REQUEST FOR PROPOSAL FOR ALCOHOL AND DRUG TOXICOLOGY TESTING OF URINE AND BREATH FOR PARTICIPANTS OF THE ST. LOUIS TREATMENT COURT RFP-FY18-01

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1 REQUEST FOR PROPOSAL FOR ALCOHOL AND DRUG TOXICOLOGY TESTING OF URINE AND BREATH FOR PARTICIPANTS OF THE ST. LOUIS TREATMENT COURT RFP-FY18-01 Beginning July 1, 2018 The State of Missouri, Twenty-Second Judicial Circuit, St. Louis Treatment Court is accepting proposals to test urine and breath samples from participants of the St. Louis Adult Treatment Court and Veterans Treatment Court located at 1114 Market Street in downtown St. Louis, Missouri. Bidder must be licensed to do business within the City of St. Louis, Missouri and current on payments of all taxes due or be willing to become licensed prior to the contractual start date. Bidder must carry general liability insurance in the sum of $1,000, and worker s compensation coverage equal to or in excess of Missouri statutory requirements. These license, taxes and insurance requirements must be adhered to throughout the duration of the contract period. Bidder must be in compliance with state law and provide to the Court a sworn affidavit and provision of documentation that the vendor is enrolled and participates in a federal work authorization program and does not knowingly employ any person who is an unauthorized alien. Bidder must be a provider listed by the Office of State Court Administrator in the current Qualified Vendor List for drug testing equipment and services for the State of Missouri Treatment Courts or be willing to become an approved provider by OSCA Qualified Vendor List prior to the beginning of the contract award. Bidder must be in compliance with the following: presently has no interest and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of services required to be performed under the RFP; In the performance of the RFP no person having such interest shall be employed by the Bidder; In the performance of the RFP, neither the Bidder nor any of its agents or employees, are or shall become an employee of the State of Missouri, a member of the General Assembly, or a statewide elected official. There are approximately 324 active participants in the St. Louis Treatment Court receiving treatment services with approximately 307 in Adult Treatment Court and 17 in Veteran Treatment Court. The number of treatment court participants is expected to increase during the term of this contract due to additional co-occurring disorder dockets

2 expected to begin in the first quarter of The treatment court program is designed to last approximately fifteen (15) to eighteen (18) months or more in duration and consists of adult male and female population from a culturally diverse cross section of the St. Louis community. Nothing within this RFP prohibits one or more vendors from submitting a combined proposal that meets the requirements of the Court. Proposals with combined vendors must provide to the Court proof of an existing business relationship in the form of a Memorandum of Understanding, joint venture agreement or other written document. The vendor or combined vendors of urinalysis and breath testing must be able to provide collection, analysis and results to the St. Louis Treatment Court for designated participants at a site to be determined by the vendor and provide pick-up specimen service at the courthouse, located on the 5 th floor, 1114 Market Street, St. Louis, Missouri, for a small number of drops that are collected by trained court personnel during dockets and for new, potential clients. The vendor must pick-up the urine screening specimens within 24 hours of the sample collection at the courthouse and provide a chain of custody while transporting the samples to the laboratory for analysis. The vendor must conduct urinalysis testing on all collected specimens, analyze the tests to determine if participants are using drugs including ethanol and submit a confidential report of result to the St. Louis Treatment Court using the electronic case management system of the court. In an effort to continue consistency in the sample collection process, the St. Louis Treatment Court requests collection be done primarily at a site on a major public transportation bus route and preferable near a metro station. The site must be located in the City of St. Louis, Missouri, between Interstate Highway 70 on the north, Interstate Highway 64 on the south, Broadway on the east and Kingshighway on the west. All urine specimen collections must be fully observed by staff of the vendor except those samples collected at the courthouse located at 1114 Market Street, St. Louis, Missouri by trained court personnel. The vendor will staff the site to collect breath and urine specimens from 7:00 a.m. to 6:00 p.m. on announced testing dates and maintain posted office hours to collect breath and urine specimens on other days of the week. The vendor is not required to be open on Saturday or Sunday unless the date is called for testing. Space in the courthouse in not available to the vendor for daily business operations. The Court prefers sample collection availability on any of the 365 days during the year. The Court will coordinate with contractor to provide a monthly calendar of scheduled drop dates in advance which will, on occasion include collections on Saturday, Sunday and/or holidays. The vendor is responsible to publically announce the testing schedule 365 days per year not before 11 p.m. for the following date. A testing schedule must be announced by telephone message line each day even if no colors are called that day. The vendor will be required to provide a dedicated telephone number to call and

3 maintain the line in an operational condition. The current system calls the following colors for male participants: blue Path I; yellow Path II; green Path III; silver Path IV and the color purple for female participants during the entire program. It is the current practice of the Court to call one or more colors on a date and from time to time call all colors on a date. When trained court personnel are required to collect urine samples the vendor shall provide all necessary equipment and supplies to the St. Louis Treatment Court for specimen collection including, but not limited to, urine specimen cups, labels, specimen storage containers and gloves. The vendor may be requested to provide instructional training to court personnel about specimen collection procedures, adulteration detection and technical updates not more than twice per year. The vendor needs to have staff available to answer Court inquiries, provide technical drug testing information and conduct business on weekdays during business hours. Within forty-eight (48) hours after specimen pick-up or collection, the vendor must be able to provide the St. Louis Treatment Court results for the toxicology tests; unless, according to standard laboratory procedures, more time is required for a specific test because of test complexity. Vendor must ensure compliance with appropriate chain of custody procedures and confidentiality requirements in full compliance with HIPAA standards and 42 CFR 2. The test to be used will be an immunoassay. In addition, the St. Louis Treatment Court require a testing methodology that will provide qualitative and quantitative levels for all tested panels. Each test is expected to include a breath sample to detect alcohol in addition to the ordered drug panel. The Court currently use three (3) separate standard five (5) panel tests. The vendor will be instructed to use the benzo panel as a default test unless the Court gives instructions to use one of the other two (2) optional standard five (5) panel tests. The standard benzodiazepine (benzo) test panel will include the following five drugs: amphetamines, cannabinoids, cocaine metabolite, opiates, benzodiazepines and creatinine. The standard methadone test panel will include the following five (5) drugs: methadone, amphetamines, cannabinoids, cocaine metabolite, opiates and creatinine. The standard PCP test panel will include the following five (5) drugs: phencyclidine, amphetamines, cannabinoids, cocaine metabolite, opiates and creatinine. The St. Louis Treatment Court reserve the right to substitute one drug on the panel if a participant appears to be abusing a drug not found on the original panel and to request, on occasion, a different panel to enhance the evidence based practice of random testing.

4 Other specialized drug tests currently used by the St. Louis Treatment Court include, but not limited to the following: Methadone/Benzodiazepine (MB Panel) which consists of a test for methadone, benzodiazepines, cannabinoids, cocaine, opiates and creatinine. Five Panel plus Buprenorphine (5P Bup) which consist of a test for benzodiazepines, buprenorphine, amphetamine, cannabinoids, cocaine, opiates and creatinine. Five Panel plus Fentanyl (5P Fen) which consists of any standard five panel test plus fentanyl. Six Panel Test (6) which consists of any standard five panel test plus an EtG. Seven Panel Test (7) which consists of any standard five panel test plus EtG and Buprenorphine. Methadone/Benzodiazepine/Buprenorphine (MBB Panel) which consists of a test for methadone, benzodiazepine, buprenorphine, cannabinoids, cocaine, opiates, creatinine plus an EtG. Fentanyl which consists of a test for fentanyl. Synthetic Cannabis (K2) which consists of a test for numerous synthetic cannabinoids. MECE Baseline (MECE) which consists of a test for, at the minimum, amphetamines, opiates, benzodiazepines, barbiturates, cannabinoids, cocaine, methadone, PCP, propoxphene, buprenorphine, EtG, fentanyl, gabapertin, ketamine, LSD, meperidine, naloxone, naltrexone, carisoprodol, tapentaol and tramadol. The St. Louis Treatment Court currently use the following cut off levels: Amphetamine at 1000 ng/ml Benzodiazepine at 200 ng/ml Cocaine at 300 ng/ml Cannabinoid at 20 ng/ml Opiates at 300 ng/ml Methadone at 300 ng/ml Buprenorphine at 5 ng/ml Phencyclidine at 25 ng/ml Fentanyl at 500 ng/ml Synthetic THC at 10 ng/ml EtG at 500 ng/ml Creatinine for validity at 20 mg/dl BAC tests for breath alcohol concentration at.000g/l At a minimum, the vendor must be able to provide drug tests for the following drugs: Amphetamines, Methamphetamines, Cocaine, Opiates, PCP, THC, Methadone, Barbiturates, Benzodiazepines, Oxycodone, Synthetic Cannabinoids, MDMA and

5 EtG/EtS. Confirmations may be requested by the Court and the vendor may elect GC/MS or LS/MS at their discretion for the most accurate results. EtG/EtS tests may be requested in combination with standard testing for specific clients and the vendor may elect EtG or EtS at their discretion for the most accurate results. On rare occasion the Court has requested saliva oral swab testing, sweat patch testing and hair testing. The response to this RFP should define the cost of these confirmation and add on test procedures. In the event the Court requests the vendor to collect a urine sample to be mailed in a provided pre-paid postage mailer to other laboratories which perform complex and comprehensive drug testing the vendor response to this RFP should define the cost, if any, for this sample collection/mail service. The bid response should document the laboratory vendors capacity and accuracy to perform urinalysis tests and breath alcohol concentration tests including a detail plan to meet the stated time requirements, discuss the specific test and implementation procedures, describe the manner of test performance and all relevant current and past experience in dealing the treatment court or professional urinalysis testing. The vendor must comply with and submit a copy of all licenses, certifications, accreditations, and/or permits required by state, federal and/or local law, statute or regulation to provide laboratory services. The vendor should submit detailed information related to the experience and qualifications, including education and training, or proposed personnel to perform the requirements of the RFP. The vendors shall report drug test results to the St. Louis Treatment Court with the minimum following information: Donor Name or Number; test panel, date and time collected, date and time tested; date results reported; results, including levels on positive results; and whether the participant reports taking medication. The vendor will be required to work with the IT Department of the 22 nd Judicial Circuit and FivePoint Solutions, LLC to provide electronic drug test results through the existing case management system known as ACCM, as modified for the St. Louis Treatment Court. ACCM provides a bi-directional interface between the vendor s drug testing lab system and the Court. The system shall transmit drug lab results to a REST web service provided by the Court s case management vendor FivePoint Solutions, LLC. The system shall provide a REST web service for receiving new donor and updated donor information based on specifications provided by FivePoint Solutions, LLC, The system shall provide a REST web service for activating and deactivating donors based on specifications provided by FivePoint Solutions, LLC. The vendor shall work with the IT Department of the 22 nd Judicial Circuit and FivePoint Solutions, LLC to ensure the interface is functioning properly at all times. FivePoint Solutions, LLC estimates the one time fees charged by FivePoint Solutions, LLC for implementation of the interface, including but not limited to configuration and testing, if any, could range from $5,000 to

6 $25,000 depending on the differences in the systems used by the vendor and the Court and the complexity of the interface connection. The Court will be responsible for the first $5, of the interface connection fee, if any, and the vendor will be responsible to pay FivePoint Solutions, LLC for any interface connection charges above that amount, if any. This implementation of interface is an anticipated one time charge for this contract award and any subsequent contract renewal. FivePoint Solutions, LLC contact for purposes of this RFP is George Lawson, Chief Technology Officer and Co-Founder, who may be contacted: a. For broad details of the system pre-bid to determine the vendor s capacity to provide a viable interface and post award specifics; and/or b. Post award for detailed specifications for the interface implementation. When a new participant is created in the ACCM system used by the Court, the system of the vendor will be provided the following information: First Name, Last Name, Date of Birth, Race, Gender, ACCM Internal Client ID number, and the identification of the program. The Court will communicate with the vendor to identify the appropriate standard test panels and any specialized testing requested for each participant. The vendor should submit two (2) separate monthly invoices to the St. Louis Treatment Court: one (1) for the Adult Treatment Court and one (1) for the Veteran Treatment Court. For the purposes of volume discount consideration, if any, the sum total tests on these two invoices will be added together. The invoices should include an invoice number, date of invoice, quantity of tests performed during the month, unit price, and the total amount due. Attached to the invoice should be a detailed report that reflects the date of the month, the participant tested by name or unique number, whether the participant reported taking prescription medication, whether the test was positive or negative, report adulterations or diluted samples, and provide details about the specific substance and measurements of all positive test results. The terms of the invoice will be Net 30 and the St. Louis Treatment Court pay once per month form available federal, state or city funds. All purchases and charges pursuant to this RFP are tax exempt. No tax is to be passed though or billed to the Court or included within fixed lump sum charges in any manner. The dockets of the St. Louis Treatment Court manage a volume of cases with frequent drug tests to measure participant compliance. Drug test are required at a minimum of once per week and more often multiple times per week. During the calendar year 2017 drug tests and accompanying breathalyzer examinations were administered in the Adult Treatment Court and Veteran Treatment Court combined approximately 23,000 times. Of these tests, EtG tests were included approximately 5,100 times. Although the price per test is an important variable, the St. Louis Treatment Court reserves the right to select a vendor based on quality of service who may not be the lowest bidder.

7 The contract will be for the fiscal year ending June 30, 2019, with the option to renew for four (4) additional years if the St. Louis Treatment Court determine the contract is in the best interest of the 22 nd Judicial Circuit and reasonable rates can be negotiated with the vendor prior to 90 days of expiration. The St. Louis Treatment Court reserve the right to reject every and all bids submitted. To submit a proposal, the vendor should include four (4) additional copies and an original proposal. Bids must include a cover letter on business letterhead and contain the Federal Identification Number of the vendor, an executed Unauthorized Alien Affidavit form and Bidder Response Form. Bids may not be submitted by fax or . Bids must be submitted in writing according to the RFP and received no later than 4 p.m., Monday, April 2, 2018, to: M. Keithley Williams Treatment Court Administrator Room 526 Carnahan Courts Building 1114 Market Street St. Louis, Missouri (314) Sealed bid envelopes must be clearly marked as Proposal for Alcohol and Drug Toxicology Testing RFP-FY The public opening of all bid proposals received by the deadline will occur at 9:00 a.m. in the conference room adjacent to the Treatment Court Lobby, Room 518, Carnahan Courts Building, 1114 Market Street, St. Louis, Missouri, Tuesday April 3, Proposals received after the due date and time stated above, proposals received in a manner not in compliance with the RFP, or not delivered to the designated point, will be automatically disqualified and rejected, and will not be opened. Questions pertaining to this announcement should be submitted in writing and faxed to on business letterhead and contain the Federal Identification Number of the vendor. Vendor are specifically instructed not to use communication for questions or proposal submission. Questions should be submitted no later than Thursday, March 22, 2018 at 4 p.m.; any question received after this date and time, or not on business letterhead with Federal Identification Number of vendor, will not be answered. Vendors and their agents must direct all their questions to the Treatment Court Administrator and may not contact any other employees regarding these matters during the solicitation or selection process. Answers in response to all timely submitted questions will be supplied to all potential bidders who request the answers in writing by letter of intent, composed on business letterhead with Federal Identification Number or vendor, which clearly states the contact name and information plus the fax number of the proposed vendor.

8 The bidder(s) is advised that under the provisions of this Request for Proposal, the St. Louis Treatment Court reserves the right to conduct negotiations of the proposals received or to award a contract without negotiations. If such negotiations are conducted the following conditions will apply: 1.) negotiations may be conducted in person, in writing, or by telephone; 2.) negotiations may be conducted with potentially acceptable proposals and the St. Louis Treatment Court reserves the right to limit negotiations to those vendors; 3.) all vendors involved in the negotiation process will be invited to submit a best and final offer; 4.) terms, conditions, prices, methodology, or other features of the vendor s proposal may be subject to negotiation and subsequent revision. All specifications and requirements herein constitute minimum requirements, unless otherwise specifically stated in the RFP. All proposals must meet or exceed the stated specifications and requirements. The St. Louis Treatment Courts reserve the right to officially amend or cancel an RFP after issuance. Any bid that includes subcontracts for the products/services described herein must include appropriate provisions and contractual obligations to ensure the successful fulfillment of all contractual obligations agreed to by the vendor(s) and to ensure that the 22 nd Judicial Circuit St. Louis Treatment Court and the City of St. Louis is indemnified, saved and held harmless from and against any and all claims of damage, loss and cost (including attorney fees) of any kind related to a subcontract in all matters related to this RFP. Bidder(s) shall expressly understand and agree that they shall assume and be solely responsible for all legal and financial responsibilities related to the execution of a subcontract. Bidder(s) shall agree and understand that utilization of a subcontractor to provide any of the products/services in the contract shall in no way relieve the contractor of the responsibility for providing products/services set forth in the RFP. The contractor must obtain approval of the St. Louis Treatment Court prior to establishing any new sub-contractual arrangements and before changing any subcontractors. Urine collectors who are subcontracted must follow the Missouri Collector Guidelines and submit a signed Collector Guidelines Acceptance Form to OSCA. The Twenty-Second Judicial Circuit, St. Louis Treatment Court hereby notifies all bidders that minority business enterprises will be afforded full opportunity to submit bids in response to this request for bids and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award. Bids will not be accepted from any bidder that has failed to perform faithfully any previous contract with the Court. This solicitation is not to be construed or interpreted as a contract or a commitment of any kind by the Court; nor does it commit the Court to pay for any costs incurred by a bidder in the submission of a bid, evaluation the possibility of submitting a bid, or for any cost incurred prior to the Court s issuance and full execution of a formal written contract to the successful bidder(s).

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