PROPOSALS DUE BY 3:00 PM, December 18, 2020

REQUEST FOR PROPOSAL (RFP)

REQUEST FOR PROPOSALS FOR INMATE MEDICAL SERVICES

PROPOSALS DUE BY

3:00 PM, December 18, 2020 The County of Kennebec seeks written proposals to provide a comprehensive response for the product/services presented below. This Request for Proposal (RFP) states the overall scope of products and services desired, specific functionality, as well as desired vendor qualifications. Included in this request are:

• Vendor Instructions • Vendor Background and Qualifications • Specifications • Vendor Pricing Data Sheet

Return Bids To: County of Kennebec

Attn: Lt. Bryan Slaney 125 State Street Augusta ME 04330 207-512-0944

PAGE 2 COUNTY OF KENNEBEC, Augusta MAINE REQUEST FOR PROPOSAL (RFP)

VENDOR INSTRUCTIONS

1. RESPONSE INSTRUCTIONS

The submitted proposal must follow the rules and format established within this RFP. Adherence to these rules will ensure a fair and objective analysis of all proposals. Failure to complete any portion of this request may result in rejection of a proposal.

2. CONTACT WITH COUNTY EMPLOYEES

To ensure fair and objective evaluation of all proposals, vendors are required to submit all inquiries to the project contact noted on the cover of this RFP.

3. ASSESS RFP DOCUMENTS

Before submitting a proposal, vendors shall examine the specifications in order to understand all existing conditions and limitations. The vendor shall indicate in the proposal the total sum to cover the cost of all items included in the RFP.

4. COSTS OF RFP PREPARATION AND SUBMISSION

Each vendor shall be responsible for all costs incurred in order to prepare and submit their response to this RFP.

5. PROPOSAL REVIEW

All documents submitted as part of the vendor’s proposal will be deemed available to all parties subsequent to the bid opening date and time designated on the front cover of the RFP. All applicable information will be subject to public disclosure in accordance with the Freedom of Information Act.

6. PROPOSAL SUBMISSION

All bid proposals must be in a sealed envelope marked “INMATE MEDICAL SERVICES PROPOSAL FOR KENNEBEC COUNTY JAIL”. THREE (3) COPIES OF THE BID PROPOSAL ARE REQUIRED. Bids will be awarded at the next regularly scheduled Commissioner’s meeting after evaluation has been completed.

Delivery of Proposals: RFPs must be delivered by the date/time specified and to the address indicated on the title page of this RFP. It is the sole responsibility of the vendor to see that their RFP is received in the proper time. Any proposal received after the proposal opening date and time shall be eliminated from consideration and returned to the vendor unopened.

7. RIGHT OF REFUSAL

The County reserves the right to reject all RFPs in their entirety or to select certain applications from the RFPs

8. EVALUATIONS

Evaluation of the proposals is expected to be completed within 30 days after receipt. An evaluation team will evaluate proposals on a variety of quantitative and qualitative


criteria. Any award made as a result of this bid will be determined through best value analysis.

The proposal selected shall provide the most cost-effective approach that meets the stated requirements. The lowest price proposal will not necessarily be selected.

The County reserves the right to:

a) reject any or all proposals, or to make no award b) require modifications to initial proposals c) make partial or multiple awards

The County further reserves the right to excuse technical defects in a proposal when, in its sole discretion, such excuse is beneficial to the County.

The County may award based on initial proposals received, without discussion of such proposals. Selected vendors may be invited to make oral presentations to the evaluation team.

VENDOR BACKGROUND AND QUALIFICATIONS

In addition to detailed response requested below, provide narrative responses to the following questions and provide the necessary documentation for each item listed below.

1. Specify the number of years the vendor has been in business.

2. Provide a chronology of the company’s growth, heritage, staff size and ownership structure.

3. Indicate whether the business is a parent or subsidiary in a group of companies.

4. Provide a brief statement of the company’s background demonstrating longevity and financial stability.


SPECIFICATIONS

TABLEOFCONTENTS

RFPSchedule

Section1-InstructionsandGeneralConditions

1.1 Purpose

1.2 Definitions

1.2.1 ACA1.2.2 Bidder/Contractor1.2.3 ClosingTime1.2.4 Contract1.2.5 ContractDocuments1.2.6 Contractor1.2.7 County1.2.8 Facility’sDesignatedRepresentative1.2.9 HealthCareDelivery System1.2.10 KCCF1.2.11 KCCFAuthorizedRepresentative1.2.12 NCCHC1.2.13 Proposal1.2.14 ProposalSubmissionForms1.2.15 RFP1.2.16 RequirementsorServices1.2.17 SpecialConditions1.2.18 Subcontractors1.2.19 ContractMonitor

1.3 Documents

1.4 ReceiptofProposal

1.5 UnacceptableProposals

1.6 Pre-QualificationCriteria

1.7 InquiriesandClarifications

1.8 ContractRequirements


Section1-InstructionsandGeneralConditions(continued)

1.9 Evaluation

1.9.1 EvaluationCriteria1.9.2 EvaluationofSubcontractors1.9.3 Presentationand/orAdditionalInformation1.9.4 Negotiations

1.10 Award

1.11 Advertising

1.12 RFPSchedule

1.13 TradeSecretConfidentialityandMaineFreedomofAccessAct

1.14 FederalTaxes

1.15 StateSales Tax

1.16 ResponsibilityofCompliancewithLegalRequirements

1.17 Indemnity

1.18 Insurance

1.18.1 InsuranceCompanyRequirements1.18.2 CertificatesandNoticeofCancellation1.18.3 Workers’CompensationandEmployers’LiabilityInsurance1.18.4 CommercialGeneralLiability1.18.5 AutomobileLiabilityInsurance1.18.6 ProfessionalLiabilityInsurance1.18.7 UmbrellaLiabilityInsurance

1.19 Addendum

1.20 CompliancewithRFPRequirements

1.21 RighttoRejectProposals


Section2-StatementofServiceRequirementsandSpecialConditions

2.1 IntroductionandBackground

2.2 Intent

2.3 ScopeofWorkandService

2.4 Personnel

2.4.1 EmploymentApproval2.4.2 Background Investigation2.4.3 CompliancewithApplicableLaws,RegulationsandStandards2.4.4 JobDescription

2.5 DelineationofSecurityResponsibilities

2.6 HealthCareServiceRequirements

2.6.1 GeneralHealthCareServiceRequirements2.6.2 ExceptionstoTreatment2.6.3 ReceivingScreening2.6 4ComprehensiveHealth Assessment2.6.5 MedicalHealthCare Services2.6.6 MentalHealthCare Services2.6.7 DentalServices2.6.8 PharmaceuticalServices2.6.9 ConsultationServices2.6.10 TrainingbyContractorforFacilityStaffandInmates2.6.11 WasteManagement2.6.12 Staffing

2.7 PoliciesandProcedures

2.8 KCCFRequirements

2.8.1 BuildingandEquipment2.8.2 Pre-ContractInventory

2.9 ReportsProvidedtoKCCFbyContractor


Section2-StatementofServiceRequirementsandSpecialConditions(continued)

2.10 QualityAssurance

2.11 ContractorCompensation

2.11.1 BaseCompensation2.11.2 ThirdPartyReimbursement

2.12 HealthCareCost Control

Section3-ProposalPreparationInstructions,Format,andForm

3.1 ProposalPreparationInstructions

3.2 ProposalFormat

3.3 ProposalForm


RFPSCHEDULE

RFPPublication November18,2020

INTENTIONALLYLEFTBLANK

DeadlineforCounty’sreceiptofQuestionsfromBidders

December2,2020

DeadlineforReceiptofProposals December18,2020

INTENTIONALLYLEFTBLANK

RecommendationDecision December28,2020

AwardofContract-BoardofCommissionersMeeting

January12,2021

BeginService March1,2021

• Note:DatesandtimesofthisscheduleareaccurateatthetimeofRFPrelease.Datesaresubjecttochange.


SECTION1-INSTRUCTIONSANDGENERALCONDITIONS

Purpose1.1.1 TheCountyofKennebecisrequestingproposalsfromorganizationsthatarequalified

toprovideinmatehealthcareandtooperateandmanagetheinmatehealthcareprogramattheKennebecCountyJail.ThisRequestforProposals(RFP)containsthekeyquestionsandinformationrequirementsforrespondentstoaddress.Submissionsmustfullyaddressallitems.ItistheintentoftheRFPprocesstoreceiveproposalspreparedinaccordancewiththisRFPandconsistentwiththescopeofservicesrequired.

1.1.2 InnovativeideasformanagementofKennebecCountyinmatehealthcareserviceswill

bewelcomed.KCCFanticipatesreceivingallproposalsandthennegotiatingamanagementagreementwithoneBidder.ProposalswillbeevaluatedbasedonthecriteriaestablishedwithintheRFP.KCCFreservestherighttonegotiateanyandallfeesandcontractualtermsuponselectionofthepreferredContractor.Itisanticipatedthatthecontracttermwillbeforaperiodoftwo(2)years,withapossibleoptiontorenewthecontractforuptotwoadditionaltwo-yearterms.

1.1.3 TheCountyofKennebecreservestherighttorejectanyorallproposals.

Definitions:InthisRFP,thefollowingtermswillhavethemeaningssetforthbelow:

1.2.1 “ACA”meansAmericanCorrectionalAssociation.

1.2.2 “Bidder”/“Contractor”meanstheperson,firm,corporation,orotherentityrespondingtothisRFPandsubmittingaproposal.Theterms“Bidder”and“Contractor”maybeusedinterchangeablyinthisRFP.

1.2.3 “ClosingTime”meanstheclosingdate,time,andplaceassetoutonthetitlepageof

thisRFP.

1.2.4 “Contract”meanstheexecutedagreementbetweentheKennebecCountyJailandtheContractoronthetermsandconditionssetoutintheContractDocuments

1.2.5 “ContractDocuments”meanstheContract,theContractor’sProposalDocuments,the

RFPandsuchotherdocumentsaslistedintheContract.


1.2.6 “Contractor”meansthesuccessfulBidderwhoentersintoacontractwiththeCountytoprovidetheServicespursuanttothisRFP.

1.2.7 “County”,“CountyofKennebec,”or“KennebecCounty”meansCountyofKennebec,

apoliticalsubdivisionoftheStateofMaine,havingaplaceofbusinessat115StateSt,Augusta,Maine.

1.2.8 “Facility’sDesignatedRepresentative”meansemployeesorrepresentativeswhoare

authorized inwriting todealwith theContractoronbehalf of KCCF in connectionwiththegoodsandservicesortomakedecisionsinconnectionwiththeContract.

1.2.9 “HealthCareDeliverySystem”meansmedical,mentalhealth,substanceabuse,and

dentalservices.

1.2.10 “KCCF”meansKennebecCountyCorrectionalFacility.

1.2.11 “KCCFAuthorizedRepresentative”meansemployeesorrepresentativeswhoareauthorizedtodealwiththebidder/contractoronbehalfofKCCFinconnectionwiththegoodsandservicescontemplatedbythisRFPandanyresultingcontract,ortomakedecisionsinconnectionwiththecontract.

1.2.12 “NCCHC”meansNationalCommissiononCorrectionalHealthCare.

1.2.13 “Proposal”meanstheproposalwithallaccompanyingschedules,appendicesor

addendasubmittedbytheBidderinresponsetotheRFP.

1.2.14 “ProposalSubmissionForms”meanstheProposalsummaryandrequiredinformation,completedinaccordancewithSection3-ProposalSubmissionInstructions,Format,andForms.

1.2.15 “RFP”meansthisRequestforProposalconsistingofallpapersboundwithorattached

tothisdocument.Thesemayincludebutnotbelimitedto:Addenda(orAddendumifsingular)issuedduringRFPprocess;Section1-InstructionsandGeneralConditions;Section2-StatementofRequirementsandSpecialConditions;Section3-SubmissionInstructions,Format,andForms.

1.2.16 “Requirements”or“Services”meansallspecificationsandrequirementssetoutinany

sectionintheRFPthatdescribesthegeneralrequirementsthattheservices,goods,materials,orequipmentmustmeetandthesuccessfulBiddermustprovide.

1.2.17 “SpecialConditions”meansthespecialconditions,ifany,setoutintheRFP,and

elsewhereintheContract.


1.2.18 “Subcontractors”meanssubcontractors,agentsorthirdpartiesengagedbytheBidderinconnectionwithprovidingorsupplyingtheservices,goods,materials,orequipment.

1.2.19 “ContractMonitor”meansKCCFmaydesignateaCorrectionalHealthCareMonitor

whowillbeitsrepresentativeandwhoshallrequiretheContractortomeetallcontractrequirements;monitorContractorscomplianceandanycorrectiveactiontoresolveareasofnon-complianceordeficiencies;recommendanyactionsKCCFshouldtakebasedonnon-complianceandtofacilitatedisputeresolution.

DocumentsDocumentspertinenttotheRFPandallpapersboundwithorattachedtothisRFPandasdescribedintheTableofContentsarenecessarypartsoftheRFP.BiddersmustsubmittheirProposalsusingtheformatandformsdescribedinSection3-ProposalSubmissionInstructions,Format,andForms.

ReceiptofProposal1.4.1 ProposalswillbereceiveduptotheClosingTime.TheProposalandrequirednumber

ofcopies(inaccordancewithSection3)shallbesubmittedinasealedenvelopeorpackage,markedwiththeBidder’snameandtheRFPtitleandnumber,bythedateandtimeshownonthetitlepageofthisRFP.AnyproposalsreceivedafterthescheduledclosingtimeforthereceiptofproposalswillnotbeconsideredandwillbereturnedtotheBidder,unopened.

1.4.2 Biddersmaywithdrawand/orresubmittheirproposalatanytimepriortotheclosing

timeforreceiptofproposals.Proposalsmaybewithdrawnafterthescheduledclosingtimeforreceiptofproposal,butneworamendedproposalsmaynotbesubmittedaftertheclosingtime.

1.4.3 IfalternativeProposalsareoffered,theProposalsshallbesubmittedseparatelyinthe

sameformatastheinitialProposal.

1.4.4 AnydeviationsfromtherequirementsortheconditionsspecifiedinthisRFPmustbeclearlystatedandjustifiedwithathoroughexplanationintheBidder’sProposal.Countywillbethesolejudgeastowhatconstitutesanacceptabledeviation.IfnodeviationsareindicatedintheProposal,CountyexpectstheBiddertobeinfullcomplianceoftherequirementsandconditionsasstatedherein.

1.4.5 AProposalwhich:

Containsanerror,omission,ormisstatement


ContainsqualifyingconditionsDoesnotfullyaddressalltherequirementsofthisRFP

OtherwisefailstoconformtothisRFP;mayberejectedinwholeorinpart.Countymaywaiveanynon-compliancewiththeRFP,specifications,oranyconditionsincludingthetimingofdeliveryofanythingrequiredbytheRFP.CountymayatitssolediscretionelecttoretainforconsiderationProposalswhicharenon-conforming,whichdonotcontainthecontentorformrequiredbytheRFPorbecausetheyhavenotcompliedwiththeprocessforsubmissionsetoutherein.

1.4.6 AllcostsforthepreparationofProposalswillbebornesolelybytheBidders.

UnacceptableProposals1.5.1 ProposalsreceivedaftertheClosingTimeorinlocationsotherthantheaddress

indicated,willnotbeacceptedandwillbereturnedunopened.Unacceptableproposalswhichareopenedinerrorwillnotbeconsidered.

1.5.2 Biddersarecautionedtocarefullyreadandfollowtheinstructionsstatedhereinas

CountyreservestherighttodisqualifyanyProposalthatfailstomeetanyoftheRequirementsofthisRFP.

1.5.3 CountyreservestherighttorejectanyorallProposalsatanytimewithoutfurther

explanationortoacceptanyproposalconsideredadvantageoustoCounty/KCCF.

Pre-QualificationCriteria1.6.1 BidderMinimumRequirements.ThissectionhighlightstheBidder’scriticalminimum

requirementstobidonthisRFP.TheCountymay,initssolediscretion,waiveoneormoreoftheserequirementsuponreceiptofawrittenstatementfrombidder,receivedwiththebid,explainingitsinabilitytomeetsuchrequirements.

TheBiddermustsubmitawrittencertificationstatementthatitisfinanciallystable.ThiscertificationmustincludeacopyoftheBidder’smostrecentannualreportwithafinancialstatement.

TheBidder’schieffinancialofficer,accountingfirm,orauditormustalsoattesttothefactsinthecertificationstatementontheappropriateletterhead.TheBiddermustprovideidenticalinformationforallproposedsubcontractorsitintendstoincludeinthisRFP.

TheBiddermust,ataminimum,havefiveyears’experienceprovidingtheservicesdetailedinthespecificationstoaninmatepatientpopulationinacorrectionalsetting.


1.6.2 MinimumEvaluationCriteria.Biddersareherebynotifiedthattheminimumevaluationcriteriaoutlinedbelowshallbeusedtodeterminetheminimumstandards


ofacceptabilityofeachproposalsubmitted.A“no”responsetoanyofthequestionsbelowmay,inCounty’ssolediscretion,automaticallydisqualifyaproposalfromfurtherconsideration.

Doesthebidderhaveaminimumfiveyears’experiencedeliveringtheservicesdetailedinthespecificationstoaninmatepatientpopulationinacorrectionalsetting?

DoestheBidderhaveexperienceprovidingmedicalservicestofemaleinmatesorpatients?HastheBidderprovidedthesemedicalservicesforacombinedinmateorpatientpopulationofatleastonehundredandsixty-sixinmatesorpatientswithinasinglefacility?

d.IstheBidderqualifiedtodiagnoseandassesspatientsforopioidusedisorderandisBidderqualifiedtodevelop,administer,andotherwiseparticipateinMedicationAssistedTreatmentprogramsforinmatesdiagnosedwithopioidusedisorder?WillallcontractorpersonnelandsubcontractorpersonnelbetrainedandincompliancewiththePrisonRapeEliminationAct(PREA)standardsandguidelines?

DoestheBidderagreetoadheretothepoliciesandproceduresofKCCF?

1.6.3 References.Biddershallsubmitalistofnofewerthanthreebusinessreferences,atleasttwoofwhicharejailsordetentionfacilitieswithaveragedailyinmatepopulationsofnofewerthanonehundredandfifty.Eachreferencemustinclude:referencename,title,companyname,address,andtelephonenumber,andadescriptionoftheinstitutionincludingtherelativesize.

Countyintendstocallaminimumofthreereferences.Thiswillincludeabasictelephoneinterview.AdditionalquestionswillbeaskedofthereferencebasedontheBidder’sRFPresponseandtheanswersofferedbythereference.ItistheBidder’sresponsibilitytoensurethatanyreferenceprovidedinitsresponsebeawarethattheymaybecontactedbyCountyregardingtheservicesprovidedbytheBidder.AllreferencereviewsaredoneinaprofessionalandtimelymannertominimizethedemandsontheBidderreferencecontacts.However,referencecontactswhichrefusetodiscusstheBidder,ortheRFPprovidedbytheBidder,willresultinanegativeratingfortheBidderforthatreference.CountyisnotresponsiblefornegotiatingaresponsefromareferenceprovidedbyaBidderandwillnotacceptsuchreferenceresponsesas“Wearenotallowedtodiscussthat,”“Wedonothavetimetodiscussthis,”etc.TheBiddermustprovideanauthorizedprimaryandsecondarycontactnameforeachreferencesubmitted.ThiswillallowCountytocompleteanyreviewsinatimelymanner.

1.6.4 Biddershallalsosubmitacurrentlyvalued,three(3)yearslossrunrelativetothe

MedicalProfessionalLiabilityClaimsfortheBidder.


InquiriesandClarifications1.7.1 Therewillnotbeapre-bidmeetingortour.However,ifabidderdesiresan

opportunitytovisittheKCCF,arrangementsmaybemadebycontactingLt.BryanSlaneyat207-512-0944orbsslaney@kennebecso.com.

1.7.2ItistheresponsibilityoftheBiddertothoroughlyexaminethesedocumentsandsatisfyitselfastothefullrequirementsofthisRFP.Inquiriesorquestionsaretobeinwrittenformonlyande-mailedtothecontactpersonsshownbelowin1.7.5.Inquiriesmaybemadeupto3:00p.m.E.T.,December2,2020.Ifrequired,anaddendumwillbeissuedtoallBidders.

1.7.3CountymayissueawrittenaddendumuptofiveworkingdayspriortotheClosing

TimeandwillmakeeveryefforttoensurethatallBiddersreceivealladdenda.However,itistheresponsibilityoftheBiddertoensureitreceivesalladdendabeforetheClosingTime.

1.7.4Countyshallnotbeboundbyoralorotherinformation,explanations,or

clarificationsnotconfirmedbywrittenaddendum.

1.7.5AllquestionsmustbesubmittedtotheattentionofLt.BryanSlaneysentviae-mailto:[email protected].

1.8ContractRequirements1.8.1 ThesuccessfulBidderwillberequiredtoenterintoacontractnolaterthanthirty(30)

workingdaysafterdeliveryoftheContracttothesuccessfulBidderbyCounty/KCCF,unlessanextensionismutuallyagreedupon.ThecontractmaycontaintermsandconditionsnotincludedinthisRFP.Bidder/Contractorisexpectedtocomplywithsuchadditionaltermsandconditionsasmaybeincludedinthecontract.

1.8.2 Thecontractperiodshallbefortwo(2)yearsfromMarch1,2021.The

officialstartdateshallbedocumentedbyaletterofagreementbetweenCounty/KCCFandtheContractorbutisanticipatedtobeMarch1,2021.AttheoptionofCounty,thecontractmayberenewedfortwoadditionaltwo(2)yearperiods.

1.8.3IfanyofthetermssetouthereinareunacceptabletotheBidder,theBiddermustidentifysuchtermsandprovidesuggestedalternativesinitsProposal.Countyisnotobligatedtoacceptorconsideranyalternatives.CountywillnotbeobligatedinanymannertoanyBidderwhatsoeveruntiltheContractisfullyexecuted.

1.8.4IfthesuccessfulBidderfailstoexecuteandreturntheContracttoCountywithinthirty


(30)days,CountymayceasealldiscussionsandhavenoobligationtotheBidder.Countymay,ifitchoosestodoso,awardtheContracttoanotherBidder,allwithoutaffectinganyclaimwhichtheCountymayhaveagainsttheBidderasaresultthereof.

1.8.5AwardofthecontractconfersnolegalorotherrightsonBidder/ContractoruntilsuchtimeasawrittencontractissignedbyallpartiesandKennebecCountyJail.

Evaluation

1.9.1 EvaluationCriteria:CountywillevaluatetheproposalsreceivedonthebasisoftheoverallbestvaluetoCountyandanycriteriasetouthereinbasedsolelyonKCCF’sassessmentoftheProposalincludingbutnotlimitedto:

Thoroughnessandcompletenessofproposal;responsivenesstoRFPrequirements.

Demonstratedunderstandingoftheproblemsandneedspresentedbytheproject.SoundnessofBidder’sapproachtotheproblemsandneedspresentedbytheprojectincludingBidder’smethodologyforachievingspecifictasksandobjectives.References(see§1.6.3,above).

Qualificationsofprojectpersonnel,Bidder’sabilitytocommitcapablestaffandsupportaprojectofthissizeandproposedstaffingpattern.ThisMUSTincludeanyinformationavailabletothepublicconcerningadverseorconsentagreementsreachedbetweenprojectpersonnelandregulatoryorlicensingboard(s)havingjurisdictionovertheirprofessionallicense.Besteconomicofferforthesite;costeffectivenessandreasonablenessofBidder’sproposedfees.(NOTE:ThisinnowayimpliestheBidderwiththelowestpriceproposal.)

ExperienceachievingandmaintainingbothNCCHCandACAStandards..Abilitytorecruitpersonnelandmaintainasupplyofqualifiedapplicantsfor

requiredpositions. Bidder’sfinancialstabilityasindicatedbyfinancialdocumentsrequiredtobeprovidedwiththeRFP

AnyothercriteriaKCCF,initssolediscretion,deemsnecessarytoevaluatetheBidder’soffer.

1.9.2 EvaluationofSubcontractors:AllsubcontractorsoftheBidderwillbesubjecttothe

sameevaluationprocess,ataminimum.ItistheresponsibilityoftheBiddertoguaranteethatallsubcontractorswillcomplywithalltherequirements,termsandconditionssetoutintheRFPdocument.

1.9.3 Presentationand/orAdditionalInformation:Aftertheproposalopening,BiddersmayberequiredtoprovideadditionalinformationasdeemednecessarybyCounty/KCCF.Anycostsincurredinprovidingpresentationorotherinformationistheresponsibility


oftheBidder.SuchpresentationsprovideanopportunityfortheBidderstoclarifytheirproposalsandtoensurethoroughmutualunderstanding.KCCFwilldetermineifthepresentationisneededandwillschedulethetimeandlocationforthepresentation.

1.9.4 Negotiations1.9.4.1 Countyreservestheright,atitssolediscretion,toenterintonegotiationswiththe

BidderorwithanyotherBiddersconcurrently.InnoeventwillCountyberequiredtoofferanymodifiedtermstoanyBidderpriortoenteringintoaContract,andCountywillnotbeliabletoanyBidderasaresultofsuchnegotiations.

1.9.4.2 Countymay,priortoandafterContractaward,negotiatechangestothe

requirements,services,specificationsoranyconditionswithanyoneormoreoftheBidders.CountymaydosowithouthavinganydutyorobligationtoadviseanyotherBidderortoallowthemtovarytheirProposalasaresultofchangestothescopeoftherequirements,services,specificationsoranyconditions.CountyshallhavenoliabilitytoanyotherBidderasaresultofsuchnegotiationsormodifications.

Award1.10.1 AcontractresultingfromthisRFPshallbeawardedtotheresponsiveandresponsible

BidderwhoseproposalisdeterminedtobemostadvantageoustoCountytakingintoconsiderationpriceandtheevaluationfactorssetforthherein.Therightisreservedtorejectanyandallproposalsreceived.CountywillbethesolejudgeastowhetheraBidder’sproposalhasorhasnotsatisfactorilymettherequirementsofthisRFP.

1.10.2 CountyisnotunderanyobligationtoawardaContractforthisRFPandreservesthe

rightatitssolediscretiontoterminateoramendthisRFPatanytime.See§1.21,below.

TheBidderacknowledgesandagreesthatCountywillnotberesponsibleforanycosts,expenses,losses,damages(includingdamagesforlossofanticipatedprofit)orliabilitiesincurredbytheBidderasaresultoforarisingoutofsubmittingaProposalfortheproposedContract,orduetoCounty’sacceptanceornon-acceptanceoftheirProposaloranycontractawardnotmadeinaccordancewiththeexpressorimpliedtermsoftheRFP.1.11AdvertisingTheawardofaContractdoesnotpermitaBiddertoadvertiseitsrelationshipwithCounty,withoutCounty’spriorwrittenauthorization.

1.12TradeSecretConfidentialityandMaineFreedomofAccessAct

Allproposalsreceivedandrecordedatthebidopeningareconsideredpublicrecordand


availableforpublicinspection.TradesecretscontainedinaproposalmaybekeptconfidentialiftheBidder,atthetimetheproposalissubmitted,designatesthesecretandrequeststhatitbekeptconfidential.ThisrightofprivacywillbeconstruedasnarrowlyaspossibletoprotecttheinterestsoftheBidderwhileattemptingtomaximizetheavailabilityofinformationtothepublic.AllproposalsandinformationsubmittedinresponsetothisRFParesubjecttotheMaineFreedomofAccessActregardingpublicaccesstorecords.AnystatementsreservingorattemptingtoreserveanyconfidentialityorprivacyrightsinsubmittedproposalsorotherwiseinconsistentwiththeMaineFreedomofAccessActwillbevoidanddisregarded.

1.13FederalTaxes

KennebecCountyisexemptfromandwillnotpayFederalExciseTaxesorTransportationTaxes. 1.14StatesSalesTax

IfBidderisrequiredtochargestatesalestaxonBidder'ssales,Biddershallnotincludeitaspartoftheproposalprice.KCCFwillpaystatesalestaxoverandaboveproposalpriceswheninvoiced,ifsorequired.Biddersshouldindicateintheirproposalwhichcostitemsareormaybesubjecttostatesalestax.

1.15.ResponsibilityofCompliancewithLegalRequirementsTheBiddershallbeinfullcompliancewithanyandallapplicablefederal,state,local,environmentalandsafetylaws,regulations,ordinancesandstandards,theMaineDepartmentofCorrectionsStandards,allapplicablestateCodes,andACAand/orNCCHCstandards.

1.16Defense,Indemnification,andAgreementtoHoldHarmless

TheContractbetweenCountyandthesuccessfulBiddershallincludethefollowingorequivalentlanguage:

“1.16.1Definitions

ForpurposesoftheindemnificationprovisionsofthisAgreement,thefollowingdefinitionsapply:

1.16.2 “Arisefrom”meansdirectlyorindirectly,inwholeorinpart,(i)toincurinconnectionwithorasaresultof,(ii)tocauseor(iii)toresultin.1.16.3 “Claims”meansallforeseeableandunforeseeabledamages(includingactual,incidental,direct,indirect,consequential,special,exemplaryandpunitive),losses,injuries,penalties,disbursements,claims,costs,charges,assessments,expenses(includingLegalCosts),demands,litigation,settlementpayments,lawsuits,legalproceedings,actions,causesofaction(whetherintort,contract,orstrictliabilityandwhetherinlaw,equity,statutory,orotherwise),liabilities,sanctions,orjudgments.1.16.4 “Defend”meanstoopposeonbehalfofanotherpartyactualorpotentialClaimsinlitigation,arbitration,mediation,anyalternativedisputeresolutionmethod,actions,orother


proceedingswithcounselacceptabletothepartybeingdefendedandtopayallLegalCostsassociatedwiththepreparationandprosecutionofthedefense.1.16.5 “IndemnifiedPersons”meansKennebecCounty,anditsdepartments,electedofficials,officers,employees,attorneysandagents.1.16.6 “Indemnify”meanstoprotectandholdapartyharmlessfromandagainstactualorpotentialClaimsand/ortocompensateapartyforactualorpotentialClaims.1.16.7 “Injury”means(i)anyharmordamageto,orimpairmentof,theftof,lossof,orlossofuseof,anyproperty,(ii)anybodilyharmorpersonalinjury(includingsicknessordisease)to,ordeathof,anyperson,(iii)lostincomeorprofits,(iv)anyeconomicloss,(v)anyinjury,damage,harmorlossarisingoutoforinanymannerconnectedwithContractor’sperformanceofitsobligationsinthisAgreement,or(vi)anyotherinjury,damage,orharm,arisingorclaimedtoarisefromthisAgreement,includinganybreachofthisAgreement;theperformanceofobligationsunderthisAgreement;anyactualorallegedfailurebyKennebecCountyorothers,includingContractor,toprovidetoanypersonanyoradequatewarningsorinstructions;anyactualorallegedviolationbyKennebecCountyorothers,includingContractor,oranylaw,statute,ordinance,order,ruleorregulation,including,withoutlimitation,anyenvironmentallaw;anyact,activity,oromissionofKennebecCountyorothers,orContractororothers,including,butnotlimitedto,activitiesonKennebecCounty’spremisesorelsewhere;anyaction,involvinganytheoryoflaworequity,thatContractor’semployees,contractors,agents,orotherpersonforwhomContractorisresponsiblemightassertagainstKennebecCounty;oranyactualorallegedusebyKennebecCountyorothers,includingContractor,ofanyvehicle,equipment,supplies,fixtures,ormaterials.1.16.8 “LegalCosts”meanscourtcosts,attorney’sfees,expert’sfees,andanyotherexpensesincurredininvestigating,preparingandprosecutingthedefenseof,orsettlinganyClaim’sincome,anylegalorequitableaction,includinglitigation,arbitration,mediation,anyalternativedisputeresolutionmethod,action,orotherproceedings.1.16.9 “Waive”meanstorelinquishknowinglyandvoluntarilyarightand/ortoreleaseanotherpartyfromliability.

1.17IndemnityandWaiverContractorwaivesastoIndemnifiedPersons,andshallIndemnifyandDefendIndemnifiedPersonsfromandagainst,anyandallClaimsArising,orallegedtoArisefromInjuryconnectedwithContractor’sperformanceofitsobligationsinthisAgreement.ContractorshallpromptlynotifyKennebecCountyoftheassertion,filing,orserviceofanyclaimsagainstIndemnifiedPersons.IfKennebecCountyreceivesnoticeofclaims,KennebecCountywillprovidenoticeoftheClaimstoContractor.Uponreceiptofnotice,fromwhateversource,ofClaimsagainstIndemnifiedPersons,ContractorimmediatelyshalltakenecessaryandappropriateactiontoprotecttheIndemnifiedPersons’interestwithregardtotheClaims.Nofurthernotice,demandortendershallberequired


byCountytotriggerContractor’sobligationstodefend,indemnify,andholdharmless.Anyandallcounsel,whomContractorprovidestoDefendIndemnifiedPersonsshallaccept,andacknowledgereceiptofKennebecCounty’sguidelinesandrequirements,andthoseoftheMaineCountyCommissionersAssociationSelf-FundedRiskManagementPool,andshallconducttheDefenseofIndemnifiedPersonsstrictlyinaccordancewithsaidguidelinesandrequirements.IfKennebecCounty,initssolediscretion,determinesthatthecounselisunacceptable,KennebecCountymayreplacethecounsel.Contractor,aspartofitsIndemnityobligationunderthisAgreement,shallpaytothenewcounsel,orreimbursetoKennebecCounty,anyandallfeesandexpensesastothenewcounsel,includinganyandallexpensesorcoststochangecounsel.KennebecCountyshall,atalltimes,havetherighttodirectthedefenseof,andtoacceptorrejectanyoffertosettleanyClaimsagainstIndemnifiedPersons.EachPartytothisAgreementisliableonlyforthoseactsoromissionsofitsemployees,agents,ordelegates.NofurtherreliefshallbesoughtfromonePartytotheotherforactsoromissionsofothersnotactuallyrelatedtosuchPartiesobligationsunderthisAgreement.1.17.1 ScopeofIndemnity,ObligationtoDefend,andWaiversAllIndemnities,WaiversandobligationstoDefendinthisAgreementareandshallbe(i)independentof,andwillnotbelimitedby,eachotheroranyinsuranceobligationsinthisAgreement(whetherornotcompliedwith)ordamagesorbenefitspayableunderworkers’compensationorotherstatutes,and(ii)willsurvivetheterminationofthisAgreementuntilallclaimsagainstIndemnifiedPersonsarefullyandfinallybarredbyapplicablelaw.TheIndemnityWaiver,andobligationtodefendprovisionsinthisAgreementshallincludeallapplicablelawaffectingthevalidityandenforceabilityofthoseprovisions,andtheapplicablelawwilloperatetoamendthoseprovisionstotheminimumextentnecessarytobringtheprovisionsintoconformitywiththeapplicablelaw.Theprovisions,asmodified,shallcontinueinfullforceandeffect.ALLINDEMNITIES,WAIVERS,ANDOBLIGATIONSTODEFENDINSECTION___OFTHISAGREEMENTSHALLBEENFORCEDTOTHEINDEMNIFIEDPERSONS’BENEFIT,REGARDLESSOFTHECAUSE(S)ORALLEGEDCAUSE(S)OFTHECLAIMS,REGARDLESSOFWHETHERTHECLAIMSAREGROUNDLESS,FRAUDULENT,ORFALSE,ANDREGARDLESSOFWHETHERTHECLAIMSARECAUSEDORALLEGEDTOBECAUSEDBYANYOFTHEINDEMNIFIEDPERSONS’ACTAREOFAPASSIVENEGLIGENCE,BYTHESOLE,JOINT,CONCURRENT,ORCOMPARATIVENEGLIGENTORFAULTOFANYINDEMNIFIEDPERSONANDCONTRACTORORANYOTHERPERSON,BYANYINDEMNIFIEDPERSON’SSTRICTLIABILITY,BYANYINDEMNIFIEDPERSONS’INTENTIONALACT,ORBYANYINDEMNIFIEDPERSON’SWILLFULNESSCONDUCTORGROSSNEGLIGENCE.”Bidder/Contractor’sobligationtodefend,indemnifyandholdharmlessmaybedescribedingreaterdetailinthecontractbetweenCountyandBidder/Contractor.

1.18 Insurance


1.18.1 InsuranceRequirements

ContractorandallitssubcontractorsshallmaintaininsurancefromcompanieslicensedtowritebusinessinMaine,withanA.M.Bestratingof“A”orhigher,andacceptabletoKennebecCounty,ofthekindsandminimumamountsspecifiedbelow.TheinsurancerequirementswillbesetforthingreaterdetailintheContractbetweenCountyandthesuccessfulbidder.CountyshallbelistedasanadditionalnamedinsuredoneachoftheinsurancepoliciesprocuredbytheContractorasrequiredherein.

1.18.2 CertificatesandNoticeofCancellation

Beforecommencingworkunderthisagreement,ContractorandallitssubcontractorsshallfurnishCountywithcertificatesofallinsurancerequiredbelow.Certificatesshallindicatethetype;amount,classofoperationscovered,effectivedateandexpirationdateofallpolicies,andshallcontainthefollowingstatement:“Theinsurancecoveredbythiscertificatewillnotbecanceledormateriallyaltered,exceptafter(30)day’swrittennoticehasbeenreceivedbyKennebecCounty."CertificatesofInsuranceshallfurthershowtheCounty’sstatusasanadditionalinsured.Contractorshallauthorizeitsinsuranceagent,brokerand/orcarriersinwriting,tofurnishCountywithcompleteinformationregardingthecoveragesrequiredherein,includingpremiumsorassessmentscharged,copiesofcoverageforms,declarationspages,andanycorrespondenceorcommunicationsbetweenContractoranditsagents,brokers,and/orcarriersrelatingtosaidinsurance.ContractorshallprovidetheCertificatesofInsuranceandwrittenauthorizationstoCounty.

1.18.3 Workers’CompensationandEmployers’LiabilityInsurance

CoveringalltheContractor'sanditssubcontractors’employeesengagedintheworkunderthiscontract,providingtherequiredstatutorybenefitsunderMainestateworkers’compensationlaw,andemployers’liabilityinsuranceprovidinglimitsatleastintheamountof$100,000.00and$500,000.00applicabletoclaimsduetobodilyinjurybyaccidentordisease.

1.18.4 CommercialGeneralLiabilityIncludingcoverageforindependentcontractoroperations,contractualliabilityassumedundertheprovisionsofthiscontract,products/completedoperationsliabilityandbroadformpropertydamageliabilityinsurancecoverage.Thepolicyshallprovide


liabilitylimitsatleastintheamountof$1,000,000.00peroccurrence,and5,000,000.00aggregate,applicabletoclaimsduetobodilyinjuryand/orpropertydamage.Countyshallbenamedasadditionalinsuredunderthispolicy.

1.18.5 AutomobileLiabilityInsurance

Coveringallowned,non-ownedandhiredvehicles,providingliabilitylimitsatleastintheamountof$1,000,000peroccurrencecombinedsinglelimitsapplicabletoclaimsduetobodilyinjuryand/orpropertydamage.

1.18.6 ProfessionalLiabilityInsuranceTheContractorandallitssubcontractorswillberequiredtoprocureandmaintainProfessionalLiabilityInsuranceprovidingliabilityinsurancelimitsat$2,000,000.00peroccurrenceandatotalpolicynolessthanintheamountof$3,000,000.00TheContractorwillberequiredtomaintainthiscoverageforaperiodofatleastsix(6)yearsbeyondsubstantialcompletionofthecontract.ThiscoveragemustextendtoallofContractors’andsubcontractors’employees.

1.18.7 UmbrellaLiabilityInsurance

ProvidingcoverageasexcessabovetheunderlyingCommercialGeneralLiabilityInsurance,AutomobileLiabilityInsurance,andEmployersLiabilityInsurancepoliciesrequiredbythisContract.Thiscoverageshallprovideexcessliabilitylimitsatleastintheamountof$2,000,000peroccurrence,combinedsinglelimits,applicabletoclaimsarisingfrombodilyinjury,personalinjuryand/orpropertydamage.ThepartiesnamedasadditionalinsuredsundertheprimaryunderlyingpoliciesaretobeincludedasadditionalinsuredsundertheUmbrellaLiabilityInsurancecoverage.

Addendum

TheRFPpackageconstitutestheentiresetofRFPinstructionstotheBidder.Countyshallnotberesponsibleforanyotherinstructions,verbalorwritten,madebyanyone.AnychangestothespecificationswillbeintheformofAddendumprovidedtoallBidderswhoarelistedashavingattendedanypre-bidconference.

CompliancewithRFPRequirementsFailuretocomplywiththeseprovisionsmayresultinrejectionofproposal,inthesolediscretionoftheCounty.

1.21RighttoRejectProposalsCountyreservestherighttorejectanyorallproposalsinpartorinwhole.

1.22.1CountymayrequireContractortofurnishaperformancebondintheamountof$150,000.00


conditioneduponthefaithfulperformanceofthecontractinaccordancewiththeplans,specifications,andconditionsofthecontract.SuchbondshallbesolelyfortheprotectionofCounty.1.22.2Thisbond,ifrequiredbyCounty,shallremainineffectforatleastoneyearafterthedateonwhichthiscontract,includinganyextensionsorrenewalshereof,isfinallyterminatedandceasestobeeffective.TheperformancebondshallbeexecutedbyoneormoresuretycompanieslegallyauthorizedtodobusinessintheStateofMaineandshallbecomeeffectiveupontheexecutionofthecontract.1.22.3TheContractorshallprovidetheaboveperformancebondwhereinSuretywaivesnoticeofanyandallmodifications,omissions,additions,changesinadvancepaymentsordeferredpayments,inoraboutthecontract,andagreesthattheobligationsundertakenbythebondshallnotbeimpairedinanymannerbyreasonofanysuchmodifications,omissions,additions,changes,andadvancepaymentsordeferredpayments.1.22.4Thesuretybondmustsetforthnorequirementthatsuitbeinitiatedpriortothetimestipulatedintheapplicablestatutesoflimitations.


SECTION2-STATEMENTOFSERVICEREQUIREMENTSANDSPECIALCONDITIONS

IntroductionandBackgroundThebidisforhealthcareandrelatedservicesthatwillbeprovidedintheKennebecCountyJailinAugusta,Maine.

IntentItistheintentofCounty/KCCFtosolicitproposalsforaHealthServicesProgramatKCCFandselectaBidderwhichbestsatisfiestherequirementsforinmatehealthcare.ItisemphasizedthattheselectionofaninmatehealthcareContractorultimatelyresideswiththeKennebecCountyBoardofCommissioners.

ScopeofWorkandService2.3.1 TheBiddershallberesponsibleforeveryfacetofthehealthcaredeliverysystemat

KCCFandshallconductsaidprograminfullcomplianceandinaccordancewithrecognizedstandards,laws,ordinances,rulesandregulationsoffederal,state,andlocalauthoritiesthatmaybeapplicable.Ataminimum,ContractormustguaranteemaintenanceofMaineDepartmentofCorrectionsMedicalStandardsandfollowNCCHCstandardsforadultfacilitiesandACA4theditionstandardsforadultlocaldetentionfacilities.TheresponsibilityforprovidinghealthcarecommenceswiththecommitmentofaninmatetothecustodyofKCCFandendswiththedischargeoftheinmate.

2.3.2 Thehealthcaredeliverysystemmustconformtostatestandardsformedicalservices.

2.3.3 ThesuccessfulBidderwillberequiredtodeliverqualityhealthcarethatcanbe

auditedagainstestablishedstandards,inacost-effectivemanner,withfullreportingandaccountabilitytoCounty/KCCF.

2.3.4 TheBidderwillimplementawrittenhealthcareplanwithclearobjectives,policies,

procedures,andanannualevaluationofcompliance.

2.3.5 TheBidderwillensurethatappropriatestaffisavailabletoprovidethehealthcareservicesasdefinedinthisproposal.Bidder’sproposalmustincludethefollowingcriteriaforstaffing:

a. MaintainanopenandcooperativerelationshipwiththeadministrationandstaffofKCCF

b. Maintaincompleteandaccuraterecordsofcareandcollectandanalyzehealthstatisticsonaregularbasis


c. Operatethehealthcareprograminahumanemannerwithrespecttotheinmate’srighttobasichealthcareservicesandconfidentiality

d. Meetallstateandfederalstatutoryandconstitutionalstandardsandrequirements.

FullstaffingforKCCF,usingonlylicensedandprofessionallytrainedpersonneltoprovidehealthcarecoverageforthefollowingoptionsshallinclude:

2.3.5.1 NursingCoverage:

ProvideRNandLPNstaffwithappropriatesupervisiontoconductintake,dailynurse’ssickcall,reviewandtriageofmedicalrequests,diabeticcall,detoxprotocolconductmedicationadministration(see2.3.5.2below),andperformotherfunctionsrequiredbythecontract.Nursingcoverageshallbetwenty-four(24)hoursperday,seven(7)daysperweek.

2.3.5.2 MedicationAdministration:

a. MedicationsaretobeadministeredtotheinmatepopulationbynursingpersonnelorforuniquerequirementsmaybeKeptonPerson(KOP)bytheinmatesdependingonthemedicationinvolvedandtheassignedhousingunit.Nocontrolledsubstances,TB,HIVorpsychoactivemedicationsshallbeKOPbutratherbeadministeredonadose-by-dosebasisbylicensednursingstaff.

b. MedicationdistributiontoinmateswillbeprovidedwithinthescopeofMainestatelawandMaineDOCJailStandards.Qualityreviewauditswillbeperformedmonthly.

c. MedicationshallbedistributedinaccordancewithanyprotocolsestablishedbytheCountyasrequiredforsecuritypurposes.

2.3.5.3 MedicalSickCall:

AqualifiedMedicalProvider(physicianoraphysician’sassistant)willbeonsitetoprovideSickCallasreasonablyrequiredbytheneedsofKCCF,butinnoeventlessthantenhoursperweek.TheContractorshallestablishasystemtorespondtoinmaterequestsformedical,dentalormentalhealthservices.Individualsshallbeseenbytheappropriatelevelofhealthcareteammemberformedicalrequestswithinmedicallyreasonabletimeframes,orasprescribedbyNCCHCandACA,whicheverissooner.Dentalcomplaintsmaybescreenedbyahygienistornursingstaffifthedentisttrainsthestaffappropriately.Apsychiatricsocialworkershallscreenallmentalhealthrequestsincludingthoserequestingtobeseenbythepsychiatrist.Thelevelofproviderseenshallbeestablishedthroughthetriageprocessbynursingstaff.AqualifiedMedicalProvider(Physician,NursePractitioneroraPhysicianAssistantwithappropriatesupervision)willbeonsitetoprovidesickcalltwodaysperweek.Actualsickcallencountersshallbeconductedbynursingorphysicianstaffformedicalcomplaints,nursingordentalstafffordentalcomplaintsandaQualifiedMentalHealthProfessionalformentalhealthissues.Nursesickcall


shallbeavailableonsitedaily,includingweekendsandholidays.Providersickcallshallbeconductednotlessthantwodaysperweek.Itisexpectedthatthephysicianorphysician’sassistantwillremainonsiteforasufficientperiodoftimetocompletetheassessmentand/ortreatmentofallinmateswhoarescheduledtobeseenonagivenday.Itisexpectedthatmedicalsickcallwillbescheduledinadvanceandthattherewillbenochangestothescheduledmedicalsickcallunlessnecessitatedbyemergencycircumstances.Anychangeinthemedicalsickcallshallbeconveyedtothejailattheearliestpossibletime.TheContractorwillberesponsiblefortracking,monitoringandreportingonthestatusofrequests.

2.3.5.4 CounselingandReleasePlanning:

ALicensedSocialWorkerwillbeavailabletoprovidescreenings,referral,servicecoordination,andprereleaseplanningforinmateswithmentalillnessand/orinmateswhoneedtolinkwithhealthcareservicesinthecommunity.

2.3.5.5 HealthServicesAdministrator(HSA):TheContractor’sHealthServicesAdministratorisafull-time,on-sitehealthcareadministratorwhoshallhavethegeneralresponsibilityforsuccessfuldeliveryofhealthcarepursuanttothecontract.TheproposalshalladdresswhattheHealthCareAdministrator’sresponsibilitieswillberegardingstaffing,recruitment,in-servicetraining,policyandproceduredevelopmentandqualityassuranceprogram.TheHealthServicesAdministratorwillmeetwithJailAdministrationbi-weeklytodiscussanyinmateissuesorproblems.TheContractorshallindicatethequalificationsof,aswellastherangeandscopeoftheresponsibilitiesandactivitiesofthisposition.TheHealthCareAdministratorshallholdabaccalaureatedegreeinahealthrelatedfieldsuchaspublichealth,publicadministration,businessadministration,hospitaladministration,nursing,etc.orpossesseducationandexperiencewhichdemonstratescompetenceandsuccessinadministeringacomplexorganization,managingnumbersofpersonnelcomparabletotheKCCFhealthservicesprogram,complyingwithaccreditationstandards,anddisplayingacommitmenttocontinuousqualityimprovement,particularlyinahealthcarerelatedenvironment.

2.3.5.6 SubstanceAbuseTreatmentServices:

TheContractor’sproposalshallprovideaplanforatreatmentprogram,includingbutnotlimitedto,adetoxificationprogramfordrugand/oralcoholaddictedinmates.TheContractorwillindicatewhichdrugandalcoholassessmentinstrument(s)willbeused.ItisstronglyrecommendedthattheseinstrumentsincludeClinicalInstrumentWithdrawalAssessment–AlcoholRevised(CIWA-AR),theBenzodiazepineWithdrawalScaleforCorrections(BWS-C),andtheClinicalOpiateWithdrawalScale(COWS).WrittenprotocolandpolicieswillbeprovidedtoKCCFatthetimeofthesubmissionoftheproposal.Additionally,theContractorwill


providein-housesubstanceabusetreatmentservicesconsistentwithgenerallyacceptedmedicalprotocols.SubstanceabusetreatmentservicesasindicatedhereinshallincludeMedicationAssistedTreatmentforopioidusedisorder.Inmatesmustbeproperlydiagnosedforopioidusedisorder,andifsuchdiagnosisisrendered,mustbeassessedfortreatmentthroughaMedicationAssistedTreatmentprogrampriortoanydecisiontowithdrawanddetoxifyaninmate.a. Pregnantinmateswhoareenteringthestagesofwithdrawalshallbepromptly

triagedandevaluatedratherthanallowingthewithdrawaltomoveforward.TheContractorshallhavesystemsinplacetoidentifythepregnant,highriskinmateuponadmission,andforclinicalfollow-upduringincarcerationincludingroutineprenatalcareandmaternalcounseling.

b. Womenwhoarereceivedatthefacilityshallbequestionedduringtheintakereceivingscreeningbyhealthcarestaffregardingpotentialpregnancyandlastdateofmenstruation.Ifthereistheslightestindicationthattheindividualmaybepregnant,sheistreatedassuchuntilsheisruledoutthroughaurinepregnancytestandphysicalexamination/healthassessment.

c. TheContractorshallensureinmateshaveaccesstoachemicaldependencytreatmentprogram.Theclinicalmanagementofchemicallydependentinmatesshallinclude,ataminimum,thefollowing:

• Astandardizeddiagnosticneedsassessmentadministeredtodeterminetheextentofuse,abuse,dependency,and/orco-dependency.

• Anindividualizedtreatmentplandevelopedandimplementedbyamulti-disciplinaryclinicalteamthatincludesmedical,mentalhealth,andsubstanceabuseprofessionals.

• Pre-releaserelapse-preventioneducation,includingriskmanagement.

• Inmateinvolvementinaftercaredischargeplans.d. TheContractorshallestablishapracticefortheearlyidentification,assessment,

interventionandtreatmentofinmateswithalcoholordrugdependency.Intakehealthcarestaffconductingmentalhealthscreeningsandevaluationsatadmissionshallalsoworktoidentifyanyindividualinneedofinterventionfordrugand/oralcoholaddiction.

2.3.5.7 Behavioral/MentalHealthServices:

TheContractorwillprovidetwoqualifiedmentalhealthcareproviderswhichwillincludequalifiedandcurrentlyLicensedClinicalSocialWorkers,LCPC’s,psychiatricnurses,andpsychiatrists.Theywillberequiredtowork40hoursaweekwith7daysofcoverageprovided.


2.3.5.8 PharmaceuticalServices:

a. Allprescriptionmedicationand,wheneverpossible,nonprescriptionmedicationsshallbeinunitdoseformatandidentifiedbyinmatename,initiationandcessationdate.

b. Allunitdosemedicationsshallbeformulatedbyapharmacist.c. DistributionofmedicationshallbebyContractorstaffincompliancewithstate

standardsandthestandardsoftheACAand/orNCCHC.d. TheContractorshallmaintain,andmonitorrecordsofallmedicationsdispensed

oradministered.Furtherrequirementsaresetforthin§2.6.8,below.

Personnel

2.4.1 EmploymentApprovalContractormustrecruit,interview,hire,trainandsuperviseallhealthcarestaff.Suchhealthcarestaffmustbeadequatetomeetallconditionsandspecificationsofthiscontract.AllmedicalstaffprovidingservicesunderthiscontractmustbelicensedtopracticeintheStateofMaine.EmploymentoftheContractor’semployees,contractpersonnel,andsubcontractpersonnelshallbesubjecttoapprovalbytheKCCFauthorizedrepresentativeoritsdesignee.UponrequestoftheCounty,theContractorshallreplaceanyemployeeorsubcontractorwhentheKCCFauthorizedrepresentativeoritsdesigneedeemsitinthebestinterestsofKCCF.Thisreplacementshallnotbedeemedterminationoranyotherformofadverseemploymentaction,andContractorwilldefend,indemnify,andholdharmlesstothefullestextentpermittedbylawtheCountyforanyresultingactionthatmaybetakenbyanypersonorentitysoreplaced.TheCountyfurtherreservestherighttorefusetoallowanyemployee,agent,subcontractor,vendor,orrepresentativeofContractoradmittancetoKCCFforpurposesofparticipationunderthisagreement.ThedecisiontodenyadmittancetoKCCFshallbemadebytheKCCFauthorizedrepresentativeoritsdesignee.ThedecisiontodenyaccesswillnotcreateanyfinancialliabilityontheCounty,toincludereimbursementforlostwages,fees,services,orothercompensationofanysort.Thisrefusalshouldnotbedeemedterminationoranyotherformofadverseemploymentaction,andContractorwilldefend,indemnifyandholdharmlesstothefullestextentpermittedbylawtheCountyforanyresultingactionthatmaybetakenbyanypersonorentityrefusedaccess.


2.4.2 BackgroundInvestigationAlloftheContractor’semployeesandsubcontractors/subcontractoremployeesmusthaveapre-approvedcriminalbackgroundcheckwhichwillbeconductedbytheKennebecCountySheriff’sOfficeoranotherlawenforcementagencydesignatedthereby.KennebecCountywilltakeallreasonable,usualandcustomarystepsnecessarytoscreenhealthcarepersonneltoensurethatsuchpersonnelwillnotconstituteorcreateasecurityrisktoKCCF,theinmatepopulation,orstaff.AllhealthcarepersonnelemployedbytheContractororitssubcontractorsmayberequiredtosubmitpriortoinitialemployment,drugscreening,andadditionaldrugscreeningduringemployment;allatthesolediscretionofKCCF.AnycostincurredinthisscreeningistheresponsibilityoftheContractor.

2.4.3 CompliancewithApplicableLaws,Regulations,andStandards

AllpersonnelprovidedbytheContractororitssubcontractorsshallcomplywithallfederal,state,andlocallaws,ordinances,rules,regulations,licensingrequirements,courtorders,andKCCFpolicies,procedures,anddirectives.Inaddition,allpersonnelprovidedbytheContractorshallalwaysconformtoapplicableACAandNCCHCstandards.KCCFshalldetermine,initssolediscretion,whichofthosestandardsareapplicable.ContractorshallnotifytheKCCFauthorizedrepresentativeofanyclaims,suitsorinvestigationsconcerningthelicensureofanyhealthcarepersonnelworkingwithintheKennebecCountyCorrectionalFacilitywithintwenty-fourhours.TheContractorwillprovidetoKennebecCountycopiesofallrequiredlicensesandcertifications,renewalsoflicensesandcertifications,andanymodificationtoorrestrictionsonanylicensesorcertifications,ofhealthcarepersonnelprovidingservicesunderthecontractbetweenCountyandtheContractor.

2.4.4 JobDescription

Contractorshallprovideeachemployeeandothermembersofitshealthcarepersonnelwithwrittenjobdescriptionsandperformanceexpectationswhichclearlydelineatetheassignedresponsibilitiesforeachhealthcareposition.ThesejobdescriptionsandperformanceexpectationsmustbeapprovedinadvancebyKennebecCounty.

a. TheContractorwillhaveonfileon-sitecopiesoflicensesandindividualplansofsupervisionforworkatKCCF,ofallmedicalstaffmembersassignedtoKCCFatthetimethestaffmemberisassigned.

b. TheContractorshallmaintainminimumstaffingrequirements.c. TheContractor’sappropriatemedicalhealthpersonnelshallattendand

participateinKCCFstaffmeetingsasindicated.d. TheContractorherebyagreeswiththeCountythatitiscontractingwiththe

CountyasanindependentcontractorandthatanypersonnelsuppliedtotheCountyhereunderarenotemployeesoftheCountyandareemployees,agentsorsubcontractorsoftheContractor.


e. InmatesshallnotbeemployedorotherwiseengagedbyeitherContractororKCCFintherenderingofanyhealthcareservices.

f. IntheeventContractor’spersonnelarerequiredtodevotetimeregardinglitigationorthreatenedlitigationbyoronbehalfofCounty,thisshallbeinadditiontotheirservicetimepursuanttothisagreement.Contractorshallnotbeentitledtoanyadditionalcompensation.

DelineationofSecurityResponsibilitiesTheprimaryresponsibilityforinmatecustodyandsecuritywithinKCCFrestswiththestaffofKCCF.TheContractorshallhaveprimaryresponsibilityinallmatterspertainingtomedical,mentalanddentaltreatmentandcareofinmates.EveryonewhoworksinKCCFhasaresponsibilityforsecurity.TheContractorshallberesponsibleforsecurityofallmaterialsandequipmentinContractor’sworkarea.Onmattersofmutualconcern,KCCFstaffshallsupport,assistandcooperatewithContractorandContractorshallsupport,assistandcooperatewithKCCFstaffwhosedecisioninnon-medicalmattersandmattersinvolvingsafetyofstaffandinmatesandsecurityforKCCFshallbefinal.Alldecisionsinvolvingtheexerciseofmedical,mentaland/ordentaljudgmentaretheresponsibilityoftheContractor.Allonsitehealthcarepersonnelwhoprovideservicesshallreceiveorientationinsecurityprocedures.

HealthCareServiceRequirements

2.6.1 GeneralHealthCareServiceRequirements

2.6.1.1 Contractorshallschedule,administer,andcoordinatemedical,mentalanddentalcarerenderedtoinmatesinsideoroutsideKCCF.ContractorshalladministeremergencymedicalcareatKCCFtoanyemployeeorvisitorwhorequiressuchcare.

2.6.1.2 TheContractorshouldestablishagreementswiththeindividualspecialistandsub-

specialistswillingtoassumetheresponsibilityforongoingcarewithaspecialtymulti-physiciangrouppracticeforspecialtyoutpatientservices.TheContractorshallestablishaworkingrelationshipand/oragreementwithatleastonelocalhospitaltocoordinatecareforhospitalizedinmates.Allagreementsforoff-siteservices,inpatientoroutpatient,aswellasallsubcontractoragreementsingeneral,shallbesubjecttotheapprovalofKCCF.TheContractorshallmaintainthesecontractsinafileonsitewithKCCFandthesefilesshallbeavailabletoKCCFuponrequest.

a. TheContractorshallensurethattheutilizationmanagement(UM)isconductedforall

inpatienthospitalizationstoensurethatthelengthofhospitalstayisnolongerthannecessary.TheDirectorofNursingorhis/herdesigneeshallbeincontactwithanyoutside


hospitalwhereaninmateishousedonadailybasisandtheMedicalDirectorshallbeawareofeachindividual’shospitalstatusaswell.Whileutilizationmanagementisanimportantaspectofanymanagedcareprogram,itisalsocriticalthatpositiverelationshipswithlocalhospitalsorclinicsbemaintainedandthatthepatientcaresiteisclinicallyappropriatetotheuniqueneedsoftheindividualpatient.DespiteeitheroutpatientorinpatientutilizationmanagementinitiativesbytheContractor,thesiteMedicalDirectorshallberesponsibleforclinicaldecisionsinvolvinghis/herpatientswithinKCCF.FinalmedicalauthorityrestswiththeMedicalDirector.IndividualsreturningtoKCCFfollowingoff-sitetreatmentshouldreturnwithdocumentationofthetreatmentreceived;intheformofadischargesummary,consultfollow-uporotherprogressnote.Itiscriticalthatanypatientreturningfromaninpatienthospitalstaybeevaluatedbyaqualifiednursingstaffpriortoreturnplacementinhousingpopulation.Alldischargesummaries,treatmentrecords,progressnotes,etc.shallbereviewedbythephysicianassoonaspossibleaftertheinmatereturnsfromanoff-siteappointmenttoassureappropriateordersandfollow-up.

b.TheCountywillberesponsibleforthecostofoutsideservices.TheContractorwillbeexpectedtoidentifyvendorsandnegotiate,adjudicateandpaysuchcostsandwillthenbereimbursedbytheCounty.TheintentofthislanguageistomakecleartotheContractorthatitisnotliableoratriskforthesecosts.

2.6.1.3 Contractorshallschedule,coordinate,andadministerallphysicianservices

renderedtoinmatesinsideoroutsideKCCF.Ataminimum,Contractorshallidentifyaqualifiedmedicalprofessionalwhoshallconductsickcall(see§2.3.5.3,above)andgenerallyprovidesuchcareasisavailableinthecommunity.Acoveringphysicianoraqualifiedmedicalprofessionalshallbeoncallseven(7)daysperweek,twenty-four(24)hoursperdayforconsultationand/oremergencysituations,toincludeon-siteresponsetoKCCFifrequestedbyKCCFstaff.

2.6.1.4 Contractorshallschedule,coordinate,andadminister,allsupportingdiagnostic

examinations,proceduresandservicesforinmates,bothinsideandoutsideKCCF.

2.6.1.5 Contractorshallprovidethenecessaryfollow-upforhealthproblemsasmaybe

identified.Thisincludesinpatientoroutpatienthospitalization,appropriatemonitoring,prescriptionofmedications,consultationswithspecialtyphysicians,etc.

2.6.1.6 TheContractorwillberequiredtodrawbloodsamplesforsexoffenderregistration

(DNA)andotherpurposesasdeterminedbypolicyorstatute,exceptforpurposesofevidencecollection.


2.6.2 ExceptionstoTreatment2.6.2.1 TheContractorshallprovidehealthcareservicestopregnantinmates,buthealth

careservicesprovidedtoaninfantfollowingbirthwillnotbetheresponsibilityoftheContractor.

2.6.2.2 ElectiveMedicalCare:TheContractorwillnotberesponsibleforprovidingelective

medicalcaretoinmates.ForpurposesoftheAgreement,“electivemedicalcare”meansmedicalcarewhich,ifnotprovided,wouldnot,intheopinionofContractor’sHSA,causetheinmate’shealthtodeteriorateorcausedefiniteharmtotheinmate’swell-being.KCCFmustbenotifiedofanyreferralofinmatesforelectivemedicalcare,priortoprovisionofsuchservices.Carerequiredforconditionswhichhavebeendiagnosedasrequiringtreatment,orforwhichthenecessityoftreatmentisobvious,arenot“electivemedicalcare.”

2.6.2.3 InmatesoutsideKCCF.a. Healthcareservicesareintendedonlyforthoseinmatesintheactualphysical

custodyofKCCF.ThisincludesinmatesinhospitalsorothertreatmentoutsideKCCF.Suchinmateswillbeincludedinthedailypopulationcount.

b. Inmatesonanysortoftemporaryrelease,including,butnotlimitedto,inmatestemporarilyreleasedforattendingfuneralsorotherfamilyemergencies,inmatesonescapestatus,inmatesonpass,paroleorsupervisedcustodywhodonotsleepinKCCFatnight,willnotbeincludedinthedailypopulationcount.TheywillnotbetheresponsibilityofContractorwithrespecttothefurnishingofhealthcareservicesexceptfortheprovisionofmedicationstoprovideforcontinuityofcarepriortoascheduledrelease.

2.6.2.4 MaineDiversionarySentencingProgram(MeDSP)Therewillbefour(4)programsperyearwhichwilladdresstheneedsofjudicialsentencingrequirementsforlowrisk-offenders,whileprovidingvaluableservicewithinthecommunity.Duringtheseprogramstherewillbetheneedforatotalof100hoursofnursingcoverage.Thechartbelowisabasicoutlineofservicesforeachprogram.Specifictimetoperformeachservicemayvarydependingontheprogram,medicalneedsoftheparticipant(s)andthenumberofparticipantsineachprogram.Estimatedhoursincludetraveltime.

ProviderServices DayoftheWeek

EstimatedHours

InitialScreening Friday 5BasicSickCall Sat,Mon&Tues 12ExitScreening Wed&Sun 8


2.6.2.5 CriminogenicAddictionRecoveryAcademy(CARA)

Throughouttheyear,three(3)programswillbeheld-eachconsistingofseven(7)weeksofin-facilityintensivetreatmenttoaddresssubstanceabuseaddictionandcriminogenicbehavior.Participantsfromthroughoutthestatearehousedinaspecializedhousingunitduringeachprogramandreceivemorethanforty(40)hoursofprogramingeachweek.TheContractorwillberequiredtoprovideapersontointerviewanduseassessmenttoolstoscreenindividualstodetermineiftheyareacandidatefortheCARAprogram.TheContractorwillberequiredtoprovidetreatmentforeachCARAclassincludingcriminogenicthinking,SubstanceAbusetreatment,andone-on-onementalhealthservices.Thevendormustalsocoordinatewithavendortoprovidetheseindividualsafive-and-a-halfweekIntensiveOutpatientTreatment(IOP)whiletheyareinthecommunity.

2.6.3 ReceivingScreening

TheContractorshallperformaReceivingScreeningonallnewcommitmentstoKCCFbeforetheinmateentersthegeneralpopulationofKCCF.Followingthisinitialdeterminationofneed,theinmatesmustbereferredtothementalhealthstaffwhenclinicallyappropriate.Atminimum,theReceivingScreeningshallinclude:

a. Relevantpastmedicalandmentalhealthhistory,includingcommunicable

disease,cardiacandcirculatoryproblems,respiratoryproblems,allergies,muscular/skeletalproblems

b. Documentationofcurrentillnessesandhealthproblems,includingmedicationstaken,andspecialhealthrequirement

c. Behavioralobservations,includingstateofconsciousness,mentalstatus,andwhethertheinmateisundertheinfluenceofalcoholordrugs

d. Notationofbodydeformities,traumamarkings,bruises,easeofmovement,etc.e. Conditionofskin,includingtraumamarkings,bruises,lesions,rashes,and

needlemarksorotherindicationsofdrugabuse,shouldbenotedf. Forfemales,ahistoryofgynecologicalproblemsandpregnanciesg. Astandardformwillbeusedforpurposesofrecordingtheinformationofthe

ReceivingScreeningandwillbeincludedinthehealthrecordoftheinmateh. Referraloftheinmateforspecialhousing,emergencyhealthservices,or

additionalmedicalspecialtieswillbemadeasappropriate.

2.6.4 ComprehensiveHealthAssessmentContractorshallperformacomprehensivehealthassessmentonanyinmateconfinedatKCCFwithinfourteen(14)calendardaysofthearrivaloftheinmateatKCCF.Suchassessmentshallbeperformedbyaphysicianoraphysician’sassistant.Ataminimum,thecomprehensivehealthassessmentshallinclude:a. ReviewoftheReceivingScreening;


Additionaldatanecessarytocompleteastandardhistoryandphysical,includingreviewofmentalanddentalstatusScreeningtestsforcommunicableandchronicdisease,asclinicallyindicated

b. Additionallabworkasdirectedbythephysicianformedicalorhealthproblems;Additionaltestsasrequired,basedontheoriginalscreeningtests;

c. Physicalexamination,includingagynecologicalassessmentforfemaleswhendeterminedbyContractortobeclinicallynecessary

d. Reviewofphysicalexaminationandtestresultsbyaphysicianforproblemidentificationandinitiationoftherapywhenappropriate.Referraltomentalhealthproviderwhereindicated.

2.6.5 MedicalHealthCareServices2.6.5.1 TheContractorshallberesponsibleforallmedicalhealthcareorders.The

ContractorshallprovideappropriateandqualifiedhealthcareprofessionalstovisitKCCFasneededtoprovidecomprehensivemedicalhealthcare,i.e.diagnosis,treatment,prescriptionofappropriatemedicationsand/orothertreatmentasmaybeindicated.

2.6.5.2 TheContractorshallprovideaqualifiedhealthcareprofessionaltobeoncallasrequiredtoprovideemergencytreatmentandconsultationforinmatesatKCCFona24-hourbasis.

2.6.5.3 Providediagnosisorreferralstohealthfacilitiesforthoseinmatesrequiringmore

extensivetreatment.

2.6.5.4 AdviseKCCFstaffofanypotentialsituationwhichcouldplaceinmatesandstaffinjeopardy.

2.6.6 MentalHealthServices2.6.6.1 Contractorshallimplementamentalhealthprogramfortheevaluation,treatment,

and/orreferralofmentallyillinmatestoinclude,butnotlimitedto,thefollowing:a. MentalHealthservicesshallinclude,asaminimum,screeningformental

healthproblemsonintakeasapprovedbythementalhealthprofessionalandasprovidedinNCCHCandACAstandards

b. ReferraltotheContractor’sPsychiatristforthedetection,diagnosis,andtreatmentofmentalillness

c. Crisisinterventionandmanagementofacutepsychiatricepisodesd. Stabilizationofthementallyillandthepreventionofpsychiatricdeterioration

inthecorrectionalsettinge. Referralandadmissiontolicensedmentalhealthfacilitiesforinmateswhose

psychiatricneedsexceedthetreatmentcapabilityofthefacilityf. Obtaininganddocumentinginformedconsent


2.6.6.2 Thementalhealthevaluationshallbeonekeycomponentofthecomprehensivejail

mentalhealthprogramestablishedbytheContractor.Theclinicalservicesprovidedshallbeconsistentwiththecommunitywhileemphasizingprevention,identification,earlyinterventionandaggressivetreatmentofmentaldisorderswiththegoalofreducingthefrequencyanddurationofepisodesofseriousmentalillness.Thegoalshallbetoprovideservicestotheinmatesuchthatshe/heisabletofunctiontothebestoftheirpotentialability.Allinmatesshallbeconsideredaseligibleformentalhealthservices,withtheprioritygiventothoseindividualsidentifiedasmostseverelyimpairedbyseriousmentaldisorder,themostdangeroustothemselvesorothers,andthosewhoexhibitaninabilitytofunctionwithinthegeneralpopulationsettingofdetentionfacilities.TheexistenceofamentaldiseaseordisorderascategorizedwithintheAmericanPsychiatricAssociation’sDiagnosticandStatisticalManual(4)ofMentalDisordersshallbethebasisforserviceconsideration.AxisIIdisorders,includingantisocialandborderlinepersonalitydisorders,shallbeevaluatedforgroupinterventionbasedonindividualneed.Thementalhealthteamshallalsoworkwithpreventativeorpromotiveprogramsincludingpsycho-educationalorcognitivebehaviorprograms,focusingontopicssuchasangermanagement,impulsecontrol,orsubstanceabuseasexamples.

2.6.6.3 TheContractorshallestablishaprocessforthesystematicmentalhealthevaluationifinmateswithinthetimeframesprescribedbyNCCHCandACA,whicheverissooner.

2.6.6.4 Anyinmatefoundtoneedurgentfollow-upisidentifiedbythementalhealth

professionalatthetimeoftheintakescreeningormentalhealthevaluationunlesspreviouslyreferredbymembersofthesecurityorhealthcarestafforotherjailstaffperson.Iftheinmateneedsimmediateintervention,thequalifiedmentalhealthprofessionalshalldeterminetheappropriatedispositionamongtheoptionsavailable;emergencyinpatientmentalhealthtransferthroughcivilcommitment(limitedavailabilityoruse),placementinamentalhealthspecialneedsarea(wheresuicidewatchortherapeuticrestraintcanoccur),orplacementinmentalhealthhousingforthemorechronicmentallyill.Writtencriteriaandprotocolshallbeimplementedforeachpotentialmentalhealthplacementoptionandareferralprocessdelineatedindetail.

2.6.6.5 Thementalhealthevaluation/appraisalshallbeinaccordancewithNCCHCandACAstandardsandminimallyconsistofastructuredpatientinterviewwithamentalhealthprofessional(mentalhealthprofessionaldefinedprimarilyasindependentlylicensedclinicalsocialworker,qualifiedmentalhealthprofessional,butmayalsoincludepsychiatryorlicenseddoctorallevelpsychologystaff,oradvancedpracticeregisteredwithapsychiatricclinicalspecialty)priortothe14thdayofinmate


custodywithinthejail,andshallatminimuminclude:a. Historyofpsychiatricinpatienthospitalization,publicorprivateb. Historyofoutpatientmentalhealthtreatment,publicorprivatec. Currentpsychotropicuse-medication,dosage,andprescriberd. Currentdrugsofabuseoralcoholuse-typeofdrug,methodofuse,frequency,

lastusee. Currentsuicidalthoughts,ideationorplansf. Priorsuicideattempts-ideation,gesture,andattemptg. Historyofsexualoffensesh. Historyofsexualabusei. Historyofviolentinterpersonalbehaviororpropertydamagej. Historyofchildabusek. Historyofvictimizationwithindetentionbypredators,onthestreetl. Specialeducationbackground/levelofeducationm. Historyofseriousheadtraumawithevenmomentarylossofconsciousnessn. Historyofseizureactivityandcauseifidentifiedalcohol,withdrawal,head

trauma,etco. Grossassessmentofintellectualfunctioningp. Adjustmentforincarceration

2.6.6.6 Ifaninmateisidentifiedaspotentiallymentallychallenged/developmentally

disabledduringthebookingprocess,receivingscreening,mentalhealthevaluation,orotherwise,theinmateshallbereferredtoamentalhealthprofessionalforassessment.Mentalhealthstaffshallworktogetherwiththeeducationstaffinbasicscreeningforintelligenceandinobtainingpriordocumentationfromacommunitysettingregardingtheseneeds,schoolorstate’smentalretardationagency.Iftheinmatehasdifficultyinfunctioningwithinthegeneralpopulationduetohis/herlimitedintelligenceormaybevictimized,thisinmateshallbeconsideredbythementalhealthstaffforplacementintooneofthementalhealthhousingunitsthatprovideamoreshelteredandprotectedenvironment.

2.6.6.7 TheContractorshallensureinmatesreferredformentalhealthtreatmentreceivea

comprehensiveevaluationbyalicensedmentalhealthprofessional.Theevaluationshallbecompletedwithin14daysofthereferralrequestdate.

2.6.6.8 TheContractorshallberesponsibleforplacinginmateswhoareatriskforsuicide

onanappropriatewatch/observationstatuswithdocumentedcheckstobeperformedatintervalsspecifiedbytheContractor.KCCFstaffshallbepermittedtoincreasethefrequencyofsuchobservationintervals,butonlyContractororaproperlylicensedmentalhealthprovidermayreducethefrequencyofsuchobservationintervalsand/orreduceorremoveaninmatefromadesignatedwatchstatus.


2.6.6.9 TheContractorshallhaveallinmatesscreenedbyamentalhealthprofessional;

executereleasesofinformationsothatpriormedicalandmentalhealthrecordscanbereviewedtoensurecontinuityofcare.

2.6.6.10 IfanyinmateisreferredtoContractorbyKCCFstaffformentalhealthevaluation

orcare,theinmateshallbeexaminedbyamentalhealthprofessionalimmediatelyifContractor’smentalhealthstaffisonsite.Otherwise,Contractorshallcontactaqualifiedmentalhealthprovider.

2.6.6.11 Psychotropicmedications,incrushedorliquidform,willbeusedwhereclinically

appropriate.Tomaximizetheeffectivenessofpharmacotherapyandtoreducethetoxicityandsideeffectsofmedication,anintensiveprogramofdrugmonitoringshallexist.Allinmatesplacedondrugtherapyformentalillnesswillhaveappropriatefollow-upasdeterminedbyContractor.

2.6.6.12 Contractorshallprovideapsychiatristthroughon-callavailabilityatKCCFtwenty-four(24)hoursperday,seven(7)daysperweek.

2.6.6.13 Contractorshallimplementaprogramofmentalhealthcareavailabletoall

custodialinmates,whichincludesatleastthefollowing:a. Psychotropicmedicationsb. Casemanagement,individualizedtreatmentplanning,andsupportivegroup

and/orindividualcounseling,allprovidedbydulylicensedqualifiedmentalhealthprofessionals

c. Psychiatricconsultationforidentifiedinmatesd. Laboratorystudiesasindicatede. Dischargeplanningtoincludeaminimumofseven(7)daysofprescription

medications,ifindicatedf. Crisisinterventiong. Dualdiagnosistreatmenth. MedicationAssistedTreatmentforopioidusedisorder.Inthisregard,Contractorshall

collaborateandcooperatewithCountytodevelopandimplementmedicationdispensationprotocolsdesignedtoreduce,totheextentpossible,thediversionofdrugsusedaspartofMedicationAssistedTreatment.TheobligationtoprovideMedicationAssistedTreatmentshallincludeworkingcollaborativelywithothervendorswithwhomCountyhasormaycontracttoprovidesimilarservices.

2.6.6.14 TheContractormayrequiremorethanseven(7)daysofmedicationstobe

filledupontheinmate’sreleaseifitisclinicallyindicatedthateither/ora. Theprescriptionbefilledinasufficientquantitytoensurethattheinmatecan

continuethemedicationuntiltheinmateisabletobeseenbyanoutside


providerb. Theprescriptioniscompleted

2.6.6.15 TheContractorshallensurethatallcontractedpersonnelreceivespecialized

traininginmentalillness,substanceabuse,suicidepreventionandintervention.

2.6.6.16 TheContractor’smanagementstaffwillattendmulti-disciplinarymeetingsandcoordinationofcaremeetings.

2.6.7 DentalServices

TheContractorshallprovideanappropriatedentalprogram.Thisshall includeoralcare,includingemergencycare,underthedirectionofalicenseddentistasneededtoall inmates.Oralscreening isdoneonall inmateswithin14daysofadmission.

2.6.7.1 Thedentalprogramshalluseaqualifiedhealthcareprofessional,trainedbya

dentist,toscreensickcalls.

2.6.7.2 TheContractorshallmaintainasystemfortheoralscreeningofinmatespriortoorinconjunctionwiththehealthassessment/physicalexamwithin14daysofreceivingthescreening.Thisoralscreeningmaybeconductedbynursingstafforotherhealthstaffwhoaretrainedbythedentisttovisuallyidentifygrossabnormalitiesoftheteethandgums,toidentifyswellingandinfectionandtorespondtoaninmate’scomplaintofacutedentalpain.Antibioticandanalgesicordersmaybeinitiatedbynursingbaseduponverbalordersortelephoneorderbythedentistorphysician.Nursingmaynotinitiatelegendmedicationsfromagenericstandingorder.Thedentistshallalsoparticipateinthedevelopmentoftheformularytoensurethatdentalisrepresentedintheareasofantibiotics,analgesic,andotheritemssuchasrinsesthatmaybeprescriptiononly.

2.6.7.3 Dentalservicesshallbefocusedonemergencytreatmentforacutepain,swelling

andinfection.Restorativecaresuchasroutinefillingswillbeavailableonalimitedbasisdependingontheavailabilityofthedentist.Prophylacticcaresuchasroutinecleaningisunavailableinthedetentionsettingduetotheshortlengthofstay.Individualswithprolongedlengthsofstaythatmaybeuptooneyear,orrarelymore,shallbegivenpriorityforrestorativecare.Anoralexaminationshallbeperformedbyadentistwithin12monthsofadmission.DentallabservicesshallbeavailablethroughtheContractor,bututilizationwillbeminimalwiththefocusonthoseindividualswithoutteethorwithaninsufficientnumberofteethinoppositiontomasticateproperly.Partialswillbegivenpriorityformasticationratherthanaestheticsandtemporarydevicesmaybeprovided,e.g.a“flipper.”


2.6.7.4 AllotherNCCHCandACAstandardswillbefollowed.

2.6.8 PharmaceuticalServices:2.6.8.1 Contractorshallprovideawrittenprotocolforprovisionsforpharmaceutical

servicestoassuretheavailabilityofprescribedmedicationswithintwenty-four(24)hoursoftheprescriptionbeingwrittenaretobeinplace.Contractorshallensurethatprescribedmedicationsareprovidedtoinmateswithintwenty-four(24)hoursoftheprescriptionbeingwritten,unlesstheprescriptionisforSTAT,inwhichcasetheprescribedmedicationwillbeprovidedtotheinmatewithinfour(4)hoursoftheprescriptionbeingwritten.

2.6.8.2 TheContractormanagementofpharmaceuticalsshallinclude:

a. Aformalizedmethodforobtainingmedicationsb. Prescriptionpractices,includingrequirementsthatmedicationsareprescribedonly

whenclinicallyindicatedasonefacetofaprogramoftherapy,andaprescribingproviderre-evaluatesaprescriptionpriortoitsrenewal

c. Medicationprocurement,receipt,distribution,storage,dispensing,administrationanddisposal

d. Securestorageandperpetualinventoryofallcontrolledsubstances,syringes,andneedles

e. Administrationandmanagementinaccordancewithstateandfederallawandsupervisionbyproperlylicensedpersonnel

f. Administrationofmedicationsbypersonsproperlytrainedandunderthesupervisionofthehealthauthorityandfacilityorprogramadministratorordesignee

g. Accountabilityforadministeringanddistributingmedicationsinatimelymannerandaccordingtophysicianorders

2.6.8.3 TheContractorshallensuretheavailabilityofpharmacyservicessufficienttomeet

theneedsoftheinmatepopulationsassignedtoKCCF.Contractorsshallestablishacontractforthesupplyofallpharmaceuticals.TheContractorshallcomplywithallapplicablestateandfederallaws,rules,regulationsandguidelinesregardingthemanagementofpharmacyoperations.

2.6.8.4 AconsultantpharmacistutilizedthroughtheContractor’spharmacycontractshall

conductinspectionsonaquarterlybasisbyaPharmacist.ThePharmacistshallgenerateaprofessionallyprepared,legiblereportfromeachinspection,andtheContractorshallthendeveloparesponsewithaplanofcorrectiveactionforanyproblematicareas.ThesecompletereportsshallthenbedeliveredbytheHealthServicesAdministratortotheContractMonitorandSheriff.TheContractorshallensuretimelyfollow-upandresolutionofalloutstandingpharmacymanagement


issuesasahighpriority.

2.6.8.5 TheContractorshallestablishastocksupplyofcommonlyusedmedications(over-the-counter,legendandcontrolledsubstances)foradministrationtoinmatespriortoreceiptoftheiractualpatient-specificprescription.Thisstockshallbemanagedandmaintainedinasafeandsecureenvironmentwithaperpetualinventorytrackingsystemtoensureaccountability.ThemedicationsshallbedeterminedbytheMedicalDirectorandDirectorofNursingwiththeapprovalofKCCF(andthestatepharmacyboardifnecessary).Volumeshallbemonitoredcloselytoensurethatnomedicationsarebeingdiverted.

2.6.8.6 Thisstocksupplyshallincludeemergencydrugsfortheemergencysuppliesas

determinedbytheMedicalDirector.Additionally,stockshallincludeitemsforpoisoncontrol,antidoteandoverdosemanagement,againdeterminedbytheMedicalDirector.Allstaffthatworkwithmedicationsshallbeorientedfullytothepharmacyproceduresandtopoisoncontrolnumbers.Thesenumbersshallbepostedconspicuouslyinmedicationareaandintheclinicandintakeareas.

2.6.8.7 Medicationsaretobeadministeredtotheinmatepopulationbynursingpersonnel.

Itisexpectedthatitemsofcriticalandemergentnature,suchasnitroglycerinoraninhaler,willbeallowedKOP.

2.6.8.8 TheContractorwillcoordinatewiththeircontractedPharmacytoestablishaformal

process,inconcertwithstateandfederallaws,regardingthedestructionordisposalofmedicationsincludingpatient-specificdispensedmedications,stockmedications,controlledsubstances(whetherstockordispensed),andpsychotropicmedications.Medicationsshallbepurgedroutinelysothattheonsitequantitydoesnotbuildup.Documentationofalldestructionanddisposalshallbecomplete,thoroughandavailableforreviewuponrequest.

2.6.8.9 TheContractorshallnotuseanysortofformularyorotherpredeterminedlistof

medications.Medicationsselectedforinmatecareshallbethosewhicharemedicallyindicatedandmostappropriateforthetreatmentofindividualinmatesasassessedonacase-by-casebasis.

2.6.8.10 TheContractorshallestablishaquarterlyPharmacyandTherapeuticsCommittee

meetingtoincludereviewoftheformularyandnon-formularyusage,providerprescribingpractices,drugutilizationreview,educationalinformation,drugcostsandotherrelevanttopicstopharmacyoperations.


2.6.9 ConsultationServicesContractorshallprovideaconsultationservicetoKCCFstaffonanyaspectofthehealthcaredeliverysystematKCCF.Thisshallincludeevaluationsandrecommendationsconcerningnewprograms,architecturalplans,staffingpatternsfornewfacilities,alternatesupplysystemsandanyothermatterrelatingtohealthcareservices(e.g.Transgender,PREA,Vivitrol)uponwhichthestaffseekstheadviceandcounseloftheContractor.

2.6.10 TrainingbyContractorforKCCFStaffandInmatesContractorwillworkwithKCCFstaffandinmatestoprovideeducationalmaterialandinstructiononavarietyofhealthcareissues.Theseshallincludebutnotbelimitedto:CPRandFirstAid;responsetoanemergencyordisastercondition;signsandsymptomsofmentalillness;alcoholanddrugwithdrawal;chronicillness;completionofintakescreenings;blood-bornepathogensanduniversalprecautions;basicmedicalsituations;suicideassessmentandprevention;transmissionofcommunicablediseases;andothercoursesasdeemedappropriatebytheContractorandtheCounty.KCCF’semployeesmaybeincludedinanyin-serviceofferingsavailabletothemedicalstaff.

2.6.11 WasteManagement

Contractorwillestablishandimplementamethodofappropriatedisposalofcontaminatedand/orregulatedmedicalwasteincludingneedles,syringes,biohazards,andothermaterialsusedinthetreatmentofinmates.TheContractorwillberesponsibleforremovalofsuchwaste.

2.6.12 Staffing

ContractorwillproposeastaffingplanthatmirrorsthecurrentcontractedstaffingplanatKCCFwhichwillbedistributedatthepre-bidtouronJune7,2019andisstronglyencouragedtosubmitanalternativeproposedstaffingplan.

PoliciesandProcedures2.7.1 PoliciesandproceduresoftheContractorrelatingtotheprovisionofhealthcare

(includingmedical,psychiatric,psychological,anddentalcare)aregenerallytobeestablishedandimplementedsolelybytheContractorincooperationwiththeCounty.TheContractorshalldevelopandimplementpolicieswhichensureappropriatecomprehensivehealthcareincompliancewithrecognizedstandards,laws,ordinances,rulesandregulationsoffederal,state,andlocalauthoritiesasmaybeapplicable.AllsuchpoliciesandproceduresmustbeinstrictcompliancewithACA,NCCHCandMaineDOCstandards.ThepoliciesandproceduresoftheContractoraresubjecttoapprovalofKCCF.TheContractorwillprovideKCCFwithatleastonecopyofthepolicyandproceduremanualwithin60daysoftheimplementationofthecontract.


2.7.2 TheContractorshallmaintaincomplete,accurate,andconfidentialmedical,mentalhealthanddentalrecordsseparatefromKCCFconfinementrecordsoftheinmateincompliancewithalllawsandregulations.Inanycriminalorcivillitigationwherethephysicalconditionofaninmateisatissue,orwheremedicalcareisatissue,ContractorshallprovidetheJailAdministratororhisdesigneewithaccesstosuchrecords,anduponrequest,providecopiesasauthorizedbylaw.ThehealthcarerecordsshallbeconsideredpropertyofCounty.a. NCCHCandACAstandardsmustbefollowedregardingmedicalrecords.KCCF

policies,DOCstandards,andHIPAAstandardsmustalsobefollowedwhenapplicable.TheContractorwillcooperatewithallinternalinvestigationsofKCCF.

2.8 QUALITYASSURANCE

2.8.1 ProposedBidder/Contractorwillprovideadetailedproposalforaqualityassuranceprogramwhichincludesthedesignandhowtheprogramwillbeimplementedandmaintained.Ataminimum,Bidder/Contractorwilladdressinitsproposalthefollowingitems:adescriptionofrolesandresponsibilitiesofstaff,areastobemonitoredandaddressedthroughthequalityassuranceprogram,theroleofthequalityassuranceprogramintrackingandmonitoringutilizationofservices,programstobeimplementedaspartofthequalityassuranceprogram,andtechniquestomonitorcompliancewiththecontract.

2.8.2 Complaints Bidder/Contractormustdetailinitsproposalaplanforhandlingandresolvingcomplaints

frominmatesandKCCFstaff.2.8.3 AnnualAudit Bidder/Contractormustsubmittoanannualindependentauditduringeachyearofthe

contract.KCCFwillcommissionanindependentauditorofitschoosingforthepurposeofauditingandmonitoringcompliancewiththecontractbysuccessfulBidder/Contractor.Bidder/Contractoranditssubcontractorshallcooperateineveryrespectwiththeindependentauditor,includingprovidinginformationanddocumentationrequestedbytheauditor.Bidder/Contractorshallbeartheexpenseoftheannualaudit,nottoexceedThreeThousandDollars($3,000.00).

2.8.4 TheContractorshallalwaysprovideastandardandqualityofhealthcarewhichshall

satisfythosestandardsdevelopedbytheACA,NCCHC,PREA,andMaineJailStandards,CountyandMunicipalDetentionFacilities,andthestandardsofhealthcaredictatedbystateandfederalcourtdecisionsregardingthequalityofcareforpersonsincarceratedinpubliccorrectionalfacilities.FailurebyContractortomaintainaccreditationorcertificationwillresultinliquidateddamagesof$50,000.00.IfContractorfailstoobtainmaintainre-accreditationbecauseoftheSheriff’sOfficebeingnon-compliant,theContractorwillnot


berequiredtopayanyliquidateddamages.

2.9KCCFRequirements

2.9.1BuildingandEquipment2.9.1.1 Countywillprovide,install,maintain,repair,replacewhennecessary,andpermit

theContractortouseallmedicalequipmentwithinKCCF.Countywillprovide,maintainandrepairthebuildingstructureinareasassignedtoContractor,includingnecessarypainting,maintenanceofwater,steam,refrigeration,sewer,electricallines,ventilation,airconditioning,lighting,heating,ductwork,floorandfloorcovering,wallsandceilings.However,theContractorshallbeartheexpenseofrepairsnecessarybecauseofthenegligenceofContractor,itsemployees,orsubcontractors.

2.9.1.2Countywillprovideallsecurity,pestcontrol,housekeeping,sanitation

(includingwalls,floors,andfixturesbutexcludingsanitationofmedicalequipmentandnon-disposablesupplies),andutilities.CountywillprovidelocaltelephoneservicebutContractor’slongdistancechargeswillbereimbursedtotheCountymonthly.

2.9.1.3AspartoftheRFPprocess,Bidderhasinspectedorhadtheopportunityto

inspectKCCFandagreesthatsuchspaceandfacilitiesaresufficientforitsagents,employeesandsubcontractorstoperformalltheobligationsrequiredunderthisAgreement.

2.9.1.4Countywillcontinuetomaintainallhealthcareequipmentnecessaryforthe

performanceofthiscontractduringthetermofthisAgreement.IfadditionalequipmentisdesiredbyContractor,itshallbetheresponsibilityofContractortonotifyKCCFofaneedforsuchequipment.TheequipmentwillbeprovidedifKCCFstaffagreeandthebudgetallows.Singleequipmentitemswithavalueofgreaterthan$250.00willrequireapprovalbytheSherifforhisdesigneepriortopurchase.

2.9.2Pre-ContractInventory

CountywillprovidetoContractorcontrolofallmedicalandofficeequipmentandsuppliesinplaceatKCCF’shealthcareunit.AttheterminationoftheContractoranysubsequentagreement,ContractorwillreturntoKCCFcontrolofallsupplies,medicalandofficeequipmentinworkingorder,reasonablewearandtearexpected.


2.10 ReportsProvidedtoCountybyContractor2.10.1TheContractorshallsubmitmonthlyclinicalandfinancialreportstoKCCF

designatedrepresentativesconcerningtheoveralloperationofthehealthcareservicesprogramandonthegeneralhealthofpersonscommittedtothecustodyofKCCF.Thereportswillbeduenolaterthanthe15thofeachmonthunlessotherwisenegotiated.

2.10.2TheContractorshallregularlyconferwithKCCFstaffconcerningexistinghealth-

relatedprocedureswithintheinstitution,anyproposedchangesinproceduresandothermattersaseitherpartydeemsappropriate.

2.10.3Periodicmeetings(atleastsixtimesayear)shallbeheldbetweenContractorand

designatedKCCFrepresentativeandContractMonitor.

ContractorCompensation

2.11.1 CompensationTheCountyshallreimbursetheContractorforitscostsandexpensesassociatedwithprovidingservicesinadditiontoamanagementfee.Thebudgetforthefirst-yearcontractshallbenegotiatedwiththesuccessfulbidder.Themonthlybasecompensationwillbetheannualbudgetplusthemanagementfeedividedintotwelve(12)equalpayments.TheContractorshallinvoicetheCountyforthemonthlybaserateonthefirstdayofthemonthinadvanceofthemonthinwhichservicesaretobefurnished,e.g.,July1forservicestobefurnishedinAugust.TheCountywillremitpaymentbythefifteenthdayofthemonthinwhichservicesareprovided,e.g.,byAugust15th.IntheeventthisAgreementshouldcommenceorterminateonadateotherthanthefirstorlastdayofanycalendarmonth,compensationtoContractorwillbeproratedaccordinglyfortheshortenedmonth.TheContractorshalldevelopabudgetontheassumptionthattheaveragedailyinmatepopulationisestimatedtobe166

2.11.2 ThirdPartyReimbursement

Contractorwill,wherepossible,seekand/orcoordinatethirdpartyinsurancereimbursementforinmatemedicalservicesperformedbytheContractororotheroutsideprovider.Third-partysourceorsourcesincludebutarenotlimitedto,workers’compensationinsurance,commercialmedicalinsurance,MaineCaremedicalassistanceprogramforinpatienthospitalizations.TheContractorwillsharealldocumentationreceivedonthirdpartyclaimswiththeCounty.TheContractorwillmakeeveryeffortandestablishoperationalprocedurestoroutinelypursueallinsuranceclaimsand/orgovernmentreimbursementformedicaltreatmentprovided.


HealthCareCostControlSuccessfulBidderwillbeexpectedtoprovidehealthcareatper-inmatecostlevelstocommensuratewithprioryears,adjustedforinflationandanyenhancedservicesrequiredbytheREPandcontract.

SECTION3-PROPOSALPREPARATIONINSTRUCTIONS,FORMATANDFORM

ProposalPreparationInstructions3.1.1 Allproposalsshallbecompleteandcarefullywordedandmustconveyallthe

informationrequestedbytheCounty.IfsignificanterrorsarefoundintheBidder’sproposal,oriftheproposalfailstoconformtotheessentialrequirementsoftheRFP,theCountyandtheCountyalonewillbethejudgeastowhetherthatvarianceissignificantenoughtorejecttheproposal.

3.1.2 Proposalsshouldbepreparedsimplyandeconomically,providingastraightforward,

concisedescriptionofBidder’scapabilitiestosatisfytherequirementsoftheRFP.Emphasisshouldbeoncompletenessandclarityofcontent.WhenrequestedtoaddressspecificsectionsoftheRFP,BiddershallreferencetheresponsewiththeRFP’ssectionnumberandtheresponsesshallbeinthesamenumericalorderastheRFPsections.

3.1.3 One(1)originalandthree(3)copiesofthecompleteproposalarerequired.The

originalandeachcopyshouldbeinindividualthree(3)ringnotebooks.Eachnotebookshouldcontainalldocumentation.Additionally,adigitalcopyoftheProposalmustbesubmittedinPDFformat.

3.1.4 TheoriginalProposalandtherequiredthree(3)copiesofthecompleteproposalshall

besubmittedtotherecipientsattheaddressonthetitlepageofthisRFP,inasealedpackage.Theoutsideofthepackageshallindicatethenameofthecompanysubmittingtheproposalandbemarked,"INMATEMEDICALSERVICESPROPOSALKENNEBECCOUNTYJAIL”.

ProposalFormat• Proposalsshallbeconcise.Allsubmittedinformationshallbeinathree-ringbinder(in

additiontothedigitalcopy),indexedaccordingtotheSectionsdetailedbelowandshallcontainthefollowing:

Section1:OriginalRFPPackagewithcompletedProposalForm• ThissectionshallcontaintheentireRFPpackageasreceivedbytheBidderaswellas

anyaddendumreceivedduringtheprocess.Biddershallcompletetheproposalformcontainedinsection3.3oftheRFP.


Section2:AcknowledgmentofGeneralConditions,ContractRequirements,andInsuranceRequirements

• BiddershallsubmitanarrativeaddressingacknowledgmentandunderstandingoftherequirementsoftheRFP.

• Biddershallalsosubmitacurrentlyvalued,three(3)yearslossrunrelativetotheMedicalProfessionalLiabilityclaimsfortheBidder.

Section3:AcknowledgmentofCompensationRequirements

• Biddershallsubmitaplanaddressing,ataminimum,allrequirementsinsection2.10oftheRFP.

Section4:HealthCareServices

• Biddershallsubmitaplanaddressing,ataminimum, allrequirementsinsections2.1,2.2,2.3,2.4,2.5,2.6.1-2.6.11,2.8,and2.9oftheRFP.

Section5:StaffRecruiting,Motivation,andTrainingPlans

• Biddershallsubmitaplanaddressing,ataminimum,allrequirementsinsection2.6.12oftheRFP.

• BiddershallalsosubmitaspartofSection5,QualificationsorResumesofKeyPersonnel.TheBidderwillmakeeveryefforttoretainallexistingKCCFmedicalstaffandwillconsultwiththeKCCFbeforeanychangeinexistingstaffismade.

• BiddershallalsosubmitaspartofSection5,aproposedstaffingpatternforthecontractterm.StaffingplanshallbedetailedandindicatethenumberofProfessionalStaff,Administrative/SupportStaff,andNursingStaff,coverageassignments,locations,anddutiesforaseven(7)dayperiod.ThestaffingpatternproposedwillbethebasisfortheminimumstaffingcoveragerequiredoftheContractorduringthecontractperiod.AtleastonestaffingpatternmustbethesameasandnolessthanthestaffingreflectedinthisRFPwhichwillbedistributedatthePre-BidConferenceTour.

Section6:TransitionPlan

• BiddershallsubmitaplanaddressingthetransitionfromthecurrentjailoperationtoBidder’sproposedoperationatKCCF.


Section7:ExceptionstoRFPRequirements

• AnyrequirementthatBiddertakesexceptiontomustbelistedinthissection.FailuretolistexceptionmaysubjectProposaltorejection.TheCountyreservestherighttoreject,modifyoracceptanyexceptionsatitssolediscretion.

Section8:OtherInformationBidderDesirestoFurnish

• ThissectionistobereservedforanyinformationprovidedoverandabovethespecificinformationrequestedintheRFP.


3.3ProposalForm Vendor'sQuote#

COUNTYOFKENNEBEC,STATEOFMAINE

PROPOSALFORM

RFP#201901-INMATEMEDICALSERVICESFORKENNEBECCOUNTYJAILDeadlineforReceiptofProposals3:00p.m,December18,2020

Icertifythatthisproposalismadewithoutpriorunderstanding,agreementorconnectionwithanycorporation,firm,orpersonsubmittingaproposalforthesameservicesandisinallrespectsfair andwithout collusion or fraud. I understand collusive bidding is a violation of state andfederallawandcanresultinfines,prisonsentences,andcivildamageawards.IagreetoabidebyallconditionsofthisRFPandcertifythatIamauthorizedtosignthisproposalfortheBidder.

Compensation AnnualCompensation INTENTIONALLYBLANK

FirstYear(BaseInmatePopulation125-177)

$ INTENTIONALLYBLANK

SecondYear(BaseInmatePopulation125-177)

$ INTENTIONALLYBLANK

NoticetoProceed

Theundersigned,ifawardedthecontract,herebyagreestoexecuteacontractwithKennebecCountyintheformspecifiedwithinthirty(30)daysaftertheaward.
