RFQ-CTS-038-15_Amendment_1.pdf

11. CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT l I 8

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

0001 0811112014

6. 1SSUED 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 SOLICITATION NO

RFQ-CTS-038-15

X 9B. DATED (See Item 11) 07/1412014

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 a 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 letter. provided each telegram or letter makes reference to the solicitabon 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 111 paying offiCe, 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 AUTHORI1Y OF:

D. OTHER (Specify type of modifiCation and autho<ity)

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

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Otgamzed by UCF sectiOn headings, incfuding solicitation/contract subject matter where feaSJble}

RFQ-CTS-038-1 5 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)

156. 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

16B. UNITED STATES OF AMERICA

BY~

\. (~at~ eX Contracting Officer)

16C. DATE

SIGNED

08\ 11laoa'/

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-038-15 is hereby amended as follows:

l. Change the NAICS in Blocks 10 and 20 ofthe SF- 1449 from $14,000.00 to $15,000.00.

2. Replace Pages 4-6 of the SF-1 449 with the attached Pages 4-6.

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

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

5. 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).

6. FAR Clause 52.209-5 (Deviation) Representation Regarding Felony Conviction Under any Federal Law or Unpaid Delinquent Tax Liability (NOV 2013), is incorporated by full text(attached).

7. FAR 52.209-7, Information Regarding Responsibility Matters is updated to JUL 2013 (attached).

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

RFQ-CTS-038-15 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 20.000000 EA $ $ inmate~ Estimated for 20 inmates.

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

0002 Substance Abuse Individual Counseling (2010) (30 min.= 1 unit) 960.000000 EA $ $ Estimated 48 units per inmate for 20 inmates.

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

0003 Substance Abuse Group Counselin8 (2020) (30 min. = 1 unit) 1,440.000000 EA $ $ Estimated 72 units per mmate for 2 inmates.

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

0004 Substance Abuse Family Counselin~ (2030? (30 min. = 1 unit) 480.000000 EA $ $ Estimated 24 units ~per mmate) for 0 inma es.

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

0005 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 8 inmates.

8.000000 EA $ $

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

0006 Psychiatric Evaluation and R1,ort ~5030) (1 per inmate)

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

8.000000 EA $ $

0007 Mental Health Individual Counseling (6010) (30 min. = 1 unit) 384.000000 EA $ $ Estimated 48 units per inmate for 8 inmates.

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

0008 Mental Health Group Counseling (6020a (30 min. = 1 576.000000 EA $ $ unit.Wstimated 72 units e,er inmate for mmates.

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

0009 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 48.000000 EA $ $ medication, incorporating feed ack from a clinical practitioner.

Estimated 48 inmates.

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

0010 Client ~nmate) Transfo>rtation }1202) - Round trip (Day pass)

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

1 ,344.000000 EA $ $

0011 Substance Abuse Intake Assessment & Report (2011) (1 per 22.000000 EA $ $ inmate) Estimated for 22 inmates.

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

0012 Substance Abuse Individual Counseling (2010) (30 min.= 1 unit) 1 ,056.000000 EA $ $ Estimated 48 units per inmate for 22 inmates.

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

0013 Substance Abuse Group Counselin~ (2020) (30 min. = 1 unit) 1,584.000000 EA $ s Estimated 72 units per 1nmate for 2 inmates.

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

0014 Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) Estimated 24 units cro;r 1nmate) for 2 inmates.

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

528.000000 EA $ $

0015 Mental Health Intake Assessment & Report (5011) {1 per inmate) Estimated for 10 inmates.

10.000000 EA $ $

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

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

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

10.000000 EA $ s

0017 Mental Health Individual Counselin% (601 0) (30 min. = 1 unit) 480.000000 EA $ $ Estimated 48 units per inmate for 1 mmates.

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

RFQ-CTS-038-15 Page 5 of 32

0018 Mental Health Group Counseling (60201 (30 min. = 1 720.000000 EA $ $ uni~Estimated 72 unrts .fJer inmate for 0 inmates.

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

0019 Medication Monitoring (6051) ·~ per visit) to evaluate the efficacy of 60.000000 EA $ $ medication incorporat ing feed ack from a clinical practitioner.

Estimated 0 inmates ..

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

0020 Client (Inmate~ Tranwortation (1 20~ - Round trip (Day pass)

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

1,536.000000 EA $ $

0021 Substance Abuse Intake Assessment & Report (2011) (1 per 24.000000 EA $ $ inmate) Estimated for 24 inmates.

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

0022 Substance Abuse Individual Counseling (2010) (30 min. = 1 unit) 1 '152.000000 EA $ $ Estimated 48 units per inmate for 24 inmates.

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

0023 Substance Abuse Group Counselinf (2020) (30 min. = 1 unit) 1,728.000000 EA $ $ Estimated 72 units per mmate for 2 inmates.

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

0024 Substance Abuse Family Counselin~ (2030) (30 min. = 1 unit) Estimated 24 units wer mmate) for 4 inmates.

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

576.000000 EA $ $

0025 Mental Health Intake Assessment & Report (501 1} (1 per inmate) Estimated for 12 inmates.

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

12.000000 EA $ $

0026 P~chiatric Evaluation and R~ort (50306 (1 per inmate)

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

12.000000 EA $ $

0027 Mental Health Individual Counselin~ (601 0) (30 min. = 1 unit) 576.000000 EA $ $ Estimated 48 units per inmate for 1 mmates.

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

0028 Mental Health Group Counseling (6020H30 min. = 1 uni~Estimated 72 units .fJer inmate for inmates.

OP ION YEAR 2: 10/0 /2016 - 09/30/201 7

864.000000 EA $ $

0029 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 72.000000 EA $ $ medication, incorporating feed ack from a clinical practitioner.

Estimated 72 inmates.

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

0030 Client (Inmate~ Tranwortation (1 20~ - Round trip (Day pass)

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

1,728.000000 EA $ $

0031 Substance Abuse Intake Assessment & Report (201 1) (1 per 26.000000 EA $ $ inmate) Estimated for 26 inmates.

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

0032 Substance Abuse Individual Counseling (201 0) (30 min. = 1 unit) 1,248.000000 EA $ $ Estimated 48 units per inmate for 26 inmates.

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

0033 Substance Abuse Group Counseling (2020) (30 min. = 1 unit) 1,872.000000 Estimated 72 units per mmate for 2 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 6 inmates.

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

624.000000 EA $ $

0035 Mental Health Intake Assessment & Report (5011) (1 per inmate) Estimated for 14 inmates.

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

14.000000 EA $ $

0036 P~chiatric Evaluation and R1ort (5030M1 per inmate)

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

14.000000 EA $ $

0037 Mental Health Individual Counseling (6010) (30 min. = 1 unit) 672.000000 EA $ $ Estimated 48 units per inmate for 14 1nmates.

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

RFQ-CTS-038-15 Page 6 of 32

0038 Mental Health Group Counseling {6020{J30 min.= 1 1,008.000000 EA $ $ uni~Estimated 72 units fler inmate for inmates.

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

0039 Medication Monitoring (6051) ~ per v isit) to evaluate the efficacy of 84.000000 EA $ $ medicationefcorporating feed ack from a clinical practitioner.

Estimated inmates.

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

0040 Client ( Inmate~ Tranwortation (1202)- Round trip (Day pass)

OPTION YEA 3: 1 /01/2017 -09/30/2018

1,920.000000 EA $ $

0041 Substance Abuse Intake Assessment & Report (2011 ) (1 per 28.000000 EA $ $ inmate) Estimated for 28 inmates.

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

0042 Substance Abuse Individual Counseling (201 0) (30 min. = 1 unit) 1,344.000000 EA $ $ Estimated 48 units per inmate for 28 inmates.

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

0043 Substance Abuse Group Counselin~ (2020) (30 min.= 1 unit) 2,016.000000 EA $ $ Estimated 72 units per 1nmate for 2 inmates.

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

0044 Substance Abuse Family Counselin~ (2030) {30 min. = 1 unit) 672.000000 EA $ $ Estimated 24 units ~er 1nmate) for 8 inmates.

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

0045 Mental Health Intake Assessment & Report (5011) {1 per inmate) Estimated for 16 inmates.

16.000000 EA $ $

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

0046 P~chiatric Evaluation and RTrt (50306 (1 per inmate)

0 TION YEAR 4: 10/01/201 - 09/30/2 19

16.000000 EA $ $

0047 Mental Health Individual Counselin~ (601 0) (30 min. = 1 unit) 768.000000 EA $ $ Estimated 48 units per inmate for 1 mmates.

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

0048 Mental Health Group Counseling (6020{ (30 min. = 1 uni~Estimated 72 units fler inmate for 6 inmates.

OP ION YEAR 4: 10/0 /2018-09/30/2019

1,152.000000 EA $ $

0049 Medication Monitoring (6051) ~ per visit) to evaluate the efficacy of 96.000000 EA $ $ medication, incorporating feed ack from a clinical practitioner.

Estimated 96 inmates.

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

0050 Client (Inmate~ Tranwortation (120~- Round trip (Day pass)

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

2,112.000000 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 conununity-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 Charleston, West Vir ginia (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 8 miles of the Federal Courthouse, located at 300 Virginia Street, Charleston, West Vir ginia, 2530 I, and located withiin 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 performance start date is October OJ, 2014.

Services under this contract may be subcontracted.

ATTACHMENT V

SUBCONTRACTING PLAN CERTIFICATION

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

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

FAR 52.219-9.

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, 2014(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 - ( I) 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!pension 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-

(1) 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 tint 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 REGARDING RESPONSmiLITY MATI'I::RS (JUL 2013)

(A) D EFINITIONS. AS USED IN TI-llS PROVISION-

"Administrative proceeding" means a norrjudicial 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~ices

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

"Federal contracts and grants with total value greatertban $10,000,000" means-

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

(2) The total value of all current, active orders including all priced options under indefmie-delivery, indefinite-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!ilonsibilities within a business entity (e.g. , general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror [ ] 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, thathe information it has entered in the Federal Awardee Performance 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 Ia!! five years, in connection with the award to or performance 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.

Block 14 - Description of Amendment Continued

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

(iii) In an administrative proceeding, a finding of fault and liability that results in-

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

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

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

(2) lfthe offeror has been involved in the last five years in any of the occurrences listed in (c)(l) 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)(i)(iv) of this provision in FAPIIS as requiredthrough maintaining an active registration in the System for A wa-d Management database via https://www.acguisition.gov(see 52.204-7). (End of provision)

7. 52.252-5 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 provisi<n 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 I) provision with an authorized deviation is indicated by the addition of"(DEVlATION)" 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"(DEV1A TION)" after the name of the regulation.

(End of provision)