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					    HARRIS COUNTY
                                                                                         JOB NO. 9905026A
REQUEST FOR PROPOSAL
      Cover Sheet                                                                      Date Due: July 6, 1999
                                                                                     DUE NO LATER THAN 1:00 P.M.

                                                                               Proposals received later than the date and time
                                                                               above will not be considered.



 PROPOSAL TO: Provide an Effectiveness Study in the Substance Abuse service area for Ryan White Title I for
 Harris County Beginning on or about date of award/contract and ending February 28, 2000


                                                    OFFERORS NOTE!!
Carefully read all instructions, requirements and                        Please return proposal in the envelope provided or in a
specifications.  Fill out all forms properly and                         comparable size envelope. Be sure that return envelope
completely. Submit your proposal with all appropriate                    shows the Job Number, Description and is marked
supplements and/or samples.                                              "SEALED PROPOSAL."

                                                RETURN PROPOSAL TO:
                                        HARRIS COUNTY PURCHASING AGENT
                                          1001 PRESTON AVENUE, SUITE 670
                                               HOUSTON, TEXAS 77002

For additional information, contact Mary Lou Sotolongo at (713) 755-6832.

You must sign below in INK; failure to sign WILL disqualify the offer. All prices must be typewritten or written in ink.
                               Total Amount of Proposal $____________________________
                                   For Phase I Only
Company Name: _________________________________________________________

Company Address:           _________________________________________________________

                           _________________________________________________________

Telephone No.     __________________________          FAX No. __________________

Print Name: ____________________________________________________________________

Signature: ______________________________________________________________________

[Your signature attests to your offer to provide the goods and/or services in this proposal according to the published provisions of
this Job. When an award letter is issued, it becomes a part of this contract. Contract is not valid until Purchase Order is issued.]

ACCEPTED BY:_____________________________________________                                      Date:______________________
            HARRIS COUNTY JUDGE ROBERT ECKELS
                                                        TABLE OF CONTENTS

Items checked below represent components which comprise this bid/proposal package. If the item IS NOT checked, it is NOT
APPLICABLE to this bid/proposal. Offerors are asked to review the package to be sure that all applicable parts are included. If any
portion of the package is missing, notify the Purchasing Department immediately.

It is the Offeror's responsibility to be thoroughly familiar with all Requirements and Specifications. Be sure you understand the following
before you return your bid packet.

__X__ 1.          Cover Sheet
                  Your company name, address, the total amount of the bid/proposal, and your signature (IN INK) should appear on this
                  page.

__X__ 2.          Table of Contents
                  This page is the Table of Contents.

__X___ 3.         General Requirements
                  You should be familiar with all of the General Requirements.

__X__ 4.          Special Requirements/Instructions
                  This section provides information you must know in order to properly make an offer.

__X__ 5.          Specifications
                  This section contains the detailed description of the product/service sought by the County.

__X___ 6.         Pricing/Delivery Information
                  This form is used to solicit exact pricing of goods/services and delivery costs.

______ 7.         Attachments

                  __X__ a.           Residence Certification
                                     Be sure to complete this form and return with packet.

                  _____    b.        Bid Guaranty & Performance Bond Information & Requirements
                                     This form applies only to certain bids/proposals. Please read carefully and fill out completely.

                  _____    c.        Bid Check Form
                                     This form applies only to certain forms. Please read carefully and fill out completely.

                  _____    d.        Vehicle Delivery Instructions
                                     Included only when purchasing vehicles.

                  _____    e.        Minimum Insurance Requirements
                                     Included when applicable (does not supersede "Hold Harmless" section of General Requirements).

                  ______ f.          Workers' Compensation Insurance Coverage Rule 110.110
                                     This requirement is applicable for a building or construction contract.

                  ______ g.          Financial Statement
                                     When this information is required, you must use this form.

                  ______ h.          Reference Sheet

                  __X___ i.          Other
                                     From time to time other attachments may be included.
                              GENERAL REQUIREMENTS
                                   FOR PROPOSALS
READ THIS ENTIRE DOCUMENT CAREFULLY. FOLLOW ALL INSTRUCTIONS. YOU ARE RESPONSIBLE FOR
FULFILLING ALL REQUIREMENTS AND SPECIFICATIONS. BE SURE YOU UNDERSTAND THEM.

General Requirements apply to all advertised requests for proposals, however, these may be superseded, whole or in part, by the
SPECIAL REQUIREMENTS/INSTRUCTIONS OTHER DATA CONTAINED HEREIN. Review the Table of Contents. Be sure your
proposal package is complete.

GOVERNING LAW
This request for proposals is governed by the competitive bidding requirements of the County Purchasing Act, Texas Local Government
Code, §262.021 et seq., as amended. Offerors shall comply with all applicable federal, state and local laws and regulations. Offeror is
further advised that these requirements shall be fully governed by the laws of the State of Texas and that Harris County may request and
rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of these
requirements.

PROPOSAL COMPLETION
Fill out and return to Purchasing, ONE (1) complete proposal form, using the envelope provided. An authorized company representative
should sign the Cover Sheet. Completion of these forms is intended to verify that the offeror has submitted the proposal, is familiar with
its contents and has submitted the material in accordance with all requirements.

PROPOSAL RETURNS
Offerors must return all completed proposals to the office of the Harris County Purchasing Agent reception desk at 1001 Preston Avenue,
Suite 670, Houston, Texas before 1:00 P.M. on the date specified. Late proposals will not be accepted.

GOVERNING FORMS
In the event of any conflict between the terms and provisions of these requirements and the specifications, the specifications shall govern.
In the event of any conflict of interpretation of any part of this overall document, Harris County's interpretation shall govern.

ADDENDA
When specifications are revised, the Harris County Purchasing Agent will issue an addendum addressing the nature of the change.
Offerors must sign it and include it in the returned proposal package.

HOLD HARMLESS AGREEMENT
Contractor, the successful offeror, shall indemnify and hold Harris County harmless from all claims for personal injury, death and/or
property damage resulting directly or indirectly from contractor's performance. Contractor shall procure and maintain, with respect to the
subject matter of this proposal, appropriate insurance coverage including, as a minimum, public liability and property damage with
adequate limits to cover contractor's liability as may arise directly or indirectly from work performed under terms of this proposal.
Certification of such coverage must be provided to the County upon request.

WAIVER OF SUBROGATION
Offeror and offeror's insurance carrier waive any and all rights whatsoever with regard to subrogation against Harris County as an indirect
party to any suit arising out of personal or property damages resulting from offeror's performance under this agreement.

SEVERABILITY
If any section, subsection, paragraph, sentence, clause, phrase or word of these requirements or the specifications shall be held invalid,
such holding shall not affect the remaining portions of these requirements and the specifications and it is hereby declared that such
remaining portions would have been included in these requirements and the specifications as though the invalid portion had been omitted.

BONDS
If this proposal requires submission of proposal guarantee and performance bond, there will be a separate page explaining those
requirements. Offers submitted without the required proposal bond or Cashier's Check are not acceptable.
TAXES
Harris County is exempt from all federal excise, state and local taxes unless otherwise stated in this document. Harris County claims
exemption from all sales and/or use taxes under Texas Tax Code §151.309, as amended. Texas Limited Sales Tax Exemption Certificates
will be furnished upon written request to the Harris County Purchasing Agent.

FISCAL FUNDING
A multi-year lease or lease/purchase arrangement (if requested by the specifications), or any contract continuing as a result of an
extension option, must include fiscal funding out. If, for any reason, funds are not appropriated to continue the lease or contract, said
lease or contract shall become null and void on the last day of the current appropriation of funds. After expiration of the lease, leased
equipment shall be removed by the contractor from the using department without penalty of any kind or form to Harris County. All
charges and physical activity related to delivery, installation, removal and redelivery shall be the responsibility of the offeror.

PRICING
Prices for all goods and/or services shall be negotiated to a firm amount for the duration of this contract or as agreed to in terms of time
frame. All prices must be written in ink or typewritten.

SILENCE OF SPECIFICATIONS
The apparent silence of specifications as to any detail, or the apparent omission from it of a detailed description concerning any point,
shall be regarded as meaning that only the best commercial practice is to prevail and that only material and workmanship of the finest
quality are to be used. All interpretations of specifications shall be made on the basis of this statement. The items furnished under this
contract shall be new, unused of the latest product in production to commercial trade and shall be of the highest quality as to materials
used and workmanship. Manufacturer furnishing these items shall be experienced in design and construction of such items and shall be
an established supplier of the item proposed.

SUPPLEMENTAL MATERIALS
Offerors are responsible for including all pertinent product data in the returned proposal package. Literature, brochures, data sheets,
specification information, completed forms requested as part of the proposal package and any other facts which may affect the evaluation
and subsequent contract award should be included. Materials such as legal documents and contractual agreements, which the offeror
wishes to include as a condition of the proposal, must also be in the returned proposal package. Failure to include all necessary and
proper supplemental materials may be cause to reject the entire proposal.

MATERIAL SAFETY DATA SHEETS
Under the "Hazardous Communication Act", commonly known as the "Texas Right To Know Act", a offeror must provide to the County
with each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the offeror to
furnish this documentation will be cause to reject any bid applying thereto.

EVALUATION
Evaluation shall be used as a determinant as to which proposed items or services are the most efficient and/or most economical for the
County. It shall be based on all factors which have a bearing on price and performance of the items in the user environment. All
proposals are subject to negotiations by the Purchasing Agent and other appropriate departments, with recommendation to
Commissioners Court. Compliance with all requirements, delivery and needs of the using department are considerations in evaluating
proposals. Pricing is NOT the only criteria for making a recommendation. A preliminary evaluation by Harris County will be held
and appropriate proposals will be subjected to the negotiating process. Upon completion of the negotiations, Harris County will make an
award. All proposals that have been submitted shall be available and open for public inspection after the contract is awarded except for
trade secrets or confidential information contained in the proposals and identified as such.

INSPECTIONS
Harris County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs
of the using department. If an offeror cannot furnish a sample of a proposed item, where applicable, for review, or fails to satisfactorily
show an ability to perform, the County can reject the offer as inadequate.
TESTING
Harris County reserves the right to test equipment, supplies, material and goods proposed for quality, compliance with specifications and
ability to meet the needs of the user. Demonstration units must be available for review. Should the goods or services fail to meet
requirements and/or be unavailable for evaluation, the offer is subject to rejection.

DISQUALIFICATION OF OFFEROR
Upon signing this proposal document, an offeror offering to sell supplies, materials, services, or equipment to Harris County certifies that
the offeror has not violated the antitrust laws of this state codified in §15.01, et seq., Business & Commerce Code, or the federal antitrust
laws, and has not communicated directly or indirectly the offer made to any competitor or any other person engaged in such line of
business. Any or all proposals may be rejected if the County believes that collusion exists among the offerors. Proposals in which the
prices are obviously unbalanced may be rejected. If multiple proposals are submitted by an offeror and after the proposals are opened,
one of the proposals is withdrawn, the result will be that all of the proposals submitted by that offeror will be withdrawn, however,
nothing herein prohibits a vendor from submitting multiple offers for different products or services.

AWARD
Harris County reserves the right to award this contract on the basis of LOWEST AND BEST OFFER in accordance with the laws of the
State of Texas, to waive any formality or irregularity, to make awards to more than one offeror, to reject any or all proposals. In the event
the lowest dollar offeror meeting specifications is not awarded a contract, the offeror may appear before the Commissioners Court and
present evidence concerning his responsibility.

ASSIGNMENT
The successful offeror may not assign, sell or otherwise transfer this contract without written permission of Harris County Commissioners
Court.

TERM CONTRACTS
If the contract is intended to cover a specific time period, the term will be given in the specifications under SCOPE.

MAINTENANCE
Maintenance required for equipment proposed should be available in Harris County by a manufacturer authorized maintenance facility.
Costs for this service shall be shown on the Pricing/Delivery Information. If Harris County opts to include maintenance, it shall be so
stated in the purchase order and said cost will be included. Service will commence only upon expiration of applicable warranties and
should be priced accordingly.

CONTRACT OBLIGATION
Harris County Commissioners Court must award the contract and the County Judge or other person authorized by the Harris County
Commissioners Court must sign the contract before it becomes binding on Harris County or the offeror. Department heads are NOT
authorized to sign agreements for Harris County. Binding agreements shall remain in effect until all products and/or services covered by
this purchase have been satisfactorily delivered and accepted.

TITLE TRANSFER
Title and Risk of Loss of goods shall not pass to Harris County until Harris County actually receives and takes possession of the goods at
the point or points of delivery. Receiving times may vary with the using department. Generally, deliveries may be made between 8:30
a.m. and 4:00 p.m., Monday through Friday. Offerors are advised to consult the using department for instructions. The place of delivery
shall be shown under the "Special Requirements/Instructions" section of this proposal and/or on the Purchase Order as a "Deliver To:"
address.

WARRANTIES
Offerors shall furnish all data pertinent to warranties or guarantees which may apply to items in the proposal. Offerors may not limit or
exclude any implied warranties. Offeror warrants that product sold to the County shall conform to the standards established by the U.S.
Department of Labor under the Occupational Safety and Health Act of 1970. In the event product does not conform to OSHA Standards,
where applicable, Harris County may return the product for correction or replacement at the offeror's expense. If offeror fails to make the
appropriate correction within a reasonable time, Harris County may correct at the offeror's expense.
PURCHASE ORDER AND DELIVERY
The successful offeror shall not deliver products or provide services without a Harris County Purchase Order, signed by an authorized
agent of the Harris County Purchasing Agent. The fastest, most reasonable delivery time shall be indicated by the offeror in the proper
place on the proposal document. Any special information concerning delivery should also be included, on a separate sheet, if necessary.
All items shall be shipped F.O.B. INSIDE DELIVERY unless otherwise stated in the specifications. This shall be understood to include
bringing merchandise to the appropriate room or place designated by the using department. Every tender or delivery of goods must fully
comply with all provisions of these requirements and the specifications including time, delivery and quality. Nonconformance shall
constitute a breach which must be rectified prior to expiration of the time for performance. Failure to rectify within the performance
period will be considered cause to reject future deliveries and cancellation of the contract by Harris County without prejudice to other
remedies provided by law. Where delivery times are critical, Harris County reserves the right to award accordingly.

CONTRACT RENEWALS
Renewals may be made ONLY by written agreement between Harris County and the offeror. Any price escalations are limited to those
stated by the offeror in the original proposal.

INVOICES AND PAYMENTS
Offerors shall submit invoices in duplicate on each purchase order or purchase release after each delivery, indicating the purchase order
number. Invoices must be itemized. Any invoice which cannot be verified by the contract price and/or is otherwise incorrect, will be
returned to the offeror for correction. Under term contracts, when multiple deliveries and/or services are required, the offeror may invoice
following each delivery and the County will pay on invoice. Contracts providing for a monthly charge will be billed and paid on a
monthly basis only.

TERMINATION
Harris County reserves the right to terminate the contract for default if Seller breaches any of the terms therein, including warranties of
offeror or if the offeror becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any
other remedies which Harris County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the
proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Harris
County's satisfaction and/or to meet all other obligations and requirements. Contracts may be terminated without cause upon thirty (30)
days written notice to either party unless otherwise specified.

RECYCLED MATERIALS
Harris County encourages the use of products made of recycled materials and shall give preference in purchasing to products made of
recycled materials if the products meet applicable specifications as to quantity and quality. Harris County will be the sole judge in
determining product preference application.

SCANNED OR RE-TYPED RESPONSE
If in its response, offeror either electronically scans, re-types, or in some way reproduces the County's published proposal package, then in
the event of any conflict between the terms and provisions of the County's published proposal package, or any portion thereof, and the
terms and provisions of the response made by offeror, the County's proposal package as published shall control. Furthermore, if an
alteration of any kind to the County's published proposal package is only discovered after the contract is executed and is or is not being
performed, the contract is subject to immediate cancellation.

FLOPPY DISK
If offeror obtained the specifications on a floppy disk in order to prepare a response, the proposal must be submitted in hard copy
according to the instructions contained in this Request-for-Proposals package. If, in its response, offeror makes any changes whatsoever
to the County's published specifications, the County's specifications as published shall control. Furthermore, if an alteration of any kind
to the County's published specifications is only discovered after the contract is executed and is or is not being performed, the contract is
subject to immediate cancellation.

YEAR 2000 COMPLIANCE
All products and/or services furnished as part of this contract must be year 2000 compliant. This applies to all computers including
hardware and software as well as all other commodities with date sensitive embedded chips.
                                    ATTENTION VENDORS



This document is an alternative competitive proposal as specified in LGC 262.030.

All documents will be held by the County and are NOT subject to public review until an award is made.
Harris County will hold a preliminary evaluation. Appropriate proposals will be subjected to review and
may go through negotiating process.

After award by Commissioners Court, proposals will be made public.
                                           SPECIAL REQUIREMENTS/INSTRUCTIONS

Where these specific requirements differ from the preceding General Requirements, these specific requirements will control. If you need
additional information, contact Mary Lou Sotolongo at (713) 755-6832. For technical assistance contact David Whittier at (713) 572-3729.

The following statement is made in accordance with the FY 1995 Appropriations Act (P.L.103-333). All funds being offered in this
Request for Proposal (RFP) are 100% Ryan White C.A.R.E. Act funds with no contribution of any non-Federal funds required of the
vendor, although subsequent to any award made to the vendor resulting from this RFP the vendor will be required to document, in a manner
acceptable to the County, the total cost of the project, the amount and percentage financed by federal money and the amount and percentage
financed by non governmental sources.

PRE-PROPOSAL CONFERENCE
A Pre-Proposal Conference will be held Wednesday, June 16, 1999 at 2:00 p.m. in the Harris County Office Building, Room 240
located at 2223 W.Loop South, Houston, TX 77027. Attendance is not a mandatory requirement, however, it is highly recommended
that vendors attend in order to discuss and clarify the requirements of this Request for Proposal. Persons with disabilities requiring
special accommodations please contact David Whittier (713) 572-3729 for special arrangements.

Special Requirements

I.        SUBMISSION INSTRUCTIONS
The proposal submitted must include a complete description of all products and services to be supplied by the vendor and responses to
all questions, together with the costs associated with the proposed services. All other required documentation must also be included.
All proposals must be typewritten (not to exceed 12 characters per inch) on 8 1/2” by 11” paper, doubled spaced (unless otherwise
specified), left and right margins of 1 inch each, with page numbers on all pages, including all appendices. Forms specified have
been included in the Forms Section and must be inserted in the proposal as noted. All respondents MUST address each of the forms by
filling out each one with the appropriate, detailed information required in the form. Omission of any or all of these forms may be cause
to reject your proposal in its entirety. If, for some reason, the form does not apply to your response, you must note that decision on your
copy of the form. Where applicable, the forms must be dated and signed by authorized persons, include the person’s title. All signatures
for all forms throughout this package must be original on the copy marked, "ORIGINAL". Copies of the original may contain
copies of signatures. Submit signed original and seven (7) copies. Original and copies must be bound individually with a single
binder clip for each.

This document is an alternative competitive proposal as specified under Local Government Code 262.030. See proposal returns and
proposal completion in the general requirements for instructions. The due date is specified on the first page. On that date the
proposals will be opened in private and will remain confidential until after award. Neither information nor copies of proposals will be
available to anyone other than Harris County and the Review Committee until a formal award is made by Commissioners Court.
Evaluation Criteria and Award Process

The following guidelines will be used in the Evaluation/ Award process.
1. Present your best proposal initially. A technical review will be conducted by Harris County to ensure all proposals contain the
    required documentation and are in conformance with the requirements set forth herein. A Review Committee will score
    acceptable proposals, based on the information supplied in the vendor’s proposal, a vendor presentation, if requested, and the
    evaluation criteria stated below. The point system is based on a total of 100 points.

2. Award of the contract shall be made to the responsible vendor, whose proposal is determined to be the highest scored proposal best
    meeting the County’s needs. No award or acquisition can be made until Commissioners Court approves such action. Submission
    of a proposal implies the vendor’s acceptance of the evaluation process and vendor recognition that subjective judgments must be
    made by the reviewers and Harris County.


The Evaluation Criteria follows:
All proposals MUST be submitted in the order listed below.

        A.       Request For Proposal Cover Sheet (Enclosed in RFP)

        B.       Residence Certification (Enclosed in RFP)

        C.       Signed Assurances Form I (Enclosed in RFP Forms Section)

        D.       Signed Certification Concerning Lobbying (Enclosed in RFP Forms Section)

        E.       Signed Compliance With Americans With Disabilities Act of 1990 (Enclosed in RFP Forms
                 Section)

        F.       Assurances for Non Construction Programs (s-424B) (Enclosed in RFP Forms Section)

        G.       Respondent Certification (Enclosed in RFP Forms Section)

        H.       Cover sheet (Enclosed in RFP Forms Section)

        I.       Table of Contents for Proposal (Provided by Vendor)
                 Evaluation Criteria /Proposals should include responses to the 3 items listed.
                 The External Review will score proposals based on the responses and the points assigned to each.

                 1. Abstract - a one page, single-spaced summary discussing briefly the proposed project, contractual amount
                 requested, and methodology for conducting the project;

                 2. Project Design and Funding (50 points) - a complete discussion of the project plan. Please be specific. This
                 narrative should cover in detail the methodology of the project, the specific timeline for implementing and
                 completing all project activities, the planned leadership, staffing pattern and staff responsibilities, and any problems
                 that may be encountered. Demonstrate the ability of proposed project to meet project requirements as described in
                 the RFP. The narrative in this section should refer to a detailed, itemized budget (titled "Attachment A: Itemized
                 Budget") and should specifically discuss all sources of funds to be utilized for the project if any funds other than
                 funds allocated through the contract are to be used. Maximum length is ten (10) pages not including Attachment A.
                 Sample budget is provided as a format;

                 2. Accessibility (15 points) - Describe special expertise and experience in: 1) Community group
                 decision-making processes, especially projects working with community service providers and
                 consumers and consensus-building techniques; 2) motivating and sustaining group member
                 engagement and participation; and 3) cultural and social diversity, including applicant's
                 knowledge-base (or training) on cultural and social diversity where ethics and professional
                 conduct are concerned, as well as descriptions related to cultural and social diversity in delivery of
                 services.
               3. Qualifications (35 points) - a discussion of the proposer's qualifications in conducting the project. Describe
               previous experiences in dealing with the HIV/AIDS community in like or similar projects, especially in the
               development of health outcome evaluations. Specify qualifications/expertise of the applicant (or any subcontractors)
               in developing & implementing strong program evaluations Resumes and/or C.V.'s of all proposed staff members
               and/or subcontractors should be attached in a section titled "Attachment B: Resumes". Maximum length is ten (10)
               pages not including Attachment B; Letters of Reference & Sample Documents - Each proposal must include at least
               three (3) professional letters of reference from the vendor's former clients and at least one (1) program evaluation
               which was completed by the vendor. ("Attachment C: References and Sample Documents").
               Supporting Letter(s) - The proposal must include a letter ("Attachment D: Supporting Letter(s)") supporting the
               participation in the project by the vendor by one of the following:

               a. If the vendor is associated with a private organization, a letter from the Chair of the Board or the C.E.O. of the
                  organization.
               b. If the vendor is associated with a public organization, a letter from the Chair of the Board or C.E.O of the
                  organization.
               c. A proposal submitted by an individual or a sole proprietor is exempt from this requirement.

J. Budget Form - (Sample Enclosed in RFP Forms Section).

II. ADDITIONAL INFORMATION

       A.      SUGGESTIONS FOR COMPLETING PROPOSALS
               In addition to the proposal writer, one or more individuals should review your proposal for content and form. Have them
               read through this RFP, and then let them pretend that they are on the review panel: have them read through your
               application, paying special attention to the information that you have provided, and using the evaluation criteria as a
               basis for their review and comment.

               Also, one or more individuals should review your application for completeness and format correctness, that all required
               information has been assembled; that all pages, including attachments, have been numbered sequentially; that binder
               clips have been used; that odd sized pages have been reduced/photocopied to 8 ½ x 11” paper; that the correct number
               (one original and seven copies) of the finished proposal has been prepared for delivery.
         B. GRIEVANCES
         Grievance Procedures are as required by the Ryan White CARE Act for contracts funded with Ryan White Title I grant money.

                  Eligibility: Only individuals within the following groups are authorized to bring grievances.
                  1. HIV service providers eligible to receive Ryan White Title I funding;
                  2. persons with HIV disease;
                  3. consumer groups or coalitions or caucuses of persons with HIV disease; or
                  4. members of the Houston Area HIV Health Services Planning Council (“Planning Council”).
                  Grievable Actions: Only the following actions are the proper subject of a grievance under these procedures:
                  1. deviations from the procedures established by the Harris County Purchasing Agent in the competitive bid package
                      and
                  2. contracts and awards which are inconsistent with the priorities and resource allocations made by the Planning
                      Council.
                  3. deviations from any established, written process for any subsequent changes to priorities or allocations.
                  *Note: Only a member of the Planning Council is authorized to bring a grievance under grievable actions item 2.

                  The procedure with timelines and appropriate forms for grievances defined in Grievable Actions above may be obtained
                  from the Harris County Purchasing Department by calling 713-755-5036.
                  Filing of the appropriate forms will initiate the grievance process. Contact Mary Lou Sotolongo at 755-6832 in
                  order to seek an informal resolution to your concerns.

                  The awarding of contracts is the responsibility of Harris County Commissioners Court and their award decision is final.
                  Award will be based on the evaluation criteria and process described in the RFP document.

                  The priority setting of service categories is the responsibility of the Ryan White Planning Council. All grievances
                 pertaining to the priority setting process should be directed in writing to the Ryan White Planning Council. For
                 information call the Ryan White Planning Council Support Secretary at (713) 572-3724.

III. OVERVIEW

A. The Ryan White Comprehensive AIDS resources Emergency (CARE) Act of 1990 provides federal support for comprehensive
health and social services for people living with HIV/AIDS in the Houston Eligible Metropolitan Area (Houston EMA). These
services are 100% federally funded. Houston EMA includes Chambers, Fort Bend, Harris, Liberty, Montgomery & Waller counties.
Title I provides emergency relief grants to meet needs of individuals affected. CARE Act funding is intended to supplement, not
supplant, existing and planned funding for HIV/AIDS services at local and state levels.

The Ryan White Planning Council is responsible for establishing priorities, conducting evaluations, needs assessments, and long range
planning for Title I funds. Its members are appointed by the Harris County Judge and are representatives of various segments of the
community, including service provides, caregivers, medical authorities, and persons affected by HIV/AIDS. Additionally, the
Planning Council has hired Support Staff who are responsible for the oversight and implementation of Council directives including the
coordination of the Contract with the vendor.

The Harris County Commissioners Court has appointed the HIV Services, Harris County Health Department as the Administrative
Agent to the program. In this capacity, HIV Services is responsible for assisting the Planning Council in its duties by providing grant
administration and monitoring for the Houston EMA. The Harris County Commissioners Court, as the governing body of the grant
recipient, has ultimate authority over awards of Ryan White Title I Grant funds.

B. AVAILABLE MONIES
The term and estimated dollar amount is identified under the Service Category description.
C. COMMENCEMENT OF SERVICES/FORFEITURE OF FUNDS
Each agency must demonstrate its ability to implement proposed services quickly, including hiring/training appropriate personnel. If
an agency fails to begin expending funds within 30 days from execution of the contract resulting from this RFP, the agency may have
to forfeit said funds.

D. APPLICABLE LAWS
Vendors MUST comply with all applicable federal, state, and local laws and regulations.

E. OTHER CONDITIONS/RESTRAINTS
The following conditions/restraints are imposed on all recipients of Ryan White Title I funds. However vendors are not required to
submit information concerning these issues within your proposal, agency must comply with them if it receives Ryan White Title I
funds.
1.       AUDIT
         Not for profit and governmental agencies receiving Federal funding assistance in the aggregate amount of $300,000.00 or
         more within their fiscal year must have an audit conducted in accordance with Office of Management and Budget (OMB)
         Circular A-133. The audit must be submitted to the Harris County Auditor’s Office no later than 13 months of an agency’s
         fiscal year end (within 9 months for fiscal years beginning after June 30, 1998). Proprietary agencies receiving awards of
         $25,000.00 or more must submit an audit of their general financial statements within 12 months of their fiscal year end. Not
         for profit and governmental agencies meeting the $300,000.00 aggregate threshold may charge OMB A-133 single audit
         costs proportionally to their Ryan White grants. However, agencies who do not meet the $300,000.00 aggregate threshold
         may not use Federal funds to pay for OMB A-133 single audit costs. Those agencies not meeting the $300,000.00 aggregate
         threshold may use Federal funds to pay for limited scope audits, site visits, document reviews and other monitoring activities.

2.       BONDING
         All employees of agencies receiving Title I funds must be covered by the terms of a fidelity bond, if they handle those funds,
         providing for indemnification of losses by:

         a. any fraudulent or dishonest act or acts committed by any of the above mentioned employees either individually or in
         concert with others, and/or

         b. the failure of the agency or any of its employees to perform faithfully his/her duties or to account properly for all monies
         and properties received by virtue of his/her position of employment.

         Fidelity bond will be in an amount not less than ten thousand dollars ($10,000.). Documentation of bonding must be
         provided within sixty (60) days of receipt of grant award.
                                                         SPECIFICATIONS

 Term Contract to Conduct an Effectiveness Evaluation in the Substance Abuse area for Ryan White Title I Services for
 Harris County

SCOPE
Vendor will provide specified services beginning on or about date of award/contract and ending February 28, 2000.

SPECIAL PROVISIONS

1. Vendor will not be a Ryan White Care Act Funded Agency, program or individual providing direct services to clients.
2. Vendor must have knowledge of the Delivery of HIV/AIDS Services preferred.
3. Vendor must be skilled in Outcome and Effectiveness Evaluation.
4. While all data, survey instruments, reports, etc. having to do with this Contract will be the property of Harris County, the vendor,
at no further cost to the vendor or to Harris County, may use and is encouraged to perform additional analyses on the data for the sole
purpose of publishing results in peer reviewed journals as long as the Council is credited.
                                                    Section I.        Scope of Work

Title of Service: Service Effectiveness of RWPC Title I Substance Abuse Services

Amount Available:            $45,000. In Fiscal Term 1999


Term:               Begin: Date of Award/Contract and Ends: February 29, 2000

Budget: Line Item (Cost Reimbursement)


The Vender will achieve the following Ryan White Planning Council (RWPC) goals and objectives during the term of the contract.

The vender will conduct a “Service Effectiveness” evaluation to aid the RWPC in assessing the cost and outcome effectiveness of the
specified services (“Substance Abuse” services) in meeting identified need. Any proposal may be subject to revision and negotiation
before final award.
Definition of Terms:

Effectiveness refers to the comparison of a provider outcome to a predetermined standard of care or practice guideline. Outcome
should be determined based on identified needs and client satisfaction. Process measures can be used as proxies for outcomes where
specific processes are assumed to lead to specific results.

Substance Abuse services are the service categories “Substance Abuse Treatment/Levels III and IV” as defined in “Job No.
JOB98/0429, PROPOSAL TO: Provide Ryan White Title I Services” and “Substance Abuse Treatment/Levels I” as defined in “Job
No. JOB No. 9905027A, PROPOSAL TO: Provide Ryan White Title I Services.” The descriptions are included in this document in
Attachment I. These definitions and proposals are the material that are to be used to plan and otherwise inform the evaluation.
Additional specifications drawn from the Texas Commission on Alcohol and Drug Abuse policies and procedures, and service
provider’s specifications for services and RWPC Standards of Care should be utilized to inform the evaluation.

Furthermore, the evaluator should address cost effectiveness. Cost refers to maximization taking into account a balance between cost
and quality.

Goals: These are the minimum requirements for the term of the contract.

The vender will develop a study protocol and conduct the service effectiveness evaluation study focused on the Substance Abuse
service category areas according to the protocol, which will observe the following stipulations:

The evaluation will especially focus on core service elements and outcomes, which are related to treatment compliance.

The evaluations will be of practical use to RWPC funded service providers, HIV Services, the RWPC, and Health Resources Services
Administration. Pragmatic collaboration with the various parties will be essential to meeting this stipulation.

The evaluation will make use of existing definitions and standards of services and outcomes (i.e., those of the RWPC, HIV Services,
service providers, and nationally accepted standards). RWPC descriptions are included in this document in Attachment I.1

A task and time line for the study must be submitted as part of the vendor’s proposal.

The vendor, in the proposal, must specify appropriate methods of collecting and analyzing effectiveness data. Proposal may include,
but is not limited to:

          draft versions of proposed measures;



1
    A first step in planning the evaluation will be the completion of Table 1 included in Attachment II.
         if statistical analyses are part of the proposed study plan, the applicant must specify the statistics that will be used in the
         analyses and provide justification for their use in relation to the same size (projected), levels and types of data collected, and
         other relevant criteria;

         data verification procedures;

         discussion of plans for Human Subject Confidentiality/Informed Consent assurances and procedures if Human Subjects
         considerations are germane to the proposed study plan 2; and

         plans and procedures for recruiting and retaining human subjects if human subjects are germane to the proposed study plan.

The vendor will deliver written reports of the effectiveness evaluation, in Microsoft Word format. Reports will be in final form once
they meet the approval of the RWPC Manager. Emphasis in the reporting should be on summarizing data and findings using graphical
displays. The report will include an “Executive Summary.”

The vendor will deliver complete SPSS or Microsoft Access data sets of all quantitative data collected in the study and complete data
sets in Microsoft Word format of qualitative and textual data that are collected as part of the plan (for example: transcripts of
individual and/or group qualitative interviews). 3

The data collection, analysis and report must be completed in the contract term.

The vendor will conduct a focus group with ten to twelve separate substance abuse providers (not limited to RWPC funded providers)
with the main purpose of the group being to ascertain the need for and relevancy of RWPC funded substance abuse services in the
EMA.




2
  Human Subject Confidentiality/Informed Consent assurances and procedures as may be required by relevant authorities must be
obtained and written approval provided to RWPC before any data collection can begin.
3
  A data base will not be considered to be final until it is cleaned and data entry has been verified using standard procedures and it
contains all specified requested data points. Codebooks must be prepared and submitted for each data set. Each codebook will define
all variable names, including composite variables; value labels, including missing values, and associated values; and the data format
for each variable. Data reduction and analysis must also be documented in an electronic format to RWPC.
Section II: Payment Schedule and Deliverables.

Each deliverable must meet the terms specified in the Scope of the Work (above).

FISCAL TERM 1999                                       FISCAL TERM 1999
COMPLETION OF / DELIVERABLE                            RESULTS IN PAYMENT
Submission of a final, detailed task and time line
description for the study which meets the approval     $8000
of the RWPC Manager. Submission of final
protocols and instruments. The task-timeline,
protocols and instruments must be approved in
order to be considered final. Approval must occur
within one month from the date the contract is
finalized. Submission of letter from each primary
care site which documents compliance with any site
requirements for Review of Research Involving
Human Subjects.
A report of the results of a focus group held to
examine the need for and relevancy of RWPC             $5000
funded substance abuse services in the EMA
Completion of all data collection, entry and
validation in SPSS format                              $10,000
Completion of all data analysis and submission of a
draft report in MS Word format.                        $10,000
Submission of the final report and acceptance by the
RWPC Manager. Oral presentation of the study to        $12,000
the RWPC. Submission of complete and final
databases and associated documentation.
FORMS SECTION

The forms contained in this section must be filled in and submitted in the appropriate order in your proposal.
                                        RESIDENCE CERTIFICATION

Pursuant to Texas Government Code §2252.001 et seq., as amended, Harris County requests Residence Certification. §2252.001 et seq.
of the Government Code provides some restrictions on the awarding of governmental contracts; pertinent provisions of §2252.001 are
stated below:

        (3)      "Nonresident bidder" refers to a person who is not a resident.

        (4)      "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor
                         whose ultimate parent company or majority owner has its principal place of business in this state.


 I certify that ______________________________________ is a Resident Bidder of Texas as
                                 [Company Name]
        defined in Government Code §2252.001.



       I certify that ______________________________________ is a Nonresident Bidder as defined in
        [Company Name]
        Government Code §2252.001 and our principal place of business is _______________________.
        [City and State]
                                                 Assurances Form I



By signing and submitting this proposal, the applicant organization certifies compliance with the following assurances in the event that
Ryan White funds are awarded:

·        Assurance that applicant agency will not discriminate against persons eligible for services on the grounds of race, creed, color,
         handicap, national origin, sex, political affiliation or beliefs, or sexual orientation.

·        Assurance that drug-free workplace guidelines are or will be in place in agency at time of funding award in accordance with
         Federal Regulation 45 CFR part 76.


·        Assurance that applicant agency will comply with Federal Regulation 45 CFR part 76 regarding debarment and suspension.

·        Assurance that agency understands specified restrictions on the use of grant award funds.




         _______________________                                                    ____________________________
         Date                                                                                Applicant Organization



                                     ___________________________________
                                      Signature and Title of Authorized Official
                                          Certification Concerning Lobbying

                              DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                     U.S. PUBLIC HEALTH SERVICE

The Undersigned certifies, to the best of his or her knowledge and belief, that:

         (1)      No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person or
                  influencing organization attempting to influence an officer or employee of any agency, a member of Congress, or an
                  employee of a member of Congress in connection with the awarding of any Federal contract, the making of any Federal
                  grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation,
                  renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

         (2)      If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
                  attempting to influence an officer or employee of any agency, a member of Congress, or an employee of a member of
                  Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
                  complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.

         (3)      The undersigned shall require that the language of this certification be included in the award documents for all
                  subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements)
                  and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of the fact upon which reliance was placed with this transaction was made or enter into.
Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code.
Any persons who fail to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.


                                                                            ____________________________________
Date                                                                                                       Entity


                                                                    __________________________________________
Address of Organization                                             Name and Title of Official Signing for Organization



                                                                          ______________________________________
Telephone of Organization                                                                       Signature of Official
                            Compliance with American With Disabilities Act of 1990




__________________________________
Name of Applicant Agency


guarantees and assures, with respect to the operation of the program and activities outlined in this proposal and all agreements or
arrangements to carry out such program or activities for which financial assistance may be awarded in any subsequent subcontract, that
will comply fully with the Americans with Disabilities Act of 1990 (ADA) and any and all Regulations promulgated thereunder. The
applicant agency understands that failure to comply with this requirement shall be sufficient cause to terminate any contract existing
between the applicant agency and the Harris County HIV Services Division.




_____________________________________________________
Signature of Person Authorized to Represent Applicant Agency




________________________________________
Printed Name and Title




___________________________________
Date Signed
                             ASSURANCE — NON-CONSTRUCTION PROGRAMS


Note:             Certain of these assurance may not be applicable to your project or
                  program. If you have questions, please contact the awarding agency.
                  Further, certain Federal awarding agencies may require applicants to
                  certify to additional assurances. If such is the case, you will be notified.

As the duly authorized representative of the applicant I certify that the applicant:
1.       Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial
         capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper
         planning, management and completion of the project described in this application.

2.       Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the
         State, through any authorized representative, access to and the right to examine all records, books,
         papers, or documents related to the award; and will establish a proper accounting system in
         accordance with generally accepted accounting standards or agency directives.

3.       Will establish safeguards to prohibit employees from using their positions for a purpose that
         constitutes or presents the appearance of personal or organizational conflict of interest, or personal
         gain.

4.       Will initiate and complete the work within the application time frame after receipt of approval of the
         awarding agency.

5.       Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) relating to
         prescribed standard for merit systems for programs funding under one of the nineteen statutes of
         regulations specified in Appendix A of OPM's Standards of a Merit System of Personnel
         Administration (5 C.F.R. 900, Subpart F).

6        Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited
         to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the
         basis of race, color, or national origin; (b) Title IX of the Educational Amendments of 1972, as
         amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex;
         (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits
         discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42
         U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office
         and Treatment Act of 1972 (P.L. 92-255, as amended, relating to nondiscrimination on the basis of
         drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
         Rehabilitation Act of 1970 (P.L. 91-616, as amended, relating to nondiscrimination on the basis of
         alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C.
         290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient
         records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C. 3501 et seq.) as amended, relating to
         nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination
         provisions in the specific statute(s) under which application for Federal assistance is being made; and
         (j) the requirements of any other nondiscrimination statute(s) which may apply to the application.

7.       Will comply, or has already complied, with the requirements of Titles II and III of the Uniform
         Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which
         provide for fair and equitable treatment of persons displaced or whose property is acquired as a result
         of Federal or federally assisted programs. These requirements apply to all interests in real property
         acquired for project purposes regardless of Federal participation in purchases.

8.       Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit
         the political activities of employees whose principal employment activities are funded in whole or in
         part with Federal funds.
9.      Will comply, as application, with the provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-7),
        the Copeland Act (40 U.S.C. 276c and 18 U.S.C 874, and the Contract Work House and Safety
        Standards Act (40 U.S.C. 327-333), regarding labor standards for federally assisted construction
        subagreements.

10.     Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the
        Flood Disaster Protection Act of 1973 (P.L. 93-2343) which requires recipients in a special flood
        hazard area to participate in the program and to purchase flood insurance if the total cost of insurable
        construction and acquisition is $10,000 or more.

11.     Will comply with environmental standards which may be prescribed pursuant to the following (a)
        institution of environmental quality control measures under the National Environmental Policy Act
        of 1969 (P.L. 91-190) and Executive Order (EO 11514; (b) notification of violating facilities
        pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood
        hazards in flood plains in accordance with EO 11988; (e) assurance of project consistency with the
        approved State management program developed under the Coastal Zone Management Act of 1972
        (16 U.S.C. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans
        under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g)
        protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as
        amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act
        of 1973, as amended, (P.L. 93-205).

12.     Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to
        protecting components or potential components of the national wild and scenic rivers system.

13.     Will assist the awarding agency in assuring compliance with Section 106 of the National Historic
        Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of
        historic properties), and the Archaeological and Historical Preservation Act of 1974 (16 U.S.C. 469a-
        1 et seq.).

14.     Will comply with P.L. 93-348 regarding the protection of human subjects involved in research,
        development, and related activities supported by this award assistance.

15.     Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C.
        2131 et seq.) pertaining to the care, handling, and treatment of warm-blooded animals held for
        research, teaching, or other activities supported by this award of assistance.

16.     Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which
        prohibits the use of lead-based pain in the construction or rehabilitation of residence structures.

17.     Will cause to be performed the required financial and compliance audits in accordance with the
        Single Audit Act of 1984.

18.     Will comply with all applicable requirements of all other Federal laws, executive orders, regulations
        and policies governing this program.

 Signature of Authorized Certifying Official                 Title


 Applicant Organization                                      Date Submitted
                                         RESPONDENT CERTIFICATION



________________________________________
Name of Applicant Agency




I,                                        , certify that I am the



______________________________________
Title Printed


of the corporation, committee, commission, association, partnership, or public agency named as the Applicant
Agency herein, that this proposal was duly submitted and signed for on behalf of said corporation, committee,
commission, association, or public agency by authority of its governing body and is within the scope of its legal
powers.



_________________________________________________
Signature of Person Making Certification



_____________________________________
Date Signed
                                                  COVER SHEET

                          1999 SUBSTANCE ABUSE EFFECTIVENESS EVALUATION

Applicant organization:                       _________________________________________________________



Service category of proposal as designated in RFP:   PROGRAM SUPPORT



Code Number:                           _______________________________________________________________



Total amount requested:                         ________________________________________________________



Contact person for proposal clarifications:                   __________________________________________



Contact person telephone number:                        ________________________________________________



Fax number:                         _________________________________________________________________




Identify your Agency as one of the following:        For Profit              _______
                                                     Non-Profit              _______
                                                     Public (Governmental)   _______



Has your agency complied with all HRSA requirements and regulations for all previously funded programs.
Not Applicable __________ Yes ____________ No _____________ If no, explain.
                     COST REIMBURSEMENT (LINE ITEM) BUDGET FORM
                                      (Budget Form #3)

                         You must use this form if you are submitting a line item budget


Service Category:         PROGRAM SUPPORT

Title of Service:         SUBSTANCE ABUSE EFFECTIVENESS EVALUATION



1.       PERSONNEL
              $______________

                                          $___________
         ($         per mo. x ___ months x %)
         _________________________
         _________________________
         _________________________

                                          $___________
         ($         per mo. x ___ months x %)
         _________________________
         _________________________
         _________________________

                                          $___________
         ($         per mo. x ___ months x %)
         _________________________
         _________________________
         _________________________

                                          $___________
         ($         per mo. x ___ months x %)
         _________________________
         _________________________
         _________________________

                                          $___________
         ($         per mo. x ___ months x %)
         _________________________
         _________________________
         _________________________


Note: Use additional pages as needed.
2.   FRINGE

                                                                                $______
                                                                                _______
                                                                                __
     (Total Personnel costs x TOTAL %)
              FICA                                  %
              State Unemployment                    %
              Workers Comp.                 %
              Health Insurance              %
              Life Insurance                %
                                   %
                                   %
                                   %
                                   %
              TOTAL                         %

              Note: All fringes must be included.

3.   TRAVEL
                                                                                $______
                                                                         _________

     Local Travel                               $_____________
             miles x $     /mile

     Out of Town Travel                         $_____________
                    :
     Transportation   $__________
     Lodging          $__________
     Per Diem/Meals $__________
     TOTAL            $__________

                    :
     Transportation          $__________
     Lodging          $__________
     Per Diem/Meals $__________
     TOTAL            $__________

4.   EQUIPMENT                                                    $_________________

     Description:                               $______________
                                                $______________
                                                $______________
5.     SUPPLIES
                                                                                   $______
                                                                            ___________

       General Consumable Office Supplies       $______________
       Other:                            $______________
                                         $______________
                                         $______________
                                         $______________
                                         $______________

6.     CONTRACTUAL

                                                                                   $______
                                                                                   _______
                                                                                   ____

                                           $______________
       ($      /hr. x    hours)
                                           $______________
       ($      /hr. x    hours)

7.     OTHER                                                         $_________________

                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
                                  $______________
               TOTAL                                          $______________

       Note: Include all other expenses.

TOTAL DIRECT COSTS
                                                                     $_________________

TOTAL INDIRECT COSTS (Percentage of Direct costs = ______%)
                                                                            $_____________
                                                                     ____


TOTAL COSTS                                                          $_________________
                                        EXAMPLE
                          COST REIMBURSEMENT (LINE ITEM) BUDGET
                                      (Budget Form #3)

                                      You must follow this format.
Service Category:                   PSYCHOSOCIAL

Title of Service:          Food Pantry

1.       PERSONNEL

                                                                          $45,895.
                                                                          00

         Project Director (H. Clinton)                       $10,999.98
         (3,666.66/mo. x 12 months x 25%)
         Administers funds and monitors overall
         project performance. Supervises
         food pantry personnel.

         Food Pantry Manager (P. Graham)                     $19,954.92
         ($1,662.91/mo. x 12 months x 100%)
         Secures, catalogues and disburses
         goods, trains volunteers, oversees
         Delivery Clerk and the pantry,
         interfaces with service providers
         and case managers.

         Delivery Clerk (E. Davis)                           $14,940.00
         ($1,245.00/mo. x 12 months x 100%)
         Delivers food and pantry goods to
         eligible clients or their case
         managers in the EMA.

2.       FRINGE                                                           $
                                                                          9,964.00
         (Total Personnel costs x 21.71%)
                  FICA                               7.65%
                  State Unemployment                 2.70%
                  Health/Life Insurance     10.44%
                  Workers Comp.             0.92%
                  TOTAL                     21.71%

3.       TRAVEL                                                           $
1,728.00

         Local Travel                                        $ 728.00
                  2,600 miles x $.28/mile

         Out of Town Travel                                  $1,000.00
         Annual HIV Conference:
         Airfare         $ 500.00

                             EXAMPLE: DO NOT INCLUDE THIS FORM
                                     IN YOUR PROPOSAL
     Lodging           $ 330.00
     Per Diem          $ 170.00
     TOTAL             $ 1,000.00

4.   EQUIPMENT                                                                $
                                                                              1,567.00

     Compaq 486/33 PC, with HP-4L         $1,567.00
     printer, modem and monitor.

5.   SUPPLIES                                                                 $
                                                                   1,200.00

     General Consumable Office Supplies   $1,200.00

6.   CONTRACTUAL                                                              $
                                                                              1,300.00

     Financial Consultant                 $1,300.00
     ($50.00/hr. x 26 hours)

7.   OTHER
                                                                              $10,959.
                                                                   00

     Rent                                         $ 4,062.00
     Telephone                                    $ 1,750.00
     Liability Insurance                          $ 1,650.00
     Bonding                              $ 150.00
     Printing                             $ 750.00
     Audit                                        $ 1,500.00
     Postage & Delivery                           $ 422.00
     Equipment Maintenance                $ 600.00
     Conference Registration              $ 75.00
               TOTAL                      $10,959.00

     TOTAL DIRECT COSTS
                                                                   $72,613.00

     TOTAL INDIRECT COSTS (Percentage of Direct costs = ___0__%)              $
                                                                   0.00


     TOTAL COSTS                                                   $72,613.00




                         EXAMPLE: DO NOT INCLUDE THIS FORM
                                 IN YOUR PROPOSAL
Attachments referenced in the “Scope of Work”
Attachment I:

“Substance Abuse Treatment/Levels III and IV” as defined in “Job No. JOB98/0429, PROPOSAL TO:
Provide Ryan White Title I Services.”

SERVICE CATEGORY:                   OTHER OUTPATIENT/COMMUNITY-BASED
                                    HEALTHCARE SERVICES


TITLE OF SERVICE:          Substance Abuse Treatment/Levels III and IV

CODE:                               HS-02


AMOUNT AVAILABLE:                   $147,273.00 - To be divided among at least two (2) providers. The
                                    amount available to any single vendor is $73,636.50.


BUDGET:                             Fee for Service - Each vendor must provide at least 1,227 units of
                                    service without exceeding the maximum amount of funding
                                    available per vendor.


DEFINITION/SERVICE:                 A unit of service is defined as one (1) client visit for substance
                                    abuse treatment.


TARGET POPULATION:

HIV/AIDS infected and affected individuals residing within the Houston Eligible Metropolitan Area
(EMA).


CLIENT ELIGIBILITY:

   Client must be HIV positive.
   Client must have an income at or less than 500% of the Federal Poverty Level.
   Client must not be eligible for services from and/or can not be served by other programs/providers (i.e.
    MHMRA of Harris County, Tricounty MHMRA, Riceland MHMRA) unless the client is in crisis and
    cannot be provided immediate services from the other programs/providers. In this case, clients may be
    provided services, as long as the client applies for the other programs/providers, until the other
    programs/providers can take over services. Agencies receiving awards under this contract understand
    that they must obtain written documentation from those programs/providers on a monthly basis stating
    that they lack the capacity to serve the client in a timely fashion. This must be documented on a per
    client basis. Once the program/provider has capacity to serve the client, services rendered may no
    longer be billed to Ryan White Title 1. All services (including crisis services) provided to clients prior
    to obtaining aforementioned documentation are conducted at the agency's own risk and discretion. The
    appropriateness of reimbursement for all services (including crisis services) rendered to clients prior to
    obtaining aforementioned documentation is subject to audit.

SERVICES PROVIDED:
Substance Abuse Treatment 3 and 4
Services for all eligible HIV/AIDS patients with substance abuse disorders. Services provided must be
integrated with HIV-related issues which trigger relapse. All services must be provided in accordance with
the Texas Commission on Alcohol and Drug Abuse Chemical Dependency (TCADA) Treatment Facility
Licensure Standards. Specifically, regarding service provision, services must comply with §148.202.
Services Required In All Programs, §148.213 Level III Treatment and §148.214. Level IV Treatment.

§148.202. Services Required In All Programs states:
(a) All services shall be delivered according to a written plan that includes a service schedule listing
    services provided and timeframes in which they are provided.
(b) The program shall be culturally appropriate for the population served.
(c) Members of the client's treatment learn shall demonstrate effective communication and coordination of
    efforts and activities.
(d) Every residential client shall have a medical history and physical examination that is signed by a
    physician, physician assistant or advanced nurse practitioner.
(e) Chemical dependency education shall follow a course outline that identifies lecture topics and major
    points to be discussed.
(f) The program shall provide education about the health risks of tobacco products and nicotine addiction.
(g) The program shall provide HIV education based on the Model Workplace Guidelines developed by the
    Texas Department of Health.
(h) The provider shall:

           1) Provide access to pre-test and post-test counseling and anonymous or confidential EIIV
               testing; and
           2) Ensure that testing for the etiologic agent for AIDS is not carried out unless it is accompanied
               by written consent and counseling that conforms to the model protocol developed by the
               Texas Department of Health; and
           3) Refer HIV positive clients to a provider of HIV early intervention services (when available).
(i)   The program shall make testing for tuberculosis and sexually transmitted diseases available to all
      clients unless the program has access to test results obtained during the past year.
           (1) Services may be made available directly or through referral.
           (2) If a client tests positive, the program shall refer the client to an appropriate health care
               provider and take appropriate steps to protect clients and staff.

(j) The program shall refer clients to health, Substance Abuse, and ancillary services necessary to meet
      treatment goals and conduct follow-up. Residential programs shall ensure clients have access to
      appropriate health care and mental health services.
(k)   Programs that admit females of childbearing age shall ensure that at least one staff person has training
      and/or experience in providing specialized care for substance-abusing pregnant females. In addition,
      the program shall:
           (1) Adopt procedures for the care of pregnant clients that is approved by a licensed health care
               professional;
           (2) Implement the procedures whenever a pregnant female is admitted; and
           (3) Refer pregnant clients who are not receiving prenatal cue to an appropriate health care
               provider and monitor follow-through.
(l)   Clients in residential programs shall have an opportunity for eight continuous hours of sleep each
      night.

§148.213. Level III Treatment states:

(a) All clients admitted to Level III shall be:
         (1) Medically stable; and
         (2) able to function with limited supervision and support

(b) The program shall have enough staff to meet treatment needs within the context of the program
      description.
(c)   Counselor caseloads shall not exceed 16 clients per counselor.
(d) Direct care staff shall be awake and on site during all hours of program operation. The direct care staff-
    to-client ratio shall be at least 1: 16 during:
         (1) The hours clients are awake in residential programs; and
         (2) All hours of operation in outpatient programs.

(e) For clients transferred from Level I or admitted directly to this level of treatment, counselors shall
    complete a comprehensive client assessment within five individual service days of admission.
(f) All clients shall have an individualized treatment plan within seven individual service days of
    admission.
(g) The facility shall deliver an average of ten hours of structured activities per week for each client,
    including at least two hours of chemical dependency counseling (with at least one hour of individual
    counseling every two weeks) and eight hours of additional counseling, chemical dependency
    education, or life skills training.

§148.214. Level IV Treatment states:

(a) All clients admitted to intermediate programs shall be:
          (1) Medically stable; and
          (2) Able to function with minimal structure and support.
(b) A Level IV program shall not admit a client transferred directly from Level I without written
     justification in the client record.
(c) The program shall have enough staff to provide clients with adequate support and guidance.
(d) Counselor caseloads shall not exceed 20 clients per counselor in residential programs. Outpatient
     programs shall set limits on counselor caseload size that ensures effective, individualized treatment and
     rehabilitation. Criteria used to set the caseload size shall be documented.
(e) The program shall be adequately staffed during hours of operation to ensure effective service delivery.
(f) In residential programs, the awake direct care staff-to-client ratio shall be at least 1: 16 during the
     hours clients are awake. At least one staff person shall be on site and accessible to clients during
     sleeping hours.
(g) For clients transferred from Level I or admitted directly to this level of treatment, counselors shall
     complete a comprehensive client assessment within:
          (1) Five individual service days of admission in residential programs; and
          (2) 45 calendar days of admission in outpatient programs.
(h) All clients shall have an individualized treatment plan within:

         (1) Seven individual service days of admission in residential programs; and
         (2) 45 calendar days of admission in outpatient programs.

(i) The facility shall deliver an average of two hours of structured activities per week for each client,
    including at least one hour of chemical dependency counseling and one hour of additional counseling,
    life skills training, or chemical dependency education. These activities shall be designed to help clients
    establish a healthy independent lifestyle.


The vendor must provide a written plan addressing coordination with local TCADA HIV Early Intervention
funded programs.


The following information regarding Substance Abuse Treatment is an excerpt from the HRSA U.S.
Department of Health & Human Services Ryan White C.A.R.E. Act Title I Manual section IV:
Policies and Program Guidance 97-02.15 Substance Abuse Treatment for Eligible Individuals.
Outpatient Substance Abuse Treatment Services: Funds awarded under Title I or H of the Ryan White
CARE act may be used for outpatient drug or alcohol substance abuse treatment, including expanded IRV-
specific capacity of programs if timely access to treatment and counseling is not available. Such services
should be limited to:
 The pretreatment program of recovery readiness;
 Harm reduction;
 Mental health counseling to reduce depression, anxiety, and other disorders associated with substance
    abuse;
 Outpatient drug-free treatment and counseling;
 methadone treatment;
 Neuro-psychiatric pharmaceuticals; and
 relapse prevention



In accordance with Sec. 2678 and Sec. 422 of the CARE Act, as amended, funds may not be used for
syringe exchange programs.


Residential Substance Abuse Treatment Services: CARE Act funds may be used for residential substance
abuse treatment programs, including expanded IHV-specific capacity of programs if timely access to
treatment is not available. The following limitations apply to use of CARE Act funds for residential
services:


   Because of the CARE Act limitations on inpatient hospital care [see Sec. 2604.(b)(1)(B) and Sec.
    2613.(a)(2)(A)(B)], CARE Act funds may not be used for inpatient detoxification in a hospital setting.
    However, if detoxification is offered in a separate licensed residential setting (including a separately
    licensed detoxification facility within the walls of a hospital), CARE Act funds may be used for this
    activity.
   If the residential treatment service is in a facility that primarily provides inpatient medical or
    psychiatric care, the component providing the drug and/or alcohol treatment must be separately
    licensed for that purpose.

AGENCY QUALIFICATIONS: The facility must be licensed by the Texas Commission on Alcohol and
Drug Abuse with Level III and Level IV treatment designations. The acceptable documentation for
Medicaid enrollment is a copy of the agency's Medicaid enrollment/participation letter from National
Heritage Insurance Corporation (refer to example in the Appendix). The acceptable documentation for
Medicare participation is a copy of the agency's Medicare enrollment/participation letter from the Health
Care Financing Administration (refer to example in the Appendix). In the situation where the vendor is not
a clinic-based provider the Medicaid/Medicare certification of the individuals providing direct client care
must be included in the vendor's submission. No exceptions to this required documentation will be
accepted.
SERVICE CATEGORY:              OTHER OUTPATIENT/COMMUNITY-BASED HEALTHCARE
                               SERVICES

TITLE OF SERVICE:              Substance Abuse Treatment/Level I

CODE:                          HS-01

AMOUNT AVAILABLE:              $99,804

BUDGET:                        Fee for Service – Costs not to exceed $90 per hour of substance abuse
                               treatment with a maximum of 150 hours per client per year.

DEFINITION/SERVICE:            A unit of service is defined as one (1) hour of substance abuse
                               treatment.

TARGET POPULATION:
HIV/AIDS infected and affected individuals residing within the Houston Eligible Metropolitan Area
(EMA).


CLIENT ELIGIBILITY:
 Client must be HIV positive.
 Client must have an income at or less than 500% of the Federal Poverty Level.
 Client must not be eligible for services from and/or cannot be served by other programs/providers (i.e.
   MHMRA of Harris County, Tricounty MHMRA, Riceland MHMRA) unless the client is in crisis and
   cannot be provided immediate services from the other programs/providers. In this case, clients may be
   provided services, as long as the client applies for the other programs/providers, until the other
   programs/providers can take over services. Agencies receiving awards under this contract understand
   that they must obtain written documentation from those programs/providers on a monthly basis stating
   that they lack the capacity to serve the client in a timely fashion. This must be documented on a per
   client basis. Once the program/provider has capacity to serve the client, services rendered may no
   longer be billed to Ryan White Title I. All services (including crisis services) provided to clients prior
   to obtaining aforementioned documentation are conducted at the agency’s own risk and discretion. The
   appropriateness of reimbursement for all services (including crisis services) rendered to clients prior to
   obtaining aforementioned documentation is subject to audit.


SERVICES PROVIDED:
Substance Abuse Treatment I
Services must be provided for all eligible HIV/AIDS patients with substance abuse disorders. Outpatient
Substance Abuse Treatment must be provided in accordance with the Texas Commission on Alcohol and
Drug Abuse Chemical Dependency (TCADA) Treatment Facility Licensure Standards. Specifically,
regarding service provision, services must comply with §148.202. Services Required In All Programs,
§148.211 Level I Treatment.


§148.202. Services required In All Programs states:
(a) All services shall be delivered according to a written plan which includes a service schedule listing
     services provided and timeframes in which they are provided.
(b) The program shall be culturally appropriate for the population served.
(c) Members of the client’s treatment team shall demonstrate effective communications and coordination
     of efforts and activities.
(d) Every residential client shall have a medical history and physical examination that is signed by a
     physician, physician assistant, or advanced nurse practitioner.
(e) Chemical dependency education shall follow a course outline that identifies lecture topics and major
     points to be discussed.
(f)   The program shall provide education about the health risks of tobacco products and nicotine
      addiction.
(g)   The program shall provide HIV education based on the Model Workplace Guidelines developed by
      the Texas Department of Health.
(h)   the provider shall:
          (1) provide access to pre-test and post-test counseling and anonymous or confidential HIV
              testing; and
          (2) ensure that testing for the etiologic agent for AIDS is not carried out unless it is accompanied
              by written consent and counseling that conforms to the model protocol developed by the
              Texas Department of Health; and
          (3) refer HIV positive clients to a provider of HIV early intervention services (when available).

(i)   The program shall make testing for tuberculosis and sexually transmitted diseases available to all
    clients unless the program has access to test results obtained during the past year.
         (3) Services may be made available directly or through referral.
         (4) If a client tests positive, the program shall refer the client to an appropriate health care
             provider and take appropriate steps to protect clients and staff.
(j) The program shall refer clients to health, mental health, and ancillary services necessary to meet
    treatment goals and conduct follow-up. Residential programs shall ensure clients have access to
    appropriate health care and mental health services.
(k) Programs that admit females of child-bearing age shall ensure that at least one staff person has training
    and/or experience in providing specialized care for substance-abusing pregnant females. In addition,
    the program shall:
         (1) adopt procedures for the care of pregnant clients that is approved by a licensed health care
             professional;
         (2) implement the procedures whenever a pregnant female is admitted; and
         (3) refer pregnant clients who are not receiving prenatal care to an appropriate health care
             provider and monitor follow-through.
(l) Clients in residential programs shall have an opportunity for eight continuous hours of sleep each
night.

§148.211. Level I Treatment states:

(a) Every client shall have a medical history and physical.
         (1) Residential clients shall have the medical history and physical within 24 hours of admission.
              If the facility cannot meet this deadline because of exceptional circumstances, the
              circumstances shall be documented in the client record. Until a client’s medical history and
              physical is complete, staff shall observe the client closely and monitor vital signs.
         (2) Outpatient clients shall have the medical history and physical before admission.
(b) The program shall provide continuous supervision for clients.
         (1) In residential programs, direct care staff shall be awake and on site 24 hours a day.
                  (A)      During day and evening hours, at least two awake staff shall be on duty for the
                           first 12 clients, with one more person on duty for each additional one to 16 clients.
                  (B)      At night, at least one awake staff member shall be on duty for the first 12 clients,
                           with one more person on duty for each additional one to 16 clients.
         (2) In outpatient programs, direct care staff shall be awake and on site whenever a client is on
              site. Clients shall have access to on-call staff 23 hours a day.
(c) If the program accepts clients with acute withdrawal symptoms or a history of acute withdrawal
    symptoms, the program shall have:
         (1) a licensed vocational nurse or registered nurse on duty during all hours of operation; and
         (2) a physician on-call 24 hours a day.
(d) Level of observation shall be based on medical recommendations and program design.
(e) A physician shall approve all medical policies, procedures, guidelines, tools, and forms, which shall
    include:
         (1) screening instruments (including a medical risk assessment) and procedures:
         (2) treatment protocol or standing orders for each chemical the program is prepared to detoxify;
               and
         (3) emergency procedures.
(f) The clinical supervisor shall be a physician, physician assistant, advanced practice nurse, or registered
    nurse.
(g) The program shall:
         (1) ensure continuous access to emergency medical care;
         (2) provide clients access to mental health evaluation and linkage with mental health services
               when indicated; and
         (3) use written procedures to encourage clients to seek appropriate treatment after detoxification.
(h) Direct care staff shall complete training as described in §148.114 of this title (relating to Special
    Training Requirements).
(i) Staff shall help each client develop an individualized post-detoxification plan that includes appropriate
    referrals.

The vendor must ensure that Substance Abuse Level I Treatment will be available to all eligible patients
diagnosed with HIV/AIDS residing with the Houston EMA.

The vendor must also provide a written plan for ensuring that group therapy will be available in Spanish for
monolingual (Spanish) clients.

The following information regarding Substance Abuse Treatment is an excerpt from the HRSA U.S.
Department of Health & Human Services Ryan White C.A.R.E. Act Title I Manual, section IV: Policies
and Program Guidance 97-02.15 Substance Abuse Treatment for Eligible Individuals.

Outpatient Substance Abuse Treatment Services: Funds awarded under Title I or II of the Ryan White
CARE act may be used for outpatient drug or alcohol substance abuse treatment, including expanded HIV-
specific capacity of programs if timely access to treatment and counseling is not available. Such services
should be limited to:
 The pre-treatment program of recovery readiness;
 Harm reduction;
 Mental health counseling to reduce depression, anxiety, and other disorders associated with substance
    abuse,
 Outpatient drug-free treatment and counseling;
 Methadone treatment;
 Neuro-phychiatric pharmaceuticals; and
 Relapse prevention

In accordance with Sec. 2678 and Sec. 422 of the CARE Act, as amended, funds may not be used for
syringe exchange programs.

Residential Substance Abuse Treatment Services: CARE Act funds may be used for residential substance
abuse treatment programs, including expanded HIV-specific capacity of programs if timely access to
treatment is not available. The following limitations apply to use of CARE Act funds for residential
services:
 Because of the CARE Act limitations on inpatient hospital care [see Sec. 2604.(b)(1)(B) and Sec.
     2613.(a)(2)(A)(B)], CARE Act funds may not be used for inpatient detoxification in a hospital setting.
     However, if detoxification is offered in a separate licensed residential setting (including a separately-
     licensed detoxification facility within the walls of a hospital), CARE Act funds may be used for this
     activity.
   If the residential treatment service is in a facility that primarily provides inpatient medical or
    psychiatric care, the component providing the drug and/or alcohol treatment must be separately
    licensed for that purpose.

AGENCY QUALIFICATIONS: The facility must have the capacity to serve all clients in the Houston
EMA. The facility must include a written statement that reflects that Substance Abuse Treatment Level I
will be made available to clients in the entire Houston EMA. The facility must be licensed by the Texas
Commission on Alcohol and Drug Abuse with Level I treatment designations. The acceptable
documentation for Medicaid enrollment is a copy of the agency’s Medicaid enrollment/participation letter
from National Heritage Insurance Corporation (refer to example in the Appendix). The acceptable
documentation for Medicare participation is a copy of the agency’s Medicare enrollment/participation letter
from the Health Care Financing Administration (refer to example in the Appendix). In the situation where
the vendor is not a clinic based provider the Medicaid/Medicare certification of the individuals providing
direct client care must be included in the vendor’s submission. No exceptions to this required
documentation will be accepted.
Attachment II:

TABLE ONE: FY 99 RWPC “Substance Abuse” service descriptions and elements.

                        TARGETED        UNIT OF                              CORE       OUTCOME        OUTCOME      PERFORMANCE
      SERVICE                                                UNIT COST
                        AUDIENCE        SERVICE                              ELEMENTS   OBJECTIVE(s)   MEASURE(s)   INDICATOR(s)
Substance Abuse
Treatment/Levels III
and IV

				
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