse Family Counseli11 (2030) (30 min. = 1 unit) 600.000000 EA $ s Estimated 24 units ~per mmateJ for 5 inmates.

BASE YEAR: 10/0 /2014-09 30/2015

0005 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 10 inmates.

10.000000 EA $ $

BASE YEAR: 10/01/2014- 09/30/2015

0006 Psychiatric Evaluation and RWort ~5030) (1 per inmate)

BASE YEAR: 10/01/2014-0 /30/ 015

10.000000 EA $ $

0007 Mental Health Individual Counselin~ (6010) (30 min.= 1 unit) 480.000000 EA s $ Estimated 48 units per inmate for 1 mmates.

BASE YEAR: 10/01/2014- 09/30/2015

0008 Mental Health Group Counseling (6020~ (30 min. = 1 480.000000 EA $ $ unit.}Estimated 48 units f,er inmate for 0 inmates.

BASE YEAR: 10/01/20 4-09/30/2015

0009 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 60.000000 EA s $ medication, incorporating feed ack from a dinical practitioner.

Estimated for 60 1nmates.

BASE YEAR: 10/01/2014- 09/30/2015

0010 Client (}"mate) Trans~ortation g2o~- Round trip

BASE EAR: 10/011 014- 09 0/2 15

1,680.000000 EA $ s

001 1 Substance Abuse Intake Assessment & Report (2011) (1 per 30.000000 EA $ $ inmate) Estimated for 30 inmates.

OPTION YEAR 1: 10/01/2015-09/30/2016

0012 Substance Abuse Individual Counseling (2010) (30 min. = 1 unit) 720.000000 EA s s Estimated 24 units per inmate for 30 inmates.

OPTION YEAR 1: 10/01/2015-09/30/2016

0013 Substance Abuse Group Counselin8 (2020) (30 min. = 1 unit) 2,340.000000 EA $ s Estimated 78 units per mmate for 3 inmates.

OPTION YEAR 1: 10/01/2015 - 09130/2016

0014 Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) 720.000000 EA $ $ Estimated 24 units \JJer mmate) for 0 inmates.

OPTION YEAR 1: 0/01/2015 - 09/30/2016

0015 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 15 inmates.

15.000000 EA $ $

OPTION YEAR 1: 10/01/201 5 -09/30/2016

0016 P~chiatric Evaluation and R~ort (5030M1 per inmate)

0 TION YEAR 1: 10/01/201 - 09/30/2 6

15.000000 EA $ $

0017 Mental Health Individual Counselin% (6010) (30 min.= 1 unit) Estimated 24 units per inmate for 1 mmates.

OPTION YEAR 1: 10/01/2015 - 09/30/2016

360.000000 EA $ $

RFQ-CTS-030-15 Page 5 of 32

0018 Mental Health Group Counseling (6020~ J30 min. = 1 uniyEstimated 48 units fter inmate for inmates.

OP ION YEAR 1: 10/0 /2015-09/30/2016

720.000000 EA $ $. _ ___ ___ _

0019 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of medication. incorporating feed ack from a clinical practitioner.

Estimated for 90 1nmates.

90.000000 EA $ $-_ _____ _

OPTION YEAR 1: 10/01/2015-09/30/2016

0020 Client (Inmate~ Transportation (120~- Round trip

OPTION YEA 1: 10/01/2015-09 0/2016

2,160.000000 EA $ $. ______ _

0021 Substance Abuse Intake Assessment & Report (201 1) (1 per 35.000000 EA inmate) Estimated for 35 inmates.

OPTION YEAR 2: 10/01/2016 -09/30/2017

0022 Substance Abuse Individual Counseling (2010) (30 min.= 1 unit) 840.000000 EA Estimated 24 units per inmate for 35 inmates.

OPTION YEAR 2: 10/01/2016-09/30/2017

s $. ______ _

0023 Substance Abuse Group Counseling (2020) (30 min. = 1 unit) 2,730.000000 EA Estimated 78 units per 1nmate for 3 inmates.

OPTION YEAR 2: 10/01/2016-09/30/2017

0024 Substance Abuse Family Counselin~ (2030l (30 min. = 1 unit) 720.000000 EA Estimated 24 units w_er mmate) for 0 inma es.

OPTION YEAR 2: 0/01/2016-09/30/2017

0025 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 20 inmates.

20.000000 EA $ $-______ _

OPTION YEAR 2: 10/01/2016 -09/30/2017

0026 P~chiatric Evaluation and R~ort (50306i1 per inmate)

0 TION YEAR 2: 10/01/201 - 09/30/2 7

20.000000 EA $ $. ______ _

0027 Mental Health Individual Counselin% (6010) (30 min.= 1 unit) 480.000000 EA Estimated 24 units per inmate for 2 1nmates.

OPTION YEAR 2: 10/0112016- 09/30/2017

$ s. _ _____ _

0028 Mental Health Group Counseling (6020~ J30 min. = 1 720.000000 EA uniyEstimated 48 units fter inmate for inmates.

OP ION YEAR 2: 10/0 /2016-09/30/2017

s $. _ _____ _

0029 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 120.000000 EA medication, inco:J'orating feed ack from a clinical practitioner.

Estimated for 12 inmates.

OPTION YEAR 2: 10/01/2016-09/30/2017

0030 Client (Inmate~ Tranwortation (120~- Round trip

OPTION YEA 2: 1 /01/2016-09/ 0/2017

2,400.000000 EA s $. ______ _

0031 Substance Abuse Intake Assessment & Report (2011) (1 per 40.000000 EA inmate) Estimated for 40 inmates.

OPTION YEAR 3: 10/0112017 -09/30/2018

0032 Substance Abuse Individual Counseling (2010) (30 min. = 1 unit) 960.000000 EA Estimated 24 units per inmate for 40 inmates.

OPTION YEAR 3: 10/0112017-09/30/2018

0033 Substance Abuse Group Counselin8 (2020) (30 min. = 1 unit) Estimated 78 units per mmate for 4 inmates.

OPTION YEAR 3: 10/01/2017- 09/30/2018

3,120.000000 EA $ $. _____ _ _

0034 Substance Abuse Family Counseli1 (2030) (30 min.= 1 unit) 720.000000 EA Estimated 24 units wer mmate) for 0 inmates.

OPTION YEAR 3: 0/01/2017-09/30/2018

$ s. ___ ____ _

0035 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 25 inmates.

OPTION YEAR 3: 10/01/2017 - 09/30/2018

25.000000 EA $ $. ______ _

0036 P~chiatric Evaluation and RE!fort (50306r per inmate)

0 TION YEAR 3: 10/01/201 -09/30/2 8

25.000000 EA s $. ______ _

0037 Mental Health Individual Counselin% (6010) (30 min.= 1 unit) Estimated 24 units per inmate for 2 1nmates.

OPTION YEAR 3: 10/01/2017-09/30/2018

600.000000 EA $ $. _ _____ _

RFQ-CTS-030-15 Pag e 6 of 32

0038 Mental Health Group Counseling (6020~ J30 min. = 1 720.000000 EA $ $ uniyEstimated 48 units ~er inmate for inmates.

OP ION YEAR 3 : 10/0 /2017- 09/30/2018

0039 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 150.000000 EA $ $ medication. inco~orating feed ack from a clinical practitioner.

Estimated for 15 inmates.

OPTION YEAR 3: 10/0112017 - 09/30/2018

0040 Client (lnmatek Tranwortation (1202) - Round trip

OPTION YEA 3: 1 /01/2017 - 09/ 0/2018

2,640.000000 EA $ $

0041 Substance Abuse Intake Assessment & Report (2011) (1 per 45.000000 EA $ $ inmate) Estimated fo r 45 inmates.

OPTION YEAR 4: 10/01/2018- 09/30/2019

0042 Substance Abuse Individual Counseling (2010) (30 min.= 1 unit) 1,080.000000 EA $ $ Estimated 24 units per inmate for 45 inmates.

OPTION YEAR 4: 10/01/2018-09/30/2019

0043 Substance Abuse Group Counseling (2020) (30 min. = 1 unit) 3.510.000000 EA s $ Estimated 78 units per mmate for 4 inmates.

OPTION YEAR 4: 10/01/2018- 09/30/2019

0044 Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) 720.000000 EA $ $ Estimated 24 units ~per mmate) for 0 inmates.

OPTION YEAR 4: 0/01/2018 - 09/30/2019

0045 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 30 inmates.

30.000000 EA s $

OPTION YEAR 4: 10/01/2018 -09/30/2019

0046 P~chiatric Evaluation and Report (5030~ (1 per inmate)

0 TION YEAR 4: 10/0112018 - 09/30/2 19

30.000000 EA $ s

0047 Mental Health Individual Counselin~ (6010) (30 min.= 1 unit) 720.000000 EA s s Estimated 24 units per inmate for 3 1nmates.

OPTION YEAR 4: 10/01/2018-09/30/2019

0048 Mental Health Group Counseling (6020~ J30 min. = 1 720.000000 EA s $ uni~Estimated 48 units ~er inmate for inmates.

OP ION YEAR 4: 10/0 /2018-09130/2019

0049 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 180.000000 EA $ s medication. incoworating feed ack from a clinical practitioner.

Estimated for 18 inmates.

OPTION YEAR 4: 10/01/2018-09/30/2019

0050 Client (lnmatek Tranwortation (120~- Round trip

OPTION YEA 4: 1 /01/2018 - 09 0/2019

2.880.000000 EA $ $

0051 TOTAL INCLUSIVE CONTRACT PRICE (BASE+ FOUR OPTION

YEARS)

1.000000 LT $ $

2.1 Continuation of SF-1449, Block 20

SCHEDULE OF SUPPLIES/SERVICES

The contractor shall provide community-based outpatient traditional drug (substance) abuse and mental health (TDAT-MH) services to male and female federal offenders confined in a Residential Re-entry Center (RRC), or home confinement in Wilmington, North Carolina (all references to RRC and Community Correctional Center (CCC) shall be treated equally for the purpose of this contract).

The contractor's service location shall be within I 0 miles of the Federal Courthouse, located at 2 Princess Street, Wilmington, North Carolina, 2840 I, and located within one-half mile (walk) of community based transportation.

Quoters shall submit a quotation to provide all of the services listed.

The performance period for the resulting contract will be a one-year base period (to begin upon the effective date of contract award) and four (4) additional one-year option periods. The anticipated total contract period is five (5) years. The anticipated perfom1ancc start date is October 01, 201 4.

Services under this contract may be subcontracted.

ATTACHMENT V

SUBCONTRACTING PLAN CERTIFICATION

In accordance with FAR 19.705-2, this contract [ ] docs [ ]does not provide for any subcontracting possibilities.

If the answer is afftrmative, the offeror (quotcr) will submit [ ] a subcontracting plan in accordance with

FAR 52.219-9.

Amendment# 0001 Block 14- Description of Amendment Continued

5. Representation Regarding Felony Conviction Under Any Federal Law or Unpaid Delinquent Tax Liability (FAR 52.209-5 Deviation 2014-01) {November 2013)

(a) In accordance with sections 536 and 537 of the Commerce, Justice, Science, and Related Agencies Appropriations Act, 20 14(Title II, Division B, Pub. L. 113-76), none of the funds made available by that Act may be used to enter into a contract, memorandlm of understanding, or cooperative agreement with a corporation - ( l) convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agenc)is aware of the conviction, unless an agency has considered su~ension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government, or

(2) that has any unpaid Federal tax liability that has been assessed, for which all judicial and admnistrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for colleting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that this further action is notnecessary to protect the interests of the Government.

(b) The offeror represents that, as of the date of this offer- ( I) the offeror is [ ] is not [ ] a corporation convicted of a felony criminal violation under any Federal or State law within the preceding 24 months; and,

(2) the offeror is [ ] is not [ ] a corporation that has any unpaid Federal or State tax liability tl'at has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agrement with the authority responsible for collecting the tax liability.

(End of Provision)

6. FAR 52.209-7 INFORMATION REGARl>ING RESPONSIBILITY MATTI<:RS (JUl. 2013)

(A) DEFINITIONS. AS USED IN THIS PROVISION-

"Administrative proceeding" means a nonjudicial process that is adjudicatory in nature in order to make a determination of fault or liability

(e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed S¢'vices

Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, correcti.re plans, or inspection of deliverables.

"Federal contracts and grants with total value greater than $1 0,000,000" means-

(I) The total value of all current, active contracts and grants, including aU priced options; and

(2) The total value of all current, active orders including all priced options under indefini~-de1ivery, indefinit(>-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

"Principal" means an officer, director, owner, partner, or a person having primary management or supervisory re!i>onsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror l ] has [ ] does not have current active Federal contracts and grants with tota value greater than $10,000,000.

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, tha the information it has entered in the Federal Awardee Perfonnance and Integrity Information System (F APIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(I) Whether the offeror, and/or any of its principals, has or has not, within the la1 five years, in connection with the award to or perfonnance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

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Amendment # 000 1 Block 14 - Description of Amendment Continued

(ii) In a civil proceeding, a fmding of fault and liability that results in the payment of a monetary fine, penalty, reimburement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a fmding offault and liability that results in-

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of$1 00,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an ackno\Wdgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs ( c )(I )(i), (c)( I )(ii), or ( c)(l )(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)( I) of this provision, whther the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(l)(i) through (c)(l)(iv) of this provision in FAPIIS as requiredthrough maintaining an active registration in the System for A wa-d Management database via https: //www.acquisition.gov (see 52.204-7). (End of provision)

7. 52.252-S Authorized Deviations in Provisions.

As prescribed in 52.1 07( e), insert the following provision in solicitations that include any FAR or supplemental provision with an authorized deviation. Whenever any FAR or supplemental provisim is used with an authorized deviation, the contracting officer shall identify it by the same number, title, and date assigned to the provision when it is used without deviation, include regulation name for any suplemental provision, except that the contracting officer shall insert "(DEVIATION)" after the date of the provision. Authorized Deviations in Provisions

(Apr 1984)

(a) The use in this solicitation of any Federal Acquisition Regulation (48CFR Chapter 1) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the provision.

(b) The use in this solicitation of any - ----- [insert regulation name] (48 CFR Chapter---/ provision with an authorized deviation is indicated by the addition of "(DEY IA TION)" after the name of the regulation.

(End of provision)

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