REQUEST FOR PROPOSALS by MikeJenny

VIEWS: 17 PAGES: 112

									                  REQUEST FOR PROGRAMMATIC
                       QUALIFICATIONS
                                                           For
                                   RFPQ No. R09-9710
                            MULTNOMAH COUNTY
                       ALCOHOL AND DRUG (A/D) SERVICES

PROPOSALS DUE:                    NOT LATER THAN 4:00 PM, DECEMBER 15, 2008
                                  LATE PROPOSALS SHALL NOT BE CONSIDERED
Submit Proposals to:                       ATTN: Gerald E. Jelusich, CPPB
                                           Multnomah County Procurement # R09-9710
                                           Central Procurement & Contract Administration
                                           501 SE Hawthorne Blvd Ste 400
                                           Portland OR 97214

Refer Questions to:                        Gerald E. Jelusich, CPPB
                                           Procurement Analyst Senior
                                           Phone: (503) 988.5111, Ext 24961
                                           Email: gerald.e.jelusich@co.multnomah.or.us

Pre-Proposal Conference:                   There will be two pre-proposal conferences for this
                                           solicitation: Tuesday, November 4, 2008 at 3:00 PM and on Friday,
                                           November 14, 2008 at 1:00 PM in the Board Room of the Multnomah
                                           Building (First Floor), 501 SE Hawthorne Blvd, Portland, Oregon.
                                           Attendance at the pre-proposal conferences is OPTIONAL BUT
                                           STRONGLY ENCOURAGED.
  Electronic copies of this RFPQ and attachments, if any, can be obtained from the Multnomah County Purchasing Website at:
  http://www.multcopurch.org

  All Proposal documents shall be submitted in hard copy. Electronic or facsimile submissions shall be rejected




  RFPQ R09-9710                                               1
  Alcohol & Drug (A/D) Services
                                      RFPQ R09-9710
                         Multnomah County Alcohol and Drug (A/D) Services
                                  TABLE OF CONTENTS

             PART               TITLE                                                  PAGE
                                                                                         #
          PART 1                Overview
      Section 1.1               Purpose and Overview                                    4
      Section 1.2               Target Population Served                                6
      Section 1.3               Joint Proposals                                         6
      Section 1.4               Continuously Open Procurement and Allocation Process    6
      Section 1.5               Contract Negotiation                                    8
      Section 1.6               Contract Term                                           8
      Section 1.7               Funding                                                 8
      Section 1.8               Pre-Proposal Conference                                 9
      Section 1.9               Minimum Requirements                                    9
      Section 1.10              Timelines                                               10

          PART 2                Scope of Services and Programmatic Requirements
      Section 2.1               Introduction and Program History                        11
      Section 2.2               Scope of Services                                       13
      Section 2.3               Fiscal Requirements/Reporting                           17
      Section 2.4               Performance Measures/Performance Contracting            18
      Section 2.5               Descriptions of Specific Service Categories             19

          PART 3                Qualified Vendor Application Process (QVAP)
      Section 3.1               Overview                                                29
      Section 3.2               Who Must Submit Qualifications                          29
      Section 3.3               Administrative Qualification Review Process             30
      Section 3.4               Subsequent Administrative Qualifications Review         30

          PART 4                Proposal Requirements & Evaluation Criteria
      Section 4.1               Proposal Formatting Instructions                        31
      Section 4.2               Proposal Submission                                     32
      Section 4.3               Evaluation Process for Written Response and Optional    32
                                Oral Evaluation – RFPQ
      Section 4.4               Proposal Question Instructions                          33
      Section 4.5               Proposal Questions and Evaluation Criteria              35

             PART 5             General Multnomah County Procurement Procedure
                                Requirements
      Section 5.1               Procurement Procedure Requirements                      52

          PART 6                Contract Terms
      Section 6.1               Multnomah County Services Contract                      55
      Section 6.2               Insurance Requirements                                  55
      Section 6.3               EEO Certification Requirement                           55
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Alcohol & Drug (A/D) Services
      Section 6.4               Payment Invoices                                  55
      Section 6.5               Local Purchasing Preference                       56

                                           SOLICITATION ATTACHMENTS
      Attachment 1              Offeror Representations and Certifications Form   57
      Attachment 2              Coverpage                                         58
      Attachment 3              DCJ Sample Contract                               59
      Attachment 4              DCHS Sample Contract                              68
      Attachment 5              Funding Request Form                              102
      Attachment 6              QVAP Application                                  103
      Attachment 7              A&D Services Triage Form                          107
      Attachment 8              No Bid/Comment Form                               110
      Attachment 9              Line Item Budget Form                             111
      Attachment 10             Bed/Slot Request Form                             112




RFPQ R09-9710                                            3
Alcohol & Drug (A/D) Services
                                Departments of Community Justice and County Human Services
                                                    RFPQ R09-9710
                                   Multnomah County Alcohol and Drug (A/D) Services

                                                        PART 1
                                                       OVERVIEW




1.1      PURPOSE AND OVERVIEW

The Multnomah County Department of Community Justice (DCJ) and the Department of County
Human Services (DCHS) are jointly seeking Proposers from whom it may purchase Alcohol and
Drug (A/D) Outpatient and Residential Services.

The primary underlying goals of the County’s A/D treatment program include the desire to enhance
community safety, reduce criminal activity, assist those with alcohol/drug problems to enter and/or
maintain an alcohol- and drug-free lifestyle, and to promote strong, healthy family functioning.

Over the last five years, DCJ and DCHS (hereafter “Joint Departments”) have been jointly pursuing
the goal of more fully coordinating the delivery of A/D services to their respective client populations
in a manner that minimizes duplication, maximizes commonality between Departments and more
fully integrates processes and treatment approaches. In that spirit, the Joint Departments have
agreed on issuing a single, joint, major formal procurement for their portions of the A/D service
continuum this year.

The Joint Departments are seeking to qualify Proposers that will be part of a comprehensive A/D
service array for Youth and Adults with alcohol and/or drug addictions and dependencies. (For DCJ
and/or DCHS background information, go to: http:www.co.multnomah.or.us and click on “Government”
and then “Departments”). These services represent the majority of the A/D treatment services for
Youth and Adults procured for the Joint Departments. The Departments may also procure, either
jointly or separately, related services via other procurements as deemed appropriate.

For the purposes of this procurement, A/D services are divided into the following Base Service
Categories:

      I. Adult Residential Treatment Services (Both Departments)
      II. Youth Residential Treatment Services (DCHS Only)
      III. Adult Outpatient Treatment Services (Both Departments)
      IV. Youth Outpatient Treatment Services (DCHS Only)

Proposers will be attempting to qualify to provide services in any one of or combination of these
Base Service Categories. It is a basic service delivery requirement that all service Proposers be
prepared to offer their services to a variety of clients in a culturally, gender and age/development
appropriate manner. Proposers will also be invited to demonstrate their capability and capacity to
meet the unique requirements for limited Specialty Services to several populations such as: Sex
Offenders and Violent Offenders, Monolingual and Bilingual Latino Males, and Housing for
RFPQ R09-9710                                               4
Alcohol & Drug (A/D) Services
Dependent Children. Proposers who wish to provide only one or more Specialty Services must first
qualify to provide services in the corresponding Base Service Categories (I. Adult Residential or II.
Youth Residential III. Adult Outpatient or IV. Youth Outpatient Treatment).

Proposers are invited to respond to the additional questions under each Base Service Category that
are specifically related to the Specialty Services. Only those Proposers who respond to the
additional questions will be considered for possible funding allocations for the Specialty Services.

The following table lists the types of services sought through this RFPQ. The County reserves the
right to add to, subtract from or eliminate any service element. The County reserves the right to
negotiate the payment method and rate for services rendered. Regardless of the method of
payment, in all cases County money is only available for those individuals who do not have other
means of payment.

                                BASE SERVICE CATEGORY I – ADULT RESIDENTIAL

                                                 BASE SERVICES

                                              SPECIALTY SERVICES

                                        Both DCJ and DCHS:
                        A/D Treatment for Monolingual and Bilingual Latino Males
               Housing for Dependent Children Whose Parents are in Residential Treatment

                                                     DCJ Only:
                                A/D Treatment for Sex Offenders and Violent Offenders



                                BASE SERVICE CATEGORY II – YOUTH RESIDENTIAL

                            DCHS ONLY BASE SERVICES – No Specialty Services



                                BASE SERVICE CATEGORY III – ADULT OUTPATIENT

                                                 BASE SERVICES

                                        SPECIALTY SERVICES
                  (Only one vendor will be selected to provide each of these services)

                                                    DCJ Only:
                                     A/D Treatment for STOP Drug Court Clients

                                          DCHS Only:
                   A/D Treatment for Severely Addicted Multi-Diagnosed Clients
        Homeless Persons with Heroin Addiction: A/D-Free Supportive Housing and Outpatient
                                            Treatment
RFPQ R09-9710                                             5
Alcohol & Drug (A/D) Services
                                BASE SERVICE CATEGORY IV – YOUTH OUTPATIENT

                                         DCHS ONLY BASE SERVICES

                                 DCHS ONLY SPECIALTY SERVICES
          Culturally Specific Family-Focused African American Youth Enhanced A/D Services



1.2      TARGET POPULATION SERVED

This RFPQ will qualify Proposers of A/D Services for both Youth and Adults, including those Youth
and Adults who are involved in the justice system.


1.3      JOINT PROPOSALS

The County will consider proposals submitted by a consortium, or by multiple firms submitting as
partners or joint ventures, provided that such proposals are:

      1.3.1 Accompanied by a copy of either the fully executed agreement between all the parties
            who comprise the consortium, partnership, or joint venture or a draft of the agreement;
      1.3.2 Identify one member of the consortium, partnership, or joint venture as the prime
            Proposer for the purposes of performing any contract awarded pursuant to this RFPQ;
            and
      1.3.3 Includes a certification or draft of such certification signed by each member of the
            consortium, partnership, or joint venture that each member agrees to, and is willing to be
            bound by, all terms and conditions of this RFPQ, including additions, addenda or
            amendments hereto.

The certification and agreement (originals or drafts) may be in any format and should be Attachment
C to your proposal.


1.4      CONTINIUOUSLY OPEN PROCUREMENT AND ALLOCATION PROCESS

This is a formal, competitive, Request For Programmatic Qualifications (RFPQ) process as provided
for under the authority of PUR-1. No contracts will be issued as a result of this RFPQ process. Our
intent is to establish pools of qualified vendors who will be eligible for potential contract awards.
There is no limit on the number of vendors that may be qualified under this RFPQ process.

NOTICE: This will be a continuously open procurement process – that means that this RFPQ will be
open to receive proposals from interested vendors beyond the initial closing date. No proposals will
be accepted or evaluated in the final year of this RFPQ.

Initial Qualification Process. Proposals submitted from October 24, 2008 to the RFPQ’s initial
closing date at 4:00 PM on December 15, 2008 will be evaluated and qualified vendors will be

RFPQ R09-9710                                        6
Alcohol & Drug (A/D) Services
placed in the appropriate vendor pool and be eligible for funding allocations through the allocation
process detailed below.

Follow-on Qualification Process. Proposals received after the initial closing date (currently 4:00 PM
on December 15, 2008) will be held by CPCA. Every six months on the anniversary of the initial
closing date at 4:00 PM (or on the next business day if the anniversary date falls on a County non-
business day), CPCA will furnish any received proposals to an evaluation team for review and
potential addition to the established qualified vendor pools. The same criteria used to establish the
qualifications of the initial pool of vendors will be used in determining the qualifications of any new
proposals received after the initial closing date. Those vendors who are found qualified will be
added to the existing vendor pools and will be eligible to receive funding allocations as determined
by DCJ/DCHS via their periodic allocation process. No proposals will be accepted nor evaluated
from vendors after 4:00 PM on the fourth anniversary of the RFPQ closing date (or on the next
business day if the anniversary date falls on a County non-business day). Vendors may also elect
to submit a new proposal to qualify in a base service category that they had previously qualified in –
however the previous qualification will be superseded by the new proposal submittal. This means
that if they received an initial score of 70% or more of the total possible points with their first
proposal, and later chose to submit a new proposal for the same base service category and
received a score of less than 70% of the total possible points, they would no longer be qualified to
provide services for that base service category, as the new proposal superseded their original
proposal. Vendors that do not successfully qualify in the initial or a subsequent qualification process
have the ability to submit a new, revised proposal for a follow-on qualification process. We
anticipate doing an evaluation of any newly received proposals on a six month basis.

ALLOCATION PROCESS. Entirely separate from this qualification process, DCJ and DCHS intend
to conduct a rigorous funds allocation process to distribute available funds according to known
system requirements and priorities. Allocations will only be made to agencies who previously
qualified under this RFPQ. The funding allocation process will be a formal one, requiring DCJ and
DCHS to document their findings and determinations in writing that lead to specific funding
allocations or to the continuation of funding allocations. Vendors may not protest funding allocation
decisions. Funding allocation decisions will be made from an overall County system of care
perspective. Allocation priorities and selection criteria may include:

        County and Department strategic priorities
        Overall system of care needs and deficiencies
        RFPQ proposal information and evaluation input from the RFPQ raters
        Proposer/system stability
        Proposer experience
        Number and type of funded slots/beds
        Funder-imposed requirements or restrictions (i.e. non-profit, designated vendor, etc.)
        Specific population coverage
        Services provided in client’s native language
        Geographic service coverage
        Coverage of specific treatment modalities
        Customer feedback (Clients, referral sources, etc.)
        Ability to leverage additional funding
        Client needs (including psychological needs) and trends
        Proposer economy of scale
        Past performance (recidivism rates, engagement, etc.)
RFPQ R09-9710                                       7
Alcohol & Drug (A/D) Services
         Certification status
         Extent of provision of like services by any one agency
         Other factors as deemed appropriate by the funding allocation team

Since the allocation process considers a variety of factors, funding may go to qualified Proposers
who did not earn the highest overall RFPQ qualified score. Therefore, it will be possible to qualify
under this RFPQ process and not receive a funding allocation due to resource limitations and other
factors.

After County Central Procurement and Contract Administration (CPCA) provides written solicitation
results to all Proposers and with the completion of the allocation process by joint DCJ/DCHS
management, DCJ/DCHS staff, as appropriate, will contact the qualified and selected Proposer(s)
who will receive an allocation for contract negotiations. The County will be awarding Requirements
Contracts for these services. Requirements Contracts do not guarantee any level of funding and
funding levels may change from year to year.

All Proposers seeking to provide services must submit a proposal for each of the base
service components for which they wish consideration and receive a minimum 70% of the
total points possible for each base service component in order to qualify. A proposal for one
base service component may not be contingent on any other proposal for another base
service component.

Multnomah County strongly encourages the participation of Minority-Owned, Women-Owned, and
Emerging Small Businesses and Organizations in providing products and services.


1.5       CONTRACT NEGOTIATION

The County will initiate contract negotiations with those Proposers who were placed in the qualified
vendor pool and have been selected for funding allocations. The County may, at its option, elect to
negotiate general contract terms and conditions, service requirements, pricing, schedules and such
other items as the County determines are in its best interest. If negotiations fail to result in a
contract, the County reserves the right to enter into negotiations with other vendors who are in the
qualified vendor pool until either a contract is successfully negotiated or there are no other qualified
vendors remaining in the service component pool.


1.6       CONTRACT TERM

DCJ and DCHS will use the initially qualified vendor lists as established by this RFPQ process to
allocate their funding for up to a five-year term of July 1, 2009 and ending June 30, 2014. The
County reserves the right to terminate existing contracts as they determine appropriate and in
accordance with existing contract terms and conditions. Although contracts may initially be
established for a five year period, the County reserves the right to end contract service any time in
accordance with the contract terms.


1.7       FUNDING


RFPQ R09-9710                                      8
Alcohol & Drug (A/D) Services
Although this RFPQ has no specific funding, the estimated funding available for each service
category is shown with the specific service category descriptions – see Section 2.5.

To assist DCJ/DCHS in making the follow-on funding allocation decisions, all Proposers must
complete the Line Item Budget (Solicitation Attachment 9), Funding Request Form (Solicitation
Attachment 5) and Bed/Slot Request form (Solicitation Attachment 10). Funding of work described
in this RFPQ is not guaranteed. Fluctuations in funding year to year should be expected. The
County cannot assure that any particular level of work will be provided and the contract will permit
the county to add or remove work as necessary depending on availability of funds and system
needs.


1.8      PRE-PROPOSAL CONFERENCE

There will be two pre-proposal conferences. Proposers are strongly encouraged to attend at least
one session. The first pre-proposal conference is scheduled for Tuesday, November 4, 2008
beginning at 3:00 PM in the Multnomah Building, Boardroom (First Floor), 501 SE Hawthorne Blvd.,
Portland, Oregon. The second pre-proposal conference is scheduled for Friday, November 14, 2008
beginning at 1:00 PM at the same location.

These meetings are designed to clarify the information that is contained in this solicitation and
provide an opportunity for questions and answers.


1.9      MINIMUM REQUIREMENTS

1.9.1 At the time of proposal submission, Proposers must meet the following minimum
      requirements. Failure to provide any of the required documents or meet any of the below
      requirements shall result in rejection of the proposal. During the fund allocation process, the
      County may negotiate with the lead agency of a consortium to fund all, some or none of the
      proposals submitted by the consortium.

      1.9.1.1 If Proposer is submitting proposal as a lead agency providing services through a
              consortium, a draft copy of the working agreement or Memorandum of Understanding
              (MOU) between the Proposer and all the participating members of the consortium must
              be included with the proposal (See 1.3 JOINT PROPOSALS). The MOU does not
              count against page limitations. Attach to your proposal as Attachment C.

      1.9.1.2 The proposal responses for the initial RFPQ period of consideration must be received by
              the Multnomah County Central Purchasing and Contracts Administration and be time
              stamped no later than 4:00 p.m., Monday, December 15, 2008.

      1.9.13 Proposers must include, as an attachment to their proposals, either the applicable Letters
              of Approval from the State of Oregon to provide Alcohol and Drug Services or evidence
              they are applying for such certificates. Attach certificates as appropriate to cover all
              services applied for as Attachment A to your proposal.

      1.9.1.4 Proposers who are affiliated with a religious organization must demonstrate that
              services being applied for will be conducted in a wholly secular manner. Place
              the following statement as Proposal Attachment B: “I certify that, if selected, we will
              perform the services in a wholly secular manner.”
RFPQ R09-9710                                       9
Alcohol & Drug (A/D) Services
    1.9.1.5 At the time of proposal submittal, Proposers must include a completed minimum
            administrative qualifications application BY SEPARATE COVER. See the DCJ/DCHS
            Alcohol and Drug Program Qualified Vender Application Process (QVAP) – Part 3. An
            application is included in this solicitation – See Solicitation Attachment #6.

1.9.2 At the time of contracting, the qualified and selected Proposers shall meet the
      following minimum qualifications:

    1.9.2.1 Proposers must be able to comply with County contract requirements, which include
            insurance limits and reference to requirements contained in this RFPQ, and all other
            federal, state and local laws and regulations governing services purchased through the
            contract. Two sample copies of standard Contract boilerplates are included as
            Attachment 3 (DCJ) and Attachment 4 to this RFPQ. Note: The insurance limits
            indicated in the sample contracts, Exhibit 2, apply to all contracts that originate from this
            RFPQ.

    1.9.2.2 No contracts can be awarded to Proposers that have not had their DCJ/DCHS Alcohol
            and Drug Program Qualified Vendor Application Process (QVAP) application reviewed
            and approved. Proposers who do not meet minimum standards will not be eligible for
            contracts until such time as they can demonstrate they can meet the minimum
            standards. (See Part 3)

    1.9.2.3 The qualified and selected Proposers shall be able to provide services immediately upon
            contract award. Any exceptions must be County approved and include a mutually
            agreed upon start-up time period.

    1.9.2.4 Proposers must be legal entities, registered to do business in the State of Oregon.

    1.9.2.5 Receive a minimum score of seventy percent (70%) of the possible summed total points
             on the Base Outpatient Service Category or Base Residential Service Category
             questions.


1.10     TIMELINES*

 Friday, October 24, 2008          Copies of RFPQ available from Multnomah County CPCA
 8:00 AM - 4:30 PM                 Copies will be mailed upon request.
 Tuesday, November 4, 2008         Pre-Proposal Conference – See cover for details
 3:00 p.m.
 Friday, November 14, 2008         Pre-Proposal Conference – See cover for details
 1:00 p.m.
 Monday, December 1, 2008          Questions/protests on RFPQ contents due to
 No Later Than 4:00 PM             Multnomah County CPCA
 Monday, December 15, 2008         Responses are due to Multnomah County CPCA
 No Later Than 4:00 PM             LATE PROPOSALS SHALL NOT BE CONSIDERED
 Monday, December 22, 2008         Proposal Evaluation Process

 At Completion of Evaluation:      Multnomah County CPCA mails written notice to
                                   Proposers regarding their status/score

         (*Multnomah County reserves the right to deviate from this schedule)
RFPQ R09-9710                                      10
Alcohol & Drug (A/D) Services
                            Departments of Community Justice and County Human Services
                                                RFPQ R09-9710
                               Multnomah County Alcohol and Drug (A/D) Services

                                            PART 2
                      SCOPE OF SERVICES AND PROGRAMMATIC REQUIREMENTS




2.1       INTRODUCTION AND PROGRAM HISTORY

The Departments of Community Justice (DCJ) and County Human Services (DCHS) have been
working closely together as well as with their major stakeholders to implement a coordinated system
of care offering comprehensive alcohol and drug treatment services for Adults and Youth with
alcohol and drug addictions and dependence. After meeting with and talking to clients, the Vendor
community, funders and other key stakeholders, DCJ/DCHS have established the primary
underlying goals that include assisting those with alcohol/drug problems to enter and/or maintain an
alcohol/drug-free lifestyle, the desire to enhance community safety, reduce criminal activity, and to
promote strong, healthy family functioning. Reflecting these overall goals are key service priorities
that each Proposer must consider in developing their proposal. Successful Proposers will offer
programs that:

         Utilize evidence-based practices for treatment services.
         For DCJ clients: Address criminogenic risks, needs and responsivity factors through all
          phases of treatment.
         Use quantitative and qualitative methods and processes to measure achievements.
         Have implemented a client fee system to support the costs of these services and
          demonstrate the ability to collect third-party payments when available.

In addition, raters will be assigning preferences to proposals that:

         Provide and/or have a close working relationship with agencies that integrate employment
          readiness, placement and retention into their treatment models.
         Demonstrate successful placement of client into safe and stable housing.
         Demonstrate responsivity to client’s individual needs.
         Have a strong mechanism to link clients to on-going support after completion of treatment.
         Must demonstrate the ability, during discharge planning, to use ASAM criteria to assess
          clients’ continuing treatment needs and the ability to assist the clients in obtaining any
          needed services.
         Demonstrate the ability to provide stabilization outpatient services to clients waiting for a
          treatment bed either directly or through referral/coordination with community resources.


RFPQ R09-9710                                           11
Alcohol & Drug (A/D) Services
        Have the ability to manage their waitlists in a way that is easily communicated to clients and
         referrals.
        Demonstrated systems in place to regularly communicate with DCJ Staff.
        Have a policy that supports clients’ tobacco cessation/nicotine-addiction services. If
         Proposer has A/D Services treatment capacity that has been designated for children,
         adolescents, pregnant women, and women with dependent children, Proposer must
         demonstrate having implemented (or plans to implement) a policy to eliminate smoking and
         other use of tobacco at the facilities where the services are delivered and on the grounds of
         such facilities.
        Have developed methods of providing recovery support services to help clients achieve long-
         term recovery by offering recovery case management and/or recovery coaching or mentoring
         as part of treatment; linking clients to community-based and/or peer-delivered recovery
         supports of their choice; and either directly providing or collaborating with allied service
         providers to coordinate housing supports, employment services, child care, health care
         services, and other community reintegration activities.

    2.1.1 Definitions

    For the purposes of this RFPQ, the following definitions are used:

    Adult: Persons 18 years of age or older, or those persons who are determined by the program
    to be developmentally and clinically appropriate for Adult services.

    ASAM PPC 2R: The American Society of Addiction Medicine’s Patient Placement Criteria for
    the Treatment of Substance-related Disorders, Second Edition Revised, April 2001, which is a
    clinical guide used in matching clients to appropriate levels of care. The ASAM PPC was
    designed to help clinicians and payers use and fund levels of care in a rational and individualized
    treatment manner.

    Criminogenic needs: Dynamic attributes of the offender that, when changed, are associated
    with changes in the probability of recidivism. The top four criminogenic needs are anti-social
    attitudes and thinking; self-control vs. impulsivity, substance abuse and anti-social peers and
    associates.

    Completion: The client meets ASAM PPC-2R discharge criteria and, additionally for DCHS,
    completes at least two-thirds of their treatment plan goals and demonstrates 30 days of
    abstinence.

    Culturally-specific services: See Minority Program.

    Engaged: A person who has entered treatment following an initial assessment and a client has
    remained in treatment for at least 15 days.

    Evidence-based treatment program: A State of Oregon Department of Corrections and
    Addictions and Mental Health Division’s, approved program or service that incorporates
    treatment practices based on scientific research, which has taken significant steps to ensure that
    it is implemented with a high degree of fidelity to the model tested by research, and which
    evaluates its outcomes.
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Alcohol & Drug (A/D) Services
      Level of Service/Case Management Inventory (LS/CMI): A comprehensive measure of risk
      and need factors, as well as a fully functional case management tool.

      Minority Program: A program that is designed to meet the unique treatment and rehabilitation
      needs of a minority and that provides services to a majority of clients belonging to a minority
      population as defined in OAR 415-051-000 through 415-051-0155 Standards for Outpatient &
      Residential Treatment.

      Oregon Health Plan (OHP): An insurance plan provided by the State for low-income citizens.

      Quality Assurance (QA): An on-going system that monitors, measures and acts on the
      performance data of the delivery system. It is an on-going process to establish that the system is
      delivering what it intends to deliver. It is designed to ensure that a service delivery system
      routinely produces reliable results.

      Responsivity: The style and mode of service needs to be matched to the learning style and
      ability of the client. Client responsivity factors can include: mental health, age, gender, race,
      ethnicity, readiness & motivation to change, levels of psychological development, cognitive
      functioning, and learning styles.

      Treatment: Specific medical and non-medical therapeutic techniques employed to assist the
      client in recovering form alcohol or other drug abuse or dependence.

      Treatment Services: Structured evaluation, treatment, and continued care services for those
      individuals who are abusing, or are dependent on, alcohol and/or other drugs. Services may
      include, but are not limited to, residential, outpatient day treatment, correctional day treatment,
      and evening treatment.

      Urinalysis (UA) Test: An analytical procedure to identify the presence or absence of specific
      drugs or metabolites in a urine specimen.

      Youth: For the purposes of this RFPQ, an adolescent 12 through 17 years of age, or those
      persons who are determined by the program to be developmentally and clinically appropriate for
      Youth services.


2.2      SCOPE OF SERVICES

For both Base Residential and Outpatient Treatment Services, there is considerable commonality in
program requirements and Base Service delivery. Where there are unique requirements and
processes, they are described in the tables at 2.5.

      2.2.1 REFERRALS

      DCJ: Referrals to these services can only be made by or with the approval of DCJ staff. A
      system-wide Triage Form will be the standard referral mechanism. See Attachment 7 for a copy
      of this form.



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Alcohol & Drug (A/D) Services
    DCHS: Clients served through DCHS funded services either self refer or are referred by other
    sources.

    During contract negotiations with the qualified and selected Proposers, further details of the
    referral process will be developed, as necessary.

    2.2.2 INTAKE/ORIENTATION PROCESS

    In addition to meeting any applicable Oregon Administrative Rules (OAR) standards for intake
    and orientation, Proposers shall offer an orientation that minimally includes:

         2.2.2.1 A thorough explanation of the rules and expectations. This shall include written and
                 oral information about: the expectation of active participation in services, program
                 rules and policies, and criteria for program completion.

         2.2.2.2 Client placement of a waiting list for services, if necessary (an outpatient opening or
                 a residential bed).

         2.2.2.3 Obtaining appropriate Authorization for Disclosure of Health Information (DHI)
                 (formerly referred to as Release of Information [ROI] consent forms) for relevant
                 parties what will allow for communication to flow back and forth to assist in
                 successful service deliver.

    For DCJ clients: Proposers will obtain a DHI for all criminal justice agencies having a direct
    professional interest in the client, e.g. DCJ, District Attorney’s office, judges, etc. All criminal
    justice-related disclosures will be non-revocable by clients until there has been a formal and
    effective termination or revocation of their release from confinement, probation or parole, or other
    proceeding under which they are mandated into these services. Failure to sign such a disclosure
    will immediately disqualify clients from services derived from this Procurement.

    For each potential client, Proposers will notify relevant DCJ staff within two working days of any
    of the following conditions:

         o Received referral and the date for an intake appointment;
         o Failure to appear for an intake appointment;
         o Denial of or admission into the services; or,
         o Placement on a wait list (including an estimate or when the client will enter the services)
           or removal from a wait list.

    For DCHS clients: Proposers will obtain a DHI for all agencies having a direct professional
    interest in the client. Proposers will make all reasonable efforts to determine if individuals
    applying for services under a DCHS funded service are under supervision from DCJ.
    Documentation of the efforts shall be maintained in the clinical record. If an individual is under
    such supervision:

         o The case file will contain a current DHI form permitting the Proposer to disclose the
           information to the responsible criminal justice agency;


RFPQ R09-9710                                       14
Alcohol & Drug (A/D) Services
         o If clients have alcohol and/or drug treatment as a condition of parole or probation,
           Proposer agrees to contact the supervising person to inform them of the client’s treatment
           admission and significant changes in treatment status; and,
         o Upon a client’s termination form the program, a discharge summary that includes a clear
           explanation of the reason for program termination will be completed and forwarded to the
           supervising criminal justice agency in a timely manner.

    2.2.3 ASSESSMENTS

    For the A/D services sought through this procurement the Proposer shall follow OAR and ASAM
    PPC-2R standards for client diagnostic assessment.

    For DCJ clients, in addition to meeting relevant OAR and ASAM PPC-2R standards for client
    diagnostic assessment, Proposers shall utilize the information from the LS/CMI.

    2.2.4 TREATMENT PLAN

    A treatment plan will be created in conjunction with the client that contains measurable
    objectives and activities designed to achieve those objectives. When possible and appropriate,
    this plan will be developed in conjunction with all relevant parties, including DCJ staff, if the client
    is on parole or probation. This plan will be reviewed at least once every 30 days and revised
    when appropriate. In addition to meeting OAR standards for treatment plans, Proposers shall:

         2.2.4.1 Specifically address any identified post-program housing needs (for residential
                 clients) or current housing needs (if an outpatient client is living in an environment
                 that is not conducive to him/her staying abstinent from alcohol and drugs) and
                 include treatment plan objectives to address it.
         2.2.4.2 For clients capable of working, determine appropriate employment readiness and
                 provide access to job assistance and job search services. For clients not capable of
                 working, Proposers must assist with entitlement program applications (e.g.,
                 SSI/SSD, food stamps, etc.) as determined by client eligibility.

    For DCJ clients, specifically address the client’s criminogenic risks, needs and responsivity and
    include treatment plan objectives to address them. Use DCJ-provided LS/CMI or other needs
    assessment when developing client’s treatment plan.

    For DCJ clients, the treatment plan will reflect a highly coordinated case planning approach.
    This approach will include:

         2.2.4.3 Prior to completing a client’s initial treatment plan, Proposers will solicit the input of
                 DCJ staff in the plan development.
         2.2.4.4 Proposers will send monthly progress reports to DCJ staff, using the standard format
                 provided by DCJ or a format approved by DCJ.
         2.2.4.5 Proposers will invite DCJ staff to participate in client staffings when it is considered
                 conducive to the client’s progress in these services.
         2.2.4.6 Proposers will participate if and when DCJ staff request a staffing.

RFPQ R09-9710                                        15
Alcohol & Drug (A/D) Services
    2.2.5 CLIENT CASE FILES

    For DCJ clients, In addition to meeting the OAR’s for these services, client case files will
    contain documentation of all case-related communications (oral and written) attempted or made
    with DCJ staff.

    2.2.8 PROGRAM ADMINISTRATION

    Proposers will meet with designated DCJ or DCHS staff, when necessary, to conduct program
    development, modify referral procedures, address base services delivery issues and resolve any
    interagency and/or operation problems.

    Proposers will participate in Provider Meetings to facilitate system-wide problem solving and
    service continuum development. When participation is required, advanced notice for required
    meetings will be given. Attendance will be by a person with the authority to represent the
    agency’s position and to commit the agency to specific agreements as needed for program and
    service development.

    2.2.7 PROBLEM NOTIFICATION

    For DCJ clients, Proposers will notify DCJ staff by telephone of parole/probation violations or
    other criminal behavior (including any illegal drug use or prohibited alcohol use), major rule
    violations, unauthorized leave or other type of client program failure not later than the next
    working day and preferably the same working day as the occurrence. Proposers will notify DCJ
    staff of problems that could, if continued, lead to discharge. If a special meeting is indicated to
    address the above-reference client behavior issues, the Proposer will invite the DCJ staff to
    participate.

    2.2.8 ALCOHOL AND DRUG TESTING

    For DCJ clients, Proposers shall conduct regular and random drug and alcohol testing. Clients
    must receive urinalysis (UA) testing at least once per month if receiving base residential or
    outpatient A/D treatment.

    If drug use is suspected, UA testing will be conducted above and beyond the schedule described
    above. For the remaining services procured through this RFPQ, any required drug testing will be
    determined during contract negotiations with the qualified and selected Proposers. The DCJ staff
    whose client is tested for drugs will have access, if necessary, to the original printed urinalysis
    report upon request.

    If alcohol use is suspected, appropriate testing methods will be utilized.

    2.2.9 COMMUNITY REFERRALS

    Proposers will refer, if indicated, to outside resources (and/or internal resources) to meet client
    needs. If such referrals are indicated and made, the providers must conduct random checks to
    ensure that the client successfully engaged in the referred service.

    2.2.10 DISCHARGE PLAN

RFPQ R09-9710                                      16
Alcohol & Drug (A/D) Services
      For all A/D services, in addition to meeting OAR and ASAM PPC-2R standards for discharge
      plans prior to completion of these services, Proposers shall:

             Ensure that the plan includes a relapse prevention plan that is designed to provide
              guidance and direction regarding the client’s recovery from substance abuse and (where
              appropriate) criminal activity.
             If the Proposers determine it is necessary for the client to continue services, clearly state
              in the discharge plan the type of services and where those services will occur.
             If the client left services before a discharge plan was developed, ensure that the treatment
              summary includes recommendations for further treatment or other services/activities, if
              deemed necessary.
             For DCJ clients, ensure that the plan is consistent with the client’s conditions of
              parole/probation/post-prison supervision, especially housing/living arrangements and
              employment (if applicable).
             For DCJ clients, complete a treatment summary that includes a clear explanation of the
              reason for the client’s discharge, using the standard format provided by DCJ or a format
              approved by DCJ.
             For DCJ clients, when the client is discharged from these services, DCJ staff will be
              promptly notified. For program failures this will occur no later than the next working day
              and preferably the same day as the occurrence. If client is discharged unexpectedly and
              not going to jail, Proposer shall assist clients with accessing basic needs (i.e. shelter,
              food, clothing, transportation, etc.) For program successes, DCJ staff CC will be notified
              approximately one to two weeks prior to the anticipated successful completion and will be
              invited to give input into the continuing care/discharge plan.
             For DCJ clients, Proposers will send copies of the continuing care/discharge plan and/or
              the treatment summary to DCJ staff or Court staff within 10 working days of discharge.


2.3      FISCAL REQUIREMENTS/REPORTING

      2.3.1 General Billing Requirements

      For the contracts that will arise from this solicitation process, the County will be the payer of last
      resort for the type of services provided. If a client is enrolled in the Oregon Health Plan (OHP) or
      has other insurance, Proposer will be expected to bill OHP (or any other insurance carrier, if
      applicable) for any part of these services covered by the OHP or other insurance. If a client is
      eligible for the OHP, but has not enrolled, the Proposer will assist the client in applying for that
      coverage. At a minimum, this assistance will consist of providing clients with written materials
      describing the OHP, an application and help, if necessary, in completing the application.

      Service duplication adversely impacts the cost effectiveness of contracted services. To minimize
      duplications, clients served under any Multnomah County contract may not support a claim for
      reimbursement for the same services under any other Multnomah County contract.

      As appropriate, Proposers will comply with all applicable provisions of the 2009 – 2011 County
      Financial Assistance Contract (CFAC) between the State of Oregon acting by and through its
RFPQ R09-9710                                         17
Alcohol & Drug (A/D) Services
      Department of Human Services and the County. A copy of the CFAC can be obtained at:
      http://www.co.multnomah.or.us/dchs/

      Proposers, if a non-profit organization and a sub-recipient of federal funds passed through the
      County, must meet the audit requirements of OMB Circular A-133 “Audits of States, Local
      Governments, and Non-Profit Organization”, which applies the federal Single Audit Act
      Amendment of 1996, Public Law 104-156.

      For DCJ, Proposers must submit a line item budget by September 30 th for each fiscal year of
      this contract. At a minimum, the budget must contain: (1) narrative that clearly explains and
      justifies the projected expenditures; (2) an estimate of client fees that will be collected on a
      sliding fee basis; (3) an estimate of any projected insurance benefits that will be collected; and
      (4) evidence that all projected contract revenue and all projected client fees will be used for
      these services. The budget shall be sent to the DCJ, Contract Budgets at 501 SE Hawthorne
      Blvd, Suite 250, Portland, OR 97214.

      Based on a sliding scale starting at zero, Proposers shall have a client fee system to support the
      costs of these services.

      County shall have the right to withhold from payments due Proposers such sums as are
      necessary in County’s sole opinion to protect County from any loss, damage, or claim, which
      may result from Proposer’s failure to perform in accordance with the terms of the Contract or
      failure to make proper payment to suppliers or subcontractors. Services will be rendered in a
      manner that services will be available for the entire contract period.


2.4      PERFORMANCE MEASURES/PERFORMANCE CONTRACTING

      2.4.1 CONTRACT MONITORING

      These contracts will be monitored through a number of means, including:

                  Site Reviews: DCJ or DCHS staff may schedule on-site visits to review agency
                   compliance with the contract. Site visits are usually scheduled with contracted
                   providers, but may be conducted without notice.
                  Technical Assistance: DCJ or DCHS staff may offer training and/or assistance
                   programs with design of the services.
                  Evaluations/Program Performance: Program performance may be evaluated through
                   other quality assurance/evaluation processes, including:
                   o Performance reviews for achieving client service outcomes;
                   o Contracted provider self-assessments;
                   o Client satisfaction surveys and complaint resolution processes;
                   o Compliance reviews for reporting requirements, including use of the County’s data
                     collection systems;
                   o Referral source satisfaction surveys;

RFPQ R09-9710                                         18
Alcohol & Drug (A/D) Services
                   o Census validation audits; and,
                  Fiscal Compliance Reviews: County fiscal compliance reviews may be conducted to
                   ensure that financial records, systems and procedures conform to Generally Accepted
                   Accounting Principles and are in compliance with all County and State audit and
                   accounting requirements.

      2.4.2 DATA COLLECTION/SUBMISSION

      For all A/D services, Proposers will submit enrollment and discharge Client Process Monitoring
      System (CPMS) forms for each client to the State Department of Human Services Addictions
      and Mental Health (AMH) Division or designee. Proposers will comply with all relevant CPMS
      reporting timelines and standards.

      In addition, Proposers will complete and submit Client Rosters (in alphabetical order) along with
      monthly invoices for payment.

      For DCJ clients, Proposers will also submit Client Intake and Exit Forms. This data will be
      included in a database for utilization monitoring, treatment dosage and for monitoring
      performance objectives. Performance Objectives may be unique to each service and may
      change during the life of the contract.

      DCJ and DCHS are working currently on the development of a Contract-Service Client Tracking
      System that will meet the unique informational needs of each department.


2.5      DESCRIPTIONS OF SPECIFIC SERVICE CATEGORIES:

The following tables describe in greater detail the base service categories and specific specialty
services. The tables provide unique service elements and requirements as compared to the general
alcohol and drug program requirements presented above. These tables are by no means all
inclusive – actual contractual requirements will detail exact requirements. Where there are unique
program elements, they have been included below in the following tables.

           ADULT RESIDENTIAL TREATMENT SERVICES – BASE SERVICE CATEGORY I

       Table 1        Base Residential A/D Treatment        DCJ $5,331,995
                      Services                              DCHS $5,861,254
       Target         1. Persons 18 years and older who have a primary dependency on
       Population        alcohol and drugs, are unable to live independently in the community,
                         cannot maintain even a short period of abstinence and are in need of
                         24-hour supervision, treatment and care. A complete definition of
                         residential treatment client criteria can be found in ASAM PPC-
                         2R.
                      2. DCJ: Adult male and female felony offenders under the supervision of
                         DCJ who are classified as medium or high risk to re-offend.
       Unique         Besides the base program specifications previously outlined, these
       Service        services have the following unique service specifications applicable to all
       Specifications residential programs:
                           Proposers must demonstrate the ability to provide stabilization
RFPQ R09-9710                                         19
Alcohol & Drug (A/D) Services
                                       outpatient services to clients waiting for a treatment bed either
                                       directly or through referral/coordination with community resources.
                                      Proposers must have close ties to housing services (this can be
                                       either housing operated by the Proposer and/or close working
                                       relationships with community providers, including, but not limited
                                       to, Oxford House) and employment services.
                                      Proposers must provide continuing care services post-residential
                                       treatment. These services must include a relapse prevention
                                       component that can be used by clients who have relapsed or are
                                       at high risk to relapse.
                                      Proposers must participate in County’s monthly Providers’
                                       Meeting.
                                      Proposers must employ evidence-based practices and ensure that
                                       all program staff are adequately trained and supervised in these
                                       techniques.
      Unique                    DCJ:
      Performance                   40% of residential clients will evidence a reduction in recidivism as
      Measures                        measured by pre/post treatment arrest reduction.
                                DCHS:
                                    100 % utilization of treatment beds.
                                    State requires 60% of residential bed availability be used for
                                      Medicaid clients. Explanation: The Medicaid eligibility requirement
                                      will be settled on an average statewide basis. If the statewide
                                      Medicaid percentage falls below 60%, prorated settlement will be
                                      made from those Counties who failed to meet the 60% threshold.
                                      If Multnomah County fails to meet the 60% threshold,
                                      reconciliation will be made at the provider level.
                                    Client Engagement: In 50% of A/D treatment episodes, the client
                                      is engaged (remains in treatment for at least 15 days).
                                    Successful Completion: in 60% of Adult A/D residential treatment
                                      episodes, the client meets ASAM PPC-2R discharge criteria,
                                      completes at least two-thirds of their treatment plan goals, and
                                      demonstrates 30 days of abstinence.
                                For State-funded residential treatment beds, priority client admission is:
                                    First priority to pregnant women, then to,
                                    Intravenous drug abusers, then to
                                    Persons referred by the State Department of Human Services and
                                      to individuals who are receiving Medicaid, then to
                                    Individual referred from within the region as such region is
                                      designated by the State Department of Human Resources after
                                      consultation with County and relevant providers.
                                    Services may be delivered to individuals referred from any county
                                      within the region and no priority to preference shall be given to
                                      individuals referred from any particular county with the region
                                      based on the referring county.

      Table 1a                  Both DCJ and DCHS Specialty          DCHS:
                                Residential A/D Treatment            Monolingual/Bilingual - $308,060
                                Services                             Housing for Dep Children - $301,563
                                                                     DCJ:
RFPQ R09-9710                                              20
Alcohol & Drug (A/D) Services
                                                                      Monolingual/Bilingual - $160,600/yr
                                                                      Housing for Dep Children - $102,200/yr
      Target                    1. Monolingual and Bilingual Spanish-speaking Clients. Only one
      Population                   vendor will be selected to provide this specialty residential
                                   treatment service.
                                2. Housing for Dependent Children Whose Parents are in Residential
                                   Treatment
      Unique                    1. Monolingual and Bilingual Spanish-speaking offenders: Residential
      Service                      treatment services designed to meet the unique treatment and
      Specifications               rehabilitation needs of monolingual and bilingual Spanish-speaking
                                   persons of Hispanic culture or origin, regardless of race. Proposers
                                   must provide 24-hour coverage by bilingual staff
                                For DCHS:
                                For State-funded residential treatment beds, priority client admission is:
                                    A. First priority to pregnant women, then to,
                                    B. Intravenous drug abusers, then to
                                    C. Persons referred by the State Department of Human Services
                                       and to individuals who are receiving Medicaid, then to
                                    D. Individual referred from within the region as such region is
                                       designated by the State Department of Human Resources after
                                       consultation with County and relevant providers.
                                    E. Services may be delivered to individuals referred from any
                                       county within the region and no priority to preference shall be
                                       given to individuals referred from any particular county with the
                                       region based on the referring county.
                                2. Housing for Dependent Children Whose Parents are in Residential
                                   Treatment: housing services delivered to individuals who are
                                   dependent children age 18 and younger whose custodial parent is in
                                   Adult A/D residential treatment.
      Unique                    DCJ:
      Performance               1. Monolingual and Bilingual Latino Males:
      Measures                       40% of residential clients will evidence a reduction in recidivism
                                       as measured by pre/post treatment arrest reduction.
                                DCHS:
                                1. Monolingual and Bilingual Latino Males:
                                     100 % utilization of treatment beds.
                                     State requires 60% of residential bed availability be used for
                                       Medicaid clients. Explanation: The Medicaid eligibility
                                       requirement will be settled on an average statewide basis. If the
                                       statewide Medicaid percentage falls below 60%, prorated
                                       settlement will be made from those Counties who failed to meet
                                       the 60% threshold. If Multnomah County fails to meet the 60%
                                       threshold, reconciliation will be made at the provider level.
                                     Client Engagement: In 50% of A/D treatment episodes, the client
                                       is engaged (remains in treatment for at least 15 days.).
                                     Successful Completion: in 60% of Adult A/D residential treatment
                                       episodes, the client meets ASAM PPC-2R discharge criteria,
                                       completes at least two-thirds of their treatment plan goals, and
                                       demonstrates 30 days of abstinence.
                                2. Housing for Dependent Children Whose Parents are in Residential
RFPQ R09-9710                                              21
Alcohol & Drug (A/D) Services
                                   Treatment:
                                    100 % utilization of treatment beds.
      Unique Rules              1. Monolingual and Bilingual Spanish-speaking clients: Proposer must
      Requirements                 possess a State letter of approval as a Hispanic Minority Program
                                   provider pursuant to OAR 415-051-090 or obtain such letter of
                                   approval within a time period to be negotiated.
                                2. Housing for Dependent Children Whose Parents are in Residential
                                   Treatment: Proposers must possess State letter of approval for
                                   Admission and Treatment of Children in Residential Treatment
                                   Programs pursuant to OAR 415-051-0105.

      Table 1b                  DCJ Specialty Residential A/D        DCJ $401,500
                                Treatment Services
      Target                    1. Convicted Sex Offenders and Violent Offenders who are classified
      Population                   as medium or high risk to re-offend.
      Unique                    1. Convicted Sex Offenders and Violent Offenders: Proposers must be
      Service                      able and willing to treat such offenders in their facility and to
      Specifications               ameliorate any risks/problems that having such offenders in their
                                   facility may cause and must be willing to work with DCJ staff to tailor
                                   services as necessary to meet the needs of this target population.

      Unique                    DCJ:
      Performance               40% of residential clients will evidence a reduction in recidivism as
      Measures                  measured by pre/post treatment arrest reduction.

       YOUTH RESIDENTIAL TREATMENT SERVICES – DCHS BASE SERVICE CATEGORY

      Table 2        DCHS Base Residential A/D               DCHS $577,543
                     Treatment Services
      Target         Youth ages 12 through 17 years of age, or those persons who are
      Population     determined by the program to be developmentally and clinically appropriate
                     for Youth services, who have a primary dependency on alcohol or drugs,
                     are unable to live independently in the community, cannot maintain even a
                     short period of abstinence, and are in need of 24-hour supervision,
                     treatment and care.
      Unique         Besides the base program specifications previously outlined, these
      Service        services have the following unique service specifications applicable to all
      Specifications Youth residential programs:
                          Provide a co-occurring disorder competent program capable of
                            delivering adequate and appropriate services including, but not
                            limited to the following tasks:
                             A. Address co-occurring disorders in the program policies and
                                procedures, client assessment, treatment, and planning program
                                content, and transition/discharge planning.
                             B. Address the inter action of the substance-related and mental
                                health disorders in assessing each adolescent’s readiness to
                                change, relapse risk and recovery environment.
                             C. Arrange for, as need, pharmacological monitoring and
                                psychological assessment and consultation either on site or
                                through coordinated consultation off site.
RFPQ R09-9710                                              22
Alcohol & Drug (A/D) Services
                                     D. Involve the family or significant others of the client in the
                                        treatment process.
                                     E. Obtain clinically appropriate family or significant other
                                        involvement and participation in all phases of assessment
                                        treatment planning, and treatment.
                                     F. Use treatment methods appropriate for adolescents with
                                        significant emotional disorders that are based on sound clinical
                                        theory and professional standards of care.
                                     G. Plan the transition from residential to community-based services
                                        and supports that are most likely to lead to successful clinical
                                        outcomes for each adolescent.
                                   Proposers must participate in County’s Providers’ Meetings.
                                   County-funded Youth residential treatment beds are only for clients
                                    who reside in Multnomah County. If there is insufficient clients from
                                    Multnomah County to fill these beds, specific permission must be
                                    obtained from the County Addictions Program Manager to use these
                                    beds for Youth from other counties.
      Unique                       100 % utilization of treatment beds.
      Performance                  Client Engagement: In 50% of A/D treatment episodes, the client is
      Measures                      engaged (remains in treatment for at least 15 days.).
                                   Successful Completion: in 60% of Adult A/D residential treatment
                                    episodes, the client meets ASAM PPC-2R discharge criteria,
                                    completes at least two-thirds of their treatment plan goals, and
                                    demonstrates 30 days of abstinence.

           ADULT OUTPATIENT TREATMENT SERVICES – BASE SERVICE CATEGORY III

      Table 3                   Base Outpatient A/D Treatment            DCJ: $1,307,593
                                Services                                 DCHS: $1,894,824
      Target                         Adult men and women who are in need of treatment services on
      Population                        a regularly scheduled basis, so they can achieve or maintain
                                        abstinence or related recovery goals. Services include
                                        assessment, individual, group, and family counseling, case
                                        management, mentoring, supportive housing and long-term
                                        support for relapse prevention. A complete definition of
                                        outpatient client criteria can be found in ASAM PPC-2R.
                                DCHS: Multnomah County residents whose income is at or below
                                         200% of the current Federal Poverty Guidelines.
                                DCJ:
                                     Adult male and female felony offenders under the supervision of
                                        DCJ who are classified as medium or high risk to re-offend.
                                     Young Adults ages 18 – 25 years assessed as described above.
      Unique                    Besides the base program specifications previously outlined, these
      Service                   services have the following unique service specifications applicable to
      Specifications            all outpatient programs:
                                     Proposers must provide outpatient substance abuse treatment
                                        programs to serve Adult men and women who are not in need of
                                        24-hour supervision for effective treatment of their substance
                                        abuse.
                                     Proposers must participate in County’s monthly Providers’
RFPQ R09-9710                                             23
Alcohol & Drug (A/D) Services
                                       Meeting.
                                      DCHS: Funds cannot be used to deliver outpatient services to
                                       any individual enrolled in the OHP for chemical dependency
                                       benefits.
                                      DCHS: Priority client admission is:
                                       A. First priority to pregnant women, then to
                                       B. Intravenous drug abusers, then to
                                       C. Persons referred by the State Department of Human
                                          Services.
      Unique                    DCJ:
      Performance                  50% of outpatient clients will evidence a reduction in recidivism
      Measures                       as measured by pre/post treatment arrest reduction.
                                DCHS:
                                   100 % utilization of treatment slots.
                                   Successful Completion: in 60% of Adult A/D outpatient treatment
                                     episodes, the client meets ASAM PPC-2R discharge criteria,
                                     completes at least two-thirds of their treatment plan goals, and
                                     demonstrates 30 days of abstinence.


      Table 3a                  DCJ Specialty Outpatient A/D        $811,578/year
                                Treatment Services
      Target                    STOP Court Clients – Approximately 270 clients will be served at any
      Population                given time. Only one vendor will be selected to provide this DCJ
                                specialty outpatient treatment service.
      Unique                    Proposers must:
      Service                       Provide case tracking, reporting and other requested information
      Specifications                  to the STOP Court and to the Oregon Judicial Department (OJD)
                                      in a computer format that is easily compatible with the Oregon
                                      Treatment Court Management System (OTCMS) database.
                                    Fully cooperate with efforts to develop and improve the existing
                                      vendor and STOP Court database, including the collection,
                                      storage, and transmission of vendor and STOP Court data.
                                      Proposer will adopt the procedures and recommendations of the
                                      Criminal Justice Commissions (CJC) STOP Court data project
                                      whenever possible.
                                    Will follow roles and responsibilities outlined in the STOP Court
                                      Manual.
                                    Provide evidence of certification as a Qualified Mental Health
                                      Provider for Multnomah County.
                                    Participate in the Treatment Court Operations and Policy
                                      Committee.
                                    Will assess and/or intake clients within 2 working days of first
                                      court appearance.
                                    Will designate one staff person to serve as liaison to Court.
                                    Will have a good working relationship with residential service
                                      providers.
      Unique                    50% of outpatient clients will evidence a reduction in recidivism as
      Performance               measured by pre/post treatment arrest reduction.
RFPQ R09-9710                                             24
Alcohol & Drug (A/D) Services
      Measures

      Table 3b                  DCHS Specialty Outpatient A/D        1. Severely Addicted MD Clients -
                                Treatment Services                      $1,272,890
                                                                     2. Housing & Outpt for Homeless
                                                                        Heroin Clients - $341,071
      Target                    1. Addiction Services for Severely Addicted Multi-Diagnosed Clients:
      Population                   Uninsured individuals who are usually chronically homeless and high
                                   utilizers of the Hooper Center, the criminal justice system County
                                   health clinics, and area hospitals due to their serious medical,
                                   mental health, and addictions problems. Only one vendor will be
                                   selected to provide this DCHS specialty outpatient treatment
                                   service.
                                2. Homeless Persons with Heroin Addiction: A/D Free Supportive
                                   Housing and Outpatient Treatment: Recovering clients who have
                                   completed detoxification at the Hooper Center. Only one vendor
                                   will be selected to provide this DCHS specialty outpatient
                                   treatment service.
      Unique                    Proposers must:
      Service                   1. Addiction Services for Severely Addicted Multi-Diagnosed Clients:
      Specifications               A. The capacity, experience, and resources to provide a range of
                                        services including integrated outpatient treatment, transitional
                                        housing, and intensive case management.
                                   B. Integrated Outpatient Treatment for High Risk Clients:
                                        Culturally appropriate outpatient treatment including primary and
                                        complimentary care for addictions, mental health and chronic
                                        health problems for approximately 260 multi-diagnosed
                                        uninsured clients per year. All clients will be assisted with
                                        housing through a variety of options.
                                   C. 52 Units of Transitional Housing: Four (4) of the fifty-two (52)
                                        housing units will be Alcohol and Drug Free Community (ADFC)
                                        long-term housing. The remaining forty-eight (48) housing units
                                        will be non-ADFC long-term housing for clients who are not
                                        sobriety-ready but are demonstrating efforts to comply with
                                        treatment recommendations. The agency must either own the
                                        facility to be used or have a signed lease agreement for a
                                        minimum of five (5) years from the facility owner.
                                   D. Intensive Case Management for Severely Addicted Multi-
                                        Diagnosed Clients: Intensive case management to address a
                                        combination of co-morbid conditions of severely addicted clients
                                        with multiple diagnoses, including severe addiction, mental
                                        health issues, and physical health problems related to or
                                        resulting in chronic homelessness. At least ninety (90) severely
                                        addicted multi-diagnosed clients will be re-established in
                                        integrated outpatient treatment per year, depending upon length
                                        of stay.
                                2. Homeless Persons with Heroin Addiction: Alcohol & Drug Free
                                   Supportive Housing and Outpatient Treatment
                                   A. The capacity, experience, and resources to provide supportive
                                        housing, supportive housing specialists, and outpatient treatment
                                        as part of a continuum of services for Adult heroin users and
RFPQ R09-9710                                              25
Alcohol & Drug (A/D) Services
                                       persons with other alcohol and/or drug addictions. The goals are
                                       to increase post-detoxification treatment retention rates and
                                       promote addiction recovery.
                                   B. Fifty Units of Alcohol & Drug-Free Supportive Housing for both
                                       Homeless Men and Women: Thirty (30) of the fifty (50) housing
                                       units will be exclusively dedicated for homeless clients
                                       recovering from primary heroin addiction and who are referred
                                       from the Hooper Center. Twenty (20) of the housing units are
                                       not exclusively for primary heroin addicts and may be used for
                                       homeless persons with other alcohol and drug addictions. The
                                       agency must either own the facility to be used or have a signed
                                       lease agreement for a minimum of five (5) years from the facility
                                       owner. An alcohol and drug free environment, covering all
                                       tenants, employees, staff, and agents of the landlord and guests
                                       is required. Clients will be provided with wrap-around services
                                       such as housing resources (emergency wait list housing,
                                       permanent low-income housing, rent assistance, eviction
                                       prevention, food); health services (physical, behavioral, and
                                       addictions); and economic independence services (job training,
                                       employment referrals, and transportation). These services can
                                       be provided either directly by the applying agency or through
                                       linkages to other community agencies.
                                   C. Alcohol and Drug Housing Support Specialists: At least a 1.0
                                       FTE Alcohol & Drug Housing Support Specialist who will provide
                                       family mentoring which will include assisting residents in
                                       maintaining recovery, retaining housing, parenting safely and
                                       effectively, and achieving self-sufficiency. The Housing Support
                                       Specialist(s) will have the capability to address the particular
                                       needs of fathers and male Youth. The Housing Support
                                       Specialist(s) will be familiar with and able to access resources for
                                       low-income families, including childcare, employment assistance
                                       and training, transportation and other services.
                                   D. Twenty Adult Alcohol & Drug Outpatient Treatment Slots: The
                                       target population is heroin users. Clients will be provided
                                       assessment; individual, group, and family counseling; case
                                       management; assistance to the individual in accessing needed
                                       wraparound services; and long-term support for relapse
                                       prevention. Individuals enrolled in the Oregon Health Plan for
                                       outpatient chemical dependency benefits cannot be served in
                                       these slots. The priority for client admission is: first priority to
                                       pregnant women, then to intravenous drug abusers, then to
                                       persons referred by the State Department of Human Services.
      Unique                    2. Homeless Persons with Heroin Addiction: A/D-Free Supportive
      Performance                  Housing and Outpatient Treatment: 100% Utilization of outpatient
      Measures                     treatment slots.
      Unique Rules              2. Homeless Persons with Heroin Addiction: A/D-Free Supportive
      Requirements                 Housing and Outpatient Treatment:
                                   A. OAR 410-010-0000 through 410-010-0170 Standards for
                                       Residential Programs.
                                   B. ORS 90.243 “Drug and alcohol free housing” and “program of
RFPQ R09-9710                                               26
Alcohol & Drug (A/D) Services
                                     recovery” defined.
                                  C. ORS 90.410 Effect of tenant failure to give notice of absence;
                                     absence; abandonment.
                                  D. Oregon Residential Landlord/Tenant Act of the State of
                                     Oregon and any other local laws or ordinances that apply.
                                  E. Outpatient treatment services described in State of Oregon OAR
                                     415-051-0000 through 415-051-0155 Standards For Outpatient
                                     and Residential Alcohol And Drug Treatment Programs

      YOUTH OUTPATIENT TREATMENT SERVICES– DCHS BASE SERVICE CATEGORY IV

      Table 4                   DCHS Base Outpatient A/D              $408,141
                                Treatment Services
      Target                    Youth ages 12 through 17 years of age, or those persons who are
      Population                determined by the program to be developmentally and clinically
                                appropriate for Youth services, who are in need of treatment services
                                on a regularly scheduled basis so they can achieve or maintain
                                abstinence or related recovery goals. Services include: assessment;
                                individual, group, and family counseling; case management; mentoring;
                                supportive housing; and long-term support for relapse prevention. A
                                complete definition of outpatient client criteria can be found in ASAM
                                PPC-2R.

                                The target population is Multnomah County residents whose income is
                                at or below 200 percent of the current Federal Poverty Guidelines.
         Unique                 Proposers must meet general outpatient treatment services
         Service                requirements and must:
      Specifications                 Include participation of family/agencies in treatment
                                        planning/case management;
                                     Include family treatment, recreation/leisure skills training,
                                        education services, tobacco cessation treatment, and gender
                                        specific treatment;
                                     Include reintegration services, Youth dominated self-help groups
                                        where available, and referral to emancipation services and
                                        physical or sexual abuse treatment when appropriate in
                                        continuing care; and,
                                     Employ staff that have formal training in adolescent development
                                        and family counseling and demonstrate competence in gender-
                                        specific treatment of adolescents and their families.
                                     Proposers must participate in County’s monthly Alcohol and
                                        Drug Advisory Council.
      Unique                    1. 100% utilization of outpatient treatment slots.
      Performance               2. Successful Completion: In 60% of Adult and Youth alcohol and
      Measures                       drug outpatient treatment episodes, the client meets ASAM
                                     PPC-2R discharge criteria, completes at least two-thirds of their
                                     treatment plan goals, and demonstrates 30 days of abstinence.

      Table 4a                  DCHS Specialty Outpatient A/D      $328,175
                                Treatment Services
      Target                    Culturally Specific Family Focused African American Youth Enhanced
RFPQ R09-9710                                             27
Alcohol & Drug (A/D) Services
      Population                Alcohol & Drug Services: A continuum of addiction services that is
                                culturally specific, and culturally competent for African American Youth
                                at high risk of alcohol or drug abuse problems, including enhanced
                                support and education services for the Youth’s families.

                                The target population is African American Youth ages 14-18 years and
                                their families, who are Multnomah County residents and whose income
                                is at or below 200 percent of the current Federal Poverty Guidelines.

                                Only one vendor will be selected to provide this DCHS specialty
                                Youth outpatient treatment service.
      Unique                    1. The capacity, experience, and resources to provide Youth Intensive
      Service                      Outpatient Treatment for 20 African American Youth annually. This
      Specifications               is a non-residential service consisting of at least six hours of face-to-
                                   face contact per week for individuals who meet the administrative
                                   rule placement requirements.
                                2. The capacity, experience, and resources to provide culturally specific
                                   enhanced services to the families of 20 African American Youth
                                   annually. Services will include, but not be limited to, in-home family
                                   assessment, treatment planning, and counseling; mental health
                                   counseling; family case management; family recovery planning; and
                                   relapse prevention planning. The role of these services is to teach
                                   families how to implement techniques and strategies so they can
                                   address their child’s needs without continued intensive services.
                                3. The capacity, experience, and resources to provide time-limited and
                                   transitional Home Care Residential Services (foster care, proctor
                                   care, group home, etc.) with certified families or agencies when the
                                   Youth have no viable home to go to. Home care services will be
                                   culturally appropriate and will offer a monitored, structured, safe and
                                   nurturing environment. Home Care Residential Services will include:
                                   A. A Clinical Supervisor who will be directly responsible for proctor
                                       parent certification and oversight of the proctor parent program.
                                   B. A training program for Proctor parents, including how to work in
                                       an integrative fashion with family of origin to facilitate client
                                       return.
                                   C. The capacity and ability to involve Proctor parents in treatment
                                       planning, meetings, and important decisions regarding client.
                                   D. 24-hour accessibility for Proctor parents to support by a
                                       clinician/case manager.
                                 Funds cannot be used to deliver outpatient services to any individual
                                 enrolled in the Oregon Health Plan for chemical dependency benefits.
      Unique                    1. 100% utilization
      Performance               2. Number of family contacts per month including name of the Youth in
      Measures                      treatment.
                                3. List of the types of family contacts per month, including the number
                                    of contacts for each type.
                                4. Number of Youth receiving Home Care Residential Services each
                                    month, including name of the Youth in housing.
                                5. Number of days of Home Care Residential Services each month per
                                    Youth.
RFPQ R09-9710                                               28
Alcohol & Drug (A/D) Services
                                Departments of Community Justice and County Human Services
                                                    RFPQ R09-9710
                                   Multnomah County Alcohol and Drug (A/D) Services

                                                 PART THREE:
                                    QUALIFIED VENDOR APPLICATION PROCESS
                                                   (QVAP)



3.1       OVERVIEW

Multnomah County Departments of Community Justice and County Human Services Alcohol and
Drug Programs have jointly developed a straightforward, relatively simple administrative qualification
program. Both Departments will use this qualification process to screen and subsequently qualify
the administrative capacity of organizations. This process determines whether organizations meet
minimum standards in the following areas:

             Organizational Capacity
             Advisory/Oversight (Accountability) Functions
             Fiscal Structure and Stability

The Administrative Qualification Packet (Solicitation Attachment 6) provides detailed instructions on
the qualification process.


3.2       WHO MUST SUBMIT QUALIFICATIONS

The following entity types must submit qualifications:

         Sole Proprietors, Base Partnerships, Limited Partnerships, Professional Corporations, or
          Limited Liability Companies that have employees or contract workers engaged in the delivery
          of services
         For-Profit Corporations (S and C Corporations)
         Non-Profit Corporations (both tax-exempt and not tax exempt)
         Membership or Umbrella Organizations. (NOTE: Each individual member of this type of
          Proposer must also pass this application process and obtain Administratively Qualified
          Status).

      Organizations that are exempt from the qualification requirement include:

         Public Agencies

Cost incurred by any Proposer in the preparation of the application is the responsibility of the
organization and will not be reimbursed by the County.


RFPQ R09-9710                                               29
Alcohol & Drug (A/D) Services
3.3      ADMINISTRATIVE QUALIFICATION REVIEW PROCESS

In order to receive a contract, the qualified Proposer must receive a rating of “Pass” on the Qualified
Vendor Application Process (QVAP) form -- See Solicitation Attachment 6. The evaluation process
will include:

      1. Responses to the eight (8) specific requests for information and the completion of two forms
         – all found in Solicitation Attachment 6. The requested information and completed forms are
         submitted as part of the initial proposal response and are due no later than Monday,
         December 15, 2008. Provide one original and one copy of your QVAP Application and
         submit them SEPARATELY at the same time as you submit your proposal response.
         Department staff will review of the submission to determine the presence or absence of
         required documentation and the appropriateness of the information in terms of stated
         standards. If the information provided is sufficient to pass the application, the Proposer will
         be notified of the successful administrative qualification and the Proposer will be considered
         for issuance/renewal of a contract.

      2. If information provided is insufficient to meet the standards, the Proposer will be notified of
         the insufficiencies and a date for submittal of corrections or additional information will be
         established. At that time the corrections and or additions will be reviewed by Department
         staff to determine if the qualifications are met. If the Proposer meets the qualification
         standards, their contract will be considered for issuance/renewal.

      3. If the Proposer does not meet the qualification standards, they may not be considered for
         issuance or renewal of a contract. If any organization fails to meet the qualification
         standards, the joint Departments will assess each situation on a case-by-case basis to
         determine the most effective and appropriate action available.

The awardees must achieve a passing score on all eight requirements and complete the two forms.


3.4      SUBSEQUENT ADMINISTRATIVE QUALIFICATIONS REVIEW

Periodically, the Joint Departments may review the Qualified Vendor Application Process forms.
The purpose of a subsequent administrative review would be to determine the continuing soundness
of the organization. Organizations will be asked at that time to update the required submissions.
This review process may coincide with a Department monitoring review of specific contract
requirements including monitoring for compliance with regulatory conditions contained in the
contract.




RFPQ R09-9710                                       30
Alcohol & Drug (A/D) Services
                            Departments of Community Justice and County Human Services
                                                RFPQ R09-9710
                               Multnomah County Alcohol and Drug (A/D) Services

                                           PART 4
                         PROPOSAL REQUIREMENTS AND EVALUATION CRITERIA




4.1      PROPOSAL FORMATTING INSTRUCTIONS

Failure to comply with these instructions may result in the rejection of the proposal.

      4.1.1 Proposals must be printed, computer generated or typewritten, single spaced, space-and-
            a-half or double-spaced, on 8.5” x 11” paper, using both sides of the paper. All pages
            must be numbered. Margins must be at least ½ inch on all sides. Font size can be no
            smaller than 10. Proposals using smaller font sizes or smaller margins may be rejected.

      4.1.2 In support of the County’s sustainability goals regarding environmental impact and the
            disposal of paper, it is the County’s preference that proposals be printed on both sides of
            the paper, rather than on one side only. When proposal format instructions limit the
            number of pages to be submitted, the page count is based on the quantity of numbered
            pages.

              Example: If the RFPQ proposal response to the program questions was limited to a page
              count of not more than 12 pages, then this equates to not more than 6 sheets of paper
              that are printed on each side.

      4.1.3 Maximum page limits are specified for each section of the proposal. The total number of
            pages, excluding attachments, must not exceed 30 pages for the Base Service Category.
            Additional pages are allowed for Specialty Services – see Section 4.2 below. Attachments
            and supporting documents not specifically required by the RFPQ will not be evaluated.
            Supporting materials submitted with the proposal, if any, will not be returned. Pages in
            excess of the page limitation will not be evaluated.

      4.1.4 Proposers must respond to all the questions listed under Part Three, Section 3.5 –
            Proposal Questions and Evaluation Criteria. For each item, restate each the question and
            use the same numbering and letter sequence as found in the RFPQ and then provide
            your response. Responses must be on the forms provided for by Multnomah County
            where applicable.

      4.1.5 All Proposers are to submit a SIGNED Offeror Representations and Certifications
            [Attachment 1], and it will not count against the total page limitation. Failure to sign a
            completed Offeror Representations and Certifications form shall result in rejection of the
            proposal.

      4.1.6 Proposals must be stapled in the left upper corner. Do not use spiral bindings, glue, place
            in notebooks or use other methods of binding the proposal. If the document is too thick to
RFPQ R09-9710                                           31
Alcohol & Drug (A/D) Services
              be held with a single staple, secure the document with a metal clip which can be easily
              removed for storage and copying purposes.


4.2      PROPOSAL SUBMISSION

Proposers must submit one 1 original and 4 complete copies of the proposal to: Multnomah County
Central Procurement and Contract Administration (CPCA), 501 SE Hawthorne Blvd, Suite 400,
Portland, OR 97214, no later than 4:00 p.m. Monday, December 15, 2008. PROPOSALS MUST
BE TIME STAMPED AT THE CPCA BID DESK BY THE STATED DEADLINE. LATE
PROPOSALS WILL NOT BE CONSIDERED for the initial qualification pool, but will be retained
by CPCA for the follow-on qualification process as outlined under the Continuously Open
Procurement section – See 1.4 .

Proposals shall be submitted in a sealed envelope appropriately marked with the Proposal title,
RFPQ number, and the name and address of the Proposer. If the requested copies do not fit into an
envelope, enclose all copies in a box, seal it and attach a sheet of paper with the following
information to the top of the box: (1) Proposal title, (2) RFPQ number, and (3) the name and address
of the Proposer. Please use the minimum amount of tape necessary to seal the box.

4.3      EVALUATION PROCESS FOR WRITTEN RESPONSE AND OPTIONAL ORAL
         EVALUATION - RFPQ

Each evaluator shall independently assign a draft score to each evaluation criterion based on review
of the written proposals. Then the evaluators shall meet at a proposal evaluation session and share
their key findings from each proposal. After sharing their key findings, each evaluator shall be given
an independent opportunity to revise their draft scores and to finalize them. Final scoring by each
evaluator will then be summed. If Multnomah County does not elect to have an oral evaluation, then
those Proposers who receive at least 70% of the possible points will have qualified to provide
services in the appropriate service category.

If it is determined to be in the best interest of the County as determined by a majority of evaluators,
an oral evaluation may be scheduled for those Proposers who did not qualify through the written
proposal process and the County believes, solely through clarification, could potentially achieve
qualification. Any number of Proposers, as determined by the County, could be invited to an oral
evaluation with the evaluation committee. No Proposer is entitled to an oral clarification. The same
criteria used to evaluate the written proposals would be used to evaluate the selected Proposers
during the oral evaluation. No additions, deletions or substitutions may be made to proposals during
the oral evaluations that cannot be viewed as clarification.

After the oral evaluation, each evaluator shall independently assign a draft score to each evaluation
criterion based on the oral presentation. Then the evaluators shall meet during a Proposal
Evaluation Session and share their key findings from each Proposer’s oral presentation. After
sharing their findings, each evaluator shall be given an independent opportunity to revise their draft
scores and to finalize them. Final oral presentation scoring by each evaluator will then be summed.
The oral evaluation scores and the written evaluation scores will then be combined resulting in a
final total score. Qualification status will be extended to the proposals having achieved a score of at
least 70 % of the total points available.



RFPQ R09-9710                                      32
Alcohol & Drug (A/D) Services
4.4      PROPOSAL QUESTION INSTRUCTIONS

Proposers must respond in full to the unique set of mandatory questions for the base service category
being applied for. If Proposers also wish to qualify as a provider of specialty services, then they must
also respond to the additional questions within the base categories – these are identified with the name
of the specialty service. All Proposers must meet minimum standards in at least one base service
category to provide services. Service Proposers who only seek to provide related specialty category
services must still qualify to provide the appropriate base category services. Organizations seeking to
qualify in both base service categories shall complete a separate proposal complete in all respects for
each of the base service areas. NOTE: Proposers submitting proposals for both base service
categories need to submit only one Qualified Vendor Application Process Form. Proposals may not be
contingent on receiving awards on a combination of services.

      4.4.1 The four Base Service Categories are:

                  Base Adult Residential Treatment Services
                  Base Youth Residential Treatment Service
                  Base Adult Outpatient Treatment Services
                  Base Youth Outpatient Treatment Services

      4.4.2 Page limits for proposals shall be as follows:

                      SERVICE CATEGORY                                  PAGE LIMITS
       Adult Base Residential Services (Men & Women)                        30

                                Specialty Services:

                       Both DCJ and DCHS:
       A/D Treatment for Monolingual and Bilingual Latino Males               3
        Housing for Dependent Children Whose Parents are in                   3
                        Residential Treatment

                               DCJ:
        A/D Treatment for Sex Offenders and Violent Offenders                 3

       Base Youth Residential Services (Boys and Girls))                      30
                    Specialty Services: None

       Base Adult Outpatient Treatment Service (Men &
       Women and Young Adults ages 18 - 25)                                   30

                                Specialty Services:

                                   DCJ:
                    A/D Treatment for STOP Court Clients                      6

                                DCHS:
       Addiction Services for Severely Addicted Multi-Diagnosed               6
                                Clients
RFPQ R09-9710                                         33
Alcohol & Drug (A/D) Services
           Homeless Persons with Heroin Addiction: A/D-Free                    6
             Supportive Housing and Outpatient Treatment

      Base Youth Outpatient Services (Boys and Girls))                         30
                        Specialty Services:
        Culturally Specific Family Focused African-American                    5
                    Youth Enhanced A/D Services


    4.4.3 Excluded from page count limitations are the Proposal Cover Page (Attachment 2), the
          Organization Identification/Certification Statement (Attachment 1), and any other specifically
          required documents called out in this RFPQ, whether optional or mandatory (e.g. Application
          Package for Qualified Vendor Application Process). Pages in excess of the stated limits
          shall be removed and will not be evaluated.

    4.4.4 Proposals must restate the questions or use the same numbering and lettering sequence as
          in the RFPQ. All documents must be included and received by the deadline for the proposal to
          be considered.

    4.4.5 Proposal Checklist: Following is a checklist of items to be included in the proposal. Failure
          to provide each item may result in rejection of the application. The checklist itself is for
          Proposer use and does not need to be submitted.

              ____ Proposal Response Cover Page with Service Category Selection (Solicitation
                   Attachment # 2)

              ____ Signed   Organization       Identification/Certification   Statement    (Solicitation
                   Attachment #1)

              ____ Proposal (Responses to RFPQ Questions)

              ____ Bed/Slot Request Form (Minimum and Maximum Capacity – Solicitation
                   Attachment #10)

              ____ Qualified Vendor Application Process Form (Separate deliverable with your
                   Proposal – not a part of it – See Solicitation Attachment 6)

              ____ State Letters of Approval for the provision of A&D Treatment Services
                   (appropriate to the service applied for) or evidence an application to the State for
                   Certification has been made, including Minority Program certification (if such
                   certification is cited in the application.) – Proposal Attachment A.

              ____ Wholly Secular Statement – Proposal Attachment B

              ____ Joint Proposal MOU – Proposal Attachment C

              ____ Issues with Contract Provisions – Proposal Attachment D (Optional)

    4.4.6 The questions for either Base Adult Residential Alcohol & Drug Treatment Services, Base
          Youth Residential Alcohol & Drug Treatment Services, Base Adult Outpatient Treatment
RFPQ R09-9710                                     34
Alcohol & Drug (A/D) Services
              Services, or Base Youth Outpatient Treatment Services are mandatory – all Proposers must
              complete the questions for at least one of the four Base Service Categories. Proposers
              seeking to qualify for more than one Base Service Category must complete separate, stand
              alone proposals for each base service area they seek to qualify for. Do not mix these
              services together into one proposal as they will be evaluated separately.

      4.4.7 There are two base service categories for Residential Services, Youth and Adult. All
            vendors who wish to provide residential services must answer either the Youth or Adult
            set of questions. Those who wish to provide base residential services to both Youth and
            Adults must submit two separate proposals. Those vendors who wish to serve DCJ
            clients will be required to answer one additional question regarding criminogenic factors
            and client responsivity – otherwise the questions are the same for DCJ and DCHS.

        If you want to serve:       Complete the question sets for:        Proposal Length
             DCHS Youth                           Youth                                 30 pages
       DCJ Youth (and DCHS)           Youth + 1 additional Question                     30 pages
             DCHS Adults                          Adult                                 30 pages
       DCJ Adults (and DCHS)          Adult + 1 additional Question                     30 pages
          Specialty Services               Specialty Services              Varies (2, 5, or 6) additional
                                                                           pages per Specialty area –
                                                                           submit with your Base Service
                                                                           Category proposal)

      4.4.8      The questions for the Base Outpatient Services for Adults and Youth are the same. Base
                 Outpatient Services for DCJ Adults includes one additional question regarding criminogenic
                 factors and client responsivity. Proposers shall answer all of the Base questions for either an
                 Adult or Youth proposal response. Proposers seeking to qualify for both Adult and Youth
                 Base Outpatient Service shall submit two separate proposals. In addition, Proposers
                 interested in applying for any of the optional Outpatient specialty services shall answer the
                 corresponding specialty questions.

      4.4.9      Proposers who are seeking to ONLY provide a Specialty Service must still complete the
                 questions for and qualify to provide the related Base Service.

      4.4.10 Proposers who are interested in providing any of the Specialty Services will indicate their
             interest by answering the specific questions unique to the Specialty Service. Proposers who
             do not answer the optional specialty service questions will not be considered for nor be
             eligible for any funding allocations for that Specialty Service.

      4.4.11 All Proposers must receive a minimum score of seventy percent (70%) of the total points
             available to qualify to provide the Base services.

4.5      PROPOSAL QUESTIONS AND EVALUATION CRITERIA

      4.5.1      Base Residential Alcohol & Drug Services for Adults ( Base Service Category I) or
                 Youth (Base Service Category II) - one or the other - Questions

                                 Program Specific – 350 Total Points Possible

       4.5.1.1 Describe the treatment services your agency will be providing to Adults or Youth,
RFPQ R09-9710                                          35
Alcohol & Drug (A/D) Services
                   including offenders (if applicable), by answering the following questions. Be sure to
                   integrate into your responses how the “Service Program Priorities” (See Section Two:
                   Service Standards) will be addressed.

         4.5.1.1.1 Provide an overview of your proposed services, including areas of particular
                   expertise. The overview needs to include:                                (25 Points)
                 The treatment philosophy, program model, and the theoretical frame work(s) that
                   serves as the basis for your treatment approach(es).
                 Any research or evidence of the effectiveness of the proposed treatment model(s)
                   and standardized clinical practices you will be using for the population(s) you will
                   be serving.
                 If there are treatment models or practices that you are not currently using but plan
                   to put in place within the next two years, indicate your plan for implementing these
                   changes.
                 Describe how your services will address issues such as age, race, ethnicity,
                   culture, language, sexual orientation, disability, literacy, and gender in the target
                   population(s), while retaining fidelity to the chosen practice. Tell us which specific
                   minority populations your agency is prepared to serve and describe your agency’s
                   experience, history and proposed approach to providing treatment services to this
                   specific minority population (i.e. State Minority Program license). Multnomah
                   County is particularly aware that cultural and ethnic minority populations have
                   special needs that benefit from applied expertise, and further that these
                   populations might not do as well in treatment that does not address such expertise.

Evaluation Criteria: Response identifies the client subpopulation(s) to be served. A conceptual
framework is appropriate for the population(s) being served and suggests considerable familiarity
and background experience. Proposer employs evidence-based practices appropriate to the
population(s) being served. Proposer addresses the importance of integrating employment, pro-
social activities, natural support systems, and post-release housing into the clients’ treatment and
recovery process.

         4.5.1.1.2 Describe your referral and intake process including:               (25 Points Possible)

                       Your strategies for facilitating client access and engagement in treatment, including
                        a discussion about potential barriers to treatment for the target population(s) you
                        propose to serve and examples of how you have been able to over come them;
                       Your stabilization maintenance strategies for clients waiting to get into treatment
                        including any wait list stabilization services you offer; and,
                       Your existing or planned communication processes with major system of care
                        providers and partners (Hooper Detox, Jail, Parole and Probation Officers, family
                        members, etc.) to provide status, share referral information, and engage in problem
                        solving for clients.

Evaluation Criteria: Proposer addresses realistic barriers to engagement and treatment and discuss
proven methods and tactics to overcome the barriers. Discussion should include evidence of
success over time and experience with the target population(s) that will be engaged. Stabilization
strategies should include the provision of proven wait list services that have been shown to be
effective for the target population(s) served. Communication processes are redundant and offers
connections to all key participants including at a minimum the jails, Hooper Detox, Parole and
Probation Officers, and family members. Information regarding referral status is readily obtainable
RFPQ R09-9710                                           36
Alcohol & Drug (A/D) Services
by all participants and the infrastructure is capable addressing and problem solving issues and
concerns on a real-time basis.

         4.5.1.1.3        Describe your assessment process           including   any   standardized clinical
                          instruments that will be utilized:                                    (25 Points)

Evaluation Criteria: Response addresses the comprehensiveness and effectiveness of the
described assessment process and tools proposed for use. The assessment process is appropriate
to the target populations to be served. A discussion of the formulation of client clinical needs and
strengths is offered as well as details about how the assessment process covers criminogenic
needs and responsivity (if applicable). Assessment process includes family and/or significant other
involvement. Formulations of precise service level placement recommendations are based on
ASAM PP2R criteria. Employment, pro-social activities, natural support systems, and post release
housing development are all included in the overall assessment process discussion.

         4.5.1.1.4 Describe your treatment planning process:                                   (25 Points)

Evaluation Criteria: Response discusses how the clinical needs and strengths of each client are
integrated into a treatment plan. Treatment planning includes consideration of criminogenic needs
and responsivity factors (if applicable). The chosen treatment process provides for updates and
clearly discloses the role of County staff in the planning process. As the plan is developed,
Proposer includes family and/or significant others. The role of other support service providers and
human service providers is clearly and concisely described. Employment, pro-social activities,
natural support systems, and post release housing development are all topics discussed as part of
the treatment planning process.

         4.5.1.1.5 Describe your treatment services and how these services are structured to address
                   recovery, criminogenic (if applicable) and related needs. Include in your response:
                                                                                          (25 Points)

                       The typical weekly schedule of treatment and support services to be provided.
                       The number of hours of therapeutic services available to clients per week; broken
                        out for individual counseling, family counseling, group treatment, and structured
                        recreational/pro-social activities.
                       For each group treatment service describe its purpose, content, and the criteria
                        that will be used to determine if the client mastered the knowledge and skills
                        targeted.
                       Specify what relapse prevention services will be provided.
                        The process and criteria that will be used to guide service placement and
                        movement within and through the program.
                       If you are providing services to both criminal and non-criminal clients, indicate how
                        services will differ for these client populations and how you will serve them. If you
                        are providing services to both medium/high and low/limited re-offense risk clients,
                        indicate how services will differ for these client populations and how you will serve
                        them.
                       Describe the availability of onsite psychiatric consultation and medication
                        management services, including your policy regarding the use of prescription drugs
                        by clients.


RFPQ R09-9710                                           37
Alcohol & Drug (A/D) Services
Evaluation Criteria: Response convincingly shows the range of proposed services is appropriate to
the needs of the target population(s). Services are available for the family and/or significant others
to further enhance the treatment process. Strength based and cognitive/behavioral approaches are
used. A variation in service intensity is employed based on client needs and progress in treatment.
A competence-based movement is used to guide the client through the treatment services. Clients
assessed as medium or high-risk to re-offend by DCJ are receiving services (if appropriate) in
groups separate from others. Delivered services specifically target employment readiness, positive
social activities, natural support systems, and post-release housing development. Proposer
discusses the availability of on-site psychiatric consultation and how they handle medication
management services.

         4.5.1.1.6 Describe your approach to discharge planning and preparing the client for
                   transition back into community living. Include in your response: (25 Points)

                       Your programs experience and ties with transitional housing, employment and pro-
                        social resources.
                       The strategies you utilize to help ensure clients have access to appropriate housing
                        once they leave residential treatment.
                       Use of family, friends, criminal justice and human services agencies to assist with
                        this transition.

Evaluation Criteria: Response comprehensively addresses the transition and discharge planning
process and clearly demonstrates the appropriateness to the target population being served by the
program. The process is initiated early in the treatment to ensure a smooth transition. The
transition plan features natural and community-based support systems. A full discussion is included
regarding skill building for successful community reintegration, and the Proposer clearly discusses
their unique experience, substantial resources and relationships they can call upon to assist, and
access to transitional housing resources. Efforts are made to ensure that clients have appropriate
recovery supportive housing at discharge, as well as considerations for employment and acceptable
social activities. The plan describes how others who have an interest in the client will be used to
facilitate the client’s transition.

         4.5.1.1.7 Describe the continuing care services your program will provide following the
                   clients’ discharge from residential treatment. Identify what services will be provided
                   through referral to other agencies and providers.                        (25 Points)

Evaluation Criteria: Proposer’s response provides continuing care services. The nature and
frequency of services are fully described. The criteria used to adjust continued service is discussed,
as are relapse intervention strategies and options. Proposer clearly makes the case that the
proposed continuing care program is appropriate for the target Population, and evidence of success
is provided, if available.

    4.5.1.2 Describe your staffing plan, including staff supervision and development. Include in your
            description:                                                                (20 Points)

                The FTE by position, typical salary range offered by your organization, and the average
                 caseload for each direct service position. This information may be shown in chart format
                 – which will not count against your page count.
                For each position or category of positions, identify the staff credentials and
                 competencies (knowledge and skills) that will be required to effectively serve the target
RFPQ R09-9710                                           38
Alcohol & Drug (A/D) Services
                 population(s), fully implement the program and competently deliver the specified
                 services.
                Your plan for ensuring staff are properly trained and able to effectively serve the target
                 population(s) and deliver the services being proposed.
                The racial/ethnic make-up of the staff that will be delivering this service. If staff
                 composition has not yet been determined, provide the racial/ethnic compositions that
                 you anticipate for the program.

Evaluation Criteria: Staffing plan is adequate to effectively implement and deliver the proposed
service to the target population(s). Proposer demonstrates skill and experience delivering the
services by their description of the staffing requirements and skill levels necessary to deliver quality
service. Effective staff training and development strategies to assure staff have/retain the
knowledge and skills to deliver the proposed services are In place and have been used successfully
before. Racial/Ethnic composition is appropriate for the target population(s) to be served and
reflects diversity.

    4.5.1.3 Describe the strategies and resources that your agency will use to ensure that clinical
            services are delivered in a manner that is culturally appropriate and responsive to clients
            being served. If your agency has a current “Cultural Competency Plan” covering A/D
            Services please provide a copy as Attachment E to your proposal.             (25 Points)

Evaluation Criteria: Proposer can demonstrate the development of a “Cultural Competency Plan”
that is updated annually. Reasonable and effective strategies are in place that should help ensure
that programs and service delivery are culturally appropriate. Strategies exist and can be described
for continually evaluating the program’s service models and clinical practice to ensure they are
culturally appropriate services are provided in language reflective of client base. Programs actively
seek to involve community resources, (e.g., tribal and community councils or governing bodies,
family members, clans, native societies, spiritual leaders, churches, civic clubs, and community
organizations) and to develop cross-system alliances (e.g., corrections, juvenile justice, education,
social services, substance abuse, developmental disability, primary care plans, public health, and
tribal health agencies) in assessing and improving the cultural appropriateness of its services.
Identification and integration of natural supports (e.g., family members, religious and spiritual
resources, traditional healers, churches, civic clubs, community organizations) occurs while clients
are in treatment and during continuing care. There is solid evidence that a reasonable level of
ongoing training and staff development in this area.

    4.5.1.4 Describe how your agency will assist in forming a strong collaboration with the referral
            source and others involved in providing treatment/support services to the client (e.g.,
            Hooper Detox, criminal justice agencies, other A/D treatment centers and other
            community providers) in order to ensure the best possible results for clients. If you are
            proposing to deliver these services as part of a consortium of agencies, describe how
            you consortium will deliver client services. Include a discussion of how the consortium
            partners will interact, coordinate client services, and share client information.
                                                                                            (25 Points)

Evaluation Criteria: Proposer discusses strategies for establishing and maintaining close,
collaborative working relationships with referral sources and other service providers involved with
the client. If delivering services as a part of a consortium, the Proposer is able to describe how the
consortium will operate, including clearly established lines of authority, agreed to conflict resolution
and decision making processes, and communication and information sharing practices.
RFPQ R09-9710                                          39
Alcohol & Drug (A/D) Services
    4.5.1.5 Describe your agency’s experience with and proposed approach to either providing, or
            collaborating with other community service providers who provide, such recovery
            support services as recovery case management and/or recovery coaching or mentoring;
            linking clients to community based and/or peer-delivered recovery supports of their
            choice, and coordinating housing supports, employment services, child care, health care
            services, and other community reintegration activities. Specify if you offer recovery
            support services as a function of outreach or during the pretreatment phase, adjunctive
            to or integrated with treatment, and/or as a function of post-treatment services.
                                                                                          (25 Points)

Evaluation Criteria: Response convincingly shows the required range of proposed services is
appropriate to the needs of the target population. Proposer’s response addresses the potential
barriers to services for the target population and demonstrates experience with the target
population. Response includes strategies for overcoming the identified barriers. The role of other
support service providers is clearly and concisely described. Proposer demonstrates skill and
experience delivering the services to the target population by their description of the staffing
requirements and skill levels necessary to deliver quality service. Reasonable and effective
strategies are in place that should help ensure that programs and service delivery are gender and
culturally appropriate. Proposer is able to show experience and ability to access other resources.

    4.5.1.6 Describe the proposed quality assurance activities for these services, including defining
            the process of record review, complaints, consumer satisfaction and progress in
            achieving performance outcomes. Include in your response the strategies that will be
            utilized to assure fidelity to the treatment practices and service models you are
            proposing.                                                                  (20 Points)

Evaluation Criteria: Proposed QA strategies are comprehensive and will adequately address
requirements. Quality assurance will ensure the provision of safe and clinically appropriate services
to clients. Strategies for ensuring the program’s contract service standards are being met including
progress reporting and service collaboration requirements. There is evidence that the service
quality improvement process is continuous and embedded in the organization’s culture. QA
strategies exist calling for direct observation and evaluation of clinical practice and service delivery
as a fundamental part of staff supervision or there exists a reasonable plan for implementing such
strategies, including a process of record review, complaints, consumer satisfaction and progress in
achieving performance outcomes. Proposer has fidelity measures and clinical supervision in place
to assure adherence to treatment modalities.

    4.5.1.7        Describe your ability to evaluate the effectiveness of the services being delivered.
                   Include in your response:                                                   (20 Points)

                  Qualitative and quantitative information regarding the effectiveness of the A/D services
                   your program currently offers. The information you provide may be from internal or
                   external sources. Describe if and how you used this data to improve and/or design the
                   services specified in this proposal.
                  How your agency will monitor the effectiveness of the program you are proposing, the
                   qualifications of the person(s) within the organization that will monitor and submit the
                   reporting to the state or county and how these reports will be evaluated for timeliness,
                   accuracy and completeness.

RFPQ R09-9710                                          40
Alcohol & Drug (A/D) Services
Evaluation Criteria: Proposer is able to demonstrate how qualitative/quantitative information has
been used to identify areas of strengths and areas needing improvement within existing programs.
Proposer describes how findings have been used to enhance/modify the program services being
proposed. There is a well-articulated model in place or being developed to evaluate the proposed
services. Proposer links their evaluation efforts with their quality assurance modality; Proposer
discusses desired outcomes; data collection, methodology and findings utilization. Proposer
discusses any known limitations of their current evaluation model and any changes planned to
better accommodate services under this program. Staff monitoring services has the appropriate
qualifications and training.

    4.5.1.8 Provide a copy of the line-item budget for the proposed services               (20 Points)
     Submit Attachments 5 (Funding request form), Attachment 9 (Line item budget) and
       Attachment 10 (Bed/slot request form).
     There is not a specific dollar amount set aside for each unit of service; it is the County’s
       intention to pay the majority of outpatient slots and residential beds at or near the current
       rate. List the unit cost of each service and provide additional information outlining the cost of
       services you are proposing.

Evaluation Criteria: The Proposer has requested funding for only eligible activities. The budget
forms are complete and accurate. Costs of services appear reasonable and cost effective. Staffing
levels listed in budget reflect program design described in the proposal and appear adequate to
meet program goals. Costs reflect the program design provided by the Proposer.

    4.5.1.9 Describe other funding sources that will be available to support the services being
    proposed. Include in your description:                                         (20 Points)

                  Your program’s ability to generate client fees utilizing a sliding fee scale and third party
                   payments. Discuss how you ensure that client fee collection does not become a
                   barrier to services for clients. Explain how your sliding fee schedule and policy was
                   developed and is implemented. Attach a copy of your sliding fee scale as Attachment
                   F (does not count against page limit).
                  Your agency’s ability to generate and utilize other funding sources to support the
                   services being proposed.

Evaluation Criteria: Response demonstrates ability to maximize client fees without creating a barrier
to services. Proposer is able to show experience and ability to access other funding sources
including third party payments. Copy of the sliding fee scale and policy and rationale is provided
and is acceptable. Sliding fee scale goes to -0- (clients with zero income).

NOTE: IF YOU PLAN ON PROVIDING SPECIALTY SERVICES, YOU MUST ANSWER THE
FOLLOWING QUESTIONS.

SELECT AND ANSWER THE QUESTIONS ONLY FOR THE SPECIALTY TREATMENT AREAS
YOU ARE INTERESTED IN PROVIDING, IF ANY. IF YOU DO NOT ANSWER A SPECIALTY
TREATMENT SET OF QUESTIONS, YOU WILL NOT BE QUALIFIED TO PROVIDE THOSE
SERVICES.

    4.5.2 DCJ and DCHS Residential Specialty Treatment A/D Services


RFPQ R09-9710                                           41
Alcohol & Drug (A/D) Services
       4.5.2.1 Residential Treatment Services for Monolingual and Bilingual Latino Males
               (Both DCJ and DCHS)

         4.5.2.1.1 Submit the following sentence as your response to this specialty area:
                   “We are interested in being considered for funding as a provider of Latino A/D
                   residential treatment services.”
         4.5.2.1.2 Submit verification that your program is currently licensed as a Hispanic culturally
                   specific program or provide your plan including time lines for obtaining licensure.
         4.5.2.1.3 Provide information of the location for these services and if or when the facility will
                   be available for this use.
         4.5.3.2.4 Describe how community members are connected to the program.


       4.5.3.3 Housing for Dependent Children Whose Parents are in Residential Treatment
               (Both DCJ and DCHS)                                            (3 Pages)

         4.5.3.3.1 Submit the following sentence as your response to this specialty area:
                   “We are interested in being considered for funding as a provider of residential
                   housing services for dependent children.”
         4.5.3.3.2 Submit verification that your program has the State licenses as specified in
                   Residential Treatment Specialty Services or provide your plan including time lines
                   for obtaining licensure.

         4.5.3.3.3 Fully describe the children’s services that will be delivered within your residential
                   program.

       4.5.3.4 Residential Treatment Services for Offenders Convicted of Violent and/or Sex
               Crimes (DCJ Only)                                                 (3 Pages)

         4.5.3.4.1 Submit a statement indicating your programs willingness and ability to receive,
                   enroll, and treat sex offenders and violent offenders in your residential treatment
                   program.

         4.5.3.4.2 Specify the criteria you would use to exclude a sex offender or violent offender
                   from admission to your program.

         4.5.3.4.3 Describe how you will assure “no contact orders” are being upheld.

         4.5.3.4.4 Indicate your willingness to work with DCJ to develop A&D services that would
                   meet the unique needs of these two categories of offenders.

    4.5.4 Base Outpatient Treatment A&D Services for Adults (Base Service Category III)
          and/or Youth (Base Service Category IV) - one or the other - Program Questions

                                Program Specific – 350 Total Points Possible

       4.5.4.1 Describe the treatment services your agency will be providing to Adults or Youth,
               including offenders, by answering the following questions. Be sure to integrate into
               your responses how the “Service Program Priorities” (See Section TWO: Service
RFPQ R09-9710                                       42
Alcohol & Drug (A/D) Services
                   Standards) will be addressed.

         4.5.4.1.1 Conceptual/theoretical framework, treatment philosophy, justification for clinical
                   practices, and plan for implementing evidence based practices.      (25 Points)

                        Provide an overview of your proposed services, including areas of particular
                        expertise. The overview needs to include:
                       The treatment philosophy, program model, and the theoretical frame work(s) that
                        serves as the basis for your treatment approach(es).
                       Any research or evidence of the effectiveness of the proposed treatment model(s)
                        and standardized clinical practices you will be using for the population(s) you will
                        be serving.
                       If there are treatment models or practices that you are not currently using but plan
                        to put in place within the next two years, indicate your plan for implementing these
                        changes.
                       Describe how your services will address issues such as age, race, ethnicity,
                        culture, language, sexual orientation, disability, literacy, and gender in the target
                        population(s), while retaining fidelity to the chosen practice. Tell us which specific
                        minority populations your agency is prepared to serve and describe your agency’s
                        experience, history and proposed approach to providing treatment services to this
                        specific minority population (i.e. State Minority Program license). Multnomah
                        County is particularly aware that cultural and ethnic minority populations have
                        special needs that benefit from applied expertise, and further that these
                        populations might not do as well in treatment that does not address such expertise.

Evaluation Criteria: Response identifies any client subpopulation(s) to be served. A conceptual
framework is appropriate for the population(s) being served and suggests considerable familiarity
and background experience. Proposer employs evidence-based practices appropriate to the
population(s) being served. Proposer addresses the importance of integrating employment, pro-
social activities, natural support systems, and post-release housing into the clients’ treatment and
recovery process.

         4.5.4.1.2 Describe your referral and intake process including:                         (25 Points)

                       Strategies for facilitating client access and engagement in treatment;
                       Stabilization maintenance strategies for clients waiting to get into treatment,
                       Systems in place to communicate with referents (Hooper Detox, Jail, PPO’s, family
                        members, etc.).

Evaluation Criteria: Proposers response addresses the potential barriers to treatment for the target
population(s) to be served and details suggest experience with the target population. Response
includes strategies for overcoming the identified barriers. A single point of contact with designated
back-up for referral questions, status reports, and problem solving is discussed. Engagement
methodologies are discussed. Wait list stabilization services are offered and details regarding these
services are provided.

         4.5.4.1.3 Describe your assessment process including any standardized clinical instruments
                   that will be utilized:                                             (25 Points)


RFPQ R09-9710                                            43
Alcohol & Drug (A/D) Services
Evaluation Criteria: Response addresses the comprehensiveness and effectiveness of the
described assessment process and tools proposed for use. The assessment process is appropriate
to the target populations to be served. A discussion of the formulation of client clinical needs and
strengths is offered as well as details about how the assessment process covers criminogenic
needs and responsivity (if applicable). Response details how County staff and staff from other
health and human service agencies/programs will be involved with the chosen assessment process.
Assessment process includes family and/or significant other involvement. Formulations of precise
service level placement recommendations are based on ASAM PP2R criteria. Employment, pro-
social activities, natural support systems, and post release housing development are all included in
the overall assessment process discussion.

         4.5.4.1.4 Describe your treatment planning process:                                    (25 Points)

Evaluation Criteria: Response discusses how the clinical needs and strengths of each client are
integrated into a treatment plan. Treatment planning includes consideration of criminogenic needs
and responsivity factors (if applicable). The chosen treatment process provides for updates and
clearly discloses the role of County staff in the planning process. As the plan is developed,
Proposer includes family and/or significant others. The role of other support service providers and
human service providers is clearly and concisely described. Employment, pro-social activities,
natural support systems, and post release housing development are all topics discussed as part of
the treatment planning process.

         4.5.4.1.5 Describe your treatment services and how these services are structured to address
                   recovery, criminogenic (if applicable) and related needs. Include in your response:
                                                                                          (25Points)

                       The typical weekly schedule of treatment and support services to be provided.
                       The number of hours of therapeutic services available to clients per week; broken
                        out for individual counseling, family counseling, group treatment, and structured
                        recreational/pro-social activities.
                       For each group treatment service describe its purpose, content, and the criteria
                        that will be used to determine if the client mastered the knowledge and skills
                        targeted.
                       Specify what relapse prevention services will be provided.
                       Identify the evidence-base service/practice that you propose to implement and the
                        source of your information.
                        The process and criteria that will be used to guide service placement and
                        movement within and through the program.
                       If you are providing services to both medium/high and low/limited re-offense risk
                        clients and clients with no criminal background, indicate how services will differ for
                        these client populations.
                       Describe the availability of onsite psychiatric consultation and medication
                        management services.
                       Describe your policy regarding the use of prescription drugs by clients.

Evaluation Criteria: Response convincingly shows the range of proposed services is appropriate to
the needs of the target population(s). Services are available for the family and/or significant others
to further enhance the treatment process. Strength based and cognitive/behavioral approaches are
used. A variation in service intensity is employed based on client needs and progress in treatment.
A competence-based movement is used to guide the client through the treatment services. Clients
RFPQ R09-9710                                            44
Alcohol & Drug (A/D) Services
assessed as medium or high-risk to re-offend by DCJ are receiving services (if applicable) in groups
separate from others. Delivered services specifically target employment readiness, positive social
activities, natural support systems, and post-release housing development. Proposer discusses the
availability of on-site psychiatric consultation and how they handle medication management
services.

         4.5.4.1.6 Describe your approach to discharge planning and preparing the client for
                   transition back into community living. Include in your response: (25 Points)

                       Your programs experience and ties with transitional housing, employment and pro-
                        social resources.
                       The strategies you utilize to help ensure clients have access to appropriate housing
                        once they leave residential treatment.
                       Use of family, friends, criminal justice and human services agencies to assist with
                        this transition.

Evaluation Criteria: Response comprehensively addresses the transition and discharge planning
process and clearly demonstrates the appropriateness to the target population being served by the
program. The process is initiated early in the treatment to ensure a smooth transition. The
transition plan features natural and community-based support systems. A full discussion is included
regarding skill building for successful community reintegration, and the Proposer clearly discusses
their unique experience, substantial resources and relationships they can call upon to assist, and
access to transitional housing resources. Efforts are made to ensure that clients have appropriate
recovery supportive housing at discharge, as well as considerations for employment and acceptable
social activities. The plan describes how others who have an interest in the client will be used to
facilitate the client’s transition.

         4.5.4.1.7 Describe the continuing care services your program will provide following the
                   clients’ discharge from outpatient treatment. Identify what services will be provided
                   through referral to other agencies and providers.                       (25 Points)

Evaluation Criteria: Proposer’s response provides continuing care services. The nature and
frequency of services are fully described. The criteria used to adjust continued service is discussed,
as are relapse intervention strategies and options. Proposer clearly makes the case that the
proposed continuing care program is appropriate for the target Population, and evidence of success
is provided, if available.

       4.5.4.2 Describe your staffing plan including supervision and staff development. Include in
               your description:                                                     (20 Points)

                  The FTE by position, typical salary range offered by your organization, and the
                   average caseload for each direct service position. This information may be shown in
                   chart format – which will not count against your page count.
                  For each position or category of positions, identify the staff credentials and
                   competencies (knowledge and skills) that will be required to effectively serve the target
                   population(s), fully implement the program and competently deliver the specified
                   services.
                  Your plan for ensuring staff are properly trained and able to effectively serve the target
                   population(s) and deliver the services being proposed.
                  The racial/ethnic make-up of the staff that will be delivering this service. If staff
RFPQ R09-9710                                           45
Alcohol & Drug (A/D) Services
                   composition has not yet been determined, provide the racial/ethnic compositions that
                   you anticipate for the program.

Evaluation Criteria: Staffing plan is adequate to effectively implement and deliver the proposed
service to the target population(s). Proposer demonstrates skill and experience delivering the
services by their description of the staffing requirements and skill levels necessary to delivery quality
service. Effective staff training and development strategies to assure staff have/retain the
knowledge and skills to deliver the proposed services are In place and have been used successfully
before. Racial/Ethnic composition is appropriate for the target population(s) to be served and
reflects diversity.

       4.5.4.3 Describe the strategies and resources that your agency will use to ensure that clinical
               services are delivered in a manner that is culturally appropriate and responsive to
               clients being served. If your agency has a current “Cultural Competency Plan”
               covering A/D services please provide a copy as Attachment E to your proposal.
                                                                                       (25 Points)
Evaluation Criteria: Proposer can demonstrate the development of a “Cultural Competency Plan”
that is updated annually. Reasonable and effective strategies are in place that should help ensure
that programs and service delivery are culturally appropriate. Strategies exist and can be described
for continually evaluating the program’s service models and clinical practice to ensure they are
culturally appropriate services are provided in language reflective of client base. Programs actively
seek to involve community resources, (e.g., tribal and community councils or governing bodies,
family members, clans, native societies, spiritual leaders, churches, civic clubs, and community
organizations) and to develop cross-system alliances (e.g., corrections, juvenile justice, education,
social services, substance abuse, developmental disability, primary care plans, public health, and
tribal health agencies) in assessing and improving the cultural appropriateness of its services.
Identification and integration of natural supports (e.g., family members, religious and spiritual
resources, traditional healers, churches, civic clubs, community organizations) occurs while clients
are in treatment and during continuing care. There is solid evidence that a reasonable level of
ongoing training and staff development in this area.

       4.5.4.4 Describe how your agency will assist in forming a strong collaboration with the referral
               source and others involved in providing treatment/support services to the client (e.g.,
               Hooper Detox, criminal justice agencies, other A/D treatment centers and other
               community providers) in order to ensure the best possible results for clients. If you are
               proposing to deliver these services as part of a consortium of agencies, describe how
               you consortium will deliver client services. Include a discussion of how the consortium
               partners will interact, coordinate client services, and share client information.
                                                                                             (25 Points)

Evaluation Criteria: Proposer discusses strategies for establishing and maintaining close,
collaborative working relationships with referral sources and other service providers involved with
the client. If delivering services as a part of a consortium, the Proposer is able to describe how the
consortium will operate, including clearly established lines of authority, agreed to conflict resolution
and decision making processes, and communication and information sharing practices.

       4.5.4.5 Describe your agency’s experience with and proposed approach to either providing, or
               collaborating with other community service providers who provide, such recovery
               support services as recovery case management and/or recovery coaching or
               mentoring; linking clients to community based and/or peer-delivered recovery supports
RFPQ R09-9710                                        46
Alcohol & Drug (A/D) Services
                   of their choice, and coordinating housing supports, employment services, child care,
                   health care services, and other community reintegration activities. Specify if you offer
                   recovery support services as a function of outreach or during the pretreatment phase,
                   adjunctive to or integrated with treatment, and/or as a function of post-treatment
                   services.                                                                 (25 Points)

Evaluation Criteria: Response convincingly shows the required range of proposed services is
appropriate to the needs of the target population. Proposer’s response addresses the potential
barriers to services for the target population and demonstrates experience with the target
population. Response includes strategies for overcoming the identified barriers. The role of other
support service providers is clearly and concisely described. Proposer demonstrates skill and
experience delivering the services to the target population by their description of the staffing
requirements and skill levels necessary to deliver quality service. Reasonable and effective
strategies are in place that should help ensure that programs and service delivery are gender and
culturally appropriate. Proposer is able to show experience and ability to access other resources.

       4.5.4.6 Describe the proposed quality assurance activities for these services, including
               defining the process of record review, complaints, consumer satisfaction and progress
               in achieving performance outcomes. Include in your response the strategies that will
               be utilized to assure fidelity to the treatment practices and service models you are
               proposing.                                                               (20 Points)

Evaluation Criteria: Proposed QA strategies are comprehensive and will adequately address
requirements. Quality assurance will ensure the provision of safe and clinically appropriate services
to clients. Strategies for ensuring the program’s contract service standards are being met including
progress reporting and service collaboration requirements. There is evidence that the service
quality improvement process is continuous and embedded in the organization’s culture. QA
strategies exist calling for direct observation and evaluation of clinical practice and service delivery
as a fundamental part of staff supervision or there exists a reasonable plan for implementing such
strategies, including a process of record review, complaints, consumer satisfaction and progress in
achieving performance outcomes. Proposer has fidelity measures and clinical supervision in place
to assure adherence to treatment modalities.

       4.5.4.7 Describe your ability to evaluate the effectiveness of the services being delivered.
       Include in your response:                                                           (20 Points)

                  Qualitative and quantitative information regarding the effectiveness of the A&D
                   services your program currently offers. The information you provide may be from
                   internal or external sources. Describe if and how you used this data to improve and/or
                   design the services specified in this proposal.
                  How your agency will monitor the effectiveness of the program you are proposing, the
                   qualifications of the person(s) within the organization that will monitor and submit the
                   reporting to the state or county and how these reports will be evaluated for timeliness,
                   accuracy and completeness.

Evaluation Criteria: Proposer is able to demonstrate how qualitative/quantitative information has
been used to identify areas of strengths and areas needing improvement within existing programs.
Proposer describes how findings have been used to enhance/modify the program services being
proposed. There is a well-articulated model in place or being developed to evaluate the proposed
services. Proposer links their evaluation efforts with their quality assurance modality; Proposer
RFPQ R09-9710                                          47
Alcohol & Drug (A/D) Services
discusses desired outcomes; data collection, methodology and findings utilization. Proposer
discusses any known limitations of their current evaluation model and any changes planned to
better accommodate services under this program. Staff monitoring services has the appropriate
qualifications and training.

       4.5.4.8 Provide a copy of the line-item budget for the proposed services.                 (20 Points)

Evaluation Criteria: The Proposer has requested funding for only eligible activities. The budget
forms are complete and accurate. Cost of services appear reasonable and cost effective. Staffing
levels listed in budget reflect program design described in the proposal and appear adequate to
meet program goals. Costs reflect the program design provided by the Proposer.

       4.5.4.9        Describe other funding sources that will be available to support the services being
                      proposed. Include in your description:                                 (20 Points)

                  Your program’s ability to generate client fees utilizing a sliding fee scale and third party
                   payments. Discuss how you ensure that client fee collection does not become a
                   barrier to services for clients. Explain how your sliding fee schedule and policy was
                   developed and is implemented. Attach a copy of your sliding fee scale as Attachment
                   F (does not count against page limit).
                  Your agency’s ability to generate and utilize other funding sources to support the
                   services being proposed.

Evaluation Criteria: Response demonstrates ability to maximize client fees without creating a barrier
to services. Proposer is able to show experience and ability to access other funding sources
including third party payments. Copy of the sliding fee scale and policy and rationale is provided
and is acceptable. Sliding fee scale goes to -0- (clients with zero income).

NOTE: IF YOU PLAN ON PROVIDING SPECIALTY SERVICES, YOU MUST ANSWER THE
FOLLOWING QUESTIONS.

SELECT AND ANSWER THE QUESTIONS ONLY FOR THE SPECIALTY TREATMENT AREAS
YOU ARE INTERESTED IN PROVIDING, IF ANY. IF YOU DO NOT ANSWER A SPECIALTY
TREATMENT SET OF QUESTIONS, YOU WILL NOT BE QUALIFIED TO PROVIDE THOSE
SERVICES.

    4.5.5 DCJ Adult Outpatient Specialty Treatment A&D Services

       4.5.5.1 STOP Court Outpatient Treatment Services

         4.5.5.1.1 Submit the following sentence as your response to this specialty area:
                   “We are interested in being considered for funding as a provider of STOP Court
                   A&D Outpatient Treatment Services.”

         4.5.5.1.2 Describe your plan for meeting the requirements and specifications described in
                   the Specialty Service Description (See Section 2).

    4.5.6 DCHS Adult Outpatient Specialty Treatment A/D Services

       4.5.6.1 Severely Addicted Multi-Diagnosed Clients
RFPQ R09-9710                                           48
Alcohol & Drug (A/D) Services
         4.5.6.1.1 Submit the following sentence as a part of your response to this specialty area:
                   “We are interested in being considered for funding as a provider of A/D outpatient
                   treatment services for Severely Addicted Multi-Diagnosed Clients.”

         4.5.6.1.2 Describe your agency’s experience and proposed approach to providing housing
                   services to the target population for this Specialty Service (see Section 2.5)

         4.5.6.1.3 The qualified and selected Proposer must be able to provide 52 units of transitional
                   housing by July 1, 2009. Describe the facilities you currently have or can obtain by
                   July 1, 2009.

         4.5.6.1.4 The qualified and selected Proposer must be able to deliver the majority of
                   treatment services using an enhanced, assertive case management model and
                   must be able to provide for all aspects of client care including crisis management,
                   outreach, detoxification, housing retention, benefits and entitlements, counseling,
                   health care, and employment assistance, Describe how your housing and existing
                   capacity allows your agency to implement the approach described above and how
                   your agency will engage and retain the target population.

         4.5.6.1.5 The qualified and selected Proposer must have the experience, capabilities, and
                   resources that will allow them to meet the needs of the target population. Describe
                   the abilities and experience of your staff and describe their experience working with
                   this target population. Describe how your agency will provide gender specific,
                   culturally specific, and culturally competent services for the target population.

         4.5.6.1.6 Describe any additional services you propose and any additional resources your
                   agency will bring to this project.

Evaluation Criteria: Response convincingly shows the required range of proposed services is
appropriate to the needs of the target population. Delivery of services can begin on July 1, 2009.
Proposers response addresses the potential barriers to services for the target population to be
served and details suggest experience with the target population. Response includes strategies for
overcoming the identified barriers. An assertive case management model is identified. The role of
other support service providers is clearly and concisely described. Proposer demonstrates skill and
experience delivering the services to the target population by their description of the staffing
requirements and skill levels necessary to deliver quality service, Reasonable and effective
strategies are in place that should help ensure that programs and service delivery are gender and
culturally appropriate . Proposer is able to show experience and ability to access other resources.

       4.5.6.2 Homeless Persons with Heroin Addiction: A/D-Free Supportive Housing and
               Outpatient Treatment

         4.5.6.2.1 Submit the following sentence as your response to this specialty area:
                   “We are interested in being considered for funding as a provider of Homeless
                   Persons with Heroin Addiction: A/D-Free Supportive Housing and Outpatient
                   Treatment.”

         4.5.6.2.2 Describe your agency’s experience and proposed approach to providing housing
                   services to the target population for this Specialty Service (see Section 2.5)
RFPQ R09-9710                                       49
Alcohol & Drug (A/D) Services
         4.5.6.2.3 The qualified and selected Proposer must have the organizational capacity and
                   experience to provide A/D Housing Support Specialists. Describe the services that
                   your agency will provide for this specialty service and how your agency will engage
                   and retain the target population.

         4.5.6.2.4 Proposers must demonstrate that they have the experience and resources that will
                   enable them to meet the diverse needs of the target population. Describe the
                   abilities and experience of your staff and describe their experience working with
                   primary heroin addicts and persons with other A/D addictions. Describe how your
                   agency will provide gender specific, culturally specific, and culturally competent
                   services for the target population.

         4.5.6.2.5 Describe any additional services you propose and any additional resources your
                   agency will bring to this project.

         4.5.6.2.6 Describe how your agency meets the unique rules requirements for this Specialty
                   Service (see Section 2.5). Provide copies of your Certificates/Approvals with your
                   application (not included in page count).

Evaluation Criteria: Response convincingly shows the required range of proposed services is
appropriate to the needs of the target population. Delivery of services can begin on July 1, 2009.
Proposers response addresses the potential barriers to services for the target population to be
served and details suggest experience with the target population. Response includes strategies for
overcoming the identified barriers. The role of other support service providers is clearly and
concisely described. Proposer demonstrates skill and experience delivering the services to the
target population by their description of the staffing requirements and skill levels necessary to
deliver quality service, Reasonable and effective strategies are in place that should help ensure that
programs and service delivery are gender and culturally appropriate . Proposer is able to show
experience and ability to access other resources.


    4.5.7 DCHS Youth Outpatient Specialty Treatment A/D Services

       4.5.7.1 Culturally Specific Family Focused African American Youth Enhanced Alcohol &
               Drug Services.

         4.5.7.1.1 Submit the following sentence as a part of your response to this specialty area:
                   “We are interested in being considered for funding as a provider of Culturally
                   Specific Family focused African American Youth Enhanced Alcohol & Drug
                   Services.”

         4.5.7.1.2 Describe how your agency meets the State rule requirements for Youth Alcohol
                   and Drug Intensive Outpatient Treatment Services in OAR 415-051-0000 through
                   415-051-0155 Standards for Outpatient and Residential Alcohol and Drug
                   Treatment Programs. Describe how your agency meets the standards governing
                   minority programs described in OAR 415-051-0090 Standards for Outpatient and
                   Residential Alcohol and Drug Treatment Programs, Minority Programs. Provide
                   copies of your Certificates/Approvals with your application (not included in page
                   count.).
RFPQ R09-9710                                      50
Alcohol & Drug (A/D) Services
         4.5.7.1.3 The qualified and selected Proposer must have the organizational capacity and
                   experience to provide the required specialty services to the target population (see
                   section 2.6). Describe the services that your agency will provide. Describe your
                   agency’s direct experience providing the services to the target population. Describe
                   your service locations(s) and explain why they are best suited for the population
                   being served.

         4.5.7.1.4 For Home Care Residential Services, provide the site licenses appropriate to the
                   services you are offering (not included in page count).

         4.5.7.1.5 The qualified and selected Proposer must have the experience, capabilities, and
                   resources that will allow them to meet the needs of the target population. Describe
                   the abilities and experience of your staff and describe their experience working with
                   the target population. Describe how your agency will provide gender specific,
                   culturally specific, and culturally competent services for the target populations.

         4.5.7.1.6 Describe any additional services you propose and any additional resources your
                   agency will bring to this project.

Evaluation Criteria: Response identifies the target population to be served. The conceptual
framework is appropriate for the target population being served and suggests considerable
familiarity and background experience. Response identifies the services to be provided, including
enhanced support and education services that are available to the Youth’s family. Response
identified the proposed service location (s) and explains why they are suited for the target
population. Site licenses are provided for the Home Care Residential Services providers. Proposer
demonstrates skill and experience delivering the services to the target population by their
description of the staffing requirements and skill levels necessary to deliver quality service.
Racial/Ethnic composition is appropriate for the target population to be served and reflects diversity.
Reasonable and effective strategies are in place that should help ensure that programs and service
delivery are gender and culturally appropriate. Proposer is able to show experience and ability to
access other resources.

                                 END OF PROGRAM QUESTIONS




RFPQ R09-9710                                       51
Alcohol & Drug (A/D) Services
                            Departments of Community Justice and County Human Services
                                                RFPQ R09-9710
                               Multnomah County Alcohol and Drug (A/D) Services

                                                     PART 5

                  GENERAL MULTNOMAH COUNTY PROCUREMENT REQUIREMENTS



5.1 PROCUREMENT PROCEDURE REQUIREMENTS

    5.1.1 CLARIFICATION OR PROTEST OF SPECIFICATIONS

    Any Proposer requiring clarification of the provisions of this RFPQ or protesting any provision
    herein, must submit specific questions or protests in writing to:
                                      ATTN: Gerald E. Jelusich
                                      Multnomah County CPCA
                                    501 SE Hawthorne, Suite 400
                                         Portland, OR 97214
                        Phone: (503) 988-5111, 24961– Fax: (503) 988-3252
                           E-Mail: gerald.e.jelusich@co.multnomah.or.us

    The deadline for submitting questions or protests is 4:00 p.m. on Monday, December 15, 2008.
    Questions may also be presented verbally at the pre-proposal conference. If Multnomah County
    determines that additional information or clarification is necessary, such information or
    clarification will be supplied in addenda that will be sent by facsimile transmission, mail or e-mail
    to all persons or firms that have received this Request for Proposal from CPCA, registered on the
    CPCA website for this solicitation or who attended the pre-proposal conference. All such
    addenda shall have the same binding effect as though contained in the main body of the Request
    for Proposals. Oral instructions or information concerning the specifications from County
    managers, employees or agents to prospective Proposers shall not bind Multnomah County.
    The CPCA Manager shall issue all Addenda not less than five (5) calendar days prior to the
    proposal deadline.

    After closing, Multnomah County reserves the right to issue Addenda to all Proposers who
    submitted proposals, or those Proposers determined to be in the Competitive Range, if
    applicable, in order to communicate program requirements and arrangements and other
    information as determined necessary by the County.

    5.1.2 COST OF PREPARATION OF RESPONSE

    Costs incurred by any Proposer in preparation of a response to this Request for Proposal shall
    be the responsibility of the Proposer.

    5.1.3 PROTESTS

    The following procedure applies to Proposers who wish to protest a disqualification of proposal or
    award of contract:
RFPQ R09-9710                                           52
Alcohol & Drug (A/D) Services
       5.1.3.1 All protests must be in writing and physically received by the CPCA Manager no later
               than 4:00 p.m. on the fifth (5th) working day after the postmarked notice of intent to
               award or disqualification.
                                          Address protests to:

                    PROTEST OF AWARD OR DISQUALIFICATION TO RFPQ No. [R09-9710]
                                       ATTN CPCA Manager
                                      Multnomah County CPCA
                                  501 SE Hawthorne Blvd Suite 400
                                        Portland OR 97214

       5.1.3.2 Proposers may protest only deviations from laws, rules, regulations, or procedures.
               Protests must specify the grounds for the protest including the specific citation of law,
               rule, regulation, or procedure upon which the protest is based. The judgment used in
               scoring by individual evaluators is not grounds for protest. Disagreement with the
               scoring by evaluators may not be protested.

       5.1.3.3 Protests not filed within the time specified in paragraph 1, above, or which fail to cite
               the specific law, rule, regulation, or procedure upon which the protest is based shall be
               dismissed.

    5.1.4 CONFIDENTIALITY

    Multnomah County is required to disclose non-exempt public documents pursuant to ORS
    192.410-192.505). ORS 192.502(4) exempts the County from disclosing information submitted
    in response to a solicitation where the information is such that it “should reasonably be
    considered confidential.”

    A Proposer who determines that information within a proposal meets the statutory requirement
    and desires that such information remain confidential shall mark the pages containing such
    information with the word “CONFIDENTIAL.”

    If a Proposer marks every page of a proposal as “CONFIDENTIAL” the statutory requirement is
    not met; any proposal so marked will not be deemed to have been submitted in confidence and,
    upon request, the entire proposal will be disclosed.

    The County will keep properly marked information confidential unless ordered to release the
    information and materials by the District Attorney pursuant to ORS 192.460.

    After award, the contract executed by the County and the qualified and selected Proposer will be
    a public document subject to disclosure. No part of the contract can be designated as
    confidential.

    5.1.5 CANCELLATION

    Multnomah County reserves the right to cancel this solicitation any time before execution of a
    resulting contract by both parties if cancellation is deemed to be in Multnomah County's best
    interest. In no event shall Multnomah County have any liability for the cancellation of this
    solicitation.
RFPQ R09-9710                                      53
Alcohol & Drug (A/D) Services
    5.1.6 REJECTION OF PROPOSALS

    Multnomah County reserves the right to reject any or all responses to this Request for Proposal if
    deemed in the best interest of the County.

    5.1.7 DISPUTES

    In case of any doubt or differences of opinions as to the items or service to be furnished
    hereunder, or the interpretation of the provisions of the RFPQ, the decision of Multnomah County
    shall be final and binding upon all parties.

    5.1.8 CLARIFICATION OF RESPONSES

    Multnomah County reserves the right to request clarification of any item in a Proposer's proposal
    or to request additional information prior to evaluation necessary to properly evaluate a particular
    proposal. All requests for clarification and responses shall be in writing and issued through the
    assigned Procurement Analyst from Central Procurement and Contract Administration. Except
    for requests and responses related to a clarification necessary to evaluate whether a proposal
    has met minimum requirements, all requests for clarification and responses shall be provided to
    each evaluator.

    5.1.9 REFERENCES
    The County reserves the right to investigate references including customers other than those
    listed in the Proposer’s submission. Investigation may include past performance of any Proposer
    with respect to its successful performance of similar projects, compliance with specifications and
    contractual obligations, its completion or delivery of a project on schedule, and its lawful payment
    of employees and workers or any other criteria as determined by Multnomah County.

    5.1.10 PUBLICITY

    Any publicity giving reference to this project, whether in the form of press releases, brochures,
    photographic coverage, or verbal announcement, shall be done only after prior approval of
    Multnomah County Central Procurement and Contract Administration and the Public Affairs
    Office.

    5.1.11 COLLUSION

    A Proposer, submitting a proposal hereby certifies that no officer, agent, or employee of
    Multnomah County has a financial interest in this proposal; that the proposal is made in good
    faith without fraud, collusion, or connection of any kind with any other Proposer and that the
    Proposer is competing solely on its own behalf without connection or obligation to any
    undisclosed person or firm.




RFPQ R09-9710                                      54
Alcohol & Drug (A/D) Services
                            Departments of Community Justice and County Human Services
                                                RFPQ R09-9710
                               Multnomah County Alcohol and Drug (A/D) Services

                                                  PART 6
                                              CONTRACT TERMS




6.1 MULTNOMAH COUNTY SERVICES CONTRACT

The Proposer awarded a Contract under this RFPQ will be required to execute a Multnomah County
Services Contract, a sample of which is attached to this RFPQ as Solicitation Attachment 3 (DCJ) or
4 (DCHS). If Proposer has any exceptions to the contract terms and conditions, they must be stated
in the proposal, as Proposal Attachment D to their proposal (will not count against page limitation).


6.2 INSURANCE REQUIREMENTS

The Proposer awarded a Contract under this RFPQ will be required to provide the insurance
described in Exhibit 2 of the attached Multnomah County Services Contracts Exhibit 2 of the
attached Sample Contract reflects the minimum insurance required of a qualified and selected
Proposer to provide this service. Additional insurance coverage may be required depending on the
key features of service delivery chosen by the Proposer. Final insurance requirements will be
subject to negotiation between and mutual agreement of the parties prior to contract execution.


6.3 EEO CERTIFICATION REQUIREMENT

No Department shall enter into a contract for an amount in excess for $75,000 unless the Proposer
has, at the time of contract execution, completed the Multnomah County Equal Employment
Opportunity Certification Statement (Part 1 or Part 2 as applicable) that they are an Equal
Employment Opportunity (EEO) Employer and do not discriminate in their hiring and promoting of
individuals based the individual’s identification as or association with any group or race. Before
entering into any such Contract with a Proposer, the Department shall obtain seek to obtain a
signed certification and include it in the contract approval package. No contract shall be executed
without a signed certification.


6.4 PAYMENT INVOICES

All invoices shall be prepared on Contractor's letterhead or standard invoice form and shall include:
     1. Contractor's name and address and a phone number for questions about the invoice,
     2. Contractor's invoice number
     3. Invoice date
     4. Multnomah County contract number, and
     5. Any additional information required in Exhibit 1.

RFPQ R09-9710                                            55
Alcohol & Drug (A/D) Services
County shall pay the invoice by one of several payment methods including but not limited to check,
electronic payment (aka ACH-Automated Clearing House) or Procurement Card, within 30 calendar
days unless otherwise provided in Exhibit 1 of the final contract.


6.5 LOCAL PURCHASING PREFERENCE

Multnomah County desires to employ local businesses in the purchase or lease of any personal
property, public improvements or services to support the local economy in the State of Oregon so
that residents benefit from local employment opportunities that are generated. Therefore,
Multnomah County shall prefer goods or services that have been manufactured or produced by an
Oregon business if price, fitness, availability, and quality are otherwise identical.




RFPQ R09-9710                                   56
Alcohol & Drug (A/D) Services
                                               SOLICITATION ATTACHMENT 1
                                      OFFEROR REPRESENTATIONS AND CERTIFICATIONS
            FAILURE OF THE OFFEROR TO COMPLETE AND SIGN THIS FORM SHALL RESULT IN REJECTION OF THE OFFER

The undersigned, having full knowledge of the specifications for the goods or services specified herein, offers to furnish any and/or all goods or
services as described herein at the prices offered and within the time specified and agrees that this offer shall be irrevocable for 30 calendar
days after the date offers are due or for such longer period as may be specified in this solicitation.

OFFEROR NAME:

ADDRESS:

TELEPHONE NUMBER:                                 FAX NUMBER:                                 WEB SITE:

TAXPAYER ID NUMBER:                                          DATE/STATE OF INCORPORATION:

BUSINESS DESIGNATION:                  Corporation                     Sole Proprietor              Partnership
                                       S Corporation                   Non-Profit                   Government
                                       Other
MWESB CERTIFICATION: Number                                  Minority Owned  Woman Owned             Emerging, Small  N/A
OFFEROR IS EEO CERTIFIED:             No __       Yes       Expiration Date__________
     ASSURANCES - The Offeror attests that:
1.   The person signing this offer has the authority to submit an offer and to represent Offeror in all phases of this procurement process;
2.   The information provided herein is true and accurate;
3.   The Offeror is a resident bidder, as described in ORS 279A.120, of the State of ______________, [insert State] and has not discriminated against any
     minority, women, or emerging small business enterprises in obtaining any required subcontracts, in accordance with ORS 279A.110;
     "Resident bidder" means a bidder that has paid unemployment taxes or income taxes in this state during the 12 calendar months immediately preceding
     submission of the bid, has a business address in this state and has stated in the bid whether the bidder is a "resident bidder". ORS 279A.120 (1) (]b);
4.   Any false statement may disqualify this offer from further consideration or be cause of contract termination; and
5.   The Offeror will notify the CPCA Procurement Analyst immediately of any change in the information provided on this form.

     CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS - The Offeror
     certifies to the best of its knowledge and belief that neither it nor any of its principals:

1. Are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from submitting bids or proposals by any federal,
     state or local entity, department or agency;
2. Have within a five-year period preceding the date of this certification been convicted of fraud or any other criminal offense in connection with obtaining,
     attempting to obtain, or performing a public (federal, state, or local) contract, embezzlement, theft, forgery, bribery, falsification or destruction of records,
     making false statements, or receiving stolen property;
3.   Are presently indicted for or otherwise criminally charged with commission of any of the offenses enumerated in paragraph 2. of this certification;
4.   Have, within a five-year period preceding the date of this certification had a judgment entered against contractor or its principals arising out of the
     performance of a public or private contract;
5.   Have pending in any state or federal court any litigation in which there is a claim against contractor or any of its principals arising out of the performance
     of a public or private contract; and
6.   Have within a five-year period preceding the date of this certification had one or more public contracts (federal, state, or local) terminated for any reason
     related to contract performance.
     Where Offeror is unable to certify to any of the statements in this certification, Offeror shall attach an explanation to its offer.
     The inability to certify to all of the statements may not necessarily preclude Offeror from award of a contract under this
     procurement.
SIGNATURE OF AUTHORIZED PERSON
Signature                                                                                     Date

Print Name & Title

Contact Person for this procurement:

Phone                                                                                                 Email




     RFPQ R09-9710                                                                   57
     Alcohol & Drug (A/D) Services
                                      SOLICITATION ATTACHMENT 2


                                     MULTNOMAH COUNTY
                                ALCOHOL & DRUG (A/D) SERVICES

                                        COVER PAGE
                                 RFPQ R09-9710
PROPOSER NAME:______________________________




SERVICE CATEGORY: (Select Only One)

                                ____ Adult Residential
                                ____ Youth Residential
                                ____ Adult Outpatient
                                ____ Youth Outpatient




RFPQ R09-9710                                   58
Alcohol & Drug (A/D) Services
                                               Solicitation Attachment 3

                                         DCJ Sample Contract
                                 MULTNOMAH COUNTY SERVICES CONTRACT
                                       CONTRACT NO. [Insert Contract Number]

This Contract is between MULTNOMAH COUNTY (County) and [Insert Contractor Name](Contractor).

The parties agree as follows:

Effective Date and Termination Date. The effective date of this contract shall be [Insert Date]. Unless earlier
terminated as provided below, the termination date shall be [Insert Date].

Statement of Work. Contractor shall perform the work described in Exhibit 1.

Payment for Work. County agrees to pay Contractor in accordance with Exhibit 1.

Contract Documents. This Contract includes Exhibits 1, 2, 3, and [Insert additional references or attachments].


STANDARD TERMS AND CONDITIONS

1.       Time is of the Essence. Time is of the essence in the performance of this Contract.

2.       Subcontracts and Assignment. Contractor shall not subcontract any of the work required by this Contract or
         assign or transfer any of its interest in this Contract, without the prior written consent of County.

3.       No Third Party Beneficiaries. County and Contractor are the only parties to this Contract and are the only
         parties entitled to enforce its terms. Nothing in this Contract gives or provides any benefit or right, whether
         directly, indirectly, or otherwise, to third persons unless such third persons are individually identified by name in
         this Contract and expressly described as intended beneficiaries of this Contract.

4.       Successors in Interest. The provisions of this Contract shall be binding upon and inure to the benefit of the
         parties and their successors and approved assigns, if any.

5.       Early Termination. This Contract may be terminated as follows:

         a.        County and Contractor, by mutual written agreement, may terminate this Contract at any time.
         b.        County in its sole discretion may terminate this Contract for any reason on 30 days written notice to
                   Contractor.
         c.        Either County or Contractor may terminate this Contract in the event of a breach of the Contract by the
                   other. Prior to such termination the party seeking termination shall give to the other party written notice
                   of the breach and intent to terminate. If the party committing the breach has not entirely cured the
                   breach within 15 days of the date of the notice, then the party giving the notice may terminate the
                   Contract at any time thereafter by giving a written notice of termination.
         d.        Notwithstanding paragraph 5(c), County may terminate this Contract immediately by written notice to
                   Contractor upon denial, suspension, revocation or non-renewal of any license, permit or certificate that
                   Contractor must hold to provide services under this Contract.

6.       Payment on Early Termination. Upon termination pursuant to paragraph 5, payment shall be made as follows:

         a.        If terminated under 5(a) or 5(b) for the convenience of the County, the County shall pay Contractor for
                   work performed prior to the termination date if such work was performed in accordance with the
                   Contract.
                   County shall not be liable for direct, indirect or consequential damages. Termination shall not result in a
                   waiver of any other claim County may have against Contractor.



RFPQ R09-9710                                                  59
Alcohol & Drug (A/D) Services
         b.        If terminated under 5(c) by the Contractor due to a breach by the County, then the County shall pay the
                   Contractor for work performed prior to the termination date if such work was performed in accordance
                   with the Contract.
         c.        If terminated under 5(c) or 5(d) by the County due to a breach by the Contractor, then the County shall
                   pay the Contractor for work performed prior to the termination date provided such work was performed
                   in accordance with the Contract less any setoff to which the County is entitled.

7.       Remedies. In the event of breach of this Contract the parties shall have the following remedies:

         a.        If terminated under 5(c) by the County due to a breach by the Contractor, the County may complete the
                   work either itself, by agreement with another Contractor, or by a combination thereof. If the cost of
                   completing the work exceeds the remaining unpaid balance of the total compensation provided under
                   this Contract, then the Contractor shall pay to the County the amount of the reasonable excess.

         b.        In addition to the remedies in paragraphs 5 and 7 for a breach by the Contractor, the County also shall
                   be entitled to any other equitable and legal remedies that are available.

         c.        If the County breaches this Contract, Contractor’s remedy shall be limited to termination of the Contract
                   and receipt of Contract payments to which Contractor is entitled.

8.       Corrective Action. In addition to the remedies in Paragraphs 5 (Early Termination ) and 7 (Remedies) above, if
         County finds Contractor not in compliance with contract conditions, or identified program deficiencies, County
         may issue a written corrective action plan. If Contractor fails to complete the terms of its corrective action plan,
         County may, upon written notice to Contractor, impose sanctions, including, but not limited to, withholding funds,
         disallowance of costs, suspension of payments, or immediate termination of this Contract.

9.       Access to Records. Contractor shall maintain fiscal records and all other records pertinent to this Contract. All
         fiscal records shall be maintained pursuant to generally accepted accounting standards, and other records shall
         be maintained to the extent necessary to clearly reflect actions taken. All such records shall be retained and
         kept accessible for at least three years following final payment. County’s authorized representatives shall have
         the right to direct access to all of Contractor’s books, documents, papers and records related to this Contract for
         the purpose of conducting audits and examinations and making copies, excerpts and transcripts. County shall
         reimburse Contractor for Contractor’s cost of preparing copies.

10.      Ownership of Work. All work products created by the Contractor as part of Contractor’s performance of this
         Contract shall be the exclusive property of the County. If any such work products contain intellectual property of
         the Contractor that is or could be protected by federal copyright, patent, or trademark laws, Contractor hereby
         grants County a perpetual, royalty-free, fully paid-up, non-exclusive and irrevocable license to copy, reproduce,
         deliver, publish, perform, dispose of, use, re-use, in whole or in part, and to authorize others to do so, all such
         work products. County shall have no rights in any pre-existing work product of Contractor provided to County by
         Contractor in the performance of this contract except to copy, use and re-use any such work product for County
         use only. If this Contract is terminated prior to completion, and the County is not in default, County, in addition
         to any other rights provided by this Contract, may require the Contractor to transfer and deliver all partially
         completed work products, reports or documentation that the Contractor has specifically developed or specifically
         acquired for the performance of this Contract.

11.      Compliance with Applicable Law. Contractor shall comply with all federal, state, and local laws applicable to
         the work under this Contract, and all regulations and administrative rules established pursuant to those laws,
         including, without limitation ORS 279B.020, 279B.220, 279B.230, and 279B.235.

12.      Indemnity. Contractor shall defend, save, hold harmless, and indemnify County and its officers, employees and
         agents from and against all claims, suits, actions, losses, damages, liabilities, costs and expenses of any nature
         whatsoever, including attorneys fees, resulting from, arising out of, or relating to the activities of Contractor or its
         officers, employees, subcontractors, or agents under this Contract. Contractor shall have control of the defense
         and settlement of any claim that is subject to this paragraph. However, neither Contractor nor any attorney
         engaged by Contractor shall defend the claim in the name of County or any department of County, nor purport
         to act as legal representative of County or any of its departments, without first receiving from the Multnomah
         County Attorney’s Office, authority to act as legal counsel for County, nor shall Contractor settle any claim on
         behalf of County without the approval of the Multnomah County Attorney’s Office. County may, at its election
         and expense, assume its own defense and settlement.
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13.      Insurance. Contractor shall provide insurance in accordance with Exhibit 2.

14.      Waiver. Waiver of any default under this Contract by County shall not be deemed to be a waiver of any
         subsequent default or a modification of the provisions of this Contract.

15.      Governing Law. The provisions of this Contract shall be construed in accordance with the laws of the State of
         Oregon and ordinances of Multnomah County, Oregon. Any legal action involving any question arising under
         this Contract must be brought in Multnomah County, Oregon. If the claim must be brought in a federal forum,
         then it shall be brought and conducted in the United States District Court for the District of Oregon.

16.      Severability. If any term or provision of this Contract is declared by a court of competent jurisdiction to be
         illegal or in conflict with any law, the validity of the remaining terms and provisions shall not be affected, and the
         rights and obligations of the parties shall be construed and enforced as if the Contract did not contain the
         particular term or provision held invalid.

17.      Merger Clause. This Contract and the attached exhibits constitute the entire agreement between the parties.
         All understandings and agreements between the parties and representations by either party concerning this
         Contract are contained in this Contract. No waiver, consent, modification or change in the terms of this Contract
         shall bind either party unless in writing signed by both parties. Any written waiver, consent, modification or
         change shall be effective only in the specific instance and for the specific purpose given.

18.      Anti-discrimination Clause. Contractor shall not discriminate based on race, religion, color, sex, marital
         status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity,
         source of income, or political affiliation in programs, activities, services, benefits or employment. Contractor
         shall not discriminate against minority-owned, women-owned or emerging small businesses. Contractor shall
         include a provision in each sub-contract requiring subcontractors to comply with the requirements of this clause.

19.      Non-appropriation Clause. If payment for work under this Contract extends into the County's next fiscal year,
         County’s obligation to pay for such work is subject to approval of future appropriations to fund this Contract by
         the Board of County Commissioners of Multnomah County, Oregon.

20.      No Religious Content. Materials disseminated in any of the programs or services funded under this Contract
         shall not contain any religious content. The language of this section is not intended to abridge a client’s
         individual right to exercise freedom of religion or speech.

21.      Record Confidentiality. CONTRACTOR shall keep all client records confidential in accordance with state and
         federal statutes and rules governing confidentiality.

22.      Change in Staffing. CONTRACTOR shall submit written notification to COUNTY of any change in staffing in
         the following positions: Executive Director, Program Manager, Clinical Supervisor, Chief Financial Officer and
         any position that may be assigned as a contract liaison. This notification must occur within 30 days of such a
         change. This notification will include relevant details of the change (e.g., which position, name of new staff,
         status [interim or permanent]), plans for replacement if a vacancy is created, or the plan for restructuring the
         service delivery if there are no plans to fill the vacancy.

23.      Restrictions on Hiring. No individual currently under juvenile or adult probation, parole, or post-prison
         supervision may perform services on any DCJ contracted program, whether directly or indirectly. If
         CONTRACTOR currently employs a person under such supervision or is considering hiring an employee under
         supervision, CONTRACTOR may request an exemption from the restriction through the Informal Dispute
         Resolution Process described in section 25 herein.
                                For sections 24, 25, and 26, the contact information is as follows:
                   Assistant Director
                   Employee, Community and Clinical Services
                   Department of Community Justice
                   501 SE Hawthorne Blvd., Suite 250
                   Portland, OR 97214
                   Telephone: (503) 988-6131
                   Fax: (503) 988-3990
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24.      Cooperation with the Media. If CONTRACTOR is contacted by the media for information regarding services
         and/or clients served under this Contract, CONTRACTOR is required to notify the Assistant Director (contact
         information provided above) who will determine and coordinate the appropriate response.

25.      Critical Incident Reporting.

         a.        CONTRACTOR shall notify the Assistant Director (contact information provided above) by telephone
                   within the same working day of a critical incident. If the incident occurs after normal business hours or
                   on a holiday or weekend, the report is to be made on the next business day. A written report shall be
                   submitted within three (3) business days of the incident. The initial phone call shall be made to and the
                   subsequent written report shall be sent to the Assistant Director.
         b.        A critical incident is defined as:
              1)   any event likely to elicit heightened public interest or litigation;
              2)   an incident that punishes, endangers, or otherwise harms a consumer as a result of staff action or
                   inaction;
              3)   the death of a client;
              4)   a suicide attempt or self-injury with significant intention to cause self-harm or death on the part of a
                   client;
              5)   criminal charges brought against a staff member or subcontract staff member involving a client;
              6)   professional misconduct by a staff member or subcontract staff member, including but not limited to
                   sexual harassment or exploitation of a client including any sexual contact by staff, willful infliction of pain
                   or injury of a client, and physical injury to a client by other than accidental means or is at variance with
                   the explanation;
              7)   a medication error which results in a client death, serious injury, or hospitalization;
              8)   actions by a client that result in the death or serious injury of another person; and
              9)   any incident deemed by CONTRACTOR to be of a critical nature.
         c.        The Assistant Director shall determine the appropriate follow-up. CONTRACTOR shall fully cooperate
                   in any fact-finding inquiry that may be conducted.

26.      Informal Dispute Resolution. The parties shall use the following procedure if CONTRACTOR has complaints
         or concerns regarding this Contract:

         a.        CONTRACTOR may contact COUNTY to informally discuss CONTRACTOR'S complaints or concerns.

         b.        If the matter remains unresolved after the informal discussion, CONTRACTOR may submit a letter or
                   other documentation to COUNTY’S designee as specified herein setting forth CONTRACTOR'S
                   complaints or concerns. Within 10 days of receiving CONTRACTOR'S letter, COUNTY shall contact
                   CONTRACTOR and attempt to resolve the matter. The COUNTY’s designee is the Assistant Director
                   (contact information provided above).

         c.        If the matter remains unresolved CONTRACTOR may submit a letter or other documentation to the
                   department director setting forth CONTRACTOR’S complaints or concerns. The department director or
                   the director's designee shall contact CONTRACTOR promptly and attempt to resolve the matter.

         d.        If the matter remains unresolved, the parties may enter into mediation, if mutually agreed upon by the
                   parties.

         e.        Nothing in this paragraph shall affect either party’s rights or obligations under paragraph 5.
27.      Inflationary Adjustment. If County decides to provide an inflationary adjustment that increases the original
         contract amount, County will notify Contractor of the increase by written memorandum. The memorandum will
         identify the amount of the increase, the effective date, and the new contract amount. The purpose of the
         inflationary adjustment is to address service cost escalation and not an expectation of increased service. Any
         monetary changes to the contract compensation, other than an inflationary adjustment, will be incorporated by
         amendment.




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CONTRACTOR DATA AND SIGNATURE

Contractor Name and Address:

Federal Tax ID # or Social Security #:
                                                         Sole Proprietorship               Partnership             Corporation for Profit
Business Designation (check one):
                                                         Corporation Non-Profit             Other [describe here:______________________________]

Federal tax ID numbers or Social Security numbers are required pursuant to ORS 305.385 and will be used for the administration of
state, federal and local laws. Payment information will be reported to the Internal Revenue Service under the name and Federal tax
ID number or, if none, the Social Security number provided above.

I have read this Contract including the attached Exhibits. I understand the Contract and agree to be bound by its terms.




Signature                                                                     Title


Name (please print)                                                           Date
NOTE: Contractor must also sign Exhibit 3 and (if attached) Exhibit 4.


                                                  MULTNOMAH COUNTY SIGNATURE
                                (This contract is not binding on the County until signed by the Chair or the Chair’s designee)



County Chair or Designee**                                                    Date


** Department Director signs here for Class 1 Contracts (unless retroactive). For all other contracts, Chair or Chair’s designee signs here.


                                         Department Approval and County Attorney Review

Approved:                                                                     Reviewed:

                                                                              AGNES SOWLE, COUNTY ATTORNEY
                                                                              FOR MULTNOMAH COUNTY, OREGON

                                                                              By:
Department Director or Designee                         Date                        Assistant County Attorney                             Date




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                                              EXHIBIT 1
                                MULTNOMAH COUNTY SERVICES CONTRACT

Contract No. [Insert Contract Number]

STATEMENT OF WORK, COMPENSATION,
                                    PAYMENT and RENEWAL TERMS

                                         Use DCJ template model.




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                                                                EXHIBIT 2
                                         MULTNOMAH COUNTY SERVICES CONTRACT
                                             Contract No. [Insert Contract Number]
                                                      INSURANCE REQUIREMENTS

    Contractor shall at all times maintain in force at Contractor’s expense, each insurance noted below: **

 Workers Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers’
 compensation coverage in accordance with ORS Chapter 656 for all subject workers. Contractor and all subcontractors of
 Contractor with one or more employees must have this insurance unless exempt under ORS 656.027 (See Exhibit 4). Employer’s Liability
 Insurance with coverage limits of not less than $500,000 must be included.

 THIS COVERAGE IS REQUIRED. Attach Certificate of Insurance. If Contractor does not have coverage and claims to be exempt,
 attach Exhibit 4 in lieu of Certificate.



 Professional Liability insurance with a combined single limit of not less than $1,000,000 each claim, incident, or occurrence, with an
 annual aggregate limit of $2,000,000. This is to cover damages caused by error, omission, or negligent acts related to professional
 services provided under this Contract. The policy must provide extended reporting period coverage for claims made within two years after
 this Contract is completed.

     Required by County             Not required by County (Needs Risk Manager’s Approval)

 Commercial General Liability insurance, on an occurrence basis, with a combined single limit of not less than $1,000,000 each
 occurrence for Bodily Injury and Property Damage, with an annual aggregate limit of $2,000,000. This insurance must include contractual
 liability coverage.

     Required by County             Not required by County (Needs Risk Manager’s Approval)

 Commercial Automobile Liability insurance with a combined single limit, or the equivalent of not less than $1,000,000 each occurrence
 for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles.

     Required by County             Not required by County (Needs Risk Manager’s Approval)

Additional Requirements. Coverage must be provided by an insurance company authorized to do business in Oregon or rated A- or better by
Best’s Insurance Rating. Contractor shall pay all deductibles and retentions. A cross-liability clause or separation of insured’s condition must be
included in all commercial general liability policies required by this Contract. Contractor’s coverage will be primary in the event of loss.

Certificate of Insurance Required. Contractor shall furnish a current Certificate of Insurance to the County. The Certificate shall provide that
there shall be no cancellation, termination, material change, or reduction of limits of the insurance coverage without 30 days written notice from
the Contractor’s insurer to the County. The Certificate shall also state the deductible or retention level. For commercial general liability the
Certificate shall also provide that the County, its agents, officers, directors, officials, and employees are Additional Insureds with respect to
Contractor’s services to be provided under this Contract. If requested, complete copies of insurance policies shall be provided to the County.
All additional insured and cancellation extensions will be physically endorsed to the applicable insurance policies. All additional insured
provisions will include coverage that is primary and non-contributory, and such coverage will specifically include products and completed
operations coverage. Copies of all such endorsements shall be attached to the certificates of insurance required by this contract.


                                                            Completed by:___________________
                                                                                       Contract Originator
**Note to Contract Originator: For certain types of contracts additional insurance may be required. Refer to the Contract Insurance and
Indemnification Manual or contact Risk Management/ Property & Liability Programs.




    RFPQ R09-9710                                                      65
    Alcohol & Drug (A/D) Services
                                                 EXHIBIT 3
                                    MULTNOMAH COUNTY SERVICES CONTRACT

Contract No. [Insert Contract Number]

CERTIFICATION STATEMENT FOR CORPORATION OR INDEPENDENT CONTRACTOR


NOTE: Contractor Must Complete A or B below:

A. CONTRACTOR IS A CORPORATION, LIMITED LIABILITY COMPANY OR A PARTNERSHIP.
I certify under penalty of perjury that Contractor is a [check one]:
            Corporation            Limited Liability Company                       Partnership              Non-Profit Corporation
         authorized to do business in the State of Oregon.



      Signature                                                 Title                                                   Date


B. CONTRACTOR IS A SOLE PROPRIETOR WORKING AS AN INDEPENDENT CONTRACTOR.
Contractor certifies under penalty of perjury that the following statements are true:

1. If CONTRACTOR is providing services under this Contract for which registration is required under ORS Chapter 671 (architects
    and landscape contractors) or 701 (construction contractors), CONTRACTOR has registered as required by law.

2. CONTRACTOR is free to determine and exercise control over the means and manner of providing the service, subject to the right
   of the County to specify the desired results.

3. CONTRACTOR is responsible for obtaining all licenses or certificates necessary to provide the services.

4. CONTRACTOR is customarily engaged in providing services as an independent business. CONTRACTOR is customarily
   engaged as an independent contractor if at least three of the following statements are true. NOTE: Check all that apply. You
   must check at least three (3) to establish that you are an Independent Contractor.

   ____ A.       CONTRACTOR’s services are primarily carried out at a location that is separate from CONTRACTOR’s residence or primarily
                 carried out in a specific portion of the residence which is set aside as the location of the business.

   ____ B.       CONTRACTOR bears the risk of loss related to the services provided under this Contract.

   ____ C.       CONTRACTOR provides services to two or more persons within a 12-month period or Contractor routinely engages in business
                 advertising solicitation or other marketing efforts reasonably calculated to obtain new contracts for similar services.

   ____ D.       CONTRACTOR makes a significant financial investment in the business.

   ____ E.       CONTRACTOR has authority to hire additional persons to provide the services and has authority to fire such persons.




         Contractor Signature                                                                                  Date




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                                                              EXHIBIT 4
                                   MULTNOMAH COUNTY SERVICES CONTRACT
                                       Contract No. [Insert Contract Number]
WORKERS’ COMPENSATION EXEMPTION CERTIFICATE
(To be used only when Contractor claims to be exempt from Workers’ Compensation coverage requirements)
Contractor is exempt from the requirement to obtain workers’ compensation insurance under ORS Chapter 656 for
the following reason (check the appropriate box):

         SOLE PROPRIETOR
             Contractor is a sole proprietor, and
             Contractor has no employees, and
             Contractor will not hire employees to perform this contract.

         CORPORATION - FOR PROFIT
             Contractor’s business is incorporated, and
             All employees of the corporation are officers and directors and have a substantial ownership interest* in the corporation, and
             All work will be performed by the officers and directors; Contractor will not hire other employees to perform this contract.

         CORPORATION - NONPROFIT
             Contractor’s business is incorporated as a nonprofit corporation, and
             Contractor has no employees; all work is performed by volunteers, and
             Contractor will not hire employees to perform this contract.

         PARTNERSHIP
             Contractor is a partnership, and
             Contractor has no employees, and
             All work will be performed by the partners; Contractor will not hire employees to perform this contract, and
             Contractor is not engaged in work performed in direct connection with the construction, alteration, repair, improvement,
              moving or demolition of an improvement to real property or appurtenances thereto.**

         LIMITED LIABILITY COMPANY
             Contractor is a limited liability company, and
             Contractor has no employees, and
             All work will be performed by the members; Contractor will not hire employees to perform this contract, and
             If Contractor has more than one member, Contractor is not engaged in work performed in direct connection with the
              construction, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances
              thereto.**
*NOTE: Under OAR436-50-050 a shareholder has a “substantial ownership” interest if the shareholder owns 10% of the corporation, or if less
than 10% is owned, the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all
shareholders.
**NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction
work. The requirements for this exemption are complicated. Consult with County Counsel before an exemption request is accepted from a
contractor who will perform construction work.



Contractor Printed Name                                            Contractor Signature

Contractor Title                                                   Date




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                                              SOLICITATION ATTACHMENT 4

                                              DCHS
                            SAMPLE MULTNOMAH COUNTY SERVICES CONTRACT
                                         CONTRACT NO. [Insert Contract Number]

This Contract is between MULTNOMAH COUNTY (County) and [Insert Contractor Name]([Contractor.

The parties agree as follows:

Effective Date and Termination Date. The effective date of this contract shall be [Insert Date] or the date on which each party has
signed this Contract, whichever is later. Unless earlier terminated as provided below, the termination date shall be [Insert Date].

Statement of Work. Contractor shall perform the work described in Exhibit 1.

Payment for Work. County agrees to pay Contractor in accordance with Exhibit 1.

Contract Documents. This Contract includes Exhibits 1, 2, 3, 4, 5 and Attachments B, C, E, F, G



STANDARD TERMS AND CONDITIONS

1.       Time is of the Essence. Time is of the essence in the performance of this Contract.

2.       Subcontracts and Assignment. Contractor shall not subcontract any of the work required by this Contract or assign or
         transfer any of its interest in this Contract, without the prior written consent of County.

3.       No Third Party Beneficiaries. County and Contractor are the only parties to this Contract and are the only parties entitled
         to enforce its terms. Nothing in this Contract gives or provides any benefit or right, whether directly, indirectly, or otherwise,
         to third persons unless such third persons are individually identified by name in this Contract and expressly described as
         intended beneficiaries of this Contract.

4.       Successors in Interest. The provisions of this Contract shall be binding upon and inure to the benefit of the parties and
         their successors and approved assigns, if any.

5.       Early Termination. This Contract may be terminated as follows:

         a.        County and Contractor, by mutual written agreement, may terminate this Contract at any time.
         b.        County in its sole discretion may terminate this Contract for any reason on 30 days written notice to Contractor.
         c.        Either County or Contractor may terminate this Contract in the event of a breach of the Contract by the other. Prior
                   to such termination the party seeking termination shall give to the other party written notice of the breach and intent
                   to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the
                   notice, then the party giving the notice may terminate the Contract at any time thereafter by giving a written notice
                   of termination.
         d.        Notwithstanding paragraph 5(c),] County may terminate this Contract immediately by written notice to Contractor
                   upon denial, suspension, revocation or non-renewal of any license, permit or certificate that Contractor must hold to
                   provide services under this Contract.

6.       Payment on Early Termination. Upon termination pursuant to paragraph 5, payment shall be made as follows:

         a.        If terminated under 5(a) or 5(b) for the convenience of the County, the County shall pay Contractor for work
                   performed prior to the termination date if such work was performed in accordance with the Contract.
                   County shall not be liable for direct, indirect or consequential damages. Termination shall not result in a waiver of
                   any other claim County may have against Contractor.
         b.        If terminated under 5(c) by the Contractor due to a breach by the County, then the County shall pay the Contractor
                   for work performed prior to the termination date if such work was performed in accordance with the Contract.



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         c.        If terminated under 5(c) or 5(d) by the County due to a breach by the Contractor, then the County shall pay the
                   Contractor for work performed prior to the termination date provided such work was performed in accordance with
                   the Contract less any setoff to which the County is entitled.

7.       Remedies. In the event of breach of this Contract the parties shall have the following remedies:

         a.        If terminated under 5(c) by the County due to a breach by the Contractor, the County may complete the work either
                   itself, by agreement with another Contractor, or by a combination thereof. If the cost of completing the work
                   exceeds the remaining unpaid balance of the total compensation provided under this Contract, then the Contractor
                   shall pay to the County the amount of the reasonable excess.

         b.        In addition to the remedies in paragraphs 5 and 7 for a breach by the Contractor, the County also shall be entitled to
                   any other equitable and legal remedies that are available.

         c.        If the County breaches this Contract, Contractor’s remedy shall be limited to termination of the Contract and receipt
                   of Contract payments to which Contractor is entitled.

8.       Access to Records. Contractor shall maintain fiscal records and all other records pertinent to this Contract. All fiscal
         records shall be maintained pursuant to generally accepted accounting standards, and other records shall be maintained to
         the extent necessary to clearly reflect actions taken. All such records shall be retained and kept accessible for at least three
         years following final payment. County’s authorized representatives shall have the right to direct access to all of Contractor’s
         books, documents, papers and records related to this Contract for the purpose of conducting audits and examinations and
         making copies, excerpts and transcripts. County shall reimburse Contractor for Contractor’s cost of preparing copies.

9.       Ownership of Work. All work products created by the Contractor as part of Contractor’s performance of this Contract shall
         be the exclusive property of the County. If any such work products contain intellectual property of the Contractor that is or
         could be protected by federal copyright, patent, or trademark laws, Contractor hereby grants County a perpetual, royalty-
         free, fully paid-up, non-exclusive and irrevocable license to copy, reproduce, deliver, publish, perform, dispose of, use, re-
         use, in whole or in part, and to authorize others to do so, all such work products. County shall have no rights in any pre-
         existing work product of Contractor provided to County by Contractor in the performance of this contract except to copy, use
         and re-use any such work product for County use only. If this Contract is terminated prior to completion, and the County is
         not in default, County, in addition to any other rights provided by this Contract, may require the Contractor to transfer and
         deliver all partially completed work products, reports or documentation that the Contractor has specifically developed or
         specifically acquired for the performance of this Contract.

10.      Compliance with Applicable Law. Contractor shall comply with all federal, state, and local laws applicable to the work
         under this Contract, and all regulations and administrative rules established pursuant to those laws, including, without
         limitation ORS 279.312, 279.314, 279.316, 279.320 and 279.334.

11.      Indemnity. Contractor shall defend, save, hold harmless, and indemnify County and its officers, employees and agents from
         and against all claims, suits, actions, losses, damages, liabilities, costs and expenses of any nature whatsoever, including
         attorneys fees, resulting from, arising out of, or relating to the activities of Contractor or its officers, employees,
         subcontractors, or agents under this Contract. Contractor shall have control of the defense and settlement of any claim that
         is subject to this paragraph. However, neither Contractor nor any attorney engaged by Contractor shall defend the claim in
         the name of County or any department of County, nor purport to act as legal representative of County or any of its
         departments, without first receiving from the Multnomah County Attorney’s Office, authority to act as legal counsel for
         County, nor shall Contractor settle any claim on behalf of County without the approval of the Multnomah County Attorney’s
         Office. County may, at its election and expense, assume its own defense and settlement.

12.      Insurance. Contractor shall provide insurance in accordance with Exhibit 2.

13.      Waiver. Waiver of any default under this Contract by County shall not be deemed to be a waiver of any subsequent default
         or a modification of the provisions of this Contract.

14.      Governing Law. The provisions of this Contract shall be construed in accordance with the laws of the State of Oregon and
         ordinances of Multnomah County, Oregon. Any legal action involving any question arising under this Contract must be
         brought in Multnomah County, Oregon. If the claim must be brought in a federal forum, then it shall be brought and
         conducted in the United States District Court for the District of Oregon.

15.      Severability. If any term or provision of this Contract is declared by a court of competent jurisdiction to be illegal or in
         conflict with any law, the validity of the remaining terms and provisions shall not be affected, and the rights and obligations of
         the parties shall be construed and enforced as if the Contract did not contain the particular term or provision held invalid.

16.      Merger Clause. This Contract and the attached exhibits constitute the entire agreement between the parties. All
         understandings and agreements between the parties and representations by either party concerning this Contract are
         contained in this Contract. No waiver, consent, modification or change in the terms of this Contract shall bind either party


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          unless in writing signed by both parties. Any written waiver, consent, modification or change shall be effective only in the
          specific instance and for the specific purpose given.

17.       Anti-discrimination Clause. Contractor shall not discriminate based on race, religion, color, sex, marital status, familial
          status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or political
          affiliation in programs, activities, services, benefits or employment. Contractor shall not discriminate against minority-owned,
          women-owned or emerging small businesses. Contractor shall include a provision in each sub-contract requiring
          subcontractors to comply with the requirements of this clause.

18.       Non-appropriation Clause. If payment for work under this Contract extends into the County's next fiscal year, County’s
          obligation to pay for such work is subject to approval of future appropriations to fund this Contract by the Board of County
          Commissioners of Multnomah County, Oregon.



CONTRACTOR DATA AND SIGNATURE

Contractor Name: [Insert Contractor Name]
Contractor Address: [Insert Address]
Federal Tax ID# or Social Security #: [Insert Federal ID No.]
Business Designation (check one):]            Sole Proprietorship               Partnership
                                              Corporation-for profit            Corporation-non-profit
                                              Other (describe here):] [Insert other information]

Federal tax ID numbers or Social Security numbers are required pursuant to ORS 305.385 and will be used for the
administration of state, federal and local laws. Payment information will be reported to the Internal Revenue Service
under the name and Federal tax ID number or, if none, the Social Security number provided above.

I have read this Contract including the attached Exhibits. I understand the Contract and agree to be bound by its terms.




Signature                                                                Title


Name (please print)                                                      Date
NOTE: Contractor must also sign Exhibit 3 and [if attached) Exhibit 4.
                                              MULTNOMAH COUNTY SIGNATURE
                             (This contract is not binding on the County until signed by the Chair or the Chair’s designee)



County Chair or Designee**                                               Date


** Department Director signs here for Class 1 Contracts (unless retroactive).] For all other contracts, Chair or Chair’s designee signs here.
                                      Department and County Attorney Approval and Review

Approved:                                                                Reviewed:

                                                                         AGNES SOWLE, COUNTY ATTORNEY
                                                                         FOR MULTNOMAH COUNTY, OREGON

                                                                         By:
Department Director or Designee                    Date                        Assistant County Attorney                       Date




RFPQ R09-9710                                                              70
Alcohol & Drug (A/D) Services
                                            EXHIBIT 1
                            SAMPLE MULTNOMAH COUNTY SERVICES CONTRACT
                             SCOPE OF SERVICES FOR RESPONDENTS TO
                    REQUEST FOR PROGRAMMATIC QUALIFICATIONS (RFPQ) #R09-9710
                      MULTNOMAH COUNTY ALCOHOL AND DRUG (A/D) SERVICES

                                                     Fiscal Year 2009 – 2010

               Note: When RFPQ R09-9710 is finalized, content of this document will be changed.


1.   General Service Requirements. CONTRACTOR shall provide for the Multnomah County Department of County Human
     Services (DCHS), Mental Health and Addictions Services Division, (MHASD) residential and outpatient alcohol and drug (A&D)
     treatment services. CONTRACTOR shall provide services that conform to the following evidence-based practice standards for
     persons with substance abuse problems:

     A. Utilize a fully integrated approach to assessment and treatment, which simultaneously addresses client’s addictions and
        physical, and mental health needs. The goal of this approach is to ensure clients concurrently receive mental, physical and
        addictions health services as necessary.     CONTRACTOR must have policies, procedures, assessment, treatment and
        discharge planning processes that accommodate patients with co-occurring diagnoses.

     B.   Fully implement the evidence-based practices in the response to RFPQ #R09–9710 and ensure that all program staff are
          adequately trained in the practices utilized and that staff are effectively implementing these practices.

     C.   Have case managers provide case management services to clients who have difficulty accessing CONTRACTOR’S services,
          following through with services or maintaining their recovery as a result of mental illness, cognitive impairment or physical
          disability. The goals of the case management services are: effective coordination of access to and provision of services,
          establishing service linkages with other agencies and providing assistance in obtaining any entitlement programs for which
          a client is eligible.

     D. Employ motivational enhancement techniques in all components and phases of treatment and ensure that all program staff
        are adequately trained and supervised in these techniques.

     E.   Have a written protocol or manual for each clinical group service and ensure that all program staff are adequately trained in
          the protocols/manuals utilized and are appropriately supervised to effectively provide the content and techniques. A
          manual guided service is defined as one that utilizes an evidence-based practice and in which the intervention is codified in
          a written protocol or manual. The manual defines the theory, active components, duration, intensity and procedures of the
          group services that will be used to ensure treatment is of a consistent quality and approach.

     F.   As part of clinical supervision, utilize direct observation.       This can include video or audio taping of clinical
          sessions/interactions.

     G. Deliver services that are culturally, developmentally and gender appropriate. In order to help ensure services are
        developmentally appropriate, all written materials provided to clients will be in an easy to understand format to
        accommodate clients with limited literacy skills.

     H. Incorporate strategies into the program’s quality assurance program to ensure fidelity to all the above items.

2.   Target Population/Capacity/Length of Services.

     A. The target population is Multnomah County residents whose income is at or below 200 percent of the current Federal
        Poverty Guidelines. For the current Federal Poverty Guidelines go to http://aspe.hhs.gov/poverty/index.shtml - latest.
        Client income will be documented in the clients’ chart.

     B.   The length of services will vary depending on individual client needs and placement decisions based on use of the American
          Society for Addictions Medicine (ASAM) Patient Placement Criteria (PPC).




RFPQ R09-9710                                                     71
Alcohol & Drug (A/D) Services
3.   Description of Services.

          A. Referrals. At the discretion of the Multnomah Department of County Human Services (MHASD), CONTRACTOR may
             not refuse service to any potential client. In the event CONTRACTOR determines for any reason it cannot provide
             treatment to an individual, CONTRACTOR must inform designated MHASD staff of that. Multnomah Department of
             County Human Services (MHASD) will then determine whether the CONTRACTOR must serve the individual and
             CONTRACTOR may request an appeal of that decision. CONTRACTOR may also request technical assistance from
             Multnomah County Department of County Human Services, MHASD in this regard.

     B.   Intake. In addition to meeting Oregon Administrative Rules (OAR) standards for intake, CONTRACTOR shall:

          1.   Unless there are issues precluding the potential client from attending it, conduct the initial intake appointment within
               10 working days of referral or on an earlier schedule as specified by (MHASD) staff.

          2.   Obtain appropriate releases of information (ROI) consent form from relevant others that will allow for communication
               to flow back and forth between the parties to assist in successful service delivery. At a minimum, CONTRACTOR will
               obtain a ROI for any and all health care providers that have recently or are concurrently serving the client.

     C.   Stabilization/Wait List for A&D Treatment Services.

          1.   If necessary, CONTRACTOR shall place on a wait list any client accepted for services that must wait for entry into
               treatment.

          2.   CONTRACTOR shall provide stabilization outpatient services to clients on the wait list either directly or through
               referral/coordination with community services.

          3.   Under certain circumstances, Multnomah County DCHS, MHASD Addictions Services Program Manager may choose
               to move a client to the top of a CONTRACTOR wait list.

     D. Assessments. CONTRACTOR shall meet OAR standards for client diagnostic assessment.

     E.   Treatment Plans. In addition to meeting OAR standards for treatment plans, CONTRACTOR shall specifically address any
          identified post-program housing needs (for residential clients) or current housing needs (if an outpatient client is living in an
          environment that is not conducive to him/her staying abstinent from alcohol and drugs) and include treatment plan
          objectives to address it.

     F.   Relapse Prevention Services. A relapse prevention component will be an integral part of treatment services.

     G. Employment/Income Maintenance Programs Assistance.

          1.   CONTRACTOR will provide clients who are able to work with employment readiness/job search services, if necessary.
               These services will either be provided directly or through referral to community resources.

          2.   CONTRACTOR will assist clients who are unable to work due to disabilities or other issues in entering an income
               maintenance program, if necessary.

     H. Transitional Housing Connections. CONTRACTOR will have close working relationships to transitional housing services.
        This can be housing services operated by the CONTRACTOR and/or by other community providers, including but not
        limited to, Oxford House.

     I.   Medication Management Psychiatric Evaluations and Medication Monitoring. CONTRACTOR will provide onsite
          medication management services to clients with mental illness if clinically indicated. This will include monitoring of any
          existing medications and, if clinically indicated, a psychiatric evaluation to determine if other medication(s) are needed.




RFPQ R09-9710                                                       72
Alcohol & Drug (A/D) Services
    J.   Referrals to Other Community Services/Resources.

         1.   CONTRACTOR will provide referrals, if indicated, to outside resources (and/or internal resources) to meet client needs
              beyond the scope of this Contract.

         2.   If such referrals are indicated, the case file will contain evidence that such referrals are being made.

    K.   Alcohol and Drug Testing. CONTRACTOR shall conduct regular, random, and observed drug and alcohol testing. Each
         client must receive urinalysis (UA) or other appropriate testing at least once per month.

    L.   Continuing Care/Discharge Plan. In addition to meeting OAR standards for discharge plans, prior to completion of these
         services, CONTRACTOR shall:

         1.   Develop a continuing care plan in conjunction with each client and with input, when possible, from relevant others.

         2.   Ensure that the plan includes a relapse prevention plan that is designed to provide guidance and direction regarding
              the client’s recovery from substance abuse.

         3.   For residential clients, clearly state in the continuing care plan what type of and where continuing care A&D services
              will occur.

    M. Treatment Summary. In addition to meeting OAR standards for treatment summaries, at discharge from these services
       CONTRACTOR shall:

         1.   Complete a treatment summary that includes a clear explanation of the reason for the client’s discharge.

         2.   If the client left these services before a continuing care/discharge plan was developed, ensure that the treatment
              summary includes recommendations for further treatment or other services/activities, if deemed necessary.

    N. Continuing Care Services for Residential Services.

         1.   CONTRACTOR will provide up to six months of continuing care services to clients who successfully complete
              residential services. The actual quantity, frequency and type of aftercare services a client receives will vary depending
              on individual client needs and ASAM PPC-2R criteria.
         2.   These services must include a relapse prevention component for clients who have relapsed or are at high-risk to relapse.


         3.   These services will be provided directly or through referral to community resources.               If it is through referral,
              CONTRACTOR will verify that clients have engaged in the service.




RFPQ R09-9710                                                       73
Alcohol & Drug (A/D) Services
                                                              EXHIBIT 2
                                  MULTNOMAH COUNTY SERVICES CONTRACT
                                             Contract No. [Insert Contract Number]
                                                INSURANCE REQUIREMENTS

Contractor shall at all times maintain in force at Contractor’s expense, each insurance noted below: **


Workers Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers’
compensation coverage in accordance with ORS Chapter 656 for all subject workers. Contractor and all subcontractors of
Contractor with one or more employees must have this insurance unless exempt under ORS 656.027 (See Exhibit 4). Employer’s
Liability Insurance with coverage limits of not less than $500,000 must be included.


THIS COVERAGE IS REQUIRED. Attach Certificate of Insurance. If Contractor does not have coverage and claims to be
exempt, attach Exhibit 4 in lieu of Certificate.

Professional Liability insurance with a combined single limit of not less than $1,000,000 each claim, incident, or occurrence, with an
annual aggregate limit of $2,000,000. This is to cover damages caused by error, omission, or negligent acts related to professional
services provided under this Contract. The policy must provide extended reporting period coverage for claims made within two years
after this Contract is completed.

    Required by County          Not required by County (Needs Risk Manager’s Approval)

Commercial General Liability insurance, on an occurrence basis, with a combined single limit of not less than $1,000,000 each
occurrence for Bodily Injury and Property Damage, with an annual aggregate limit of $2,000,000. This insurance must include
contractual liability coverage.

    Required by County          Not required by County (Needs Risk Manager’s Approval)

Commercial Automobile Liability insurance with a combined single limit, or the equivalent of not less than $1,000,000 each
occurrence for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles.

    Required by County          Not required by County (Needs Risk Manager’s Approval)

Additional Requirements. Coverage must be provided by an insurance company authorized to do business in Oregon or rated A- or
better by Best’s Insurance Rating. Contractor shall pay all deductibles and retentions. A cross-liability clause or separation of
insureds condition must be included in all commercial general liability policies required by this Contract. Contractor’s coverage will be
primary in the event of loss.

Certificate of Insurance Required. Contractor shall furnish a current Certificate of Insurance to the County. The Certificate shall
provide that there shall be no cancellation, termination, material change, or reduction of limits of the insurance coverage without 30
days written notice from the Contractor’s insurer to the County. The Certificate shall also state the deductible or retention level. For
commercial general liability the Certificate shall also provide that the County, its agents, officers, directors, officials, and employees
are Additional Insureds with respect to Contractor’s services to be provided under this Contract. If requested, complete copies of
insurance policies shall be provided to the County. All additional insured and cancellation extensions will be physically endorsed to
the applicable insurance policies. All additional insured provisions will include coverage that is primary and non-contributory, and such
coverage will specifically include products and completed operations coverage. Copies of all such endorsements shall be attached to
the certificates of insurance required by this contract.


                                              Completed by:___________________
                                                                  Contract Originator
**Note to Contract Originator: For certain types of contracts additional insurance may be required. Refer to the
Contract Insurance and Indemnification Manual or contact Risk Management/ Property & Liability Programs.




RFPQ R09-9710                                                      74
Alcohol & Drug (A/D) Services
                                                   Multnomah County
                                SAMPLE Service Contract No. [Insert Contract Number]
            Exhibit 3 – Certification Statement for Corporation or Independent Contractor


NOTE: Contractor Must Complete A or B below:

A. CONTRACTOR IS A CORPORATION, LIMITED LIABILITY COMPANY OR A PARTNERSHIP.
I certify under penalty of perjury that Contractor is a (check one):
         Corporation             Limited Liability Company         Partnership  Non-Profit Corporation
         authorized to do business in the State of Oregon.



      Signature                                          Title                                          Date


C. CONTRACTOR IS A SOLE PROPRIETOR WORKING AS AN INDEPENDENT CONTRACTOR.
Contractor certifies under penalty of perjury that the following statements are true:

1. If CONTRACTOR is providing services under this Contract for which registration is required under ORS Chapter 671
    (architects and landscape contractors) or 701 (construction contractors), CONTRACTOR has registered as required
    by law.

2. CONTRACTOR is free to determine and exercise control over the means and manner of providing the service,
   subject to the right of the County to specify the desired results.

3. CONTRACTOR is responsible for obtaining all licenses or certificates necessary to provide the services.

4. CONTRACTOR is customarily engaged in providing services as an independent business. CONTRACTOR is
   customarily engaged as an independent contractor if at least three of the following statements are true. NOTE:
   Check all that apply. You must check at least three (3) to establish that you are an Independent Contractor.

    ____ A.      CONTRACTOR’s services are primarily carried out at a location that is separate from CONTRACTOR’s
                 residence or primarily carried out in a specific portion of the residence which is set aside as the location
                 of the business.

    ____ B.      CONTRACTOR bears the risk of loss related to the services provided under this Contract.

    ____ C.      CONTRACTOR provides services to two or more persons within a 12-month period or Contractor routinely
                 engages in business advertising solicitation or other marketing efforts reasonably calculated to obtain new
                 contracts for similar services.

    ____ D.      CONTRACTOR makes a significant financial investment in the business.

    ____ E.      CONTRACTOR has authority to hire additional persons to provide the services and has authority to fire
                 such persons.



         Contractor Signature                                                                    Date




RFPQ R09-9710                                                    75
Alcohol & Drug (A/D) Services
                                              EXHIBIT 4
                            SAMPLE MULTNOMAH COUNTY SERVICES CONTRACT
                               Workers’ Compensation Exemption Certificate
                   (To be used only when Contractor claims to be exempt from Workers’ Compensation coverage requirements)

         Contractor is exempt from the requirement to obtain workers’ compensation insurance under ORS Chapter
         656 for the following reason (check the appropriate box):

         ___ SOLE PROPRIETOR
                Contractor is a sole proprietor, and
                Contractor has no employees, and
                Contractor will not hire employees to perform this contract.

         ___ CORPORATION - FOR PROFIT
                Contractor’s business is incorporated, and
                All employees of the corporation are officers and directors and have a substantial ownership
                 interest* in the corporation, and
                All work will be performed by the officers and directors; Contractor will not hire other employees to
                 perform this contract.

         ___ CORPORATION - NONPROFIT
                Contractor’s business is incorporated as a nonprofit corporation, and
                Contractor has no employees; all work is performed by volunteers, and
                Contractor will not hire employees to perform this contract.

         ___ PARTNERSHIP
                Contractor is a partnership, and
                Contractor has no employees, and
                All work will be performed by the partners; Contractor will not hire employees to perform this
                  contract, and
                Contractor is not engaged in work performed in direct connection with the construction, alteration,
                  repair, improvement, moving or demolition of an improvement to real property or appurtenances
                  thereto.**

         ___ LIMITED LIABILITY COMPANY
                 Contractor is a limited liability company, and
                 Contractor has no employees, and
                 All work will be performed by the members; Contractor will not hire employees to perform this
                   contract, and
                 If Contractor has more than one member, Contractor is not engaged in work performed in direct
                   connection with the construction, alteration, repair, improvement, moving or demolition of an
                   improvement to real property or appurtenances thereto.**

         *NOTE: Under OAR436-50-050 a shareholder has a “substantial ownership” interest if the shareholder owns 10% of the
         corporation, or if less than 10% is owned, the shareholder has ownership that is at least equal to or greater than the average
         percentage of ownership of all shareholders.

         **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when
         performing construction work. The requirements for this exemption are complicated. Consult with County Counsel before an
         exemption request is accepted from a contractor who will perform construction work.



         Contractor Printed Name                                           Contractor Signature

         Contractor Title                                                  Date




RFPQ R09-9710                                                       76
Alcohol & Drug (A/D) Services
                     Exhibit 5 –Equal Employment Opportunity Certification Statement

NOTE: Contractor must complete the following for all Contracts in excess of $75,000:
Applicability:
This Form applies to all Contractors who are receiving a contract valued in excess of $75,000. Contractors who do not have
any employees will complete Part 1 and sign the form. Contractors with one or more employees must complete Part 2 and
sign the form.

Definitions:
EEO: Employment Opportunities (EEO) means eliminating barriers to ensure that all employees are considered for the
employment of their choice and have the chance to perform to their maximum potential. EEO practices include fairness at
work, hiring based on merit and promotion based on talent. It concerns all aspects of employment including recruitment, pay
and other rewards, career development and work conditions.

Employee: means any individual on the payroll of an employer who is an employee for purposes of the employer's
withholding of Social Security taxes.

Consequences:
Contracts will not be executed with Contractors who refuse to complete the form. A Contractor who completes Part 1 and
later adds employees during the period of performance of any County Contract must immediately notify the County of their
changed status and complete Part 2 of Exhibit 5. A Contractor who fails to notify the County of their changed status or fails to
submit a new Exhibit 5 with Part 2 completed and signed may have their existing contract(s) terminated.


PART 1: CERTIFICATION FOR CONTRACTORS IF THEY HAVE NO EMPLOYEES:
Contractor hereby certifies that they do not have any employees and should they add employees at a later date during the
contract period of performance, they shall immediately notify the Department that issued the contract and submit an updated
Exhibit 5 with a completed Part 2.


PART 2: CONTRACTOR CERTIFICATION THAT THEY HAVE ONE OR MORE EMPLOYEES:

CONTRACTOR HEREBY CERTIFIES THAT, AS AN EQUAL EMPLOYMENT OPPORTUNITY (EEO) CONTRACTOR, THEY
DO NOT:

(1)     Discriminate against an employee or applicant based on race, color, religion, sex, familial status, national origin, age,
       mental or physical disability, sexual orientation, gender identity, or source of income;
(2)     Solicit or consider employment recommendations based on factors other than personal knowledge or records of job-
       related abilities or characteristics;
(3)   Coerce the political activity of any person;
(4)   Deceive or willfully obstruct anyone from competing for employment;
(5)   Influence anyone to withdraw from competition for any position so as to improve or injure the employment prospects of
       any other person;
(6)     Give an unauthorized preference or advantage to anyone so as to improve or injure the employment prospects of any
       particular employee or applicant.

I certify under penalty of perjury that the above is true:

  Company Name: _______________________________________________

  ____________________________________________________________________________________________
          Signature                     Title                          Date




RFPQ R09-9710                                                  77
Alcohol & Drug (A/D) Services
                                  ATTACHMENT B. DCHS DEPARTMENT-WIDE CONDITIONS

1.    Assignment and Subcontracting. In addition to Section 2 of the Standard Terms and Conditions of this Contract, the
      CONTRACTOR expressly acknowledges responsibility for performance of any subcontractor chosen without prior COUNTY
      approval. CONTRACTOR shall require its subcontractors to comply in writing with the terms of this agreement concerning
      provision of services and provide the same assurances as the CONTRACTOR must in its use of federal and state funds.

2.    Contract between Other Funding Sources and COUNTY. If CONTRACTOR is paid with funds COUNTY receives by contract
      from other funding sources, CONTRACTOR agrees to be bound by any applicable terms and conditions of those contracts. For
      alcohol and drug and mental health programs funded through the State, CONTRACTOR agrees to provide services to Oregon
      Health Plan (OHP) clients, in accordance with applicable County, State, and federal contracts, statutes, and regulations.

3.    Confidentiality. CONTRACTOR shall keep all client records confidential in accordance with state and federal statutes and
      rules governing confidentiality and applicable provisions in Attachment C, Program General Conditions of this contract.

4.    Cost Shifting. CONTRACTOR shall not transfer contract funds from one service to another without a contract amendment or
      written COUNTY approval.

5.    CONTRACTOR Publicity. CONTRACTOR shall reference Multnomah County Department of County Human Services as a
      funding source in all flyers and brochures that advertise the contracted services program. CONTRACTOR should also
      reference the specific program area or service system. COUNTY reserves the right to approve the language used to reference
      Multnomah County.

6.    Cultural Competence. CONTRACTOR agrees to maintain and update annually a written Cultural Competency Plan in
      accordance with the Department of County Human Services (DCHS) Cultural Competency Standards
      http://www.co.multnomah.or.us/dchs/mgmt/cultural_competence_contractors_plan.pdf. This plan must contain
      measurable objectives, timelines, and persons responsible for all elements. The plan will outline policies and activities that
      promote culturally competent services and must address, at a minimum, the following topics:

       a.     Non-discrimination in Service Delivery
       b.     Accessibility to Services
       c.     Training
       d.     Culturally Specific Programs and Services
       e.     Community Outreach
       f.     Plan Evaluation

      CONTRACTOR’S plan shall be evaluated annually by CONTRACTOR’S Board of Directors or other governing body using the
      Department of County Human Services Cultural Competence Plan Standard and Self Assessment (Assessment)
      http://www.co.multnomah.or.us/dchs/mgmt/cultural_competence_contractors_plan.pdf. If plan revisions are necessary, the
      CONTRACTOR’S governing body shall develop and implement revisions to the plan. CONTRACTOR shall send COUNTY a
      copy of the annual Assessment on January 2nd of each calendar year. The Plan shall be available to the COUNTY upon request.

7.    EEO Certification Requirements. CONTRACTOR must maintain Equal Employment Opportunity Employer (EEO) status
      throughout the term of this Contract. Failure to maintain EEO certification may result in termination of this Contract.
      COUNTY’S PCRB Rule 60.0040 (1) requires that CONTRACTORS furnishing goods and services to the COUNTY in excess of
      $75,000 in one year must be certified as an Equal Employment Opportunity Employer. The COUNTY contracts with the City of
      Portland for managing the certification. Vendors and contractors may complete an EEO certification online at
      http://cityofportland.ebidsystems.com.

8.    Fiscal, Administrative, and Audit Requirements.

       a.    CONTRACTOR agrees to use, document, and maintain accounting policies, practices and procedures, and cost
             allocations, and to maintain fiscal, clinical, and other records pertinent to this Contract consistent with Generally
             Accepted Accounting Principles (GAAP), Office of Management and Budget (OMB) Circulars, Oregon Administrative
             Rules, COUNTY financial procedures as contained in the Department of County Human Services Contractor’s Financial
             Policies and Procedures Manual (http://www.co.multnomah.or.us/dchs/mgmt/cfppm/cfppm.shtml), and applicable
             federal rules and regulations, including the Single Audit Act Amendment of 1996 (Public Law 104-156); other records
             shall be maintained to the extent necessary to clearly reflect any actions taken. Accounting records shall be up-to-date
             and shall accurately reflect all revenue by source, all expenses by object of expense and all assets, liabilities and equities
             consistent with Generally Accepted Accounting Principles, Oregon Administrative Rules, and COUNTY procedures.
             Reports and fiscal data generated by the CONTRACTOR under this Contract shall be accessible to COUNTY upon
             request.
RFPQ R09-9710                                                        78
Alcohol & Drug (A/D) Services
       b.    CONTRACTOR represents that prices and costs established for each service under this Contract are reasonable and
             equitable. COUNTY shall have the right, at reasonable times during this Contract, to conduct site visits and reviews of
             all CONTRACTOR'S books, documents, papers, and records necessary to establish that such charges to COUNTY are
             reasonable in relation to costs incurred by CONTRACTOR in providing such services under this Contract.
             CONTRACTOR further agrees to provide access to all books, documents, papers, and records of CONTRACTOR which
             are pertinent to this Contract, including all centralized systems and records, and further, to allow the making of audits,
             examinations, excerpts, and transcripts. Such access shall be freely allowed to state, federal, and COUNTY personnel
             and their duly authorized agents. Contract costs disallowed as a result of such audits, reviews, or site visits shall be the
             sole responsibility of the CONTRACTOR. If a Contract cost is disallowed after reimbursement has occurred, the
             CONTRACTOR shall make prompt repayment of such cost.

       c.    CONTRACTOR shall be subject to a COUNTY administrative review to monitor compliance with the COUNTY'S
             administrative qualifications requirements. The review shall be conducted generally no more than once every two years,
             unless warranted by administrative changes by CONTRACTOR or deficiencies in results of a prior review.

       d.    CONTRACTOR shall be subject to a COUNTY fiscal compliance review to monitor compliance with the COUNTY’S
             financial reporting and accounting requirements. The review shall be conducted periodically, as described in the
             COUNTY’S financial procedures (Contractors Fiscal Policies and Procedures Manual). If CONTRACTOR’S corporate
             headquarters are out of state, CONTRACTOR agrees to pay travel costs incurred by COUNTY to conduct fiscal review.
             These costs include, but are not limited to, transportation to corporate headquarters, lodging, and meals.

       e.    CONTRACTOR shall be subject to Audit Requirements pursuant to the COUNTY financial procedures (Department of
             County Human Services’ current Contractor's Fiscal Policies and Procedures Manual
             http://www.co.multnomah.or.us/dchs/mgmt/finance.shtml). Audits must meet criteria outlined in these Procedures.

       f.    CONTRACTOR agrees that audits must be conducted by Certified Public Accountants who satisfy the independence
             requirements outlined in the rules of the American Institute of Certified Public Accountants (Rule 101 of the AICPA
             Code of Professional Conduct, and related interpretation and rulings), the Oregon State Board of Accountancy, the
             independence rules contained within Government Auditing Standards (2003 Revision), and rules promulgated by other
             federal, state and local government agencies with jurisdiction over CONTRACTOR. Those rules require that the
             Certified Public Accountant be independent in thought and action with respect to organizations who engage them to
             express an opinion on Financial Statements or to perform other services that require independence.

       g.    CONTRACTOR, if it is a state, local government or non-profit organization and a sub-recipient of federal funds, shall
             meet the audit requirements of OMB Circular A-133 “Audits of States, Local Governments, and Non-Profit
             Organizations,” which implements the federal Single Audit Act Amendment of 1996, Public Law 104-156.

       h.    Limited Scope and Full Audits, including the Management Letter associated with the audit if issued, and all
             specifications identified in the COUNTY financial procedures (Contractor’s Fiscal Policies and Procedures Manual) shall be
             submitted to the COUNTY within thirty (30) days from the date of the report, but in no case later than eight (8) months
             after the end of the CONTRACTOR'S fiscal year. If CONTRACTOR'S fiscal year ends during the term of this Contract,
             the audit may cover the CONTRACTOR'S fiscal year. Failure to submit required audits and Management Letter by
             specified deadlines shall be cause for withholding of contract payments until audits are submitted.

9.    Grievances. CONTRACTOR must establish a system of written procedures through which a client or family member may
      present grievances about the operation of CONTRACTOR'S services. CONTRACTOR shall provide these written procedures
      to the COUNTY upon request and shall make them readily accessible and available to clients, such as through the posting or
      distribution of the procedures in areas frequented by clients. CONTRACTOR shall, upon request, provide advice to such
      persons as to the grievance procedure.

10.   Indemnification of County Funding Source. In addition to Section 11 of the Standard Terms and Conditions of this Contract:
       If CONTRACTOR receives payment from funds received by COUNTY through contracts with the State or other external
       funding sources, the CONTRACTOR agrees to indemnify, defend, and hold harmless the State of Oregon, other funding
       sources, and their agents and employees against all liability, loss, and costs arising from actions, suits, claims, or demands
       attributable to or allegedly attributable to acts or omissions of CONTRACTOR, its employees, agents, or subcontractors.

11.   Independent Contractor Status. CONTRACTOR is an independent contractor and is solely responsible for the conduct of its
      programs. CONTRACTOR, its employees and agents shall not be deemed employees or agents of COUNTY, State of Oregon,
      or the federal government for any purpose. CONTRACTOR is responsible for all federal, state, and local taxes and fees
      applicable to payments for services under this Contract.


RFPQ R09-9710                                                       79
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12.   Insurance and Bonding. In addition to the insurance requirements identified in Exhibit 2:

       a.       All property and equipment purchased and received by CONTRACTOR under this Contract must be insured by
                CONTRACTOR against fire, theft, and destruction to assure continuation of contract services.

       b.       CONTRACTOR (except city, county, and state governments, municipalities, and public school districts) may be
                required to obtain and maintain at all times during the term of this Contract a fidelity bond (dishonesty policy) of not
                less than $50,000 effective at the time the Contract commences, covering activities of all persons responsible for
                collection and expenditures of funds.

13.   Monitoring and Enforcement.

       a.       COUNTY is responsible for monitoring and reviewing the activities of CONTRACTOR to ensure that all services
                provided by CONTRACTOR under this Contract conform to state, federal, and COUNTY standards and other
                performance requirements specified in the Contract. COUNTY shall take all appropriate management and legal action
                necessary to pursue this responsibility. This includes fiscal and program monitoring.

       b.       CONTRACTOR shall permit inspection of program, facilities, clinical, and fiscal records by authorized agents of
                COUNTY, State, or federal governments. CONTRACTOR shall also provide for program and facility reviews, including
                meetings with consumers, review of service and fiscal records, policies, and procedures, staffing patterns, job
                descriptions, and meetings with any staff directly or indirectly involved in the performance of this Contract, when
                requested to do so by COUNTY for purpose of contract monitoring or audit performance. In cases of suspected fraud
                by applicants, employees, subcontractors, or vendors, CONTRACTOR shall cooperate with all appropriate investigative
                agencies and shall assist in recovering misappropriated funds.

14.   Operating Hours. CONTRACTOR shall notify COUNTY in writing, ten (10) working days in advance of any change in
      operating hours, temporary (three months or less) closure of admissions to any service funded through this Contract, or
      temporary closure for any reason other than CONTRACTOR’S standard holidays. CONTRACTOR shall immediately notify
      COUNTY in the case of unanticipated closures. Notification shall be made to:

            DCHS Director/ Director’s Designee
            Department of County Human Services, Director’s Office
            421 SW Oak Street, Suite 620
            Portland, OR 97204

15.   Program Reporting Requirements.

       a.       CONTRACTOR shall prepare and furnish such plans, data, reports, and descriptive information as may be requested by
                COUNTY. CONTRACTOR grants the COUNTY the right to reproduce, use, and disclose all or part of these plans,
                reports, data, and technical information.

       b.       CONTRACTOR shall use the service definitions and the standardized forms provided by COUNTY for recording and
                reporting purposes.

       c.       Program reports shall be completed accurately in conformance with the guidelines and monitoring directions provided
                by COUNTY. Program reports which are not received by the time specified or are substantially incorrect may result in
                delayed payment.
       d.       All final program reports shall be submitted to the COUNTY by the thirtieth (30th) calendar day following the end of
                the effective period for that program.

16.   Property Management. CONTRACTORS receiving funds specifically for property shall comply with the following:

       a.       If CONTRACTOR purchases property valued at $5,000 or more, solely with State funds received under this Contract,
                that property belongs to the State. If CONTRACTOR purchases property valued at $5,000 or more, solely with County
                funds, that property belongs to the County. If CONTRACTOR purchases property valued at $5,000 or more, in whole or
                in part with Federal funds that property belongs to the Federal Government.

       b.       CONTRACTOR shall maintain the property and a property control system in compliance with federal regulations, 45
                CFR Part 74.32, Subpart 0, Property. A physical inventory shall be conducted annually to verify existence of the
                property, current use, and continued need for the property.


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       c.     Within forty-five (45) calendar days of contract termination, CONTRACTOR shall transfer the property to COUNTY,
              State, or Federal Government, if so directed by the relevant funding source.

       d.     CONTRACTOR is required to solicit and retain a minimum of three (3) written bids when making purchases of
              equipment or property valued at more than $5,000 per item if CONTRACTOR is a non-governmental entity, or more
              than $10,000 if CONTRACTOR is a governmental entity.

17.   Record Retention. In addition to Section 8 of the Standard Terms and Conditions of this Contract, access to records, all books,
      documents, papers, or other records, including but not limited to client records, income documentation, statistical records, and
      supporting documents pertinent to this Contract shall be retained for three (3) years from the date of expiration or termination
      of Contract, unless otherwise specified in Attachment C. Program General Conditions or as follows:

       a.     If any audit questions remain unresolved at the end of this three (3) year period, all records shall be retained until
              resolution.

       b.     Records involving matters in litigation shall be kept no less than one (1) year after resolution of all litigation, including
              appeals.

       c.     The retention period for real property and equipment records starts from the date of the disposition, replacement, or
              transfer at the direction of the federal government.

       d.     Records for any displaced person shall be retained for three (3) years after such person has received final payment.

       e.     Records pertaining to each real property acquisition shall be retained for three (3) years after settlement of the
              acquisition or until disposition of the applicable relocation records, in accordance with paragraph d above, whichever is
              later.

       f.     Records required to be maintained for periods longer than three (3) years as required by statutes, regulations, State or
              federal codes.

18.   Transition of Services. In the event that a Request for Proposal conducted during the fiscal year results in the award of the
      Contract to a different provider or COUNTY terminates or decides not to renew the Contract for any reason, CONTRACTOR
      agrees to make every reasonable effort to assure a smooth transition. CONTRACTOR shall take steps to assure that necessary
      copies of the original case files are transferred to the new CONTRACTOR, pursuant to federal/state regulations on
      confidentiality.




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                                                         ATTACHMENT C.
                    MULTNOMAH COUNTY DEPARTMENT OF COUNTY HUMAN SERVICES, (DCHS),
                          MENTAL HEALTH & ADDICTION SERVICES DIVISION (MHASD)
             PROGRAM GENERAL CONDITIONS FOR ALCOHOL & DRUG ABUSE SERVICES,
ADDICTION PREVENTION SERVICES, AND PROBLEM GAMBLING SERVICES


Fiscal Year 2009 – 2010

 Note: Content of this document may change depending on the terms and conditions in our contract with
 the State Addictions & Mental Health Services Division and any changes to State Administrative Rules.
2.    Licensure Requirements.

       A. CONTRACTOR, in accordance with OAR 415-012-000 through 415-012-0090 Standards For Approval/Licensure Of
          Alcohol And Other Drug Abuse Programs, must hold a Letter of Approval from the State Department of Human Services
          Addictions and Mental Health (AMH) Division in order to contract for addiction services with the County Mental Health
          & Addictions Services Division (MHASD).

       B.   All CONTRACTORS who responded to Mental Health RFPQ R06-8669 Adult System of Care, and/or RFPQ R06-8624
            System of Care for Children and Families Services for School-Aged Children, and/or RFPQ R05-8481 System of Care for
            Children and Families Children’s Intensive Mental Health Treatment and Special Populations Services and who were
            awarded a contract as a result of the Mental Health procurements, must hold certification as a Qualified Mental Health
            Provider for Multnomah County or evidence CONTRACTOR is in the process of application for such certification that
            indicates it will be obtained within a timeframe agreed to by the County Mental Health & Addictions Services Division
            (MHASD) and CONTRACTOR.

3.    Fees.

       A. Fee Schedule: Unless otherwise provided for in program instructions, CONTRACTOR shall charge fees for services
          provided under this Contract as required by ORS 430.375 Alcohol and Drug Abuse Prevention, Intervention and
          Treatment Fee Schedule and OAR 309-014-0030 General Administrative Standards for Mental Health Division
          Community Mental Health Contractors, Standards for Management of All Service Elements (1) Fee Policy and shall
          expend revenue received from such fees only in support of mental health services and/or alcohol and drug services which
          meet the standards of Oregon Administrative Rules.

       B. Client Fee System: Based on a sliding scale starting at zero, CONTRACTOR shall have
          a client fee system to support the costs of these services. Clients cannot be denied
          service based on ability to pay.

3.     Contractor Billing. General Billing Requirements:
       A. The County Mental Health & Addictions Services Division (MHASD) will be the payer of last resort for the type of
          services provided under this Contract. If a client is enrolled in the Oregon Health Plan (OHP) or has other insurance,
          CONTRACTOR will bill the OHP (or the other insurance carrier) for any part of these services covered by the OHP or
          other insurance. If the client is eligible for available OHP coverage, but has not applied, CONTRACTOR will assist the
          client in applying for that coverage. At a minimum, this assistance will consist of providing clients with written materials
          describing the OHP, an application and help, if necessary, in completing the application.

       B.   Service duplication adversely impacts the cost effectiveness of contracted services. Consequently, clients served under any
            COUNTY Contract may not support a claim for reimbursement for the same services under any other COUNTY Contract.

       C.   CONTRACTOR shall comply with all applicable provisions of the 2005 – 2007 Intergovernmental Agreement for the
            Financing of Community Mental Health, Developmental Disability and Addiction Services (CMHP) between the State of
            Oregon acting by and through its Department of Human Services and the COUNTY. A copy of the CFAC can be obtained
            at: http://www.co.multnomah.or.us/dchs/cfac.pdf

       D. CONTRACTOR may expend the funds provided under this Contract solely on the services detailed in Contract Exhibit 1 –
          Statement of Work, Compensation, Payment Terms and Reports, and Renewal Terms. CONTRACTOR shall not expend
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            funds provided under this Contract on any other program or the delivery of any other service without prior written
            approval of the County Mental Health & Addictions Services Division (MHASD).

       E.   CONTRACTOR represents that prices and costs established for each service under this contract are reasonable and
            necessary to provide quality delivery of that service.

       F.   CONTRACTOR, if a non-profit organization and a sub-recipient of federal funds passed through the County Mental
            Health & Addictions Services Division (MHASD), must meet the audit requirements of Federal Office of Management and
            Budget (OMB) Circular No. A-133 Audits of States, Local Governments, and Non-Profit Organizations, which applies the
            federal Single Audit Act Amendment of 1996, Public Law 104-156.

       G. Services will be rendered in such a manner that services will be available for the entire contract period (July through June
          of each Contract year).

4.     Critical Incident Reporting.

       A. County Mental Health and Addiction Services Division (MHASD) staff and subcontract service providers shall notify the
          County Mental Health & Addictions Services Division (MHASD) Quality Management Program Manager by telephone
          within the same working day of a critical incident. If the incident occurs after normal business hours or if on a holiday or
          weekend, the report is to be made on the next working day. A written report shall be submitted within three (3) business
          days following the incident to:


                                          Quality Management Program Manager
                                                 Division of Mental Health and Addiction Services
                                                           421 S.W. 6th Avenue, Suite 500
                                                                Portland, OR 97204
                                                               Phone: (503) 988-5464
                                                                 Fax: (503) 988-5870

       B.   A critical incident is defined as:

            1.    An incident that punishes, endangers, or otherwise harms a client as a result of staff action or inaction;
            2.    The death of a client;
            3.    Suicide attempt or self-injury with significant intention to cause self-harm or death on the part of a client;
            4.    Criminal charges brought against a staff member or subcontract staff member involving a client;
            5.    Professional misconduct by a staff member or subcontract staff member, including but not limited to sexual
                  harassment or exploitation of a client including any sexual contact by staff, willful infliction of pain or injury of a
                  client, and physical injury to a client by other than accidental means or is at variance with the explanation;
            6.    A medication error which results in a client death, serious injury, or hospitalization;
            7.    Actions by a client that result in the death or serious injury of another person; and
            8.    Any event likely to elicit heightened public interest or litigation.

       C.   The Quality Management Program Manager shall refer all reports to the quality assurance process for appropriate follow-
            up. A fact-finding inquiry may be conducted. Monthly summary reports shall notify the Department Director of all
            critical incident reports and actions.

5.     Performance Standards. CONTRACTOR agrees to meet the minimum State standards for performance for any service element
       covered under this agreement, in accordance with State performance standards detailed in contract Attachment K - Service
       Descriptions for Alcohol & Drug Abuse Services, Addiction Prevention Services, Problem Gambling Services available on the
       internet at http://www.co.multnomah.or.us./dchs/atchmntk_addiction_services.pdf.


6.     CPMS Enrollment. As specified in the Oregon Department of Human Services’ Client Process Monitoring System (CPMS)
       manual (for Alcohol, Drug Abuse and Addiction Services, Developmental Disability Services or Mental Health Services, as
       appropriate), CONTRACTOR shall enroll in CPMS each client receiving a service under this contract and maintain that
       client’s CPMS record as specified in the CPMS manual.


7.     Client Records. CONTRACTOR shall create and maintain a client record for each client who receives services under this
       Contract, unless the service description precludes delivery of the service on an individual client basis and reporting of service
       commencement and termination information is not required by the service description. The client record shall contain:


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       A.   Client identification;
       B.   Problem assessment;
       C.   Treatment, training, and/or care plan;
       D.   Medical information when appropriate; and
       E.   Progress notes including service termination summary and current assessment or evaluation instrument as designated by
            the County Mental Health & Addictions Services Division (MHASD).

       CONTRACTOR will retain client records in accordance with OAR 166-005-0000 through 166-150-0215 State Archivist. Unless
       OAR 166-005-0000 through 166-150-0215 requires a longer retention period, client records must be retained for a minimum of
       seven years from termination of this contract.

8.     Safeguarding of Client Information. CONTRACTOR shall maintain the confidentiality of client records as required by
       applicable State and Federal law, including without limitation, ORS 179.495 Disclosure of inmate written accounts; penalty,
       ORS 179.505 Disclosure of written accounts by health care service provider; and ORS 179.507 Enforcement of ORS 179.495 and
       179.505; actions; venue; damages, 45 CFR Part 205 General Administration-Public Assistance Programs, 42 CFR Part 2
       Confidentiality of Alcohol and Drug Abuse Patient Records, any administrative rule adopted by the State implementing the
       foregoing laws, and any written policies made available by the State Department of Human Services Addictions and Mental
       Health (AMH) Division. CONTRACTOR shall create and maintain written policies and procedures related to the disclosure of
       client information, and shall make such policies and procedures available to the State Department of Human Services
       Addictions and Mental Health (AMH) Division and the County Mental Health & Addictions Services Division (MHASD) for
       review and inspection as reasonably requested.

9.     Alternative Formats of Written Materials. In connection with the delivery of services under this contract, CONTRACTOR
       shall:

       a.   Make available to a client, without charge to the client, upon the client’s or the State’s request, any and all written
            materials in alternate, if appropriate, formats as required by State administrative rules or by State’s written policies made
            available to CONTRACTOR.
       b.   Make available to a client, without charge to the client, upon the clients or State’s request, any and all written materials in
            the prevalent non-English languages in the area served by the County’s Community Mental Health Program.
       c.   Make available to a client, without charge to the client, upon the client’s or State’s request, oral interpretation services in
            all non-English languages in the area served by the County’s Community Mental Health Program.
       d.   Make available to clients with hearing impairment, without charge to the client, upon the client’s or State’s request, sign
            language interpretation services and telephone communications access services.

       For purposes of the foregoing, “written materials” includes, without limitation, all written materials created or delivered in
       connection with the services and all subcontracts related to this contract.

10.    Retention of Revenue and Earned Income. All CONTRACTOR fees and third-party reimbursements up to and including the
       contracted billing limitation, including all amounts paid pursuant to Title XIX of the Social Security Act by the State
       Department of Human Services, and interest earned on such funds belong to CONTRACTOR provided that such funds are
       expended for services meeting the standards of the State Department of Human Services Addictions and Mental Health
       (AMH) Division.

11.    Client Eligibility Requirements for Contract Paid Outpatient Slots.

       A. CONTRACTOR may not use funds in this contract to deliver outpatient services to any individual enrolled in the Oregon
          Health Plan (OHP) for chemical dependency benefits. CONTRACTOR must refer such individuals to their managed care
          plan for addictions treatment services.

       B.   CONTRACTORS with outpatient treatment slots will need to document in all treatment files in a consistent manner
            whether a client is in a contract paid slot or Oregon Health Plan (OHP) so that the County Mental Health & Addictions
            Services Division (MHASD) can verify utilization during a site review and/or for utilization verification for any given
            month. This tracking system must include client changes between contract paid slots and Oregon Health Plan (OHP).

12.    Submission of Minimum Data Set (MDS) Reports for Prevention Services (A-D 70). CONTRACTOR is required to report to
       the County Mental Health & Addictions Services Division (MHASD) Prevention Coordinator, by the 5th of every month
       following services (i.e. reports for services provided from July 1 through July 31 will be submitted by August 5), monthly
       Minimum Data Set (MDS) reports per the State Department of Human Services Addictions and Mental Health (AMH) Division
       requirements. The County Mental Health & Addictions Services Division (MHASD) Prevention Coordinator will provide
       instructions and training to CONTRACTOR on how data will be submitted.


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13.    Minority OAR for Adult Alcohol and Drug Residential Treatment Services (A-D 61) and Continuum of Care Services (A-D
       66). All CONTRACTORS with slots/beds targeted for specific minority populations will meet standards governing minority
       programs described in OAR 415-051-0090 Standards for Outpatient and Residential Alcohol and Drug Treatment Programs,
       Minority Programs.

14.    Youth CPMS Enrollment and Termination Forms. All CONTRACTORS with slots targeted for youth agree to use the CPMS
       Youth Treatment/Intervention enrollment and termination form for individuals enrolled in youth outpatient slots.

15.    Federal SAPT Block Grant Fund Requirements. To the extent CONTRACTOR provides any services whose costs are paid in
       whole or in part by the Substance Abuse, Prevention, and Treatment Block Grant (SAPT), CONTRACTOR shall comply with
       federal rules and statutes pertaining to the Substance Abuse, Prevention, and Treatment Block Grant (SAPT), including the
       reporting provisions of the Public Health Services Act Title 42 United States Code (USC) 300x through 300x-66 Part B -Block
       Grants Regarding Mental Health and Substance Abuse. Regardless of the funding source, to the extent CONTRACTOR
       provides any substance abuse prevention or treatment services, CONTRACTOR shall comply with the confidentiality
       requirements of 42 CFR Part 2 Confidentiality of Alcohol and Drug Abuse Patient Records. NOTE: SAPT is a subgroup of the
       Federal Substance Abuse and Mental Health Service Administration (SAMHSA).

16.    Special Federal Requirements Applicable to Addiction Services.

       A.     Women’s Services. If CONTRACTOR provides A&D 61 or A&D 62 Services, CONTRACTOR must:

              1.     Treat the family as a unit and admit both women and their children if appropriate.

              2.     Provide or arrange for the following services to pregnant women and women with dependent children:

                     a.         Primary medical care, including referral for prenatal care;
                     b.         Pediatric care, including immunizations, for their children;
                     c.         Gender-specific treatment and other therapeutic interventions, e.g. sexual and physical abuse counseling,
                                parenting training, and childcare;
                     d.         Therapeutic interventions for children in custody of women in treatment, which address, but are not
                                limited to, the children’s developmental needs and issues of abuse and neglect; and
                     e.         Appropriate case management services and transportation to ensure that women and their children have
                                access to the services in (a) through (d) above.

       B.     Pregnant Women. If CONTRACTOR provides any A&D Services other than A&D 70 Services, CONTRACTOR must:

              1.     Within the priority categories, if any, set forth in a particular Service Description, give preference in admission to
                     pregnant women in need of treatment who seek, or are referred for, and would benefit from, such services;

              2.     Perform outreach to inform pregnant women of the availability of treatment services targeted to them and the
                     fact that pregnant women receive preference in admission to these programs;

              3.     If CONTRACTOR has insufficient capacity to provide treatment services to a pregnant woman, refer the woman
                     to another provider with capacity or if no available treatment capacity can be located, refer the woman to the
                     State Department of Human Services’ Addictions and Mental Health (AMH) Division for referral to another
                     provider in the state.

       C.     Intravenous Drug Abusers. If CONTRACTOR provides any A&D Services other than A&D 70 Services,
              CONTRACTOR must:

              1.     Within the priority categories, if any, set forth in a particular Service Description and subject to the preference for
                     pregnant women described above, give preference in admission to intravenous drug abusers;

              2.     If CONTRACTOR reaches 90 percent of its capacity to admit intravenous drug abusers, CONTRACTOR must
                     attempt to refer an intravenous drug abuser seeking admission, to another provider and provide notice of such
                     referral or attempted referral to the State Department of Human Services’ Addictions and Mental Health (AMH)
                     Division;

              3.     If CONTRACTOR receives a request for admission to treatment from an intravenous drug abuser,
                     CONTRACTOR must, unless it succeeds in referring the individual to another provider with treatment capacity
                     under the circumstances described in (2) above, admit the individual to treatment not later than:


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                     a.         14 days after the request for admission to CONTRACTOR’S is made; or
                     b.         120 days after the date of such request if no provider has the capacity to admit the individual on the date
                                of such request and, if interim services are made available not less than 48 hours after such request

              4.     For purposes of 3. b. (above), “interim services” means:

                     a.         Services for reducing the adverse health effects of such abuse, for promoting the health of the individual,
                                and for reducing the risk of transmission of disease, including counseling and education about HIV and
                                tuberculosis, the risks of needle sharing, the risks of transmission of disease to sexual partners and infants,
                                and steps that can be taken to ensure that HIV and tuberculosis transmission does not occur;
                     b.         Referral for HIV or TB treatment Services, where necessary; and
                     c.         Referral for prenatal care if appropriate, until the individual is admitted to a provider’s services.
                     d.         If CONTRACTOR treats recent intravenous drug users (those who have injected drugs within the past
                                year) in more than one-third of its capacity, CONTRACTOR shall carry out outreach activities to
                                encourage individual intravenous drug abusers in need of such treatment to undergo treatment, and shall
                                document such activities.

       D.     Infectious Diseases. If CONTRACTOR provides any A&D Services other than A&D 70 Services, CONTRACTOR must:

              1.     Complete a risk assessment for infectious disease including Human Immunodeficiency Virus (HIV) and
                     tuberculosis, as well as sexually transmitted diseases, based on protocols established by the State, for every
                     individual seeking services from CONTRACTOR; and

              2.     Routinely make tuberculosis services available to each individual receiving services for alcohol/drug abuse
                     either directly or through other arrangements with public or nonprofit entities and, if CONTRACTOR denies an
                     individual admission on the basis of lack of capacity, refer the individual to another provider of tuberculosis
                     services.

              3.     For purposes of (2.) above, “tuberculosis services” means:

                     a.         Counseling the individual with respect to tuberculosis;
                     b.         Testing to determine whether the individual has contracted such disease and testing to determine the form
                                of treatment for the disease that is appropriate for the individual; and
                     c.         Appropriate treatment services.

       E.     State Department of Human Services Referrals. If CONTRACTOR provides any A&D Services other than A&D 70
              services, CONTRACTOR must, within the priority categories, if any, set forth in a particular Service Description and
              subject to the preference for pregnant women and intravenous drug users described above, give preference in A&D
              service delivery to persons referred by the State Department of Human Services.

       F.     Barriers to Treatment. Where there is a barrier to delivery of an A&D Service due to culture, gender, language,
              illiteracy, or disability, CONTRACTOR shall develop support services available to address or overcome the barrier,
              including:

              1.     Providing, if needed, hearing impaired or foreign language interpreters.
              2.     Providing translation of written materials to appropriate language or method of communication.
              3.     Providing devices that assist in minimizing the impact of the barrier.
              4.     Not charging clients for the costs of measures, such as interpreters, that are required to provide
                     nondiscriminatory treatment.

       G.     Misrepresentation. CONTRACTOR shall not knowingly or willfully make or cause to be made any false statement or
              representation of a material fact in connection with the furnishing of items or services for which payments may be made
              by the State Department of Human Services or County Mental Health & Addiction Services (MHAS) Division.

       H.     Oregon Residency. A&D Services funded through this Contract may only be provided to residents of Oregon.
              Residents of Oregon are individuals who live in Oregon. There is no minimum amount of time an individual must live
              in Oregon to qualify as a resident so long as the individual intends to remain in Oregon. A child’s residence is not
              dependent on the residence of his or her parents. A child living in Oregon may meet the residency requirement if the
              caretaker relative with whom the child is living is an Oregon resident.

       I.     Tobacco Use. If CONTRACTOR has A&D Services treatment capacity that has been designated for children,
              adolescents, pregnant women, and women with dependent children, CONTRACTOR must implement a policy to

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              eliminate smoking and other use of tobacco at the facilities where the services are delivered and on the grounds of such
              facilities.

       J.     Client Authorization. CONTRACTOR must comply with 42 CFR Part 2 Confidentiality of Alcohol and Drug Abuse
              Patient Records when delivering an addiction service that includes disclosure of client information for purposes of
              eligibility determination, CPAs, PPAs or SEPA Adjustments. CONTRACTOR must obtain client authorization for
              disclosure of billing information, to the extent and in the manner required by 42 CFR Part 2 Confidentiality of Alcohol
              and Drug Abuse Patient Records, before a disbursement claim is submitted with respect to delivery of an addiction
              service to that individual.

17.    Limitation on use of State Financial Assistance Awarded for Addiction Services. With respect to State financial assistance
       paid to CONTRACTOR’S under the County Mental Health & Addictions Services Division (MHASD) agreement for Alcohol,
       Drug Abuse and Addiction Services, CONTRACTOR shall not expend that financial assistance on the following:

       A    To provide inpatient hospital services;

       B.   To make cash payment to intended recipients of health services;

       C.   To purchase or improve land, to purchase, construct, or permanently improve (other than minor remodeling) any building
            or other facility or purchase major medical equipment;

       D. To satisfy any requirement for the expenditure of non-federal funds as a condition for receipt of Federal funds (whether
          the federal funds are Federal Funds under this Contract or otherwise);

       E.   With respect to federal Substance Abuse Prevention and Treatment Block Grant moneys only, to purchase services from
            any person or entity other than a public or non-profit entity; or

       F.   To carry out any program prohibited by Section 245 (b) of the Health Omnibus Programs Extension Act of 1988 (codified
            at 42 USC 300ee(5) Use of funds to supply hypodermic needles or syringes for illegal drug use; prohibition).

18.    System Collaboration/Coordination.

       A. CONTRACTOR will provide referral sources with routine information related to the availability of services and will work
          closely with designated County Mental Health & Addictions Services Division (MHASD) staff to ensure an adequate
          number of referrals, to be determined on an individual agency basis.

       B.   CONTRACTOR will meet with designated County Mental Health & Addictions Services Division (MHASD) staff, when
            necessary, to conduct program development, modify referral procedures, address general services delivery issues and
            resolve any interagency and/or operation problems.

       C.   CONTRACTOR will participate in County Department of Community Justice (DCJ)/County Mental Health & Addictions
            Services Division (MHASD) monthly Alcohol and Drug Advisory Council to facilitate system-wide problem solving and
            service continuum development. The CONTRACTOR’s attendee must have the authority to represent the agency’s
            position and to commit the agency to specific agreements as needed for program and service development.

       D. Upon no less than 90 days notice, CONTRACTOR shall establish and maintain an electronic mail address to: (1) receive
          information regarding referral authorization and acceptance; and (2) transmit information regarding service availability to
          County Mental Health & Addictions Services Division (MHASD) staff. If and when this request is made, County Mental
          Health & Addictions Services Division (MHASD) will provide CONTRACTOR with policies to follow regarding data
          security.

19.    Contract Monitoring/Program Evaluation. CONTRACTOR will fully cooperate with County Mental Health & Addictions
       Services Division’s (MHASD) contract monitoring, quality improvement, and program evaluation activities. This includes
       making available all data/information County Mental Health & Addictions Services Division (MHASD) deems necessary for
       those processes. This Contract will be monitored through a number of means, including:

       A. Site Reviews: County Mental Health & Addictions Services Division (MHASD) staff may schedule on-site visits to review
          agency compliance with the Contract. Site visits are usually scheduled with CONTRACTOR, but may be conducted
          without notice.

       B.   Technical Assistance: County Mental Health & Addictions Services Division (MHASD) staff may offer training and/or
            assist programs with design of the services.
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       C.   Monthly Client Rosters: Monthly Client Rosters are Excel spreadsheets pre-formatted and provided electronically to
            CONTRACTOR by County Mental Health & Addictions Services Division (MHASD). See Contract Attachment E. and F.
            for detailed instructions and samples of Monthly Client Rosters. CONTRACTOR will identify all clients in Mental Health
            and Addiction Services Division contracted beds/slots who were served during any one given month on the appropriate
            Monthly Client Roster.

       D. Evaluations/Program Performance: Program performance may be evaluated through other quality assurance/evaluation
          processes, including:

            1.   Census validation audits, including intensity of services received by each client;
            2.   Performance reviews for achieving client service outcomes;
            3.   Provider self-assessments;
            4.   Client satisfaction surveys and complaint resolution processes;
            5.   Compliance review for contract standards and performance criteria;
            6.   Compliance reviews for reporting requirements, including use of the County Mental Health & Addictions Services
                 Division’s (MHASD) data collection systems; and
            7.   Referral source satisfaction surveys.

       E.   Fiscal Compliance: County Mental Health & Addictions Services Division (MHASD) fiscal compliance reviews may be
            conducted to ensure that financial records, systems and procedures conform to Generally Accepted Accounting Principles
            and are in compliance with all Multnomah County and State audit and accounting requirements.

20.    Changes in Service Delivery Locations or Staffing. CONTRACTOR shall submit written notification to the County Mental
       Health and Addictions Services Division Addictions Services Manager of any changes in service delivery locations or staffing
       in the following positions: Executive Director, Chief Financial Officer, Program Manager, Clinical Supervisor, Clinical Lead
       and any position that may be assigned as a contract liaison. Notification of change in service delivery locations must occur 60
       days before the change and include relevant details of the change (e.g. proposed new service delivery location, plans for client
       notification of re-location, and any anticipated changes in the service delivery model). Notification of changes in staffing must
       occur within 30 days of such a change and include relevant details of the change (e.g. which position, name of the new staff,
       status [interim or permanent]), plans for replacement if a vacancy is created, or the plan for restructuring the service delivery if
       there are no plans to fill the vacancy.

21.    Census Validation Audit. The State Department of Human Services Addictions and Mental Health (AMH) Division and/or
       the County Mental Health & Addictions Services Division (MHASD) may conduct census validation audits at any time during
       the business day. Census audits may be conducted without prior notice.

22.    Religious Content. To the extend CONTRACTOR provides any service whose costs are paid in whole or in part by Federal
       Public Health Service Block Grants, CONTRACTOR shall comply with Public Health Services Act Title 42 United States Code
       (USC) 300x-65 Services provided by nongovernmental organizations, including but not limited to:

       A.   CONTRACTOR shall not discriminate against an individual who receives or applies for substance abuse services on the
            basis of religion, a religious belief, a refusal to hold a religious belief, or a refusal to actively participate in a religious
            practice.

       B.   If an individual has an objection to the religious character of the CONTRACTOR’s organization from which the individual
            receives or would receive substance abuse services, CONTRACTOR shall provide to such individual (if otherwise eligible
            for substance abuse services) within a reasonable period of time after the date of such objection, services that are from an
            alternative provider that is accessible to the individual and have a value that is not less than the value of the services that
            the individual would have received from CONTRACTOR’s organization.

23.    AIDS Risk Awareness Program. An AIDS Risk Awareness Program shall be provided to all treatment clients, except
       detoxification and sobering clients. The program shall include information regarding optional AIDS virus testing.
       CONTRACTOR will advise clients who are seeking AIDS testing of their right to pre and post-test counseling and assist them
       in locating those services. Participation in the AIDS Risk Awareness program shall be documented in each client's record
       when the client participates in the program. There shall be no discrimination towards people who have, or who are suspected
       of having, AIDS regarding delivery of publicly supported alcohol and other drug prevention, intervention, and treatment
       services.

24.    Clients Under Supervision of Multnomah County Department of Community Justice. CONTRACTOR agrees to make all
       reasonable efforts to determine if individuals applying for services delivered under this contract are under supervision from
       the Multnomah County Department of Community Justice. Documentation of the efforts made shall be filed in the clinical
       record. If an individual is under such supervision:

RFPQ R09-9710                                                        88
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       A. The case file will contain a current release of information consent form permitting CONTRACTOR to disclose information
          to the responsible criminal justice agency.

       B.   If clients have alcohol and/or drug treatment as a condition of parole or probation, CONTRACTOR agrees to contact the
            supervising person to inform them of the client's treatment admission and significant changes in treatment status.

       C.   Upon a client's termination from the program, a discharge summary that includes a clear explanation of the reason for
            program termination will be completed and forwarded to the supervising criminal justice agency in a timely manner.

25.    Medicaid Compliance. To the extent CONTRACTOR provides any service whose costs are paid in whole or in part by
       Medicaid, CONTRACTOR shall comply with and require its subcontractors to comply with the federal and state Medicaid
       statutes and regulations applicable to the Service, including but not limited to:

       A. In accordance with Title 42 United States Code (USC) 1396(a)(2) State plans for medical assistance and 42 CFR Part 431
          State Organization and General Administration section 431.107 Required provider agreement (b)(1) & (2), keeping such
          records as may be necessary to disclose the extent of services furnished to clients and, upon request, furnish such records
          or other information to the County Mental Health & Addictions Services Division (MHASD), the State Department of
          Human Services, the Medicaid Fraud Control Unit of the Oregon Department of Justice, and the Secretary of Health and
          Human Services;

       B.   Complying with all applicable disclosure requirements set forth in 42 CFR Part 455 Program Integrity: Medicaid, Subpart
            B Disclosure of Information by Providers and Fiscal Agents and 42 CFR Part 1002 Program Integrity-State Initiated
            Exclusions From Medicaid section 1002.3(a)   Disclosure by providers and State Medicaid agencies;
       C.   Complying with any applicable advance directive requirements specified in 42 CFR Part 431 State Organization and
            General Administration section 431.107 Required provider agreement (b)(4); and

       D. Complying with the certification requirements of 42 CFR Part 455 Program Integrity: Medicaid sections 455.18 Provider’s
          statements on claims forms and 455.19 Provider’s statement on check.

       E.   Each time a service is denied, terminated, suspended, or reduced, a notice of intended action must be issued to the
            affected client at least 10 calendar days before the date of the action unless there is documentation that the client had
            previously agreed to the changes. CONTRACTOR shall maintain a grievance system that provided for notices of
            intended action and client decision notices and informs clients of their right to a state fair hearing for services that
            complies with the requirements for fair hearings concerning “actions” consistent with 42 CFR Part 431 State Organization
            and General Administration Subpart E. Fair Hearings for Applicants and Recipients. CONTRACTOR shall maintain
            documentation of all client complaints and hearing requests, the resolution and the date of resolution. CONTRACTOR
            shall cooperate with the State Department of Human Services’ ombudsmen and hearing representatives in all State
            Department of Human Services’ activities related to client complaints and hearing requests.

       CONTRACTORS shall include in all subcontracts with providers receiving Medicaid, language requiring subcontractors to
       comply with the record keeping and reporting requirements set forth in this section and with the federal laws identified in this
       section.

26.    Start-Up Funds. If awarded Start-up funds, CONTRACTOR will contact the County Mental Health & Addictions Services
       Division (MHASD) and request an Addictions Services Start-Up Fund instruction packet.




                               END OF ATTACHMENT C – PROGRAM GENERAL CONDITIONS
                                          ALCOHOL & DRUG ABUSE SERVICES,
                           ADDICTION PREVENTION SERVICES, AND PROBLEM GAMBLING SERVICES




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                                DCHS SAMPLE CONTRACT – ATTACHMENT E




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                                     SOLICITATION ATTACHMENT 5

                                 Multnomah County
                  MENTAL HEALTH AND ADDICTION SERVICES DIVISION
                    Multnomah County Alcohol & Drug (A/D) Services
                                  RFPQ R09-9710

                                       FUNDING REQUEST FORM

            ORGANIZATION NAME:____________________________________________________________________


                                                   Minimum           Optimum            Maximum
Service Category:                                  Funding           Funding            Funding

Name of Services Here


Name of Services Here



                                                With Minimum       With Optimum With Maximum
Number of Clients To Be Served:
                                                   Funding            Funding      Funding

Name of Services Here


Name of Services Here




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                                   SOLICITATION ATTACHMENT 6


                            Department of Community Justice
                          Department of County Human Services

                         Qualified Vendor Application Process - QVAP

Organizations doing business with Multnomah County must have the capacity to manage and
monitor administrative contract requirements. Please submit the information requested here with
your proposal response – submit it separately in the package. An original and one copy of this
package are requested.

1. Organizational Chart: Please submit a current organizational chart that indicates lines of
authority and communication for all organization's programs. Include on the chart the person-in-
charge (e.g., executive director), and the administrative and program management position(s).
Clearly identify where administrative contract management responsibilities lie.

2. Executive Director/Administrator: Please identify the name, title, and job description of the
position-in-charge (e.g., executive director) for the Proposer organization.

3. Administrative Oversight: Please identify the name(s) and title(s) of the employee(s)
responsible for meeting administrative contract requirements (e.g. insurance, non-discrimination,
property management) and overseeing contract corrective action, and describe their job duties as
they relate to these functions. Be sure to include these positions on the organizational chart.

4. Personnel Policies: Please submit a copy of the Table of Contents for the organization's
personnel policies/ procedures manual.

5. Non-Discrimination Policy: Please submit a copy of the organization’s non-discrimination
policy stating that the organization will not discriminate against any individual with respect to
employment or provision of services based on that individual's race, color, religion, sex, national
origin, age, sexual orientation, political affiliation, marital status, or disability. Please also submit a
statement that the organization is willing and able to comply with the following non-discrimination
policies should it be awarded a contract (see Form C, Non-Discrimination Certificate for use or
sample):

a.   Executive Orders 11246: www.dol.gov/esa/regs/statutes/ofccp/eo11246.htm
b.   Title VI of the Civil Rights Act of 1964, as amended: www.eeoc.gov/laws/vii.html
c.   Section 504 of the Rehabilitation Act of 1973: www.dol.gov/oasam/reg/statutes/sec504.htm
d.   Americans with Disabilities Act: www.usdoj.gov/crt/ada/adahoml.htm

6. Accountability Mechanism Description, Roles, and Functions: Please describe the purpose,
functions, and structure of the organization’s accountability mechanism, e.g., Board of Directors,
Advisory Committee, etc. These may be outlined in by-laws. Be sure to cover what role the
governing body or alternative mechanism plays in:

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    a. Setting and overseeing business planning and policy development. Planning refers to
       guiding the future direction of the organization’s business, e.g., identifying areas for program
       development and innovation. Policy refers to setting the philosophy and values of the
       organization, and principles and guidelines for making operational decisions. Example: policy
       on cultural diversity, policy on types of programs appropriate for the organization to operate.

    b. Overseeing the organization’s budget, both its development and the organization's ongoing
       financial position.

    c. Overseeing operations of the organization. This includes involvement with issues affecting
       delivery of services as well as personnel matters when organizational policy and procedures
       are concerned.

    d. Assuring accountability of the organization’s business and operations to funding sources,
       legal requirements (e.g., tax laws), and the organization’s clientele.

7. Financial Statement: Please provide a current Financial Statement prepared by an independent
certified auditor.

8. List of Membership and Representation: Please complete the Accountability Membership form.
Identify who is currently a member of the governing body or alternative accountability mechanism,
their terms, who or what they are representing. If any members are staff or owners of the
organization, be sure to identify their number and positions and provide a statement of assurance
that management staff does not constitute a quorum.




RFPQ R09-9710                                     104
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                    ACCOUNTABILITY MECHANISM MEMBERSHIP
                                 (This is usually your Board of Directors)

Diversity Status:

W=Women
M=Minority: African American, SE Asian, Native American, Hispanic, Pacific Islander
O=Other Diversity Categories; Please Specify:

What Constitutes a Quorum?


           Name                 Representation            Term       Diversity Status




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                            NON-DISCRIMINATION CERTIFICATE
      Proposer:

      Address:

      Telephone:


           The organization named above will not discriminate against any individual with respect
           to employment or provision of services based on that individual's race, color, religion,
           sex, national origin, age, sexual orientation, political affiliation, marital status, physical
           or mental disability, gender identity, source of income, familial status, or other protected
           status.

           Additionally, this organization complies with Executive Order 11246, Title VI of the Civil
           Rights Act of 1964, as amended, Section 504 of the Rehabilitation Act of 1973 and the
           Americans with Disabilities Act.




      Contractor:               ______________________________________________
                                Authorized Agency Signature



      Dated:                    ______________________________________________




RFPQ R09-9710                                                 106
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                                             Solicitation Attachment 7
                                MULTNOMAH COUNTY
                                       A&D SERVICE TRIAGE FORM
Client Last Name: _____________________________ First Name:___________________________ MI:_____

SID #:_____________________________ D.O.B ___/___/___ SWIS # (N/A for DCJ staff):______________________

Person completing form: ____________________________ Date: _________Phone: (503)                     -______ext. ______

Type of Referral           VSAT       DCJ      SHERIFF’S OFFICE          OTHER

A. Justification for A & D services referral (Check all that apply)
   ___ On the Initial Intake and Assessment Form, at least one of the responses to questions #88 through
#91 is yes.
   ___ Based on self-report by offender or information available to the PPO/CC, it is believed that offender
has a substance abuse problem.


     Instructions To Determine If A&D Service Referral Is Warranted:

              If any items in Section A are checked, service referral is appropriate.
              Go to Section B to determine appropriate level of care referral.
              MCSO Staff – Treatment referral must be approved by DCJ PPO, otherwise the provider
               will not be able to bill DCJ for the offender’s treatment services.
              Anyone can refer clients to treatment services paid for by DCHS.

B.         LEVEL OF SERVICE JUSTIFICATION (Check all that apply):
     ___Yes ___No               1. Does the offender have a stable living situation?
     ___Yes ___No               2. Does the offender have stable employment?
     ___Yes ___No               3. Is the living/work/school environment of the offender’s family and/or significant
                                   others free of
                                    threats to the offender’s sobriety, safety, or immediate well-being?
     ___Yes ___No                  4. Is the offender’s history free of incidents where physical harm to self or others
                                      was associated with his/her substance abuse or relapse?
     ___Yes ___No ___NA         5. Has the offender appeared drug free and/or sober during your appointments?
                                   (This question may not be pertinent for new offenders entering system or who are in jail at
                                    the time the form is completed. In such cases, check “NA”)


       Instructions To Determine Level Of Care Referral:
              If items 1 & 2 are both marked “Yes,” stop here and refer to an outpatient provider.
              If items 1 & 2 are both marked “No,” stop here and refer to a residential provider.
              If item 1 or 2 is marked “No,” and any item # 3 through #5 is marked “No,” refer to
                a residential provider.
              If item 1 or 2 is marked “No” and all items #3 through 5 are marked “Yes,” refer to an

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             outpatient provider.

    Level of Service: ____ A & D Outpatient         ____ A & D Residential
    Supervision End Date: __________________            Projected MCSO Release
    Date:_________________
    C. REFERRAL AUTHORIZATION FOR DCJ-FUNDED SERVICES:

    Residential Treatment Referrals: Offender ____does ____does not meet each of the following
    requirements for referral to DCJ-funded residential treatment services:

        Has a Multnomah County PPO (Name: _______________ Ph: __________) who is
         authorizing the referral;
        Risk level is medium or high;
        Has at least 9 months of DCJ supervision remaining or the “Local Control Residential A&D
         Referrals” policy has been followed or the referral has been approved by A&D Manager
         (503-988-3920).

    Outpatient Treatment Referrals: Offender ____does ____does not meet each of the following
    requirements for referral to DCJ-funded outpatient treatment services:

        Has a Multnomah County PPO (Name: _______________ Ph: __________) who is
         authorizing treatment; and
        Risk level is medium or high.
    Note: Offenders that do not meet the above criteria for DCJ service funding can be referred to

    any A&D treatment program. This can include residential beds or outpatient slots funded by the

    Department of County Human Services. The “Alcohol & Drug Treatment Resource Continuum”

    information sheet identifies which agencies these are. You may print this document at the

    following website address: http://mint/dcj/treatment.html


    Name of A&D Provider(s) Referred To:
    Referral 1: ________________________        Referral 2: ______________________________
    Referral 3: _________________________ Referral 4:_______________________________
    Referral Date: _________________________
    D. ADDITIONAL CLIENT INFORMATION:

    Current offense
    ____________________________________________________________________________

    Prior convictions for a sex offense or child abuse? ____Yes ____No       If “yes,” list
    convictions:
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    ___________________________________________________________________________________________________________________

    Currently on psychiatric medications? ____Yes ____No                     If “yes,” list medications:
    ___________________________________________________________________________________________________________________


    Chronic medical conditions? ____Yes ____No                    If “yes,” list conditions:
    ___________________________________________________________________________________________________________________


    E. COMMENTS IF OTHER CRITERIA WERE USED IN MAKING LEVEL OF SERVICE
       PLACEMENT REFERRAL(S):

_______________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________


    F. SEND THE FOLLOWING INFORMATION TO THE TREATMENT PROVIDER(S):
           1.  The A&D Service Triage Form
           2.  A completed Initial Intake and Assessment Form
           3.  Release of Information Form
           4.  Special conditions that may affect Tx. (i.e., no contact, restraining order, etc.)
           5.  Needs Assessment
           6.  Case Plan




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                                           SOLICITATION ATTACHMENT 8

                                           NO BID / COMMENT FORM
Solicitation #: ____________________

Solicitation Name:              __________________________________________________________________

Prospective Bidder or Proposer:

If you determine not to submit a bid or proposal in response to this solicitation, or have comments to provide
regarding our solicitation process, please complete and return this form for our records so that we may
consider your response.

“My firm has declined to submit a response for the following reason(s) (please check all reasons applicable
that apply and explain below):

         We do not offer this commodity and/or service or an equivalent
         Insufficient time to respond to the solicitation
         Too busy / our schedule would not permit us to perform
         Project’s budget estimate is too low / inadequate
          Bid Pages/evaluation questions too complicated (please indicate specific issues below)
         Instructions not clear (please indicate specific issues below)
         Other (please explain)


Remarks: _________________________________________________________________ ____
______________________________________________________________________________
_________________________________________________________________________ ____
______________________________________________________________________________
______________________________________________________________________________
Attach additional page(s) if necessary

Company Name:

Optional: Would you like us to contact you regarding this form? If so, please provide:

Contact Name: _________________________ Phone #: _________________________

Thank you for your assistance. Please send this form via email, mail or fax to:

                                                 Multnomah County CPCA
                                              Attn: Gerald E. Jelusich, CPPB
                                           501 SE Hawthorne Blvd., Suite 400
                                                    Portland OR 97214
                                                    Fax: 503-988-3252
                                       Email: gerald.e.jelusich@co.multnomah.or.us



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                                           SOLICITATION ATTACHMENT 9

                                                  LINE ITEM BUDGET
CONTRACTOR:__________________________________            FISCAL YEAR:____________________________
                  SERVICE:                                     SERVICE:

                   Total Value   Contract Funds Agency Funds   Total Value   Contract Funds Agency Funds

1. Salaries

2. Overtime

3. Fringe

4. Volunteers

5. Total
Personnel

6. Prof Svc

7. Printing

8. Utilities

9. Telephone

10. Equip Rent

11. Space Rent

12. Repairs

13. Postage

14. Supplies

15. Food

16. Educ/Trng

17. Mileage

18. Insurance

19. Data Proc.

20. Other

21. Other

22. Dues/Subs.

23. Overhead

24. Total
Material & Svc

25. Land

26. Buildings

27. Other Impr

28. Equipment

29. Total
Capital Outlay

30. TOTALS



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                                     SOLICITATION ATTACHMENT 10

                                      BED/SLOT CAPACITY FORM

ORGANIZATION NAME:____________________________________________________________________


                                BED /SLOT SERVICE REQUEST FORM
  Base Residential A&D Treatment
  Services
                                              Minimum      Optimum           Maximum
             BASE SERVICES
  Men and Women
  Men only
  Women only
  Youth Only
          SPECIALTY SERVICES
   Monolingual and Bilingual Spanish-
    Speaking Clients
    sspeaking Clients
   DCJ – Convicted Sex Offenders
   Housing for Dependent Children
   Whose Parents are in Residential
    Treatment


  Base Outpatient A/D Treatment
        Services
                                              Minimum      Optimum           Maximum
                     BASE SERVICES
  Men and Women
  Men only
  Women only
  Youth
           SPECIALTY SERVICES
   DCJ – Stop Court
   DCHS – Addiction Svs for Severely
    Addicted Multi-Diagnosed Clients
   Homeless Persons with Heroin
     Addition
    Addiction
   Culturally Specific Family focused
    African American Youth




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