2.2.1 Att. 1 SOW.pdf

Department of Homeland Security (DHS)

Federal Emergency Management Agency

STATEMENT OF WORK (SOW)

FOR

NATIONAL CLINICAL VACCINATION (NCV)

MEDICAL STAFFING CONTRACT

NATIONAL CLINICAL VACCINATION (NCV) MEDICAL STAFFING CONTRACT (2022)

1.0 GENERAL

1.1 BACKGROUND

The Federal Emergency Management Agency (FEMA) leads the nation in preventing, preparing for, responding to, and recovering from the adverse effects emergencies and disasters create, by supporting our communities' ability to withstand adversity, strengthening our resilience and response systems, and enhancing readiness. FEMA provides resources to its federal partners to enable effective response to emergencies and catastrophic events, which overwhelm the capacity of state and local emergency systems. In alignment with President Biden’s “National Strategy for the COVID-19 Response and

Pandemic Preparedness, January 2021” FEMA is supporting federal, state, local, tribal and territorial (“SLTT” or “state”) partners to assist, augment and expedite COVID-19 vaccinations in the United States. Federally and state-managed vaccination sites’ capability will vary by community need. Vaccination administration for this statement of work can be both active and passive immunizations. Active immunizations include the administration of the COVID-19 vaccine and passive immunization includes monoclonal antibody (mAb) administration in all forms.

1.2 SCOPE

The federal government will support SLTT vaccination programs by providing resources for pre-existing state or local facilities and/or establishing new federally operated facilities.

Facilities will be established as a fixed facility, drive-through facility, or as a mobile vaccination clinic. Site selection for vaccination sites will be needs based, data driven, and in support of SLTT requests.

The government estimates up to a combined total of 700 (as an example, if two separate contracts are awarded, each contract shall support 350 personnel per contractor) licensed healthcare professionals will be deployed to various SLTT vaccination sites nationwide in support of COVID-19 vaccination efforts.

1.3 OBJECTIVE

The purpose of this contract is to obtain contractor-managed licensed medical professionals for COVID-19 vaccine administration in support of federal assistance to state, local, tribal, and territorial (SLTT) partners in response to all Major Disaster Declarations for the COVID-

19 Pandemic, in accordance with section 403 of the Robert T. Stafford Act, the public health emergency declared on January 31, 2020 pursuant to section 319 of the Public Health

Service Act, 42 U.S.C. 247d, and the Public Readiness and Emergency Preparedness Act

(PREP Act) Declaration issued on February 4, 2020 and all subsequent amendments.

2.0 SPECIFIC REQUIREMENTS/TASKS

FEMA intends to award up to two (2) zoned Indefinite Delivery-Indefinite Quantity (IDIQ) contracts. One IDIQ contract will be awarded per zone, as explained below. Both single-award IDIQ contracts will include Time and Material (T&M) contract line-item numbers

(CLINS) and FEMA anticipates issuing T&M task orders off the single-award IDIQ contracts.

Each contract will cover a distinct geographic zone to facilitate rapid response to states’ requests anywhere within the United States and its territories. One contract will be awarded for each Zone. (Zone East: FEMA Regions I – V; Zone West: FEMA Regions VI - X)

Zones

FEMA

Regions States and Territories

(Including federally recognized tribes within)

EAST

1 Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont

2 New Jersey, New York, the Commonwealth of Puerto Rico, the U.S. Virgin Islands

3 District of Columbia, Delaware, Maryland, Pennsylvania, Virginia, West Virginia

Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee

5 Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin

WEST*

6 Arkansas, Louisiana, New Mexico, Oklahoma and Texas

7 Iowa, Kansas, Missouri and Nebraska

8 Colorado, Montana, North Dakota, South Dakota, Utah and Wyoming

Arizona, California, Hawaii, Nevada, the territories of Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa

10 Alaska, Idaho, Oregon, Washington

*May include Republic of Marshall Islands and Federal States of Micronesia

PERIOD of PERFORMANCE: The Period of Performance for this IDIQ contract shall be a six (6) month base period with two (2) six (6) month option periods from the date of award. Each task order issued will include a specific period of performance for the services required for that task order.

PLACE of PERFORMANCE: FEMA’s National Vaccination Medical Staffing Services IDIQ contract will require Contractor personnel to deploy to any SLTT location as requested and directed by FEMA. This requirement is inclusive of the United States, territories, federally recognized tribal nations and insular areas. The Contractor’s vaccination place of performance may include local/community-based hospitals, state-managed/federally supported and federally controlled facilities within the above locations. FEMA does not anticipate that the place of performance will include federal buildings or FEMA facilities;

however, this does not preclude their use, based on mission needs. Specific places of performance will be specified at the task order level.

HOURS of OPERATION: It is anticipated that field deployed staffing may be required for up to 12-hour days, 7 days a week, depending on facilities’ duty hours and local mission needs. Some SLTTs may require 24-hour coverage; the Contractor shall be prepared to provide personnel to ensure adequate rest cycles and night shift operations as requested. The Contractor may also be required to work all federal holidays. Specific hours of operation will be determined at the task order level.

The Federal Government observes the following holidays.

• New Year's Day - 1 January

• Dr. Martin Luther King Jr's Birthday - Third Monday in January

• Washington’s Birthday - Third Monday in February

• Memorial Day - Last Monday in May

• Juneteenth – 19 June (or as observed)

• Independence Day - 4 July

• Labor Day -First Monday in September

• Columbus Day - Second Monday in October

• Veterans Day - 11 November (or as observed)

• Thanksgiving Day - Fourth Thursday in November

• Christmas Day - 25 December

2.1 TASK ONE: Program Management Support (CLIN 0001):

The Contractor shall provide program management support, including Program Manager as key personnel, to manage all aspects of the operations, including but not limited to ensuring timely deployment and arrival of personnel, quality of services rendered, and accuracy and timeliness of all reporting requirements.

2.1.1 THE PROGRAM MANAGER (KEY PERSONNEL) SHALL:

a. Be a prime contractor.

b. Serve as the primary representative to interface between the contractor, contracting officer (CO) and contracting officer’s representative (COR).

c. Ensure full conformance and compliance with contract requirements, scope, schedules, and costs.

d. Organize, direct, and manage all contract administration activities, project operations and support initiatives necessary to satisfactorily perform the work required in this SOW.

e. Provide contract status reports to the designated CO, COR and FEMA Program

Managers.

f. Be ready to respond to Task Order Proposal Requests (TOPR) as soon as the IDIQ contract is awarded. The contractor shall have the capability to immediately deploy and manage travel arrangements for up to 50 licensed healthcare professionals within 96 hours of IDIQ. The 50 personnel matrix (44% Vaccinators, 23% Vaccine Preppers, 23% Observers, 10% Clinical Managers) will be of various labor category mix per task order.

g. The contractor shall deploy qualified medical staff to arrive at designated facilities to

CONUS sites by no later than 96 hours after task order award, or as indicated in each Task

Order Proposal Request (TOPR). For personnel deploying to OCONUS locations, the expected arrival date shall be specified at task order level for each designated facility. All requested deployed personnel shall arrive at designated facilities properly credentialed and badged.

h. Track and provide real-time updates as requested on the departure, arrival day, job location, demobilization, of all deployed personnel, and all other field operations-related inquiries.

2.1.2 THE DEPUTY PROGRAM MANAGER SHALL:

a. Support the Program Manager with above functions under 2.1.1.

2.1.3 THE ON-SITE TASK ORDER COORDINATION SPECIALIST/MANAGER SHALL:

a. Depending on mission needs, deploy with company-delegated authority to support the Key Personnel with above functions under 2.1.1. The TOPR will indicate whether an on-site Task Order Coordination Specialist/Manager will be required to deploy to support at a vaccination site. To the greatest extent possible, the Task Order Coordination

Specialist/Manager will be filled by mid-level clinicians (RN, experienced LPN).

2.2 TASK TWO: Medical Staffing (CLIN 0002):

The Contractor shall provide turnkey operations for the recruiting, badging, deployment upon request, management, and demobilization of up to 350 licensed medical professionals per zone authorized to administer COVID-19 vaccinations and other medical/operational staff to support the licensed medical professionals’ administration of COVID-19 vaccinations.

a. The Contractor shall be responsible for the preparation and administration of immunizations through the COVID-19 vaccination (active immunization) and monoclonal antibody (mAb) (passive immunization) and provide observation for adverse reaction in the recovery area, in support of SLTT governments’ vaccination efforts.

b. The Contractor is encouraged to meet the full requirement by hiring and rostering staff within states or FEMA Regions where personnel will be administering vaccinations to minimize inter-state air travel and the potential increased risk of further spread of coronavirus and to ensure the most cost-effective approach to fulfilling the requirement.

c. Contractor support shall be capable of deploying for the duration of the mission, as task order period of performance requires, which may last up to six (6) months and shall also have the capability to manage the deployments of up to 350 field personnel per day per zone.

d. While the Government estimates a need for up to 350 licensed medical professionals per zone deployed to the field in support of COVID-19 vaccination efforts, the Government cannot at this time accurately estimate the locations and the number of labor categories needed for deployment per site, but it is anticipated that the majority of requested functions will be Vaccinators. The CO and COR will provide final approval of the States’ staffing request at the task order level.

e. The contractor shall badge all deployed personnel to include employee name, employee photo, employee ID #, and company name. Contractor employees deployed to the field must have badges prominently displayed and always worn during work hours unless otherwise directed by FEMA CO or COR. The contractor shall not include any reference to

FEMA, DHS, or other United States Federal Agencies on its badges.

f. Ensure personnel can operate in austere working conditions. The deployed personnel may work in various settings, such as inside tents, trailers, or a parking lot.

g. The Contractor shall provide and maintain the service level of requested medical personnel that hold an active US state medical license, are currently practicing in their professional specialty and have met their state licensing board’s background check requirements. The contractor shall recruit personnel to meet the anticipated staffing requirements as referenced in “Table 1, Anticipated Health Professional Personnel Needs” and “Table 2, Minimum Qualifications” below.

h. SLTT partners will submit all staffing requests to FEMA via Resource Request Form

(RRF). FEMA will review all staffing requests and notify Contractor in writing of staffing requirements. Upon receipt, Contractor shall have 24 hours to review request and submit an itemized roster—to include job category and job title—of deployable-ready personnel who meet the criteria outlined in the state’s RRF. FEMA will review proposed roster based on evaluation of the proposal. Upon receipt of task order the Contractor shall mobilize and deploy all approved personnel to meet the operational and timeline requirements specified under 2.2.2 Field Operations.

2.2.1 MEDICAL FUNCTIONS TO BE PERFORMED: The Contractor may be tasked to perform various vaccination related functions such as:

a. Coordination of clinical aspects of vaccine administration to recipients, ensuring quality control of vaccine administration as well as proper transport, storage and handling of vaccines, mAb, sharps use;

b. Prepare and administer vaccines in accordance with current guidance and recommendations. Administer COVID-19 vaccines and monoclonal antibody (mAb) treatments within the U.S. Food and Drug Administration (FDA) Emergency Use

Authorizations (EUAs) per manufacturer specified guidelines, and the most recent CDC

Standing Orders, and the most recent CDC Immunization Education & Training;

c. Aid Vaccine Administrators, helping ensure proper vaccine storage and handling and documenting all administered vaccines with the Vaccine Administrators review and approval;

d. Provide observation for adverse reactions in the recovery area.

2.2.2 FIELD OPERATIONS: The contractor shall manage the badging, deployment, and demobilization of all contractor field staff.

a. The contractor shall be prepared to provide extended work schedules, including weekends and holidays, as directed by FEMA. Extended work shift are hours worked beyond standard 8-hour regular shift.

b. The contractor shall start demobilizing staff within 24 hours of notification from the COR.

The Government reserves the right to request demobilization of any contractor personnel for any reason, such as completion of work, descoping requirement or poor performance.

c. In the event of personal emergencies or other exigencies, field deployed personnel may request emergency demobilization. All such requests must be in writing and submitted to the COR for prior approval within 12 hours unless extenuating circumstances do not allow.

d. Field personnel are not guaranteed the full deployment and must demobilize within 24 hours upon notice or shall demobilize on the designated day of their demobilization. Any extension requests will be submitted in writing and must be approved by the Contracting

Officer and the COR.

e. Each task order will specify the operating hours of the vaccination center which may be for less than 5-days a week. Under the Time & Materials task order, the contractor shall be compensated only for actual hours worked. In the event that deployed staff are unable to work due to factors outside of government and contractor’s control (e.g. lack of vaccines available), then the staff will be compensated lost hours “not worked” up to standard duty hours. Prior coordination and approval must be obtained from the CO. The government reserves the right to descope and terminate a portion of requirement as needed.

f. Mobile Vaccination Units (MVU): The contracted medical personnel may be deployed with

MVUs to small rural communities and/or urban areas, as needed. The MVUs are 30' x 8'

(approximately 208 sq. ft.) self-contained, transportable office trailers with full wrap around services, such as cleaning, toilet facility and rest area, etc. Specific details of the MVUs will be provided at the task order level. The MVU deployments are expected to be fluid, with potential relocations within a county or community, necessitating periodic lodging rearrangements. The working condition may be austere with an extended work shift.

2.3 TASK THREE: Other Direct Costs – Travel (CLIN 0003):

The Contractor shall be required to travel under this contract. FEMA will reimburse all authorized travel costs incurred by the Contractor’s field deployed personnel in support of this contract. Costs for transportation, lodging, meals and incidental expenses incurred by

Contractor personnel on official business in support of this contract are allowable subject to

FAR 31.205-46, Travel Costs. Travel costs will be considered reasonable and allowable only to the extent that they conform to federal travel regulation. The Contractor shall be responsible for obtaining Contracting Officer (CO)/ Contracting Officer Representative (COR) pre-approval (electronic mail is acceptable) for all reimbursable travel in advance of each travel event. Travel costs may only be billed under this Travel ODC CLIN.

FEMA will not authorize:

a. Reimbursement above the GSA specified rates for lodging and per diem rates (Per Diem

Rates | GSA). Rates are established based on location of assigned duty station. Lodging other than hotels must be pre-approved by COR in writing.

Transportation cost reimbursement for air travel beyond economy class.

c. Non-Local Travel Personnel - Transportation cost reimbursement for car rental beyond compact car rental rates, unless Rental Car Justification is obtained from COR.

d. For non-Local Travel - Use of Privately Owned Vehicle (POV) transportation for the duration of deployment unless requested by contractor and pre-approved by COR in writing.

Use of rental cars is preferred.

Return flights to alternate destinations other than employee’s Residence of Record (ROR). In the event of contractor staff being relocated to another vaccination center under a separate task order, the flight shall be charged under the new task order.

2.4 TASK FOUR: Other Direct Costs – Miscellaneous (CLIN 0004):

2.4.1 PERSONAL PROTECTIVE EQUIPMENT (PPE). SLTT governments and vaccination sites will be responsible for supplying medical personnel with all PPE. However, the Contractor may be required to purchase PPE for deployed staff if SLTT government facilities are unable to provide. All supply purchases must be pre-approved by the Contracting Officer and the

COR in writing.

2.4.2 TASK ORDER: For minimum guaranteed task order. The contractor shall develop a

Vaccination Staffing and Management Plan in support of marketing and recruitment actions of medical personnel.

2.4.3 DHS INFORMATION TECHNOLOGY SECURITY AND PRIVACY TRAINING. As applicable and by determination of the Contracting Officer and the Contracting Officer’s Representative, the contracted personnel may be required to take the DHS Trainings. The determination for training will be made each task order level. The Contractor may submit a roster of personnel who have completed the training within 30 days of requirement notification and/or task order award. Upon FEMA request, the contractor may be required to submit a copy of all https://www.gsa.gov/travel/plan-book/per-diem-rates https://www.gsa.gov/travel/plan-book/per-diem-rates completed certifications. The training cost, upon prior approval of the Contracting Officer and the Contracting Officer’s Representative, may be billed under the ODC – Miscellaneous

CLIN. DHS Security and Training Requirements are accessible at:

https://www.dhs.gov/dhs-security-and-training-requirements-contractors

Trainings:

• Information Technology Security Awareness Training (1 Hour)

• Privacy Training (1 Hour)

2.4.4 SAFEGUARDING OF SENSITIVE INFORMATION. As applicable and by determination of the Contracting Officer and the Contracting Officer’s Representative, the contractor is not required to submit the Security Authorization documents for an Authority to Operate (ATO) the Contractor’s IT system process. The contractor is not required to store any PII/SPII for this contract.

2.4.5 NON-DEPLOYED PROJECT/PROGRAM MANAGEMENT KEY PERSONNEL: Shall work in accordance with the Contractor’s price proposal and may not exceed the dollar ceiling value established in the contract unless prior approval from Contracting Officer is granted.

2.5 Reimbursements and Other Fees

As part of this contract, the Government will not approve any additional Fee, Profit, or G&A costs. In addition, the Government will not reimburse the Contractor for:

a. Software or Database Development – the Contractor shall employ existing software and/or database solutions to compile and aggregate data and submit all reports in the timeframes required.

b. Personal computers, laptops, handheld devices, printers, cell phones, etc. – The

Government will not reimburse for the purchase, rent, or usage associated with any electronic device in support of this mission.

c. Office Supplies – The Government will not reimburse for any office supplies.

d. Work Attire – The Government will not reimburse for any work attire other than PPE as approved by FEMA CO and COR.

The Contractors shall propose fully burdened fixed labor hour rates for all personnel.

The Contractors are reminded that all applicable criminal and civil penalties apply to the truthfulness of its quote and billing of personnel, both those including travel and without travel. The Government reserves the right to perform an audit of invoices, including using additional federal audit resources. An audit may include but is not limited to items such as the qualifications and permanent residence of labor categories invoiced/deployed. The

Contractor shall provide the Government with access to the cost accounting records as needed to perform audit of invoices.

3.0 CONTRACTOR PERSONNEL

3.1 Qualified Personnel

The Contractor shall provide qualified personnel to perform all requirements specified in this

SOW.

https://www.dhs.gov/dhs-security-and-training-requirements-contractors

3.2 Continuity of Support

The Contractor shall ensure that the contractually required level of support for this requirement is always maintained. The Contractor shall ensure that all contract support personnel are present for all hours of the workday. If for any reason the Contractor staffing levels are not maintained due to vacation, leave, appointments, etc., and replacement personnel will not be provided, the Contractor shall provide e-mail notification to the

Contracting Officer’s Representative (COR) prior to employee absence. Otherwise, the

Contractor shall provide a fully qualified replacement.

3.3 Key Personnel

Before replacing any individual designated as Key by the Government, the Contractor shall notify the Contracting Officer no less than 15 business days in advance, submit written justification for replacement, and provide the name and qualifications of any proposed substitute(s). All proposed substitutes shall possess qualifications equal to or superior to those of the Key person being replaced, unless otherwise approved by the Contracting

Officer. The Contractor shall not replace Key Contractor personnel without approval from the Contracting Officer. The following Contractor personnel are designated as Key for this requirement. Note: The Government may designate additional Contractor personnel as Key at the time of award.

Program Manager

3.4 Program Manager

The Contractor shall provide a Project Manager who shall be responsible for all Contractor work performed under this SOW. The Project Manager shall be a single point of contact for the Contracting Officer and the COR. It is anticipated that the Project Manager shall be one of the senior level employees provided by the Contractor for this work effort. The name of the Project Manager, and the name(s) of any alternate(s) who shall act for the Contractor in the absence of the Project Manager, shall be provided to the Government as part of the

Contractor's proposal. The Project Manager is further designated as Key by the Government.

During any absence of the Project Manager, only one alternate shall have full authority to act for the Contractor on all matters relating to work performed under this contract. The

Project Manager and all designated alternates shall be able to read, write, speak and understand English. Additionally, the Contractor shall not replace the Project Manager without prior approval from the Contracting Officer. See paragraph 2.1.1 (CLIN 001) for additional detail.

3.4.1 THE PROJECT MANAGER: Shall be available to the COR via telephone between the hours of 0800 and 1700 EST, Monday through Friday, and shall respond to a request for discussion or resolution of technical problems within two (2) hours of notification.

3.4.2 LABOR CATEGORY DESCRIPTION

The following labor categories and qualifications may be used at the Task Order level.

Table 1: Anticipated Health Professionals Personnel Needs

Contract Function Category Qualified Medical Staff Title Definition

Clinical Manager / Vaccine

Lead

1. Physician (must be at least a graduate from a medical program) Coordinate overall clinical aspects of vaccine administration to recipients, ensuring quality control of vaccine administration as well as proper handling of vaccines/mAb and sharps use.

2. Physician Assistant

3. Nurse Practitioner

4. Dentist

5. Pharmacist

Vaccinators

1. Physician (may be a student/intern)

Prepare and administer vaccines/mAb in accordance with current guidance and recommendations.

2. Pharmacist

3. Physician Assistant

4. Registered Nurse

5. Licensed Vocational/Practical

Nurse

6. Advanced Practical RN (Nurse

Practitioner)

7. Paramedics

8. Emergency Medical Technician

(EMT)

9. Dentist

10. Pharmacy Technician

Vaccine Preparers

1. Pharmacist

Provide assistance to Vaccine

Administrators, helping ensure proper vaccine/mAb storage and handling and documenting all administered vaccines/mAb for

Vaccine Administrators review and approval.

2. Pharmacy Technician

3. Registered Nurse

4. Paramedic

Recovery Area Manager /

Observer

1. Registered Nurse

Provide observation for adverse reactions in the recovery area.

2. Advanced Practical RN (Nurse

Practitioner)

3. Paramedics

4. EMT

5. Physician

6. Physician Assistant

Table 2, Minimum Qualifications

Position Minimum Education/Certification Requirements Program Manager

(Key Personnel) Deputy Program

Managers

Years of Experience in Specialty: Minimum 3-5 years’ experience in relevant industry 3 years’ management experience, or Minimum Education: BA or BS and a state license and graduate of Accredited

Medical Assistant Program or Certification: Project Management Professional PMP

State Licensure: N/A Skills/Experience: Program Manager and Deputy Program Manger must be experienced in the human resource or contracting arena; and must demonstrate experience in government or commercial contracts administration. Program

Manager and Deputy Program Manager must demonstrate strong analytical and problem-solving skills, have experience managing programs directly related to business planning processes that drive improvements in contract administration, service, cost, scope, scheduling, systems or other areas as deemed necessary, and should have logistical planning experience.

On-Site Task Order

/ Quality Control

Specialist

Years of Experience in Specialty: Minimum 3-5 years in relevant industry experience in staff management and logistical coordination, or Minimum Education: BA or BS Certification: N/A

State Licensure: N/A

Physician

Education: M.D. or D.O from accredited Medical School; ACGME approved

Internship/Residency Program Certification: State Unrestricted Licensure Required, CPR (Cardiopulmonary

Resuscitation) BCLS (Basic Cardiac Life Support) Experience: Actively practicing in specialty with minimum experience of one (1) year in their respective specialty post-board certification.

Licensure: All physicians will hold valid unrestricted medical license in a state, territory or Commonwealth of the U.S.

Registered Nurse

Education: Completion of Associate or Bachelor’s degree from accredited registered nursing program Certification: Minimum BLS, ACLS, ATLS, PALS Experience: Actively practicing in specialty with minimum experience of one (1) year in their respective area;

Licensure: All nurses will hold at least an unrestricted nursing license in a state, territory or Commonwealth of the U.S.

Nurse

Practitioner

Education: Bachelor of Science in Nursing degree and a Master’s degree in their specialty areas, such as Family Practitioner, Anesthetist or Midwifery Certification in their specialty by the appropriate certifying organization, i.e.

American Academy of Nurse Practitioners, American Association of Nurse

Anesthetists or the American College of Nurse Midwifes Certification Council A current, valid unrestricted medical license in one of the U.S. states, territories or commonwealths Certifications: Applicable certification according to requirements for specialties, e.g. Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), etc.

Experience: minimum experience of one (1) year in their respective area Licensure: All nurses will hold at least an unrestricted nursing license in a state, territory or Commonwealth of the U.S.

Physician

Assistant

Degree: Bachelor of Science Degree and completion of an accredited Physician

Assistant Program National Commission on Certification of Physician Assistants and Subspecialty training as appropriate A current, valid unrestricted medical license in one of the U.S. states, territories or commonwealths Certifications: Applicable certification according to requirements for specialties, i.e. Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), etc.

Experience: Actively practicing in specialty with minimum experience of one (1) year in their respective area.

Licensed

Vocational/

Practical Nurse

Education: Graduate of an accredited Licensed Practical or Vocational Nurse educational program.

Certification: Minimum BLS, ACLS, ATLS, PALS.

Experience: Minimum experience of one (1) year as an LPN/LVN.

Licensure: All nurses will hold at least an unrestricted nursing license in a state, territory or Commonwealth of the U.S.

Pharmacist / Pharm D

Degree: Doctor of Pharmacy (Pharm.D) Must have passed the North American Pharmacist Licensure Exam (NAPLEX) and the Multistate Pharmacy Jurisprudence Exam (MPJE) (except

California). California Pharmacy Jurisprudence Exam (California) A current, valid, unrestricted license to practice Pharmacy in one of the U.S.

states, territories or commonwealths Certifications: Applicable certification according to requirements for specialties, i.e. Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), etc.

Experience: Actively practicing in specialty with minimum experience of one (1) years in their respective area

Pharmacy

Technician

Degree: Graduation from a formal Pharmacy Technician training program Certification by the Pharmacy Technician Certification Board (PTCB) Certifications: Applicable certification according to requirements for specialties, i.e. Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), etc.

Experience: Actively practicing in specialty with minimum experience of three (3) year

Emergency

Medical

Technician

Degree: Graduation from the state-approved program by the state in which they are licensed or certified EMT Credential: State/Territory license or certification Experience: Actively practicing in specialty with minimum experience of one (1) year

Paramedic

Degree: Graduation from an accredited Paramedic Program Credential: State/Territory license or National certification Experience: Actively practicing in specialty with minimum experience of one (1) year

3.5 Employee Identification

3.5.1 CONTRACTOR EMPLOYEES VISITING GOVERNMENT FACILITIES:

Visiting Contractor employees shall comply with all Government escort rules and requirements. All Contractor employees shall identify themselves as Contractors when their status is not readily apparent and display all identification and visitor badges in plain view above the waist at all times.

3.5.2 CONTRACTOR EMPLOYEES WORKING ON-SITE AT GOVERNMENT FACILITIES:

Visiting Contractor employees shall comply with all Government escort rules and requirements. All Contractor employees shall identify themselves as Contractors when their status is not readily apparent and display all identification and visitor badges in plain view above the waist at all times.

3.6 Employee Conduct

Contractor’s employees shall comply with all applicable Government regulations, policies and procedures (e.g., fire, safety, sanitation, environmental protection, security, “off limits” areas, wearing of parts of DHS uniforms, and possession of weapons) when visiting or working at Government facilities. The Contractor shall ensure Contractor employees always present a professional appearance and that their conduct shall not reflect discredit on the

United States or the Department of Homeland Security. The Project Manager shall ensure

Contractor employees understand and abide by Department of Homeland Security established rules, regulations and policies concerning safety and security.

3.7 Removing Employees for Misconduct or Security Reasons

The Government may, at its sole discretion (via the Contracting Officer), direct the Contractor to remove any Contractor employee from DHS facilities for misconduct or security reasons.

Removal does not relieve the Contractor of the responsibility to continue providing the services required under the contract. The Contracting Officer will provide the Contractor with a written explanation to support any request to remove an employee.

3.8 Service Level Requirement

The contractor shall ensure and maintain at least 90% of required roster per task order.

Sustained performance of 90% and above staff retention may result in “Exceptional” rating on Contractor Performance Assessment Reporting System (CPARS). Performance below the

90% threshold may result in contract termination or adverse past performance rating in the

CPARs.

3.9 Background Check Requirement

All Contractor field/medical personnel rostered for deployment shall have met their state licensing board’s background check requirements, or all background check requirements required in the normal course of business for each position, at the time of task order awards and maintain positive standing throughout the period of performance.

3.10 Medical Personnel Repository

The Contractor shall maintain a repository of all potential medical responders to substantiate insurance, certifications, licenses, and training as required by State and local authorities in their State of origin. The Contractor is responsible for providing a validation report containing personnel names and any data required to verify credentials, given their respective disciplines, at the centralized check-in area within 24 hours of activation. At the request of the COR and as a readiness and activation monitoring tool, the contractor shall immediately validate the credentials of all prospective responders.

4.0 Other Applicable Conditions

4.1 SECURITY

Contractor access to unclassified, but Security Sensitive Information may be required under this SOW. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination.

4.2 PERIOD OF PERFORMANCE

The Period of Performance for this IDIQ contract shall be a six-month base period with two six-month option period from the date of award. Each task order issued will include a specific period of performance for the services required in that task order.

Base Period November 15, 2022 – May 14, 2023

Option Period One May 15 – November 14, 2023

Option Period Two November 15, 2023 – May 14, 2024

4.3 PLACE OF PERFORMANCE

FEMA’s National Clinical Vaccination Medical Staffing Services IDIQ contract will require

Contractor personnel to deploy to any SLTT location as requested and directed by FEMA.

This requirement is inclusive of the United States, territories, federally recognized tribal nations and insular areas (as defined in FAR 2.101). The Contractor’s vaccination place of performance may include local/community-based hospitals, state-managed/federally supported and federally controlled facilities as defined in FAR 2.101. FEMA does not anticipate that the place of performance will include federal buildings or FEMA facilities;

however, this does not preclude their use based on mission needs. Specific places of performance will be specified at the task order level.

4.4 HOURS OF OPERATION

It is anticipated that field deployed staffing may be required for up to 12-hour days, seven

(7) days a week, depending on facilities’ duty hours and local mission needs. Some SLTTs may require 24-hour coverage; the Contractor shall be prepared to provide personnel to ensure adequate rest cycles and night shift operations as requested. The Contractor may also be required to work all federal holidays. Specific hours of operation will be determined at the task order level.

The Federal Government observes the following holidays.

• New Year's Day - 1 January

• Dr. Martin Luther King Jr's Birthday - Third Monday in January

• Washington’s Birthday - Third Monday in February

• Memorial Day - Last Monday in May

• Juneteenth – 19 June (or as observed)

• Independence Day - 4 July

• Labor Day -First Monday in September

• Columbus Day - Second Monday in October

• Veterans Day - 11 November (or as observed)

• Thanksgiving Day - Fourth Thursday in November

• Christmas Day - 25 December

4.5 TRAVEL

Contractor travel shall be required to support this requirement. All travel required by the

Government outside the local commuting area(s) will be reimbursed to the Contractor in accordance with the Federal Travel Regulations. The Contractor shall be responsible for obtaining COR approval (electronic mail is acceptable) for all reimbursable travel in advance of each travel event.

4.6 POST AWARD CONFERENCE

The Contractor shall attend a Post Award Conference with the Contracting Officer and the

COR no later than 3 business days after the date of award. The purpose of the Post Award

Conference, which will be chaired by the Contracting Officer, is to discuss technical and contracting objectives of this contract and review the Contractor's draft project plan. The

Post Award Conference will be held virtually, by VTC, MS Teams, Zoom or by teleconference.

4.7 PROJECT PLAN

The Contractor shall provide a draft Project Plan at the Post Award Conference for

Government review and comment. The Contractor shall provide a final Project Plan to the

COR not later than 10 business days after the Post Award Conference.

4.9 PROGRESS REPORTS

The contractor shall meet all reporting requirements within the timelines specified. It is anticipated that each Vaccinator will be required to catalogue the number and type of vaccines administered each day, and the Contractor shall compile this data and include it as part of the Daily Report. The contractor shall:

a. Submit daily report to COR, and other recipients as requested, no later than

0800 EST each day. The report shall summarize the preceding day’s events as outlined in Daily Report Template, see Attachment A. All information contained in the daily report is subject to modification upon request from the COR.

b. Submit a weekly labor report to include itemized list of all billable hours as outlined in Weekly Labor Report, see Attachment B. Weekly Labor Report shall be due no later than each Tuesday following the conclusion for the preceding workweek.

c. Submit Bi-Weekly Burn Rate Report, See Attachment C.

d. Submit Purchase Request Form for potential supply procurement (i.e.: PPE), See Attachment D. Prior approval required by the contracting officer and the

COR.

e. Submit Overall Bi-Weekly Burn Rate Report at IDIQ level, See Attachment C.

f. Time and Material Invoice Template, See Attachment E.

The following deliverables tables summarizes the required deliverables under this contract.

The COR may change the due dates as necessary to meet mission needs.

ITEM DELIVERABLE DUE BY DISTRIBUTION

Daily Reports

(per task order) No later than 0800 EST each day COR

Weekly Labor Report

(per task order)

No later than each 0800 EST Tuesday following the conclusion for the preceding workweek

COR

Bi-Weekly Burn Rate Report (per task order) Bi-weekly, 1200 Noon EST every other

Monday

COR

Overall Burn Rate Report

(at IDIQ level) Bi-weekly, 1200 Noon EST every other

Monday

COR

4.10 PROGRESS MEETINGS

The Project Manager shall meet with the COR on a weekly basis to discuss progress, exchange information and resolve emergent technical problems and issues. These meetings shall take place via MS Teams or Zoom.

4.11 GENERAL REPORT REQUIREMENTS

The Contractor shall provide all written reports in electronic format with read/write capability using applications that are compatible with DHS workstations (Windows XP and Microsoft

Office Applications).

4.13 PROTECTION OF INFORMATION

For the purpose of supporting SLTTs’ vaccination efforts, which will include vaccine administration and other clinical duties, the Contractor medical staff’s access to vaccine recipients’ PII/PHI may be necessary. However, the contractors shall not perform the tasks of transcribing, transmitting, and record keeping of Personally Identifiable Information (PII) and Personal Health Information (PHI). Any PII/PHI that is collected from or about the vaccine recipients will be completed by either state employees, National Guard, other federal employees. Contractor will not view, collect, disseminate, maintain, etc. any PII/SPII on behalf of FEMA. Any access or viewing of PII/SPII in the activities described in this contract are on behalf of the SLTT.

The Contractor will be required to and comply with all requirements imposed by Federal statutes concerning the collection and maintenance of data which includes personal identifiers, in order to satisfy the privacy and confidentiality provisions based on the content of the information to be handled in performing tasks, which may include: information protected by the Privacy Act of 1974 (5 U.S.C. Section 552a) and Health Insurance

Portability and Accountability Act of 1996 (HIPAA; Pub. L. 104–191).

5.0 Government Furnished Resources

Vaccination sites shall provide necessary medical equipment (to include PPE), supplies and workspace to accomplish the work specified in this SOW. All unused field supplies

(Reference SOW Section 7.4) purchased by the Contractor and reimbursed by the

Government shall become property of the Government at the conclusion of the operation unless otherwise specified in writing.

6.0 Contractor Furnished Property

The Government anticipates that providing PPE for personnel administering the COVID-19 vaccine, including all contractor support staff, will be the responsibility of the federally managed and SLTT facilities. However, in the event PPE is not provided at the designated facilities, the Contractor is authorized to purchase PPE with prior approval of the COR and the Contracting Officer, and in full compliance with the requirements listed below. All PPE purchased without prior consent of the COR and the Contracting Officer may not be reimbursable by the Government.

The contractor is required to obtain and maintain an indemnification and medical liability insurance policy in the amount of not less than $1 million per occurrence as prescribed in the Federal Acquisition Regulation Clause 52.237-7. The contractor shall submit evidence of insurance demonstrating the required coverage to the contracting officer prior to commencement of performance. Medical Liability Insurance is the responsibility of the contractor. FEMA shall not pay for the cost of the contractor’s Medical Liability Insurance.

7.0 Government Acceptance Period

The COR will review deliverables prior to acceptance and provide the contractor with an e-mail that provides documented reasons for non-acceptance. If the deliverable is acceptable, the COR will send an e-mail to the Contractor notifying it that the deliverable has been accepted.

The COR will have the right to reject or require correction of any deficiencies found in the deliverables that are contrary to the information contained in the contractor’s accepted proposal. In the event of a rejected deliverable, the Contractor will be notified in writing by the COR of the specific reasons for rejection. The Contractor may have an opportunity to correct the rejected deliverable and return it per delivery instructions.

The COR will have three (3) business days to review deliverables and make comments. The

Contractor shall have three (3) business days to make corrections and redeliver. All other review times and schedules for deliverables shall be agreed upon by the parties based on the final approved project plan.

The Contractor shall be responsible for timely delivery to Government personnel in the agreed upon review chain, at each stage of the review. The Contractor shall work with personnel reviewing the deliverables to assure that the established schedule is maintained.

8.0 Deliverables

ITEM SOW REFERENCE DELIVERABLE/EVENT DUE BY DISTRIBUTION

1 4.6 Post Award Conference 3 days after award

N/A

ITEM SOW REFERENCE DELIVERABLE/EVENT DUE BY DISTRIBUTION

2 4.6, 4.7 Draft Contractor Project Plan

To be submitted at

Post Award

Conference

COR,

Contracting

Officer

3 4.7 Final Contractor Project Plan

10 business days after

Post Award

Conference

COR,

Contracting

Officer

6 4.9 Progress Reports

Refer to

SOW Section

4.9

COR,

Contracting

Officer

9.0 MEDICAL

9.1 COVID-19 SAFETY

All deployed contractor personnel shall follow CDC guidelines for proper wear of PPE while working at vaccination/mAb sites. The contractor is responsible for Fit-testing and the required OSHA documentation. Any deployed contractor personnel who display COVID-19 symptoms shall immediately notify supervisor and the COR and be subjected to COVID-19 testing as advised by vaccine center. Any deployed contractor personnel who test positive for COVID-19 shall immediately notify supervisor, and the Contractor must immediately notify the COR. The affected contractor personnel shall immediately quarantine based on

CDC guidelines and in accordance with local/state regulations, whichever is stricter. The

Contractor shall ensure that the affected employee is safely quarantined.

All Contractor personnel shall adhere to all applicable federal, state, local, and client-specific regulations, including all COVID-19 safety guidelines. Regardless of any precautions taken, the risk of COVID-19 infection cannot be eliminated and so by accepting field assignment, the Contractor personnel assume the risk of infection and agree to waive any claims against the Government in the event infection occurs. The affected non-local contractor personnel shall receive per-diem expenses and lodging accommodation while in quarantine, however wage compensation shall be the responsibility of the contractor. Locally hired contractor personnel reporting to a vaccination site withing 50-mile radius of Residence of Records

(ROR) shall NOT receive per-diem expenses or lodging accommodation.

All contractor personnel shall adhere to the state or federally managed vaccine/mAb sites’

COVID-19 testing requirements. If the vaccination site does not offer vaccination testing, then the contract may reimburse as direct expense under ODC - Miscellaneous (0004).

Testing requirement as a condition to return to travel to ROR will depend on the staff's local guidance - it is not a mandate under this contract. If COVID testing is required for travel to

ROR, prior COR approval is required.

Based on availability, states will provide first and second vaccination doses to federally contracted personnel deployed in support of the vaccination effort. Receipt of vaccines shall be voluntary and the contracted personnel’s vaccination status will not affect employment under this contract. The contractor is responsible for their vaccination scheduling of both doses. The government is not responsible for contractor’s missed doses and scheduling conflict.

COVID-19 vaccination provided through this contract must be carried out in compliance with

5 C.F.R Part 339, the Rehabilitation Act, 29 U.S.C. § 701 et seq., 48 CFR § 3052.204-71 -

Contractor employee access, and Americans with Disabilities Act (ADA), 42 U.S.C. §§ 12102 et seq.