RFQ-CTS-030-15_Amendment_2.pdf

PDF 806 KB Posted Aug 11, 2014

Attached to: TDAT-MH Services - Wilmington, NC
Solicitation number: RFQ-CTS-030-15
Issued by: Department of Justice Bureau of Prisons Central Office

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RFQ-CTS-030-15 Amendment 0002

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File	Type	Posted
RFQ-CTS-030-15_Amendment_1.pdf	PDF	Aug 8, 2014
RFQ-CTS-030-15_Solicitation.pdf	PDF	Jul 14, 2014
RFQ-CTS-030-15_Attachments_I-VI.pdf	PDF	Jul 14, 2014

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11. CONTRACT 10 CODE PAGE OF PAGES

AMENDMENT OF SOLICIT A TION!MODIFICA TION OF CONTRACT I I 4

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION I PURCHASE REQ. NO. PROJECT NO. ( If Applicable}

0002 08/11/2014

6.1SSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE Administrative Contracting Officer Fede ral Bureau of Prisons James J.C.L. Spence

D. Ray James Correct io nal Facility Contracting Officer

Highway 252 East (912) 496-6981 Folkston, Georgia 31537

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

RFQ-CTS-030-15

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

10A. MODIFICATION OF CONTRACT/ORDER NO.

CODE : Tax ID# 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 returning 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 REJECTION 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 tetter, 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 lOA.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appmpriation data, etc) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43, 103(b), C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (SpecWy type of modWication and authority)

E. IMPORTANT: Contractor [ ) is not [X] is required to sign this document and return ~ copies to the issuing office.

14. DESCRIPTION OF AMENDMENTIMODlFICATION (Orpanized by UCF section headings, including so/idtationlcontrsct subject matter where feasible)

RFQ-CTS-030-1 5 is hereby amended as follows :

I. Under Attachment VI (Federal Bureau of Prisons Subcontracting Plan) remove the 14d' page titled "Statement of Compliance for Incumbent Contractors."

2. Remove and replace Pages 4-6 of the SF-1449 with the attached (revised) Pages 4-6.

Except as provided herein, all items and conditions of the document referenced in item 9A or 1 OA, as heretofore changed, remains unchanged and in full force and effect.

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

15C. DATE

SIGNED

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

James J.C.L. Spence Contracting Officer

168. UNITED STATES OF AMERICA

( (§J;n~ure o\ Contracting Officer)

16C. DATE

SIGNED

C)8 I, I ~~'-l

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

Section 2 • Commodity or Services Schedule

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

SUPPLIES/SERVICES QUANTITY UNIT

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

BASE EAR: 10/01/2014 • 09/30/2015

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

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

BASE YEAR: 10/01/2014 • 09/30/2015

Substance Abuse Family Counselin~ (2030l (30 min. " 1 unit) 600.000000 EA Estimated 24 units ~per mmate) for 5 inma es.

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

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

10.000000 EA

BASE YEAR: 10/01/2014 • 09/30/2015

Psychiatric Evaluation and R~rt ~5030) (1 per inmate)

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

10.000000 EA

Mental Health Individual Counselin% (6010) (30 min. = 1 unit) 240.000000 EA Estimated 24 units per inmate for 1 mmates.

BASE YEAR: 10/0112014 • 09130/2015

Mental Health Group Counseling (6020~J30 min. " 1 unit.)Estimated 48 units .fir inmate for inmates.

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

480.000000 EA

Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 60.000000 EA medication/ incorporating feed ack from a clinical practitioner.

Estimated or 60 mmates.

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

Client ~nmate) Trans~ortation ~1202)- Round trip

BASE EAR: 10/01/ 014-09 30/2015

1 ,680.000000 EA

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

Substance Abuse Individual Counseling (2010) (30 min. " 1 unit) 1 ,440.000000 EA Estimated 48 units per inmate for 30 inmates.

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

Substance Abuse Group Counselin8 (2020) (30 min. = 1 unit) Estimated 78 units per mmate for 3 inmates.

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

2,340.000000 EA

Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) Estimated 24 units tro;r 1nmate) for 0 inmates.

OPTION YEAR 1: 0/01/2015 - 09130/2016

720.000000 EA

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

15.000000 EA

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

P~chiatric Evaluation and Rr-rt (50306r per inmate}

OTIONYEAR1:10/01/201 -09/30/2 6

15.000000 EA

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 4 of 32

UNIT PRICE AMOUNT

s s s s s s s $

$ s s s s s s s

RFQ-CTS-030-15 Page 5 of 32

0018 Mental Health Group Counseling (6020U30 min. = 1 uni~Estimated 48 units fler inmate for inmates.

OP IONYEAR1: 10/0/2015-09/30/2016

720.000000 EA $ $

0019 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 90.000000 EA $ $ medication, incorporating feed ack from a clinical practitioner.

Estimated for 90 mmates.

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

0020 Client (Inmate~ T ranwortation ( 1202) - Round trip

OPTION YEA 1: 1 /01/2015- 09/30/2016

2,160.000000 EA $ $

0021 Substance Abuse Intake Assessment & Report (2011) (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) 1,680.000000 EA $ $ Estimated 48 units per inmate for 35 inmates.

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

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) Estimated 24 units ~er mmate) for 0 inma es.

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

720.000000 EA $ $

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 R1ort (50306 (1 per inmate)

0 TION YEAR 2: 10/01/201 -09/30/2 17

20.000000 EA $ $

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

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

480.000000 EA $ $

0028 Mental Health Group Counseling (60201J30 min. = 1 uni~Estimated 48 units fler inmate for inmates.

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

720.000000 EA $ $

0029 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 120.000000 EA $ $ medication/ incoworating feed ack from a clinical practitioner.

Estimated or 12 inmates.

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

0030 Client (Inmate~ Tranwortation (1202)- Round trip

OPTION YEA 2: 1 /01/2016- 09/30/2017

2,400.000000 EA $ $

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

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

0032 Substance Abuse Individual Counseling (201 0) (30 min. = 1 unit) 1,920.000000 EA $ $ Estimated 48 units per inmate for 40 inmates.

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

0033 Substance Abuse Group Counselin8 (2020) (30 min. = 1 unit) 3,120.000000 Estimated 78 units per tnmate for 4 inmates.

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

EA $ $

0034 Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) Estimated 24 units ~per 1nmate) for 0 inmates.

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

720.000000 EA $ $

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

25.000000 EA $ $

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

0036 P~chiatric Evaluation and R1ort (50306~1 per inmate)

0 TION YEAR 3: 10/01/201 -09130/2 8

25.000000 EA $ $

0037 Mental Health Individual Counselin~ (6010) (30 min.= 1 unit) 600.000000 EA $ $ Estimated 24 units per inmate for 2 1nmates.

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

RFQ-CTS-030-15 Page 6 of32

0038 Mental Health Group Counseling (6020i~30 min. = 1 720.000000 EA $ $ uni~Estimated 48 units fJer 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(forating feed ack from a clinical practitioner.

Estimated or 15 inmates.

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

0040 Client (Inmate~ Tranwortation ( 1 202~ - 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 for 45 inmates.