About this file

This is a Standards and Practices (S&P) Form Appendix prepared by the Pennsylvania Department of Behavioral Health and Intellectual Disability Services (DBHIDS) for a mobile crisis services contract opportunity. The Department is seeking one provider to deliver mobile crisis services as part of its adult crisis continuum. The contract encompasses comprehensive crisis response capabilities including mobile crisis teams, crisis stabilization services, and related behavioral health interventions. The solicitation establishes specific performance standards and operational requirements that providers must meet to qualify. The document outlines the evaluation criteria, compliance expectations, and service delivery standards that will be used to assess provider proposals and ongoing contract performance.

The form establishes detailed standards and practices requirements governing provider qualifications, staffing credentials, training protocols, and service delivery benchmarks. Pricing terms, funding mechanisms, and specific reimbursement rates are contingent upon contract finalization and budget availability through Pennsylvania's behavioral health funding streams. The solicitation prioritizes demonstrated experience in crisis services delivery, evidence-based practice implementation, and compliance with state behavioral health regulations. Set-aside considerations, incumbent status, and priority funding allocations will be determined during the formal procurement process. The contract term, renewal options, and performance monitoring requirements will be specified in the final executed agreement, with ongoing evaluation based on the standards and practices outlined in this appendix.

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Text version

CITY OF PHILADELPHIA

OFFICE OF ECONOMIC OPPORTUNITY

APPENDIX 2

Solicitation & Participation Form

SLBP – Appendix 2 Rev. Date August 2026

RESPONDENT PROJECT #

PROJECT NAME

POSTED DATE ESTIMATED VALUE

List all SBEs and LBEs you have solicited to use for a Commercially Acceptable Function on this Project - copy this form as necessary.

• SBEs and LBEs listed must be certified at the time of contract award.

• Respondent should attach supporting quotations with this form. The City reserves the right to request additional information which must be provided by Respondent within 48 hours of the City's request.

• If OEO did not set participation ranges for this Project, Respondent is still required to complete this form and attach documentation demonstrating Best and Good Faith Efforts to solicit SBEs and LBEs.

SBE and LBE Information

Name of SBE or LBE Contact Information including, address, telephone number, and e-mail address

Scope of Work NAICS Code

Subcontractor or Supplier

Dollar Amount for SBE and LBE

Percent of Total Proposal

Quote Received (Y/N)

Registry (Y/N)

SBE, LBE

or S/LBE

I hereby certify that the above information is accurate to the best of my knowledge (Title) (Signature)

Additional Sheets May Be Used as Necessary

Name of SBE Contact Information including address telephone number and email addressRow1:
Scope of WorkRow1:
NAICS CodeRow1:
Subcontractor or SupplierRow1:
Dollar Amount for SBERow1:
Percent of Total ProposalRow1:
Quote Received YNRow1:
OEO Registry YNRow1:
EthnicityRow1:
Name of SBE Contact Information including address telephone number and email addressRow2:
Scope of WorkRow2:
NAICS CodeRow2:
Subcontractor or SupplierRow2:
Dollar Amount for SBERow2:
Percent of Total ProposalRow2:
Quote Received YNRow2:
OEO Registry YNRow2:
EthnicityRow2:
Name of SBE Contact Information including address telephone number and email addressRow3:
Scope of WorkRow3:
NAICS CodeRow3:
Subcontractor or SupplierRow3:
Dollar Amount for SBERow3:
Percent of Total ProposalRow3:
Quote Received YNRow3:
OEO Registry YNRow3:
EthnicityRow3:
Name of SBE Contact Information including address telephone number and email addressRow4:
Scope of WorkRow4:
NAICS CodeRow4:
Subcontractor or SupplierRow4:
Dollar Amount for SBERow4:
Percent of Total ProposalRow4:
Quote Received YNRow4:
OEO Registry YNRow4:
EthnicityRow4:
Name of SBE Contact Information including address telephone number and email addressRow5:
Scope of WorkRow5:
NAICS CodeRow5:
Subcontractor or SupplierRow5:
Dollar Amount for SBERow5:
Percent of Total ProposalRow5:
Quote Received YNRow5:
OEO Registry YNRow5:
EthnicityRow5:
Submitter:
Project Number:
Project Name:
Posted Date:
Estimated Value:
Signature:
Title:

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