MURIEL BOWSER
MAYOR
September 16, 2020
The Honorable Phil Mendelson
Chairman
Councilofthe District of Columbia
John A. Wilson Building
1350 Pennsylvania Avenue, NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451ofthe District of Columbia Home Rule Act (D.C. Official Code 1-
204.51) and the Procurement Practices Reform Act (D.C. Official Code 2-351.01 et seq.),
enclosed for consideration and approval by the Council of the District of Columbia is proposed
Modification No. M0021 to Contract No. CW47374 with MBI Health Services, LLC to exercise
option year four in the not-to-exceed amount of $2,711,186.00. The period of performance is
from October 1, 2020 to September 30, 2021.
Under the proposed modification, MBI Health Services, LLC shall continue to provide Case
Management Services, Individual Utilities Rate and Individual Financial Assistance for
participants in its Permanent Supportive Housing Program II (PSH2). PSH2 provides long-term
housing and Case Management Services to chronically homeless individuals and families with
histories of homelessness.
1am available to discuss any questions you may have regarding the proposed modification. In
order to facilitate a response to any questions you may have, please have your staff contact Mare
Scott, Chief Operating Officerofthe Office of Contracting and Procurement, at (202) 724-8759.
I look forward to the Councils favorable consideration of this contract.
Sincerely,
Muri] Bowser
Enclo!
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Options)
(A) HCA Number: CW47374
Proposed Provider: MBI Health Services, LLC
HCA Amount: Not-to-exceed $2,711,186.00
Term of Human Care Agreement: October 1, 2020 through September 30, 2021
Option Period Four
Type of Contract: Human Care Agreement (HCA) under which task
orders (contracts) are to be issued for District
requirements.
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
Base Period Amount: $971,342.00 NTE
Option Period 1 Amount: $814,752.00 NTE
Option Period 2 Amount: $982,580.00 NTE
Option Period 3 Amount: $ 1,887,002.00 NTE
Option Period Three deemed approved by the Council (CA23-0264)
Option Period 4 Amount: $ 2,711,186.00 NTE
(C) A statement that Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
1
 or (2) a certification that the contractor will be current with its District taxes after the
District recovers any outstanding debt as provided under D.C. Official Code 2-353.01(b):
The Citywide Clean Hands database indicates MBI Health Services, LLC is current with its
District taxes as of July 18, 2020.
(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code 47-392.01 and 47-392.02:
Per the Funding Certification, the Associate Chief Financial Officer certified that funds are
available to fund the services.
 Government of the District of Columbia
Office of the Chief Financial Officer 1101 4th Street, SW
Office of Tax and Revenue Washington, DC 20024
Date of Notice: July 18, 2020 Notice Number: L0004199042
MBI HEALTH SERVICES, LLC FEIN: **-***0468
4130 HUNT PL NE Case ID: 521132
WASHINGTON DC 20019-3565
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE 47-2862 (2006)
47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Marc Aronin
Chief, Collection Division
To validate this certificate, please visit MyTax.DC.gov. On the MyTax homepage, click Clean Hands
and then the Validate a Certificate of Clean Hands hyperlink.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF HUMAN SERVICES
Office of the Agency Fiscal Officer
MEMORANDUM
TO: George A. Schutter III
Contracting Officer
Office of Contracting and Procurement
THRU: Delicia V. Moore
Associate Chief Financial Officer
Human Support Services Cluster
FROM: Hayden Bernard
Agency Fiscal Officer
Department of Human Services
DATE: August 10, 2020
SUBJECT: Certification of Funding Availability for MBI Health Contract No. CW47374
Option Year 4
The Office of the Chief Financial Officer certifies the sum of $ 2,711,186 for MBI Health, for
Permanent Supportive Housing. The funds are included in the Districts Local Budget, and
Financial Plan submitted to Congress by the Chairman of the Council to the Speaker of the
House of Representatives for Fiscal Year 2021.
The contract extends from the period of October 01, 2020, through September 30, 2021. Upon
approval by Congress of the Districts Local Budget and Financial Plan, funds will be sufficient
to pay for fees and costs associated with the contract. There is no fiscal impact associated with
the contract.
If you have further questions, please contact Hayden Bernard, Agency Fiscal Officer at
(202) 671-4240.
______________________________________________________________________________
64 New York Avenue, N.E., 4th Floor, Washington, DC 20002 (202) 671-4200 Fax (202) 671-4203
 1. Contract Number Page of
Pages
AMENDMENT OF SOLICITATION/ MODIFICATION OF CONTRACT CW47374 1 I 3
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Order No. 5. Solicitation Caption
Pennanent Supportive Housing-II
M0021 SEE Block 16C Program-Case Management
6. Issued by: Code I 7. Administered By: (If other than line 6)
Office of Contracting and Procurement District of Columbia Government
District of Columbia Government Department of Human Services
Ebony Chester 64 New York Avenue, N.E.
441 4th Street NW, Suite 700 South Washington, DC 20002
Washington, DC 20001
8. Name and Address of Contractor (No. street, city, county, state and zip code) 9A. Amendment of Solicitation No.
MBI Health Services
Point of Contact: John Kamya 9B. Dated (See Item 11)
4130 Hunt Place, NE
10A. Modification of Contract/Order No.
Washington, DC 20019
I I
Email: jkamya@mbihs.com X CW47374
Code TIN 10B. Dated (See Item 13)
10/20/2016
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
OThe above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of ISP D
is extended. D is not extended.
ISP must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a) completing Items 8 and 15, and returning_ copies of the amendment; (b) acknowledging receipt of this amendment on each copy of the offer submitted; or
(c) separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED
AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR
ISP. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter, telegram or fax, provided each letter or
telearam makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Reauired)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
A. This change order is issued pursuant to (Specify Authority):
The changes set forth in Item 14 are made in the Contract/Order No. in Item 10A.
B. The above numbered Contract/Order is modified to reflect the administrative changes (such as, changes in paying office, appropriation
X date, etc.) set forth in Item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.
C. This supplemental agreement is entered into pursuant to authority of: 27 DCMR, Chapter 36, Section 3601.2.
X D. Other (Specify type of modification and authority) 27 DCMR, Chapter 20, Section 2008 Exercise of Options
E. IMPORTANT: Contractor D
is not is required to sign this document and return 1 copy to the issuing office.
14. Description of Amendment/Modification
Human Care Agreement identified in Block 10A above, is hereby modified as follows:
1. In accordance with Human Care Agreement No. CW47374, Section D.3, Option to Exercise the Term of the
Agreement, the Government of the District of Columbia hereby exercises the Option Period Four (4) the term of
this agreement is from October 1, 2020 through September 30, 2021, in the Not-to-Exceed (NTE) amount
$2,711,186.00. Services to be performed are subject to the issuance of task orders. Funding will encumbered on
each task order. Please see Attachment A.
2. U.S. Department of Labor Wage Determination No. 2015-4282, Revision No. 17, dated April 23, 2020 is
incorporated by reference.
3. Option Period Four Price Schedule has been modified. (See Attachment A)
ALL OTHER TERMS AND CONDITIONS SHALL REMAIN UNCHANGED
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
John Kamva Marketa Nicholson
15B. Na ontractor 15C. Date Signed 168. District of Columbia 16C. Date

''r'""'"-:.:.. ..,., ...
Signed

'l> ,o\ 1).,9 (Signature of Contracting Officer}
 Attachment A
B.3.4 Option Year Four
Case Management Services
Contract @) )
Line Item Description Proposed | Unit Monthly Case | Number | Total Price
Item No. Maximum| Management of (AxBxQ)
(CLIN) Number of| Services Price Per | Months
Clients to | Client
be Served
4001 Case Management Services NTE
for Individuals 294 |$ 502.00 12 $ 1,771,056.00
4001A $125.50 25%NTE)
Section C.7.1.19.5
4002 NTE
Case Management Services n $885.00 12 $ 764,640.00
for Families
4002A $221.25(25%NTE)
Section C.7.1.19.5
Option Year Four Case Management Services Total Price NTE
(add all CLINS/rows for column D) $ 1,718,712.00
Contract (@) ) )
Line Item| Item Description _| Estimated Number | Unit Monthly Number | Total Price
No. of Clients that will | Maximum Utility | of
(CLIN) receive Utility Assistance Months | (AxBxC)
Assistance Amount Per
Client
Utility Assistance NTE
4003 for Individuals 10 $175.00 12 $ 21,000.00
Utility Assistance
4004 for Families __10 $225.00 12 NTE
$27,000.00
Option Year Four Utility Assistance Total Price NTE
(add all CLINS/rows for column D) ___| $48,000.00
FinancialAssistance
Contract (A) @) @)
Line Item_| Item Description Estimated Number| Unit Monthly |Number| Total Price
No. of Clients that will |Maximum of
(CLIN) receive Financial | Financial Months |(AxBxC)
Assistance Assistance
Amount Per
Client
Financial Assistance
4005 for Individuals 33 $50.00 12 $19,800.00
Financial Assistance NTE
4006 for Families _4 $75.00 12 $ 3,600.00
Option Year Four Financial Assistance Total Price NTE
(add all CLINS/rows for column D) $23,400.00
Contract Maximum
Line Item| Item Description Number OnBoard Cost | Number of Total Pri
No. Case Mtanaver Weeks for | Total Price
(CLIN) Managers anager On-Board
On-boarding Fee for NTE
4007 Individual (17clients 3 $14,870.00 6 su610.00
per Case Manager) 610.
On-boarding Fee for mm
4008 Families (12 Families 4 $14,870.00 6 $59,480.00
per Case Manager)
Option Period 4 for On-Boarding Assistance NTE $ 104,090.00
Total Option Year Four Price
Service Price
$1,718,712.00
Case Management Services (total from chart)
Utility Assistance (total from chart) $48,000.00
Financial Assistance (total from chart) $23,400.00
Onboarding Assistance $104,090.00
Total Option Year Four Price $ 2,711,186.00 NTE