5_QASP_14Sep2026.pdf

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

MARINE FORCES SPECIAL OPERATIONS COMMAND (MARSOC)

SPECIAL OPERATIONS MEDICAL TRAINING SERVICES (SOMTS)

Contract Number: (To be determined upon award)

Task Order Number: (Applicable per call order)

Contract Type: Multiple-CLIN Indefinite Delivery / Indefinite Quantity (IDIQ) – Firm-

Fixed-Price (FFP) Per-Course

Effective Date: 14 September 2026

Administering Office: Marine Forces Special Operations Command Contracting Office, Camp Lejeune, NC

1. PURPOSE AND AUTHORITY

1.1 Purpose

This Quality Assurance Surveillance Plan (QASP) establishes the official government framework and procedures for evaluating contractor performance under the Special

Operations Medical Training Services (SOMTS) contract. The primary objective is to verify that the contractor fulfills all operational, clinical, instructional, logistical, and nutritional standards defined in the Performance Work Statement (PWS) and Enclosure

(1) Performance Menu Guidelines.

1.2 Authority

This document is established pursuant to Federal Acquisition Regulation (FAR) Subpart

46.4 (Government Contract Quality Assurance), FAR 37.604 (Quality Assurance

Surveillance Plans), and Marine Corps Order (MCO) 4200.33. This QASP is a government-developed instrument intended for internal oversight, inspection, and administrative documentation. While it does not supersede any clause of the contract or

PWS, it provides the standard mechanism through which the Government exercises its inspection and acceptance rights under FAR 52.246-4 (Inspection of Services – Fixed-

Price).

2. ROLES AND RESPONSIBILITIES

| Contracting Officer (KO) |

| Sole authority to modify contract, issue formal CDRs, |

| authorize financial deductions, or take remedies. | v

| Contracting Officer's Representative (COR) |

| Manages day-to-day surveillance, tracks deliverables, |

| conducts inspections, and drafts discrepancy notices. | v

| Technical Inspectors & Unit Trip Leads |

| Conduct operational inspections, clinical observations, |

| and collect student feedback / training evaluations. |

2.1 Contracting Officer (KO)

The KO holds exclusive legal authority to enter into, administer, modify, or terminate the contract. Only the KO may:

• Issue formal contractual letters of warning, Cure Notices, or Show Cause Notices.

• Approve Contractor Corrective Action Plans (CAPs) resulting from major non-conformances.

• Direct financial remedies, payment withholdings, or deductions under FAR 52.246-4.

• Authorize changes to the PWS, pricing, or period of performance.

2.2 Contracting Officer’s Representative (COR)

The COR is formally designated in writing by the KO to perform daily technical monitoring and contract administration. Key duties include:

• Maintaining the official surveillance schedule and conducting on-site audits.

• Documenting contractor performance in accordance with this QASP.

• Submitting Monthly COR Surveillance Reports to the KO.

• Initiating Contract Discrepancy Reports (CDRs) when Acceptable Quality Levels

(AQLs) are breached.

• Recommending invoice approval or withholding based on performance acceptance.

• Ensuring zero unauthorized technical direction or scope creep occurs.

2.3 Technical Inspectors / Unit Trip Leads

Designated Special Operations Independent Duty Corpsmen (SOIDCs) and Critical Skills

Operators (CSOs) serving as Government Unit Trip Leads assist the COR as technical evaluators. They provide subject matter expertise regarding clinical fidelity, scenario realism, and student safety on the training lanes.

2.4 Contractor Program Lead (PL) / Program Director (PD)

The Contractor's Key Personnel responsible for direct operational interface with the

COR. The PL/PD must ensure contractor performance adheres to the PWS, execute internal Quality Control (QC), and provide timely root-cause analyses and corrective action responses.

3. CONTRACT SUMMARY AND SCOPE OF SURVEILLANCE

The SOMTS contract provides turnkey medical training solutions for MARSOC across three distinct Contract Line Item Numbers (CLINs):

• CLIN X00101: Prolonged Field Care (PFC) Training. A 5-day comprehensive course for 12–24 students (SOIDCs and CSOs) featuring two concurrent Lines of

Effort (LOE), cadaveric procedural labs (≤ 10 students/specimen), tactical exercises, a 12-mile non-looped off-road track, full Class VIII support (Table 2 Culmination

Aid Bags), and full logistical/nutritional support.

• CLIN X00102: Special Operations Austere Medical Training (SO+AMT). A 3-phase pipeline for non-medical personnel (Phase I: EMT/NREMT Certification;

Phase II: TCCC Tier 3, PHTLS, AMLS; Phase III: Austere Emergency Care & 24-hr

CULEX). Minimum class capacity 24 students; minimum 4 iterations per year;

≥ 90% first-time NREMT pass rate requirement.

• CLIN X00103: Custom Medical Training. Tailored, mission-specific modules, Full

Mission Profile (FMP) support, and Mobile Training Teams (MTT) requiring 60-day advance planning lead times and 30-day detailed syllabi submissions.

• Turnkey Support Requirements: Contractor furnishes all labor, certified cadre, primary and satellite training facilities within North Carolina (within 100 miles of

Camp Lejeune for custom, ≤ 25-minute radius during garrison phases), student lodging, utilities (1:6 shower/restroom ratio, gym, laundry), secure parking/staging, helicopter landing zones (HLZ), scenario vehicles/watercraft, role-players/moulage, and full-spectrum catering compliant with Enclosure (1) Performance Menu

Guidelines.

4. SURVEILLANCE MATRIX: PERFORMANCE STANDARDS & AQLs

The following matrix delineates the core performance objectives, standards, Acceptable

Quality Levels (AQLs), surveillance methodologies, and direct contractual remedies:

PWS

Ref

Performan ce

Objective

Performance

Standard

Acceptable

Quality

Level (AQL)

Surveillanc e Method

Incentive /

Deduction

Remedy

PWS

Sec.

1.0, 7.0, 10.2

1. Turnkey

Logistics &

Facility

Availability

Furnish all specified classrooms, dedicated simulation labs, 200 contiguous acres, safe houses, 12-mile driving track, lodging, gym, laundry, and secure vehicle staging.

Zero Major

Logistical

Disruptions.

(No outage halting training

> 1.0 continuous hour or canceling scheduled evolution).

Direct

Observation

& 100%

Pre-Course

Facility

Inspection.

CDR issued.

Full contractor remediation at no government cost;

deduction of associated daily facility/cour se rate if event canceled or truncated.

PWS

Sec.

6.0, Table

1;

CLIN

X0010

2 Sec.

2.

Instructor

& Key

Personnel

Qualificatio ns

All instructors, Program Leads, and SMEs meet mandatory qualifications (10+ yrs SOF experience, MOS

Q

18D/SARC/SOIDC

/PJ, current certifications, accredited MD/PA lane cadre).

100%

Compliance.

Zero unauthorized or unvetted cadre permitted on training lanes.

100% Pre-

Course

Resume &

Credential

Verification;

Onsite

Verification.

CDR issued;

immediate removal and replacement of unqualified staff within

2 hours.

Negative rating on

CPARS.

PWS

Sec.

3.0, 5.0;

CLIN

X0010

3.

Curriculu m Delivery

& Clinical

Rigor

Instruction fully aligns with Joint

Trauma System

(JTS) CPGs, TCCC/PCC guidelines.

100%

Adherence to approved

POI/Syllabus and safety protocols.

Periodic

Direct

Observation by COR and

SOIDC

Technical

CDR issued;

contractor shall re-execute failed training

1 Sec.

3, 5

Cadaveric labs strictly maintained at ≤ 10 students per specimen.

Ratio of 1 instructor + 1 lane cadre + 1 roleplayer per 8-man team.

Zero critical procedural safety lapses.

Evaluators. modules at contractor expense if objectives are unmet.

PWS

Sec.

9.0, Table

4. Medical

Equipment

& Class

VIII

Support

Full provision of organic MSOT-mirrored medical materiel, working diagnostic devices

(ultrasound, SAVe

II ventilators, EMMA, Mindray monitors), and exact Table 2 aid bag items per 8-man team.

≥ 98%

Equipment

Availability

Completenes

s. Critical life-saving gear (airway, chest tube, IO, blood transfusion kits) must be

100% complete and operational prior to scenario launch.

100%

Inventory

Inspection prior to practical field scenarios.

Immediate correction of missing/brok en equipment prior to exercise release;

contractor absorbs replacement costs.

Repeated failure results in formal CDR.

CLIN

X0010

2 Sec.

3.1;

PWS

Sec.

10.4

5.

Academic

Outcomes

& NREMT

Pass Rates

Prepare non-medics to successfully certify as Nationally

Registered EMTs

(NREMT) and obtain

TCCC/PHTLS/AM

LS certifications.

≥ 90%

First-Time

Pass Rate for each cohort undergoing

NREMT

testing.

100%

Verification of official

National

Registry test results.

Mandatory

CAP

submitted within 10 business days detailing remediation training provided at zero cost to the

Government

Encl. 6. Nutrition Provide breakfast, ≤ 1 Minor Periodic Contractor

(1);

PWS

Sec.

11.0, 9.2

& Catering

Execution lunch, dinner, and between-meal enhancements strictly compliant with ARSOF POL

6-18 / MCO

10110.49 (30g protein/meat, fatty fish 2x/wk, 100% whole grain, trans-fat free, 4-hour food safety rule).

Non-

Conformanc e per course

(e.g., single substitution error); Zero food safety/sanitati on violations.

Zero expired food.

Unannounce d

Inspections at

DFAC/cateri ng sites &

Student

Menu

Survey

Reviews.

must immediately rectify shortages within 45 minutes;

persistent non-conformance results in meal-cost deduction from course invoice.

PWS

Sec.

8.0, CLIN

X0010

3 Sec.

5, PWS

10.5

7. Program

Deliverable s &

Reporting

Timely submission of detailed training syllabi (30-60 days prior), student rosters, pre/post-test analytics, formal AARs

(within 10 business days of completion).

100% On-

Time

Delivery of complete, accurate documentatio n.

100%

Administrati ve Tracking by COR.

Formal CDR issued for submissions

> 3 business days late.

Recurring delinquency documented in CPARS.

PWS

Sec.

5.2, 5.3;

CLIN

X0010

2 Sec.

8. Role-

Player, Moulage &

Scenario

Realism

Deployment of amputee role-players, wearable task trainers

(surgical airway, chest tubes), realistic blood/moulage, battlefield simulation effects

(smoke, UAV/explosion simulators), safe houses, and tactical driving.

≥ 95%

Scenario

Fidelity

Rating based on

Government

Unit Trip

Lead assessment and AAR criteria.

Direct

Observation of lane scenarios and

Culmination

Exercises

(CULEX).

Re-briefing and scenario reset directed by

COR;

contractor failure to resource roleplayers results in downward fee adjustment.

PWS

Sec.

10.0,

9. Safety &

Emergency

Medical

Contractor maintains primary occupational

Zero

Preventable

Safety

Continuous

Observation

& Review of

Training halted immediately

9.1 Response medical coverage, medical liability

insurance for all role-players/staff, and strict operational safety during live-tissue and vehicle operations.

Violations.

Immediate emergency escalation protocols active.

Pre-Exercise

Safety

Briefings.

for safety infractions until mitigated;

report submitted to

KO for formal administrati ve action.

5. METHODS OF SURVEILLANCE

The Government will employ five distinct surveillance techniques to evaluate contractor compliance:

5.1 100% Inspection

Applied to critical deliverables, compliance items, and credentialing mandates:

• Instructor Credentials: Every proposed cadre member's resume, military background (MOS Q verification), certifications (TCCC Tier 3, AEC Director, NAEMT, Medical Licensure), and driver's licenses audited prior to instruction.

• NREMT Pass Rates: Verification of official cohort registry examination score sheets.

• Deliverable Tracking: Audit of syllabus submissions (30-day mark) and final AAR packages (10-day post-course mark).

• Class VIII Table 2 Kits: Comprehensive item-by-item inventory check of CULEX aid bags before student issue.

5.2 Periodic Surveillance

Conducted on a planned, recurring schedule by the COR or Technical Evaluator:

• Classroom / Academic Instruction: Audit didactic quality, student engagement, and adherence to current JTS PCC guidelines.

• Cadaveric Procedural Labs: Ensure strict adherence to the maximum 10:1 student-to-specimen ratio and inspect surgical instrumentation.

• Lodging & Sanitation: Bi-weekly inspection of student billeting, hygiene facilities

(minimum 1:6 ratio verification), laundry, and gym facilities.

5.3 Random / Unannounced Inspections

Executed without prior contractor notification to ensure baseline compliance:

• Catering and Nutrition: Random physical inspection of meals and galley setups during breakfast, dinner, and field drops. Evaluators verify food holding temperatures

(≤ 40∘F for cold, ≥ 140∘F for hot), adherence to the 4-hour rule, macronutrient balance, 100% whole grain verification, and delivery of between-meal enhancement packs (2 starch, 2 fat/protein, 2 sports beverage powders per person/day).

• Night Scenarios and Remote Lanes: Surprise visits to remote safe houses, underground hospitals, and off-road routes to verify instructor presence, communication safety checks, and simulation fidelity.

5.4 Direct Observation

Continuous oversight executed during critical, high-risk, or practical evolution windows:

• Monitoring CULEX mass casualty (MASCAL) exercises, vehicle of opportunity integration, and hoist/aviation coordination at the designated HLZ (within 3 miles or onsite 100m × 100m).

• Observing student procedural execution on amputee role-players and wearable task trainers.

5.5 Customer / Student Feedback Analysis

• Review of standardized MARSOC post-course demographic and instructional surveys administered at the conclusion of each iteration.

• Statistical analysis of student ratings regarding lane realism, role-player quality, instructor effectiveness, and meal support. Any metric falling below an 80% satisfaction score triggers a COR inquiry.

6. DETAILED NUTRITION & CATERING SURVEILLANCE PROTOCOL

(Derived from Enclosure 1: ARSOF Performance Menu Guidelines POL 6-18 & MCO

10110.49)

Because operator cognitive function and physical endurance directly impact medical decision-making under stress, food service will be inspected under the following rigorous standards:

| MARSOC PERFORMANCE NUTRITION CHECKPOINT

| Meal Category | Surveillance Verification Standard |

| Meats & Entrées | - Minimum 2 meat choices per meal. |

| | - Minimum 30g protein per serving. |

| | - 1 white meat/seafood AND 1 lean red meat per meal. |

| | - Fatty fish (salmon/tuna) served >= 2 times per week. |

| | - Ground meat >= 90% lean; zero fillers/extenders. |

| | - Baked, broiled, or grilled ONLY (no deep-fried meats). |

| Grains & Starches | - Minimum 2 starches per meal (at least 1 served hot).

| | - Legume/bean option served >= 3 times per week. |

| | - At least 1 bread 100% whole grain (>3g fiber/serving). |

| | - 6 cold cereals at breakfast (>= 50% listing 100% whole |

| | grain as 1st ingredient; 4 without sugar coating). |

| Fruits & Vegetables | - >= 2 fresh fruits per meal, cut and ready-to-eat. |

| | - Zero canned pie fillings or canned fruit replacements. |

| | - At least 2 hot vegetables without added fat per meal. |

| | - Salad bar: leafy greens (no iceberg-only), 5+ toppings, |

| | dressings <= 20% saturated fat. |

| Fats, Sauces & Condiments | - Total fat <= 30% of energy value. |

| | - Oils used must contain <= 20% saturated fat (olive, avocado).|

| | - Sauces/dressings trans-fat free; <= 1g sat fat / 100 kcal. |

| Between-Meal Enhancements | - Left by contractor at conclusion of breakfast daily.

| | - Per person/day allocation: 2 starch/grain items, |

| | 2 fat/protein items (>= 15g protein bar, jerky, nuts), |

| | 2 sports beverage / electrolyte powder packs. |

| Sanitation & Operational Support | - Delivery at required temperatures (Cold <=40°F, Hot >=140°F).|

| | - Strict adherence to the 4-hour rule for perishable items. |

| | - Alternative hot meals provided for personnel delayed by |

| | tactical training evolutions. |

7. CONTRACT DISCREPANCY MANAGEMENT AND REMEDIATION

7.1 Discrepancy Identification and Classification

• Level 1 (Minor Discrepancy): Administrative delays (< 2 business days), minor isolated menu substitutions, or isolated equipment shortages corrected within 30 minutes that do not halt training. Addressed via informal verbal/written notification to the Program Lead.

• Level 2 (Major Discrepancy): Failure to achieve an established AQL, failure of

NREMT pass rate (< 90%), unvetted/unqualified instructor on training lane, equipment failure halting a scenario > 1 hour, or major sanitation/safety violation.

Triggers a formal Contract Discrepancy Report (CDR).

• Level 3 (Critical / Systemic Non-Conformance): Chronic Level 2 failures, willful disregard of safety/medical directives, gross compromise of training integrity, or catastrophic failure of turnkey logistics. Triggers immediate KO intervention, withholding of funds, and possible Cure Notice.

7.2 Contract Discrepancy Report (CDR) Workflow

When a non-conformance exceeding the AQL occurs:

[ Step 1: Discrepancy Identified ] v

[ Step 2: COR Issues Formal CDR (Form DD 2772) ] v

[ Step 3: Contractor Responds within 10 Business Days ]

- Root cause analysis

- Immediate mitigation

- Corrective Action Plan (CAP) to prevent recurrence v

[ Step 4: KO & COR Review and Evaluate CAP ]

(Approved) (Rejected)

[ Step 5: Follow-up Verification ] [ Step 6: KO Contractual Remedies ]

- Payment deduction / offset

- Negative CPARS rating

- Cure Notice / Default action

1. Issuance: The COR officially drafts and transmits a CDR to the contractor Program

Lead and KO within twenty-four (24) hours of discovering the deficiency.

2. Contractor Response: The contractor must submit a formal written response within ten (10) business days. The response must contain:

• A rigorous Root Cause Analysis (RCA).

• Actions taken to correct the immediate defect.

• Preventive actions implemented to preclude recurrence.

• For NREMT pass rate failures (< 90%), a comprehensive student remediation plan executed at zero additional cost to the Government.

3. Government Evaluation: The COR and KO assess the CAP. If acceptable, the COR establishes a re-inspection date. If unacceptable, the KO will issue a formal rejection letter directing corrective revisions or initiating contractual deductions.

7.3 Financial and Administrative Remedies

Under FAR 52.246-4, the Government reserves the right to enforce the following remedies:

• Re-performance: Requiring the contractor to re-deliver deficient instructional modules or supply missing consumables at no additional cost.

• Equitable Price Reduction: If defective services cannot be re-performed (e.g., missed meal services, cancelled scenario lanes, failure to provide the full 12-mile non-looped driving course), the KO will calculate an equitable price reduction reflecting the diminished value of the course and deduct it from the FFP per-course invoice.

• Contractor Performance Assessment Reporting System (CPARS): All confirmed

CDRs, failed pass rates, and logistical failures will be formally recorded in the contractor’s annual CPARS evaluation, directly impacting past performance ratings on future DoD solicitations.

8. RECORDKEEPING AND SURVEILLANCE REPORTING

The COR is required to maintain a permanent, auditable Quality Assurance surveillance file for the life of the contract, consisting of:

4. Surveillance Log: A chronological ledger documenting all site visits, classroom observations, aid bag inventories, and random catering inspections.

5. Completed Checklists: Date-stamped inspection sheets signed by the inspector and the contractor PL.

6. Academic Results: Official rosters, test score compilations, and NREMT validation certificates.

7. Discrepancy Records: All issued CDRs, contractor CAP responses, KO determinations, and close-out verifications.

8. Monthly COR Summary Reports: Submitted to the KO by the 5th working day of each month, detailing all surveillance findings, contractor performance trends, and payment recommendations.

9. ATTACHMENTS AND SURVEILLANCE TEMPLATES

Attachment 1: Daily/Weekly Training Inspection Checklist

SURVEILLANCE CHECKLIST - SOMTS

Course Iteration: ____________________ CLIN: [ ] PFC [ ] SO+AMT [ ] Custom

Inspection Date: ___________________ Inspector:

[PASS/FAIL/NA] CHECKPOINT

[ ] 1. Classrooms / Labs: Climate controlled, fully operational A/V, max 24 students.

[ ] 2. Simulation Labs: 4 dedicated labs active, video recording functional.

[ ] 3. Tactical Driving: 12-mile non-looped track accessible and cleared.

[ ] 4. HLZ: LZ operational (100mx100m or within 3 miles), windsock/markings present.

[ ] 5. Billeting & Facilities: Clean lodging, 1:6 hygiene ratio verified, laundry active.

[ ] 6. Aid Bags (Table 2): 100% inventory present, seal checks intact, narcotics logged.

[ ] 7. Diagnostic Equipment: Ultrasound, SAVe II, EMMA, Mindray functional and charged.

[ ] 8. Cadre Ratios: 1 primary + 1 lane cadre + 1 roleplayer per 8-man team present.

[ ] 9. Roleplayers/Moulage: Amputee roleplayers on lane; wearable task trainers ready.

[ ] 10. Cadaveric Labs: Specimen student load verified at <= 10:1.

[ ] 11. Catering - Quality: 2 meats (30g protein), whole grains, <=30% total fat.

[ ] 12. Catering - Enhancements: 2 starches, 2 fat/protein, 2 hydration packs issued.

[ ] 13. Food Safety: Food holding temps verified; 4-hour rule complied with.

[ ] 14. Safety Protocols: Range/lane safety briefing completed; 911/evac route active.

Inspector Signature: ____________________________ Date: ______________

Contractor Lead Acknowledgment: ________________ Date: ______________

Attachment 2: Contract Discrepancy Report (CDR) Form

CONTRACT DISCREPANCY REPORT (CDR)

1. Contract Number: 2. Task Order / CLIN:

3. Contractor Name: 4. Date of Incident:

5. COR Name: 6. Location of Deficiency:

7. PWS & QASP SECTION REFERENCE:

[ ] Turnkey Logistics (Sec 10.2) [ ] Cadre Qualifications (Sec 6.0)

[ ] NREMT Pass Rate (Sec 10.4) [ ] Equipment / Aid Bags (Table 2)

[ ] Catering / Menu (Encl 1) [ ] Deliverable Timeliness (Sec 10.5)

[ ] Other:

8. DESCRIPTION OF DISCREPANCY / NON-CONFORMANCE:

(Detail specific facts, observed failures, times, impacted training events, and breach of

AQL)

9. IMPACT ON MISSION READINESS / GOVERNMENT OPERATIONS:

10. ISSUED BY (COR Signature): _____________________________ Date:

CONTRACTOR ACTION REQUIRED (To be returned within 10 business days of issuance):

11. Root Cause Analysis (RCA):

12. Corrective Action Taken (Immediate fix):

13. Preventive Measures Implemented:

14. Target Implementation Completion Date:

Contractor Representative Signature: _______________________ Date: ___________

GOVERNMENT DETERMINATION:

[ ] Corrective Action Plan Accepted. Follow-up audit scheduled for: ___________

[ ] Corrective Action Plan Rejected. Reason: _________________________________

[ ] Contractual Remedy Recommended to KO:

Contracting Officer Signature: _____________________________ Date: ___________

10. SIGN-OFF AND APPROVAL

This Quality Assurance Surveillance Plan is hereby approved and formally instituted as the primary surveillance mechanism for the MARSOC Special Operations Medical

Training Services contract.

[Name] Date

Contracting Officer (KO)

Marine Forces Special Operations Command

[Name] Date

Contracting Officer’s Representative (COR)

Marine Forces Special Operations Command

≤ 10

≥ 90 %

≤ 25

> 1 . 0

≤ 10

≥ 98 %

≥ 90 %

≤ 1

> 3

≥ 95 %

≤ 40 ∘ F

≥ 140 ∘ F

100 m × 100 m

< 2

< 90 %

> 1

< 90 %