SF_1449_Omaha_NE.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

RFQ-CTS-039-17

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

05/09/2017

7. FOR SOLICITATION INFORMATION

CALL:

a. NAME

My Tran mtran@bop.gov

b. TELEPHONE NUMBER (No collect calls)

(O) 202-616-9762 (F) 202-616-6224

8. OFFER DUE DATE / LOCAL

TIME

06/02/2017 14:00 EST

CODE BCO

Federal Bureau of Prisons Central Office

320 FIRST STREET NW

WASHINGTON, DC 20534

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

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621420

SIZE STANDARD: $15,000,000

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

15B400CODE15. DELIVER TO

Federal Bureau of Prisons North Central Regional Office

400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

CODE BCO16. ADMINISTERED BY

Federal Bureau of Prisons Central Office

320 FIRST STREET NW

WASHINGTON, DC 20534

My Tran

(O) 202-616-9762

(F) 202-616-6224 mtran@bop.gov

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

15B400CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons North Central Regional Office

400 STATE AVENUE

SUITE 800

KANSAS CITY, KS 66101

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

Community Treatment Services: SA/MH/SOT in Omaha, NE

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)

My Tran

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-039-17 Page 1 of 37

039-17

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-039-17 Page 2 of 37

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 52.216-18 Ordering (Oct 1995) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-18 Availability Of Funds (Apr 1984) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Dec 2013) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR

2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders--Commercial Items (Jan 2017)

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) 52.233-2 Service of Protest (Sept 2006)

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

52.216-1 Type of Contract (Apr 1984) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.252-5 Authorized Deviations in Provisions (Apr 1984) 52.217-5 Evaluation of Options (July 1990)

RFQ-CTS-039-17 Page 3 of 37

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 80 Inmates Base Period: date of award - 12 months

80.000000 EA $____________ $___________________

0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Base Period: date of award - 12 months

80.000000 EA $____________ $___________________

0003 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Base Period: date of award - 12 months

3,840.000000 SS $____________ $___________________

0004 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Base Period: date of award - 12 months

5,760.000000 SS $____________ $___________________

0005 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Base Period: date of award - 12 months

2,880.000000 SS $____________ $___________________

0006 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Base Period: date of award - 12 months

60.000000 EA $____________ $___________________

0007 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Base Period: date of award - 12 months

60.000000 EA $____________ $___________________

0008 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Base Period: date of award - 12 months

60.000000 EA $____________ $___________________

0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Base Period: date of award - 12 months

60.000000 EA $____________ $___________________

0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Base Period: date of award - 12 months

2,880.000000 SS $____________ $___________________

0011 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Base Period: date of award - 12 months

720.000000 EA $____________ $___________________

0012 Sex Offender Intake (6060) (one per inmate) for 5 inmates Base Period: date of award - 12 months

5.000000 EA $____________ $___________________

0013 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Base Period: date of award - 12 months

5.000000 $____________ $___________________

0014 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Base Period: date of award - 12 months

240.000000 $____________ $___________________

0015 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Base Period: date of award - 12 months

360.000000 EA $____________ $___________________

0016 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Base Period: date of award - 12 months

120.000000 EA $____________ $___________________

RFQ-CTS-039-17 Page 4 of 37

0017 Individual Transportation (1202) (one way) 124 rides for 145 inmates Base Period: date of award - 12 months **transportation applies to base year only**

17,980.000000 SS $____________ $___________________

0018 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 1 : 13 months - 24 months

80.000000 EA $____________ $___________________

0019 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 1 : 13 months - 24 months

80.000000 EA $____________ $___________________

0020 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 1 : 13 months - 24 months

3,840.000000 SS $____________ $___________________

0021 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 1 : 13 months - 24 months

5,760.000000 SS $____________ $___________________

0022 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 1 : 13 months - 24 months

2,880.000000 SS $____________ $___________________

0023 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 1 : 13 months - 24 months

60.000000 EA $____________ $___________________

0024 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 1 : 13 months - 24 months

60.000000 EA $____________ $___________________

0025 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 1 : 13 months - 24 months

60.000000 EA $____________ $___________________

0026 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 1 : 13 months - 24 months

60.000000 EA $____________ $___________________

0027 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 1 : 13 months - 24 months

2,880.000000 SS $____________ $___________________

0028 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 1 : 13 months - 24 months

720.000000 EA $____________ $___________________

0029 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 1 : 13 months - 24 months

5.000000 EA $____________ $___________________

0030 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 1 : 13 months - 24 months

5.000000 $____________ $___________________

0031 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 1 : 13 months - 24 months

240.000000 $____________ $___________________

0032 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 1 : 13 months - 24 months

360.000000 EA $____________ $___________________

0033 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 1 : 13 months - 24 months

120.000000 EA $____________ $___________________

0034 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 2 : 25 months - 36 months

80.000000 EA $____________ $___________________

RFQ-CTS-039-17 Page 5 of 37

0035 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 2 : 25 months - 36 months

80.000000 EA $____________ $___________________

0036 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 2 : 25 months - 36 months

3,840.000000 SS $____________ $___________________

0037 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 2 : 25 months - 36 months

5,760.000000 SS $____________ $___________________

0038 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 2 : 25 months - 36 months

2,880.000000 SS $____________ $___________________

0039 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 2 : 25 months - 36 months

60.000000 EA $____________ $___________________

0040 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 2 : 25 months - 36 months

60.000000 EA $____________ $___________________

0041 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 2 : 25 months - 36 months

60.000000 EA $____________ $___________________

0042 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 2 : 25 months - 36 months

60.000000 EA $____________ $___________________

0043 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 2 : 25 months - 36 months

2,880.000000 SS $____________ $___________________

0044 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 2 : 25 months - 36 months

720.000000 EA $____________ $___________________

0045 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 2 : 25 months - 36 months

5.000000 EA $____________ $___________________

0046 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 2 : 25 months - 36 months

5.000000 $____________ $___________________

0047 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 2 : 25 months - 36 months

240.000000 $____________ $___________________

0048 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 2 : 25 months - 36 months

360.000000 EA $____________ $___________________

0049 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 2 : 25 months - 36 months

120.000000 EA $____________ $___________________

0050 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 3 : 37 months - 48 months

80.000000 EA $____________ $___________________

0051 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 3 : 37 months - 48 months

80.000000 EA $____________ $___________________

0052 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 3 : 37 months - 48 months

3,840.000000 SS $____________ $___________________

RFQ-CTS-039-17 Page 6 of 37

0053 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 3 : 37 months - 48 months

5,760.000000 SS $____________ $___________________

0054 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 3 : 37 months - 48 months

2,880.000000 SS $____________ $___________________

0055 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 3 : 37 months - 48 months

60.000000 EA $____________ $___________________

0056 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 3 : 37 months - 48 months

60.000000 EA $____________ $___________________

0057 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 3 : 37 months - 48 months

60.000000 EA $____________ $___________________

0058 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 3 : 37 months - 48 months

60.000000 EA $____________ $___________________

0059 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 3 : 37 months - 48 months

2,880.000000 SS $____________ $___________________

0060 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 3 : 37 months - 48 months

720.000000 EA $____________ $___________________

0061 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 3 : 37 months - 48 months

5.000000 EA $____________ $___________________

0062 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 3 : 37 months - 48 months

5.000000 $____________ $___________________

0063 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 3 : 37 months - 48 months

240.000000 $____________ $___________________

0064 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 3 : 37 months - 48 months

360.000000 EA $____________ $___________________

0065 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 3 : 37 months - 48 months

120.000000 EA $____________ $___________________

0066 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 4 : 49 months - 60 months

80.000000 EA $____________ $___________________

0067 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 4 : 49 months - 60 months

80.000000 EA $____________ $___________________

0068 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 4 : 49 months - 60 months

3,840.000000 SS $____________ $___________________

0069 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 4 : 49 months - 60 months

5,760.000000 SS $____________ $___________________

0070 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 4 : 49 months - 60 months

2,880.000000 SS $____________ $___________________

RFQ-CTS-039-17 Page 7 of 37

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

60.000000 EA $____________ $___________________

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

60.000000 EA $____________ $___________________

0073 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 4 : 49 months - 60 months

60.000000 EA $____________ $___________________

0074 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 4 : 49 months - 60 months

60.000000 EA $____________ $___________________

0075 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 4 : 49 months - 60 months

2,880.000000 SS $____________ $___________________

0076 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 4 : 49 months - 60 months

720.000000 EA $____________ $___________________

0077 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 4 : 49 months - 60 months

5.000000 EA $____________ $___________________

0078 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 4 : 49 months - 60 months

5.000000 $____________ $___________________

0079 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 4 : 49 months - 60 months

240.000000 $____________ $___________________

0080 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 4 : 49 months - 60 months

360.000000 EA $____________ $___________________

0081 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 4 : 49 months - 60 months

120.000000 EA $____________ $___________________

0082 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 5 : 61 months - 72 months

80.000000 EA $____________ $___________________

0083 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 5 : 61 months - 72 months

80.000000 EA $____________ $___________________

0084 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 5 : 61 months - 72 months

3,840.000000 SS $____________ $___________________

0085 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 5 : 61 months - 72 months

5,760.000000 SS $____________ $___________________

0086 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 5 : 61 months - 72 months

2,880.000000 SS $____________ $___________________

0087 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 5 : 61 months - 72 months

60.000000 EA $____________ $___________________

0088 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 5 : 61 months - 72 months

60.000000 EA $____________ $___________________

RFQ-CTS-039-17 Page 8 of 37

0089 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 5 : 61 months - 72 months

60.000000 EA $____________ $___________________

0090 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 5 : 61 months - 72 months

60.000000 EA $____________ $___________________

0091 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 5 : 61 months - 72 months

2,880.000000 SS $____________ $___________________

0092 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 5 : 61 months - 72 months

720.000000 EA $____________ $___________________

0093 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 5 : 61 months - 72 months

5.000000 EA $____________ $___________________

0094 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 5 : 61 months - 72 months

5.000000 $____________ $___________________

0095 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 5 : 61 months - 72 months

240.000000 $____________ $___________________

0096 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 5 : 61 months - 72 months

360.000000 EA $____________ $___________________

0097 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 5 : 61 months - 72 months

120.000000 EA $____________ $___________________

0098 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 6: 73 months - 84 months

80.000000 EA $____________ $___________________

0099 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 6: 73 months - 84 months

80.000000 EA $____________ $___________________

0100 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 6: 73 months - 84 months

3,840.000000 SS $____________ $___________________

0101 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 6: 73 months - 84 months

5,760.000000 SS $____________ $___________________

0102 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 6: 73 months - 84 months

2,880.000000 SS $____________ $___________________

0103 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 6: 73 months - 84 months

60.000000 EA $____________ $___________________

0104 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 6: 73 months - 84 months

60.000000 EA $____________ $___________________

0105 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 6: 73 months - 84 months

60.000000 EA $____________ $___________________

0106 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 6: 73 months - 84 months

60.000000 EA $____________ $___________________

0107 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates

2,880.000000 SS $____________ $___________________

RFQ-CTS-039-17 Page 9 of 37

Option Year 6: 73 months - 84 months

0108 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 6: 73 months - 84 months

720.000000 EA $____________ $___________________

0109 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 6: 73 months - 84 months

5.000000 EA $____________ $___________________

0110 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 6: 73 months - 84 months

5.000000 $____________ $___________________

0111 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 6: 73 months - 84 months

240.000000 $____________ $___________________

0112 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 6: 73 months - 84 months

360.000000 EA $____________ $___________________

0113 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 6: 73 months - 84 months

120.000000 EA $____________ $___________________

0114 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 7: 85 months - 96 months

80.000000 EA $____________ $___________________

0115 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 7: 85 months - 96 months

80.000000 EA $____________ $___________________

0116 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 7: 85 months - 96 months

3,840.000000 SS $____________ $___________________

0117 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 7: 85 months - 96 months

5,760.000000 SS $____________ $___________________

0118 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 7: 85 months - 96 months

2,880.000000 SS $____________ $___________________

0119 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 7: 85 months - 96 months

60.000000 EA $____________ $___________________

0120 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 7: 85 months - 96 months

60.000000 EA $____________ $___________________

0121 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 7: 85 months - 96 months

60.000000 EA $____________ $___________________

0122 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 7: 85 months - 96 months

60.000000 EA $____________ $___________________

0123 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 7: 85 months - 96 months

2,880.000000 SS $____________ $___________________

0124 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 7: 85 months - 96 months

720.000000 EA $____________ $___________________

0125 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 7: 85 months - 96 months

5.000000 EA $____________ $___________________

RFQ-CTS-039-17 Page 10 of 37

0126 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 7: 85 months - 96 months

5.000000 $____________ $___________________

0127 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 7: 85 months - 96 months

240.000000 $____________ $___________________

0128 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 7: 85 months - 96 months

360.000000 EA $____________ $___________________

0129 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 7: 85 months - 96 months

120.000000 EA $____________ $___________________

0130 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 8: 97 months - 108 months

80.000000 EA $____________ $___________________

0131 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 8: 97 months - 108 months

80.000000 EA $____________ $___________________

0132 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 8: 97 months - 108 months

3,840.000000 SS $____________ $___________________

0133 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 8: 97 months - 108 months

5,760.000000 SS $____________ $___________________

0134 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 8: 97 months - 108 months

2,880.000000 SS $____________ $___________________

0135 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 8: 97 months - 108 months

60.000000 EA $____________ $___________________

0136 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 8: 97 months - 108 months

60.000000 EA $____________ $___________________

0137 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 8: 97 months - 108 months

60.000000 EA $____________ $___________________

0138 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 8: 97 months - 108 months

60.000000 EA $____________ $___________________

0139 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 8: 97 months - 108 months

2,880.000000 SS $____________ $___________________

0140 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 8: 97 months - 108 months

720.000000 EA $____________ $___________________

0141 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 8: 97 months - 108 months

5.000000 EA $____________ $___________________

0142 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 8: 97 months - 108 months

5.000000 $____________ $___________________

0143 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 8: 97 months - 108 months

240.000000 $____________ $___________________

RFQ-CTS-039-17 Page 11 of 37

0144 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 8: 97 months - 108 months

360.000000 EA $____________ $___________________

0145 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 8: 97 months - 108 months

120.000000 EA $____________ $___________________

0146 Intake - Substance Use (2000) (one per inmate) for Estimated 80 Inmates Option Year 9: 109 months - 120 months

80.000000 EA $____________ $___________________

0147 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 80 Inmates Option Year 9: 109 months - 120 months

80.000000 EA $____________ $___________________

0148 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 80 Inmates Option Year 9: 109 months - 120 months

3,840.000000 SS $____________ $___________________

0149 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 80 Inmates Option Year 9: 109 months - 120 months

5,760.000000 SS $____________ $___________________

0150 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 80 Inmates Option Year 9: 109 months - 120 months

2,880.000000 SS $____________ $___________________

0151 Intake - Mental Health (5000) (one per inmate) for Estimated 60 Inmates Option Year 9: 109 months - 120 months

60.000000 EA $____________ $___________________

0152 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 60 Inmates Option Year 9: 109 months - 120 months

60.000000 EA $____________ $___________________

0153 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 60 Inmates Option Year 9: 109 months - 120 months

60.000000 EA $____________ $___________________

0154 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 60 Inmates Option Year 9: 109 months - 120 months

60.000000 EA $____________ $___________________

0155 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 60 Inmates Option Year 9: 109 months - 120 months

2,880.000000 SS $____________ $___________________

0156 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 60 inmates Option Year 9: 109 months - 120 months

720.000000 EA $____________ $___________________

0157 Sex Offender Intake (6060) (one per inmate) for 5 inmates Option Year 9: 109 months - 120 months

5.000000 EA $____________ $___________________

0158 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 5 inmates Option Year 9: 109 months - 120 months

5.000000 $____________ $___________________

0159 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 5 inmates Option Year 9: 109 months - 120 months

240.000000 $____________ $___________________

0160 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 5 inmates Option Year 9: 109 months - 120 months

360.000000 EA $____________ $___________________

0161 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 5 inmates Option Year 9: 109 months - 120 months

120.000000 EA $____________ $___________________

RFQ-CTS-039-17 Page 12 of 37

0162 Intake - Substance Use (2000) (one per inmate) for Estimated 40 Inmates Potential Six Month Extension

40.000000 EA $____________ $___________________

0163 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 40 Inmates Potential Six Month Extension

40.000000 EA $____________ $___________________

0164 Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 40 Inmates Potential Six Month Extension

1,920.000000 SS $____________ $___________________

0165 Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 40 Inmates Potential Six Month Extension

2,880.000000 SS $____________ $___________________

0166 Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 40 Inmates Potential Six Month Extension

2,880.000000 SS $____________ $___________________

0167 Intake - Mental Health (5000) (one per inmate) for Estimated 30 Inmates Potential Six Month Extension

30.000000 EA $____________ $___________________

0168 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 30 Inmates Potential Six Month Extension

30.000000 EA $____________ $___________________

0169 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 30 Inmates Potential Six Month Extension

30.000000 EA $____________ $___________________

0170 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 30 Inmates Potential Six Month Extension

30.000000 EA $____________ $___________________

0171 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 30 Inmates Potential Six Month Extension

1,440.000000 SS $____________ $___________________

0172 Medication Monitoring (6051) Monitoring (12 visits per inmate); for 30 inmates Potential Six Month Extension

360.000000 EA $____________ $___________________

0173 Sex Offender Intake (6060) (one per inmate) for 3 inmates Potential Six Month Extension

3.000000 EA $____________ $___________________

0174 Sex Offender Specific Eval. and Report (5012) 1 report per authorized inmate x 3 inmates Potential Six Month Extension

3.000000 $____________ $___________________

0175 Sex Offender Indv. Counseling (6012) (30 minutes = 1 unit) 48 units (per inmate) for 3 inmates Potential Six Month Extension

144.000000 $____________ $___________________

0176 Sex Offender Group Counseling (6022) (30 minutes = 1 unit) 72 units (per inmate) x 3 inmates Potential Six Month Extension

216.000000 EA $____________ $___________________

0177 Sex Offender Family Counseling (6032) (30 minutes = 1 unit) 24 units (per inmate) x 3 inmates Potential Six Month Extension

72.000000 EA $____________ $___________________

2.1 SF-1449, Schedule of Supplies and Services

SCHEDULE OF SUPPLIES/SERVICES

RFQ-CTS-039-17 Page 13 of 37

Provide outpatient community treatment services: substance abuse, mental health, and sex offender treatment services for male and female inmates confined in community based programs and on home confinement. The location where services are to be provided should be within 20 miles of the United States Post Office, 1718 S. 51st Street, Omaha, NE, 68106, accessible by local transportation, and within a 0.5 mile walk from community based transportation. This requirement will ensure inmate accountability is maintained, that in-mates do not have long commutes to the treatment center, reduce inmate transportation costs, and ensure that public transportation is available.

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 10 years. The anti-cipated performance start date is September 1, 2017.

Community Treatment Services: Drug Abuse, Mental Health and Sex Offender Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:

Each quotation will be initially reviewed to determine that all document submission requirements 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 Decisional Rule Criteria below. Any quotation not meeting this criteria may not receive any further consideration for award.

Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capability to meet the Decisional Rule Criteria below. Quotes will be rated "Acceptable" or "Unacceptable" based on the Decisional Rule Criteria. Quoters receiving an "Unacceptable" rating will be advised of their elimination from the procure-ment. 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 addi-tional treatment protocols are compatible with CBT.

• Note any affiliation with ATSA

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 procedures 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 maintained.

• 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 electronic system’s ability to meet the Bureau’s electronic security requirements. All persons with access to Bureau files on the electronic system must be identified and included 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 Bur-eau provided Treatment Services and Accountability Log that ensures every inmate is accounted for upon ar-rival, during treatment, and departure from the proposed performance site.

FACILITY:

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

• Quoter must submit a map (e.g. MapQuest, Google, etc.) that illustrates that the proposed perform-ance 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 a Residential Reentry Center, the Quoter must submit a statement that services will be provided in a space dedicated to treatment. All documentation submit-ted 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 re-stroom accommodations.

• Quoter shall provide the names and services of businesses in shared space or within close proximity of the same space.

7. Quoter must submit State and local licensing statutes to operate treatment facility for substance use/mental

RFQ-CTS-039-17 Page 14 of 37 health/and sex offender treatment, 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 completed application, provisional license, official email correspondence, certified letter, business license and/or other offi-cial documentation.

• If State or local law does not require facility licensing, the quoter must provide the statute 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 solicitation posting.

• Quoter must identify the position and responsibility of all personnel proposed to meet the SOW re-quirements, to include all employee subcontractors, volunteers, and interns who have face-to-face in-teraction with inmates or who have access to their personally identifiable information, treatment re-cords, 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 standards of prac-tice 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 Bureau 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 verification prin-touts are not acceptable substitutes but may be submitted with original licenses to verify current expir-ation dates.

• A provisional license is not acceptable as a valid license to provide services. Interns, trainees or unli-censed clinicians must work directly (i.e., in the same room) with a licensed 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 Tele-psychiatry must be detailed and address the system’s ability to meet the Bur-eau’s electronic security requirements as well as staffing procedures to ensure 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 addition 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: $

RFQ-CTS-039-17 Page 15 of 37

Potential six month extension: $

Total of all years and extension: $

DELIVERIES

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 contract 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 con-tract 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-039-17 Page 16 of 37

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)

52.203-17 Contractor Employee Whistleblower Rights and Requirement To

Inform Employees of Whistleblower Rights (Apr 2014)

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.252-6 Authorized Deviations in Clauses (Apr 1984)

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

52.203-13 Contractor Code of Business Ethics and Conduct (Oct 2015)

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

(Oct 2010)

52.242-13 Bankruptcy (July 1995)

Clauses By Full Text

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

(a)Jonathan Walser, SCTC ,Althea Billings, CTOS, Rhyan Brooks, CTOS, Katie Cook, CTOS, Stephanie Hamilton, CTOS, Stephanie Hughes, CTOS , Kansas City Office, Bureau of Prisons, Gateway Tower II, 400 State Ave., Suite 800, Kansas City, KS 66101,(913) 551-1155/1087/1063/1064/8322/1037, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

RFQ-CTS-039-17 Page 17 of 37

(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; providing direction to the contractor which clarifies the con-tractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contrac-tual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

52.27-103-72 52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commit-ment, individuals or contractor employees providing services must have:

1. Legally resided in the United States (U.S.);

2. worked for the U.S. overseas in a Federal or military capacity; or

3. been a dependent of a Federal or military employee serving overseas.

If the individual is not a U.S.