SF-1449 15BCTS21Q00000015.pdf
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15BCTS21Q00000015 Page 1 of 76
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30
1. REQUISITION NUMBER
5. SOLICITATION NUMBER
15BCTS21Q00000015
2. CONTRACT NO. 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 6. SOLICITATION ISSUE
DATE
09/04/2020
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Coretta MaGee cmagee@bop.gov
b. TELEPHONE NUMBER (No collect calls)
(202) 616-1293
8. OFFER DUE DATE / LOCAL
TIME
09/28/2020 12:00 ET
CODE 15BCTS
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 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: 16,500,000
10. THE ACQUISITION IS
SEE
SCHEDULE
11. DELIVERY FOR FOB DESTINATION
UNLESS BLOCK IS MARKED
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER DPAS
(15 CFR 700)
13b. RATING
X RFQ IFB RFP
14. METHOD OF SOLICITATION
15B300CODE15. DELIVER TO
Federal Bureau of Prisons SouthEast Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331
CODE 15BCTS16. ADMINISTERED BY
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
Coretta MaGee cmagee@bop.gov
FACILITY
CODE
CODE
TELEPHONE NO.
17a. CONTRACTOR/
OFFEROR
15B300CODE18a. PAYMENT WILL BE MADE BY
Federal Bureau of Prisons SouthEast Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331
BOP-RSD/PSBCTS-BILL@bop.gov
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER SEE ADDENDUM
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS
CHECKED
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Substance Use Disorder, Mental Health, and Sex Offender Treatment Services in Greenville, SC.
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)
Coretta MaGee, Contracting Officer
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
015-21
15BCTS21Q00000015 Page 2 of 76
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
15BCTS21Q00000015 Page 3 of 76
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 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE
2004) DJAR-PGD-15-03 Security of Department Information and Systems 52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability of Funds (Apr 1984) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 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) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Aug 2020)
52.218-000 52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC
INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008)
4 List of Attachments 5 Solicitation Provisions
52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2020) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.212-3 Offeror Representations and Certifications--Commercial Items (Jun 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.216-1 Type of Contract (Apr 1984) 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.217-5 Evaluation of Options (July 1990)
15BCTS21Q00000015 Page 4 of 76
Section 2 - Commodity or Services Schedule
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0001 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0005 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
15BCTS21Q00000015 Page 5 of 76
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0006 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0007 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
432 EA $________ $_________________
15BCTS21Q00000015 Page 6 of 76
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0012 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0014 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
288 SS $________ $_________________
15BCTS21Q00000015 Page 7 of 76
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0019 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0022 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS21Q00000015 Page 8 of 76
0023 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0027 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
3 EA $________ $_________________
15BCTS21Q00000015 Page 9 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0029 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0031 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0032 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0033 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0034 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 1 - 13 months through 24 months
4 EA $________ $_________________
15BCTS21Q00000015 Page 10 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0035 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0036 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
288 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0037 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 1 - 13 months through 24 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 11 of 76
0040 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0042 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0044 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
12 EA $________ $_________________
15BCTS21Q00000015 Page 12 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0048 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 2 - 25 months through 36 months
432 SS $________ $_________________
15BCTS21Q00000015 Page 13 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0052 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0053 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
288 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 14 of 76
0057 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 2 - 25 months through 36 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0059 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0062 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000015 Page 15 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0063 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0064 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0067 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
15BCTS21Q00000015 Page 16 of 76
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0072 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0073 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0074 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4
15BCTS21Q00000015 Page 17 of 76
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0075 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 3 - 37 months through 48 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0077 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 18 of 76
0080 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0082 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0083 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
15BCTS21Q00000015 Page 19 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0088 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0091 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 4 - 49 months through 60 months
15BCTS21Q00000015 Page 20 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0092 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0093 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
288 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0094 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0095 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 4 - 49 months through 60 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0096 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 21 of 76
0097 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0098 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0099 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0100 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0101 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0102 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
15BCTS21Q00000015 Page 22 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0103 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0104 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0105 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0106 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0107 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0108 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 5 - 61 months through 72 months
15BCTS21Q00000015 Page 23 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0109 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0110 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0111 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0112 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
288 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0113 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 24 of 76
0114 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 5 - 61 months through 72 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0115 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0116 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0117 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0118 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0119 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
15BCTS21Q00000015 Page 25 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0120 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0121 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0122 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0123 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0124 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0125 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
15BCTS21Q00000015 Page 26 of 76
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0126 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0127 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0128 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0129 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0130 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0131 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4
15BCTS21Q00000015 Page 27 of 76
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0132 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0133 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 6 - 73 months through 84 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0134 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0135 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0136 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 28 of 76
0137 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0138 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0139 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0140 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0141 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0142 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
15BCTS21Q00000015 Page 29 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0143 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0144 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0145 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0146 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
432 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0147 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0148 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 7 - 85 months through 96 months
15BCTS21Q00000015 Page 30 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0149 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 4 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
192 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0150 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 4 Inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
288 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0151 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 12 Units per Inmate; Estimated 1 Inmate
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0152 Transportation (1202) (1 trip = 1 unit) Estimated 124 trips per inmate; Estimated 52 inmates
Option Year 7 - 85 months through 96 months
Firm Fixed Price
PSC: G004
6,448 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0153 Intake - Substance Use (2000) (one per inmate) for Estimated 36 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
15BCTS21Q00000015 Page 31 of 76
0154 Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 36 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
36 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0155 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 36 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
1,758 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0156 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 36 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
2,592 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0157 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 4 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
144 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0158 Intake - Mental Health (5000) (one per inmate) for Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0159 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
15BCTS21Q00000015 Page 32 of 76
QUANTITY
UNIT UNIT PRICE AMOUNT
0160 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
12 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0161 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 3 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
3 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0162 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
576 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0163 Medication Monitoring - Mental Health (6051) (36 visits per inmate) for Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
432 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0164 Administration of Medication - Mental Health (6050) (six per inmate) for Estimated 2 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
12 SS $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0165 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 36 Units per Inmate; Estimated 12 Inmates
Option Year 8 - 97 months through 108 months
15BCTS21Q00000015 Page 33 of 76
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0166 Intake - Sex Offender (6060) (one per inmate) for Estimated 4 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0167 Sex Offender-specific Evaluation and Report (5012) (one per inmate) for Estimated 4 Inmates
Option Year 8 - 97 months through 108 months
Firm Fixed Price
PSC: G004
4 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT…
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