Solicitation 15BCTS24Q00000001.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Washington, D.C. 20534

October 19, 2024

Re: RFQ 15BCTS24Q00000001, Youngstown, Ohio

All Interested Parties:

This Request for Quotation (RFQ) is to provide Substance Abuse, Mental Health and Sex Offender treatment services for male and female inmates residing at local Residential Re-entry Centers and on home confinement, held under authority of the United States in the Youngstown, Ohio area. Services are to be provided in accordance with the enclosed Statement of Work entitled, “Federal Bureau of Prisons, Community Treatment Services, Statement of Work, 2022.”

All treatment services are to be provided by clinicians who currently hold a professional license to practice independently, without supervision, in the state of Ohio. Services are to be provided must be within a seven (7) mile radius of the Youngstown City Hall, 26 South Phelps Street, Youngstown, Ohio 44503 and within 1/2 mile access of a public transportation bus stop. This requirement will ensure the contractor is located within walking distance of public transportation, inmates are not subject to walking long distances in inclement weather, and inmate accountability is maintained.

The following must be completed and submitted with your Quotation:

Standard Form (SF) 1449 - Solicitation/Contract/Order for Commercial Items - Please completes blocks 12, 17a, 17b, 23, 24, 30a, 30b, and 30c, of the SF-1449, the continuation sheets and appropriate attachments. Please include your telephone number in Block 17a. Original signatures are required.

Representations and Certifications (FAR 52.212-3) Prospective qouters are required to submit Annual Representations and Certifications via the Online

Representations and Certifications Application website at https://www.sam.gov/portal/public/SAM/. By submission of a quotation under this solicitation, the qouters acknowledge completion of the annual representations and certifications and verifies, by the submission of the quotation, that the representations and certifications currently posted in SAM.gov 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 Products and Commercial Services (Sept 2023) Unique entity identifier and FAR 52.204-7, System for Award Management (SAM) (OCT 2018).

Required Documentation Identified at Addendum to 52.212- 1 Instructions to Offerors — Commercial Products and Commercial Services (Sept 2023)

The Government shall award to the lowest priced, technically acceptable (LPTA), responsive and responsible quoter.

Electronic copies of quotations shall be submitted by email(s) in Adobe Acrobat (PDF) format only. Email attachments (PDFs only) cannot total more than 14 MB per email and numbered (1 of 4, etc.). Please compress PDFs to reduce the file size. We understand you will likely need to send multiple emails.

Please include SEPARATE FILE ATTACHMENTS for the following:

o Completed SF-1449(including the pricing table at Section 2.1) o Completed Business Quotation Information Packet o Completed Technical Quotation Information Packet o Completed Quotation Attachment Form o PDF copy of completed SAM registration (must be Active by time of quotation submission) o A copy of your current Professional Liability Insurance

Quotations shall be emailed by November 09, 2023, 2:00 P.M. ET to g3clark@bop.gov. Please confirm that all numbered emails and attachments were received.

mailto:g3clark@bop.gov

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 also 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.

Gary Clark Senior Contracting Officer

15BCTS24Q00000001 Page 1 of 73

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 AND 30.

1. REQUISITION NUMBER PAGE 1 OF

5. SOLICITATION NUMBER

15BCTS24Q00000001

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

10/19/2023

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Gary Clark g3clark@bop.gov

b. TELEPHONE NUMBER (No collect calls)

(202) 598-3478

8. OFFER DUE DATE / LOCAL

TIME

11/09/2023 02:00 ET

CODE BCTS

Federal Bureau of Prisons

Community Treatment Services Contracting

320 First Street NW

Suite 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

(SDVOSB)

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

8(A)

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

621420

SIZE STANDARD:

$19,000,000

10. THE ACQUISITION IS

SEE SCHEDULE

11. DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER THE

DEFENSE PRIORITIES AND

ALLOCATIONS SYSTEM -

DPAS (15 CFR 700)

13b. RATING

X REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

14. METHOD OF SOLICITATION

15B200CODE15. DELIVER TO

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

Philadelphia, PA 19106

CODE BCTS16. ADMINISTERED BY

Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534

Gary Clark

(O) 202-598-3478 g3clark@bop.gov

FACILITY

CODE

CODE

TELEPHONE NUMBER

17a. CONTRACTOR/

OFFEROR

15B200CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons Northeast Regional Office

US CUSTOM HOUSE, 7TH FLOOR

2ND & CHESTNUT

Philadelphia, PA 19106

BOP-RSD-CRBCTS-BILL-PHL.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 NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Delivery Date: 02/01/2024 Substance Use, Mental Health and Sex Offender Treatment Services in Youngstown, OH.

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 Government Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

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: REFERENCE _____________________________

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) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

001-24

X X

15BCTS24Q00000001 Page 2 of 73

19.

ITEM NUMBER

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. 11/2021) BACK

15BCTS24Q00000001 Page 3 of 73

Table of Contents

Section Description Page Number

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

52.21-603-70 Contracting Officer's Representative (COR) (June 2012) DOJ-05 Security of Department Information and Systems DOJ-05 (OCT 2023) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability of Funds (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 (Nov 2021) DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021) 52.216-22 Indefinite Quantity (Oct 1995) DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National Emergency

(OCT 2007)

DOJ-02 Contractor Privacy Requirements (JAN 2022) 52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders- Commercial Products and Commercial Services (Sep 2023) 52.242-15 Stop-Work Order (Aug 1989) 52.203-3 Gratuities (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.253-1 Computer Generated Forms (Jan 1991) 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Dec 2022) 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) 52.204-13 System for Award Management Maintenance (Oct 2018)

3 List of Attachments 4 Solicitation Provisions

52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) 52.216-1 Type of Contract (Apr 1984) 52.217-5 Evaluation of Options (July 1990) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Dec 2019) 52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (Sep 2023) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.204-7 System for Award Management (Oct 2018) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023) 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017)

15BCTS24Q00000001 Page 4 of 73

Section 1 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0001 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0002 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0003 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0004 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0005 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0006 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

15BCTS24Q00000001 Page 5 of 73

0007 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Base Period: Date of Award to 12 Months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0008 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Base Period: Date of Award to 12 Months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0009 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;

35 Units Estimated Maximum Base Period: Date of Award to 12 Months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0010 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0011 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0012 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0013 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0014 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

4 EA $________ $_________________

15BCTS24Q00000001 Page 6 of 73

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0015 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0016 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0017 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0018 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0019 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0020 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0021 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Base Period: Date of award - 12 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0022 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum

2 EA $________ $_________________

15BCTS24Q00000001 Page 7 of 73

Base Period: Date of award - 12 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0023 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0024 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0025 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0026 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0027 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0028 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0029 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months

15BCTS24Q00000001 Page 8 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0030 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0031 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;

35 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0032 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0033 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0034 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0035 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0036 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS24Q00000001 Page 9 of 73

0037 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0038 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0039 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0040 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0041 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0042 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0043 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 1: 13 months to 24 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0044 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 1: 13 months to 24 months

15BCTS24Q00000001 Page 10 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0045 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0046 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0047 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0048 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0049 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0050 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0051 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS24Q00000001 Page 11 of 73

0052 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0053 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;

35 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0054 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0055 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0056 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0057 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0058 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0059 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 2: 25 months to 36 months

15BCTS24Q00000001 Page 12 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0060 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0061 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0062 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0063 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0064 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0065 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0066 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 2: 25 months to 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0067 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum

5 EA $________ $_________________

15BCTS24Q00000001 Page 13 of 73

Option Year 3: 37 months to 48 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0068 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0069 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0070 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0071 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0072 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0073 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0074 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 3: 37 months to 48 months

15BCTS24Q00000001 Page 14 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0075 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;

35 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0076 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0077 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0078 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0079 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0080 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0081 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS24Q00000001 Page 15 of 73

0082 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0083 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0084 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0085 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0086 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0087 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0088 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 3: 37 months to 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0089 Substance Use Disorder Treatment Planning and Follow-up (2001) 5 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months

15BCTS24Q00000001 Page 16 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0090 Substance Use Disorder Intake Screening (2005) 2 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0091 Substance Use Disorder Individual Counseling (2010) 60 Units Guaranteed Minimum; 1200 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0092 Substance Use Disorder Intake Assessment & Report (2011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0093 Co-occurring Intake Assessment & Report (2012) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0094 Substance Use Disorder Group Counseling (2020) 120 Units Guaranteed Minimum; 3960 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0095 Substance Use Disorder Relationship and Parenting Counseling (2030) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0096 Mental Health Treatment Planning and Follow-up (5001) 5 Units Guaranteed Minimum; 50 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

15BCTS24Q00000001 Page 17 of 73

0097 Mental Health Intake Screening (5005) 2 Unit Guaranteed Minimum;

35 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0098 Mental Health Intake Assessment & Report (5011) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0099 Psychiatric Evaluation & Report (5030) 10 Units Guaranteed Minimum; 75 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0100 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0101 Mental Health Individual Counseling (6010) 20 Units Guaranteed Minimum; 1280 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0102 Mental Health Group Counseling (6020) 4 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0103 Mental Health Relationship and Parenting Counseling (6031) 2 Units Guaranteed Minimum; 640 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0104 MH-Medication Monitoring and Report (6051) 5 Units Guaranteed Minimum; 200 Units Estimated Maximum Option Year 4: 49 months to 60 months

15BCTS24Q00000001 Page 18 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0105 Sex Offender Specific Intake Assessment & Report (5012) 5 Units Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0106 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 25 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0107 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 20 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0108 Sex Offender Individual Counseling (6012) 2 Units Guaranteed Minimum; 320 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0109 Sex Offender Group Counseling (6022) 4 Units Guaranteed Minimum; 960 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0110 Sex Offender Relationship and Parenting Counseling (6032) 2 Units Guaranteed Minimum; 100 Units Estimated Maximum Option Year 4: 49 months to 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0111 Substance Use Disorder Treatment Planning and Follow-up (2001) 3 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0112 Substance Use Disorder Intake Screening (2005) 1 Unit Guaranteed

1 EA $________ $_________________

15BCTS24Q00000001 Page 19 of 73

Minimum; 13 Units Estimated Maximum Potential Six Month Extension

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0113 Substance Use Disorder Individual Counseling (2010) 30 Units Guaranteed Minimum; 600 Units Estimated Maximum Potential Six Month Extension

PSC: G004

30 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0114 Substance Use Disorder Intake Assessment & Report (2011) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0115 Co-occurring Intake Assessment & Report (2012) 3 Units Guaranteed Minimum; 25 Units Estimated Maximum Potential Six Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0116 Substance Use Disorder Group Counseling (2020) 60 Units Guaranteed Minimum; 1980 Units Estimated Maximum Potential Six Month Extension

PSC: G004

60 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0117 Substance Use Disorder Relationship and Parenting Counseling (2030) 1 Unit Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0118 Mental Health Treatment Planning and Follow-up (5001) 3 Units Guaranteed Minimum; 25 Units Estimated Maximum Potential Six Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0119 Mental Health Intake Screening (5005) 1 Unit Guaranteed Minimum;

18 Units Estimated Maximum Potential Six Month Extension

15BCTS24Q00000001 Page 20 of 73

QUANTITY

UNIT UNIT PRICE AMOUNT

0120 Mental Health Intake Assessment & Report (5011) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0121 Psychiatric Evaluation & Report (5030) 5 Units Guaranteed Minimum; 38 Units Estimated Maximum Potential Six Month Extension

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0122 Crisis Intervention Evaluation & Report (6000) 1 Unit Guaranteed Minimum; 5 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0123 Mental Health Individual Counseling (6010) 10 Units Guaranteed Minimum; 640 Units Estimated Maximum Potential Six Month Extension

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0124 Mental Health Group Counseling (6020) 2 Units Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0125 Mental Health Relationship and Parenting Counseling (6031) 1 Unit Guaranteed Minimum; 320 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0126 MH-Medication Monitoring and Report (6051) 3 Units Guaranteed Minimum; 100 Units Estimated Maximum Potential Six Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0127 Sex Offender Specific Intake Assessment & Report (5012) 3 Units Guaranteed Minimum; 13 Units Estimated Maximum

3 EA $________ $_________________

15BCTS24Q00000001 Page 21 of 73

Potential Six Month Extension

PSC: G004

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0128 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001) 1 Unit Guaranteed Minimum; 13 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0129 Sex Offender Intake Screening (6005) 1 Unit Guaranteed Minimum; 10 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0130 Sex Offender Individual Counseling (6012) 1 Unit Guaranteed Minimum; 160 Units Estimated Maximum Potential Six Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0131 Sex Offender Group Counseling (6022) 2 Units Guaranteed Minimum; 480 Units Estimated Maximum Potential Six Month Extension

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES EST.

QUANTITY

UNIT UNIT PRICE AMOUNT

0132 Sex Offender Relationship and Parenting Counseling (6032) 1 Unit Guaranteed Minimum; 50 Units Estimated Maximum Potential Six Month Extension

15BCTS24Q00000001 Page 22 of 73

Section 2 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial Products and Commercial Services (Dec 2022)

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

(Mar 2023)

52.253-1 Computer Generated Forms (Jan 1991)

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial

Services (Dec 2022)

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)

52.204-13 System for Award Management Maintenance (Oct 2018)

Clauses By Full Text

15BCTS24Q00000001 Page 23 of 73

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):

https://www.acquisition.gov/browse/index/far [Insert one or more Internet addresses]

(End of clause)

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

(a)Sandra Hargeshelmer, SCTC, 215-521-7470, Nicole Foster, CTC, 215-521-7472, Cynthia Benik CTOS, 215-521-7499, Ashanti Black, CTOS, 215-521-7491, Sabina Medyinsky, CTOS, 215-5217461, Ewelina Rozkuszka, CTOS, 215-521-7446, Jeanine Stank CTOS, 215-521-7471, Mayelin Ugarte MA, 215-521-7475 ,[Title] , 200 Chesnut Street, 7th Fl., Philadelphia, PA. 19106,[Area Code and Telephone Number], 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.

DOJ-05 Security of Department Information and Systems DOJ-05 (OCT 2023)

I. Applicability to Contractors and Subcontractors Section 2839.102 of the Justice Acquisition Regulation (JAR), (48 C.F.R. § 2839.102), applies to this contract.

Accordingly, all contractors are obligated to comply with all applicable DOJ security policies, directives, or guidance documents, including the security requirements in the provisions in this contract clause. This contract clause applies to all contractors and subcontractors, including cloud service providers (“CSPs”), and personnel of the contractors and subcontractors (hereinafter collectively, “Contractor”) that may access, collect, store, process, maintain, use, share, retrieve, disseminate, transmit, or dispose of DOJ Information. The security requirements set forth herein are in addition to those required by the Federal Acquisition Regulation (“FAR”), and any other applicable laws, mandates, contract clauses, DOJ policies, directives or guidance documents and Executive Orders pertaining to the development and operation of Information Systems and/or the protection of Government Information. This clause does not alter or diminish any existing rights, obligations, 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. Authorization to Operate (“ATO”), as defined in National Institute of Standards and Technology (“NIST”) Special Publication (“SP”) 800-37 Revision 2, is the official management decision given by a senior Federal official or officials to authorize operation of an information system and to explicitly accept the risk to agency operations (including mission, functions, image, or reputation), agency assets, individuals, 15BCTS24Q00000001 Page 24 of 73 other organizations, and the Nation based on the implementation of an agreed-upon set of security and privacy controls.

B. Cloud Computing, as defined in DOJ Order 0904 Cybersecurity Program, is a model for enabling ubiquitous, convenient, on-demand network access to a shared pool of configurable computing resources (e.g., networks, servers, storage, applications, and services) that can be rapidly provisioned and released with minimal…