Solicitation CTS in Orlando FL.pdf
PDF 443 KB Posted
- Solicitation number
- 15BCTS21Q00000016
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
15BCTS21Q00000016 Page 1 of 94
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30
1. REQUISITION NUMBER
5. SOLICITATION NUMBER
15BCTS21Q00000016
2. CONTRACT NO. 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 6. SOLICITATION ISSUE
DATE
03/23/2021
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Kathaleen Cannon kacannon@bop.gov
b. TELEPHONE NUMBER (No collect calls)
202-305-9853
8. OFFER DUE DATE / LOCAL
TIME
04/09/2021 14:00 ET
CODE BCTS
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS: 621420
SIZE STANDARD: $16,500,000
10. THE ACQUISITION IS
SEE
SCHEDULE
11. DELIVERY FOR FOB DESTINATION
UNLESS BLOCK IS MARKED
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER DPAS
(15 CFR 700)
13b. RATING
X RFQ IFB RFP
14. METHOD OF SOLICITATION
15B300CODE15. DELIVER TO
Federal Bureau of Prisons Atlanta Field Office Community Treatment Services (CTS) 719 McDonough Blvd, SE Atlanta, GA 30315
CODE 15BCTS16. ADMINISTERED BY
Federal Bureau of Prisons Acquisitions Branch/Community Treatment Svcs Contractng 320 First Street NW Room 901-5 Washington, DC 20534
Kathaleen Cannon
(O) 202-305-9853 kacannon@bop.gov
FACILITY
CODE
CODE
TELEPHONE NO.
17a. CONTRACTOR/
OFFEROR
15B300CODE18a. PAYMENT WILL BE MADE BY
Federal Bureau of Prisons Atlanta Field Office Community Treatment Services (CTS) 719 McDonough Blvd, SE Atlanta, GA 30315
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER SEE ADDENDUM
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS
CHECKED
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Substance Use, Medication Assisted, Mental Health, and Sex Offender Treatment Services in Orlando, Florida
See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)
X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO
ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH
OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE
TERMS AND CONDITIONS SPECIFIED.
29. AWARD OF CONTRACT: REF. _____________________________ OFFER
DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK 5)
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN,
IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)
Kathaleen Cannon
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
RCA 016-21
June 1, 2021
BOP-RSD-PSBCTS-BILL@bop.gov
15BCTS21Q00000016 Page 2 of 94
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
PARTIAL FINAL
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
COMPLETE PARTIAL FINAL
36. PAYMENT 37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV. 2/2012) BACK
15BCTS21Q00000016 Page 3 of 94
Table of Contents
Section Description Page Number
1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses
52.21-603-70 Contracting Officer's Representative (COR) (June 2012)
52.27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE
2004)
52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA
OR OTHER NATIONAL EMERGENCY (May 2008) DJAR-PGD-15-03 Security of Department Information and Systems 52.216-18 Ordering (Oct 1995) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.232-18 Availability Of Funds (Apr 1984) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR
2011) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.212-3 Offeror Representations and Certifications--Commercial Items (Jun 2020) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (Feb 2021)
4 List of Attachments 5 Solicitation Provisions
52.209-7 Information Regarding Responsibility Matters (Oct 2018) 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) 52.233-2 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)
15BCTS21Q00000016 Page 4 of 94
Section 2 - Commodity or Services Schedule
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0001 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0002 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 54 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
2,592 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0003 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0004 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0005 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 54 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
3,888 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
15BCTS21Q00000016 Page 5 of 94
0006 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 54 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
1,296 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0007 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0008 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0009 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
184 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0010 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0011 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0012 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Base Period: Date of award - 12 months
30 EA $________ $_________________
15BCTS21Q00000016 Page 6 of 94
Firm Fixed Price
PSC: G004
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0013 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0014 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0015 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0016 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0017 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0018 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
15BCTS21Q00000016 Page 7 of 94
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0019 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 25 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0020 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
1,584 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0021 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
1,584 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0022 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0023 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
792 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0024 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 33 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
198 EA $________ $_________________
15BCTS21Q00000016 Page 8 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0025 Medication Monitoring and Report - Mental Health (6051) (5 visits per inmate) for Estimated 33 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
165 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0026 Sex Offender Specific Intake Assessment & Report (5012) (one per inmate) for Estimated 2 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0027 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 2 Inmate Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0028 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
96 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0029 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0030 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 2 Inmates Base Period: Date of award - 12 months
Firm Fixed Price
48 EA $________ $_________________
15BCTS21Q00000016 Page 9 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0031 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0032 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0033 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0034 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0035 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
2,520 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0036 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
840 EA $________ $_________________
15BCTS21Q00000016 Page 10 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0037 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0038 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0039 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0040 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0041 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0042 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
15BCTS21Q00000016 Page 11 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0043 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0044 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0045 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0046 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0047 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0048 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
15BCTS21Q00000016 Page 12 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0049 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 25 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0050 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Base Period: Date of award - 12 months Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0051 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0052 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0053 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0054 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
150 EA $________ $_________________
15BCTS21Q00000016 Page 13 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0055 Medication Monitoring and Report - Mental Health (6051) (5 visits per inmate) for Estimated 25 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
125 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0056 Sex Offender Specific Intake Assessment & Report (5012) (one per inmate) for Estimated 2 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0057 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 2 Inmate Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0058 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
96 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0059 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0060 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 2 Inmates Option Year 1: 13 months through 24 months
Firm Fixed Price
15BCTS21Q00000016 Page 14 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0061 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0062 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0063 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0064 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0065 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
2,520 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0066 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
15BCTS21Q00000016 Page 15 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0067 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0068 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0069 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0070 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0071 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0072 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
15BCTS21Q00000016 Page 16 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0073 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0074 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0075 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0076 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0077 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0078 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
15BCTS21Q00000016 Page 17 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0079 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 25 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0080 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0081 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0082 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0083 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0084 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
15BCTS21Q00000016 Page 18 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0085 Medication Monitoring and Report - Mental Health (6051) (5 visits per inmate) for Estimated 25 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
125 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0086 Sex Offender Specific Intake Assessment & Report (5012) (one per inmate) for Estimated 2 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0087 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 2 Inmate Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0088 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
96 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0089 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0090 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 2 Inmates Option Year 2: 25 months through 36 months
Firm Fixed Price
15BCTS21Q00000016 Page 19 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0091 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0092 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0093 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0094 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0095 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
2,520 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0096 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000016 Page 20 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0097 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0098 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0099 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0100 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0101 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0102 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000016 Page 21 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0103 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0104 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0105 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Unit per Inmate; Estimated 5 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0106 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0107 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0108 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000016 Page 22 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0109 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 25 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0110 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0111 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0112 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0113 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0114 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000016 Page 23 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0115 Medication Monitoring and Report - Mental Health (6051) (5 visits per inmate) for Estimated 25 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
125 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0116 Sex Offender Specific Intake Assessment & Report (5012) (one per inmate) for Estimated 2 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0117 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 2 Inmate Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0118 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
96 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0119 Sex Offender Group Counseling (6022) 30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0120 Sex Offender Family Counseling (6032) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 2 Inmates Option Year 3: 37 months through 48 months
Firm Fixed Price
15BCTS21Q00000016 Page 24 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0121 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0122 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0123 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0124 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0125 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
2,520 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0126 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
15BCTS21Q00000016 Page 25 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0127 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0128 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0129 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0130 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0131 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0132 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
15BCTS21Q00000016 Page 26 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0133 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0134 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0135 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Units per Inmate; Estimated 5 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0136 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0137 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0138 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
15BCTS21Q00000016 Page 27 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0139 Crisis Intervention - Mental Health (6000) (one per inmate) for Estimated 25 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0140 Individual Counseling - Mental Health (6010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0141 Group Counseling - Mental Health (6020) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
1,200 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0142 Case Management Services (6030) Estimated 3 Units per Inmate; Estimated 6 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
18 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0143 Family Counseling - Mental Health (6031) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
600 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0144 Administration of Medication (6050) Estimated 6 Units per Inmate; Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
15BCTS21Q00000016 Page 28 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0145 Medication Monitoring and Report - Mental Health (6051) (5 visits per inmate) for Estimated 25 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
125 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0146 Sex Offender Specific Intake Assessment & Report (5012) (one per inmate) for Estimated 2 Inmate Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0147 Intake Screening- Sex Offender (6005) (one per inmate) for Estimated 2 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
2 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0148 Sex Offender Individual Counseling (6012) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 2 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
96 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0149 Sex Offender Family Counseling (6022) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 2 Inmates Option Year 4: 49 months through 60 months
Firm Fixed Price
PSC: G004
144 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0150 Sex Offender Family Counseling (6032) Estimated Units Per Inmate 24; for Estimated 2 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
15BCTS21Q00000016 Page 29 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0151 Substance Use Intake Screening (2005) (one per inmate) for Estimated 10 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0152 Substance Use Individual Counseling (2010) (30 Minutes = 1 Unit) Estimated 48 Units per Inmate; Estimated 35 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
1,680 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0153 Substance Use Intake Assessment & Report (2011)(one per inmate) for Estimated 35 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0154 Dual Diagnosis Intake Assessment & Report (2012 )(one per inmate) for Estimated 35 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
35 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0155 Substance Use Group Counseling (2020) (30 Minutes = 1 Unit) Estimated 72 Units per Inmate; Estimated 35 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
2,520 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0156 Substance Use Family Counseling (2030) (30 Minutes = 1 Unit) Estimated 24 Units per Inmate; Estimated 35 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
15BCTS21Q00000016 Page 30 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0157 Buprenorphine Follow-Up and Report- MAT (4002)Estimated 6 Unit per Inmate for Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0158 Naltrexone Follow-Up and Report- MAT (4003) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0159 Administration of Buprenorphine - MAT (4020) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0160 Buprenorphine and Administration - MAT (4021) Estimated 168 Units per Inmate for Estimated 5 Inmate Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
840 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0161 Administration of Buprenorphine Injection - MAT (4030) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0162 Buprenorphine and Administration of Injection MAT (4031) Estimated 6 Units per Inmate for Estimated 5 Inmate Option Year 5: 61 months through 72 months
Firm Fixed Price
15BCTS21Q00000016 Page 31 of 94
QUANTITY
UNIT UNIT PRICE AMOUNT
0163 Administration of Naltrexone- MAT (4040) Estimated 6 Units per Inmate for Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0164 Naltrexone and Administration- MAT (4041) Estimated 6 Units per Inmate; Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
30 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0165 Psychiatric Evaluation & Report- MAT (4050) Estimated 1 Unit per Inmate; Estimated 5 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
5 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0166 Mental Health Intake Screening (5005) Estimated 1 Unit per Inmate; Estimated 10 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
10 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0167 Assessment & Report - Mental Health (5011) (one per inmate) for Estimated 25 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
PSC: G004
25 EA $________ $_________________
ITEM NO. SUPPLIES/SERVICES EST.
QUANTITY
UNIT UNIT PRICE AMOUNT
0168 Psychiatric Evaluation & Report - Mental Health (5030) (one per inmate) for Estimated 25 Inmates Option Year 5: 61 months through 72 months
Firm Fixed Price
15BCTS21Q00000016 Page…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .