70FB7021R00000023 092821.pdf
PDF 1 MB Posted
- Attached to
- National Medical Transport and Support Contract Federal contract opportunity
- Solicitation number
- 70FB7021R00000023
- Issued by
- Federal Emergency Management Agency
About this file
This solicitation is for a multiple indefinite-delivery, indefinite-quantity contract to obtain contractor-managed transportation and medical support resources and capabilities in support of federal assistance, evacuations, or other medical support activations for national events. Key requirements include ambulance, para-transit, air ambulance, and medical support personnel services across four geographic zones on an as-needed basis. The base period of performance is one year with four additional one-year options. The solicitation is issued under FAR Part 15 and is open to all offerors under NAICS code 621910. Proposals are due by October 14, 2021 and should be submitted according to the instructions in the solicitation. Evaluation will consider the factors specified in the document. The Federal Emergency Management Agency is the contracting office.
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Text version
70FB7021R00000023
SOLICITATION, OFFER AND AWARD
4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER
7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)
ORDER UNDER DPAS (15 CFR 700)
6. REQUISITION/PURCHASE NUMBER
NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".
NEGOTIATED (RFP)
SEALED BID (IFB)
5. DATE ISSUED
1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES
1 178
C. E-MAIL ADDRESS
EXT.NUMBERAREA CODE
B. TELEPHONE (NO COLLECT CALLS)A. NAME
10. FOR
INFORMATION
CALL:
CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.
(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the
SOLICITATION
9. Sealed offers in original and
PART IV - REPRESENTATIONS AND INSTRUCTIONS
OTHER STATEMENTS OF OFFERORS
EVALUATION FACTORS FOR AWARD
INSTRS., CONDS., AND NOTICES TO OFFERORS
REPRESENTATIONS, CERTIFICATIONS AND
LIST OF ATTACHMENTS
CONTRACT CLAUSES
PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
I
J
K
L
M SPECIAL CONTRACT REQUIREMENTS
CONTRACT ADMINISTRATION DATA
DELIVERIES OR PERFORMANCE
INSPECTION AND ACCEPTANCE
PACKAGING AND MARKING
DESCRIPTION/SPECS./WORK STATEMENT
SUPPLIES OR SERVICES AND PRICES/COSTS
SOLICITATION/CONTRACT FORM
PART II - CONTRACT CLAUSESPART I - THE SCHEDULE
H
G
F
E
D
C
B
A
SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)
11. TABLE OF CONTENTS
18. OFFER DATE17. SIGNATURE
SUCH ADDRESS IN SCHEDULE.
IS DIFFERENT FROM ABOVE - ENTER
15C. CHECK IF REMITTANCE ADDRESS
EXT.NUMBERAREA CODE
15B. TELEPHONE NUMBER
(Type or print)AND
ADDRESS
OF
OFFEROR
CODE FACILITY
16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME
DATEAMENDMENT NO.DATEAMENDMENT NO.
and related documents numbered and dated):
amendments to the SOLICITATION for offerors
(The offeror acknowledges receipt of
14. ACKNOWLEDGEMENT OF AMENDMENTS
CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)
(See Section I, Clause No. 52.232.8)
13. DISCOUNT FOR PROMPT PAYMENT
designated point(s), within the time specified in the schedule.
by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the
NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.
OFFER (Must be fully completed by offeror)
IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.
28. AWARD DATE
(Signature of Contracting Officer)
27. UNITED STATES OF AMERICA
25. PAYMENT WILL BE MADE BY
26. NAME OF CONTRACTING OFFICER (Type or print)
CODE 24. ADMINISTERED BY (If other than Item 7)
ITEM
(4 copies unless otherwise specified)
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:
21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED
AWARD (To be completed by government)
CODE
09/29/2021 X
70FH10
FEMA HQ
FEDERAL EMERGENCY MANAGEMENT AGENCY
OFFICE OF CHIEF PROCUREMENT OFFICE
500 C STREET SW
3RD FLOOR
WASHINGTON DC 20472
Kimberly Coakley Federal Emergency Management Agency 500 C Street SW Washington, DC 20472
See Section L
Felicia Castillo 202 felicia.castillo@fema.dhs
.gov803-1676
X
X
X
X
X
X
X
X
X
X
X
X
X
PAGE(S)
Kimberly A. Coakley
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is unusable
STANDARD FORM 33 (Rev. 9-97)
Prescribed by GSA - FAR (48 CFR) 53.214(c)
2-104
105-116 118-120 121-128 129-135
136-150
152-164
165-175 175-178
12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____0_________ calendar days (60 calendar days unless a different period is inserted
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
This solicitation is being issued under FAR Part
15.
0001 Zone 1 Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0001AA Zone 1, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0001AB Zone 1, Readiness 12 MO
"Zones Plus" Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0001AC Zone 1, Readiness 12 MO
Communication Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0002 Zone 1, Start-Up cost
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0003 Zone 1, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0003AA Zone 1, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0003AB Zone 1, Ground Ambulance 1500 BL
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
NSN 7540-01-152-8067
3 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0003AC Zone 1, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004 Zone 1, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AA Zone 1, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AB Zone 1, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AC Zone 1, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AD Zone 1, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
4 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AE Zone 1, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0004AF Zone 1, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0005 Zone 1, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0005AA Zone 1, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0005AB Zone 1, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0005AC Zone 1, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
5 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0006 Zone 1, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0006AA Zone 1, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0006AB Zone 1, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0006AC Zone 1, Air Resources - Rotary Wing (RW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0007 Zone 1, Subject Matter Expert (SME) 1777 HR
See Attachment 7 for Labor Category Description
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0008 Zone 1, Communications Support Team (CST) 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0009 Zone 1, Operations Support Team Member (OST) 450 BL
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
6 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0010 Zone 1, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0011 Zone 1, Advanced Emergency Medical Technician 450 BL
(EMT)
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0012 Zone 1, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0013 Zone 1, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR) to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0014 Zone 1, Fuel LO
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
7 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0015 Zone 1, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0016 Zone 2, Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0016AA Zone 2, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0016AB Zone 2, Readiness MO
Reserved
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0016AC Zone 2, Readiness 12 MO
Communication Readiness
Firm Fixed Price ClIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0017 Zone 2, Start-Up cost
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0018 Zone 2, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0018AA Zone 2, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
8 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0018AB Zone 2, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0018AC Zone 2, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019 Zone 2, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019AA Zone 2, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019AB Zone 2, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019AC Zone 2, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
9 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0019AD Zone 2, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019AE Zone 2, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0019AF Zone 2, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0020 Zone 2, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0020AA Zone 2, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0020AB Zone 2, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
10 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0020AC Zone 2, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0021 Zone 2, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0021AA Zone 2, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0021AB Zone 2, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0021AC Zone 2, Air Resources - Rotary Wing 9 BL
Type III - Neonatal Specific
12 Hour Blocks (one day = 2 blocks)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0022 Zone 2, Subject Matter Expert 1777 HR
See Attachment 7 for Labor Category Description
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0023 Zone 2, Communications Support Team Member 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
11 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Description: MEDICAL- OTHER
0024 Zone 2, Operations Support Team Member (OST) 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0025 Zone 2, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0026 Zone 2, Advanced Emergency Medical Technician 450 BL
(AEMT) - Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0027 Zone 2, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0028 Zone 2, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR), to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0029 Zone 2, Fuel LO
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
12 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0030 Zone 2, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be Reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0031 Zone 3 Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0031AA Zone 3, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0031AB Zone 3, Readiness 12 MO
"Zones Plus" Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0031AC Zone 3, Readiness 12 MO
Communication Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0032 Zone 3, Start-Up cost
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0033 Zone 3, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0033AA Zone 3, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
13 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0033AB Zone 3, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0033AC Zone 3, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034 Zone 3, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034AA Zone 3, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034AB Zone 3, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034AC Zone 3, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
14 178
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REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0034AD Zone 3, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034AE Zone 3, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0034AF Zone 3, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0035 Zone 3, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0035AA Zone 3, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0035AB Zone 3, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
15 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0035AC Zone 3, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0036 Zone 3, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0036AA Zone 3, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0036AB Zone 3, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0036AC Zone 3, Air Resources - Rotary Wing (RW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0037 Zone 3, Subject Matter Expert (SME) 1777 HR
See Attachment 7 for Labor Category Description
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0038 Zone 3, Communications Support Team (CST) 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
16 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0039 Zone 3, Operations Support Team Member (OST) 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0040 Zone 3, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0041 Zone 3, Advanced Emergency Medical Technician 450 BL
(EMT)
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0042 Zone 3, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0043 Zone 3, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR) to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0044 Zone 3, Fuel LO
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
17 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0045 Zone 3, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0046 Zone 4, Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0046AA Zone 4, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0046AB Zone 4, Readiness MO
Reserved
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0046AC Zone 4, Readiness 12 MO
Communication Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0047 Zone 4, Start-Up cost
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0048 Zone 4, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
18 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Description: MEDICAL- OTHER
0048AA Zone 4, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0048AB Zone 4, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0048AC Zone 4, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049 Zone 4, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049AA Zone 4, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049AB Zone 4, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
19 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0049AC Zone 4, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049AD Zone 4, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049AE Zone 4, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0049AF Zone 4, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0050 Zone 4, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0050AA Zone 4, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0050AB Zone 4, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
20 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0050AC Zone 4, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0051 Zone 4, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0051AA Zone 4, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0051AB Zone 4, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0051AC Zone 4, Air Resources - Rotary Wing 9 BL
Type III - Neonatal Specific
12 Hour Blocks (one day = 2 blocks)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0052 Zone 4, Subject Matter Expert (SME) 1777 HR
See Attachment 7 for Labor Category Description
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
21 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0053 Zone 4, Communications Support Team Member (CST) 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0054 Zone 4, Operations Support Team Member (OST) 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0055 Zone 4, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0056 Zone 4, Advanced Emergency Medical Technician 450 BL
(AEMT) - Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0057 Zone 4, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0058 Zone 4, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR), to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
22 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
0059 Zone 4, Fuel LO
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
0060 Zone 4, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1001 Zone 1 Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1001AA Zone 1, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1001AB Zone 1, Readiness 12 MO
"Zones Plus" Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1001AC Zone 1, Readiness 12 MO
Communication Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1002 Zone 1, Reserved
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1003 Zone 1, Ground Ambulance BL
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
23 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1003AA Zone 1, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1003AB Zone 1, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1003AC Zone 1, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004 Zone 1, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004AA Zone 1, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004AB Zone 1, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
24 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
1004AC Zone 1, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004AD Zone 1, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004AE Zone 1, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1004AF Zone 1, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1005 Zone 1, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1005AA Zone 1, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1005AB Zone 1, Air Resources - Fixed Wing (FW) 13.5 BL
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
25 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1005AC Zone 1, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1006 Zone 1, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1006AA Zone 1, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1006AB Zone 1, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1006AC Zone 1, Air Resources - Rotary Wing (RW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1007 Zone 1, Subject Matter Expert (SME) 1777 HR
See Attachment 7 for Labor Category Description
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
26 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1008 Zone 1, Communications Support Team (CST) 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1009 Zone 1, Operations Support Team Member (OST) 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1010 Zone 1, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1011 Zone 1, Advanced Emergency Medical Technician 450 BL
(EMT)
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1012 Zone 1, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1013 Zone 1, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR) to be approved in advanced by
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
27 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F) the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1014 Zone 1, Fuel LO
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1015 Zone 1, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1016 Zone 2, Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1016AA Zone 2, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1016AB Zone 2, Readiness MO
Reserved
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1016AC Zone 2, Readiness 12 MO
Communication Readiness
Firm Fixed Price ClIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1017 Zone 2, Reserved
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
28 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1018 Zone 2, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1018AA Zone 2, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1018AB Zone 2, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1018AC Zone 2, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019 Zone 2, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AA Zone 2, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AB Zone 2, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
29 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AC Zone 2, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AD Zone 2, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AE Zone 2, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1019AF Zone 2, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1020 Zone 2, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1020AA Zone 2, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
30 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1020AB Zone 2, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1020AC Zone 2, Air Resources - Fixed Wing (FW) 9 BL
Type III - Neonatal Specific
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1021 Zone 2, Air Resources - Rotary Wing (RW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1021AA Zone 2, Air Resources - Rotary Wing (RW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1021AB Zone 2, Air Resources - Rotary Wing (RW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1021AC Zone 2, Air Resources - Rotary Wing 9 BL
Type III - Neonatal Specific
12 Hour Blocks (one day = 2 blocks)
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
31 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
1022 Zone 2, Subject Matter Expert 1777 HR
See Attachment 7 for Labor Category Description
Labor Hour CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1023 Zone 2, Communications Support Team Member 225 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1024 Zone 2, Operations Support Team Member (OST) 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1025 Zone 2, Paramedic - Fixed Location Support 450 BL
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1026 Zone 2, Advanced Emergency Medical Technician 450 BL
(AEMT) - Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1027 Zone 2, Emergency Medical Technician (EMT) - 450 BL
Fixed Location Support
See Attachment 7 for Labor Category Description
12 Hours = 1 Block
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1028 Zone 2, Travel LO
Cost Reimbursement CLIN per the Federal Travel
Regulations (FTR), to be approved in advanced by the CO and/or COR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
32 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1029 Zone 2, Fuel LO
Cost Reimbursement CLIN, Actuals to be reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1030 Zone 2, Other Direct Cost LO
Cost Reimbursement CLIN, to be approved in advanced by the CO and/or COR
Actuals to be Reimbursed
Not-to-Exceed
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1031 Zone 3 Readiness
See Section C 6.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1031AA Zone 3, Readiness 12 MO
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1031AB Zone 3, Readiness 12 MO
"Zones Plus" Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1031AC Zone 3, Readiness 12 MO
Communication Readiness
Firm Fixed Price CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1032 Zone 3, Reserved
Product/Service Code: Q999
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
33 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
Product/Service Description: MEDICAL- OTHER
1033 Zone 3, Ground Ambulance BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1033AA Zone 3, Ground Ambulance 2000 BL
Type I - Advanced Life Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1033AB Zone 3, Ground Ambulance 1500 BL
Type II - Basic Life Support (BLS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1033AC Zone 3, Ground Ambulance 300 BL
Type III - Bariatric ALS
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034 Zone 3, Para-Transit Vehicles BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AA Zone 3, Para-Transit Vehicles 225 BL
Type I - Sedan/Minivan (1-7 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AB Zone 3, Para-Transit Vehicles 225 BL
Type II - Minibus (8-26 Seats)
12 Hours = 1 Block
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
34 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AC Zone 3, Para-Transit Vehicles 112.5 BL
Type III - Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AD Zone 3, Para-Transit Vehicles 112.5 BL
Type IV - Wheelchair Van (1-9 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AE Zone 3, Para-Transit Vehicles 45 BL
Type V - ADA Minibus (10-26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1034AF Zone 3, Para-Transit Vehicles 45 BL
Type VI - ADA Transit Bus (>26 Seats)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1035 Zone 3, Air Resources - Fixed Wing (FW) BL
See Section C 6.3.1
Product/Service Code: Q999
Product/Service Description: MEDICAL- OTHER
1035AA Zone 3, Air Resources - Fixed Wing (FW) 13.5 BL
Type I - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
35 178
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
70FB7021R00000023
(A) (B) (C) (D) (E) (F)
Product/Service Description: MEDICAL- OTHER
1035AB Zone 3, Air Resources - Fixed Wing (FW) 13.5 BL
Type II - Critical Care (CC) and Advanced Life
Support (ALS)
12 Hours = 1 Block
Firm Fixed Price or Time & Material CLIN
Product/Service Code: Q999
Product/Ser…
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