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Bid Solicitation: ADCS16-00005689
Header Information
Bid Number: ADCS16-00005689 Description: Counseling & Consultation Services Bid Opening Date: 10/29/2015 03:00:59 PM
Purchaser: Francine Whittington Organization: Arizona Department of Child Safety
Department: OP - Office of Procurement Location: OP - Contracts
Fiscal Year: 16 Type Code: Allow Electronic Quote: Yes
Alternate Id:   Required Date: Available Date :  10/08/2015 09:08:00 AM
Info Contact: Francine Whittington, fwhittington@azdes.gov, 602-255-2867 Bid Type: OPEN Informal Bid Flag: No
Purchase Method: Open Market
Pre Bid Conference: October 20, 2015 at 2 pm at ADOT Auditorium, 207 S. 17th Ave, Phoenix, AZ. Please bring solicitation documents with you, as handouts will not be available.
Bulletin Desc: The purpose of this service is to identify and treat behavioral, emotional and co-occurring disorder (COD) needs of the individual within the cultural context of the individual, family or group.
Ship-to Address: DCS Procurement Floor 20
3003 N. Central Ave Flr 20
Phoenix, AZ 85012
US
Email: DCSStatewideOrdering@azdcs.gov
Phone: (602)255-2701
Bill-to Address: DCS Procurement Floor 20
3003 N. Central Ave Flr 20
Phoenix, AZ 85012
US
Email: DCSStatewideOrdering@azdcs.gov
Phone: (602)255-2701
Print Format:
File Attachments: Central Registry Form DCS-1183A , Designation of Confidentiality and Trade Secrets (rev 10-2014) , HITECH Business Associate Agreement , Independent Contractor Agreement , Sole Proprietor Waiver , State of Arizona Substitute W-9 , Exhibit 1 Limited English Proficiency Policy , Exhibit A J.K. Principles , Exhibit B Progress Report CSO-1139A , Exhibit C DCS Unit Consult Log and Verification of Client Services-Clinical-Cnslg , Exhibit D DCS Counseling Consultation Services Invoice , Exhibit E ADJC Verification of Juvenile Services-Clinical-Counseling , Exhibit G DCS Significant Incident Report CSO-1151A , Exhibit I Quarterly Data Report , Exhibit M ADJC Program Evaluation , Amendment 1 , Amendment 2 , Attachment 02 List of References , Amendment 3 , Counseling_Consultation Services RFP rev 10-21-15 , Attachment 01 ADCS Qualified Contractor Application rev 10-21-15 , Attachment 03 Licensure-Certification Attestation_rev 10-21-15 , Amendment 4 , Exhibit F ADJC Service Providers Unusual-Significant Incident Report Protocol rev 10-23-15 , Exhibit H Clinical Family Assessment rev 10-23-15
Form Attachments:
Bid Method: Request for Proposal (RFP)
Amendments:
Amendment # Amendment Date Amendment Note
1 10/14/2015 08:56:28 AM The purpose of this bid amendment is to attach the correct Licensure-Certification Attestation form. Attachment File Changes: Header 1. File 'Amendment 1': File 'Amendment 1' added . 2. File 'Attachment 03 Licensure-Certification Attestation_rev 10-14-15': File 'Attachment 03 Licensure-Certification Attestation_rev 10-14-15' added .
2 10/15/2015 07:17:53 AM The purpose of this bid amendment is attach the corrected Attachment 02 List of References. Attachment File Changes: Header 1. File 'Attachment 02 List of References': File 'Attachment 02 List of References' deleted . 2. File 'Amendment 2': File 'Amendment 2' added . 3. File 'Attachment 02 List of References': File 'Attachment 02 List of References' added .
3 10/21/2015 03:57:22 PM The purpose of this solicitation amendment is make minor changes to the RFP as stated in "Amendment 3". Attachment File Changes: Header 1. File 'Amendment 3': File 'Amendment 3' added . 2. File 'Counseling_Consultation Services RFP rev 10-21-15': File 'Counseling_Consultation Services RFP rev 10-21-15' added . 3. File 'Attachment 01 ADCS Qualified Contractor Application rev 10-21-15': File 'Attachment 01 ADCS Qualified Contractor Application rev 10-21-15' added . 4. File 'Attachment 03 Licensure-Certification Attestation_rev 10-21-15': File 'Attachment 03 Licensure-Certification Attestation_rev 10-21-15' added .
4 10/23/2015 01:53:08 PM The purpose of this solicitation amendment is to re-label Exhibit F and H. Attachment File Changes: Header 1. File 'Amendment 4': File 'Amendment 4' added . 2. File 'Exhibit F ADJC Service Providers Unusual-Significant Incident Report Protocol rev 10-23-15': File 'Exhibit F ADJC Service Providers Unusual-Significant Incident Report Protocol rev 10-23-15' added . 3. File 'Exhibit H Clinical Family Assessment rev 10-23-15': File 'Exhibit H Clinical Family Assessment rev 10-23-15' added .
Item Information
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Item # 1:   ( 952  -  59 )   One (1) Hour Consultation - Urban
NIGP Code: 952-59
   Counseling/Consultation Program: HP04-00
Qty Unit Cost UOM Total Discount Amt. Tax Rate Tax Amount Total Cost
1.0   HR - Hour        
Manufacturer: Brand: Model:
Make: Packaging:
Counties Requiring Service:
 
Item # 2:   ( 952  -  59 )   One (1) Hour Consultation - Rural
NIGP Code: 952-59
   Counseling/Consultation Program: HP04-00
Qty Unit Cost UOM Total Discount Amt. Tax Rate Tax Amount Total Cost
1.0   HR - Hour        
Manufacturer: Brand: Model:
Make: Packaging:
Counties Requiring Service:
 
Item # 3:   ( 952  -  59 )   One (1) Hour Unit Consultation - Urban
NIGP Code: 952-59
   Counseling/Consultation Program: HP04-00
Qty Unit Cost UOM Total Discount Amt. Tax Rate Tax Amount Total Cost
1.0   HR - Hour        
Manufacturer: Brand: Model:
Make: Packaging:
Counties Requiring Service:
 
Item # 4:   ( 952  -  59 )   One (1) Hour Unit Consultation - Rural
NIGP Code: 952-59
   Counseling/Consultation Program: HP04-00
Qty Unit Cost UOM Total Discount Amt. Tax Rate Tax Amount Total Cost
1.0   EA - Each        
Manufacturer: Brand: Model:
Make: Packaging:
Counties Requiring Service:
 
Item # 5:   ( 952  -  59 )   One (1) Therapy Hour of Individual and/or Family Counseling: Office Setting - Urban
NIGP Code: 952-59
   Counseling/Consultation Program: HP04-00
Qty Unit Cost UOM Total Discount Amt. Tax Rate Tax Amount Total Cost
1.0   HR - Hour        
Manufacturer: Brand: Model:
Make: Packaging:
Counties Requiring Service:
 
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