EFTA00141476 15BNAS21D00000114 Page 1 of 24 # SOLICITATION/CONTRACTORORDER FOR COMMERCIAL ITEMS ## O ERROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30 ### 2. CONTRACT NO 15BNAS21D0000114 ### 3. AWARD/PERSPECTIVE DATE 10/19/2020 ### 4. ORDER NUMBER 15BNAS21D00001032 ### 5. SOLICITATION NUMBER 15BNAS21D00001032 ### 6. SOLICITATION ISSUE Date 10/19/2020 ### 7. FOR SOLICITATION INFORMATION CALL: NAME ### 8. TELEPHONE NUMBER (Not specified) ### 9. IS BENEFIT OF Federal Bureau of Prisons Acquisitions Branch/National Accumulations Section 1307 Fire Street NW Phone 901-5 WASHINGTON, DC 20334 ### 10. DELIVERY FOR FORM DISTRIBUTION FILE BOOK IS MARKED SEE SCHEDULE ### 11. DISCOUNT SERIES NET 30 ### 12. DRIVER TO Federal Bureau of Prisons Acquisitions Branch/National Accumulations Section 1307 Fire Street NW Room 901-5 WASHINGTON, DC 20334 ### 13. DRIVER TO Federal Bureau of Prisons Acquisitions Branch/National Accumulations Section 1307 Fire Street NW Room 901-5 WASHINGTON, DC 20334 ### 14. CONTRACTOR OFFICE JAN'S ASSOCIATES, INC. Business As BIRD ### 15. CONTRACTOR NO CODE 521306404 FAACILITY CODE 621713171 ### 16. PAYMENT WILL BE MADE BY Federal Bureau of Prisons Acquisitions Branch/National Office Business Office 1307 Fire Street NW Room 901-5 WASHINGTON, DC 20334 ### 17. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN HEADING ### 18. SCHEDULE OF SUPPLIER SERVICES #### Delivery Date: 10/19/2020 National EAP Services See Continuation Sheet(s) #### ASSOCIATING AND APPLICATION DATA See Line Item Detail #### SOLICITATION INcorporates by Reference FAR 52121.52121. AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE | Description | Value | | :--- | :--- | | Prescribe by GSA - FAR (48 CFR) 53.212 | `Prescribe by GSA - FAR (48 CFR) 53.212` | EFTA00141477 15BNAS21D00000114 Page 2 of 24
| 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 | |||||||
| 33. SHIP NUMBER | 34. VOUCHER NUMBER | 35. AMOUNT VERIFIED CORRECT FOR | 36. PAYMENT ☐ COMPLETE ☐ PARTIAL ☐ FINAL | 37. CHECK NUMBER | |||
| PARTIAL | FINAL | ||||||
| 38. SIR ACCOUNT NUMBER | 39. SIR VOUCHER NUMBER | 40. PAID BY | |||||
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT | |||||||
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER | 41c. DATE | 42a. RECEIVED BY (Print) | |||||
| 42b. RECEIVED AT (Location) | |||||||
| 42c. DATE RECD (YVMMDD) | 42d. TOTAL CONTAINERS | ||||||
| Section | Description | Page |
|---|---|---|
| 1 | Solicitation/Contract Form | 1 |
| 2 | Commodity or Services Schedule | 4 |
| 3 | Contract Clauses | 7 |
| 52,21-603-70 Contracting Officer's Representative (COR) (June 2012) | 7 | |
| 52,27-103-72 52,27-103-72 DOJ CONTRACTOR RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004) | 8 | |
| 52,218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA OR OTHER NATIONAL EMERGENCY (May 2008) | 8 | |
| DJAR-PGD-15-03 Security of Department Information and Systems | 9 | |
| 52,216-19 Order Limitations (Oct 1995) | 13 | |
| 52,216-18 Ordering (Oct 1995) | 14 | |
| 52,217-8 Option to Extend Services (Nov 1999) | 14 | |
| 52,204-21 Basic Safeguarding of Covered Contractor Information Systems (June 2016) | 14 | |
| 52,216-21 Requirements (Oct 1995) | 16 | |
| 52,217-9 Option to Extend the Term of the Contract (Mar 2000) | 16 | |
| 52,232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984) | 16 | |
| 52,232-18 Availability Of Funds (Apr 1984) | 17 | |
| BOP 2852,242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR 2011) | 17 | |
| 52,212-3 Offeror Representations and Certifications—Commercial Items (Jun 2020) | 17 | |
| 52,212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders—Commercial Items (Jun 2020) | 17 | |
| 52,237-7 Indemnification and Medical Liability Insurance (Jan 1997) | 17 | |
| List of Attachments | 24 |
| Minimum Guaranteed Quantity | Minimum Guaranteed Amount | Maximum Guaranteed Quantity | Maximum Guaranteed Amount |
| $0.00 |
| ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
|---|---|---|---|---|---|
| 0001 | EAP & Work/Life Services | 37,000 | EA | Previous: | Previous: $0.00 |
| 37,000 Employees x Price/Year = Price per Employee/Year | $0.0000 | Change: $608,650.00 | |||
| Base Year: 10/19/20-9/30/21 | Change: | Current: $608,650.00 | |||
| Firm Fixed Price | $16.4500 | ||||
| PSC: R431 | Current: | ||||
| Base Period | $16.4500 | ||||
| ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
| 0002 | EAP & Work/Life services | 37,000 | EA | Previous: | Previous: $0.00 |
| 37,000 Employees x Price/Year = Price per Employee/Year | $0.0000 | Change: $608,650.00 | |||
| Option Year 1: 10/01/21-9/30/22 | Change: | Current: $608,650.00 | |||
| Firm Fixed Price | $16.4500 | ||||
| PSC: R431 | Current: | ||||
| Unexercised Option | $16.4500 | ||||
| ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
| 0003 | EAP & Work/Life services | 37,000 | EA | Previous: | Previous: $0.00 |
| 37,000 Employees x Price/Year = Price per Employee/Year | $0.0000 | Change: $626,780.00 | |||
| Option Year 2: 10/01/22-9/30/23 | Change: | Current: $626,780.00 | |||
| Firm Fixed Price | $16.9400 | ||||
| PSC: R431 | Current: | ||||
| Unexercised Option | $16.9400 | ||||
| ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
| 0004 | EAP & Work/Life services | 37,000 | EA | Previous: | |
| 37,000 Employees x Price/Year = Price per Employee/Year | |||||
| Option Year 3: 10/01/23-9/30/24 | |||||
| Firm Fixed Price |
| PSC: R431 Unexercised Option | |||||
|---|---|---|---|---|---|
| ITEM NO. | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
| 0005 | EAP & Work/Life Services 37,000 Employees x Price/Year = Price per Employee/Yea Option Year 4: 10/01/24-9/30/25 Firm Fixed Price PSC: R431 Unexercised Option | 37,000 | EA | Previous: $0.0000 Change: | |
| ITEM NO. | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT |
| 0006 | EAP & Work/Life services 37,000 Employees x Price/6 months= Price per Employee/6 months Potential 6-month Extension: 10/01/25-3/31/26 Firm Fixed Price PSC: R431 Unexercised Option | 37,000 | EA | Previous: $0.0000 Change: |
| 52.252-2 CLAUSES INCORPORATED BY REFERENCE(FEB 1998) | ||
| This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):www.acquisition.gov | ||
| Clause | Title | Fill-ins(if applicable) |
| 52.242-15 | Stop-Work Order(Aug 1989) | |
| 52.203-3 | Gratuities(Apr 1984) | |
| 52.232-40 | Providing Accelerated Payments to Small Business Subcontractors(Dec 2013) | |
| 52.242-13 | Bankruptcy(July 1995) | |
| 52.253-1 | Computer Generated Forms(Jan 1991) | |
| 52.203-12 | Limitation On Payments To Influence Certain Federal Transactions(Oct 2010) | |
| 52.224-1 | Privacy Act Notification(Apr 1984) | |
| 52.224-2 | Privacy Act(Apr 1984) | |
| 52.204-12 | Unique Entity Identifier Maintenance(Oct 2016) | |