A1_PWS_FNL.pdf

Performance Work Statement

(PWS) in support of

III Marine Expeditionary Force (MEF) Force Reconnaissance Company

1.0 General.

United States Marine Corps (USMC) III Marine Expeditionary Force (MEF) Force Reconnaissance

Company requires advanced tactical medical training and support services to provide personnel with development, sustainment, and enhancement of their existing tactical medical skill sets. This Performance Work Statement (PWS) establishes requirements for Extramural Tactical Emergency Medical Training for USMC Personnel assigned to III

MEF Force Reconnaissance Company in accordance with references in section 7.0 and the documents referenced in section 7.1.

2.0 Scope of Work and Objective. The Government intends to contract this training for III MEF Force

Reconnaissance Company to provide its personnel with sustainment, refinement, and enhancement of their existing

Tactical Combat Casualty Care (TCCC) and Advanced Combat Tactical Trauma Care (AMT) skill sets. The trauma scenarios will be conducted using Live Patient Models (LMP) presenting the operator with multiple different types of patients like hemorrhagic hypovolemia, compromised airway, and severe traumatic brain injury. The scope of treatments that will be trained are from basic hemorrhage control up to advanced airway and thoracic procedures such as surgical airway and chest thoracotomy. End state of the training will accomplish prescribed training and readiness tasks outlined in NAVMC 3500.55C Reconnaissance Training and Readiness manual to include surgical airway

(RECN-MED-2002), intraosseous infusions (RECN-MED-2003), intravenous infusion (RECN-MED-2014), and conduction of casualty care (RECN-MED-1002-1013; RECN-MED-4001). The period of performance will reinforce current medical skills to support future deploying Marine Expeditionary Units (MEU), III MEF operations, major combat operations, and the battalions’ requirements.

3.0 Description of Services/Introduction.

3.1. Facilities

3.1.1. The contractor's facility shall be accessible to allow for the timely arrival and departure of personnel.

The Government will coordinate travel to the training location.

3.1.2. The contractor shall provide lodging for up to 30 students that is clean, secure, and provides adequate space for personal equipment storage. The contractor must also provide access to a physical fitness facility sufficient for maintaining military physical readiness standards.

3.1.3. The contractor must provide a high-speed Wi-Fi or wired internet connection capable of handling the continuous training load for up to 30 students and staff without interruption service.

3.1.4. Billeting units shall possess a team room large enough for gear storage and with enough tables and chairs to accommodate 30 personnel.

3.1.5. The contractor shall provide for the use of a common restroom.

3.2. Medical

3.2.1. The contractor will have National Certified Paramedic or higher medical professional on-site during training evolutions.

3.2.2. The contractor training site will be within 60-minute transport to an Emergency Room.

3.2.3 The contractor will have emergency medical supplies on site for injuries or mishaps.

3.3 Liaison The contractor shall provide a training liaison for the duration of the training.

3.3.1. The liaison must be familiar with advanced TCCC and all topics covered during the training.

3.3.2 The liaison will facilitate day to day operations of the course to meet the end state goal of training.

4.0. Period of Performance. The period of performance shall be from 14 September 2026 to 18 September 2026.

4.1. Federal Holidays. The contractor shall not be required to provide services on federal holidays unless the holiday is particularly specified otherwise in this PWS.

Federal Holiday Occurrence

New Year’s Day 1 January*

Martin Luther King Jr.’s Birthday 3rd Monday of January

President’s Day 3rd Monday of February

Memorial Day last Monday of May

Juneteenth 19 June*

Independence Day 4 July*

Labor Day 1st Monday of September

Columbus Day 2nd Monday of October

Veterans Day 11 November*

Thanksgiving Day 4th Thursday of November

Christmas Day 25 December*

* When a federal holiday falls on Sunday, the following Monday will be observed as a holiday by the U.S.

government. When a federal holiday falls on a Saturday, the preceding Friday will be observed as a holiday.

In addition to these federal holidays, if the President of the United States issues an executive order closing the federal government, that date shall also be considered a recognized federal holiday (Reference

Executive Order 11582 of February 11, 1971, and 5 U.S.C. 5546 and 6103(b) and other similar statues insofar as they relate to the pay and leave of employees of the United States).

5.0. Place of Performance.

5.1. The primary place of performance shall be the awarded contractor’s training facility, which must meet all requirements outlined in this PWS.

5.2. The contractor’s facility shall be located within the Continental United States (CONUS).

5.3. Contractor will provide a secure/private location allowing no interruptions to conduct the training.

6.0. Delivery or Deliverables

6.1. Requirements

6.1.1. The contractor shall provide training consisting of didactic and practical emergency medical scenarios approved by HQUSMC TECOM/BUMED that focuses on combat tactical first aid and prolonged field care for medical personnel. The training shall use current JTS CoTCCC & PHTLS guidelines.

6.1.2. The contractor shall be able to conduct 5 days of TCCC training for 30 FORECON personnel. The student to instructor ratio will be 5:1 during classroom/table tops and 10:1 during practical exercises.

6.1.3. The contractor shall be able to provide didactic training (lectures and hands-on practical work) focused on advanced medical skills and procedures for 30 FORECON personnel who are qualified as Special Operations

Independent Duty Corpsmen (SOIDC), Reconnaissance Corpsmen, or an equivalent advanced medical provider.

6.1.4. The contractor shall be capable of conducting scenario based practical application (lab). Phase 2 will be conducted at contractor facility.

6.1.5. Sustainment Training for 3d FORECON Medical: The contractor company shall be capable of providing advanced medical skills and procedures IAW section 7 of this PWS. The purpose of sustainment training is two-fold; for the 3d FORECON Medical personnel to demonstrate proficiency in maintaining a live patient model (LPM) in a stable status for transport; and for 3d FORECON medical providers to exercise advanced medical skills and procedures. Sustainment training shall be for a period of no more than 12 hours per day.

6.1.6. Final Training Exercise (FTX): The contractor shall be able to provide Phase 2 type training conducted during a live, scenario based practical application (lab).

6.1.7. The contractor shall provide a fully licensed and credentialed veterinarian, not veterinary tech, who must be physically present onsite for all training evolutions in accordance with 7.0 and 7.1.

6.1.8. The contractor shall have insurance coverage to support the legal conduct of this training.

6.2. The contractor must hold a current Association for Assessment and Accreditation of Laboratory Animal

Care (AAALAC) International approval. The contractor shall have extensive current knowledge and three (3) years minimum experience in teaching TCCC and SOF operations.

• The contractor shall ensure instructor qualification and experience levels necessary to deliver quality LTT and scenarios. As such, instructors shall be former Special Operations Forces (SOF) medics Instructors shall be current or prior medic/corpsman qualified in one of the following MOS’s/NEC’s

(18D/8491/8403/8427/8425/PJ) or other certified medical professional (PA/NP/Physician) of the same certification level or greater. All instructors must have relevant combat experience or extensive emergency/austere medicine background at the SOF or Provider Level. A ‘qualified substitute’ is defined as an individual who meets the qualifications identified and done in accordance with 5256.237-9000

Contractor Personnel Changes all Substitute employees shall meet the approval of the government personnel as specified in 5652.237-9001 Key Personnel Requirements.

• Medical Scenario Support Monitor / Instructors for Instructional Scenarios & STX shall have a Special

Operations background with Special Operations Forces (SOF) combat experience, with Operation Iraqi

Freedom/Operation Enduring Freedom Special Operations experience, and be graduates of JSOMTC, Fort

Bragg, NC; Fort Sam Houston, TX; or Para Rescue Journeymen (PJ) course at Kirkland Air Force Base, NM, and qualified in one of the following Military Occupational Specialty/Navy Enlisted Codes:

(18D/8491/8492/8403/8427/1T2X1(PJ), Physician or Physician Assistant (PA) with significant emergency medical and trauma management backgrounds.

• All medical instructors / monitors shall be vetted and certified by the contractor to conduct all aspects of training and compliance with the USDA to include USDAAT Training IAW the Animal Welfare Act 9

CFR and approved protocols.

6.2.1. The contractor shall provide verified up-to-date credentials for each instructor upon request.

Vendors shall submit curriculum to the government personnel, seven days in advance, prior to each course of instruction, for review and final approval. In addition, curriculum shall be on site for all training evolutions.

6.2.2. The contractor shall be responsible for providing all necessary LTT models, including their holding, transport, housing, feeding, and overall care in accordance with all applicable regulations.

6.2.3. The contractor shall be capable of providing live patient models (swine) weighing at least 110 lbs., but no more 180, to best simulate the weight of the average Operator. The contractor company shall legally obtain animals from suppliers licensed by the United States Department of Agriculture (USDA), unless the supplier is specifically exempt from USDA licensing requirements and has passed the required inspection by a DoD veterinarian with appropriate training and experience. The contractor company veterinarian shall be responsible for ensuring USDA licensing exemptions are met through facility inspection and program review.

6.2.4. The contractor shall be capable of covering the following topics at a minimum:

• Schedule of events

• Ensure Sensitive Information Non-Disclosure Agreement (NDA) is filled out and signed by all participants.

• The course shall be taught over a 5-day block that satisfies JTS CoTCCC guidelines, and units end state to include Advanced Medical Training. Training shall include, but not be limited to, all the sub-components of TCCC.

• Overview of Tactical Medicine Training

• Phases of TCCC

• Casualty Transport Techniques

• Hemorrhage Control

• Surgical Interventions

• Advanced Airway:

• Surgical

• Advanced procedures

• Fracture management

• Orthopedic Medicine

• Regional Anesthesia

• Dental Emergencies and Treatments

• Head Trauma

• Burns

• Ballistic Injuries

• Blast Injuries

• Damage Control Resuscitation/Shock to include blood transfusion and most current information and practices

• I Prolonged Field Care Protocols

• Input and Output (Nasogastric Tubes, Chest Tubes, Urinary Catheters)

• Telemedicine

• AOR Specific Classes o AOR Specific Mass Casualty Procedures o AOR CASEVAC Planning

• Nursing Care and Reporting

• Surgical Procedures

• Battlefield Pharmacology IAW TCCC

• USDAAT Table Top

• Practical Exercises (conducted in small groups) which address the following topics:

o Skills-based practice for all items in IFAK; casualty assessment; airway management; hemorrhage and shock mediation; bandaging and splinting; man-down carries; and rapid extrication techniques o The contractor must have CAPCE institutional accreditation with the ability to issue CAPCE accredited CEUs upon course completion.

6.2.5. The contractor shall provide all supplies and equipment necessary to execute the training requirements for training. Including but not limited to the following examples:

• The contractor will provide academic course materials for all subjects presented in the training to include course outline, student handouts and evaluation / testing results.

• Contractor’s complex must possess audio / visual capable classrooms that comfortably seat up the students in support of didactic aspects of the training being delivered. There shall be restrooms co-located with the classroom facilities within close walking distance to respective training areas. Restrooms shall have running water and flushable toilets.

• Contractor’s training complex shall have 24-hour on-site security due to the sensitive nature of this training.

• The contractor shall have all land permits, licensure and insurance to support the legal conduct of this training at their complex or other private facilities; all local, state, and federal permits pertaining to USDA

Approved Training (USDAAT); adhere to all applicable regulations for disposal of patient simulators, patient simulator products and / or other medical waste.

• Training will include use of (30) porcine patient models for exercise.

• Contractor’s complex must possess an animal containment area that has been approved by the USDA for use in AMT. This containment area shall be co-located or adjacent to the classrooms in order to maximize the training time available.

• The contractor’s Operational Medicine facility shall have an adequate table top area that is discreet, shaded, ventilated, climate controlled and private.

• Adjacent to the Operational Medicine Facility an adequate, discreet training area suitable for the performance of the practical applications of this PWS shall be provided. This area shall support trauma lanes, operational medicine related scenarios involving AMT protocol protected from public observance.

• The contractor shall conduct medical product demonstrations of standard and invasive medical products. (i.e.: hemostatic agents, tourniquets, chest dressings, thoracotomy, cricothyrotomy).

• The contractor shall conduct trauma scenarios based on the level of student training and experience, and unit specific mission.

• Ensure all participants adhere to all local, state and federal regulations.

• The contractor will provide all USDAAT model delivery and appropriate removal/disposal.

• The contractor will provide all required Class VIII medical supplies.

• The contractor will provide Comprehensive After-Action Assessment of attending personnel performance within 30 days’ completion of the course. And shall at a minimum include an overview of training conducted, evaluation of student performance against the T&R tasks listed in section 2.0, and recommendations for future trainings.

• The contractor’s facility shall not have any day/night/weekend noise restrictions due to the type of training to be conducted

• The contractor’s facility will have training structures to replicate confined space and/or collapsed structures for use in situational training exercises

6.2.6 (Contract Data Requirements List – CDRL).

CDRL Title Applicable PWS

Paragraphs

Due Date

Instructor Credentials and

Qualifications

6.3, 6.3.1

Not Later Than (NLT) 7 days prior to the course start date. Resumes and copies of all certifications for every instructor must be provided for government personnel review and approval.

Training Curriculum and

Detailed schedule 6.3.1, 6.3.4

NLT 7 days prior to the course start date. A detailed day-by-day schedule and curriculum outline demonstrating how all PWS topics will be covered.

Facility and Accreditation

Certificates

6.2.9, 6.3, 7.1.2, 7.1.3

With Quote/Proposal submission. This includes proof of insurance, current USDA Class-R Certification, and current AAALAC "Full

Accreditation." This is a condition for award.

After Action Assessment 6.3.5 NLT 30 days after course completion. Must contain all elements specified in PWS paragraph 6.3.5.

7.0. Applicable Documents / Governing References. In addition, requirements of regulations and policies applicable to this contract/order by virtue of clauses contained herein, the contractor shall, in the performance of this contract/order, also comply with all references applicable to the specific tasks of this Performance Work Statement, as listed below, including any amendments or subsequent issuance.

7.0.1. Marine Corps Reference Publication (MCRP) 2-10A.6: Ground Reconnaissance Operations

7.0.2. Navy & Marine Corps (NACMC) 3500.55C; Reconnaissance Training and Readiness (T&R) Manual

7.0.3. Pre-Hospital Trauma Life Support/Tactical Combat Casualty Care (PHTLS/TCCC) protocols as established by the American College of Surgeons Committee on Trauma, the National Association of Emergency

Medical Technicians

7.0.4. Headquarters, United States Special Operations Command (USSOCOM) USSOCOM Directive 350-

29 Special Operations Forces Medical Training

7.0.5. USDA Class R Research Certification

7.0.6. USSOCOM and BUMED Approval for Live Tissue Training (LTT)

7.0.7. CECBEMS Institutional Accreditation Documentation, CAPCE Institutional Accreditation

Documentation

7.0.8. The Animal Welfare Act, Title 7, U.S. Code, Section 2131-2158 as amended

7.0.9. The Animal Welfare Act Regulations, Title 9 CFR

7.0.10. The Animal and Animal Products, Chapter 1, subchapter A, Animal Welfare, Parts 1-4, as amended.

7.0.11. DoD Instruction 3216.01 “Use of Animals in DoD Programs,”.

7.0.12. DoD Instruction 1322.24, “Medical Readiness Training,”.

7.0.13. AAALAC Approval Documentation

7.0.14. USSOCOM Tactical Medical Emergency Protocols (TMEP) for ATP’s

7.0.15 DOD Instruction 5200.1 Volume 3, Enclosure 3 Committee on TCCC curriculum.

7.1 Documents

7.1.1. Current monthly, quarterly and annual Co-TCCC updates as provided from the Chairman of the

Committee on Tactical Combat Casualty care and Director Pre-Hospital Trauma Care Joint Trauma System.

7.1.2. CO/CO, USDA, CLASS-R Research Facility Certification.

7.1.3. CO/CO, Documentation of “Full Accreditation” with the Association for Assessment and

Accreditation of Laboratory Animal Care (AAALAC) International.

Performance Requirements Summary (PRS)

Performance

Objective (The

Work)

Performance Standard (The

Requirement)

Acceptable Quality

Level (AQL)

Method of

Surveillance

Incentive

1. Facilities & Provide a CONUS-based 100% Compliance. All 100% Inspection and Payment

Logistical training facility, including facilities must be fully direct observation by

Support (PWS clean, secure lodging for operational, safe, and the Government

Sections 3.1 & thirty (30) students. available for the exact personnel or

5.0) Provide a dedicated team headcount on Day 1 of designated OIC upon room for 30 personnel and the Period of arrival.

adequate physical training Performance.

access.

2. Instructor

Qualifications &

Ratios (PWS

Sections 6.2.2 & 6.3.1)

Provide instructors who are former SOF Medics (18D, SOIDC, etc.), PAs, NPs, or

Physicians. Maintain a 5:1 student-to-instructor ratio for classroom instruction and a 1:10 ratio for practical applications.

100% Compliance. All instructors must meet credential requirements without exception.

Ratios must be strictly maintained at all times.

100% Review of

Instructor Credentials

(CDRL) prior to course start. Periodic observation by government personnel during instruction.

Payment

3. Live Tissue

Training (LTT)

Compliance

(PWS Sections

6.3.2 & 6.3.5)

Provide thirty (30) porcine models. Contractor must maintain active USDA licensing and AAALAC accreditation. Ensure humane holding, transport, care, and proper disposal of all biological material.

100% Compliance.

Strict adherence to all federal animal welfare laws, DoD regulations, and facility certifications is mandatory.

Verification of

USDA/AAALAC

certifications prior to award. Direct visual observation by COR and Medical OIC during LTT evolutions.

Payment

4. Training Execute a comprehensive 100% Direct Observation by Payment

Execution & 6-day TCCC/AMT Compliance.100% of the government

Curriculum curriculum. Effectively the approved curriculum personnel/OIC. Review

Delivery (PWS conduct didactic, practical, syllabus and all required of End-of-Course

Sections 6.2 & and Full Mission Profile medical Student Critiques and

6.3) (FMP) trauma scenarios interventions/tasks must Course Evaluations.

(e.g., surgical airways, be trained and hemorrhage control, evaluated.

prolonged casualty care) under high-stress conditions.

5. Deliverable: Provide a comprehensive 100% On-Time 100% Inspection and Payment

After Action After Action Assessment Delivery and Review by the

Assessment detailing student Compliance. Must be Government

(PWS Section performance against T&R submitted within thirty personnel.

6.3.5 / CDRL) tasks, course metrics, and (30) days of course recommendations for completion. Document future training. must be complete and accurate.

End Performance Work Statement