REQUEST FOR PROPOSAL-Primary Early Mental Health Initiative (EMHI) Program Evaluation Consultant RFP # Notice to Prospective Proposers

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1 Page 1 of 68 REQUEST FOR PROPOSAL-Primary Early Mental Health Initiative (EMHI) Program Evaluation Consultant RFP # Notice to Prospective Proposers November 11, 2010 You are invited to review and respond to this Request for Proposal (RFP), entitled Early Mental Health Initiative (EMHI) Program Evaluation Consultant. In submitting your proposal, you must comply with these instructions. Failure to comply with any of the requirements may result in rejection of your proposal. By submitting a proposal, your firm agrees to the terms and conditions stated in this RFP and your proposed contract. Note that all agreements entered into with the State of California will include by reference General Terms and Conditions and Contractor Certification Clauses that may be viewed and downloaded at Internet site If you do not have Internet access, a hard copy can be provided by contacting the person listed below. This solicitation is published online in the California State Contracts Register at To ensure receipt of any addenda that may be issued, and answers to questions posed, interested parties must register online at The California (DMH) deadline for receipt of proposals is Tuesday, November 30, 2010, no later than 4:00 p.m. No late received, faxed, or ed proposals are acceptable. All late, faxed, and/or ed proposal s will be rejected and returned to the proposer. Proposals must be received on or before the date and time specified herein at the following location: Mailing and Street Address: Contract Services, Room 101 Attn: Grace Parker th Street Sacramento, CA You are advised that you are responsible for ensuring that your proposal is received by the above listed contact person by the time and date required. Any proposal reaching the contact person after the deadline date and time will be returned unopened. In the opinion of DMH, this RFP is complete and without need of explanation. However, if you have questions, notice any discrepancies or inconsistencies, or need any clarifying information, you must submit your questions through the BidSync system, no later than the date stated in Section B, 1, Key Action Dates. Please note that no verbal information given will be binding upon the State unless such information is issued in writing as an official addendum, or as answers to questions at the Bidsync site.

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3 Page 3 of 68 Table of Contents Description Page A. Purpose / Background / Scope of Services 3-6 B. Proposal Requirements and Information 7 1. Key Action Dates 7 2. Submission of Proposals 7 3. Technical Proposal Requirements/Minimum Qualifications 9 4. Cost Proposal Requirements Evaluation Process Award and Protest Information Disposition of Proposals Agreement Execution and Performance 13 D. Preference Programs Small Business Preference Non-Small Business Preference Disabled Veteran Business Enterprise Incentive Other Preferences 14 E. Required Attachments Required Attachment Check List Proposal/Proposer Certification Sheet Bidder Declaration (Form GSPD ) Proposer References Darfur Contracting Act Certification Cost Proposal Work Sheet Payee Data Record (STD 204)** Contractor's Certification Clauses (CCC-307)** Sample Standard Agreement (STD 213)** 34 Exhibit A, Scope of Work** Exhibit B, Budget Detail and Payment Provisions** Exhibit D, Special Terms and Conditions** Exhibit E, Confidentiality & Information Security Provisions** California DVBE Bid Incentive Instructions* **These documents are not required with the Proposal package but are required upon award of the contract. *This item is for reference.

4 Page 4 of 68 A. PURPOSE / BACKGROUND / SCOPE OF WORK 1. Purpose The California (DMH) is issuing this Request for Proposal (RFP) to solicit proposals to acquire a contractor that shall collect, evaluate, and report data for school-based early mental health intervention and prevention services for students currently in 413 school sites in 27 counties throughout the State which number may increase or decrease. 2. Program Background The following paragraphs describe the program to be evaluated under the contract to be awarded through this RFP. Chapter 757, Statutes of 1991 (Assembly Bill 1650/Hansen), authorized the School-Based Early Mental Health Intervention and Prevention Services for Children Act, known as the Early Mental Health Initiative (EMHI). This legislation was amended by Chapter 722, Statutes of 1992 (Senate Bill 485/L. Greene) and Chapter 1161, Statutes of 2002 (Assembly Bill 442/Committee On Budget). Please refer to Part 4 (commencing with Section 4370) of Division 4 of the Welfare and Institutions Code (see Appendix A). The EMHI allows the DMH to award matching grants to Local Education Agencies (LEAs) defined as school districts, county offices of education, or state special schools to implement, expand, or modify early mental health intervention and prevention programs. The grant funding is provided for one three-year cycle. EMHI funded programs must be based at publicly-funded elementary schools and provide services to students in kindergarten through third grade experiencing mild to moderate school adjustment difficulties. The goals of the Initiative and subsequent legislation are to enhance the social and emotional development of young students, increase the likelihood that students experiencing mild to moderate school adjustment difficulties will succeed in school, increase their personal competencies related to life success, and minimize the need for more intensive and costly services as they grow older. By allocating matching fiscal support for the first three years of the LEA s early mental health intervention and prevention program, EMHI provides an opportunity for the LEAs working with cooperating mental health entities, such as local mental health programs or private nonprofit agencies, to implement schoolbased programs which enhance the school adjustment, mental health, and social/emotional development of students. a. Key Elements of EMHI EMHI emphasizes several key elements related to the implementation of school-based early mental health prevention and intervention programs. Programs funded through EMHI should: i. Serve students in kindergarten through third grade experiencing mild to moderate school adjustment difficulties. ii. Provide services that are school-based and low cost. iii. Provide services in a culturally competent manner.

5 Page 5 of 68 iv. Provide services to appropriate students in the target population from low-income families. v. Provide services to appropriate students in the target population who are in out-ofhome placement or are at risk of out-of-home placement. vi. Encourage the involvement of parents/guardians and teaching staff to build alliances to promote students mental health/social and emotional development. vii. Provide services in collaboration with a Cooperating Mental Health Entity such as a County Mental Health Department or a private non-profit agency. viii. Use a systematic selection process of students most likely to benefit from program participation. ix. Use alternative personnel, such as Child Aides, to provide direct services to students instead of licensed/credentialed staff. The primary focus of these grants is services, with the Childe Aides providing direct services. School staff with a Pupil Personnel Services (PPS) credential provide supervision to the Child Aides, while both mental health and school professionals provide training to the Child Aides. x. Change the traditional roles of mental health professionals from direct service provision to providing supervision and training to the Child Aides. xi. Provide ongoing supervision and training of Child Aides by school psychologists, school social workers, or school counselors (with a PPS credential) in collaboration with professional staff of the Cooperating Mental Health Entities. xii. Provide ongoing monitoring and evaluation of program services. xiii. Ensure implementation of programs that are based on adoption or modification, or both, of existing program services that have been shown to be effective and which are based on sound research. b. EMHI Program Instruments All EMHI funded programs are required to use the Walker Survey Instrument (WSI) to assist in the selection of appropriate program participants in first grade and may use the WSI to assist in the selection of appropriate program participants in kindergarten, second and third grades. EMHI funded programs are also required to use the Walker-McConnell Scale of Social Competence and School Adjustment (WMS) to evaluate program impact, and the Participant Data Instrument (PDI) to collect demographic and miscellaneous information about program participation. Detailed information about these instruments is provided in the SELECTION PROCESS and PROGRAM EVALUATION sections. The DMH has legal propriety to use the WSI, WMS and PDI for the collection and evaluation of EMHI funded program data. c. EMHI Selection Process Students are identified for participation in an EMHI funded program by a systematic selection process using various resources. The most widely used method is a process that utilizes a brief teacher survey, the WSI, which collects teacher observations for

6 Page 6 of 68 identifying mild to moderate school adjustment difficulties that relate to classroom behaviors and peer relationships. The WSI consists of a subset of 19 items from the WMS. It should be noted that the selection process includes a team approach and does not rely solely on the WSI information. Information from the WSI is used in conjunction with input from the SBMHP, teacher, principal, and child aides. The programs are required to complete WSIs for all first grade students. Many programs also elect to utilize the WSI as part of the process for selection of participants in other grade levels (kindergarten, second, and third). Participants in grades first through third may be identified at any time after approximately four weeks into the school year. The kindergarten selection process occurs after the first half of the students school year. EMHI requires the LEAs to submit all completed WSIs to the contractor for analysis. The LEAs may elect to hand-score the WSIs prior to forwarding to the contractor. Approximately 75 percent of all the schools in the LEAs elect to hand-score the WSIs at the school site and then, as required by the DMH, forward the WSIs to the contract evaluator for data compilation. This data is included in the LEAs annual program evaluation reports. Hand scoring allows the program staff to immediately continue the selection process. Approximately 25 percent of the schools forward the WSIs directly to the contract evaluator for scoring and data compilation. These sites must wait until results are received from the statewide evaluator to continue the selection process. Consequently, to enable these LEAs to finalize student selection as soon as possible, rapid response from the statewide evaluator is essential. The WSIs should be scored and returned to the LEAs within 72 hours from the time of receipt. Utilizing a team approach conducted under the leadership of the SBMHP, students identified by the WSIs as experiencing mild to moderate school adjustment difficulties are further reviewed for potential program participation. Students may also be referred for program services by teachers, parents, and/or administrators. Students recommended for program services by school staff or parents are also reviewed by the team of program staff to determine if participation in the EMHI funded program is appropriate. d. Data Collection EMHI funded programs are required to participate in the statewide program evaluation, which includes maintaining records that measure the student's adjustment to school, quantitative and qualitative program effectiveness and characteristics, as well as the LEA and student demographic information. e. EMHI Program Evaluation The impact of program participation is measured by the WMS. The WMS is a 43-item scale that evaluates adaptive behaviors necessary to function independently in a classroom instructional setting and interpersonal social competencies necessary to maintain adequate social interactions with teachers and other students in the school setting. The 43 items are distributed across three subscales: Subscale 1, Teacher-Preferred Social Behaviors, consists of 16 items and is designed to measure social behaviors of students that are highly valued or preferred by teachers during non-instructional interactions with other students. Items in this subscale reflect levels of sensitivity, empathy, cooperation, self-control, and socially mature and appropriate forms of behavior in peer relations.

7 Page 7 of 68 Subscale 2, Peer-Preferred Social Behaviors, consists of 17 items that measure social behaviors that are highly valued by peers in terms of peer dynamics and social relations. The behavior content of items in this subscale reflects level of interaction with peers, helpfulness, ability to make friends, leadership, perceptiveness, communication, and sharing with others. Subscale 3, Classroom Adjustment Behaviors, consists of 10 items that measure adaptive social-behavioral competencies highly valued by teachers in classroom instructional contexts. The content of this subscale reflects student competencies which teachers feel are necessary for the effective management of instructional environments, such as student study habits, listening skills, participation, responsiveness, and quality of work. The WMS is completed by the participating student s teacher within one week prior to the start of program services and then again within one week after the completion of program services. The LEAs are required to complete and submit a pre/post WMS on all students receiving direct program services. The LEAs are also required to complete and submit a Participant Data Instrument (PDI) for all students receiving direct program services. The PDI collects demographic information on students (e.g., grade level, gender, ethnicity, participation in other supportive services, number of school transfers, retention in grade, etc.), documents information on an individual student's program participation (e.g., beginning and ending date of program services, number, length, and type of each session, etc.), records the program model (Primary Intervention Program (PIP), Other Model, Other Model and PIP, Enhanced PIP, Enhanced Other Model, or Enhanced Other Model and PIP) and types of sessions (individual, group, combined individual and group, or multiple direct services), including services offered to school staff, families and/or parents through an enhancement program. The PDI also summarizes the SBMHP s evaluation of the student's change in behavior and recommendations, if deemed necessary, for any future mental health program needs. 3. Scope of Work Contractor shall provide all necessary materials, supplies, tools, equipment, and personnel to : 1) collect required student data from Local Education Agencies (LEAs) with school sites operating EMHI programs, 2) provide analysis, formatting, and reporting of the EMHI program data; 3) provide Technical Assistance (TA) to school sites, including EMHI Annual Training Conference workshop presentations; 4) provide consultation services to DMH staff, including conducting special studies; 5) provide support to the six EMHI Technical Assistance Consultants (TACs) that provide training and TA directly to school-based program personnel responsible for implementing the EMHI programs at the school sites; for the Early Mental Health Initiative (EMHI), Program Evaluation and Technical Assistance and Consultation services (PETAC) throughout the State of California; in accordance with the Scope of Work Please carefully review and consider the detailed Scope of Work located in Attachment 8, Sample Agreement, Exhibit A, Scope of Work (Pages 35-43), in order to complete your proposal.

8 Page 8 of 68 B. PROPOSAL REQUIREMENTS AND INFORMATION 1. Key Action Dates Event Date Time RFP available to prospective proposers 11/11/10 3:00 PM PST Written Question Submittal Deadline 11/18/10 3:00 PM PST Written responses, if any, to be posted on CSCR (BidSync) 11/23/10 5:00 PM PST Final Date for Proposal Submission 11/30/10 4:00 PM PST Opening of Sealed Cost Proposals 12/7/10 10:00 AM PST Notice of Intent to Award 12/7/10 4:00 PM PST Proposed Contract Award Date 12/14/10 NA 2. Submission of Proposal a. Proposals should provide straightforward and concise descriptions of the proposer's ability to satisfy the requirements of this RFP. The proposal must be complete and accurate. Omissions, inaccuracies or misstatements will be sufficient cause for rejection of a proposal. b. The proposal package should be prepared in the least expensive method. c. All proposals must be submitted under sealed cover and sent to DMH by dates and times shown in Section B, 1, Key Action Dates; and in accordance with these instructions. Proposals received after due dates and times will not be considered. d. A minimum of one original and five (5) copies of the proposal must be submitted. e. The original proposal must be marked "ORIGINAL COPY". All documents contained in the original proposal package must have original signatures and must be signed by a person who is authorized to bind the proposing firm. All additional proposal sets may contain photocopies of the original package.

9 Page 9 of 68 f. The proposal envelopes must be plainly marked with the RFP number and title, your firm name and address, and must be marked with "DO NOT OPEN", as shown in the following example: (Firm Name and Address) RFP # EMHI Program Evaluation Consultant DO NOT OPEN The bid price and all cost information must be submitted in a separate sealed envelope. The envelope should be affixed to the outside of the proposal package and marked Sealed Cost Proposal-DO NOT OPEN. Proposals (Technical Proposal and Cost Offer Packet) not submitted under separate, sealed cover and marked as indicated may be rejected. g. If the proposal is made under a fictitious name or business title, the actual legal name of proposer must be provided. h. All proposals shall include the documents identified in Section E, Required Attachment Checklist (Page 15). Proposals not including the proper "required attachments" shall be deemed non-responsive. A non-responsive proposal is one that does not meet the basic proposal requirements. i. Mail or deliver proposals to the following address: U.S. Postal Service Deliveries and Hand Deliveries (UPS, Express Mail, Federal Express) Attn: Grace Parker, Contract Services th Street, Room 101 Sacramento, CA j. Proposals must be submitted for the performance of all the services described herein. Any deviation from the work specifications will not be considered and will cause a proposal to be rejected. k. A proposal may be rejected if it is conditional or incomplete, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all proposals and may waive any immaterial deviation in a proposal. The State's waiver of immaterial deviation shall in no way modify the RFP document or excuse the proposer from full compliance with all requirements if awarded the agreement. l. Costs incurred for developing proposals and in anticipation of award of the agreement are entirely the responsibility of the proposer and shall not be charged to the State of California. m. An individual who is authorized to bind the proposing firm contractually shall sign the Attachment 2, Proposal/Proposer Certification Sheet (Page 16). The signature must indicate the title or position that the individual holds in the firm. An unsigned proposal may be rejected.

10 Page 10 of 68 n. A proposer may modify a proposal after its submission by withdrawing its original proposal and resubmitting a new proposal prior to the proposal submission deadline as set forth in the Key Action Dates. Proposal modifications offered in any other manner, oral or written, will not be considered. o. A proposer may withdraw its proposal by submitting a written withdrawal request to the State, signed by the proposer or an authorized agent in accordance with h) above. A proposer may thereafter submit a new proposal prior to the proposal submission deadline. Proposals may not be withdrawn without cause subsequent to proposal submission deadline. p. The awarding agency may modify the RFP prior to the date fixed for submission of proposals by the issuance of an addendum to all parties who received a proposal package. q. The awarding agency reserves the right to reject all proposals. The agency is not required to award an agreement. r. Before submitting a response to this solicitation, proposers should review, correct all errors and confirm compliance with the RFP requirements. s. Where applicable, proposer should carefully examine work sites and specifications. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications. t. More than one proposal from an individual, firm, partnership, corporation or association under the same or different names, will not be considered. u. The State does not accept alternate contract language from a prospective contractor. A proposal with such language will be considered a counter proposal and will be rejected. The State s General Terms and Conditions (GTC) are not negotiable. v. No oral understanding or agreement shall be binding on either party. 3. Technical Proposal Requirements/Minimum Qualifications a. The Proposer shall provide a section in their proposal entitled Minimum Qualifications that provides evidence that they have at least five years of demonstrated experience in the following areas: i. California s public elementary school system addressing the social/emotional learning of students. ii. Psycho-social behavioral screening and evaluation instruments appropriate for children in kindergarten through third grade. iii. Research, data collection, analysis, and reporting, using large data sets and current technology. iv. Quality assessment and improvement methods. v. Cultural competency standards and issues.

11 Page 11 of 68 c. The Proposer shall provide a section in their proposal entitled Scoring Criteria that addresses each section under the following three (3) headings in the order shown below: i. Understanding Children s Needs and the Request for Proposal A) Proposer s demonstrated knowledge of children s mental health needs, early mental health intervention and prevention program models and school systems. B) Proposer s demonstrated understanding of the problems associated with mild to moderate school adjustment difficulties of students in K-3 and how these difficulties can be identified and evaluated to determine program effectiveness. C) Proposer s articulation of their ability to perform and meet the required RFP components. ii. Methodology and Services A) Proposer s experience and knowledge of research and evaluation methodologies. B) Proposer s experience in collecting, analyzing, and preparing evaluation reports which support valid, reliable, and clear conclusions. C) Proposer s ability to provide a variety of services (e.g., consultation and technical assistance to the LEAs and the DMH, workshop presentation, etc.). iii. Capacity for Provision of Services A) Feasibility of the proposed timelines. B) Qualifications of proposed staff, and experience of the organization in successfully providing similar services. The Proposer will submit the following organization and staff information: 1) A description of the organizational structure. 2) The duties and responsibilities for key project staff. 3) The activities a subcontractor or consultant, if any, will perform or complete. 4) The organization's experience in performing work similar to that requested in this RFP and/or current involvement with similar projects. 5) Three (3) references for successfully completed similar services performed within the last five (5) years. If three references cannot be provided, please explain why on an attached sheet of paper.

12 Page 12 of Cost Proposal Requirements The total costs of all tasks and milestones cannot exceed: $1,000, The proposer shall refer to Scope of Work located in Attachment 8, Sample Agreement, Exhibit A, Scope of Work (Pages 35-43) for details on tasks, deliverables and milestones. The Cost Proposal Worksheet Attachment 6 (Pages 22-27) must be used in preparing and submitting your Cost Proposal. 5. Evaluation Process a. At the time of proposal opening, each proposal will be checked for the presence or absence of required information in conformance with the submission requirements of this RFP. b. Proposals that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the proposer, may be rejected. c. The final selection will be made to the lowest monetary responsible proposer achieving a passing score, after application of preferences. d. Phase 1 of the evaluation process will determine which proposals demonstrate the knowledge, expertise, and experience to successfully perform the tasks specified in the RFP. In scoring the proposal, each scoring criterion will be rated on the basis of completeness, responsiveness, clarity of response, and weighed in the context of its contribution to the end product (see the Rating/Scoring Criteria below for reference). A minimum of eighty (65) points must be achieved in Phase 1 in order to move on to Phase 2. A minimum of twenty (20) points must be achieved for each rating/scoring criteria with the exception of Overall Quality/Presentation of Offer in which a minimum score of 5 must be achieved.

13 Page 13 of 68 e. Rating/Scoring Criteria: Understanding Children s Needs and the Request for Proposal Proposer s demonstrated knowledge of children s mental health needs, early mental health intervention and prevention program models and school systems. Proposer s demonstrated understanding of the problems associated with mild to moderate school adjustment difficulties of students in K-3 and how these difficulties can be identified and evaluated to determine program effectiveness. Proposer s articulation of their ability to perform and meet the required RFP components. Methodology and Services Proposer s experience and knowledge of research and evaluation methodologies. Proposer s experience in collecting, analyzing, and preparing evaluation reports which support valid, reliable, and clear conclusions. Proposer s ability to provide a variety of services (e.g., consultation and technical assistance to the LEAs and the DMH, workshop presentation, etc.). Capacity for Provision of Services Points Possible Feasibility of the proposed timelines. Qualifications of proposed staff, and experience of the organization in successfully providing similar services. Overall Quality/Presentation of Offer 10 Total Maximum Points Score e. Phase 2 consists of opening and evaluating the sealed Cost Proposals which have proceeded from Phase 1. All proposals that enter Phase II will have received eighty (80) points or more and are considered fully capable of performing the required services. The sealed envelopes containing the Cost Proposals shall be publicly opened and read at the California, th Street, Sacramento, CA, 95814, on October 12, 2010, 2:00p.m. The agreement will be awarded to the lowest dollar amount, responsible proposer meeting the requirements outlined in this RFP. 6. Award and Protest a. Notice of the proposed award shall be posted in a public place in the offices of DMH, th Street, Room 101, Sacramento, CA and on the following Internet site: for five (5) working days prior to awarding the agreement. b. Protest Procedures

14 Page 14 of 68 This RFP is being solicited in accordance with Section 4390 of the Welfare and Institutions Code (WIC). Section 4380(p) WIC exempts the EMHI from the protest provisions of the Public Contract Code and the State Administrative Manual. Therefore, the protest provisions for this RFP shall be as stated below: i. Only those parties who have submitted a proposal may protest. ii. An Intent to Protest letter must be received at the following address not later than five (5) working days (excluding the first day and including the last day) from the date of the posting of Notice of Intent to Award. The only acceptable delivery method for an Intent to Protest letter is by a postal service (United States Post Office, Federal Express, etc). The Intent to Protest letter cannot be hand delivered by the applicant, faxed, or sent by electronic mail. Any letter received without an original signature and/or by a delivery method other than a postal service will not be considered. California RFP # EMHI Program Evaluation Consultant Intent to Protest Letter Attn: Manager, Contract Services th Street, Room 101 Sacramento, CA ii. Within 24 hours of receiving the Intent to Protest letter from the protesting Proposer, the DMH will send the protesting Proposer a letter acknowledging the receipt of the Intent to Protest letter. Within five (5) working days from the date the DMH receives the Intent to Protest Letter, the protesting Proposer must file with the DMH at the above address a Letter of Protest detailing the grounds for the protest. The only acceptable delivery method for the Letter of Protest is by a postal service (United States Post Office, Federal Express, etc.). The Letter of Protest cannot be hand delivered by the applicant, faxed, or sent by electronic mail. Any letter received without an original signature and/or by a delivery method other than a postal service will not be considered. iii. The Letter of Protest must allege that the Proposer should be the low bidder and awardee; and describe the factors which caused the Proposer to conclude that the Evaluation Committee did not follow the prescribed rating standards, explain why the score is in conflict with the rating standards or the contract award process described in the RFP, and identify specific information in the proposal that the Proposer believes was overlooked or misinterpreted. The Letter of Protest may not provide any additional information that should have been included in the original proposal. iv. If any Proposer files a Letter of Protest, the contract shall not be awarded until the DMH has reviewed the protest. v. The DMH's decision will be rendered within 10 working days of the receipt of the Letter of Protest and will be considered final. 7. Disposition of Proposals a. Upon proposal opening, all documents submitted in response to this RFP will become the property of the State of California, and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

15 Page 15 of Agreement Execution and Performance a. If an agreement is awarded, no work shall begin until all approvals have been obtained. b. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five (5) days written notice to the Contractor, reserves the right to terminate the agreement. c. All performance under the agreement shall be completed on or before the termination date of the agreement. d. If appropriate, DMH reserves the right to amend the agreement resulting from this RFP for additional time and/or additional funding. D. PREFERENCE PROGRAMS 1. Small Business Preference: Proposers that are certified as a small business in California are encouraged to apply. In accordance with Government Code Section , et seq. and California Code of Regulations, Title 2, Section 1896, et seq., a five (5) percent preference will be granted to a proposer's properly certified as a California Small Business, Microbusiness, or Non-Small Business with a Small Business subcontracting for a minimal of 25% of the proposal amount. A five (5) percent preference will be granted to a proposer's certified as a Non- Profit Veteran Service Agency in accordance with the Military and Veterans Code Section An explanation on how to become certified as a small business, and related information, can be found on the Internet at: For the purposes of this RFP, all proposers must submit a completed Small Business Form. Applications must be on file at the Office of Small Business and Disabled Veteran Business Enterprise Certification by 5:00 p.m. on proposal opening day. 2. Non-Small Business Preference: Revisions to Government Code Section (b) (1) (2) provide for a non-small business preference. The preference to a non-small business proposer that commits to small business or microbusiness subcontractor participation may also be awarded the 5% preference. Further information on this Non-Small Business Preference, can be found on the Internet at 3. Disabled Veteran Business Enterprise Incentive Program (Optional) The State hereby waives the mandatory Disabled Veteran Business Enterprise (DVBE) participation requirement for this IFB; however, an incentive for proposers who include DVBE participation is available and encouraged. For evaluation purposes only, the State shall apply an incentive to proposals that include California certified DVBE participation as identified on the Bidder Declaration GSPD , and the Disabled Veteran's Business Enterprise Declarations, Std. 843; and confirmed by the State. The incentive amount will vary in conjunction with the percentage of DVBE participation in accordance with the following formula:

16 Page 16 of 68 Confirmed DVBE Participation of: 5% or Over 5% 4% to 4.99% Inclusive 4% 3% to 3.99% Inclusive 3% 2% to 2.99% Inclusive 2% 1% to 1.99% Inclusive 1% The net bid price of responsive proposals with DVBE participation will be reduced (for evaluation purposes only) by the amount of DVBE incentive as applied to the lowest responsive net bid price. If the #1 ranked, responsive, responsible bid is a California certified small business, the only bidders eligible for the incentive will be other California certified small businesses. The incentive adjustment for awards based on low price cannot exceed 5% or $100,000.00, whichever is less, of the #1 ranked net bid price. When used in combination with a Small Business preference adjustment, the cumulative adjustment amount cannot exceed $100, Information submitted by the proposer to claim the DVBE incentive will be verified by the State. Only the DVBEs who shall perform a commercially useful function relevant to the Scope of Work included in this IFB may be used to qualify the proposer for a DVBE incentive. For more information regarding the DVBE incentive, Commercially Useful Function definition, and how to find DVBEs, please see Attachment Other Preference Programs (Optional) Additional preference programs exist for business enterprise zones and military base closure areas. For information regarding these programs please see the following web site address. Target Area Contract Preference Act (TACPA) Local Agency Military Base Recovery Area (LAMBRA) Act Enterprise Zone Act (EZA) E. REQUIRED ATTACHMENTS Refer to the following pages for additional Required Attachments that are a part of this agreement.

17 Page 17 of 68 ATTACHMENT 1 REQUIRED ATTACHMENT CHECK LIST Proposer Name: A complete proposal or proposal package will include consist of the items identified below. Complete this checklist to confirm the items in your proposal. Place a check mark or X next to each item that you are submitting to the State. For your proposal to be responsive, all required attachments must be returned. This checklist must be returned with your proposal package also. Attachment Attachment Name/Description Your Proposal Attachment 1 Required Attachment Check List Attachment 2 Proposal/Proposer Certification Sheet Attachment 3 Bidder Declaration (Form GSPD ) Attachment 4 Proposer References Attachment 5 Darfur Contracting Act Certification Attachment 6 Cost Sheet, in a separate, sealed envelope The following attachments are for reference only. Only the successful proposer will submit these documents, after award. Attachment 7 Payee Data Record (STD 204) (if currently not on file) Attachment 8 Contractor Certification Clauses (CCC-307) The CCC-307 can be found on the Internet at Attachment 9 Sample Standard Agreement (Std. 213 and Exhibits) Attachment 10 CA DVBE Bid Incentive Instructions

18 Page 18 of 68 ATTACHMENT 2 PROPOSAL/PROPOSER CERTIFICATION SHEET This Proposal/Proposer Certification Sheet must be signed and returned in duplicate with original signatures. Do not return Section C, Proposal Requirements and Information nor the "Sample Agreement" at the end of this RFP. A. Our all-inclusive cost proposal is submitted in a sealed envelope marked "Cost Proposal - Do Not Open". B. The signature affixed hereon and dated certifies compliance with all the requirements of this proposal document. The signature below authorizes the verification of this certification. An Unsigned Proposal/Proposer Certification Sheet May Be Cause For Rejection 1. Company Name 2. Telephone Number 2a. Fax Number ( ) ( ) 3. Address Indicate your organization type: 4. Sole Proprietorship 5. Partnership 6. Corporation 7. Indicate applicable license and/or certification information: 8. Proposer s Name (Print) 9. Title 10. Signature 11. Date

19 Page 19 of 68 Completion Instructions for Proposal/Proposer Certification Sheet Complete the numbered items on the Proposal/Proposer Certification Sheet by following the instructions below. Item Numbers Instructions 1, 2, 2a, 3 Must be completed. These items are self-explanatory. 4 Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business. 5 Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit. 6 Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals. 7 Enter your federal employee tax identification number. 8 Enter your corporation number assigned by the California Secretary of State s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California. 9 Complete, if applicable, by indicating the type of license and/or certification that your firm possesses and that is required for the type of services being procured. 10,11 Must be completed. These items are self-explanatory.

20 Page 20 of 68 Attachment 3 Bidder Declaration (GSPD ) The Bidder Declaration form (GSPD ) is a required submittal with your proposal. It is available at the following website:

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22 Page 22 of 68 ATTACHMENT 4 PROPOSER REFERENCES Submission of this attachment is mandatory. Failure to complete and return this attachment with your proposal will cause your proposal to be rejected and deemed nonresponsive. List below three references of similar types of services performed within the last five years. If three references cannot be provided, please explain why on an attached sheet of paper. REFERENCE 1 Name of Firm Street Address City State Zip Code Contact Person Telephone Number Dates of Service Value or Cost of Service Brief Description of Service Provided REFERENCE 2 Name of Firm Street Address City State Zip Code Contact Person Telephone Number Dates of Service Value or Cost of Service Brief Description of Service Provided REFERENCE 3 Name of Firm Street Address City State Zip Code Contact Person Telephone Number Dates of Service Value or Cost of Service Brief Description of Service Provided

23 Page 23 of 68 ATTACHMENT 5 Darfur Contracting Act Certification Public Contract Code Sections applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal. If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form. OPTION #1 - CERTIFICATION If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below. I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California. Company/Vendor Name (Printed) Federal ID Number By (Authorized Signature) Printed Name and Title of Person Signing Date Executed Executed in the County and State of OPTION #2 WRITTEN PERMISSION FROM DGS Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below. We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal. Company/Vendor Name (Printed) Federal ID Number Initials of Submitter Printed Name and Title of Person Initialing

24 Page 24 of 68 ATTACHMENT 3 COST PROPOSAL WORKSHEET The project numbers and deliverables/services in this cost proposal worksheet correspond with the Scope of Work (Pages 35-43). Fiscal Year 2010/2011 Project Deliverable/Service Description Deliverable/Service Cost 7.A.1 Activity Status Reports 7.A.2 Bi-annual Staff Meetings 7.B Technical Assistance & Records Management 7.C.1 Generate and mail order-forms to LEAs for ordering evaluation materials. 7.C.2 Production of evaluation materials (based on amount of order forms returned by LEAs). 7.C.3 Mail evaluation materials to approximately 86 year-round schools. 7.C.4 Mail evaluation materials to approximately 327 traditional calendar schools. 7.C.5 Mail evaluation materials to newly awarded EMHI programs. 7.C.6 Process forms returned by LEAs; mail scored forms along with results to LEAs. 7.D Data Processing and Reporting of Student Level Data. 7.E Preliminary Local Evaluation Data (PLED) Reports. 7.F.1 Local Evaluation Data (LED) Reports using 2008/2009 data only. 7.F.2 Local Evaluation Data (LED) Reports using 2009/2010 data only. 7.G.1 Prepare and submit draft of Statewide Evaluation Report to DMH.

25 Page 25 of 68 7.G.2 Finalize Statewide Evaluation Report and submit to DMH. 7.H.1 Workshops and Training at EMHI Annual Training Conference. 7.I One (1) Presentation at a Mental Health Conference. 7.J Technical Assistance (TA) Activities to Provide DMH with consultation on instrumentation, evaluation of outcomes, data analysis/reporting, and other issues. 7.K EMHI CRG Update Revision. Total Proposed Cost for 2010/2011 Deliverables/Services

26 Page 26 of 68 Fiscal Year 2011/2012 Project Deliverable/Service Description Deliverable/Service Cost 7.A.1 Activity Status Reports 7.A.2 Bi-annual Staff Meetings 7.B Technical Assistance & Records Management 7.C.1 Generate and mail order-forms to LEAs for ordering evaluation materials. 7.C.2 Production of evaluation materials (based on amount of order forms returned by LEAs). 7.C.3 Mail evaluation materials to year-round schools. 7.C.4 Mail evaluation materials to traditional calendar schools. 7.C.5 Mail evaluation materials to newly awarded EMHI programs. 7.C.6 Process forms returned by LEAs; mail scored forms along with results to LEAs. 7.D Data Processing and Reporting of Student Level Data. 7.E Preliminary Local Evaluation Data (PLED) Reports. 7.F.2 Local Evaluation Data (LED) Reports using 2010/2011 data only. 7.G.1 Prepare and submit draft of Statewide Evaluation Report to DMH. 7.G.2 Finalize Statewide Evaluation Report and submit to DMH. Continued on next page

27 Page 27 of 68 Continued from previous page 7.H.1 Workshops and Training at EMHI Annual Training Conference. 7.I One (1) Presentation at a Mental Health Conference. 7.J Technical Assistance (TA) Activities to Provide DMH with consultation on instrumentation, evaluation of outcomes, data analysis/reporting, and other issues. 7.K EMHI CRG Update Revision. 7.L Annual Trend Report. Total Proposed Cost for 2011/2012 Deliverables/Services

28 Page 28 of 68 Fiscal Year 2012/2013 Project Deliverable/Service Description Deliverable/Service Cost 7.A.1 Activity Status Reports 7.A.2 Bi-annual Staff Meetings 7.B Technical Assistance & Records Management 7.C.1 Generate and mail order-forms to LEAs for ordering evaluation materials. 7.C.2 Production of evaluation materials (based on amount of order forms returned by LEAs). 7.C.3 Mail evaluation materials to year-round schools. 7.C.4 Mail evaluation materials to traditional calendar schools. 7.C.5 Mail evaluation materials to newly awarded EMHI programs. 7.C.6 Process forms returned by LEAs; mail scored forms along with results to LEAs. 7.D Data Processing and Reporting of Student Level Data. 7.E Preliminary Local Evaluation Data (PLED) Reports. 7.F.2 Local Evaluation Data (LED) Reports using 2011/2012 data only. 7.G.1 Prepare and submit draft of Statewide Evaluation Report to DMH. 7.G.2 Finalize Statewide Evaluation Report and submit to DMH. Continued on next page

29 Page 29 of 68 Continued from previous page 7.H.1 Workshops and Training at EMHI Annual Training Conference. 7.I One (1) Presentation at a Mental Health Conference. 7.J Technical Assistance (TA) Activities to Provide DMH with consultation on instrumentation, evaluation of outcomes, data analysis/reporting, and other issues. 7.K EMHI CRG Update Revision. 7.L Annual Trend Report. Total Proposed Cost for 2012/2013 Deliverables/Services SUMMARY FY 2010/2011 Total Proposed Cost FY 2011/2012 Total Proposed Cost FY 2012/2013 Total Proposed Cost Total Proposed Cost Not to exceed $1,000,000.00

30 Page 30 of 68 ATTACHMENT 7 PAYEE DATA RECORD (Std. 204)

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32 Page 32 of 68 ATTACHMENT 8 CONTRACTOR CERTIFICATION CLAUSES (CCC-307) CERTIFICATION I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the State of California. Contractor/Bidder Firm Name (Printed) Federal ID Number By (Authorized Signature) Printed Name and Title of Person Signing Date Executed Executed in the County of CONTRACTOR CERTIFICATION CLAUSES 1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code (a-f) and CCR, Title 2, Section 8103) (Not applicable to public entities.) 2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug-free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the proposed Agreement will: 1) receive a copy of the company's drug-free workplace policy statement; and,

33 Page 33 of 68 2) agree to abide by the terms of the company's statement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code 8350 et seq.) 3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order of the National Labor Relations Board. (Pub. Contract Code 10296) (Not applicable to public entities.) 4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT: Contractor hereby certifies that contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm s offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section and , and is eligible to contract with the State of California. 6. SWEATFREE CODE OF CONDUCT: a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at and Public Contract Code Section b. The contractor agrees to cooperate fully in providing reasonable access to the contractor s records, documents, agents or employees, or premises if reasonably required by authorized