Solicitation 15BCTS22Q00000005.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Washington, D.C. 20534

Re:

,2021

15BCTS2 Q000000 , ,

All Interested Parties:

This Request for Quotation (RFQ) is to provid Mental Health and Treatment services for male and female offenders held under authority of the United States in

. 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 ( 202 ) 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 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 day, 12:00 P.M. T to @bop.gov. Please confirm that all emails and attachments were received.

The solicitation will be distributed solely through the General Services Administration’s SAM.gov website (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 @bop.gov.

Sincerely, Contracting Officer

CORETT

A MAGEE

Digitally signed by CORETTA

MAGEE

Date: 2021.10.28 14:44:00 -04'00'

15BCTS22Q00000005 Page 1 of 66

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF 66

5. SOLICITATION NUMBER

15BCTS22Q00000005

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

10/28/2021

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

11/25/2021 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 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

15B500CODE15. DELIVER TO

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

BOP-RSD-CRBCTS-BILL-DAL@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 Flagstaff, AZ.

Firm Fixed Price

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

005-22

15BCTS22Q00000005 Page 2 of 66

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

15BCTS22Q00000005 Page 3 of 66

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses

52.242-15 Stop-Work Order (Aug 1989) 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 52.203-3 Gratuities (Apr 1984) 52.203-12 Limitation On Payments to Influence Certain Federal Transactions (Jun 2020) 52.204-12 Unique Entity Identifier Maintenance (Oct 2016) 52.212-4 Contract Terms and Conditions-Commercial Items (Oct 2018) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Dec 2013) 52.242-13 Bankruptcy (July 1995) 52.253-1 Computer Generated Forms (Jan 1991) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Sep 2021) 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) 52.217-9 Option to Extend the Term of the Contract (Mar 2000)

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

INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008) 52.223-99 DEV Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors (Oct 2021)

(DEVIATION)

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) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021); (Alt. I) -- Classified Information -- Cleared Contractors

4 List of Attachments 5 Solicitation Provisions

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.212-3 Offeror Representations and Certifications-Commercial Items (Feb 2021) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) 52.212-1 Instructions to Offerors-Commercial Items (Sep 2021) 52.204-7 System for Award Management (Oct 2018) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-22 Alternative Line Item Proposal (Jan 2017) 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)

15BCTS22Q00000005 Page 4 of 66

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates

Base Period: Date of award - 12 months

PSC: G004

760 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates

Base Period: Date of award - 12 months

PSC: G004

11 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates

Base Period: Date of award - 12 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 16 Inmates

Base Period: Date of award - 12 months

PSC: G004

1,140 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Base Period: Date of award - 12 months

112 SS $________ $_________________

15BCTS22Q00000005 Page 5 of 66

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0007 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates

Base Period: Date of award - 12 months

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

Base Period: Date of award - 12 months

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates

Base Period: Date of award - 12 months

PSC: G004

760 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 19 Inmates

Base Period: Date of award - 12 months

PSC: G004

760 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS22Q00000005 Page 6 of 66

0013 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates

Base Period: Date of award - 12 months

PSC: G004

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Base Period: Date of award - 12 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates

Base Period: Date of award - 12 months

PSC: G004

65 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Base Period: Date of award - 12 months

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 6 Inmates

Base Period: Date of award - 12 months

PSC: G004

240 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 6 Inmates

Base Period: Date of award - 12 months

360 SS $________ $_________________

15BCTS22Q00000005 Page 7 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates

Base Period: Date of award - 12 months

PSC: G004

48 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

11 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

900 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 8 of 66

0026 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 1: 13 months through 24 months

600 SS $________ $_________________

15BCTS22Q00000005 Page 9 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

65 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0037 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

200 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 10 of 66

0039 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

300 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates

Option Year 1: 13 months through 24 months

PSC: G004

48 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

11 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates

Option Year 2: 25 months through 36 months

900 SS $________ $_________________

15BCTS22Q00000005 Page 11 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 12 of 66

0052 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

65 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

200 SS $________ $_________________

15BCTS22Q00000005 Page 13 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

300 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates

Option Year 2: 25 months through 36 months

PSC: G004

48 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

11 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 14 of 66

0065 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

900 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 3: 37 months through 48 months

600 SS $________ $_________________

15BCTS22Q00000005 Page 15 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

65 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 16 of 66

0078 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

200 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

300 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates

Option Year 3: 37 months through 48 months

PSC: G004

48 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0082 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 11 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

11 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 4 Inmates

Option Year 4: 49 months through 60 months

4 EA $________ $_________________

15BCTS22Q00000005 Page 17 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 15 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

900 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 15 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

15 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 13 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

13 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS22Q00000005 Page 18 of 66

0091 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 15 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

600 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 7 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

70 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 7 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

112 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 13 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

65 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0097 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 3 Inmates

Option Year 4: 49 months through 60 months

3 EA $________ $_________________

15BCTS22Q00000005 Page 19 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

200 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 5 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

300 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 3 Inmates

Option Year 4: 49 months through 60 months

PSC: G004

48 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Intake Screening - Substance Use (2005) (one per inmate) for Estimated 3 Inmates

Potential 6 Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Individual Counseling - Substance Use (2010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates

Potential 6 Month Extension

PSC: G004

320 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 Intake Assessment & Report - Substance Use (2011) (one per inmate) for Estimated 6 Inmates

Potential 6 Month Extension

6 EA $________ $_________________

15BCTS22Q00000005 Page 20 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 Dual Diagnosis Intake Assessment & Report (2012) (one per inmate) for Estimated 2 Inmates

Potential 6 Month Extension

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Group Counseling - Substance Use (2020) (30 Minutes = 1 Unit) Estimated 60 units per Inmate; Estimated 8 Inmates

Potential 6 Month Extension

PSC: G004

480 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Family Counseling - Substance Use (2030) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 4 Inmates

Potential 6 Month Extension

PSC: G004

64 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Intake Screening - Mental Health (5005) (one per inmate) for Estimated 3 Inmates

Potential 6 Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Intake Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 8 Inmates

Potential 6 Month Extension

PSC: G004

8 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 7 Inmates

Potential 6 Month Extension

PSC: G004

7 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Crisis Intervention Evaluation & Report (6000) (one per inmate) for Estimated 3 Inmates

15BCTS22Q00000005 Page 21 of 66

Potential 6 Month Extension

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates

Potential 6 Month Extension

PSC: G004

320 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 8 Inmates

Potential 6 Month Extension

PSC: G004

320 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Case Management Services (6030) Estimated 10 Units per Inmate; Estimated 4 Inmates

Potential 6 Month Extension

PSC: G004

40 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 4 Inmates

Potential 6 Month Extension

PSC: G004

64 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Medication Monitoring & Report (6051) (5 visits per inmate) for Estimated 7 Inmates

Potential 6 Month Extension

PSC: G004

35 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Specific Intake Assessment & Report - Sex Offense (5012) (one per inmate) for Estimated 3 Inmates

Potential 6 Month Extension

15BCTS22Q00000005 Page 22 of 66

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Intake Screening - Sex Offender (6005) (one per inmate) for Estimated 2 Inmates

Potential 6 Month Extension

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Individual Counseling - Sex Offender (6012) (30 Minutes = 1 Unit) Estimated 40 Units per Inmate; Estimated 3 Inmates

Potential 6 Month Extension

PSC: G004

120 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Group Counseling - Sex Offender (6022) (30 Minutes = 1 Unit) Estimated 60 Units per Inmate; Estimated 3 Inmates

Potential 6 Month Extension

PSC: G004

180 SS $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Family Counseling - Sex Offender (6032) (30 Minutes = 1 Unit) Estimated 16 Units per Inmate; Estimated 2 Inmates

Potential 6 Month Extension

32 SS $________ $_________________

15BCTS22Q00000005 Page 23 of 66

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Items (Oct 2018)

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.

Clauses By Reference

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov

Clause Title Fill-ins (if applicable)

52.242-15 Stop-Work Order (Aug 1989)

52.203-3 Gratuities (Apr 1984)

52.203-12 Limitation On Payments to Influence Certain Federal Transactions

(Jun 2020)

52.204-12 Unique Entity Identifier Maintenance (Oct 2016)

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

52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.242-13 Bankruptcy (July 1995)

52.253-1 Computer Generated Forms (Jan 1991)

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; Keith Goodjoint, CTOS, 972-730-8835; Ian Jansz, CTOS, 202-451-7278; , Sheila Jones, CTOS, 972-730-8945; Bettina Suraez-Cromley, CTOS, 972-730-8944 & Nikki Kinnick, MA, 972-730-8947, Dallas Office, 344

15BCTS22Q00000005 Page 24 of 66

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, including, but not limited to, information related to education, financial transactions, medical history, and criminal or employment history and information, which can be used to distinguish or trace an individual's identity, such as his or her name, social security number, date and place of birth, mother's maiden name, biometric records, etc., including any other personal information which is linked or linkable to an individual.

C. DOJ Information means any Information that is owned, produced, controlled, protected by, or otherwise within the custody or responsibility of the DOJ, including, without limitation, Information related to DOJ programs or personnel. It includes, without limitation, Information (1) provided by or generated for the DOJ, (2) managed or acquired by Contractor for the DOJ in connection with the performance of the contract, and/or (3) acquired in order to perform the contract.

15BCTS22Q00000005 Page 25 of 66

D. Information System means any resources, or set of resources organized for accessing, collecting, storing, processing, maintaining, using, sharing, retrieving, disseminating, transmitting, or disposing of (hereinafter collectively, “processing, storing, or transmitting”) Information.

E. Covered Information System means any information system used for, involved with, or allowing, the processing, storing, or transmitting of DOJ Information.

III. Confidentiality and Non-disclosure of DOJ Information

A. Preliminary and final deliverables and all associated working papers and material generated by Contractor containing DOJ Information are the property of the U.S. Government and must be submitted to the Contracting Officer (“CO”) or the CO’s Representative (“COR”) at the conclusion of the contract. The U.S. Government has unlimited data rights to all such deliverables and associated working papers and materials in accordance with FAR 52.227-14.

B. All documents produced in the performance of this contract containing DOJ Information are the property of the U.S.

Government and Contractor shall neither reproduce nor release to any third-party at any time, including during or at expiration or termination of the contract without the prior written permission of the CO.

C. Any DOJ information made available to Contractor under this contract shall be used only for the purpose of performance of this contract and shall not be divulged or made known in any manner to any persons except as may be necessary in the performance of this contract. In performance of this contract, Contractor assumes responsibility for the protection of the confidentiality of any and all DOJ Information processed, stored, or transmitted by the Contractor. When requested by the CO (typically no more than annually), Contractor shall provide a report to the CO identifying, to the best of Contractor’s knowledge and belief, the type, amount, and level of sensitivity of the DOJ Information processed, stored, or transmitted under the Contract, including an estimate of the number of individuals for whom PII has been processed, stored or transmitted under the Contract and whether such information includes social security numbers (in whole or in part).

IV. Compliance with Information Technology Security Policies, Procedures and Requirements

A. For all Covered Information Systems, Contractor shall comply with all security requirements, including but not limited to the regulations and guidance found in the Federal Information Security Management Act of 2014 (“FISMA”), Privacy Act of 1974, E- Government Act of 2002, National Institute of Standards and Technology (“NIST”) Special Publications (“SP”), including NIST SP 800-37, 800-53, and 800-60 Volumes I and II, Federal Information Processing Standards (“FIPS”) Publications 140-2, 199, and 200, OMB Memoranda, Federal Risk and Authorization Management Program (“FedRAMP”), DOJ IT Security Standards, including DOJ Order 2640.2, as amended. These requirements include but are not limited to:

1. Limiting access to DOJ Information and Covered Information Systems to authorized users and to transactions and functions that authorized users are permitted to exercise;

2. Providing security awareness training including, but not limited to, recognizing and reporting potential indicators of insider threats to users and managers of DOJ Information and Covered Information Systems;

3. Creating, protecting, and retaining Covered Information System audit records, reports, and supporting documentation to…