5172 15 RFB SOT Services Region 8 AMENDED

5172 15 RFB SOT Services Region 8 AMENDED
State of Wisconsin
Wis. Statutes s.16.75
DOA-3070 (R08/2003)
BIDS MUST BE SEALED AND ADDRESSED TO:
AGENCY ADDRESS:
DEPARTMENT OF CORRECTIONS
REBECCA HOEFS / PURCHASING SERVICES
SECTION
3099 EAST WASHINGTON AVENUE
P.O. BOX 7991
MADISON, WI 53707-7991
REQUEST FOR BID
THIS IS NOT AN ORDER
BIDDER, provide your name and address here:
Remove from bidder list for this commodity/service. (Return this page only.)
Bid envelope must be sealed and plainly marked in lower corner with due date and
Request for Bid # RLH-5172. Late bids will be rejected. Bids MUST be date and
time stamped by the soliciting purchasing office on or before the date and time that
the bid is due. Bids dated and time stamped in another office will be rejected.
Receipt of a bid by the mail system does not constitute receipt of a bid by the
purchasing office. Any bid which is inadvertently opened as a result of not being
properly and clearly marked is subject to rejection. Bids must be submitted
separately, i.e., not included with sample packages or other bids. Bid openings are
public unless otherwise specified. Records will be available for public inspection
after issuance of the notice of intent to award or the award of the contract. Bidder
should contact person named below for an appointment to view the bid record.
Bids shall be firm for acceptance for sixty (60) days from date of bid opening,
unless otherwise noted. The attached terms and conditions apply to any
subsequent award.
Bids MUST be in this office no later than
May 13, 2015 3:00PM CT
Name (Contact for further information)
Date
Rebecca Hoefs
April 14, 2015
Phone
(608)240-5574
Email
AMENDED 04/23/15:
[email protected]
Quote Price and Delivery FOB
Destination
To correct language
in Section 2.2.1 and
Section 4.5 # 14.
Fax bids and Email bids are not accepted
Description
The Department of Corrections (DOC), Division of Community Corrections (DCC) is requesting bids for Secular,
Non-Residential Sex Offender Treatment Services in DCC Region 8 (Lacrosse County, City of Lacrosse; Monroe CountyCity of Sparta), per attached terms, conditions and specifications.
Location
Line item
Lacrosse
1.
QUANTITY
AND UNIT
50
Sex Offender Treatment Assessments, Section 4.5.1
assessments
Lacrosse
2.
40
Sex Offender Individual Treatment, Section 4.5.2
Sessions
Lacrosse
3.
Lacrosse
4.
312
Sex Offender Treatment Groups, Section 4.5.3
groups
200
(1 session/week x 52 weeks x 6 cycles = 312 groups total)
Sex Offender Aftercare Groups, Section 4.5.4
groups
Lacrosse
5.
48
groups
PRICE PER
UNIT
Sex Offender Treatment Services Lacrosse County
Sex Offender Psycho-educational Groups, Section 4.5.5
$
TOTAL
$
per assessment
$
per 1 Hour session
$
per group
$
per group
$
per group
$
$
$
$
LACROSSE SEX OFFENDER TREATMENT SERVICES BID TOTAL $
Location
Line item
QUANTITY
AND UNIT
Sparta
20
1.
Sex Offender Treatment Assessments, Section 4.5.1
assessments
Sparta
10
2.
Sex Offender Individual Treatment, Section 4.5.2
sessions
Sparta
3.
52
PRICE PER
UNIT
Sex Offender Treatment Services Monroe County
Sex Offender Treatment Groups, Section 4.5.3
(1 session/week x 52 weeks x 1 cycle = 52 groups)
groups
TOTAL
$
$
per assessment
$
$
per 1 hour session
$
$
per group
SPARTA SEX OFFENDER TREATMENT SERVICES BID TOTAL $
State of Wisconsin
Wis. Statutes s.16.75
DOA-3070 (R08/2003)
Page 2 of 2
RFB # RLH-5172
*Before submitting this bid be sure to include all requirements listed in Section 2.4 and 9.
Payment Terms Net 30
Delivery Time Per Specifications
We claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Minority
Business Enterprises. Bidder must be certified by the Wisconsin Department of Administration Minority Business Certification Program. If you have
questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., 6 th Floor, PO Box 7970, Madison,
Wisconsin 53707-7970, (608) 267-9550. Does not apply to printing bids.
We claim disabled veteran-owned business preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to
CERTIFIED Disabled Veteran-Owned Businesses. Bidder must be certified by the Wisconsin Department of Administration Supplier Diversity Program. If
you have questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., 6th Floor, PO Box 7970,
Madison, Wisconsin 53707-7970, (608) 267-9550. Does not apply to printing bids.
We are a work center certified under Wis. Stats. s. 16.752 employing persons with severe disabilities. Questions concerning the certification process
should be addressed to the Work Center Program, State Bureau of Procurement, 6th Floor, 101 E. Wilson St., P.O. Box 7867, Madison, Wisconsin
53707-7867, (608) 266-5462 or (608) 266-5669.
Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are
substantially equal. Materials covered in our bid were manufactured in whole or in substantial part within the United States, or the majority of the
component parts thereof were manufactured in whole or in substantial part in the United States.
Yes
No
Unknown
In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion
or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit
or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or potential
competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above
statement is accurate under penalty of perjury.
We will comply with all terms, conditions and specifications required by the state –in this Request for Bid (RFB RLH-5172) and all terms of
our bid.
Name of Authorized Company Representative (Type or Print)
Signature of Above
Title
Date
Phone
(
)
Fax
(
)
Email
Website
This form can be made available in accessible formats upon request to qualified individuals with disabilities
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 3 of 73
STATE OF WISCONSIN
REQUEST FOR BID (RFB) # RLH-5172
FOR: Non-Residential Sex Offender Treatment Services In DCC Region 8 in Lacrosse and Sparta,
WI
TABLE OF CONTENTS
DEFINITIONS
1.0
INTRODUCTION, PURPOSE, AND SCOPE
2.0
BID PROCEDURE AND INSTRUCTIONS
3.0
BID ACCEPTANCE, EVALUATION AND AWARD
4.0
TECHNICAL REQUIREMENTS
5.0
PERFORMANCE REQUIREMENTS
6.0
COST INFORMATION
7.0
SUPPORT REQUIREMENTS
8.0
STANDARD AND SUPPLEMENTAL TERMS AND CONDITIONS
9.0
REQUIRED FORMS AND ATTACHMENTS
ATTACHMENTS
EXHIBIT 1 ............................................................ DCC Administrative Directive 01-10
EXHIBIT 2 ............................................................ Referral for Services (DOC-1336)
EXHIBIT 3 ............................................................ Offender Report - Monthly (DOC-1088)
EXHIBIT 4 ............................................................ Unit Service Monthly Report (DOC-1026)
EXHIBIT 5 ............................................................ Sex Offender Assessment Report (DOC-1577)
Instructions inserted as an embedded link on last page of DOC-1577
EXHIBIT 6 ............................................................ Sex Offender Program Report (DOC-1423)
*
Instructions inserted as an embedded link on last page of DOC-1423
EXHIBIT 7 ............................................................ Limits of Confidentiality of Information (DOC-1923)
EXHIBIT 8 ............................................................ Informed Consent: Sex Offender Treatment (DOC-2507)
EXHIBIT 9 ............................................................ Sex Offender Treatment Contract (DOC-2508)
EXHIBIT 10 .......................................................... Evidenced-Based Correctional Program Checklist (CPC)
EXHIBIT 11 .......................................................... Program Guidelines
* Imbedded links to access the Sex Offender Treatment Reoffense Prevention Plan (DOC-2456 and DOC-2456A) have been
inserted into the last page of the Sex Offender Program Report (DOC 1423).
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 4 of 73
DEFINITIONS
The following definitions are used throughout the RFB:
Bidder:
Contractor:
DAI:
DVB:
MBE:
P-Card:
Purchasing:
RFB:
State:
Vendor:
Firm submitting a bid in response to this Request for Bid
Successful vendor awarded the contract
Division of Adult Institutions, administration of all state correctional incarceration facilities except those
juvenile facilities operated by Division of Juvenile Corrections – headquartered at DOC Central
Offices, 3099 E Washington Ave., Madison, WI 53704
Division of Community Corrections, supervises offenders outside secure facilities
Division of Juvenile Corrections, operates the correctional ‘schools’ – headquartered at DOC Central
Offices, 3099 E Washington Ave., Madison, WI 53704
Department of Administration has statutory authority [WI Stats. Chapter 16] to define, regulate and
delegate all aspects of procurement of commodities and services for state agencies.
Department of Corrections, also referred to as the department or the DOC – headquartered at DOC
Central Offices, 3099 E Washington Ave., Madison, WI 53704
Disabled Veteran-Owned Business
Minority Business Enterprise
Procurement Card (State credit card)
Department of Corrections’ Purchasing Services Section
Request for Bid
State of Wisconsin
Firm submitting a bid in response to this Request for Bid
Must:
Shall:
Should:
Requirement is mandatory
Requirement is mandatory
Desirable but not mandatory
DCC:
DJC:
DOA:
DOC:
Actuarial Tool: An empirically-validated tool that focuses primarily on static (unchangeable) factors that influence
recidivism, in which the offender’s particular characteristics are inventoried and the offender’s risk is determined by the
extent to which the offender possesses various risk factors associated with recidivism. Tools can also access
dynamic (changeable) factors. Examples include the following Minnesota Sex Offender Screening Tool- Revised
(MnSOT-R), Rapid Risk Assessment for Sexual Offender Recidivism (RRASOR), Sex Offender Risk Appraisal Guide
(SORAG), Static-99, Vermont Assessment of Sex Offender Risk (VASOR), Bumby Cognitive Distortion Scale, Hanson
Sexual Attitude Questionnaire, and the Sex Offender Need Assessment Rating (SONAR).
Administrative and Fiscal Services: Tasks and responsibilities such as preparation and management of operational
budget; personnel management; program planning and evaluation; supervision and evaluation of staff;
labor/management relations; public relations; ensuring compliance with AA/CRC requirements; development,
implementation and monitoring of policies/practices for information and technology, space, staff/offender health, safety
and security.
Alternative to Revocation (ATR): A comprehensive set of planned and organized therapeutic experiences and
interventions, which are intended to reduce their risk of re-offense, or other sexually abusive and other aggressive
behavior.
Assessment: The process of collecting and analyzing information about an offender so that appropriate decisions can
be made regarding sentencing, supervision, and treatment.
Assessments may include the following types:
Sex Offender Assessment: Identifies specific problem areas, strengths and weaknesses, skills, knowledge,
and the precedents and antecedents of the sexually abusive behavior. Recommendations for the appropriate
type of intervention and level of need for treatment must be included. It also includes a completed Sex
Offender Assessment Report (DOC-1577)
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 5 of 73
Intake Assessment: Determines and documents sex offender problem areas to be addressed in the program
and the sex offender’s appropriateness for the program. The intake assessment includes the initial Treatment
Plan and the initial Sex Offender Program Report (DOC-1423). The treatment plan includes measurable
goals and objectives, as well as activities/services needed to achieve successful discharge.
Progress Assessment/Report: A report that describes the ongoing status of an offender while in a sex
offender treatment program. For purposes of this RFB, the Sex Offender Program Report (DOC-1423) will be
used to report progress.
Discharge Summary: Documents a summary of treatment progress when the offender completes or is
terminated from a program. The discharge summary includes recommendations for further treatment as well
as recommendations to assist the agent in supervising the offender. It also includes a completed Sex
Offender Program Report (DOC-1423).
Case Management: An organized process for bringing services, agencies, resources and people together within a
planned framework for linking, advocating for and monitoring the provision of educational intervention, treatment or
support services to an offender in a program in a coordinated, efficient and effective manner.
Case Plan: Identified and ranked goals and objectives and resources agreed upon by the program participant, the
program provider and the DCC agent to be utilized in facilitation of the participant’s successful program completion.
Clinical Supervision: Clinical supervision means intermittent face−to−face contact provided on or off the site of a
service between a clinical supervisor and treatment staff to ensure that each program participant has an individualized
treatment plan and is receiving quality care. Clinical supervision includes auditing of program participant’s files, review
and discussion of active cases and direct observation of treatment, and means also exercising supervisory
responsibility over program staff.
Clinical Supervisor: The person designated to be responsible for the clinical supervision of the staff delivering
program services.
Co-facilitator: The person, who assists with the facilitation of program groups, assists a person who meets all the
direct service staff requirements, and who provides direct program services as part of a team.
Cognitive Interventions: Program which teaches specific strategies or techniques to enable offenders to:
(1) Identify for themselves the specific thoughts that support their criminal behavior (self-observation);
(2) See and appreciate the pattern and consequences of their thinking;
(3) Utilize reasoning and problem solving, self-talk, social interaction skills as a means of controlling and
changing their thinking;
(4) Recognize that they have choices and can make a conscious decision to change or not to change.
The Department stresses programming that combines two types of cognitive interventions: cognitive restructuring
(changing the thinking patterns, attitudes and beliefs that lead persons to offend) and cognitive skills training
(teaching reasoning, problem solving and social skills).
COMPAS: The Northpointe Suite software used by DOC to provide a single statewide system of risk/needs
assessment and case planning for an offender's lifecycle.
Containment Approach: Implementation strategies that depend on agency coordination and multidisciplinary
partnerships.
Correctional Client: This includes city, county, state or federal clients/offenders/inmates served in a correctional
setting. The DOC will make sole determination of who meets these criteria.
Criminogenic Needs: Andrews, Bonta, and Hoge (1990:31) define criminogenic needs as a subset of risk factors
consisting of dynamic attributes of offenders and their circumstances that, when changed, are associated with
changes in the chances of recidivism.
 Anti-Social cognition: (Criminal Thinking Self Report; Cognitive Behavioral; Criminal
Opportunity; Social Isolation; Social Environment; Socialization Failure; Social Adjustment
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 6 of 73
Problems)– Programs targeting this specific criminogenic need seek to reduce anti-social
cognition, recognize risky thinking, and feelings, adopt an alternative identity.

Anti-Social companions: (Criminal Associates and Peers; Cognitive Behavioral; Criminal
Opportunity; Social Isolation; Social Adjustment Problems; Socialization Failure; Social
Environment)– Programs targeting this specific criminogenic need seek to reduce association with
offenders, enhance contact with pro-social.

Anti-Social personality or temperament: (Criminal personality; Criminal Opportunity, Cognitive
Behavioral; Social Isolation; Socialization Failure; Social Adjustment Problems; Anger)– Programs
targeting this specific criminogenic need seek to build problem solving, self management, anger
management, and coping skills.

Family and/or marital: (Family Criminality; Criminal Opportunity; Social Environment;
Socialization Failure; Social Adjustment Problems)– Programs targeting this specific criminogenic
need seek to reduce conflict, build positive relationships and communication, enhance
monitoring/supervision.

Substance Abuse: (Substance Abuse; Social Environment; Social Isolation; Cognitive
Behavioral; Leisure and Recreation)– Programs targeting this specific criminogenic need seek to
reduce usage, reduce the supports for abusive behavior, enhance alternatives to abuse.

Employment: (Vocation/Education; Financial; Criminal Opportunity)– Programs targeting this
specific criminogenic need seek to provide employment seeking and keeping skills

Education/Vocational: (Vocation/Education; Financial; Criminal Opportunity): Programs targeting
this specific criminogenic need seek to enhance performance reinforcers and satisfaction.

Leisure/Recreation: (Leisure recreation; social isolation): Programs targeting this specific
criminogenic need seek to enhance involvement and satisfaction in pro-social activities.
Criminogenic Risk Factors: Those features that research has demonstrated are related to criminal behavior. At
least two types are recognized. Static risk factors: are offender characteristics that cannot change but are predictive of
an offender’s propensity for future criminal activity, for example, the offender’s age at the time of first offense.
Dynamic risk factors: are offender characteristics that may be altered by effective intervention. Examples of dynamic
risk factors are substance abuse; identification with criminal companions; low tolerance for frustration; impulsivity;
conflicts with authority; poor use of leisure time; conning and manipulation; thrill seeking; egocentrism; blaming others;
dissatisfaction with conventional, mainstream activities; poor skills in identifying alternative choices; etc.
Culturally Diverse Programming: Accommodates the learning styles of participants with varying cultural
backgrounds and ethnicities.
Denial: Process through which an offender fails to accept responsibility for behavior. Denial can be seen on a
continuum: deny the existence of the event (it didn’t happen; the victim made it up); acknowledge the event but deny
any personal responsibility (I did it, but I was drunk, etc.); acknowledge the event, admit responsibility but deny the
significance of the event (I did it, it was wrong, but no harm was done). Offenders from all parts of this continuum will
be referred to this program.
Direct Program Services: Tasks and responsibilities relating to delivery of offender services such as conducting
assessment, providing individual and group treatment services, conducting program orientation, evaluation, aftercare,
support groups, and other activities under scope of this RFP.
Dosage: The total hours of a program where participants engage in therapeutic tasks focused on criminogenic need
areas that are evidenced-based.
Evidence-based Practices (EBP): Encompasses the principle of making decisions about how to provide care by
integrating the best available evidence with practitioner expertise and other resources, and with the characteristics,
state, needs, values, and preferences of those who will be affected. Using EBP implies that (1) there is a definable
outcome(s); (2) that the outcome is measurable; and (3) it is defined according to practical realities.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 7 of 73
Intake Assessment: A process by which a contractor reviews and evaluates offender information to determine
appropriateness for offender program entry and level of service delivery.
Minimization: An offender admits to offense or main elements of offense but does not fully acknowledge significant
factors, e.g., their responsibility for the offense, attributes responsibility to the victim, shortens period of time or frequency
of offenses, diminishes degree of force, denies impact on victim, denies sexualized intent, admits knowing victim was
underage but denies knowing victim as young as she/he was.
Motivational Interviewing (MI): Focuses on exploring and resolving ambivalence and centers on motivational
processes within the individual that facilitate change. MI is a collaborative, person-centered form of guiding.
Minimization: An offender admits to offense or main elements of offense but does not fully acknowledge significant
factors, e.g., their responsibility for the offense, attributes responsibility to the victim, shortens period of time or frequency
of offenses, diminishes degree of force, denies impact on victim, denies sexualized intent, admits knowing victim was
underage but denies knowing victim as young as she/he was.
Offender: For purposes of this solicitation, the term “offender” is defined as an individual who is under the supervision
of the DOC.
PCL-R: The Psychopathy Checklist-Revised, a clinical rating scale used in assessments to determine psychopathy by
psychologists to assess sex offenders.
Polygraph: An instrument that records continuously, visually, permanently, and simultaneously any changes in
cardiovascular, respiratory, and electro dermal patterns as minimum instrumentation standards, and is used, or the
results of which are used, for the purpose of detecting deception or verifying truth of statements made by an
examinee.
Program Evaluation: The identification of quantifiable behavioral indicators of response to the planned intervention
used to determine program efficacy.
Program Participant: An offender referred by DCC and receiving services through the program.
Program Statement: The written statement of a program’s philosophy and model of treatment; the research basis for
selection of the treatment model; the problem and the population to be served; the goals, objectives, and activities to
be employed to achieve the desired outcomes; and the plan for determining the efficacy of the services provided.
Protected Health Information(PHI): Individually identifiable health information in any form or medium, including
demographic information, created, received, maintained, or transmitted by the Contractor, on behalf of the DOC,
where such information relates to the past, present, or future physical or mental health or condition of an individual, the
provision of health care to an individual, or the payment for the provision of health care to an individual, and where
such information identifies the individual or provides a reasonable basis to believe that it can be used to identify an
individual.
PHI excludes individually identifiable health information in education records covered by the Family Educational Rights
and Privacy Act (FERPA) and employment records held by the Department in its role as employer.
Punishers: Involves the application of a stimulus to decrease behavior.
Reinforcers: Involves the application of a stimulus to increase behavior.
Responsivity: Addresses a program participant’s individualized barriers that may impede their ability to successfully
complete therapeutic tasks.
Risk Factors: A set of internal stimuli or external circumstances that have been empirically demonstrated to increase
the risk of re-offending, or that have been clinically determined on an individual basis to increase a particular offender’s
risk of re-offending.
Secular Programming: Programming that is free of religious components –Administrative Directive 01-10 (Appendix 1).
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 8 of 73
Sexual Deviancy:
Sexually Deviant Behaviors: Sexual behaviors that are considered abnormal, atypical, unusual, and/or outside
societal norms, e.g. pedophilia.
Sexually Deviant Arousal: Sexual arousal to prepubescent children, non-human objects, and/or to violence,
humiliation or terror.
Sex Offender: This is an offender with a current or past sexual or sexually-related offense conviction or adjudication,
a read-in sexually-related case, a pending sexually-related case, or an offender who has a sex offender treatment
need as established by Psychological Services assessment.
Sex Offender Aftercare: Programming for offenders who have successfully completed a sex offender education or
treatment program of some kind, comprised of one or more treater(s)/facilitator(s) who lead a group in a support and
monitoring model, with the goals of maintaining treatment gains, ensuring that offenders are following their individual
reoffense prevention plans, and returning offenders to Sex Offender Education or Treatment when necessary. The
goal of Aftercare is to improve the prognosis, function, and outcome of offenders in order to maintain the risk-reducing
effects of sex offender treatment.
Sex Offender Education: A comprehensive set of planned and organized didactic experiences that are intended to
improve the prognosis, function, and outcome of low-risk sexual offenders, in order to reduce risk of sexual
reoffending and other sexually abusive and inappropriate behavior. The didactic approach is primary but does not
exclude limited use of therapeutic devices such as role-playing, journaling and other writing, and personal disclosure.
Sex Offender Treatment (SOT): A comprehensive set of planned and organized therapeutic experiences and
interventions which are research-based intended to improve the prognosis, function, and outcome of offenders to
reduce their risk of sexual re-offense, or other sexually abusive and other aggressive behavior.
Sexually Abusive Behavior: Any behavior that is carried out for the purpose of personal sexual gratification or
humiliation of the victim, involving nudity or the sexual organs of the victim. The behavior may not be illegal, but may
still qualify as sexually abusive. Such behaviors may include touching, sexual actions, noncontact behaviors such as
viewing, watching, photographing, or verbally harassing, or exposing a nonconsenting person (including children) to
sexual materials, actions, or words. Sexual exploitation or manipulation via alcohol, “grooming,” deceit, or taking
advantage of vulnerability may also be sexually abusive behavior.
Sexually Violent Person Law: Refers to Chapter 980 of the Wisconsin Statutes. This law creates a process for the
indefinite civil commitment, for treatment purposes, of persons previously convicted, adjudicated, or committed for
certain sexually violent or sexually motivated offenses.
Special Needs Offenders: Those who have been determined or suspected to have social skills deficits, behavioral
problems, poor comprehension, or impaired retention ability due to cognitive limitations, developmental disorder, or
mental illness. Typically, the target population does not include offenders who have special needs and limitations due
solely to personality disorders or psychotic disorders, though these may be co-occurring conditions in an individual
who also has cognitive limitations or a developmental disorder.
Special Populations: Offenders that may present particular characteristics such as the following: cognitively
challenged (low functioning), non-English speaking, learning challenged, mentally ill or physically challenged
(hearing/visual/mobility impaired).
Staffing: Verbal communication and information shared by DOC staff and contractor about a specific offender which
usually involves a face-to-face meeting, but may periodically take place over the telephone. The offender may or may
not be present at the meeting or time of telephone call. Staffings shall occur at a minimum of every week (7 days) to a
maximum of monthly (30 days).
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
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1. INTRODUCTION, PURPOSE, AND SCOPE
1.1. PURPOSE OF THIS REQUEST FOR BID
The Department of Corrections, hereinafter referred to as the "DOC", through its Purchasing Services Section,
hereinafter referred to as "Purchasing," on behalf of Division of Community Corrections, hereinafter referred to as
“DCC” requests bids for the purchase of secular, non-residential, sex offender treatment services in DCC Region
8 (Lacrosse County, City of Lacrosse; Monroe County-City of Sparta). The program must provide offenders
convicted in adult court and under the supervision of the Wisconsin Department of Corrections with specified sex
offender treatment services.
Other DCC Regions and Divisions of the DOC as well as other State agencies may use the resulting contract, if
agreeable to both the DOC and the vendor, to obtain the benefits of volume purchases and/or reduction in
administrative expenses.
1.1.1. PROGRAM GOALS
Effective management of sex offender cases requires the cooperative efforts of qualified clinicians and
knowledgeable Corrections’ professionals. Regular contact and ongoing communication between the agent
and treatment contractor is essential. This is often referred to as the “Containment Approach”. Multidisciplinary partnerships, minimally between the agent, the treatment contractor and the polygrapher, are
the basic foundation for obtaining sex offender treatment service goals.
The goals of sex offender treatment services are as follows:
 To assess the level of risk for re-offense presented by sex offenders supervised by the Department of
Corrections
 To identify and challenge offender denial by:
1. Acknowledging the criminal sexual behavior
2. Disclosing their history of sexually abusive and criminal sexual behavior
3. Learning and understanding the effects of offender’s sexual abuse upon victims, victim’s family,
the community, the offender and offender’s family
 To assist DOC staff in determining supervision strategies/case plans
 To provide offender accountability and community protection
 To reduce risk of offender relapse by providing interventions which interrupt offender deviant cycles,
reduce deviant fantasies and arousal, develop victim empathy, provide sex education, and assist in
development and implementation of individual relapse prevention plans
 To educate the offender on appropriate sexual behavior and/or outlets
 To provide assistance to DOC staff in providing community education and/or training to enhance the
Department of Corrections’ ability to supervise sex offenders
1.1.2. TARGET POPULATION
Program services will be targeted for offenders male and female under the supervision of the Wisconsin
DOC, DCC, who are referred by DOC staff. Factors considered in referrals will include risk to re-offend,
convicting offense behavior(s), prior record, other prior history, indicators of imminent relapse, availability of
resources, or other case contingencies. Priority placement shall be given to offenders who pose the highest
risk to re-offend based upon the intake assessment/COMPAS. DCC staff will determine priority offenders.
A Special Population group of offenders may present particular characteristics that must be addressed by
reasonable accommodations in the program.
Special needs offenders present with particular
characteristics that must be addressed by significant modifications of the general curriculum. Such
offenders have been determined or suspected to have social skills deficits, behavioral problems, poor
comprehension, or impaired retention ability due to cognitive limitations, developmental disorder, or mental
illness. Typically, the target population does not include offenders who have special needs and limitations
due solely to personality disorders or psychotic disorders, though these may be co-occurring conditions in
an individual who also has cognitive limitations or a developmental disorder.
Some examples of sex offender Special Need Populations are:
 Mentally ill offenders
 Physically challenged offenders
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI

BID DUE: May 13, 2015
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Cognitively challenged offenders.
Certain offender populations may require a modified curriculum and program structure. These offenders
are called Target Population. Some examples of sex offender Target Populations are:
 Youthful offenders
 Female offenders
 Child pornography offenders.
1.2. CONTRACT TERM
The contract term will be for one (1) year that will start upon receipt of formal contract and/or State of
Wisconsin purchase order by the awarded bidder. The Calendar of Events (Section 2.3) provides the
approximate contract start date.
Options to renew the contract are available for four (4) additional one-year terms. Renewal(s) beyond the
initial contract term is contingent upon the performance of the contractor during the contract period and upon
availability of funds. These are not automatic renewals. Contracts will be reviewed by the DOC before a decision
is made. Any renewal(s) must be authorized by mutual written agreement of the vendor and the state.
1.3. EXECUTED CONTRACT TO CONSTITUTE ENTIRE AGREEMENT
In the event of contract award, the contents of this RFB (including all attachments), RFB addenda and revisions,
and the bid of the successful bidder, and additional terms agreed to, in writing, by DOC and the contractor shall
become part of the contract. Failure of the successful bidder to accept these as a contractual agreement may
result in a cancellation of award.
In the event of any conflicts or disputes between the parties about the meaning of any part of the contract, the
following priority of documents will be used to resolve the conflict or dispute:
State of Wisconsin standard terms and conditions
Final Signed Contract including amendments
Official State of Wisconsin Purchase Order
Bidder’s written bid document
State of Wisconsin Request for Bid, including any amendments;
Other exhibits/attachments
Successful bidder(s) should retain a copy of this DOC Request for Bid document and their own response to the
RFB solicitation, as it becomes part of the awarded contract.
1.4. CANCELLATION AND TERMINATION
This Contract may be terminated for the following conditions:
1.4.1 The DOC may terminate the Contract at any time, with or without cause and without penalty by delivering
thirty (30) days written notice to the Contractor.
1.4.2 The DOC has a Vendor Performance Evaluation process for soliciting feed-back from contract users about
vendor performance and compliance with contract specifications. Vendor noncompliance with the terms,
conditions or specifications that is persistent and/or significantly impacts the quality and performance
provided pursuant to the contract may be considered in breach of contract. Negative Vendor Performance
Evaluation Surveys may result in non-renewal or termination of contract.
1.4.3 If at any time the Contractor performance threatens the health and/or safety of the DOC, the DOC has the
right to cancel and terminate the Contract without notice.
1.4.4 Failure to maintain the required Certificates of Insurance, Permits and Licenses shall be cause for
Contract termination. If the Contractor fails to maintain and keep in force the insurance as provided in #23
of the Standard Terms and Conditions, the DOC has the right to cancel and terminate the Contract without
notice.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 11 of 73
1.4.5 If at any time a petition in bankruptcy shall be filed against the Contractor and such petition is not
dismissed within 90 calendar days, or if a receiver or trustee of Contractor's property is appointed and
such appointment is not vacated within 90 calendar days, the DOC has the right, in addition to any other
rights of whatsoever nature that it may have at law or inequity, to terminate the Contract by giving 10
calendar days notice in writing of such termination.
1.4.6 Failure of the DOC to comply with contract terms, conditions or specifications shall provide the sole cause
for which the Contractor is entitled to terminate the contract. The Contractor shall notify the Department in
writing within thirty (30) days after the Contractor becomes aware of the alleged noncompliance with a
complete description of the same. If the DOC does not, within forty-five (45) days after its receipt of the
Contractor’s notice, either (1) effect a cure or (2) if the noncompliance is not one that can reasonably be
cured within forty-five (45) days, develop a plan to cure the noncompliance and diligently proceed
according to that plan unto a cure is effected, then the Contractor may terminate the Contract for cause by
written notice to the DOC. The Contractor may not terminate the Contract without cause unless express
written consent to do so is provided by the DOC.
1.5. VENDORNET REGISTRATION
Department of Administration and State Bureau of Procurement policies no longer require maintenance of
bidders’ lists or individual notification of vendors on bidder’s lists. In addition, there is no requirement to post
solicitations for bids/proposals in the Legal Notices of the Official State Newspaper. Section 16.75, Wisconsin
Statutes, allows for use of the Internet to post due notice for certain procurements: http://publicnotices.wi.gov.
Vendors who fail to register with VendorNet or who register or change/add commodity codes after the posting of a
solicitation may not receive notification of procurement solicitations including amendments or cancellations.
The State of Wisconsin’s purchasing information and vendor notification service, VendorNet, is available to all
businesses and organizations that want to sell to the state. Anyone may access VendorNet on the Internet at
http://vendornet.state.wi.us to get information on state purchasing practices and policies, commodities and
services that the state buys, and tips on selling to the state. Vendors may use the same Web site address for
inclusion on the bidders list for commodities and services that the organization wants to sell to the state. A
registration with notification guarantees the organization will receive an e-mail message each time a state agency,
including any campus of the University of Wisconsin System, posts a request for bid or a request for proposal in
their designated commodity/service area(s) with an estimated value over $50,000. Organizations without Internet
access receive paper copies in the mail. Increasingly, state agencies also are using VendorNet to post simplified
bids valued at $50,000 or less. Vendors also may receive e-mail notices of these simplified bid opportunities.
To obtain information on the state’s bidder registration, visit the VendorNet Web site at
http://vendornet.state.wi.us or call the VendorNet Information Center (1-800-482-7813). In the Madison area, call
608-264-7898.
Make sure to select all the appropriate NIGP (Commodity) Codes. Bid lists are generated by NIGP codes.
Consider using a generic email address that is accessed or delivered to multiple recipients (example:
[email protected]). This will insure that the bid notice is received.
2.
BID PROCEDURES AND INSTRUCTIONS
2.1.
REASONABLE ACCOMMODATIONS
The DOC will provide reasonable accommodations, including the provision of informational material in an
alternative format, for qualified individuals with disabilities upon request. If accommodations at a bid
opening/vendor conference are needed, contact Rebecca Hoefs via telephone at (608) 240-5574 or email
at [email protected]
2.2
BID SUBMITTAL
Bidders must submit

an original bid response (marked as such); and

one (1) additional paper copy of bid response; and

a CD-ROM of the bid response that is an exact duplicate of the above two paper copies.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 12 of 73
Bidders should refer to Sections 2.4 and 9 for information on what should be included in their bid
response. Bidders need to make sure that both paper copies and the CD-ROM of the bid response all
match each other.
For the purposes of this RFB, receipt of a bid by the State mail system or USPS Post Office Box*
does not constitute receipt of a bid by the Purchasing Services Section. The Bid(s) must be
received at the Purchasing Services Section, at the office listed below, no later than May 13, 2015
at 3:00 PM. Any bids received after this time and date will be rejected.
Use one of the options below for submitting bid(s):
USPS ADDRESS*
Rebecca Hoefs / Purchasing Services Section
DEPARTMENT OF CORRECTIONS
PO BOX 7991
MADISON, WI 53707-7991
COMMON CARRIER ADDRESS
Rebecca Hoefs / Purchasing Services Section
DEPARTMENT OF CORRECTIONS
3099 EAST WASHINGTON AVENUE
MADISON, WI 53704-4338
*NOTE: For any bid submission sent via USPS (United States Postal Service), please allow at least an extra day for
delivery.
FAXING: Faxed bids are NOT accepted.
E-MAILING: Emailed bids are NOT accepted.
All bid submittals must be packaged, sealed, and show the following information on the outside of the
package:

Bidder’s Name and Address

Request for Bid Title: Sex Offender Treatment Services in DCC Region 8, Lacrosse and
Sparta, WI

Request for Bid Number: RFB # RLH-5172

Bid Due Date: May 13, 2015 at 3:00pm
2.3
CALENDAR OF EVENTS
Listed below are important dates and times by which actions related to this Request for Bid (RFB) must be
completed. In the event that the State finds it necessary to change any of these dates and times it will do
so by issuing an amendment to this RFB to be posted on VendorNet, unless the event is listed as
estimated or approximate.
DATE
EVENT
April 9, 2015
April 23, 2015
April 30, 2015
RFB posting date
Last day for submitting written questions
Answers to questions posted on VendorNet (estimated)
May 13, 2015, at 3:00pm
Bids due from vendors
May 28, 2015
July 1, 2015
Estimated award date
Approximate Contract Start date
(estimated—earlier contract start date preferred, if possible)
2.4
FORMAT OF BID
Responses to this RFB must comply with the following format requirements (reference Section 9).
2.4.1
SIGNED REQUEST FOR BID FORM DOA-3070 – Cover sheet of this RFB
Include here the signed Request for Bid form included with the bid and those certifications
required for submittal of a bid. Bids submitted in response to this RFB must be signed by the
person in the vendor’s organization who is responsible for the decision as to the prices being
offered in the bid or by a person who has been authorized in writing to act as agent for the person
responsible for the decision on prices.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
2.4.2
BID DUE: May 13, 2015
Page 13 of 73
COST SUBMITTAL INFORMATION
The bidder may submit costs for all locations, one location, or any combination of the two
(2) locations listed on the Request for Bid form:


Lacrosse County (City of Lacrosse, WI)
Monroe County (City of Sparta, WI)
Bidders must submit cost on the Request for Bid form (DOA-3070), complete and sign, including
for each location bid a price per unit for each service item, an extended total for each service
item (Quantity X Unit Price), and a total price (Bid Total). For each location (county) included in
the Bidder’s submission, the County Sex Offender Treatment Services Bid Total includes the
total extended amounts for line items 1 - 5 for LaCrosse County and line items 1 – 3 for
Monroe County respectively. For each location bid, the Bidder must provide all services
requested in this RFB. Cost must include labor, travel and insurance. All costs to furnish the
service(s) included in the bid, in accordance with the terms and conditions of this RFB, must be
included.
2.4.3
VENDOR INFORMATION DOA-3477
Provide Vendor Company contact information as requested on the form.
2.4.4
DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION DOA-3027
Information submitted as part of the bid document which is proprietary and confidential in nature
and which qualifies as a trade secret may be kept confidential under the Wisconsin Open Records
Law – Section 19.36(5), Wis. Stats. Complete and sign the attached form.
2.4.5
WISCONSIN’S COOPERATIVE PURCHASING SERVICE DOA-3333
Vendors are encouraged to extend the contract resulting from this RFB to local governments in
Wisconsin. Indicate your willingness to allow Wisconsin municipalities to participate in this
contract by completing Form DOA-3333, Wisconsin’s Cooperative Purchasing Service.
2.4.6
VENDOR REFERENCE DOA-3478
Complete the Vendor Reference form with four organizations (customers) that your company has
done business with providing sex offender treatment services similar to those include in this
request for bid. Include the company name, address, contact person, telephone number, and
email address along with a brief description of the service.
References may be contacted to confirm the Bidder’s abilities, qualifications, and experience as
stated in the Bidder’s Response. The Department of Corrections may perform due diligence by
contacting any applicable business reference, including references within the Department or other
state agencies. The Department of Corrections reserves the right to disqualify any Bidder whose
references do not support their stated claim of qualifications and experience in their bid response.
2.4.7
ADDITIONAL INFORMATION
A listing of required forms and additional required information, including supporting
documentation, is provided in RFB Section 9 Required Forms and Attachments.
Bids that do not include all items listed on this checklist (Section 9) may be rejected.

Italics note all required documentation in the Request for Bid.
2.4.7.1 The information requested is to verify bidder can meet bid specifications.
2.4.8
STATE OF WISCONSIN TERMS AND CONDITIONS
The standard (DOA-3054) and supplemental (DOA-3681) terms and conditions shall govern this RFB
and subsequent award.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 14 of 73
Vendor must accept these terms and conditions or submit point –by-point exceptions along with
proposed alternative or additional language for each point, including any vendor contracts.
Submission of any standard vendor contracts as a substitute for language in the terms and
conditions is not a sufficient response to this requirement and may result in rejection of the
vendor’s proposal. The state reserves the right to negotiate contractual terms and conditions
other than those in the State of Wisconsin Contract when it is in the best interest of the State to do
so.
2.5
MULTIPLE BIDS
Multiple bids from a vendor will be permissible, however each bid must conform fully to the requirements
for bid submission. Each such bid must be separately submitted and labeled as Bid #1, Bid #2, etc. on
each page included in the response. Alternate acquisition plans do not constitute multiple bids.
2.6
JOINT BID
The DOC requires each bid to have one Prime Contractor designated. See RFB Sections 8.1 and 8.2. A
bid submitted from two or more entities that intend to either share or split responsibilities under the
awarded contract may be submitted.
If submitted, the joint bid shall include requested information for each participant, as well as for
the entity (i.e., partnership, joint venture, consortium, new company, etc.) that will be the primary
contact for, and responsible to, the State and the DOC under the awarded contract.
Bidder must clearly indicate within the bid response the specifics of any division or allocation of
responsibilities for each participant.
2.7
INCURRING COSTS
The State of Wisconsin is not liable for any cost incurred by a vendor in the process of responding to this
RFB.
2.8
QUESTIONS, CLARIFICATIONS AND/OR REVISIONS THROUGH DESIGNATED CONTACT
All communications and/or questions regarding this request must be written and submitted via FAX, email, USPS mail or hand delivery to the Purchasing Services Section.
If a Bidder discovers any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in
this RFB, they have five (5) business days after the bid posting date to notify, in writing, the Purchasing
Agent at the address shown below of such error and request clarification of the RFB document. All written
questions will be responded to in writing and provided to all bidders.
EMAIL (preferred): [email protected]
FAX: 608-240-3342
USPS ADDRESS*
Rebecca Hoefs/Purchasing Services Section
DEPARTMENT OF CORRECTIONS
PO BOX 7991
MADISON, WI 53707-7991
COMMON CARRIER ADDRESS
Rebecca Hoefs/Purchasing Services Section
DEPARTMENT OF CORRECTIONS
3099 EAST WASHINGTON AVENUE
MADISON, WI 53704-4338
*NOTE: Please allow at least an extra day for delivery sent via USPS (United States Postal Service).
From the date of release of this RFB through the entire RFB process, all contacts with the DOC regarding
this RFB shall be made through the Purchasing Services Section. Violation of this condition may be
considered sufficient cause for rejection of a bid, irrespective of any other considerations.
In the event that it becomes necessary to provide additional clarifying data or information, or to revise any
part of this RFB, amendment(s) will be posted on VendorNet.
Each bid shall stipulate that it is predicated upon the terms and conditions of this RFB and any
addendum(s) and/or amendment(s) thereof.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 15 of 73
3. BID ACCEPTANCE, EVALUATION AND AWARD
3.1
BID OPENING
Bids will be opened on the date and time indicated on the Request for Bid Form (DOA-3070) at 3099 East
Washington Ave. Madison, WI 53704 Purchasing Services Section room. Names of the bidders shall be read
aloud at that time.
3.2
BID ACCEPTANCE
Bids which do not comply with instructions or are unable to comply with specifications contained in this RFB may
be rejected by the State. The State retains the right to accept or reject any or all bids, or accept or reject any part
of a bid deemed to be in the best interest of the State. The State shall be the sole judge as to compliance with
the instructions contained in this RFB.
3.3
BID EVALUATION
Bids will be evaluated by the DOC's purchasing agent and program manager to verify that they will meet all
specified requirements in this RFB. This verification may include requesting reports on the vendor's financial
stability, conducting demonstrations of the vendor's proposed service(s) and reviewing results of past awards to
the vendor by the State of Wisconsin.
FAILURE TO MEET A MANDATORY REQUIREMENT SHALL DISQUALIFY THE BID. However, if no bidder is
able to comply with a given specification, condition of bid or provide a specific item, Purchasing Services
reserves the right to delete that specification, condition of bid or item.
3.4
METHOD OF AWARD
Award(s) shall be made on the basis of the lowest BID TOTAL for each location (county) from a responsive,
responsible bidder meeting bid specifications and requirements, which is judged to be in the best interest of
the DOC. The DOC reserves the right to accept or reject any and all bids in whole or in part. Bids that state the
DOC shall guarantee a specific quantity or dollar amount will be disqualified. The Department also reserves the
right to negotiate price with the lowest responsive and responsible bidder for each location. The Department
reserves the right to adjust the number of units and/or to add or move locations within the designated area if in its
best interest.
In the event of bidder error in calculation, PRICE PER UNIT shall prevail in award.
If a responsive, responsible State qualified work center meets the fair market price and other work center
program criteria, the award will be made to the work center (Wisconsin State Statute 16.752).
Any award without an accepted site after one (1) month will be reviewed for status weekly for one (1)
additional month. Un-sited program after two (2) months may be considered for rescinding of award
unless otherwise authorized by DOC Contract Administrator.
Any staff listed as pending hire will be required to be on staff within four (4) weeks from date of award
unless otherwise authorized by DOC Contract Administrator. Awarded bidder’s inability to start program
and provide group services as scheduled due to insufficient hires may be considered for rescinding
award after four (4) weeks from date of award unless otherwise authorized by Contract Administrator.
Please also refer to RFB Section 5.3 Service Delivery Requirements.
3.5
MINORITY BUSINESS ENTERPRISE
Bids from certified Minority Business Enterprises may be provided up to a five percent (5%) bid preference in
accordance with Wis. Stats. s. 16.75(3m).
3.6
DISABLED VETERAN-OWNED BUSINESS
Bids from certified Disabled Veteran-Owned Businesses may be provided up to a five percent (5%) bid
preference in accordance with Wis. Stats. s. 16.75(3m).
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
3.7
BID DUE: May 13, 2015
Page 16 of 73
NOTIFICATION OF INTENT TO AWARD
Any vendors who respond to this RFB, with a bid, will be notified in writing of the State’s intent to award the
contract(s) as a result of this RFB.
After notification of the intent to award is made, under the supervision of Department of Corrections, copies of
bids will be available for public inspection 8:30 a.m. to 3:30 p.m. at 3099 East Washington Ave., Madison WI.
Vendors shall schedule reviews with purchasing agent to ensure that space is available for the review.
3.8
APPEALS PROCESS
The appeals procedure applies to only those Requests For Bids for Services that are $50,000.00 or greater.
Notices of intent to protest and protests must be made in writing. Protesters should make their protests as
specific as possible and shall identify statutes and Wisconsin Administrative Code provisions that are alleged to
have been violated.
The written notice of intent to protest the Intent to Award a Contract must be filed with:
EDWARD F. WALL, SECRETARY, DEPARTMENT OF CORRECTIONS
P.O. BOX 7925
MADISON, WI 53707-7925
And be received in the office above within five (5) working days after the notice of intent to award is issued. The
written protest must be received in the office above within ten (10) working days after the notice of intent to award
is issued.
Copies of the notice of intent to protest and the written protest should be sent to the Purchasing Section
Chief at the same address.
The decision of the head of the procuring agency may be appealed to the Secretary of the Department of
Administration within five (5) working days of issuance, with a copy of such appeal filed with the procuring
agency, provided the appeal alleges a violation of statute or a provision of a Wisconsin Administrative Code.
4. TECHNICAL REQUIREMENTS
The following requirements are the minimum specifications of the service(s) required.
Bidders may bid to provide secular, non-residential sex offender treatment services to all locations, one
location or any combination of the two locations listed in this RFB document: (Lacrosse County - City of
Lacrosse; Monroe County - City of Sparta) Bidders must provide all services requested for each location bid.
Failure by a bidder to respond to any specific requirement or question shall be the basis for elimination from
consideration. However, if no bidder is able to comply with a given specification, condition of bid or provide a specific
item, Purchasing Services reserves the right to delete that specification, condition of bid or item.
Revisions to this RFB, if any, will be made in the form of an official amendment(s) issued by the Department of
Corrections, Purchasing Services Section. Refer to RFB Section 2.8.
The number of service units listed on the Request for Bid Form (DOA-3070) is for bidding purposes only.
Based on the information available just prior to this solicitation being issued, it is estimated that the number of service
units listed in this RFB are the quantities of services that the awarded contractor(s) shall provide. The Department
reserves the right to increase or decrease units based upon need and/or funding available. Also refer to Sections 1.2
and 3.4.
4.1. FACILITY REQUIREMENTS
Assessment and group services are required to be located in the Wisconsin counties of Lacrosse, and Monroe,
specifically in the cities identified in Section 4.1.1.
4.1.1
LACROSSE and MONROE COUNTY LOCATIONS
The DCC office conference rooms located in Lacrosse County and Monroe County cannot
accommodate any group or assessment services.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 17 of 73
If bidder is submitting a bid to provide sex offender treatment services in Lacrosse County and/or
Monroe County then, as applicable to their bid:

Lacrosse County facility MUST be located within City of Lacrosse,
Wisconsin;
and/or

Monroe County facility MUST be located within City of Sparta, Wisconsin.
For each location bid, the facility shall have an appropriate physical space use plan to reasonably
accommodate individual treatment, group programming, and space to conduct offender
interviews, intake and assessments. The DOC will make sole determination of an appropriate
physical space use plan. The facility in which services are provided must meet all applicable
federal, state and local codes, regulations and requirements.
If the city has public transportation, then proposed facility must be accessible to public
transportation.
As indicated in Section 3.4, any award(s) for the Lacrosse County location and/or Monroe County
location without an accepted site(s) after one (1) month will be reviewed for status weekly for one
(1) additional month. Un-sited program after two (2) months may be considered for rescinding of
award unless otherwise authorized by DOC Contract Administrator.
 If submitting a bid for the Lacrosse County location, Bidder must submit address and description
of the physical spaces, which details the space plans.
Bidder must indicate distance each
proposed facility is from public transportation, if available in the City of Lacrosse. At the time of bid
submission, if Bidder does not have a specific location identified and/or proposed site, then Bidder
must submit plan, including timeline, for establishing a City of Lacrosse location. Include timeline and
any preliminary site work completed with your bid response (e.g., possible locations/neighborhoods,
types of possible physical spaces).
 If submitting a bid for the Monroe County location, Bidder must submit address and description of
the physical spaces, which details the space plans. Bidder must indicate distance each proposed
facility is from public transportation, if available in the City of Sparta. At the time of bid submission,
if Bidder does not have a specific location identified and/or proposed site, then Bidder must submit
plan, including timeline, for establishing a City of Sparta location. Include timeline and any preliminary
site work completed with your bid response (e.g., possible locations/neighborhoods, types of possible
physical spaces).
4.2. BIDDER AGENCY EXPERIENCE
The bidder organization must have two (2) years experience providing sex offender treatment services to
correctional clients. Experience must include working with involuntary clients, and culturally diverse clients and in
a multi-disciplinary approach in order to ensure the containment approach can be utilized. The bidder is
encouraged to be certified as an outpatient mental health clinic under Wisconsin Administrative Code DHS 35.
Bidder shall provide a list of past contracts, DOC and others, preferably within the last three (3) years that are of a
similar service to this bid. Include service description, location of service, number of clients served, outcome
evaluation, and contact person with a phone number. DOC reserves the right to contact any or all persons listed.
Past contract quality may impact this award(s).
 Bidder must provide documentation demonstrating that their organization meets the experience
requirements, including past contract information. The information submitted for each past contract
is to include Service Description, Dates Service Provided, Location of Service, Number of Clients
Served, Outcome Evaluation, and contact person with a phone number.
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
BID DUE: May 13, 2015
Page 18 of 73
4.3. STAFF QUALIFICATIONS AND EXPERIENCE
All groups shall have adequate staff with the required skills to ensure the quality and effectiveness of program
services. All staff facilitating groups will have completed required training as specified in 4.3.3.3 prior to providing
program services. All training expenses are to be paid by the Contractor. Contractor shall ensure that the staff is
receiving appropriate training and education to maintain quality services. DOC shall have final approval of all
program staff related to any contract resulting from this RFB. Also refer to RFB Section 5.1 Staff Performance
Requirements.
During the contract period, the provider will submit updates on all staff changes to the DOC Contract
Administrator prior to any new staff providing a service.
4.3.1. ADMINISTRATIVE AND FISCAL STAFF
Organization staff must have at least two (2) years of Administrative and Fiscal services providing services
to correctional or human services clients. Administrative staff must have a minimum of two (2) years in
the administration or supervision of a correctional or human services program.
4.3.2. CLINICAL SUPERVISION STAFF
Bidder must provide clinical supervision for all treatment components of the program.
4.3.2.1. SUPERVISOR QUALIFICATIONS
Staff providing clinical supervision must, at a minimum, be licensed in one (1) of the following
professions:
1. Advanced Practice Social Worker, Independent Social Worker, Clinical Social Worker,
Marriage and Family Therapist, or Professional Counselor—licensed/certified under 1991
Wisconsin Act 160 as amended by Wisconsin Act 80 (Chapter 457) effective 11-01-2002.
2. Psychologist—licensed under Wisconsin Statutes, Chapter 455.
3. Psychiatrist—licensed under Wisconsin Statutes, Chapter 448 and board eligible as a
psychiatrist by the American Medical Association.
All noted licensing and certification must be current. License must be free of restrictions
or limitations. Any placement of restrictions/limitations after DOC staff approval will be
reported to the Contract Administrator within five (5) business days of the restriction being
placed.
4.3.2.2. SUPERVISOR EXPERIENCE
Staff providing clinical supervision services must have a minimum of two (2) year(s)
experience that includes the following areas:
1. Conducting sex offender assessments/evaluations including risk assessments using current
instruments and methodologies
2. Providing individual and group sex offender treatment
3. Working with involuntary clients
4. Working with offender populations
5. Working in a multidisciplinary approach (containment model)
6. Working with culturally diverse client populations
7. Providing cognitive/behavioral-based programming
8. Providing relapse prevention programming
9. Case Management including treatment planning, general knowledge of social services and
appropriate referrals, record keeping, mandatory reporting requirements, confidentiality rules
and regulations as they apply to the specific population, and knowledge of professional
ethical standards
4.3.2.3.
SUPERVISOR TRAINING
Staff providing clinical supervision services must have a minimum of forty (40) hours of training
that includes a minimum of four (4) hours in each of the following areas:
RFB # RLH-5172
Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI
1.
2.
3.
4.
5.
6.
4.3.3.
BID DUE: May 13, 2015
Page 19 of 73
Treatment of cognitive distortions, thinking errors, and criminal thinking
Risk assessment of sex offenders
Relapse prevention
Sex offender treatment including group, individual and behavioral therapy
Human sexuality including etiology of sexual deviancy
Treatment issues specific to target populations(s) to be served by the program
DIRECT SERVICE STAFF
4.3.3.1.
STAFF QUALIFICATIONS: Staff conducting direct program services must, at a minimum, be
currently licensed or certified in one (1) of the following professions:
1. Social Worker, Advanced Practice Social Worker, Independent Social Worker, Clinical
Social Worker, or Professional Counselor licensed under 1991 Wisconsin Act 160 as
amended by Wisconsin Act 80 (Chapter 457) effective 11-01-2002
2. Psychologist licensed under Wisconsin Statutes, Chapter 455
3. Psychiatrist licensed under Wisconsin Statutes, Chapter 488 and board eligible as a
psychiatrist by the American Medical Association
4. Psychiatric Nurse licensed as a registered nurse under Wisconsin Statutes, Chapter 441,
and certified as a psychiatric nurse by the American Nursing Association
All noted licensing and certification must be current. License must be free of restrictions
or limitations. Any placement of restrictions/limitations after DOC staff approval will be
reported to the Contract Administrator within five (5) business days of the restriction being
placed.
4.3.3.2.
STAFF EXPERIENCE: Staff providing direct program services under any agreement resulting
from this solicitation shall have two (2) years experience in each of the following areas:
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4.3.3.3.
Conducting sex offender assessments
Conducting sex offender risk assessments using current instruments and methodologies
Providing individual and group sex offender treatment
Working with involuntary clients
Working in a multidisciplinary approach (containment model)
Working with offender populations
Working with culturally diverse client populations
Providing cognitive/behavioral-based programming
Providing relapse prevention programming
Case Management including treatment planning, general knowledge of social services
and appropriate referrals, record keeping, mandatory reporting requirements,
confidentiality rules and regulations as they apply to the specific population (adult or
juvenile), and knowledge of professional ethical standards
Utilizing cognitive behavioral methodology
Understanding of implementing and delivering evidence-based practices and
Documented completed training in the proposed curriculum within the past three (3) years
STAFF TRAINING: Staff providing direct program services must have a minimum of sixty (60)
hours of training that includes a minimum of four (4) hours in each of the following areas:
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Treatment of cognitive distortions, thinking errors, and criminal thinking
Risk assessment of sex offenders
Relapse prevention
Sex Offender Dynamic Risk Factors
Containment Approach Model
Group facilitation
Sex offender treatment including group, individual, and behavioral therapy
Human sexuality including etiology of sexual deviancy
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Treatment issues specific to target population(s) to be served by the program
Family systems
Victim Impact
Specialized monitoring/assessment tools such as polygraph, PCL-R,
plethysmograph, ABEL, pharmacological treatment, etc.
penile
Staff is also required to complete twelve (12) hours of related update training every two (2)
years.
 Bidder must provide a list of staff and documentation demonstrating that program staff meets the
qualifications, experience, and training requirements for delivering Sex Offender Treatment
services as specified and described in this staff requirements section (RFB Section 4.3), to include
submission of:
 Name(s) of staff person(s), dates and locations of experience and training, and
the names and phone numbers of persons who can verify the experience
and training.
 List of staff that clearly identifies direct service staff, person(s) responsible for
providing administrative and fiscal services, person(s) providing supervision of
direct staff, and person(s) providing clinical supervision.
 Staff resumes that identify specific dates, company (including address and
phone number), position description and job responsibilities to verify all staff
meets the qualifications and experience requirements.
 Copies of current certification, licensing, insurance and/or training including
supervision plan, if applicable.

If staff positions are pending hire, bidder must submit recruitment plan and job description of
those pending positions.
NOTE: As indicated in Section 3.4, any staff listed as pending hire will be required to be on staff
within four (4) weeks from date of award unless otherwise authorized by DOC Contract
Administrator, or designee. Awarded bidder’s inability to start program and provide group
services as scheduled due to insufficient hires may be considered for rescinding award after
four (4) weeks from date of award unless otherwise authorized by Contract Administrator.
Please also refer to RFB Section 5.3 Service Delivery Requirements.
4.4. PROGRAM DESCRIPTION
The treatment of sex offenders is a rapidly evolving field. As our knowledge and understanding of this population
increases through research, it is understood that methods for intervention and treatment will continue to evolve.
The goals of sex offender treatment programs include, but are not limited to, the outcomes in items A to F below.
The level of intensity of each specific sex offender treatment program will determine the degree to which each
goal is emphasized. The applicability of those goals to specific offenders shall be determined by assessment
procedures, treatment plans, and progress in the program. Treatment programs are designed to allow, assist,
and encourage offenders to develop the motivation and ability to achieve these primary treatment goals and
target outcomes:
Primary Goals and Target Outcomes of Wisconsin Department of Corrections Sex Offender Treatment
Programs
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A.
Offenders will acknowledge their criminal sexual behavior and admit or develop an increased sense of
personal culpability and responsibility for this and other criminal behavioral patterns.
B.
Treatment programs will focus on identifying the circumstances and risk factors that lead to sexually
abusive and criminal sexual behavior, and on identifying alternative behaviors that would reduce or
eliminate such factors or their expression.
C. Programs will provide activities and procedures that are designed to assist offenders in developing a
positive, prosocial approach to intimate relationships and sexuality.
D. Treatment programs will assist offenders in developing or improving positive communication and
relationship skills.
E.
The program will assist the offender to function successfully within the community.
F.
The program will work in conjunction with DOC/DCC staff in reducing offender risk.
The ultimate goal of sex offender treatment is to protect the community from criminal sexual behavior by reducing
the offender’s risk of re-offense.
4.5. PROGRAM REQUIREMENTS
The following provisions are required for all services:
1. At the onset of offender program participation, the contract staff shall inform offenders of the contractor’s duty
to warn and communication obligation to DOC. The contractor shall have the offender sign a waiver of
confidentiality to allow information to be shared with DOC or other criminal justice/social service agencies that
have a need to know.
2. The contract staff shall be willing to address community safety issues and cooperate with DOC staff to
monitor risk. The contractor shall report lapses, violations, and when the offender is in a high-risk situation to
the referring agent within 24 hours. In the event that medical or police intervention is required within the
group, verbal contact with the Regional Office should occur within four (4) hours, followed by submission of
an incident report within eight (8) hours.
3. The contract staff shall agree to accept subpoenas and sign as missions of service of such subpoenas to
appear at revocation and court hearings if requested by the Department of Corrections or it employees or its
agents.
4. Contractor is responsible to develop strategies to address gender responsivity.
5. Contractor shall have the capability to accept offender referral forms and related documents electronically.
6. The Department purchases a limited number of polygraphs through a contract separate from this solicitation.
Contracted agency would be required to participate in a multidisciplinary approach which involves intensive
monitoring of sex offenders on supervision to prevent them from committing new offenses. Utilizing the
containment approach, the case management team (agent, polygrapher and treatment contractor) closely
cooperates to reduce the risk of reoffense, in an approach varied by offender, with the goal of eliminating
opportunity and access to victims. Along with participating in the polygraph preparation with the offender and
involvement in staffing the results, the Contractor shall also agree to attend DOC provided polygraph training.
7. All groups shall follow the characteristics consistent with program efficacy per Exhibit 11.
8. Groups shall be gender specific and shall be comprised of only offenders supervised by DOC.
9. The contract staff shall demonstrate an ability to be assertive and non-punitive toward offenders. Staff shall
have a written policy addressing the implementation and use of punishers and reinforcers, as well as an
electronic system for tracking the delivery of the behavioral modification methods. Staff training in the
application of these behavior modification tools shall be documented.
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10. If treatment groups are co-facilitated, at least one co-facilitator shall meet the experience requirements.
Groups may be co-facilitated; however they may NOT be co-facilitated with a staff person from DOC. The
use of student interns shall be approved in advance by the contract administrator. Student interns are
prohibited from acting in any facilitation capacity. Co-facilitation is not a requirement of this bid.
11. Group size shall not be less than four (4) and no more than ten (10) participants. Exceptions to the
minimum/maximum group size requirement will require prior approval from the DOC Contract Administrator.
When attendance is below four (4) offenders, contract staff shall contact the DCC Contract Administrator
within 24 hours to discuss options for increasing group size.
12. All program services shall be secularly based. Program content, materials and self-help support groups
employed in the delivery of treatment to the offender must comply with the requirements of Kerr v. Farrey, 95
f.3d 472 (1996) and DCC Administrative Directive 01-10, attached as Exhibit 1.
13. No break times shall be implemented for groups lasting 90 minutes or less.
14. Accommodations may be required for specific populations of offenders based upon the following: intelligence
under IQ of 80, gender, race/ethnicity, motivation to change, and personality or mental disorder. The
awarded contractor may be requested by DOC to provide individual counseling and/or other types of sex
offender treatment groups (e.g., psycho-education, special needs, aftercare) by separate agreement after
consultation with the agent(s) of record and the contract administrator. Individual treatment, based on the
assessment as detailed in RFB Section 4.5.1, may be requested to assist male and female offenders with
successful adjustment to group treatment or as an adjunct to group treatment when the offender is in a high
risk situation. Individual treatment may also be requested for female sex offenders if there are not sufficient
female offenders to refer for group services.
NOTE: If this RFB results in two separate awards, pricing from any separate agreements referred to in
Section 4.5 #14 shall be extended to both locations. Bidders shall not expect that the DOC will request a
separate agreement(s) to provide individual treatment and/or other types of sex offender treatment groups.
15. Offenders in all groups shall be expected to prepare homework/journals/assignments or thinking reports. In
addition, all offenders shall be required to participate, and give and receive feedback during each group
session. Role playing exercises should be utilized in all group sessions to allow the offender to practice the
learned skill.
16. The program shall provide the ability to enroll offenders at various points throughout the treatment group
cycle as long as the group size does not exceed ten (10) participants.
17. Group services may be required to be offered during non-traditional business hours. Actual group starting
time shall be negotiated with the DOC Contract Administrator of designee but changes in class dates and
starting times shall not be implemented sooner than thirty (30) days from written approval of DOC to avoid
offender scheduling conflicts.
18. Multiple groups may be run at the same location. In the event that groups are provided in succession, by the
same facilitator, there must be adequate time between groups and at a minimum, not less than fifteen (15)
minutes apart.
19. Offender fees are to be collected outside of scheduled group times, either before or after.
20. Offenders shall be surveyed as to their satisfaction of the program during the program and after
completion/discharge.
21. When services are cancelled or delayed due to inclement weather or other circumstances as deemed
appropriate by DOC, contract staff shall make all reasonable efforts to notify group participants of group
cancelation prior to start time. This cancelation policy shall be provided to participants in writing upon entry to
program (within program rules).
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22. For evaluation purposes, the contract staff shall be willing to have group treatment observed and evaluated
by a DOC representative.
23. DOC Contract Administrator or designee shall have access to all DCC offender files and program groups as
they deem necessary. This includes both announced and unannounced visits.
4.5.1. SEX OFFENDER ASSESSMENTS
Contract staff shall prepare a written assessment report as detailed here and in accordance with the
Intake Procedures, RFB Section 4.6.2. Accommodations may be required for special populations of
offenders.
Assessments will be for male offenders and require the following:
A. Meeting in person with the offender for a clinical interview.
B. At a minimum, one (1) empirically-validated STATIC actuarial assessment tool.
C. At a minimum, one (1) empirically-validated DYNAMIC actuarial assessment tool.
D. A review of the historical risk factors presented by the offender based upon a validated
measurement tool.
E. The offender’s readiness for treatment services.
F. The offender’s ability to adapt to the treatment setting.
G. Recommendation for supervision strategies.
H. DOC 1577 Sex Offender Assessment Report (Exhibit 5).
The assessment shall include a detailed written report that will be forwarded to the agent of record
within ten (10) days of meeting with the offender.
For the contract(s) resulting from this RFB, it is estimated that the contractor(s) will be required to provide
the following number of assessments annually, as applicable to their contracted service location(s):
 Lacrosse County (City of Lacrosse, WI)
 Monroe County (City of Sparta, WI)
50 assessments annually
20 assessments annually
Please refer to Request for Bid form (DOA 3070) for more details on bid quantities.
 Bidder must provide a detailed description of the assessment tool(s)/reassessment tools they propose to
use.
4.5.2. INDIVIDUAL SEX OFFENDER TREATMENT
The bidder shall conduct individual (male or female) treatment sessions for offenders referred for these
services by DOC staff. The bidder and DOC staff will determine the number of hours of individual
treatment required and the appropriateness of an offender for such treatment.
Individual treatment may be provided to assist the offender with successful adjustment to group treatment
or as an adjunct to group treatment when the offender is in a high risk situation. Individual treatment may
be required for female sex offenders if there are not sufficient female offenders to refer for group services.
Services will be based on a per hour rate.
Offenders shall be expected to prepare homework/journals/assignments or thinking reports.
 Bidder must provide a detailed description of individual treatment components including the approach for
high risk, special populations, and female offenders. Attach topic areas to be covered and research
showing components are evidence-based.
4.5.3.
SEX OFFENDER TREATMENT GROUP
Group treatment services provided are to follow a cognitive intervention model of sex offender treatment.
Offenders shall be expected to prepare homework/journals/assignments or thinking reports. The group
shall be male or female only and may include offenders with varying types of offense, e.g., exhibitionists,
rapists, child molesters, etc. Group treatment shall be specifically designed to address male and female
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sex offender issues. When possible, groups should follow evidenced-based protocol by separating high
risk from low-moderate risk based on participation and need.
Contract staff shall complete a written clinical evaluation of why an offender needs treatment extended
past the established program hours based on the risk/need/responsivity principles. The written evaluation
shall be submitted to the Contract Administrator or designee for approval prior to providing additional
treatment. Also refer to RFB Section 4.7 Program Participation.
Seventy-eight (78) total program hours shall be considered the minimum completion standard for each
cycle of Sex Offender Treatment Groups. The contractor(s) selected under this solicitation shall conduct
one group session once per week, each group session 90 minutes in length, for a total of 52
groups per cycle. 1 cycle of groups = 52 groups (1 session/week x 52 weeks). Multiple cycles of
groups may run at the same location.
For the contract(s) resulting from this RFB, it is estimated that the contractor(s) will be required to provide
the following number of Sex Offender Treatment Group cycles annually, as applicable to their contracted
service location(s):
 Lacrosse County (City of Lacrosse, WI)
6 cycles annually
 Monroe County (City of Sparta, WI)
1 cycle annually
Please refer to Request for Bid form (DOA 3070) for more details on bid quantities.
A. Sex offender treatment shall be specifically designed to address sex offender issues to include, but
not limited to, the following:
1. Individual offender's behavior pattern underlying current offense, other offense behavior patterns,
deviant behavior cycles, cognitive distortions, deceptiveness, deviant arousal, fantasies, victim
impact, empathy, denial and minimization.
2. Education concerning physiology of sexuality, physical and emotional health in sexuality,
appropriate and abusive sexual behaviors.
3. Skill development to enhance offender's ability to manage impulses toward criminal or sexually
deviant behavior. This is to include assertiveness, communication, anger management, stress
management and relaxation techniques.
4. A family and relationship component which provides offenders with the skills to develop and
maintain healthy relationships. Issues to be addressed, at a minimum, shall include
parenting/discipline; separation/loss; physical, sexual and/or emotional abuse; dependency
issues; and relationship roles.
5. Relapse prevention techniques and plan developed with the offender that identifies the offender's
precursors, fantasies, cues, seemingly unimportant decisions, stressors, relationships, high risk
situations as well as corrective actions and consequences for criminal/sexually deviant behavior.
B. Treatment may include behavioral therapy that includes operant conditioning (i.e., covert
desensitization and masturbatory satiation) to reinforce appropriate sexual fantasies and negate
inappropriate fantasies.
C. Sex Offender Programs are required to develop and follow a written policy and procedure manual
that is available to DCC. The contents of such manuals should be as follows:
1)
2)
3)
4)
A cover page specifying the program
A brief description of the program and its goals, which should be provided to group participants
Specific rules and expectations for the program, which are shared with group participants either
verbally or in writing,
A syllabus/curriculum (list of the topics to be covered) for the use of providers, with:
a)
Estimated dates or number of weeks to be spent on each topic.
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Media, handouts, or other tools used in each session.
Homework assignments
5) Any other program-specific materials (warning memos, certificates of accomplishment or
completion, etc.)
D. All aspects of sex offender programming participation must be documented regularly, systematically,
and on appropriate standard forms. Participation in or absence from every group session must be
documented, and periodic treatment summaries must be generated. Communications with offenders
regarding warnings and terminations must be documented in writing. A discharge summary must be
completed when the offender leaves the program for any reason.
 Bidder must provide a detailed description of the sex offender group component including
approach and methods of service delivery. A curriculum outline including a proposed
itinerary of group dates, include topic areas to be covered and research showing
components are evidence-based.
4.5.4. SEX OFFENDER AFTERCARE GROUP
Aftercare shall be a separate program, or phase of a treatment program, in which the offender participates
after having successfully completed the curriculum of a sex offender treatment program. This is sometimes
referred to as a maintenance phase. Aftercare may consist of a separate group comprised solely of
offenders in the Aftercare phase of treatment, or an offender may be participating in a comprehensive
treatment group in which members are in different phases.
Aftercare components shall include:
 Offender demonstration of mastery of the program components that are laid out in the Standards for
SOT programs
 Offender demonstration of ability to live according to the offender’s personal Re-offense Prevention
Plan.
Thirty (30) total program hours shall be considered the minimum completion standard for each cycle of Sex
Offender Aftercare Groups. The contractor selected under this solicitation shall conduct one (1) session
per week, each session 90 minutes in length, for a total of twenty (20) groups per cycle. Ten (10)
cycles x twenty (20) groups/cycle = two hundred (200) total groups.
After the first 20 sessions, gradual decrease in frequency of group attendance can occur at the discretion of
the treating facilitator, in cooperation with DOC staff, starting with biweekly attendance initially and
culminating in no fewer than one session a month. The frequency of sessions after the minimum six months
or 20 sessions should be determined by the degree of clinical contact considered to be necessary in order
for the offender to maintain behavioral gains and may be maintained at a weekly level at the discretion of the
facilitator and in cooperation with DOC staff.
Length of the Aftercare Program shall be one year minimum. Longer periods of participation can be
recommended by the facilitator and in cooperation with DOC staff. Participation in polygraph examination(s)
will be at a frequency specified by the supervising agent.
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Bidder must provide a detailed description of the aftercare group component including approach and
methods of service delivery. A curriculum including a proposed itinerary of group dates, include topic
areas to be covered and research showing components are evidence-based.
4.5.5. SEX OFFENDER PSYCHO-EDUCATIONAL GROUP
Group services are to provide competency-based sex education specific to male gender issues.
Accommodations may be required for special populations of offenders. The group shall be male only but
may include offenders with varying types of offense, e.g., exhibitionists, rapists, child molesters, etc.
Offenders shall be expected to prepare homework / journals / assignments or thinking reports.
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Twenty-four (24) total program hours shall be considered the minimum completion standard for each cycle of
Psycho-Educational Groups. The bidder selected under this solicitation shall conduct one (1) session per
week, each session 90 minutes in length, for a total of sixteen (16) groups per cycle. Four (4) cycles x
sixteen (16) groups/cycle = Sixty-four (64) total groups.
Psycho-educational group services shall be specifically designed to address sex offender issues to include
but not limited to the following:
1. Education on Wisconsin Statutes and sex offender laws including consequences for criminal or sexually
deviant behavior
2. Education on human sexuality, sexually transmitted diseases, reproduction, and birth-control methods
3. Individual offender’s pattern underlying current offense, other offense behavior patterns, sexual
dysfunctions, cognitive distortions, fantasies, victim impact, empathy, denial, and minimization
4. Skill development to increase social competence, assertiveness, self-esteem
5. Skill development to learn appropriate sexual skills in relationships, acceptable social boundaries, and to
develop positive, respectful attitudes toward adult sexual partners
6. Education on appropriate vs. inappropriate use of masturbation
7. Discussion of pornography and why pornography is not acceptable for any sex offender
8. Development of relapse prevention strategies/plan for life-long self-management of sexual dysfunctions
9. Containment principles to include the development of a positive support system to assist offenders in
maintaining a healthy lifestyle
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Bidder must provide a detailed description of the psycho-educational group component including
approach and methods of service delivery. A curriculum including a proposed itinerary of group dates,
include topic areas to be covered and research showing components are evidence-based.
REMINDER: Bids that do not include all items listed on the Section 9 checklist may be rejected.
4.6. REFERRAL-DISCHARGE PROCEDURES
4.6.1.
REFERRAL
Contract staff shall develop referral procedures in cooperation with DOC staff. As indicated in item #5 of
RFB Section 4.5, contractor shall have the capability to accept offender referral forms and related
documents electronically.
Contract staff shall send a written assessment report as defined in 4.5.1 including the DOC-1577 Sex
Offender Assessment Report (Exhibit 5), the initial DOC-1423 Sex Offender Program Report (Exhibit 6),
and recommendations to the referring agent and DOC liaison within ten (10) working days of admission
into the program.
If the Contractor rejects an offender, this must be discussed with DOC staff to determine if the program
can be modified to address the specific offender needs.
4.6.2.
INTAKE PROCEDURE
When an offender is referred to Sex Offender Treatment, the provider shall conduct an Intake
Procedure, to include completion of:
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DOC-1577 Sex Offender Assessment Report (Exhibit 5)
DOC-1423 Sex Offender Program Report (Exhibit 6)
DOC-1923 Limits of Confidentiality of Health Information (Exhibit 7)
DOC-2507 Informed Consent: Sex Offender Treatment (Exhibit 8)
DOC-2508 Sex Offender Treatment Contract (Exhibit 9)
Actuarial Assessment (male only)
Initial treatment plan, which shall include measurable goals and objectives, and activities/services
needed to achieve successful discharge.
This procedure is intended to identify specific problem areas and risk factors pertaining to sexual
offending, attitudes toward sexual behavior, knowledge of sexual reoffense prevention, and the
precedents and antecedents of sexually abusive behavior. Recommendations for the appropriate type of
intervention and level of need for treatment must be included.
Completion of the required documentation shall occur prior to or within the first ten (10) working days
after an offender’s admission to sex offender programming.
4.6.3.
PROGRAM RULES
Contractor shall have each offender complete necessary release of information forms and shall give
each offender a copy of the program rules and expectations. Using the DOC-1923 Limits of
Confidentiality of Health Information (Exhibit 7), the contract agency shall notify each offender in writing
that all information obtained while an offender participates in program services shall be shared with DOC
staff. The completed DOC-1923 form signed by the offender shall be submitted to the referring agent
and DCC liaison within the first 10 working days of the offender’s admission to the program.
Contract staff must be available to appear in court, if ordered, as a part of this contract and at no
additional charge. Also refer to item # 3 in RFB Section 4.5 Program Requirements.
 Bidder must provide a copy of written program rules.
4.6.4.
CASE MANAGEMENT/STAFFINGS
In order to effectively monitor an offender’s participation and progress in Sex Offender programming, the
contractor agency and DOC staff need to share ongoing information regarding the offender’s behavior.
Considering the risk sex offenders present to the community, this information sharing needs to be
current, structured and consistent. A written report that includes the DOC-1423 Sex Offender Program
Report (Exhibit 6) that addresses offender progress in treatment is required and shall be completed at a
minimum every three (3) months. Copies will be provided to Agent upon report completion.
As part of the Case Management, it is required that the contractor meet with DOC Staff at least once a
month. During these meetings, the Contractor shall be prepared to discuss the progress of the offenders
in the treatment group, including but not limited to, any red flag situations that have been disclosed, risk
factors, participation, and areas of improvement.
The contractor agency shall submit weekly attendance reports with information regarding offender’s
attendance, compliance with payment, and any relevant comments/updates.
As detailed in item # 6 in RFB Section 4.5 Program Requirements, the contract staff shall be a part of the
polygraph process to achieve the collaborative approach among the supervision/treatment team.
 Bidder must provide a format for weekly attendance report.
4.6.5.
COMPLETION/DISCHARGE SUMMARY
A completion/discharge summary documents treatment progress when the offender completes, is
withdrawn or otherwise terminated from a program or the existing contract for services ending. The
completion/discharge summary includes recommendations for further treatment as well as
recommendations to assist the agent in supervising the offender. The contract agency shall develop
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termination and completion/discharge procedures for offenders completing or exiting services in
cooperation with DOC staff. The contract agency shall inform the referring agent and DOC liaison of the
program’s intent to terminate an offender from treatment prior to discharge because of poor adjustment
and within one working day for all other types of terminations. Within fifteen (15) working days of
termination or discharge, the Contractor shall prepare a written discharge summary including the DOC1423 Sex Offender Program Report (Exhibit 6). The discharge summary must also include a description
of offender’s progress in programming, additional program recommendations, the offender’s relapse
prevention plan, and recommendations to assist the agent in supervising the sex offender’s subsequent
activities.
4.6.5.1 CRITERIA FOR SUCCESSFUL COMPLETION OF SEX OFFENDER TREATMENT
In order to be determined to have successfully completed sex offender treatment, all of the
following criteria must be met:
1.
2.
3.
4.
5.
The offender has identified problematic personal issues (including behavior patterns
related to offending e.g., threats and intimidation, dependency, inadequate
interpersonal skills, etc.) and is stable in exhibiting more pro-social behavior patterns in
areas that pertain to sexual offending.
The offender recognizes the thoughts, attitudes, emotions, behavior, and sexual
arousal associated with his or her sexual offense pattern and has developed an
adequate relapse prevention plan (i.e., completion of the DOC-2456 or DOC-2456A).
The offender has demonstrated sustained change in thoughts, attitudes, emotions,
behavior, and the management of sexual arousal.
There has been no evidence that the offender has regressed to offense related
behavior outside of, or within, the group setting.
Polygraph examination(s) must be passed.
 Bidder must provide the format for the written discharge summary.
4.7. LENGTH OF PROGRAM PARTICIPATION
4.7.1. SEX OFFENDER ASSESSMENTS
It is anticipated that each offender referred will participate in one assessment. The extent of the assessment
and need for further evaluation will be based on individual need. Further assessment may be negotiated by
the therapist and DOC staff.
4.7.2 SEX OFFENDER TREATMENT GROUP
It is anticipated that offenders will participate in no less than 52 group sessions (One 90-minute session per
week x 52 weeks) for a total of 78 program hours. Participation for any longer or shorter period of time may
be negotiated with DOC staff based on treatment goals.
4.8. NUMBER OF SERVICE UNITS
Under any agreement resulting from this solicitation, unit of service is defined as follows:
4.8.1. SEX OFFENDER ASSESSMENTS
One completed written summary based on activities as defined in 4.5.1 with documentation to the referring
agent/DOC liaison.
4.8.2. SEX OFFENDER TREATMENT GROUP
One 90 minute group session of direct service provided to one group of offenders participating in activities as
defined in 4.5.2 with documentation to referring agent/DOC liaison.
4.9. POSSIBLE EXPANSION OF SEX OFFENDER TREATMENT SERVICES
During the term of the resulting contract, DOC may request that the contractor(s) increase the Sex Offender
Treatment services available to an area(s) outside the counties listed in this RFB (i.e., Vernon, Richland, Grant,
Crawford, Juneau, Sauk, Wood, Portage, Waushara, Marquette, Green Lake, Columbia, Iowa, and/or
Lafayette). If the contractor agrees to provide the possible expansion of Sex Offender Treatment services, then
the per group rate and per assessment rate for these additional Sex Offender Treatment services will be
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contracted at the same rates as the awarded county/ies. However, bidders shall not expect that the DOC will
request to expand the Sex Offender Treatment services specified in this RFB.
4.9.1. REPORTING REQUIREMENTS REPORTING ON INDIVIDUAL OFFENDERS
4.9.1.1. Progress Reports: A written summary of the offender’s progress in treatment will be submitted
to the referring Agent/DOC liaison at a minimum of every three months, as well as at the midpoint of the program. The initial DOC-1423 Sex Offender Program Report (Exhibit 6) will be
submitted within thirty (30) days of admission and then a minimum of every three (3) months
along with the offender’s progress report.
The Contractor shall document attendance, compliance with co-payment, and should focus on
the offender’s status on the specific treatment needs, as well as on specific individual reoffense
risk indicators. Other issues pertinent to the sex offender needs and treatment progress of a
particular sex offender should also be addressed.
4.9.2.
OTHER REPORTS
4.9.2.1. Law Violations: The Contractor shall notify the referring DOC staff or other available DOC staff
if a participant is in violation of the law. This notification must take place as soon as possible and
no later than 24 hours, subsequent to receiving information concerning the law violation.
4.9.2.2. Serious Program Violations: Serious program rule violations, including failure to attend, shall
be reported to the referring DOC staff or other available DOC staff within one working day.
4.9.2.3. Ad Hoc Reports: Upon request, the bidder shall provide to DOC staff, reports on offenders
served in the program when these reports are required by the court, for revocation procedures
and/or for other Departmental processes.
4.9.2.4. Federal Reports: Resulting contracts using Federal Block Grant funds will be required to
complete additional state and federal reports, as necessary.
4.9.3.
PROGRAM REPORTING
4.9.3.1. Attendance Report: The contractor shall provide weekly attendance reports with information
regarding offender’s attendance, compliance with payment, and any relevant comments/updates.
The comments should include risk factors, deviant thoughts, and participation level. The
attendance report shall be submitted in person, via fax or e-mailed, within 24 hours from the start
of each group session.
4.9.3.2. DOC-1336 Referral for Services, Part B Intake Decision (Exhibit 2): The contractor shall
submit a completed Referral for Services form for each offender referred by DOC for service.
These forms with Part B Intake Decision completed shall be submitted with the first DOC-1088
Offender Report Monthly following offender’s rejection or acceptance into the program.
4.9.3.3. DOC-1088 Client Report– Monthly (Exhibit 3): The contractor shall submit a completed DOC1088* to report data on offenders served each month. This report shall be submitted within ten
(10) days of the last day of the month during which service was provided.
*NOTE: DOC is currently developing a web based data collection system that will replace the
DOC-1088. It is expected that the system will be operational by July 2015.
The contractor will be given controlled access to the website and shall be required to enter
information pertaining to each of the participants served by the program.
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4.9.3.4. DOC-1026 Unit Service Monthly Report (Exhibit 4): The contractor shall submit a completed
Unit Service Monthly Report to report and certify the number of units of service provided each
month and the amount of offender fees collected each month. This report shall be submitted
within ten (10) days of the last day of the month during which the service was provided.
4.9.3.5. DOC-1577 Sex Offender Assessment Report (Exhibit 5): The contractor shall review the
DOC-1577, if provided in the DOC referral packet, with the offender. If not included in the referral
packet, contractor shall complete the form. Include the form with the intake assessment and
submit to the referring agent and DCC liaison within the first ten (10) working days of offender’s
admission to the program.
4.9.3.6. DOC-1423 Sex Offender Program Report (Exhibit 6): The contractor shall review the DOC1423, if provided in the DOC referral packet, with the offender. If not included in the referral
packet, contractor shall complete the form. Include the form with the intake assessment and
submit to the referring agent and DCC liaison within the first ten (10) working days of offender’s
admission to the program.
4.9.3.7. DOC-1923 Limits of Confidentiality of Health Information (Exhibit 7): The contractor shall
review the DOC-1923 with the offender prior to providing any services to the offender. The
completed form signed by the offender shall be submitted to the referring agent and liaison within
the first ten (10) working days of offender’s admission to the program.
4.9.3.8. DOC-2507 Informed Consent: Sex Offender Treatment (Exhibit 8): The contractor shall
review the DOC-1923 with the offender prior to providing any services to the offender. The
completed form signed by the offender shall be submitted to the referring agent and liaison within
the first ten (10) working days of offender’s admission to the program.
4.9.3.9. DOC-2508 Sex Offender Treatment Contract (Exhibit 9): The contractor shall review the
DOC-2508 with the offender prior to providing any services to the offender. The completed form
signed by the offender shall be submitted to the referring agent and liaison within the first 10
working days of offender’s admission to the program.
4.9.3.10. Program Evaluation
4.9.3.10.1. Program evaluation is intended to return useful information to program sites for the
purpose of program improvement. Contractors delivering services to offenders shall
prepare for and cooperate with evaluation efforts initiated by the Department including
long-term results of offenders discharged from the program. The Correctional
Program Checklist (CPC) will be used as the evaluation tool to assess the extent to
which correctional treatment programs adhere to the known principles of effective
intervention. It is designed to evaluate the integrity of a program, not outcomes. It is
not the intent of the evaluation process to terminate any program, however, lack of
improvement action may result in notice of termination. An outline of the CPC steps is
attached as Exhibit 10.
4.9.3.10.2. Contractors will be expected to collect and maintain similar data on offenders and
their participation in the treatment process in an electronic database. Requirements
include computer capabilities with internet access, e-mail, and window’s applications.
Data will be reviewed at the end of each year and submitted in a report providing
details to show how the program reduced recidivating. Outcome reports shall be
submitted annually, at a minimum, with a summary page explaining report outcomes.
At minimum the report will include:

Program overview including outcome goals and relationship to reducing
recidivism.
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Number of offenders referred.
Number of offenders accepted.
Number of offenders completing the level of program.
Number of offenders needing no further programming.
Number of offenders who do not complete the program and why.
Number of offenders returning to the program including the period of time
after leaving the program.
Goals for future contract years.
Identify obstacles contractor has that need resolution with DOC input.
4.9.3.10.3. Contractor is expected to survey offenders currently active in group services. These
written surveys shall be completed at least one (1) time for every cycle of service
delivered, not to include at discharge. Feedback surveys are expected to examine (at
minimum) on:

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Targeted behaviors
Dynamic risk factors
Utilize the information to drive programming and add information to
dynamic case plans.
A written summary specifically addressing the results of these requirements shall be
sent to the Department within ten (10) days of the implemented offender survey.
 Bidder must indicate whether your organization has an existing system for documenting and
managing client-level information. If your organization has any existing system(s), bidder must
provide an overview of the system, including details on the established internal standards of
practice regarding service delivery and intake/completion, what pre/post testing scoring is
gathered, and whether it is in electronic or paper format.
 Bidder must provide the name of your staff person who will be the contact person responsible for
coordinating with DOC and evaluation staff.
5.0
PERFORMANCE REQUIREMENTS
5.1
STAFF PERFORMANCE
The contractor shall utilize, on this contract, only workers that are skilled in the tasks to which they are
assigned. During the contract period, Provider agrees to submit updates on staff changes and
staffing patterns to the DCC Contract Administrator. The DOC retains the right to require the
reassignment of an employee or employees, as the Department may deem necessary. Reasons for this
request may be but are not limited to incompetence, carelessness, disruptive or otherwise objectionable
behavior. The request for reassignment is in no way a call for dismissal. It is just a request for the
individual to be reassigned out of the contracted program.
5.2
TRAINING OBSERVATION AND GROUP ACCESS
DOC Contract Administrator shall be allowed observation of training sessions and attendance during any
group session as deemed necessary by DOC.
5.3
SERVICE DELIVERY REQUIREMENTS
5.3.1
Under any agreement resulting from this bid solicitation, the contractor(s) shall be prepared to
begin delivering services on July 1, 2015, or within four (4) weeks of the contract award(s) should
award occur after May 28, 2015. As indicated in Section 3.4, failure to meet this deadline may
result in termination of the agreement.
5.3.2
Any staff terminated during the contract period shall be replaced within four (4) weeks of
termination unless otherwise authorized by DCC Contract Administrator. Contractor’s inability to
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provide Sex Offender Treatment Services after one (1) month may result in cancellation of
contract for the location(s) affected (refer to RFB Section 1.4).
6.0
7.0
COST INFORMATION
6.1
FIRM PRICES
Prices must remain firm for the initial contract term.
6.2
PRICE INCREASE REQUESTS
Price increase requests proposed after the initial Contract term must be received by Purchasing in writing
90 calendar days prior to the beginning of the next contract term for acceptance or rejection. Proposed
price increases are limited to fully documented cost increases submitted with the request. If Purchasing
deems cost increases are not acceptable, it reserves the right to rebid the contract in whole or part.
Acceptance of the price increases shall be in the form of an amendment to the contract. Price increases
must be labeled with the contract number and be submitted in the same format as the original RFB. Any
price increase requested that is not submitted in the proper format may be rejected.
6.3
Bidders must submit cost on the Request for Bid Form (DOA-3070). Refer to RFB Section 2.4.2 for Cost
Submittal Information.
SUPPORT REQUIREMENTS
7.1
COLLECTION OF OFFENDER FEES
7.1.1
Contractor shall collect fees from program participants or via third party payments. Program
participants who are employed or who receive other public or private funds will be expected to
contribute toward program costs. Collection should take place outside of group session hours.
The DCC Contract Administrator shall provide the scale for determining the amount of offender
fees.
NO OFFENDER WILL BE DENIED SERVICES BECAUSE OF INABILITY TO PAY.
7.2
7.1.2
Offenders shall be provided written fee collection requirements at the program start including the
specific total amount of fees required while in program. Offenders shall receive a written receipt
from contract staff whenever a fee is paid and contractor will balance that fee receipt book
monthly in order to show individual monthly totals for DCC invoicing purposes.
7.1.3
The amount of these collections will be reported on the DOC-1026 Unit Service Monthly Report,
for the month in which the fee was paid, and deducted from the amount reimbursable to the
contract agency by the DCC. The amount of these collections will be reported and certified on the
DOC-1026 Unit Service Monthly Report (under “Less Offender Fees Collected”), for the month in
which the fee was paid, and deducted from the amount reimbursable to the contract agency by
the DCC.
INVOICING / PAYMENT REQUIREMENTS
Contractor must agree that all invoices and purchasing card charges shall reflect the prices and discounts
established for the items on this contract for all orders placed by the DOC even though the contract
number and/or correct prices may not be referenced on each order.
The DOC must meet a statutory mandate to pay or reject invoices within 30 days of receipt by DOC
Accounts Payable (Note exemption of aids payments to individuals and organizations). Before payment is
made, it also must verify that all invoiced charges are correct as per this Contract. Only properly
submitted invoices will be officially processed for payment. Prompt payment requires that contractor
invoices be clear and complete in conformity with the instructions below. All invoices must be itemized
showing:
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Contractor name
remit to address
purchase order number
release number if given
complete service item description
prices per the Contract
The original invoice and two copies must be sent to the DOC address listed on the Purchase Order.
Final payment may not be made until work has been accepted by the DOC.
7.1
7.2
SUBCONTRACTING
Any Contract resulting from this bid shall not be, in whole or in part, subcontracted, assigned, or otherwise
transferred to any other Contractor without prior written approval by Purchasing Services.
7.1.1
The Contractor shall be directly responsible for any subcontractor’s performance and work quality
when used by the Contractor to carry out the scope of the job.
7.1.2
Contractor must assure subcontractors abide by all terms and conditions under this Contract.
7.1.3
If subcontractors are to be used, the Contractor must clearly explain their participation.
PRIME CONTRACTOR: MINORITY BUSINESS SUBCONTACTORS AND DISABLED VETERANOWNED BUSINESS SUBCONTRACTORS
The prime contractor will be responsible for contract performance when subcontractors are used.
However, when subcontractors are used, they must abide by all terms and conditions of the contract. If
subcontractors are to be used, the bidder must clearly explain their participation.
The State of Wisconsin is committed to the promotion of minority business in the state's purchasing
program and a goal of placing 5% of its total purchasing dollars with certified minority businesses.
Authority for this program is found in ss. 15.107(2), 16.75(4), 16.75(5) and 560.036(2), Wisconsin
Statutes. The contracting agency is committed to the promotion of minority business in the state's
purchasing program.
The State of Wisconsin policy provides that minority-owned and disabled business enterprises certified by
the Wisconsin Department of Administration Minority Business Certification Program should have the
maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly
urged to use due diligence to further this policy by awarding subcontracts to minority and disabled owned
business enterprises or by using such enterprises to provide goods and services incidental to this
agreement, with a goal of awarding at least 5% of the contract price to such enterprises.
The supplier/contractor shall furnish appropriate quarterly information about its effort to achieve this goal,
including the identities of such enterprises certified by the applicable State of Wisconsin Supplier Diversity
Certification Program (https://wisdp.wi.gov/Home.aspx) and their contract amount.
The Wisconsin Office of Business Development also certifies disabled veteran-owned business
certification program and supplier/contractor should also include the identities of such businesses in their
quarterly information.
Quarterly reports shall be due fifteen (15) calendar days after the end of the quarter, 9/30, 12/31, 3/31 and
6/30. The form for submitting this information is available from the VendorNet Department of
Administration Forms Page: http://vendornet.state.wi.us/vendornet/doaforms/doa-3234.doc .
The report shall be submitted even if there is no activity.
Submit to:
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e-mail: [email protected]
post:
MBE Purchasing Report
PO BOX 7991
Madison, WI 53707-7991
The State reserves the right to request additional reports from the Contractor at no additional cost.
Contractor shall use every effort to provide such reports in a reasonable timeframe, but no later than thirty
(30) calendar days from the time the request was submitted. These reports shall be in a form approved in
advance in writing by the State.
A listing of certified minority businesses, as well as the services and commodities they provide, is
available from the Department of Administration, Minority Business Program, (608) 267-3293. The listing
is published on the Internet at: http://www.doa.state.wi.us/mbe/report2.asp?locid=0 .
A directory of certified disabled veteran-owned business can be accessed via this website:
http://commerce.wi.gov/BusinessDirectory/. Information about the Disabled Veteran-Owned Business
Program is available from the Department of Administration, (608) 267-3293.
7.3
AFFIRMATIVE ACTION
All contracts of more than Fifty Thousand Dollars ($50,000) require the submission of a written affirmative
action plan or request exemption. Contractors with an annual workforce of less than twenty-five
employees are eligible for exemption. Within fifteen (15) days after the award of the contract, the written
affirmative action plan, or statement requesting exception, shall be submitted to the Department’s
Contract Compliance Office. Address plan to:
AFFIRMATIVE ACTION MANAGER/ PURCHASING SERVICES
DEPARTMENT OF CORRECTIONS
3099 E WASHINGTON AVE
PO BOX 7991
MADISON WI 53707 7991
Contractors are encouraged to contact this office at, (608) 240-5571, for technical assistance on equal
opportunity.
"Affirmative Action Plan" is a written document that details an affirmative action program. Key parts of an affirmative action plan
are: (1) a policy statement pledging nondiscrimination and affirmative action employment, (2) internal and external dissemination of
the policy, (3) assignment of key employee as the equal opportunity officer, (4) a workforce analysis that identifies job classification
where representation of women, minorities and the disabled is deficient, (5) goals and timetables that are specific and measurable
and that are set to correct deficiencies and to reach a balance of work force, (6) revision of all employment practices to ensure that
they do not have discriminatory effects, (7) establishment of internal monitoring and reporting systems to measure progress
regularly.
Failure to comply appropriately with these requirements can lead to bidder being banned from doing
business with any agency of the State of Wisconsin. Additionally, failure to comply can result in
termination of this contract, or withholding of payment. On the Vendor Information Sheet provide the
requested information. For additional information see Section 19.0 of the Standard Terms and Conditions.
7.4
WISCONSIN SALES AND USE TAX REGISTRATION
The State of Wisconsin shall not enter into a contract with a vendor, and reserves the right to cancel any
existing contract if the vendor or contractor has not met or complied with the requirements of s. 77.66,
Wis. Stats., and related statutes regarding certification for collection of sales and use tax.
If you have not established a certification for Collection of Sale and Use Tax status with the Wisconsin
Department of Revenue, the DOC and any other state agency can not issue any purchase orders to your
firm. For additional information see http://www.dor.state.wi.us/html/vendlaw.html
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7.5
TOBACCO-FREE ENVIRONMENT
All DOC Institutions are Tobacco-Free. Contractors are not to possess or use any tobacco product inside
an institution.
7.6
SECURITY AND CREDENTIAL REVIEW
The department requires that all bidders and contractors providing services in its facilities submit and pass
criminal background and license/credential checks. History of arrests and/or convictions could disqualify an
individual if deemed relevant to the position, service or site. Background checks will be conducted and paid
for by the institution, and records will be maintained on site, as well as copies of credentials and licenses
7.7
INSIDE FACILITY DELIVERY
These services may be required to be delivered within the confines of a State of Wisconsin Correctional
Facility to which access is tightly controlled. Delivery persons will need to be properly documented with
approved identification: a valid Wisconsin or other State’s driver’s license. Vehicles will be subject to
search upon entering and leaving said Facility. Vehicles containing weapons, drugs or drug paraphernalia,
live animals, additional passengers, and/or any other restricted items, etc. will not be allowed to enter.
Possession of contraband may be reported to local law enforcement.
All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of
contraband and the use of the vehicle as a means of escape by inmates.
Vehicles leaving the institution shall have a designated position at which to stop before reaching the
vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the
institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched must
be held inside the institution through an official count.
Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In
maximum security institutions, trucks shall never be left unsupervised while inside the institution. In
medium and minimum institutions, unattended trucks must be locked.
The Department of Corrections will not be responsible for any additional delivery charges resulting from
being denied entry by non-compliant delivery personnel.
7.8
ACCESS TO DOC INSTITUTIONS
Execution of this contract requires access/entrance into DOC secure facilities. All contractor staff will be
required to submit to a Criminal Background Check, which must be successfully completed prior to arrival.
Although specific policies vary somewhat between facilities, the following will apply:

All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of
contraband and the use of the vehicle as a means of escape by inmates.

Within the fence, contraband items are prohibited in the vehicle as well as on the person. Contraband
items include but are not limited to drugs, tobacco products, cell phones, adult or pornographic
materials, explosives and weapons (including pocket knives and razor knives, unless a part of an
inventoried tool box.) Tool boxes should be inventoried prior to arrival to facilitate security staff
accounting. Items may be left with security, however illegal items may not be returned.

Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In
maximum security institutions, trucks shall never be left unsupervised while inside the institution. In
medium and minimum institutions, unattended trucks must be locked.

Vehicles leaving the institution shall have a designated position at which to stop before reaching the
vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the
institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched
must be held inside the institution through an official count.

Contractor staff walking in may be required to pass through a metal detector and/or have all carry-in
items x-rayed or searched.
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Fraternization with inmates is prohibited. Nothing is to be given to inmates (food, mail, money,
newspapers or magazines, etc.) without authorization and nothing is to be received from inmates for
removal or transport from the institution.
7.9
EMPLOYEE IDENTIFICATION
All contractors’ employees, while working on DOC property, must wear a clearly displayed photo
identification badge (provided by the Contractor at the Contractor’s cost) showing they are employees of
the contractor. Badges must be available but will not be required to be worn when protective clothing and
respiratory protection is required.
7.10
CONFIDENTIALITY
The confidentiality of offender health information is protected by the federal Health Insurance Portability
and Accountability Act (HIPAA) regulations (45 CFR, parts 160 & 164), federal Alcohol and Other Drug
Abuse Patient Information regulations (42 CFR part 2), and by various Wisconsin laws governing the
confidentiality of medical, mental health, developmental disability, and alcohol and drug information. In
addition, the department considers all personally identifiable information relating to DOC employees or
offenders to be confidential, and such data is not to be released unless contractor receives written
approval from DOC.
7.11
LIQUIDATED DAMAGES
This shall be surety for fulfillment of the contract(s) including quality, performance and delivery under the
terms of this Request for Bid. Liquidated damages shall be assessed for actual cost of non-performance
of the contract in full or in part i.e. rental cost, coverage required of service, additional operating cost, etc.
Liquidated damages will be deducted from payments on the invoice covering the late shipments, if the
invoice is of sufficient amount to cover the liquidated damages. If the invoice is not of a sufficient amount
to cover the liquidated damages on a particular shipment, the agency will request cancellation of the
invoice and a credit to cover the balance. All liquidated damage letters will be generated by the Contract
Manager or Purchasing designee.
7.11.1 CONTRACTOR APPEALS PROCESS
In the event liquidated damages are assessed the contractor will be given an opportunity to
appeal the damages by using the following process:
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A Cure Notice is sent by the Contract Manager
Vendor respond’s to the Contract Manager’s Cure Notice letter.
Contract Manager responds back to the vendor after consulting with the program staff.
If vendor is not satisfied, the vendor appeals to the program Division Administrator.
If the vendor is still not satisfied with the Division Administrator’s response, the vendor can
appeal to the State Claims Board.
DOC does not provide in-person hearings under Chapter 227 of the statutes in a contract dispute.
NOTE: each party gets 15 business days to respond between steps unless otherwise
agreed.
7.12
EMPLOYMENT OF CURRENT OFFENDERS AND EMPLOYMENT AND RETENTION OF
INDIVIDUALS ARRESTED, CHARGED OR CONVICTED OF CRIMINAL OFFENSE
7.12.1 Contractor shall not employ a person who is on probation, parole or an inmate who is supervised by
Intensive Sanctions for any position where the primary duties and responsibilities involve the
supervision or treatment of inmates, probationers or parolees or involve access to offenders' records
or funds.
7.12.2 Contractor will implement policies and procedures to ensure that:
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Job applicants or current employees shall be dealt with as follows:
7.12.2.1 For a job applicant who has a pending criminal charge: Where the circumstances of said
criminal charge substantially relate to the circumstances of a particular job or licensed
activity, the applicant will not be hired for that job;
7.12.2.2 For a current employee who has a pending criminal charge: Where the circumstances of
said criminal charge substantially relate to the circumstances of the job or licensed
activity, the employee will not be continued in that particular job;
7.12.2.3For a job applicant who is convicted of a criminal offense: Where the circumstances of
said conviction of a criminal or other offense that substantially relates to the
circumstances of a particular job or licensed activity, the applicant will not be hired for
that job; and
7.12.2.4For a current employee who is convicted of a criminal offense: Where the circumstances
of said conviction of a criminal or other offense that substantially relates to the
circumstances of the current job or licensed activity, the employee will not be retained in
that particular job.
Nothing in this contract prohibits the Contractor from reassigning or suspending the
employee or, in the case of a conviction, terminating the employee.
7.12.3 In hiring and retention decisions, Contractor may consider records of pending criminal charges
and convictions when it can be demonstrated that the circumstances of the offense substantially
relate to the circumstances of the job or licensed activity. When determining whether the
circumstances of a pending charge or conviction are substantially job related, Contractor should
take into consideration elements related to the position, the offense, and the individual.
7.12.4 To make determinations on substantial relationships to the circumstances of the job, Contractor
shall have written policies on how the applicant for employment and the employee will be
reviewed.
7.13
FRATERNIZATION
7.13.1 Contractor agrees to have a written policy on fraternization that prohibits the forming of improper
relationships between Contractor's employees and offenders. The policy must be substantially
equivalent to the Department of Corrections' policy as expressed in Executive Directive 16, May
1991 - Revised January 1997, Further Revised August 2004. A copy of Executive Directive 16
may be obtained from the Contract Administrator.
7.13.2 Contractor shall address at the minimum the policy required in Sub. A: definitions of employee,
relationships and offender; a statement of prohibited relationships; duty of employee to inform
Contractor of unplanned contacts with offenders; a statement that Contractor-directed contacts or
those which are part of the employee's job duties are exempt from the policy; an exception
procedure which may be carried out by the Executive Director or designee; and a standard
employee statement indicating that each employee has read a copy of the Contractor's policy on
fraternization.
7.13.3 Contractor shall also agree to have a written policy which prohibits Contractor’s employees from
engaging in any sexual contact or sexual intercourse with offenders under the custody and control of
the Department of Corrections. The policy must be substantially equivalent to the Department of
Corrections’ policy as expressed in Executive Directive 16-A, August 2006. A copy of Executive
Directive 16-A may also be obtained from the Contractor Administrator.
7.13.4 Contractor shall maintain a copy of the signed employee statement on fraternization and sexual
contact in each employee's personnel file.
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CONTRACTOR AUDIT REQUIREMENT
7.14.1 Governmental entities shall comply with the Single Audit Act of 1984, OMB Circular A-128 and the
State Single Audit Guidelines issued by the Department of Administration. They shall also comply
with the Department of Health and Family Services' Allowable Cost Policy Manual. Single audit
reports are due to the Department within 30 days from issuance of the report, but no later than
one year after the end of the audit period.
7.14.2 Non-profit agencies that have been certified under USC 501(c)(3) shall comply with OMB Circular
A-133, the Department's Contractor Agency Audit Guide, the Allowable Costs Policy Manual and
ss. 301.08. Audits are due to the Contractor within one year of the close of the contract.
7.14.3 Profit agencies shall comply with the Department's Contractor Agency Audit Guide, the Allowable
Costs Policy Manual, and ss. 301.08. Audits are due to the Contractor within one year of the
close of the contract.
7.14.4 If a Contractor agency's audit is based on a calendar rather than state fiscal year (July 1 through
June 30), the Contractor and/or auditor shall submit a worksheet which reconciles the
expenditures based on the state fiscal year and the relevant purchase orders within one year of
the close of the contract.
7.14.5 DOC shall notify Contractor within 90 days of receipt of the audit completed by the independent
certified auditor, whether or not the audit meets the requirements of DOC's audit guidelines. DOC
shall initiate resolution of audit findings with Contractor within 180 days following notification of the
audit's acceptance. If the audit is not complete or is acceptable only in part, DOC shall rely upon
the acceptable portion of the audit and any additional audit work shall build upon the work already
done.
7.14.6 DOC reserves the right to conduct an independent audit of Contractor if Contractor fails to secure
an audit covering all funds, or a follow-up review of selected areas is determined to be necessary.
In the event that Contractor fails to secure an audit, DOC's costs for completing an audit will be
charged back to Contractor.
7.14.7 Contractor agrees that it is responsible to assure that all purchase of service contracts of $25,000
or more meet the requirements of the Office of Management and Budget Circulars A-133 and A128 that pertain to sub-recipient audits.
7.15
FAITH-BASED AND CHARITABLE ORGANIZATIONS
7.15.1 A faith-based or charitable organization is eligible to be a contractor on the same basis as any
other private organization. If Contractor is a faith-based or charitable organization it shall retain its
independence from the State of Wisconsin, including without limitation Contractor’s control over
the definition, development, practice, and expression of its charitable or religious beliefs. Except
as otherwise provided by state or federal law, Purchaser shall not interpret this Contract to require
a charitable or faith-based organization to alter its form of internal governance or remove religious
art, icons, scriptures, or other symbols.
7.15.2 A religious organization does not, by contracting with the State of Wisconsin, lose the exemption
provided under Section 702 of the Civil Rights Act (42 U.S.C. 2000e-1(a)) regarding its
employment practices. Furthermore, if a faith-based or charitable organization segregates the
government funds provided under the Contract, then only the financial assistance provided by
these funds will be subject to audit.
7.15.3 Neither Purchaser’s selection of a charitable or faith-based contractor to provide the Services
described herein nor the expenditure of funds under this Contract is an endorsement of the
Contractor’s charitable or religious character, practices, or expression. The purpose of this
Contract is the provision of Services; none of Purchaser’s expenditures have as their objective the
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funding of sectarian worship, instruction, or proselytization. As such, a faith-based or charitable
Contractor of Services under this Contract shall post at its place(s) of business the following
written notice and personally apprise all assisted inmates of the same:
Neither the State of Wisconsin’s selection of a Charitable or faith-based Contractor of
services or the expenditure of funds under any contract with said Contractor is an
endorsement of that Contractor’s charitable or religious character, practices, or
expression. No Contractor of services may discriminate against you on the basis of
religion, a religious belief, or your refusal to actively participate in a religious practice. If
you object to a particular Contractor because of its religious character, you may request
assignment to a different non-sectarian Contractor by contacting your Agent.
7.15.4 To ensure an inmate is informed of the foregoing, a faith-based or charitable Contractor shall
require that each inmate receiving Services under this Contract signs an acknowledgment form
prepared by the Contractor containing the aforementioned notice and verifying the offender’s
receipt of the same. A copy of all signed acknowledgment forms shall be promptly provided to
Purchaser. Finally, Purchaser will require that each inmate sign the Purchaser’s “Voluntary Choice
and Waiver” form, which will be provided by Purchaser, prior to receiving any Services from a
faith-based or charitable Contractor under this Contract. A faith-based or charitable Contractor
agrees to refrain from providing Services hereunder to an inmate until it receives a copy of a fully
executed Voluntary Choice and Waiver form from Purchaser for that respective offender.
7.16
AMERICANS WITH DISABILITY ACT
The contractor agency must complete or currently have on file a facility self-survey and a program and
policy self-evaluation to address compliance with the Americans with Disability Act. (Public Law 101-336,
July 26, 1990, 104 Stat. 327 and Title 42, U.S.C.A., ss. 12101 to 12213). During the course of the
contract, the contractor must take action to comply with the facility, program and employment provisions of
the Americans with Disability Act. Applicants may obtain information on the Americans with Disability Act
by contacting the Director of the Office of Diversity and Employee Services, Wisconsin Department of
Corrections, 3099 E. Washington Avenue, PO Box 7925, Madison, Wisconsin 53707-7925.
7.17
CONTRACTOR MAJOR STRUCTURAL CHANGE
The Contractor is required to provide the Department with a minimum of 90 days written advance notice of
any planned or potential structural change (merger, buyout, acquisition, consolidation, etc.). Contract may
not be automatically assigned to the new entity (since the underlying procurement may be affected).
7.18
CARRYING A CONCEALED WEAPON
Contractor is prohibited under Executive Directive 80, signed October 31, 2011 from possession of any
weapon by Contractor's employees while providing services to DOC offenders.
Contractor will prohibit firearms/weapons in any owned, leased/rented, or available location in which
program services are provided for DOC. Signs shall be posted at every public entrance. Each sign must
be at least five inches by seven inches state the restriction on carrying a firearm, and inform people that
weapons or firearms are prohibited. Sample signage will be available through the Contract Administrator.
8.0 STANDARD AND SUPPLEMENTAL TERMS AND CONDITIONS
The Standard Terms and Conditions (DOA-3054, R10/2005)) and Supplemental Standard Terms and Conditions for
Procurements for Services (DOA-3681, R01/2001) are made part of this RFB. The State of Wisconsin reserves the
right to incorporate standard State contract provisions into any contract negotiated with any bid submitted
responding to this RFB (Standard Terms and Conditions, DOA-3054). Failure of the successful bidder to accept
these obligations in a contractual agreement may result in cancellation of the award.
8.1
CONFIDENTIALITY AND HEALTH INSURANCE PORTABILITY ACCOUNTABILITY
In addition to Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations on medical
record privacy (45 CFR, parts 160 & 164), the department considers all personally identifiable information
relating to offenders to be confidential, and such data is not to be released unless approved by the DOC.
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DEFINITIONS
Designated Record Set:
(1) A group of records maintained by or for a covered entity that is:
(i) The medical records and billing records about individuals maintained by or for a
covered health care provider;
(ii) The enrollment, payment, claims adjudication, and case or medical management
record systems maintained by or for a health plan; or
(iii) Used, in whole or in part, by or for the covered entity to make decisions about
individuals.
(2) For purposes of this Contract, the term record means any item, collection, or grouping of
information that includes protected health information and is maintained, collected, used,
or disseminated by or for a covered entity.
Disclosure - the release, transfer, provision of access to, or divulging in any other manner of
information outside the entity holding the information.
Protected Health Information or “PHI” - Individually identifiable health information in any form or
medium, including demographic information, created, received, maintained, or transmitted by the
Contractor, on behalf of the Department, where such information relates to the past, present, or
future physical or mental health or condition of an individual, the provision of health care to an
individual, or the payment for the provision of health care to an individual, and where such
information identifies the individual or provides a reasonable basis to believe that it can be used to
identify an individual.
PHI excludes individually identifiable health information in education records covered by the
Family Educational Rights and Privacy Act (FERPA) and employment records held by the
Department in its role as employer.
Incident - a use or disclosure of PHI by the Contractor or subcontractor not authorized by this
Contract or in writing by the Department. This definition includes any attempted, successful or
unsuccessful, unauthorized access, modification, or destruction of PHI, including electronic PHI,
or interference with the operation of any information system that contains PHI.
Individual - the person who is the subject of PHI or the personal representative of the individual,
as defined and provided for under applicable provisions of HIPAA.
8.1.2
Prohibition on Unauthorized Use or Disclosure of PHI
The Contractor shall not use or disclose any PHI except as permitted or required by the Contract
or this Agreement, as permitted or required by law, or as otherwise authorized in writing by the
Department.
8.1.3
Permitted Use and Disclosure of PHI
The Contractor may use or disclose PHI only:
a. For the delivery of the services, program management, activities, or functions contracted for
in the Contract; or
b. For meeting contractual or legal obligations as established in any agreements between the
parties evidencing their business relationship; or
c. As permitted by HIPAA if such use or disclosure were made by the Department or otherwise
required by applicable law, rule or regulation; or
d. For use in the operations of the Contractor as provided in paragraph 4 of this Contract; or
e. As otherwise authorized by the Department in writing; or
f. For data aggregation for the health care operations of the Department.
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Use of PHI in Contractor Operations
The Contractor may use or disclose PHI as necessary for the delivery of the services or programs
provided for in the Contract, including appropriate management and administration of programs or
services, or to fulfill the contractual or legal obligations of the Contractor provided:
a.
b.
The disclosure is permitted or required by law; or
The Contractor obtains reasonable assurances, evidenced by a written contract, from any
person or organization to which the Contractor will disclose PHI that such person or
organization shall:
(i) Hold all PHI in confidence and use or further disclose it only for the purpose for which the
Contractor disclosed it to the person or organization, or as required by law; and
(ii) Notify the Contractor, who will in turn promptly notify the Department, of any instance of
which the person or organization becomes aware that PHI was improperly disclosed.
8.1.5
Safeguarding and Maintenance of PHI
a.
The Contractor will develop, implement, maintain, and use:
(i) Reasonable and appropriate administrative, technical, and physical safeguards to prevent
improper use or disclosure of PHI, in any form or medium; and,
(ii) Reasonable and appropriate administrative, technical, and physical security measures
that protect the confidentiality, integrity and availability of electronic PHI that it creates,
receives, maintains, or transmits on behalf of the Department.
b. The Contractor will document PHI safeguards and security measures and agrees to provide
the Department with access and review of this documentation if requested by the Department
or an agent of the Department. Security measures employed by the Contractor must be
sufficient to ensure that the Department is compliant with the HIPAA privacy and security
requirements for those covered services, activities, or functions performed on behalf of the
Department on or before the date such requirements become effective.
c.
The Contractor agrees to conduct an accurate and thorough assessment of the potential risks
and vulnerabilities to the confidentiality, integrity, and availability of electronic PHI held by the
Contractor. The Contractor and the Department agree that all costs associated with
performance of these activities will be the responsibility of the Contractor unless the
Department agrees to be responsible for some or all of the costs associated with the
performance of these activities.
8.1.6
Use or Disclosure of PHI by Subcontractors and Agents of the Contractor
The Contractor agrees to require any agent, including subcontractors, to whom the Contractor
provides PHI to comply with the same restrictions and conditions applicable to the Contractor with
respect to PHI. Contractor further agrees to ensure that any agents or subcontractors, to whom
the Contractor provides PHI received from, or created or received by the Contractor on behalf of
the Department agrees to the same restrictions and conditions applicable to the Contractor with
respect to such information. This provision does not apply to the use or disclosure of PHI by
subcontractors that provide health care treatment to individuals or to other persons or
organizations that have entered into an Organized Health Care Arrangement (OHCA) as provided
for under the provisions of HIPAA.
8.1.7
Compliance with Electronic Transactions and Code Set Regulations
If the Contractor conducts any HIPAA-covered standard electronic transactions on behalf of the
Department, the Contractor will comply with the applicable provisions of HIPAA for such standard
transactions. The Contractor will likewise require any subcontractor or agent conducting any
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standard electronic transactions on behalf of the Contractor, for services or programs covered by
the Contract, to comply with the applicable provisions of HIPAA relating to standard transactions.
a. General Requirements:
(i) If any entity requests the Contractor to conduct any of the standard electronic transactions,
the Contractor must comply with the request
(ii) The Contractor may not delay or reject a transaction, or otherwise adversely affect or
impact the other entity or the transaction submitted, because the transaction is a standard
electronic transaction
(iii) The Contractor may not reject a standard electronic transaction on the basis that it contains
data elements not needed or used by the Contractor (e.g., coordination of benefits data
elements)
(iv) The Contractor may not offer an incentive to a health care provider to conduct a covered
transaction through direct data entry rather than as a standard electronic transaction
(v) The Contractor, which is operating as a health care clearinghouse, or requiring an entity to
use a health care clearinghouse to receive, process, or transmit standard electronic
transactions, may not charge fees or impose costs in excess of the fees or costs for
normal telecommunications that the entity incurs when it directly transmits, or receives, a
standard electronic transaction to, or from, the Contractor.
b. The Contractor will not enter into, or permit its subcontractors or agents to enter into, any
contract related to the conducting of standard electronic transactions for or on behalf of the
Department that:
(i) Changes or modifies the definition, data condition, or use of a data element or segment in
an implementation specification; or
(ii) Adds any data elements or segments to the maximum defined data set; or
(iii) Uses any code or data elements that are marked “not used” in the implementation
specification or are not contained within the implementation specification; or
(iv) Changes the meaning or intent of any implementation specification.
c. If the Contractor receives a standard electronic transaction and coordinates benefits with another
health plan, it must store the coordination of benefits data it needs to forward the standard
electronic transaction to the other health plan.
8.1.8
Access to PHI
At the request of the Department, the Contractor agrees to provide access to PHI held by the
Contractor that the Department has determined to be part of the Designated Record Sets of the
programs covered by the Contract. Access to PHI will be provided to the Department or to an
individual as directed by the Department to comply with applicable HIPAA requirements. The
Department may delegate to the Contractor responsibility for performing any or all obligations
related to the Designated Record Set, including those activities required under HIPAA to permit an
individual to exercise his or her HIPAA privacy rights.
8.1.9
Amendment or Correction to PHI
At the direction of the Department, the Contractor agrees to amend or correct PHI that the
Department determines is included in the Designated Record Set held by the Contractor. The
Contractor agrees to complete any amendment or correction to PHI in accordance with HIPAA
requirements.
8.1.10 Reporting of Incidents to the Department by Contractor
The Contractor agrees to inform the Covered Entity of any incident covered by this Contract within
five (5) business days of becoming aware of the incident. The Department, at its discretion, may
require a written report. If the Department requests a written report, the Contractor agrees to
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forward the report to the Department not more than five (5) business days after such request is
made. Written and verbal reports of incidents will include:
a.
b.
c.
d.
e.
f.
A complete description of the circumstances of the incident;
The name of persons assigned to review and investigate the incident;
A description of all PHI used or disclosed during the incident;
The names of persons and organizations involved in the incident;
The actions the Contractor has undertaken or will undertake to mitigate any harmful effect of
the incident; and,
A corrective action plan that includes steps the Contractor has taken or will take to prevent
future similar incidents from occurring.
8.1.11 Mitigating Effect of Unauthorized Disclosures or Misuse of PHI
The Contractor agrees to mitigate, to the extent practicable, any harmful effect known to the
Contractor created by an improper use or disclosure of PHI by the Contractor in violation of the
requirements of this Contract.
8.1.12 Statutory Duty of the Department to Report Material Breaches by Contractor to Secretary of
United States Department of Health and Human Services (HHS)
Contractor and the Department agree that if the Contractor engages in a pattern of activity or
practice that constitutes a material breach or violation of this Contract, and the Department
becomes aware of such pattern or practice, the Department is required to take reasonable steps
to cure the breach or end the violation, as applicable, and, if such steps are not successful and
termination of the Contract is not feasible, the Department is required to report the problem to the
Secretary of HHS.
8.1.13 Tracking and Accounting of Disclosures of PHI by the Contractor
a. The Contractor agrees to track disclosures of PHI as required by the applicable provisions of
HIPAA and applicable Wisconsin laws. Specifically, the Contractor agrees that it will maintain
a record of all PHI disclosures made to third parties, except as provided for by the
subsections to this paragraph below. The Contractor agrees that the following information will
be recorded:
(i)
(iii)
(iv)
(v)
The date the PHI was disclosed;
The name and address, if known, of the person or entity that the PHI was disclosed to;
A brief description of the PHI disclosed; and
A brief statement describing the purpose for the disclosure.
b. For repetitive disclosures that the Contractor makes to the same person or entity for a single
purpose the Contractor will provide:
(i) The disclosure information as specified in paragraph 13(a)(i-iv) of this Contract for the
first of such repetitive disclosures;
(ii) The frequency, periodicity or number of such repetitive disclosures; and
(iii) The date of the most recent of such repetitive disclosures.
c.
The Contractor will make the record of disclosures available to the Department within five (5)
business days after receiving a request by the Department.
d. Exceptions from Disclosure Tracking.
The Contractor is not required to track or record disclosures of PHI, or to provide an
accounting of disclosures for PHI meeting the following conditions:
(i) Disclosures of PHI that are permitted under this Contract, or otherwise expressly
authorized by the Department in writing; and
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(ii) Disclosures of PHI for the following:
(1) For purposes of treatment, payment or health care operations activity of the
Department;
(2) In response to a request from an Individual who is the subject of the disclosed PHI, or
to that individual’s personal representative;
(3) Made to persons involved in health care or payment for health care of the individual;
(4) For disaster relief notification purposes;
(5) For national security or intelligence purposes; or,
(6) To law enforcement officials or correctional institutions regarding individuals in
custodial situations.
e. Agreement to Obtain Valid Authorization or Informed Written Consent Prior to Disclosure of
PHI. Contractor agrees to obtain a valid authorization or informed written consent from the
individual that is the subject of the PHI disclosure or a personal representative of such
individual except for those exceptions listed in this Contract or otherwise required by law.
f.
Disclosure Tracking Time Periods. Contractor agrees to maintain and make available to the
Department upon its request information on disclosures of PHI made by the Contractor for the
six-year period preceding the request, but not including disclosures made prior to April 2005,
or the date that the Contractor began performing covered services, activities, or functions on
behalf of the Department, whichever is later.
8.1.14 Accounting to the Department and to Government Agencies
The Contractor agrees to make its internal practices, books, and records relating to the use and
disclosure of PHI available to the Department, or to the Secretary of HHS in a time and manner
determined by the Department or the Secretary or designee, for purposes of determining
compliance by the Department with the requirements of HIPAA. Further, the Contractor agrees to
promptly notify the Department of communications with HHS regarding PHI and will provide the
Department with copies of any PHI or other information the Contractor has made available to HHS
under this provision.
8.1.15 Return or Destruction of PHI
Upon termination, cancellation, expiration or other conclusion of this Contract, the Contractor will:
a. Return to the Department or, if return is not feasible, destroy all PHI and any compilation of
PHI in any medium or form. The Contractor agrees to ensure that this provision also applies
to PHI in possession of subcontractors and agents of the Contractor provided to the agent or
subcontractor by the Contractor. The Contractor agrees that any original record or copy of PHI
in any medium is included in and covered by this provision, as are all original or copies of PHI
provided to subcontractors or agents of the Contractor by the Contractor. The Contractor
agrees to complete the return or destruction as promptly as possible, but not more than five
(5) business days after the effective date of termination of this Contract. The Contractor will
provide written documentation evidencing that return or destruction of all PHI has been
completed. Contractor agrees to extend the requirements of this provision to contracts
entered into with subcontractors and agents that create, receive, or maintain PHI on behalf of
the Contractor.
b. If the Contractor believes that the return or destruction of PHI is not feasible, the Contractor
shall provide written notification of the conditions that make return or destruction not feasible.
If the Contractor and the Department agree that return or destruction of PHI is not feasible,
the Contractor shall extend the protections of this Contract to PHI and prohibit further uses or
disclosures of the PHI of the Department without the express written authorization of the
Department. Subsequent use or disclosure of any PHI subject to this provision will be limited
to the use or disclosure that makes return or destruction not feasible.
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REQUIRED FORMS AND ATTACHMENTS
The following forms must be completed and submitted with the bid response.
Bids that do not include all items listed on this checklist may be rejected.
FORMS:
Request for Bid Form (DOA-3070) - cover sheet, first page of this RFB
Vendor Information Form (DOA-3477 1/08)
Designation of Confidential and Proprietary Information Form (DOA-3027), if applicable.
Wisconsin’s Cooperative Purchasing Service Form (DOA-3333)
Vendor Reference Form (DOA-3478)
ADDITIONAL REQUIRED INFORMATION TO BE SUBMITTED WITH BID:

If submitting a bid for Lacrosse County location and/or Monroe County location then, as applicable to each
location(s) bid, include description of facility and physical space use plan as specified in 4.1.1.

Documentation of agency experience requirements with past contracts and references as specified in 4.2.

Documentation of staff qualifications requirements and experience as specified in 4.3. If staff positions are
pending hire, submit recruitment plan and job description of those pending positions.

Documentation of assessment tool(s)/reassessment tools as specified in 4.5.1.

Documentation of individual treatment components including topic areas and research as specified in 4.5.2.

Documentation of the sex offender group component including curriculum outline as specified in 4.5.3.

Documentation of the aftercare group component including curriculum as specified in 4.5.4.

Documentation of the psycho-educational group component including curriculum as specified in 4.5.5.

A copy of the program rules as specified in 4.6.3.

A copy of the weekly attendance report as specified in 4.6.4.

Copy of format used for Discharge Summary as specified in 4.6.5.

Indicate whether your organization has an existing system for documenting and managing client-level
information as outlined in RFB Section 4.9.3.10. If so, provide details on the established internal standards of
practice regarding service delivery and assessment, what pre and post testing scoring is gathered, and
whether it is in electronic or paper format.

Provide the name of your staff person who will be the contact person responsible for coordinating with DOC
and evaluation staff as specified in 4.9.3.10.
Wisconsin Department of Administration
Chs. 16, 19, 51
DOA-3054 (R10/2005)
Page 1 of 3
Standard Terms And Conditions
(Request For Bids / Proposals)
1.0
2.0
3.0
SPECIFICATIONS: The specifications in this request are
the minimum acceptable. When specific manufacturer and
model numbers are used, they are to establish a design,
type of construction, quality, functional capability and/or
performance level desired.
When alternates are
bid/proposed, they must be identified by manufacturer, stock
number, and such other information necessary to establish
equivalency. The State of Wisconsin shall be the sole judge
of equivalency. Bidders/proposers are cautioned to avoid
bidding alternates to the specifications which may result in
rejection of their bid/proposal.
DEVIATIONS AND EXCEPTIONS: Deviations and exceptions from original text, terms, conditions, or specifications
shall be described fully, on the bidder's/proposer's letterhead, signed, and attached to the request. In the absence
of such statement, the bid/proposal shall be accepted as in
strict compliance with all terms, conditions, and specifications and the bidders/proposers shall be held liable.
QUALITY: Unless otherwise indicated in the request, all
material shall be first quality. Items which are used,
demonstrators, obsolete, seconds, or which have been
discontinued are unacceptable without prior written approval
by the State of Wisconsin.
4.0
QUANTITIES: The quantities shown on this request are
based on estimated needs. The state reserves the right to
increase or decrease quantities to meet actual needs.
5.0
DELIVERY: Deliveries shall be F.O.B. destination freight
prepaid and included unless otherwise specified.
6.0
PRICING AND DISCOUNT: The State of Wisconsin qualifies for governmental discounts and its educational institutions also qualify for educational discounts. Unit prices shall
reflect these discounts.
6.1
6.2
6.3
Unit prices shown on the bid/proposal or contract
shall be the price per unit of sale (e.g., gal., cs., doz.,
ea.) as stated on the request or contract. For any
given item, the quantity multiplied by the unit price
shall establish the extended price, the unit price shall
govern in the bid/proposal evaluation and contract
administration.
Prices established in continuing agreements and
term contracts may be lowered due to general market
conditions, but prices shall not be subject to increase
for ninety (90) calendar days from the date of award.
Any increase proposed shall be submitted to the
contracting agency thirty (30) calendar days before
the proposed effective date of the price increase, and
shall be limited to fully documented cost increases to
the contractor which are demonstrated to be industrywide. The conditions under which price increases
may be granted shall be expressed in bid/proposal
documents and contracts or agreements.
In determination of award, discounts for early
payment will only be considered when all other conditions are equal and when payment terms allow at
least fifteen (15) days, providing the discount terms
are deemed favorable. All payment terms must allow
the option of net thirty (30).
7.0
UNFAIR SALES ACT: Prices quoted to the State of
Wisconsin are not governed by the Unfair Sales Act.
8.0
ACCEPTANCE-REJECTION:
The State of Wisconsin
reserves the right to accept or reject any or all
bids/proposals, to waive any technicality in any bid/proposal
submitted, and to accept any part of a bid/proposal as
deemed to be in the best interests of the State of
Wisconsin.
Bids/proposals MUST be date and time stamped by the
soliciting purchasing office on or before the date and time
that the bid/proposal is due. Bids/proposals date and time
stamped in another office will be rejected. Receipt of a
bid/proposal by the mail system does not constitute receipt
of a bid/proposal by the purchasing office.
9.0
METHOD OF AWARD: Award shall be made to the lowest
responsible, responsive bidder unless otherwise specified.
10.0
ORDERING: Purchase orders or releases via purchasing
cards shall be placed directly to the contractor by an
authorized agency.
No other purchase orders are
authorized.
11.0
PAYMENT TERMS AND INVOICING:
The State of
Wisconsin normally will pay properly submitted vendor
invoices within thirty (30) days of receipt providing goods
and/or services have been delivered, installed (if required),
and accepted as specified.
Invoices presented for payment must be submitted in
accordance with instructions contained on the purchase
order including reference to purchase order number and
submittal to the correct address for processing.
A good faith dispute creates an exception to prompt
payment.
12.0
TAXES: The State of Wisconsin and its agencies are
exempt from payment of all federal tax and Wisconsin state
and local taxes on its purchases except Wisconsin excise
taxes as described below.
The State of Wisconsin, including all its agencies, is
required to pay the Wisconsin excise or occupation tax on
its purchase of beer, liquor, wine, cigarettes, tobacco
products, motor vehicle fuel and general aviation fuel.
However, it is exempt from payment of Wisconsin sales or
use tax on its purchases. The State of Wisconsin may be
subject to other states' taxes on its purchases in that state
depending on the laws of that state. Contractors performing construction activities are required to pay state use tax
on the cost of materials.
13.0
GUARANTEED DELIVERY: Failure of the contractor to
adhere to delivery schedules as specified or to promptly
replace rejected materials shall render the contractor liable
for all costs in excess of the contract price when alternate
procurement is necessary. Excess costs shall include the
administrative costs.
14.0
ENTIRE AGREEMENT:
These Standard Terms and
Conditions shall apply to any contract or order awarded as
a result of this request except where special requirements
are stated elsewhere in the request; in such cases, the
special requirements shall apply. Further, the written
contract and/or order with referenced parts and attach-
DOA-3054
Page 2of 3
ments shall constitute the entire agreement and no other
terms and conditions in any document, acceptance, or
acknowledgment shall be effective or binding unless
expressly agreed to in writing by the contracting authority.
15.0
16.0
17.0
18.0
19.0
APPLICABLE LAW AND COMPLIANCE: This contract
shall be governed under the laws of the State of Wisconsin.
The contractor shall at all times comply with and observe all
federal and state laws, local laws, ordinances, and
regulations which are in effect during the period of this
contract and which in any manner affect the work or its
conduct. The State of Wisconsin reserves the right to
cancel this contract if the contractor fails to follow the
requirements of s. 77.66, Wis. Stats., and related statutes
regarding certification for collection of sales and use tax.
The State of Wisconsin also reserves the right to cancel
this contract with any federally debarred contractor or a
contractor that is presently identified on the list of parties
excluded from federal procurement and non-procurement
contracts.
ANTITRUST ASSIGNMENT: The contractor and the State
of Wisconsin recognize that in actual economic practice,
overcharges resulting from antitrust violations are in fact
usually borne by the State of Wisconsin (purchaser).
Therefore, the contractor hereby assigns to the State of
Wisconsin any and all claims for such overcharges as to
goods, materials or services purchased in connection with
this contract.
ASSIGNMENT: No right or duty in whole or in part of the
contractor under this contract may be assigned or delegated without the prior written consent of the State of
Wisconsin.
WORK CENTER CRITERIA: A work center must be certified under s. 16.752, Wis. Stats., and must ensure that
when engaged in the production of materials, supplies or
equipment or the performance of contractual services, not
less than seventy-five percent (75%) of the total hours of
direct labor are performed by severely handicapped
individuals.
Contracts estimated to be over twenty-five thousand
dollars ($50,000) require the submission of a written
affirmative action plan by the contractor. An exemption occurs from this requirement if the contractor has
a workforce of less than twenty-five (25) employees.
Within fifteen (15) working days after the contract is
awarded, the contractor must submit the plan to the
contracting state agency for approval. Instructions
on preparing the plan and technical assistance
regarding this clause are available from the
contracting state agency.
The contractor agrees to post in conspicuous places,
available for employees and applicants for employment, a notice to be provided by the contracting state
agency that sets forth the provisions of the State of
Wisconsin's nondiscrimination law.
19.3
Failure to comply with the conditions of this clause
may result in the contractor's becoming declared an
"ineligible" contractor, termination of the contract, or
withholding of payment.
20.0
PATENT INFRINGEMENT: The contractor selling to the
State of Wisconsin the articles described herein guarantees
the articles were manufactured or produced in accordance
with applicable federal labor laws. Further, that the sale or
use of the articles described herein will not infringe any
United States patent. The contractor covenants that it will
at its own expense defend every suit which shall be brought
against the State of Wisconsin (provided that such
contractor is promptly notified of such suit, and all papers
therein are delivered to it) for any alleged infringement of
any patent by reason of the sale or use of such articles, and
agrees that it will pay all costs, damages, and profits recoverable in any such suit.
21.0
SAFETY REQUIREMENTS: All materials, equipment, and
supplies provided to the State of Wisconsin must comply
fully with all safety requirements as set forth by the
Wisconsin Administrative Code and all applicable OSHA
Standards.
22.0
WARRANTY: Unless otherwise specifically stated by the
bidder/proposer, equipment purchased as a result of this
request shall be warranted against defects by the
bidder/proposer for one (1) year from date of receipt. The
equipment manufacturer's standard warranty shall apply as
a minimum and must be honored by the contractor.
23.0
INSURANCE RESPONSIBILITY: The contractor performing services for the State of Wisconsin shall:
NONDISCRIMINATION / AFFIRMATIVE ACTION: In
connection with the performance of work under this
contract, the contractor agrees not to discriminate against
any employee or applicant for employment because of age,
race, religion, color, handicap, sex, physical condition,
developmental disability as defined in s. 51.01(5), Wis.
Stats., sexual orientation as defined in s. 111.32(13m), Wis.
Stats., or national origin. This provision shall include, but
not be limited to, the following: employment, upgrading,
demotion or transfer; recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. Except with respect to sexual orientation, the
contractor further agrees to take affirmative action to
ensure equal employment opportunities.
19.1
19.2
24.0
23.1
Maintain worker's compensation insurance as
required by Wisconsin Statutes, for all employees
engaged in the work.
23.2
Maintain commercial liability, bodily injury and property damage insurance against any claim(s) which
might occur in carrying out this agreement/contract.
Minimum coverage shall be one million dollars
($1,000,000) liability for bodily injury and property
damage including products liability and completed
operations. Provide motor vehicle insurance for all
owned, non-owned and hired vehicles that are used
in carrying out this contract. Minimum coverage shall
be one million dollars ($1,000,000) per occurrence
combined single limit for automobile liability and
property damage.
23.3
The state reserves the right to require higher or lower
limits where warranted.
CANCELLATION: The State of Wisconsin reserves the
right to cancel any contract in whole or in part without
penalty due to nonappropriation of funds or for failure of the
contractor to comply with terms, conditions, and specifications of this contract.
DOA-3054
Page 3of 3
25.0
VENDOR TAX DELINQUENCY: Vendors who have a
delinquent Wisconsin tax liability may have their payments
offset by the State of Wisconsin.
26.0
PUBLIC RECORDS ACCESS: It is the intention of the
state to maintain an open and public process in the solicitation, submission, review, and approval of procurement
activities.
30.0
MATERIAL SAFETY DATA SHEET: If any item(s) on an
order(s) resulting from this award(s) is a hazardous chemical, as defined under 29CFR 1910.1200, provide one (1)
copy of a Material Safety Data Sheet for each item with the
shipped container(s) and one (1) copy with the invoice(s).
31.0
PROMOTIONAL ADVERTISING / NEWS RELEASES:
Reference to or use of the State of Wisconsin, any of its
departments, agencies or other subunits, or any state official or employee for commercial promotion is prohibited.
News releases pertaining to this procurement shall not be
made without prior approval of the State of Wisconsin.
Release of broadcast e-mails pertaining to this procurement
shall not be made without prior written authorization of the
contracting agency.
32.0
HOLD HARMLESS: The contractor will indemnify and
save harmless the State of Wisconsin and all of its officers,
agents and employees from all suits, actions, or claims of
any character brought for or on account of any injuries or
damages received by any persons or property resulting
from the operations of the contractor, or of any of its
contractors, in prosecuting work under this agreement.
33.0
FOREIGN CORPORATION: A foreign corporation (any
corporation other than a Wisconsin corporation) which
becomes a party to this Agreement is required to conform
to all the requirements of Chapter 180, Wis. Stats., relating
to a foreign corporation and must possess a certificate of
authority from the Wisconsin Department of Financial
Institutions, unless the corporation is transacting business
in interstate commerce or is otherwise exempt from the
requirement of obtaining a certificate of authority. Any
foreign corporation which desires to apply for a certificate of
authority should contact the Department of Financial
Institutions, Division of Corporation, P. O. Box 7846,
Madison, WI 53707-7846; telephone (608) 261-7577.
34.0
WORK CENTER PROGRAM:
The successful
bidder/proposer shall agree to implement processes that
allow the State agencies, including the University of
Wisconsin System, to satisfy the State's obligation to
purchase goods and services produced by work centers
certified under the State Use Law, s.16.752, Wis. Stat.
This shall result in requiring the successful bidder/proposer
to include products provided by work centers in its catalog
for State agencies and campuses or to block the sale of
comparable items to State agencies and campuses.
35.0
FORCE MAJEURE: Neither party shall be in default by
reason of any failure in performance of this Agreement in
accordance with reasonable control and without fault or
negligence on their part. Such causes may include, but are
not restricted to, acts of nature or the public enemy, acts of
the government in either its sovereign or contractual
capacity, fires, floods, epidemics, quarantine restrictions,
strikes, freight embargoes and unusually severe weather,
but in every case the failure to perform such must be
beyond the reasonable control and without the fault or
negligence of the party.
Bid/proposal openings are public unless otherwise specified. Records may not be available for public inspection
prior to issuance of the notice of intent to award or the
award of the contract.
27.0
28.0
PROPRIETARY INFORMATION: Any restrictions on the
use of data contained within a request, must be clearly
stated in the bid/proposal itself. Proprietary information
submitted in response to a request will be handled in
accordance with applicable State of Wisconsin
procurement regulations and the Wisconsin public records
law. Proprietary restrictions normally are not accepted.
However, when accepted, it is the vendor's responsibility to
defend the determination in the event of an appeal or
litigation.
27.1
Data contained in a bid/proposal, all documentation
provided therein, and innovations developed as a
result of the contracted commodities or services
cannot be copyrighted or patented. All data, documentation, and innovations become the property of
the State of Wisconsin.
27.2
Any material submitted by the vendor in response to
this request that the vendor considers confidential
and proprietary information and which qualifies as a
trade secret, as provided in s. 19.36(5), Wis. Stats.,
or material which can be kept confidential under the
Wisconsin public records law, must be identified on a
Designation of Confidential and Proprietary Information form (DOA-3027).
Bidders/proposers may
request the form if it is not part of the Request for
Bid/Request for Proposal package. Bid/proposal
prices cannot be held confidential.
DISCLOSURE: If a state public official (s. 19.42, Wis.
Stats.), a member of a state public official's immediate
family, or any organization in which a state public official or
a member of the official's immediate family owns or controls
a ten percent (10%) interest, is a party to this agreement,
and if this agreement involves payment of more than three
thousand dollars ($3,000) within a twelve (12) month
period, this contract is voidable by the state unless appropriate disclosure is made according to s. 19.45(6), Wis.
Stats., before signing the contract. Disclosure must be
made to the State of Wisconsin Ethics Board, 44 East
Mifflin Street, Suite 601, Madison, Wisconsin 53703
(Telephone 608-266-8123).
State classified and former employees and certain
University of Wisconsin faculty/staff are subject to separate
disclosure requirements, s. 16.417, Wis. Stats.
29.0
RECYCLED MATERIALS: The State of Wisconsin is
required to purchase products incorporating recycled materials whenever technically and economically feasible.
Bidders are encouraged to bid products with recycled
content which meet specifications.
State of Wisconsin
Department of Administration
Division of Agency Services
Bureau of Procurement
DOA-3681 (01/2001)
ss. 16, 19 and 51, Wis. Stats.
Supplemental Standard Terms and Conditions
For Procurements for Services
1.0
ACCEPTANCE OF BID/PROPOSAL CONTENT: The contents of the bid/proposal of the successful contractor will
become contractual obligations if procurement action ensues.
2.0
CERTIFICATION
OF
INDEPENDENT
PRICE
DETERMINATION:
By signing this bid/proposal, the
bidder/proposer certifies, and in the case of a joint
bid/proposal, each party thereto certifies as to its own organization, that in connection with this procurement:
2.1
2.2
The prices in this bid/proposal have been arrived at
independently, without consultation, communication,
or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any
other bidder/proposer or with any competitor;
Unless otherwise required by law, the prices which
have been quoted in this bid/proposal have not been
knowingly disclosed by the bidder/proposer and will
not knowingly be disclosed by the bidder/proposer
prior to opening in the case of an advertised procurement or prior to award in the case of a negotiated
procurement, directly or indirectly to any other
bidder/proposer or to any competitor; and
2.3
No attempt has been made or will be made by the
bidder/proposer to induce any other person or firm to
submit or not to submit a bid/proposal for the purpose
of restricting competition.
2.4
Each person signing this bid/proposal certifies that:
He/she is the person in the bidder's/proposer's organization responsible within that organization for the
decision as to the prices being offered herein and that
he/she has not participated, and will not participate, in
any action contrary to 2.1 through 2.3 above; (or)
3.2
4.0
DUAL EMPLOYMENT:
Section 16.417, Wis. Stats.,
prohibits an individual who is a State of Wisconsin employee
or who is retained as a contractor full-time by a State of
Wisconsin agency from being retained as a contractor by the
same or another State of Wisconsin agency where the
individual receives more than $12,000 as compensation for
the individual’s services during the same year.
This
prohibition does not apply to individuals who have full-time
appointments for less than twelve (12) months during any
period of time that is not included in the appointment. It does
not include corporations or partnerships.
5.0
EMPLOYMENT: The contractor will not engage the services
of any person or persons now employed by the State of
Wisconsin, including any department, commission or board
thereof, to provide services relating to this agreement without
the written consent of the employing agency of such person
or persons and of the contracting agency.
6.0
CONFLICT OF INTEREST: Private and non-profit corporations are bound by ss. 180.0831, 180.1911(1), and 181.0831
Wis. Stats., regarding conflicts of interests by directors in the
conduct of state contracts.
7.0
RECORDKEEPING AND RECORD RETENTION:
The
contractor shall establish and maintain adequate records of
all expenditures incurred under the contract. All records must
be kept in accordance with generally accepted accounting
procedures. All procedures must be in accordance with
federal, state and local ordinances.
He/she is not the person in the bidder's/proposer's
organization responsible within that organization for
the decision as to the prices being offered herein, but
that he/she has been authorized in writing to act as
agent for the persons responsible for such decisions
in certifying that such persons have not participated,
and will not participate in any action contrary to 2.1
through 2.3 above, and as their agent does hereby so
certify; and he/she has not participated, and will not
participate, in any action contrary to 2.1 through 2.3
above.
3.0
DISCLOSURE OF INDEPENDENCE AND RELATIONSHIP:
3.1
Prior to award of any contract, a potential contractor
shall certify in writing to the procuring agency that no
relationship exists between the potential contractor
and the procuring or contracting agency that interferes
with fair competition or is a conflict of interest, and no
relationship exists between the contractor and another
person or organization that constitutes a conflict of
interest with respect to a state contract.
The
Department of Administration may waive this provision, in writing, if those activities of the potential contractor will not be adverse to the interests of the state.
Contractors shall agree as part of the contract for
services that during performance of the contract, the
contractor will neither provide contractual services nor
enter into any agreement to provide services to a
person or organization that is regulated or funded by
the contracting agency or has interests that are
adverse to the contracting agency. The Department
of Administration may waive this provision, in writing,
if those activities of the contractor will not be adverse
to the interests of the state.
The contracting agency shall have the right to audit, review,
examine, copy, and transcribe any pertinent records or
documents relating to any contract resulting from this
bid/proposal held by the contractor. The contractor will retain
all documents applicable to the contract for a period of not
less than three (3) years after final payment is made.
8.0
INDEPENDENT CAPACITY OF CONTRACTOR:
The
parties hereto agree that the contractor, its officers, agents,
and employees, in the performance of this agreement shall
act in the capacity of an independent contractor and not as
an officer, employee, or agent of the state. The contractor
agrees to take such steps as may be necessary to ensure
that each subcontractor of the contractor will be deemed to
be an independent contractor and will not be considered or
permitted to be an agent, servant, joint venturer, or partner of
the state.
STATE OF WISCONSIN
DEPARTMENT OF ADMINISTRATION
DIVISION OF ENTERPRISE OPERATIONS
BUREAU OF PROCUREMENT
S. 16.765, WIS. STATS.
RLH-5172
Bid / Proposal #
DOA-3477 (R01/08)
SEX OFFENDER TREATMENT
SERVICES IN DCC REGION 8
LACROSSE AND/OR SPARTA, WI
Commodity / Service
Vendor Information
1.
BIDDING / PROPOSING COMPANY NAME
Phone
(
)
Toll Free Phone
FAX
(
)
E-Mail Address
(
)
Address
2.
City
State
Zip + 4
Name the person to contact for questions concerning this bid / proposal.
Name
Title
Phone
(
)
Toll Free Phone
FAX
(
)
E-Mail Address
(
)
Address
3.
City
State
Zip + 4
Any vendor awarded over $50,000 on this contract must submit affirmative action information to the
department. Please name the Personnel / Human Resource and Development or other person responsible
for affirmative action in the company to contact about this plan.
Name
Title
Phone
(
)
Toll Free Phone
FAX
(
)
E-Mail Address
(
)
Address
4.
City
State
Zip + 4
Mailing address to which state purchase orders are mailed and person the department may contact
concerning orders and billings.
Name
Title
Phone
(
)
Toll Free Phone
FAX
(
)
E-Mail Address
(
)
Address
City
5.
State
Zip + 4
CEO / President Name
This document can be made available in accessible formats to qualified individuals with disabilities.
STATE OF WISCONSIN
DEPARTMENT OF ADMINISTRATION
DIVISION OF ENTERPRISE OPERATIONS
DOA-3027 (R03/2013)
S. 19.36(5), WIS. STATS
RETURN FORM TO:
STATE BUREAU OF PROCUREMENT
101 E. WILSON ST., 6TH FL
P. O. BOX 7867
MADISON, WI 53707
DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION
The attached material submitted in response to Bid/Proposal # RLH-5172 Sex Offender Treatment Services
in DCC Region 8 Lacrosse and/or Sparta includes proprietary and confidential information which qualifies as
a trade secret, as provided in s. 19.36(5), Wis. Stats., or is otherwise material that can be kept confidential under
the Wisconsin Open Records Law. As such, we ask that certain pages, as indicated below, of this bid/proposal
response be treated as confidential material and not be released without our written approval.
Prices always become public information when bids/proposals are opened, and therefore cannot be kept
confidential.
Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s. 134.90(1)(c),
Wis. Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program,
device, method, technique or process to which all of the following apply:
1. The information derives independent economic value, actual or potential, from not being generally known to,
and not being readily ascertainable by proper means by, other persons who can obtain economic value from
its disclosure or use.
2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances.
We request that the following pages not be released.
Section
Page #
Topic
In the event the designation of confidentiality of this information is challenged, the undersigned hereby agrees to
provide legal counsel or other necessary assistance to defend the designation of confidentiality and agrees to
hold the state harmless for any costs or damages arising out of the state's agreeing to withhold the materials.
Failure to include this form in the bid/proposal response may mean that all information provided as part of the
bid/proposal response will be open to examination and copying. The state considers other markings of
confidential in the bid/proposal document to be insufficient. The undersigned agrees to hold the state harmless
for any damages arising out of the release of any materials unless they are specifically identified above.
Company Name
Authorized Representative
Signature
Authorized Representative
Type or Print
Date
This document can be made available in alternate formats to individuals with disabilities upon request.
Division of State Agency Services
State Bureau of Procurement
State of Wisconsin
Department of Administration
DOA-3333 (R03/2004)
1.1.1
Vendor Agreement
Wisconsin’s Cooperative Purchasing Service
Wisconsin statutes (s. 16.73, Wis. Stats.) establish authority to allow Wisconsin municipalities to purchase from state
contracts. Participating in the service gives vendors opportunities for additional sales without additional bidding.
Municipalities use the service to expedite purchases. A "municipality" is defined as any county, city, village, town, school
district, board of school directors, sewer district, drainage district, vocational, technical and adult education district, or any
other public body having the authority to award public contracts (s. 16.70(8), Wis. Stats.). Federally recognized Indian tribes
and bands in this state may participate in cooperative purchasing with the state or any municipality under ss. 66.0301(1) and
(2), Wis.Stats.
Interested municipalities:

will contact the contractor directly to place orders referencing the state agency contract number; and

are responsible for receipt, acceptance, inspection of commodities directly from the contractor, and making
payment directly to the contractor.
The State of Wisconsin is not a party to these purchases or any dispute arising from these purchases and is not liable for
delivery or payment of any of these purchases.
The State of Wisconsin will determine the contractor’s participation by checking a box below.
MANDATORY: Bidders/Proposers must agree to furnish the commodities or services of this bid/proposal to
Wisconsin municipalities. Vendors should note any special conditions below.
OPTIONAL: Bidders/Proposers may or may not agree to furnish the commodities or services of this bid/proposal to
Wisconsin municipalities. A vendor’s decision on participating in this service has no effect on awarding this
contract.
A vendor in the service may specify minimum order sizes by volume or dollar amount, additional charges beyond
normal delivery areas, or other minimal changes for municipalities.
Vendor: please check one of the following boxes in response.
I Agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities with any
special conditions noted below.
I Do Not Agree to furnish the commodities or services to Wisconsin municipalities.
Special Conditions (if applicable):
Signature
Date (mm/dd/ccyy)
Name (Type or Print)
Title
Company
Telephone
(
Address (Street)
City
State
)
ZIP + 4
Commodity/Service
Request for Bid/Proposal Number
Sex Offender Treatment Services in DCC Region 8 Lacrosse and/or Sparta, WI
RFB # RLH-5172
This form can be made available in accessible formats upon request to qualified individuals with disabilities.
STATE OF WISCONSIN
DEPARTMENT OF ADMINISTRATION
DIVISION OF ENTERPRISE OPERATIONS
DOA-3478 (R06/2013)
STATE BUREAU OF PROCUREMENT
101 E. WILSON ST. / P. O. BOX 7867
MADISON, WI 53707-7886
(608) 266-2605 / FAX (608) 267-0600
Bid / Proposal #
RLH-5172 Sex Offender
Treatment Services in DCC
Region 8 Lacrosse and/or Sparta,
WI
VENDOR REFERENCE
FOR VENDOR:
Provide information on business reference (name of company/organization/client, address, contact person, telephone
number, email address) and appropriate details on the service(s) provided for four (4) or more references with
requirements similar to those included in this solicitation document. If vendor is proposing any arrangement
involving a third party, the named references should also be involved in a similar arrangement.
Company Name
Address (include Zip + 4)
Contact Person
Email Address
Description and Dates of Service(s) Provided:
Phone No.
Company Name
Address (include Zip + 4)
Contact Person
Email Address
Description and Dates of Service(s) Provided:
Phone No.
Company Name
Address (include Zip + 4)
Contact Person
Email Address
Description and Dates of Service(s) Provided:
Phone No.
Company Name
Address (include Zip + 4)
Contact Person
Email Address
Description and Dates of Service(s) Provided:
Phone No.
This document can be made available in accessible formats to qualified individuals with disabilities.
* IMPORTANT:
References may be contacted to confirm the Bidder’s abilities, qualifications, and experience as stated in the Bidder’s
Response. The Department of Corrections may perform due diligence by contacting any applicable business reference, including
references within the Department or other state agencies. The Department of Corrections reserves the right to disqualify any Bidder
whose references do not support their stated claim of qualifications and experience in their bid response.
Exhibit 1
EFFECTIVE DATE
WISCONSIN
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
July
DOC-1356 (Rev. 05/96)
PAGE 1 OF
2001
MANUAL REFERENCE
1.1.1.1.1.1.1
Ne
w
ORIGINATED BY
Administrative Directive 01-10
Replaces 99-15
1.2
SUBJECT:
DISSEMINATION
X
1
x Revision
Denise A. Symdon,
Administrator
Kerr v. Farrey
PRIORITY
All Staff
X
Supervisory Staff Only
X
Policy / Directive
Information
Discuss at Staff
Meeting
Read / Route / Post
The purpose of this directive is to ensure the Division of Community Corrections'
procedures comply with the decision of the United States 7t' Circuit Court of Appeals in
Kerr v. Farrey. 95 F.3d 472 (1996). In that decision, the court ruled that it was a violation
of the 1St Amendment of the United States Constitution to order an offender to attend a
treatment program with religious components. The court considered Alcoholics
Anonymous, for example, to be a program with a religious component since the program
refers to a "higher being" and to "God as we understand him."
An agent may order an offender to attend a specific secular (non-religious) treatment or
support program. An agent may not order an offender to attend a specific program with a
religious component. An offender may voluntarily participate in a treatment or
support program with a religious component as long as a non-religious program is
offered.
An agent may write a rule requiring an offender to attend and complete AODA treatment
without naming a specific program. An agent may also provide an offender with a list of
acceptable programs, as long as both secular and non-secular options are clearly
identified. If an offender chooses to participate in a program having a religious
component, the agent should document in the Chronological Log that a secular program
was offered.
________________________________
Denise A. Symdon
Administrator
cc - DCC Administrative Directive Group
Executive Staff
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1336 (Rev. 10/2013)
WISCONSIN
EXHIBIT 2
REFERRAL FOR SERVICES
PART A - REFERRAL FOR SERVICES - Completed by Referring Agent
PROGRAM NAME and LOCATION:
OFFENDER FEE PER GROUP
REFERRAL DATE
PROJECTED ELIGIBILITY DATE FOR SERVICES AGENT NAME
AGENT AREA NUMBER
AGENT TELEPHONE NUMBER (With Area Code)
AGENT EMAIL ADDRESS
AGENT STREET ADDRESS
SID NUMBER
OFFENDER NAME (As Shown on Court Order)
Last:
First:
DOC NUMBER
MI
DOB
SEX
RACE
Male
Female
OFFENDER TELEPHONE NUMBER
(With Area Code):
OFFENDER CURRENT ADDRESS
MARITAL STATUS:
Single, never married
OFFENDER STATUS AT TIME OF REFERRAL:
Felony
Misdemeanor
One Year or Less Probation
Married
Separated
Widow/Widower
Divorced
Probation
Parole
Extended Supervision
980 Case
Habitual
Deferred Prosecution
Reentry from Jail
Reentry from Prison
NGI
SUPERVISION DISCHARGE DATE
Reentry from DAI ATR
EDUCATIONAL ACHIEVEMENT: Highest Grade Level Achieved
DOES INDIVIDUAL HAVE OUTSTANDING WARRANT OR PENDING CHARGES
Yes
No - If Yes, Explain:
REASON FOR REFERRAL (List Problems, Behaviors Evidenced By Offender and Specific Services Requested) :
REFERRAL TYPE (Check All That Apply)
ALTERNATIVE TO REVOCATION (ATR)
RESPONSE TO VIOLATION (NOT AN ATR)
OPERATING WHILE INTOXICATED 2nd /3rd
PAROLE/ES CONDITION
EARNED RELEASE PROGRAM (ERP)
OTHER - Specify:
COURT ORDERED CONDITION
CHALLENGE INCARCERATION PROGRAM (CIP)
COMPAS SUB-SCREENING TOOLS (If Completed )
URICA - University of Rhode Island Change Assessment - STAGE =
VASOR - Vermont Assessment of Sex Offender Risk – RISK LEVEL =
Static 99
– Risk assessment tool designed to predict risk of sexual recidivism – RISK CATEGORY =
OTHER:
ACTUAL SUPERVISION LEVEL :
COMPAS GENERAL RECIDIVISM SCORE:
Results:
Low
Medium
out of 10
High
COMPAS VIOLENT RECIDIVISM SCORE:
out of 10
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1336 (Rev. 10/2013)
WISCONSIN
CRIMINOGENIC NEEDS IDENTIFIED IN COMPAS AND/OR CURRENT CASE PLAN [Check all that apply]:
“THE TOP FOUR”
Anti-Social Cognition (Criminal Thinking Self Report; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Environment; Socialization
Failure; Social Adjustment Problems)
Anti-Social Companions (Criminal Associates and Peers; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Adjustment Problems;
Socialization Failure; Social Environment)
Anti-Social Personality (Criminal personality; Criminal Opportunity, Cognitive Behavioral; Social Isolation; Socialization Failure; Social
Adjustment Problems; Anger)
Family/Marital (Family Criminality; Criminal Opportunity; Social Environment; Socialization Failure; Social Adjustment Problems)
“THE OTHER FOUR”
Substance Abuse (Substance Abuse; Social Environment; Social Isolation; Cognitive Behavioral; Leisure and Recreation)
Employment/Financial (Vocation/Education; Financial; Criminal Opportunity)
Vocational/Educational (Vocation/Education; Financial; Criminal Opportunity)
Leisure and/or Recreation (Leisure recreation; social isolation)
SERVICES REQUEST (Check All That Apply and Are Pertinent to the Case Plan)
Type
Abbreviation
Type
Key
Priority (e.g. 1, 2, 3)
Type
(Based on Risk and Need) Abbreviation
Type
Key
AM
Anger Management
DV
Domestic Violence
Programming
Antabuse
Antabuse Treatment
Employ
Employment Services
AODA
AODA (All Types of Tx)
HWH
Halfway Houses
MH
Mental Health Services
AODA Assess AODA Assessment Only
Circles
Circles of Support
Other:
Cog
Cognitive Interventions
Reentry:
CS
Community Service
RJ
Restorative Justice
SOT
Sex Offender
Treatment
PRE
Pre Treatment
Misc Day Tx Services
Day Tx
Drug Court
DC
Dual Diagnosis Programming
DD
TLP
Day Report Center
DRC
VocEd
SPECIAL NEEDS (Check All Relevant Categories)
Yes
No
Alcohol Problems
Yes
(Based on Risk and Need)
Transitional Living
Program
Vocational
Programming
No
History of Violence, attach Description.
Drug Problems - Specify:
History of Committing Sexual Assaults
Health Problems - Specify:
Pregnant
Mental Health Problems - Specify:
Relationship Problems
Developmental or Learning Disabilities
Financial Management Problems
Other - Specify:
IS OFFENDER TAKING MEDICATION (A SIGNED DOC-1163A REQUIRED TO RELEASE THIS INFORMATION)
Yes
Priority (e.g. 1, 2, 3)
No - If Yes , List Reason and Type:
Prescription
Self-Pay
Insurance
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1336 (Rev. 10/2013)
WISCONSIN
THIS REFERRAL MUST INCLUDE THE FOLLOWING INFORMATION:
Authorization for Use and Disclosure of Protected Health Information (DOC-1163A)
Required for information that involves personal health information, medical, mental health, AODA, or other confidential or services.
Court Order, Criminal Complaint and Prior Conviction Record
Social Information (DOC-179)
Violation Report(s), if applicable (DOC-0005)
Alternative to Revocation Agreement, if applicable (DOC-250)
Information regarding Alcohol, other Drug Problems and Prior Treatment Experience, if applicable.
COMPAS Assessment Narrative and Bar Chart
Priority 1
 High Risk Level AND
 A MINIMUM of 2 of “The Top Four”
Criminogenic Needs
Priority 2
 Medium Risk Level or Higher AND
 A MINIMUM of 1 of “The Top Four”
Criminogenic Needs


Priority 3
Low Risk Level or Higher AND
A MINIMUM of 1 of “The Top Four”
Criminogenic Needs
PART B INTAKE DECISION –
Completed by Contracted Provider Agency for Offender Entering, Re-entering or Wait Listed for the Program
INSTRUCTIONS: Attach this completed form to your agency’s “Offender Report Form Monthly" (DOC-386, DOC-1088, or DOC-1088A) for each offender
who is wait listed or enters your program. These forms must be mailed to the regional Program & Policy Analyst along with the completed DOC-1088.
RECOMMENDED PROGRAM NAME/DAY OF WEEK/TIME:
START DATE:
PROJECTED DISCHARGE DATE
RECOMMENDED PROGRAM/DAY OF WEEK/TIME:
START DATE:
PROJECTED DISCHARGE DATE:
RECOMMENDED PROGRAM/DAY OF WEEK/TIME:
START DATE:
PROJECTED DISCHARGE DATE:
INSTRUCTIONS TO VENDOR/LIAISON: Program priority and placement shall be determined by considering an offender’s actual supervision level
recommendation score and criminogenic need.
OFFENDER ACCEPTANCE / PROGRAM RETURN (Check Appropriate Box, Enter Appropriate Data)
(WHEN OFFENDER IS PLACED ON WAIT LIST RETAIN A COPY OF THIS FORM AND RETURN IT WITH APPROPRIATE INFORMATION WHEN
OFFENDER IS READY TO START GROUP)
Offender Accepted as New Intake
Offender Returned to Program
Offender Rejected – Specify For What Reason:
Offender On Wait List – Specify for What Reason And Include Anticipated Start Date:
REASON:
Part B completed by (Name): ___________________________________________
Title: ________________________________________________
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1336 (Rev. 10/2013)
WISCONSIN
Completing a DOC-1336 Referral for Services
Part A: Agent/DCC responsible for Completion
Program Name and Location:
Name of POGS contracted program and location where referral is being sent to.
Offender Fee per Group: As determined by the agent of record and/or contract language, specify how much of a client
fee per group, week, etc. the offender is responsible to pay and the vendor collect. If unable to pay, please note
WAIVED.
Referral Date:
Enter in the following format XX/XX/XXXX
Projected Eligibility Date for Services:
Agent Name:
SID#:
Enter date offender may start programming XX/XX/XXXX
Enter LAST NAME, FIRST NAME
Enter as determined
Agent Area number: Enter 5 digit number -- 12345
Agent Telephone number: (XXX)XXX-XXXX Enter direct telephone line – not office main line.
Agent email Address:
Example: [email protected]
Agent Street Address:
Enter full address to include Street, City and Zip Code
Offender LAST Name …. First ….. MI: SMITH, JOE K.
DOC Number: 000000
DOB:
Enter as 00/00/0000
Sex:
Check Male or Female
Race: Enter Race as reported by offender
Offender telephone Number: Enter as (000)000-0000 and note if this is offenders line, family member line or if the line
will be disconnected soon. Also include alternate numbers the offender may be contacted at.
Offender Current Address: Enter street, city, zip and any additional addresses offender may be contacted at.
Marital Status: Check appropriate box.
Offender Status at Time of Referral: Check appropriate box
Supervision Discharge Date: Enter as 00/00/0000
Educational Achievement: Highest grade completed
Outstanding Warrants or Pending Charges: If known, enter Reason for Warrant, Agency that entered warrant, contact
information, Warrant/Case Number. Same info for Pending Charges.
Reason for Referral: This should be very detailed. List behaviors demonstrated, recent violations, previous treatment
attempts, case plan drivers/tasks, offender motivation and/or responsivity issues the vendor may need to address.
Referral Type: Check appropriate box(es) Use “Other” box for ES sanction. Include release date.
COMPAS Sub-Screening Tools: Check boxes and provide Results for any screening tools completed prior to referral.
Actual Supervision Level: Check applicable box based upon COMPAS Results and inclusive of DCC override
procedures. Note: Check High for supervision levels such as CIP per policy, ENS, OWI 2,3, INT/SO, etc.
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1336 (Rev. 10/2013)
WISCONSIN
COMPAS General and Violent Recidivism scores: Enter in the following format (_/10) from COMPAS paperwork.
Criminogenic Needs: After COMPAS intake is complete and Case Plan has been developed, check boxes of
criminogenic needs that are actively being addressed between both the DCC Agent and offender via documented Tasks
and Activities. If no case plan exists use professional judgment to best determine needs.
The criminogenic needs from the COMPAS assessment will not directly correlate to the “Top 4” and “Other 4” needs as
listed in EBP. In fact some needs from COMPAS such as criminal opportunity appear in all of the Top 4. This is an area
where agent professional judgment and critical thinking skills are vital.
For example an offender is assessed as having a highly probably need in the area of criminal opportunity. The agent
then needs to review the Top 4 and Other 4 to determine where criminal opportunity fits in. Is it due to the offenders lack
of problem solving or coping skills? Is it due to risky thinking individually or as part of a group? Is it perhaps due to an
inability to build positive relationships in the community or with family members? The answers to these questions will
directly correlate to a Top 4 or Other 4 need.
Services Request: Check all that are pertinent to the DCC case plan and can be provided by the vendor.
Special Needs: Check as applicable and provide supporting documentation of each “YES”.
Offender Medication: Check as applicable. Agent shall secure a signed DOC-1163 in order to release information about
medications to vendor.
Include the Following information: Check all documents that are attached to the referral packet.
Priority Placement Boxes: Review “Criminogenic Needs” section of the DOC-1336. Consider all checked boxes and
determine how many of “The Top Four” are checked or otherwise listed on the current DCC Case Plan and the offenders
current supervision level to determine Priority 1,2 or 3. Same as with criminogenic needs in regard to the case plan.
PART B: Vendor is Responsible for completion
Created 10/25/2013
Exhibit 3
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1088 (Rev. 4/2010)
WISCONSIN
OFFENDER REPORT – MONTHLY
COMMUNITY - BASED PROGRAMS and SERVICES
AGENCY NAME
TELEPHONE NUMBER
REPORTING PERIOD
(Month/Year)
PURCHASE ORDER NUMBER
PROGRAM NAME
FEDERAL FUNDING
Yes
REPORT COMPLETED BY (Signature/Title)
I Total Number of Offenders
L Other Information
J Total Units Provided
B6
OWI 3rd
B5
OWI 2nd
B4
CER
B3
PAT
B
OFFENDER NAME
B2
ATR
A
DOC #
REPORT REVIEWED BY DCC Staff (Signature)
DATE SIGNED
Use this form for all Community-based programs and services except Halfway House, use DOC-386 and Day Treatment, use DOC-1088A. Letters A through F must be completed; all
other columns may be required in accordance with the agency’s contract/grant agreement or at the direction of the Contract Administrator. An asterisk notes all columns that require a
code. All codes for the completion of this form are listed on the back of the form.
B1
DOB
INSTRUCTIONS:
DATE SIGNED
No
C
AGENT
AREA #
D
ADMISSION
DATE
E*
TYPE OF
SERVICE
G*
STATUS
Discharge
F
SERVICE DATE OR DATES
Date
K Are Alcohol and Other Drug Abuse Services Provided Under This Contract/Grant
Code
Yes
H
OFFENDER FEES
COLLECTED THIS
MONTH
No
Exhibit 3
INSTRUCTIONS AND CODES FOR DOC-1088
A
Enter Offender DOC Number as given to provider on Part A, "Referral for Service Form" (DOC-1336).
B
Enter Offender Last Name, First Name and Middle Initial as given to approver agent on Part A, "Referral of Services Form"
(DOC-1336).
B1
Enter Offender Date of Birth as given by agent on Part A, "Referral of Services Form" (DOC-1336).
B2
Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply.
B3
Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply.
B4
Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply.
B5
Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply.
B6
Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply.
C
Enter DOC Agent Area Number as given to provider on Part A, "Referral for Services Form" (DOC-1336).
D
Enter Admission Date.
E
Enter Code number which applies. If your agency provided more than one type of service under the contract/grant during the
month, use a separate line on the form to report each type of service provided to each offender.
(507-30)
Group counseling, outpatient
(606)
Emergency housing
(507-10)
Outpatient counseling, Individual
(607-10)
Employment, on-the-job
(507-20)
Outpatient counseling, family
(607-20)
Employment - evaluation
(603)
Intake assessment
(607-30)
Employment - job placement
(604)
Evaluation
(607-40)
Employment - job preparation
(605)
Sex offender treatment
(608)
Education
F
List each separate date on which service was provided. As an example, if service was provided on May 5, 10 and 16, list 5/5,
5/10 and 5/16. Do not list a range of dates such as 5/5 through 5/10.
G
Enter Status Code for each program participant under the DOC contract or grant. If two codes apply, enter highest
code number. Enter date of Status Change for all codes except 01.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
H
Continues in program
Completed Service - Significant improvement in most or all areas has occurred and the offender is
approaching or has attained full recovery (Good)
Completed Service - Improvement in some areas has occurred but the degree of improvement is minimal
(Fair)
Completed Service - No positive change has occurred (Poor)
Referred to another Agency
Behavioral Termination - Staff / Program decision to terminate due to breaking internal program rules
Withdrew Against Staff Advice
Funding / Authorization Expired (service not completed)
Program Hold - When offender is temporarily not involved in service. Each program hold incident must
be 30 days or less
Positive urinalysis screen, positive breathalyzer test or other indication of drugs
Absconding
Rules Violation - Other than drug / alcohol use or absconding
New Offense
Hospitalized
Death
Other (specify in Field L "Other Information" at bottom of form)
Enter total amount of offender fees collected this month for each offender. Total amount of fees collected are reflected as a
total monthly offender fee reduction on the “Unit Service Monthly Report” (DOC-1026).
I
Total number of offenders provided direct service this month.
J
Total units of service provided this month.
The total units provided, (for example, number of hours, days or group sessions provided) are dependent upon the
payment arrangement with the Department of Corrections.
K
Are alcohol and drug abuse services provided under this contract/grant? This is necessary to verify confidential status of form.
L
Use this space to note codes which need to be specified from Field E and Field G.
EXHIBIT 4
DEPARTMENT OF CORRECTIONS
Division of Community Corrections
DOC-1026 (Rev. 2/97)
WISCONSIN
Wisconsin Statutes
Section 301.08
UNIT SERVICE
MONTHLY REPORT
AGENCY NAME
VENDOR ID NUMBER
PURCHASE ORDER NUMBER
PROGRAM NAME
TELEPHONE NUMBER
DOC CONTACT SIGNATURE
REPORTING PERIOD (Month / Year)
As the authorized representative of the above named agency, I request that my
agency is reimbursed for units of service provided to eligible Correctional offenders.
UNIT OF SERVICE(S) PROVIDED
UNIT
DESCRIPTION
NUMBER OF
UNITS
COST PER
UNIT
Less Billing to Other Agencies
Less Offender Fees Collected
NET REIMBURSABLE
TOTAL
=
I understand that my agency is required to submit a Offender Monthly Report within
30 days after the final day of the month for which this Unit Service Report is due.
I certify that the unit of services indicated for claiming State reimbursement are just, true and
correct in the amount stated and have not been reimbursed, and represent actual services
delivered and reimbursable under the laws, rules and regulation of the Wisconsin Department
of Corrections.
CONTRACTOR AGENCY CONTACT SIGNATURE
DISTRIBUTION:
Submit original and 2 copies to Grant/Contract Administrator
DATE SIGNED
EXHIBIT 5
DEPARTMENT OF CORRECTIONS
Division of Adult Institutions
Division of Community Corrections
DOC-1577 (Rev.7/2010)
WISCONSIN
SEX OFFENDER ASSESSMENT REPORT
Check One:
Initial Report
REPORT DATE
Re-evaluation Report
COUNTY OR AGENT #
Definitions and Instructions for this form are found in DOC-1577-Instructions
OFFENDER NAME (Last, First, MI)
DOC NUMBER
DATE OF BIRTH
MR / PMR / ES DATE
DISCHARGE DATE
PART I: SEXUAL OFFENDING HISTORY
List convictions, with dates of offenses, in chronological order:
Details of sexual offenses. Describe for each offense, in the order listed above: (a) sex and DOB or age of victim(s), (b) victim
relationship to offender and any specific vulnerability factors, (c) brief description of assault(s) including location, any weapons used,
threats and injuries, any sadistic behavior, and any other pertinent history.
Offender’s account of offenses (detected and undetected) and amenability for sex offender treatment:
PART II: PRIMARY INDICATED TREATMENT LEVEL FACTORS
Factor
Prior sexual convictions for Category A
offenses (do not count most recent offense)
Emotional identification with children OR
sexual deviance related to sexual offending
behavior
Any known unrelated victims of sexual assault
A
B
Not assessed or
unable to determine
C
0
1
2+
No indication
of pattern
Some indication,
degree unclear
Clear indications
No
1
2+
Any known stranger victims of sexual assault
Use or threatened use of a weapon in any
sexual offense
Any known male victims of sexual assault
No
1
2+
No
1
2+
Any victims of sexual assault ages 0-12
Other typically victimless deviant sexual
interests (e.g. fetishes, transvestism, other
paraphilias)
No
1
2+
No indication
of pattern
Some indication,
degree unclear
Clear indications
No
Yes
PART III: POTENTIAL MODIFYING FACTORS
Factor
A
Related victim(s) only, and no force involved
(Check N/A if any unrelated victims or force)
Juvenile sexual offending (charges,
convictions, or substantive allegations)
(check N/A if no juvenile sexual offending)
Factor
Prior sexual convictions for Category B
offenses (do not count most recent offense)
Prior sexual charges (category A or B) not
resulting in conviction (do not count most
recent offense)
C
None
Reoffending after
SOT participation
only
Reoffending after
completed prior
SOT
6+ years
3 to 6 years
0 to 3 years
1 victim,
0-4.9 years
younger
2+ victims, all
within 0-4.9 years
younger
Any victims 5+
years younger than
offender at the time
1 victim,
single
occasion
1 victim, 2 or more
occasions
Multiple related
victims
Juvenile
only, no
force used
Juvenile only, but
(1) force used, OR
(2) 2+ victims 5+
years younger than
offender at the time
Juvenile and adult
sexual offending
Sexual reoffending after previous SOT
(Check N/A if no previous SOT)
Time in community with no self-admissions of,
allegations of, or detected sexual reoffending
(Check N/A if 1st offense)
Only victim(s) 13-15 years old and no force
involved in these offenses
(Check N/A if any victims out of this age
range, or if force was involved)
B
PART IV: OTHER HISTORICAL FACTORS
A
B
C
0
1-2
3+
0
1-2
3+
Any noncontact sex offense convictions
No
Additional allegations of sexually
inappropriate behavior involving victims
Sexual offense committed while on
supervision for offense of any type
None
known
None
known
Yes
Yes, uncertain
credibility
Potentially credible
allegation(s) only
Yes, likely credible
Yes (charges or
convictions)
N/A, not assessed
or
unable to determine
Not assessed or
unable to determine
EXHIBIT 5
(no new charges)
Use of sexually explicit material involving
adult subjects
None
known, or
some soft
porn, no
violent
themes
Some use, with
some violent
themes
Use or making of sexually explicit material
involving child (pre- or early pubescent)
subjects
None
known
Some use or
making of
Use of Internet in offense (apart from
sexually explicit materials coded above)
None
known
Other evidence of sexual preoccupation
None
known
Frequent use,
collecting behavior,
or frequent violent
themes
Frequent use,
making of, or
collecting behavior
Yes, known use of
internet for sexual
offending
Possible or
probable but
uncertain
Possible or
probable but
uncertain
Yes (describe):
ADDITIONAL COMMENTS/DETAILS/OFFENDER INTERVIEW NOTES
RECOMMENDATIONS (CHECK ONE BOX ONLY)
No SOT
Education (SO-1a)
Short-term (SO-2)
Aftercare (SO-1b)
Short-term Special Needs (SO-2) – Lighthouse
ATR/Short-term Intensive (SO-3)
Short-term Spanish-speaking (SO-2)
Long Term / Intensive Residential (SO-4)
Long Term / Intensive Residential Special Needs (SO-4)-
GOALS
Comments/Rationale:
Treatment recommendations deferred (Why:)
ADDITIONAL CONSIDERATIONS
Reading comprehension may be below 6th grade level
IQ may be below 80
Hearing impaired
Current mental health status code:
Other identified program needs:
Other/Details:
MH-0
Language barrier
Unstable psychiatric status (refer)
Evidence of serious social skills impairment due to developmental or psychiatric disorder
MH-1
Anger Management
MH-2A
MH-2B
Domestic Violence
AODA
CGIP
[THIS SECTION FOR RE-EVALUATIONS DURING CURRENT PERIOD OF INCARCERATION ONLY - ONE BOX
MUST BE CHECKED]
Different treatment recommendation: previous evaluator consulted and agreement reached regarding new recommendation on (date):
Different treatment recommendation: consultation with previous evaluator was not available
Different treatment recommendation: change being made by SOAP evaluator as part of a Differing Opinions Resolution Process (DORP)
PRINTED or TYPED CLINICIAN’S NAME
CLINICIAN’S SIGNATURE
DATE
PRINTED or TYPED SUPERVISOR’S NAME (if necessary)
SUPERVISOR’S SIGNATURE (if necessary)
DATE
DISTRIBUTION: Original - (Facility) PSU Record, Ch. 980 Program Data/Reports Section / Client File (Community Provider); Copy – DCC Agent; Copy -
Facility BOCM Office; Copy - Social Services File, Confidential Envelope
Double click on icon below to access instructions for this form (DOC-1577):
DOC-1577
INSTRUCTIONS
Exhibit 6
DEPARTMENT OF CORRECTIONS
Division of Adult Institutions
Division of Community Corrections
DOC-1423 (Rev. 2/2010)
WISCONSIN
SEX OFFENDER PROGRAM REPORT
REPORT TYPE
Initial
REPORT DATE
Progress
OFFENDER NAME (Last, First, MI)
FACILITY/AGENCY
ENTRY DATE
AGENT NUMBER or COUNTY
Discharge / Exit
DOC NUMBER
PROGRAM NAME / PHASE
EXIT DATE
DATE OF BIRTH
PROGRAM TYPE
MR / PMR / ES DATE
DISCHARGE DATE
FACILITATOR NAME(S)
PROGRAM HOURS COMPLETED
STATUS OF TREATMENT NEEDS
SEVERITY OF
TREATMENT
NEEDS
Level I:
Denial / Minimization
Knowledge of Victim Impact
Knowledge of Deviant Cycle
Cognitive Distortions
Knowledge of Reoffense
Prevention
Level II:
High
Medium
High
Medium
COMMENTS (Optional)
Low
Low /
NA
Deviant Arousal
Anger Control
Criminal Thinking
Deceptiveness
Impulsivity
Lack of Appropriate Social Skills
Sexual Sadism
Sexual Knowledge
Own Victimization
Lack of Healthy Relationships
Negative Peer Influence
Mental Health Issues
Substance Abuse
Other:
REOFFENSE RISK INDICATORS (Check all that apply)
The presence of any of the items listed below may indicate an increased risk of sexual offense for this specific offender.
Negative social influences
Job / school problems
Frequenting areas visited by children
Unstable or absent intimate relationship
Angry / resentful mood state
Unapproved contact with minors
Isolation / rejection from support system
Sexual preoccupation / use
Unsupervised/unapproved computer use
of
sex
as
coping
mechanism
Increase in impulsive / reckless behavior
Use of pornography
Decline in problem-solving ability
Substance use / abuse
Deviant fantasies / sexual interests
Other:
PROGRAM STATUS / WICS CODES (Check one only)
Enrolled/Continuing
Completed
Completed – Aftercare Recommended
Terminated – No Fault: Inappropriate Placement
Terminated – Staff: Chemical Use
Withdrew
COMMENTS/RATIONALE
Page 1 of 2
Exhibit 6
PROGRESS OR DISCHARGE SUMMARY (Narrative)
DISCHARGE RECOMMENDATIONS (This section required only upon completion, withdrawal, or termination)
No further Sex Offender Treatment recommended at this time
Continued Sex Offender Treatment or Aftercare recommended (specify location, level, and any special needs):
Location:
Institution
Community
Level:
SO1a (Education)
SO1b (Aftercare)
SO2 (Short-term)
SO3 (ATR)
SO4 (Intensive/Long term)
Special needs:
Cognitive or severe literacy limitations
Spanish-speaking
Additional considerations:
MH-1
MH-2a
MH-2b
Other (describe):
COMMENTS/RATIONALE
REOFFENSE PREVENTION PLAN (DOC-2456 or 2456A) COMPLETED BY OFFENDER AND SENT TO SUPERVISING AGENT
PRINTED or TYPED CLINICIAN’S NAME
CLINICIAN’S SIGNATURE
DATE
PRINTED or TYPED SUPERVISOR’S NAME (if necessary)
SUPERVISOR’S SIGNATURE (if necessary)
DATE
DISTRIBUTION:
(DAI Facilities) Original - PSU Record, SOT/Ch. 980 Section; Copy – Social Services File Confidential Envelope; (Discharge/Exit Report only) Copy – DCC Case File
(DCC) Original – Client File (Community Provider); Copy – DCC Case File
Double click on icon below to access instructions for this form (DOC-1423):
DOC-1423
INSTRUCTIONS
To access the Sex Offender Treatment Reoffense Prevention Plan,
double click on icon for the DOC-2456 (SO4 Programs) or DOC-2456A (SO2 Programs):
DOC-2456
(SO4 Programs)
DOC 1423
DOC-2456A
(SO2 Programs)
Page 2 of 2
EXHIBIT 7
DEPARTMENT OF CORRECTIONS
OFFICE OF THE SECRETARY
DOC-1923 (Rev. 5/2012)
WISCONSIN
Wisconsin Statutes
§ 48.981, 51.30,146.81-84, 252.15, 938.78
Federal Regulations
42 CFR Part 2
45 CFR Parts 160, 162 and 164
LIMITS OF CONFIDENTIALITY OF HEALTH INFORMATION
NOTE: DAI uses WICS ORPT170/DOC-2468 for inmates upon admission to a DAI facility. DAI Psychological Services Units, DJC
facilities and DCC may use this form, as appropriate.
OFFENDER NAME
DOC NUMBER
THIS FORM EXPLAINS YOUR CONFIDENTIALITY RIGHTS FOR HEALTH CARE INFORMATION. READ IT CAREFULLY
1. Department of Corrections (DOC) health care providers include physicians, nurses, psychiatrists, psychology staff, dentists,
physical therapists, other health professionals, and staff supervised by those providers.
2. Health care providers document every interaction with you in your Health Care Record such as your Medical Chart, Dental
Record and Psychological Services Unit Record, and in limited circumstances in your Social Services File and Field Case
File.
3. You have a right to limited confidentiality of your health information within the DOC. DOC staff with a job-based “need to
know” may have access to health information contained in your Health Care Record, Social Services File, and Field Case
File.
4. Health care providers have the right to access your health information to meet your health care needs.
5. Non-health care staff such as wardens/superintendents, members of the Earned Release Review Commission,
probation/parole agents, Inmate Complaint Examiners and others involved in processing inmate complaints, social workers,
Bureau of Offender Classification and Movement specialists, and security staff may have access to limited health
information in order to make decisions related to your custody level, safety, movement and release, and to resolve your
complaints.
6. Health care providers must report information to the appropriate DOC authorities if it raises concern about a threat to you, a
correctional facility, community corrections operations, and/or public safety. This may include the following:
a. Overt/covert threats or harm to yourself or others.
b. Reports of any alleged sexual activity between an inmate and any other person.
c. Reports of any sexual assault or intimidation between an inmate and any other person.
d. Plans to riot or escape and possession of drugs or weapons.
e. Suspicious or unexplained deaths (homicides, suicides).
f. Unknown past criminal conduct that increases the potential risk to a facility, community corrections operations and/or
the pubic, including self-reported acts of homicide, attempted homicide, or 1st/2nd degree sexual assault.
7. DOC shall not permit individuals outside the DOC to access health information about you unless one of the following
applies:
a. You sign an Authorization for Use and Disclosure of Protected Health Information (DOC-1163A), or equivalent form,
authorizing the disclosure.
b. A judge issues a valid court order authorizing the DOC to disclose the information.
c. A Wisconsin or federal law permits the access without a signed authorization from you.
I have read (or had read to me) the above information and have been given the opportunity to ask questions. I
understand the limits of confidentiality of my health information explained in this document.
OFFENDER SIGNATURE
DATE SIGNED
WITNESS SIGNATURE (DOC or Contract Agency Staff)
DATE SIGNED
WITNESS JOB CLASSIFICATION / TITLE
DISTRIBUTION:
DOC LOCATION or CONTRACT AGENCY NAME/ LOCATION
Original (DCC) - Field Case File; Copy (DCC) – Contract Agency File (if applicable); Copy - Offender
Original (DJC) - PSU Record, Legal Documents/Consents/Outside Records Section when completed in DJC; Copy - Offender
Original (DAI PSU) - PSU Record, Legal Documents/Consents/Outside Records Section; Copy – Offender
EXHIBIT 8
DEPARTMENT OF CORRECTIONS
Division of Adult Institutions
DOC-2507 (Rev. 11/2009)
OFFENDER NAME (Last, First, MI)
INFORMED CONSENT
SEX OFFENDER TREATMENT
DOC NUMBER
DATE OF
BIRTH
MR / PMR / ES DATE
WISCONSIN
DISCHARGE DATE
Participation in a sex offender treatment program (SOT) within the Department of Corrections is voluntary.
 You may withdraw from the SOT program at any time.
 There may be consequences to withdrawal, including but not limited to the following.
 Loss of any potential eligibility for early or Presumptive Mandatory Release (PMR).
 Loss of any potential eligibility for minimum custody classification.
 There is a potential risk of increases in, or development of, feelings of distress, sadness, guilt, anger,
frustration, loneliness, embarrassment, and/or other emotional reactions due to your participation in the
program. Usually, these feelings are temporary. If you have severe and ongoing difficulties, you will be
referred for psychiatric evaluation and possible treatment.
 There are also potential risks to treatment that could last longer or be permanent. Examples include (but
are not limited to) discovering things about yourself that you do not like, or experiencing changes to
important relationships in your life that you may not expect or like.
 There are potential tangible benefits of participation in the program. That is, in addition to psychological
and psychosocial benefits of treatment (such as more positive feelings about oneself, improved selfcontrol, self-awareness, and self-understanding, better behavior toward and understanding of others,
improved interpersonal relationships), there may be benefits such as possible earlier release (if not a Truth
in Sentencing case) and potential eligibility for minimum custody classification.
 Completion of a sex offender program:
 Does not guarantee approval of specific visitors.
 Does not guarantee permission or approval for contact with any specific individual or class of
individuals (for example, children).
 Does not provide any guarantee of early release. Note: If PMR applies, the offender may be held
beyond MR at the discretion of the Parole Board.
 Does not provide any guarantee of exemption from possible involuntary civil commitment under
chapter 980. Treatment records from SOT may be used in Chapter 980 evaluations and proceedings.
 Does not provide any guarantee of exemption from participation in or referral to sex offender or other
types of psychological or alcohol and other drug abuse (AODA) treatment in the community or
institution.
 Within the Department of Corrections, Division of Adult Institutions, treatment alternatives may include
pharmacological treatment. However, your SOT Program Need will not be met unless you participate in
the programming that is recommended for you.
 By signing this document, you indicate that you understand all of the above, have asked any questions
necessary to clarify your understanding, and that you agree to participate in DOC Sex Offender
Treatment.
PRINT OFFENDER”S NAME
OFFENDER’S SIGNATURE
DATE
PRINT or TYPE STAFF NAME
STAFF SIGNATURE
DATE
DISTRIBUTION: PSU Record, Legal Documents/Consents/Outside Records Section
EXHIBIT 9
WISCONSIN
DEPARTMENT OF CORRECTIONS
Division of Adult Institutions
DOC-2508 (10/2009)
SEX OFFENDER TREATMENT CONTRACT
OFFENDER NAME (Last, First, MI)
DOC NUMBER
DATE OF
BIRTH
MR / PMR / ES DATE
DISCHARGE DATE
You have been accepted into the following sex offender treatment program:
, located at
Correctional Institution. The goal of the program is to reduce your likelihood of future sexual offending.
Group treatment sessions are scheduled to occur
times a week, for
hours each session. This
schedule may vary from week to week depending on staffing concerns or other issues that come up during
the course of the treatment. You are expected to be at every session unless you have an excused absence.
Excused absences are typically for illness or court appearances only.
Only one of the following should be checked:


The program is scheduled to last about
months. The total length of the program may be shorter
or longer than was originally planned.
The program is open-ended. That is, you will be expected to attend the program until the treatment
provider discharges you from it.
The Sex Offender Treatment will consist of group psychotherapy, lectures, homework assignments, and
group discussions and exercises. You may be expected to read materials or watch videos. You may be given
standardized tests or assessments. Special procedures may be used, such as audio- or videotaping,
polygraph, or penile plethysmograph. Your treatment provider(s) will tell you ahead of time about any special
tests or procedures, at which time you may ask any questions you may have.
During the treatment program, you will be expected to:
 Fully disclose all of your sexual offenses whether or not they were detected or adjudicated, and whether or
not you understood those actions to be sexual offenses at the time.
 Participate in detailed discussion of sexual fantasies, urges and behaviors.
 Disclose (admit to) and discuss your non-sexual criminal offending history (detected and undetected) and
other aspects of your personal and social history.
You will be given information on when past undetected offenses that you reveal would have to be reported to
authorities by your treatment provider.
Staff will complete periodic evaluations of your progress. Results of those evaluations will be shared with you.
You may occasionally be given individual feedback on other occasions as well.
If you have difficulty reading or writing, additional assistance may be available for completion of written
assignments.
PRINT or TYPE OFFENDER NAME
OFFENDER SIGNATURE
DATE SIGNED
PRINT or TYPE STAFF NAME
STAFF SIGNATURE
DATE SIGNED
PRINT or TYPE SUPERVISOR NAME (if necessary)
SUPERVISOR SIGNATURE (if necessary)
DATE SIGNED
DISTRIBUTION:
PSU Record, SOT/Ch. 980 Section
EXHIBIT 10
Evidence-Based
Correctional Program Checklist
The Correctional Program Checklist (CPC) is a tool developed to assess the extent to which
correctional treatment programs adhere to the known principles of effective intervention. It is designed
to evaluate the integrity of a program, not outcomes. The CPC is based on the results of over 500
program assessments and three large outcome studies.
The CPC is divided into two basic areas: Capacity and Content.
The Capacity area is designed to measure whether a correctional program has the capability to deliver
evidence-based interventions and services for offenders. There are three domains in the capacity area:
CAPACITY
1. Quality Assurance
• Program monitoring activities
• Reassessment of offenders
• Evaluation
2. Staff Characteristics
• Education of the staff
• Experience of the staff
• Assessment & training of the staff
3. Leadership & Development
• Involvement and qualifications of program director
• Implementation and design of the program
• Support for the program
The Content area has two domains and focuses on the substantive domains of Offender Assessment
and Treatment Characteristics, and the extent to which the program meets the principles of risk, need,
responsivity, and treatment.
CONTENT
4. Offender Assessment
• Selection of offenders
• Assessment of offenders
5. Treatment Characteristics
• Targeting of criminogenic needs
• Type of interventions used
• How treatment is delivered
• Provision of aftercare
Information is gathered through structured interviews with selected program staff and program
participants and observation of groups and staff. Other sources of information include policy manuals,
program curriculum, schedules review of case files, surveys, & other selected program materials
There are several advantages to the CPC:
1. All of the indicators included in the CPC have been found to be correlated with reductions in
recidivism.
2. The process provides a measure of program integrity and quality; it provides insight into the
“black box” of a program, something that an outcome study alone does not provide.
3. The results can be obtained relatively quickly; usually the process takes a day or two and a
report is generated within a few weeks.
4. It identifies both the strengths and weaknesses of a program and provides recommendations
designed to improve the integrity of the program and to increase effectiveness.
Prepared by the WI Department of Corrections
Page 1 of 2
Office of Research & Project Management
EXHIBIT 10
Evaluation Steps
1. Schedule site visit with program and program evaluators.
2. Day of site visit:
 Interview program/treatment director
 Interview staff
 Interview program participants
 Review case files
 Review program manuals and curricula
 Review assessment instruments
 Observe treatment group(s)
3. Day after the site visits the evaluation team meets to determine the final scores for the
program evaluation.
4. Within one or two weeks after the site visit a draft report detailing evaluation results and
recommendations is sent to the program.
5. Program is given 30 days to respond to the draft report in writing, noting any information that
is incorrect or that was missed.
6. Evaluation team takes program’s response into consideration, then compiles a final report
and sends it to program and anyone else who needs to see it.
7. Within 30 days, the program submits to the Department a “corrective action plan” detailing
the steps it will take to address areas needing improvement based on evaluation
recommendations.
8. A follow-up evaluation is done within one year if the program scores below the “effective”
category, within three years if it scores in the “effective” category, and within five years if it
scores in the “highly effective” category.
Prepared by the WI Department of Corrections
Office of Research & Project Management
Page 2 of 2
Exhibit 11
PROGRAM GUIDELINES:
Programs using evidence based curriculum for groups and training the staff in the delivery of that curriculum will
increase program fidelity. Several factors are noted to be essential to program success as measured by the
difference in recidivism between treatment and control groups. The National Institution of Correction’s curriculum
Offender Risk Reduction: Evidence Based Practice and Cognitive Behavioral Interventions Standard Operating
Procedures (Dec 2001) were used as a reference in the development of these guidelines.
Characteristics consistently associated with program efficacy:
1.
Sound Conceptual Model. Programs based on a cognitive-behavioral theoretical model were the
most beneficial when applied in appropriate dosage according to offender risk and need
measurements.
2.
Multifaceted Programming. Multifaceted programs, which incorporated a variety of techniques in
their intervention strategy, were more beneficial than those correctional programs that relied on a
single method.
3.
Targeting “criminogenic risk factors.” In successful programs, program targets were factors
linked with recidivism such as social cognitions or antisocial attitudes.
4.
Responsivity Principle. Program efficacy was dependent on matching styles and modes of
service to the learning styles, characteristics and abilities of offenders based upon identified risks
and needs.
5.
Role Playing/Modeling. In successful programs, correctional worker/agents modeled anti-criminal
attitudes and behavior. Modeling and role-playing techniques were used to train offenders in
empathy, interpersonal problem solving and social skills, which enabled them to cope pro-socially
with adverse or criminogenic environmental experiences.
6.
Social Cognitive Skills Training. Including program techniques that could have an impact on the
offender’s thinking was of critical importance.
Characteristics that make cognitive behavioral programs effective:
A. Group/Class Setup
1.
The facilitator is present; with the necessary materials adequately organized, and prepared to greet
arriving participants several minutes ahead of the scheduled group time.
2.
Attendance and tardiness are accurately and efficiently documented.
3.
Homework (as required by specific programs) is reviewed, checked, and appropriately reinforced.
4.
Each lesson is introduced so participants have an overview of the session.
5.
The introduction of each lesson should include reasons why content or process should be valued by
the
participants and should be tailored to address each participant’s perspective.
B. Specific Skill Development
1.
The facilitator should define the skill or concept being introduced.
2.
The facilitator should explain why the skill or concept is important and how it is related to other
material
previously covered.
3.
The facilitator should present the thinking and actions that make up the specific skill.
4.
The facilitator should model the skill correctly.
5.
The facilitator should ask questions and make sure all participants understand the specific skill
before moving on to a new skill.
6.
The facilitator should use examples and scenarios that are simple and easy to follow and directly
relevant
to the criminogenic (crime-producing behavior) needs of participants.
7.
The facilitator should allow participants to practice skills as much as possible and devote a
significant
portion (at least two-thirds) of a session to practice and exercises.
8.
The facilitator should provide feedback to participants with at least 80% being positive and
reaffirming.
9.
During the summary session, the facilitator should include a review of what the group is learning,
why the
information is important to participants, and in what specific situations the skills can be
used.
10.
The facilitator should always follow the lesson plan and assign homework as directed by the
curriculum.
Exhibit 11
C. Classroom Management
1.
The facilitator should start the session precisely on time.
2.
The facilitator should identify and address (but not judge) any pro-criminal responses and behaviors
(allowing these responses and behaviors to going on without addressing them undermines the
intent of
the curriculum).
3.
The facilitator should maintain a clearly defined set of group participation rules with simple, specific
consequences for violation.
4.
The facilitator should enforce class rules and boundaries.
5.
The facilitator should acknowledge the need for and expect a different level of performance based
on
the individual skills and abilities of the participants.
6.
The facilitator should take the necessary steps (both structural and situational) to insure each
participant
is involved in each session.
7.
The facilitator should use humor appropriately throughout each session.
8.
The facilitator should use the necessary equipment and materials (i.e., flipcharts, chalkboards,
overheads,
TV/VCR, workbook, stapler, paper clips, pens, pencils, and paper) appropriately throughout
each session in addition to access to a copy machine in preparation for sessions.
9.
The program participants should have a workbook or folder to hold loose workbook pages or
additional information, additional paper for note taking, and each participant should be provided with
a pen or pencil.
D. Participant Involvement
1.
Participants should be actively and voluntarily engaged and paying attention throughout each
session.
2.
Participants should be able to demonstrate their understanding of the content and processes used
throughout each session.
3.
Participants should provide positive and innovative input to the session.
4.
Participants should adequately complete class activities and homework assignments.
5.
Participants should demonstrate some understanding of their individual risk factors.
E.
Documentation and Accountability
The facilitator should have a clear and effective system to document the following items:
__ Intake interview process (in addition to pre-testing instrument)
__ Attendance
__ Tardiness
__ Homework (as required by specific programs)
__ Session participation levels
__ Ongoing motivation, skill and participation issues
__ Exit interview process (in addition to post-testing instrument).
F.
Standards
1.
The specific cognitive based curriculum must be followed exactly within the guidelines of that
individual program.
a.
There will be no addition or deletion of content materials.
b.
The program time frame will be adhered to: e.g., number of sessions suggested completing
the
program, and time frame regarding the specific amount of time to complete each session. If
the
program suggests twenty-two sessions at 1 1/2 to 2 hours per session, then it shall be
delivered in
that manner.
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