Solicitation 23Q-014 N.Charleston, SC.pdf

15BCTS23Q00000014 Page 1 of 67

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

15BCTS23Q00000014

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

07/07/2023

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Kathaleen Cannon kacannon@bop.gov

b. TELEPHONE NUMBER (No collect calls)

(202) 598-6137

8. OFFER DUE DATE / LOCAL

TIME

07/28/2023 14:00 ET

CODE 15BCTS

Federal Bureau of Prisons

Community Treatment Services Contracting

320 First Street NW

Suite 901-5

Washington, DC 20534

9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(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

15B300CODE15. DELIVER TO

Federal Bureau of Prisons South East Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331

CODE 15BCTS16. ADMINISTERED BY

Federal Bureau of Prisons Community Treatment Services Contracting 320 First Street NW Suite 901-5 Washington, DC 20534

Kathaleen Cannon

(O) (202) 598-6137 kacannon@bop.gov

FACILITY

CODE

CODE

TELEPHONE NUMBER

17a. CONTRACTOR/

OFFEROR

15B300CODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons South East Regional Office 3800 Camp Creek PKWY SW Building 2000 Atlanta, GA 30331

BOP-RSD-CRBCTS-BILL-ATL@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 NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Delivery Date: 09/01/2023

Substance Use, Mental Health, Medicated Assisted, and Sex Offender Treatment Services in North Charleston, SC

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)

X 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 X 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)

Kathaleen Cannon

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

014-23

15BCTS23Q00000014 Page 2 of 67

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

15BCTS23Q00000014 Page 3 of 67

Table of Contents

Section Description Page Number

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

52.204-27 Prohibition on a ByteDance Covered Application (Jun 2023) 52.216-18 Ordering (Oct 1995) 52.216-19 Order Limitations (Oct 1995) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012) DOJ-05 Security of Department Information and Systems (APR 2015) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability Of Funds (Apr 1984) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR

2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 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)

52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders- Commercial Products and Commercial Services (Jun 2023) DOJ-02 Contractor Privacy Requirements (JAN 2022) 52.203-3 Gratuities (Apr 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Dec 2013) 52.253-1 Computer Generated Forms (Jan 1991) 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Dec 2022) 52.203-12 Limitation On Payments To Influence Certain Federal Transactions (Oct 2010) 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) 52.242-15 Stop-Work Order (Aug 1989)

3 List of Attachments 4 Solicitation Provisions

52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (Dec 2022) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Dec 2019) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Dec 2019) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 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) 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation (Jan 2017) 52.204-16 Commercial and Government Entity Code Reporting (Jul 2016) 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 (Mar 2023)

15BCTS23Q00000014 Page 4 of 67

Section 1 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES 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 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 QUANTITY UNIT UNIT PRICE AMOUNT

0003 Substance Use Disorder Individual Counseling (2010)

100 Units Guaranteed Minimum; 2400 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES 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 QUANTITY UNIT UNIT PRICE AMOUNT

0007 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

15BCTS23Q00000014 Page 5 of 67

0008 Mental Health Treatment Planning and Follow-up (5001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0009 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0010 Mental Health Intake Assessment & Report (5011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0011 Psychiatric Evaluation & Report (5030)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0012 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES 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 QUANTITY UNIT UNIT PRICE AMOUNT

0014 Mental Health Group Counseling (6020)

24 Units Guaranteed Minimum; 1800 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

24 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0015 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0016 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

1 EA $________ $_________________

15BCTS23Q00000014 Page 6 of 67

Base Period: Date of award - 12 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0017 Mental Health - Medication Monitoring & Report (6051)

2 Units Guaranteed Minimum; 150 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0018 Sex Offender Intake Assessment & Report (5012)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0019 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0020 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 20 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0021 Sex Offender Individual Counseling (6012)

4 Units Guaranteed Minimum; 620 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0022 Sex Offender Group Counseling (6022)

20 Units Guaranteed Minimum; 960 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0023 Sex Offender Relationship and Parenting Counseling (6032)

2 Units Guaranteed Minimum; 48 Units Estimated Maximum

Base Period: Date of award - 12 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0024 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

5 EA $________ $_________________

15BCTS23Q00000014 Page 7 of 67

PSC: G004

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0025 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0026 Substance Use Disorder Individual Counseling (2010)

100 Units Guaranteed Minimum; 2400 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0027 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0028 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0029 Substance Use Disorder Group Counseling (2020)

120 Units Guaranteed Minimum; 3960 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0030 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0031 Mental Health Treatment Planning and Follow-up (5001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0032 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

15BCTS23Q00000014 Page 8 of 67

0033 Mental Health Intake Assessment & Report (5011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0034 Psychiatric Evaluation & Report (5030)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0035 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0036 Mental Health Individual Counseling (6010)

20 Units Guaranteed Minimum; 1280 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0037 Mental Health Group Counseling (6020)

24 Units Guaranteed Minimum; 1800 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

24 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0038 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0039 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0040 Mental Health - Medication Monitoring & Report (6051)

2 Units Guaranteed Minimum; 150 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

15BCTS23Q00000014 Page 9 of 67

0041 Sex Offender Intake Assessment & Report (5012)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0042 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0043 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 20 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0044 Sex Offender Individual Counseling (6012)

4 Units Guaranteed Minimum; 620 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0045 Sex Offender Group Counseling (6022)

20 Units Guaranteed Minimum; 960 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0046 Sex Offender Relationship and Parenting Counseling (6032)

2 Units Guaranteed Minimum; 48 Units Estimated Maximum

Option Year 1 - 13 months through 24 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0047 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0048 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

0049 Substance Use Disorder Individual Counseling (2010) 100 EA $________ $_________________

15BCTS23Q00000014 Page 10 of 67

100 Units Guaranteed Minimum; 2400 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0050 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0051 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0052 Substance Use Disorder Group Counseling (2020)

120 Units Guaranteed Minimum; 3960 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0053 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0054 Mental Health Treatment Planning and Follow-up (5001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0055 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0056 Mental Health Intake Assessment & Report (5011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0057 Psychiatric Evaluation & Report (5030)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

15BCTS23Q00000014 Page 11 of 67

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0058 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0059 Mental Health Individual Counseling (6010)

20 Units Guaranteed Minimum; 1280 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0060 Mental Health Group Counseling (6020)

24 Units Guaranteed Minimum; 1800 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

24 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0061 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0062 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0063 Mental Health - Medication Monitoring & Report (6051)

2 Units Guaranteed Minimum; 150 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0064 Sex Offender Intake Assessment & Report (5012)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0065 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

15BCTS23Q00000014 Page 12 of 67

0066 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 20 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0067 Sex Offender Individual Counseling (6012)

4 Units Guaranteed Minimum; 620 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0068 Sex Offender Group Counseling (6022)

20 Units Guaranteed Minimum; 960 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0069 Sex Offender Relationship and Parenting Counseling (6032)

2 Units Guaranteed Minimum; 48 Units Estimated Maximum

Option Year 2 - 25 months through 36 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0070 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0071 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0072 Substance Use Disorder Individual Counseling (2010)

100 Units Guaranteed Minimum; 2400 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0073 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

15BCTS23Q00000014 Page 13 of 67

0074 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0075 Substance Use Disorder Group Counseling (2020)

120 Units Guaranteed Minimum; 3960 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

120 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0076 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0077 Mental Health Treatment Planning and Follow-up (5001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0078 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0079 Mental Health Intake Assessment & Report (5011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0080 Psychiatric Evaluation & Report (5030)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0081 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

1 EA $________ $_________________

0082 Mental Health Individual Counseling (6010) 20 EA $________ $_________________

15BCTS23Q00000014 Page 14 of 67

20 Units Guaranteed Minimum; 1280 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0083 Mental Health Group Counseling (6020)

24 Units Guaranteed Minimum; 1800 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

24 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0084 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0085 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0086 Mental Health - Medication Monitoring & Report (6051)

2 Units Guaranteed Minimum; 150 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0087 Sex Offender Intake Assessment & Report (5012)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0088 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0089 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 20 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0090 Sex Offender Individual Counseling (6012)

4 Units Guaranteed Minimum; 620 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

4 EA $________ $_________________

15BCTS23Q00000014 Page 15 of 67

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0091 Sex Offender Group Counseling (6022)

20 Units Guaranteed Minimum; 960 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0092 Sex Offender Relationship and Parenting Counseling (6032)

2 Units Guaranteed Minimum; 48 Units Estimated Maximum

Option Year 3 - 37 months through 48 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0093 Substance Use Disorder Treatment Planning and Follow-up (2001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0094 Substance Use Disorder Intake Screening (2005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0095 Substance Use Disorder Individual Counseling (2010)

100 Units Guaranteed Minimum; 2400 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0096 Substance Use Disorder Intake Assessment & Report (2011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0097 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0098 Substance Use Disorder Group Counseling (2020)

120 Units Guaranteed Minimum; 3960 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

120 EA $________ $_________________

15BCTS23Q00000014 Page 16 of 67

0099 Substance Use Disorder Relationship and Parenting Counseling (2030)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0100 Mental Health Treatment Planning and Follow-up (5001)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0101 Mental Health Intake Screening (5005)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0102 Mental Health Intake Assessment & Report (5011)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0103 Psychiatric Evaluation & Report (5030)

5 Units Guaranteed Minimum; 75 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

5 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0104 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0105 Mental Health Individual Counseling (6010)

20 Units Guaranteed Minimum; 1280 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

20 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0106 Mental Health Group Counseling (6020)

24 Units Guaranteed Minimum; 1800 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

24 EA $________ $_________________

15BCTS23Q00000014 Page 17 of 67

0107 Mental Health Relationship and Parenting Counseling (6031)

2 Units Guaranteed Minimum; 100 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0108 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0109 Mental Health - Medication Monitoring & Report (6051)

2 Units Guaranteed Minimum; 150 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0110 Sex Offender Intake Assessment & Report (5012)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0111 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

2 Units Guaranteed Minimum; 25 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0112 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 20 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0113 Sex Offender Individual Counseling (6012)

4 Units Guaranteed Minimum; 620 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

4 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0114 Sex Offender Group Counseling (6022)

20 Units Guaranteed Minimum; 960 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

20 EA $________ $_________________

0115 Sex Offender Relationship and Parenting Counseling (6032) 2 EA $________ $_________________

15BCTS23Q00000014 Page 18 of 67

2 Units Guaranteed Minimum; 48 Units Estimated Maximum

Option Year 4 - 49 months through 60 months

PSC: G004

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0116 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 QUANTITY UNIT UNIT PRICE AMOUNT

0117 Substance Use Disorder Intake Screening (2005)

1 Units Guaranteed Minimum; 13 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0118 Substance Use Disorder Individual Counseling (2010)

50 Units Guaranteed Minimum; 1200 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0119 Substance Use Disorder Intake Assessment & Report (2011)

3 Units Guaranteed Minimum; 38 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0120 Co-occurring Intake Assessment & Report (2012)

1 Units Guaranteed Minimum; 25 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0121 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 QUANTITY UNIT UNIT PRICE AMOUNT

0122 Substance Use Disorder Relationship and Parenting Counseling (2030)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0123 Mental Health Treatment Planning and Follow-up (5001)

3 Units Guaranteed Minimum; 38 Units Estimated Maximum

Potential Six-Month Extension

3 EA $________ $_________________

15BCTS23Q00000014 Page 19 of 67

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0124 Mental Health Intake Screening (5005)

1 Units Guaranteed Minimum; 13 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0125 Mental Health Intake Assessment & Report (5011)

3 Units Guaranteed Minimum; 38 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0126 Psychiatric Evaluation & Report (5030)

3 Units Guaranteed Minimum; 38 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

3 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0127 Crisis Intervention Evaluation & Report (6000)

1 Units Guaranteed Minimum; 5 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0128 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 QUANTITY UNIT UNIT PRICE AMOUNT

0129 Mental Health Group Counseling (6020)

12 Units Guaranteed Minimum; 900 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

12 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0130 Mental Health Relationship and Parenting Counseling (6031)

1 Units Guaranteed Minimum; 50 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0131 Mental Health - Administration of Medication (6050)

1 Units Guaranteed Minimum; 25 Units Estimated Maximum

Potential Six-Month Extension

15BCTS23Q00000014 Page 20 of 67

0132 Mental Health - Medication Monitoring & Report (6051)

1 Units Guaranteed Minimum; 75 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0133 Sex Offender Intake Assessment & Report (5012)

1 Units Guaranteed Minimum; 13 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0134 Sex Offender Treatment Disorder Treatment Planning and Follow-up (6001)

1 Units Guaranteed Minimum; 13 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0135 Sex Offender Intake Screening (6005)

1 Units Guaranteed Minimum; 10 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

1 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0136 Sex Offender Individual Counseling (6012)

2 Units Guaranteed Minimum; 310 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

2 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0137 Sex Offender Group Counseling (6022)

10 Units Guaranteed Minimum; 480 Units Estimated Maximum

Potential Six-Month Extension

PSC: G004

10 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0138 Sex Offender Relationship and Parenting Counseling (6032)

1 Units Guaranteed Minimum; 24 Units Estimated Maximum

Potential Six-Month Extension

15BCTS23Q00000014 Page 21 of 67

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)

52.203-3 Gratuities (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(Dec 2013)

52.253-1 Computer Generated Forms (Jan 1991)

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

Services (Dec 2022)

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

(Oct 2010)

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)

52.242-15 Stop-Work Order (Aug 1989)

Clauses By Full Text

15BCTS23Q00000014 Page 22 of 67

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)

52.204-27 Prohibition on a ByteDance Covered Application (Jun 2023)

(a) Definitions. As used in this clause--

Covered application means the social networking service TikTok or any successor application or service developed or provided by ByteDance Limited or an entity owned by ByteDance Limited.

Information technology, as defined in 40 U.S.C. 11101(6)--

(1) Means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the executive agency, if the equipment is used by the executive agency directly or is used by a contractor under a contract with the executive agency that requires the use--

(i) Of that equipment; or

(ii) Of that equipment to a significant extent in the performance of a service or the furnishing of a product;

(2) Includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources; but

(3) Does not include any equipment acquired by a Federal contractor incidental to a Federal contract.

(b) Prohibition. Section 102 of Division R of the Consolidated Appropriations Act, 2023 (Pub. L. 117-328), the No TikTok on Government Devices Act, and its implementing guidance under Office of Management and Budget (OMB) Memorandum M-23-13, dated February 27, 2023, "No TikTok on Government Devices" Implementation Guidance, collectively prohibit the presence or use of a covered application on executive agency information technology, including certain equipment used by Federal contractors.

The Contractor is prohibited from having or using a covered application on any information technology owned or managed by the Government, or on any information technology used or provided by the Contractor under this contract, including equipment provided by the Contractor's employees; however, this prohibition does not apply if the Contracting Officer provides written notification to the Contractor that an exception has been granted in accordance with OMB Memorandum M-23-13.

(c) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (c), in all subcontracts, including subcontracts for the acquisition of commercial products or commercial services.

(End of clause)

52.216-18 Ordering (Oct 1995) (DEVIATION)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from the first day of the contract's effective period through the last day of the Contract's effective period.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

15BCTS23Q00000014 Page 23 of 67

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

(End of clause)

52.216-19 Order Limitations (Oct 1995) (DEVIATION)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $1.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--

(1) Any order for a single item in excess of the estimated quantities identified on the SF-1449 (Block 21, Quantity) within the current contract performance period;

(2) Any order for a combination of items in excess of the estimated quantities identified on the SF-1449 (Block 21, Quantity) within the current contract performance period; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 7 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of clause)

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

(a) James Wilson, (Lead COR)Supervisory Community Treatment Coordinator (202) 598-7151 jx6wilson@bop.gov Joshua Hierstetter Community Treatment Coordinator jhierstetter@bop.gov 202-305-5651 Sarah Dorsey Community Treatment Oversight Specialists dorsey@bop.gov 404-635-5691/202-598-5102 Lisa Reis-Elbara Community Treatment Oversight Specialist leverage@bop.gov 404-635-5676 202-598-7076 Ana Harper Community Treatment Oversight Specialist aharper@bop.gov 404-635-5669 202-305-5203 J. Edward Thacker Community Treatment Oversight Specialist j2thacker@bop.gov 404-635-5693 202-353-5456 William Thomas, Jr. Community Treatment Oversight Specialist wthomas@bop.gov 404-635-5668 202-598-7247

Atlanta Field Office ,719 McDonough, 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,…