SF-1449 15BCTS21Q00000039.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Washington, D.C. 20534

23, 2021 February

Re: 15BCTS21Q00000039, Oklahoma City, OK

All Interested Parties:

This Request for Quotation (RFQ) is to provide Substance Abuse, Mental Health and Sex Offender Treatment services for male and female offenders held under authority of the United States in

Oklahoma City, OK. Services are to be provided in accordance with the enclosed Statement of Work entitled, “Federal Bureau of

Prisons, Community Treatment Services, Statement of Work, October

2020.”

The following must be completed and submitted with your Quotation:

Standard Form (SF) 1449 - Solicitation/Contract/Order for

Commercial Items - Please complete blocks 12, 17a, 17b, 23, 24, 30a, 30b, and 30c of the SF-1449 and the continuation sheets.

Please include your telephone number in Block 17a. Original signatures are required.

Quoter Representations and Certifications (FAR 52.212-3) -

Prospective quoters are required to submit Annual

Representations and Certifications at https://www.sam.gov/portal/public/SAM/. By submission of a quote under this solicitation, the quoter acknowledges completion of the annual representations and certifications via

SAM and verifies, by the submission of the quote, that the representations and certifications currently posted in SAM were entered or updated within the last 12 months and are current, accurate, complete and applicable to this solicitation. All quoters must be capable of and comply with FAR 52.212-1(j), Instructions to Offerors - Commercial Items, Unique Entity

Identifier (Jun 2020) and FAR 52.204-7, System of Award

Management(SAM) (Oct 2018).

Required Documentation Identified at Addendum to FAR 52.212-1, Instructions to Offerors - Commercial Items

Government shall award to the lowest price, technically http://www.sam.gov/portal/public/SAM/ acceptable, responsive and responsible quoter.

Electronic copies of quotations shall be submitted by email in

Adobe Acrobat (PDF) format only. Email attachments (PDFs only) cannot total more than 14 MB per email. Please compress PDFs when possible to reduce the file size. We understand you will likely need to send multiple emails. Please include SEPARATE

FILE ATTACHMENTS for the following:

Completed SF-1449 (including the pricing table at Section 2.1)

Completed Business Quotation Information sheet

Completed Technical Quotation Information packet

Proof of completed SAM registration (must be Active by time of quotation submission)

A copy of your current Professional Liability Insurance

Quotations shall be emailed by Tuesday, March 24, 2021, 12:00 P.M. EST to cmagee@bop.gov. Please confirm that all emails and attachments were received.

The solicitation will be distributed solely through the General

Services Administration’s Beta SAM.gov website (beta.sam.gov).

Hard copies of the solicitation document will not be available. The website provides downloading instructions. All future information about this solicitation, including solicitation amendments, will be solely distributed through this website. Interested parties are responsible for monitoring this website to ensure they have the most up-to-date information about this solicitation.

Please direct any questions to cmagee@bop.gov.

Sincerely, Coretta MaGee Contracting Officer mailto:g3clark@bop.gov file://///copc_admgrp_server/ADMGRP/Groups/OCC/SHAREDOC/PCC/TDAT%20Services/2%20-%20SOL-CON%20--%20Final%20Docs/Southeast/RFQ-TDAT-025-11%20Jacksonville,%20FL/Flap%20B/Tab%205%20-%20Pre-sol%20Review/(http:/www.fedbizopps.gov).

mailto:g3clark@bop.gov

15BCTS21Q00000039 Page 1 of 64

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

15BCTS21Q00000039

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

02/23/2021

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

03/24/2021 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 UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X 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

15B500CODE15. DELIVER TO

Federal Bureau of Prisons Dallas Office 344 Marine Forces Drive Grand Prairie, TX 75051

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

15B500CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons Dallas Office 344 Marine Forces Drive Grand Prairie, TX 75051

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, Mental Health, and Sex Offender Treatment Services in Oklahoma City, OK.

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

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

039-21

15BCTS21Q00000039 Page 2 of 64

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

15BCTS21Q00000039 Page 3 of 64

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 52.216-19 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)

52.218-000 52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC

INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.216-18 Ordering (Aug 2020) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Jan 2021)

4 List of Attachments 5 Solicitation Provisions

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2019) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.212-3 Offeror Representations and Certifications-Commercial Items (Feb 2021) 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)

15BCTS21Q00000039 Page 4 of 64

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 40 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

3,840 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 15 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

15 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 45 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

2,160 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

15BCTS21Q00000039 Page 5 of 64

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 45 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

3,240 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

100 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 21 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

21 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

5 EA $________ $_________________

15BCTS21Q00000039 Page 6 of 64

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

50 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 5 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS21Q00000039 Page 7 of 64

0017 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 21 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

105 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Intake Screening - Sex Offender (6005) (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

0020 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

Base Period: Date of award - 12 months

Firm Fixed Price

30 SS $________ $_________________

15BCTS21Q00000039 Page 8 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 40 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

3,840 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 15 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

2,160 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 45 Inmates

Option Year 1: 13 months through 24 months

3,240 SS $________ $_________________

15BCTS21Q00000039 Page 9 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

100 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 21 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

21 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

1,000 SS $________ $_________________

15BCTS21Q00000039 Page 10 of 64

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

50 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 21 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

105 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000039 Page 11 of 64

0040 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

Option Year 1: 13 months through 24 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 40 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

3,840 EA $________ $_________________

15BCTS21Q00000039 Page 12 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 15 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

2,160 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 45 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

3,240 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 10 Inmates

Option Year 2: 25 months through 36 months

100 SS $________ $_________________

15BCTS21Q00000039 Page 13 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0052 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 21 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

21 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

1,000 SS $________ $_________________

15BCTS21Q00000039 Page 14 of 64

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

50 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Medication Monitoring and Report (6051) (5 visits per inmate) for Estimated 21 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

105 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS21Q00000039 Page 15 of 64

0063 Intake Screening - Sex Offender (6005) (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

0064 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

Option Year 2: 25 months through 36 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 40 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

3,840 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 15 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

15 EA $________ $_________________

15BCTS21Q00000039 Page 16 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

2,160 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 45 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

3,240 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

100 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

5 EA $________ $_________________

15BCTS21Q00000039 Page 17 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 21 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

21 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Crisis Intervention Evaluation & Report(6000) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 5 Inmates

50 EA $________ $_________________

15BCTS21Q00000039 Page 18 of 64

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

50 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Medication Monitoring and Report (6051) (5 visits per inmate) for Estimated 21 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

105 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Intake Screening - Sex Offender (6005) (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.

15BCTS21Q00000039 Page 19 of 64

0086 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

Option Year 3: 37 months through 48 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 40 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

3,840 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 15 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 45 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

2,160 SS $________ $_________________

15BCTS21Q00000039 Page 20 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 35 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 45 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

3,240 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

100 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates

Option Year 4: 49 months through 60 months

25 EA $________ $_________________

15BCTS21Q00000039 Page 21 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 21 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

21 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 25 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

1,000 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

0103 Family Counseling - Mental Health (6031) 50 SS $________ $_________________

15BCTS21Q00000039 Page 22 of 64

(30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

25 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Medication Monitoring and Report (6051) (5 visits per inmate) for Estimated 21 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

105 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

400 SS $________ $_________________

15BCTS21Q00000039 Page 23 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 10 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

400 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

Option Year 4: 49 months through 60 months

Firm Fixed Price

PSC: G004

30 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Transportation, Round Trip (1202) Estimated 96 Units per Inmate; Estimated 20 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

1,920 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 8 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 23 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

1,104 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 18 Inmates

6 Month Extension: 61 months through 66 months

18 EA $________ $_________________

15BCTS21Q00000039 Page 24 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 72 units per Inmate; Estimated 23 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

1,656 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 5 Units per Inmate; Estimated 10 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

50 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 13 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Psychiatric Evaluation & Report (5030) (one per inmate) for Estimated 11 Inmates

11 EA $________ $_________________

15BCTS21Q00000039 Page 25 of 64

Firm Fixed Price

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 13 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

520 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 13 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

520 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

30 SS $________ $_________________

15BCTS21Q00000039 Page 26 of 64

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 Administration of Medication (6050) Estimated 5 Units per Inmate; Estimated 3 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 Medication Monitoring and Report (6051) (5 visits per inmate) for Estimated 11 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

55 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 2 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

PSC: G004

200 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

200 SS $________ $_________________

15BCTS21Q00000039 Page 27 of 64

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 10 Units per Inmate; Estimated 2 Inmates

6 Month Extension: 61 months through 66 months

Firm Fixed Price

20 SS $________ $_________________

15BCTS21Q00000039 Page 28 of 64

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Stop-Work Order (Aug 1989)

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)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.253-1 Computer Generated Forms (Jan 1991)

52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018)

52.203-12 Limitation On Payments to Influence Certain Federal Transactions

(Jun 2020)

52.242-13 Bankruptcy (July 1995)

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

Clauses By Full Text

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

(a)Mike Nichols, Lead COR and SCTC, 972-730-8940; Nicole Foster, CTC, 215-521-7472; , Lanita Bridges, CTOS, 972-730-8941;

Nicole Briscoe, CTOS, 972-730-8946; Yolanda Cornelius, CTOS, 972-730-8944; Keith Goodjoint, CTOS, 972-730-8835; , Sheila Jones, CTOS, 972-730-8945; Crystal Lotterberry, CTOS, 972-730-8943; Nikki Kinnick, MA, 972-730-8947, Dallas Office, 344

15BCTS21Q00000039 Page 29 of 64

Marine Forces Drive, Grand Prairie, TX 75051, is hereby designated as the Contracting Officer's Representative (COR) under this contract.

(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 contractor 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 contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

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

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, 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. citizen, they must be from a country allied with the U.S. The following website provides current information regarding allied countries: http://www.state.gov/s/l/treaty/collectivedefense By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.

[End of Clause]

DJAR-PGD-15-03 Security of Department Information and Systems

I. Applicability to Contractors and Subcontractors

This clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of contractors, subcontractors, and CSPs (hereinafter collectively, “Contractor”) that may access, collect, store, process, maintain, use, share, retrieve, disseminate, transmit, or dispose of DOJ Information. It establishes and implements specific DOJ requirements applicable to this Contract. The requirements established herein are in addition to those required by the Federal Acquisition Regulation (“FAR”), including FAR 11.002(g) and 52.239-1, the Privacy Act of 1974, and any other applicable laws, mandates, Procurement Guidance Documents, and Executive Orders pertaining to the development and operation of Information Systems and the protection of Government Information. This clause does not alter or diminish any existing rights, obligation or liability under any other civil and/or criminal law, rule, regulation or mandate.

II. General Definitions

The following general definitions apply to this clause. Specific definitions also apply as set forth in other paragraphs.

A. Information means any communication or representation of knowledge such as facts, data, or opinions, in any form or medium, including textual, numerical, graphic, cartographic, narrative, or audiovisual. Information includes information in an electronic format that allows it be stored, retrieved or transmitted, also referred to as “data,” and “personally identifiable information” (“PII”), regardless of form.

B. Personally Identifiable Information (or PII) means any information about an individual maintained by an agency,…