ATTACHMENT_02_-_140P8623Q0023_-_SOW_ALCA_EMT_2023.pdf

SCOPE OF WORK : RFQ# 140P8623Q0040

SCOPE OF WORK ALCATRAZ ISLAND EMERGENCY MEDICAL TECHNICIAN SERVICES

Section I - General Information

The U.S. Department of Interior (DOI), National Park Service (NPS), Golden Gate National Recreation Area (GGNRA), is seeking qualified firms who can furnish the services and supplies described herein for Alcatraz Island. Alcatraz Island is a highly visible and popular tourist site located in the San Francisco Bay, 1.5 miles (2.4 km) offshore from San Francisco, California. Alcatraz Island was originally developed with facilities for a lighthouse, a military fortification, a military prison from 1850-1933 and a Federal Bureau of Prisons federal prison until 1963. Beginning in November 1969, the island was occupied for more than nineteen (19) months by a group of Native Americans from San Francisco, who were part of a wave of Indian activism across the nation, with public protests through the 1970s. In 1972, Alcatraz became a national recreation area and received designation as a National Historic Landmark in 1986.

Today, Alcatraz Island facilities are operated by the NPS as part of the Golden Gate National Recreation Area and open to tours. Visitors can reach the island by ferry ride from Pier 33, near Fisherman's Wharf in San Francisco. Alcatraz Island often attracts over 5,000 visitors daily and annual visitation exceeds 1.3 million visitors. The Concessioner begins using the floating dock for operations at approximately 9:00AM daily and may operate until approximately 9:00 PM depending on public tours and special events. Additionally, there are other special events or filming, periodically that may run later into the evening.

1.0 DEFINITIONS

1.1 NATIONAL PARK SERVICE: Hereinafter; "NPS" or "Government"

1.2 U.S. PARK RANGER LAW ENFORCEMENT (LE): NPS's designee assigned to oversee overall Alcatraz Island security and emergency services.

1.3 CONTRACTOR: For the purposes of the remainder of this document, the emergency services company shall hereinafter be referred to as the "Contractor" or "service provider".

1.4 CONTRACTING OFFICER'S REPRESENTATIVE: COR

1.5 CONTRACT PERSONNEL: Emergency Medical Services providers and any other proposed on-site personnel.

1.6 EMERGENCY MEDICAL SERVICES: (EMS) A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.

1.7 EMERGENCY MEDICAL TECHNICIAN: (EMT) An individual who has training in basic life support, including skills such as automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.

1.8 NATIONAL REGISTRY of EMERGENCY MEDICAL TECHNICIANS: (NREMT) A US certification agency covering prehospital medical providers.

1.9 BASIC LIFE SUPPORT: (BLS) Noninvasive emergency lifesaving care that is used to treat medical conditions, including skills such as airway obstruction, respiratory arrest, and cardiac arrest.

1.10 PATIENT CARE REPORTS: (PCR) The legal document used to record all patient care activities. This report has direct patient care functions but also administrative and quality control functions. PCRs are also known as prehospital care reports.

1.11 GOLDEN GATE NATIONAL RECREATION AREA: GGNRA

2.0 SCOPE OF WORK

2.1 SERVICES REQUIRED: The Contractor shall furnish all labor, equipment, uniforms, badges, and supervision to satisfactorily perform prehospital emergency medical services in the manner and at the frequencies set forth below. The Contractor shall provide one-(1) uniformed Nationally Registered Emergency Medical Technician (NREMT) or California state EMT equivalent for Alcatraz Island to provide emergency medical services (EMS) on the island. Contract personnel will work under Medical Direction of the assigned NPS Medical Director and follow all protocols and procedures outlined in section 2.1.1.

2.1.1 The Contractor shall provide, operate, and maintain an EMS work force to staff and perform all necessary prehospital BLS functions. The Contractor shall be familiar with, knowledgeable of and follow NPS requirements, related duties and NPS EMS Protocols and Procedures (2017) outlined in FM-51 (Attachment A*).

* Controlled document made available by request directly to COR or Contract Specialist.

2.1.2 The Contractor shall be able to administer emergency medical services to sick or injured parties and notify the appropriate authorities, in the event of an accident or emergency.

2.1.3 The Contractor shall provide NPS with a schedule of EMT’s work assignments including name(s), hours scheduled for work, and hourly pay rate on a weekly basis and in advance. No substitutions shall be made without the prior consent of NPS COR. NPS shall not be subject to overtime pay for the Contractor's employees should the Contractor assign EMT’s to extended shifts, unless NPS initiates a schedule change. The Contractor shall assign well trained, experienced EMT’s who are vetted and pre-approved by the COR and familiarize them with NPS contract requirements.

The Contracting Officer retains the right to remove and/or replace Contract personnel during the Contract period of performance.

2.1.4 The Contractor shall provide copies of EMT Patient Care Reports for all prehospital care provided.

These reports shall contain, at a bare minimum, the EMS providers name, the date, time, location, nature of the injury or illness, and patient interventions as well as disposition.

2.1.5 Contract personnel shall participate in quality assurance/quality improvement (QA/QI) run review sessions scheduled with the NPS Medical Director and COR or his/her designee. QA/QI sessions will be scheduled during normal tour of duty hours for contract personnel.

2.2 TOUR OF DUTY:

2.2.1 Normal Hours of Service: Services begin at the Pier with the first staff boat to Alcatraz and end when the provider returns back from the island. In general, this is a 10-hour shift which is approximately from 0830 until 1830 hours. Starting and ending times may change seasonally with the intent of the contracted services to be provided for 10 hours when visitation is at its highest such as 1000 to 2000 during the summer months. This will be predetermined with adequate notice between the COR and the Contractor.

Operational hours may be limited due to operational limitations and/or unplanned island closures. The Contractor must remain flexible and adaptable to unscheduled island closures.

2.2.2 Federal Holidays: *Alcatraz Island will be closed on Thanksgiving Day and Christmas Day. Contractor services are NOT required while the island is closed.

• New Year's Day (January 1).

• Birthday of Martin Luther King, Jr. (Third Monday in January).

• Washington's Birthday (Third Monday in February).

• Memorial Day (Last Monday in May).

• Juneteenth National Independence Day (June 19).

• Independence Day (July 4).

• Labor Day (First Monday in September).

• Columbus Day (Second Monday in October).

• Veterans Day (November 11).

*Thanksgiving Day, 4th Thursday in November. Island closed to public. No services *Christmas Day, December 25th Island closed to public. No services

2.2.3 Liquidated Damages: Whenever a EMT is late or unavailable during contractual hours of operations the Contractor will be assessed damages at the rate of a replacement uniformed NPS Park Ranger, and administrative cost. Total liquidated damages per day are $1,550.00. Three unexcused, late or unavailable EMT’s are grounds for default of this contract. Definition of "Late": EMT misses the first assigned concessioner ferry to the island to pick up visitors at opening.

2.3 ADDITIONAL SERVICES REQUIRED: The Contractor shall ensure that relief personnel are provided when necessitated by illness or leave. Additionally, the Contractor shall ensure that the relief EMT service is provided without any lapse in coverage.

2.4 CONTRACTOR RESPONSABILITIES: The Contractor EMT personnel shall have the following responsibilities:

2.4.1 Essential Functions: The EMT may be assigned one or more duties. These duties may include, but are not limited to, the following:

• Presents himself/herself in a professional manner and displays a good public image for the employee and Contractor in accordance with company policy.

• Completes appropriate documentation in accordance with company policies and procedures.

• Conducts foot patrols through densely populated, high traffic areas carefully observing for visitors and/or employees experiencing medical emergencies.

• Provides an environment and equipment conducive to safety for patients, family members, visitors, and employees and in compliance with set precautions and approved standards.

Assesses risks to patient safety.

• Operates the emergency vehicle in a safe manner at all times.

• Always maintains vehicle and stations in a clean and presentable manner. The EMT should strive to exceed expectations of cleanliness of vehicle and stations.

• Maintains communications equipment, medical equipment and supplies in accordance with applicable standards.

2.4.2 Additional Duties: The EMT may be assigned one or more additional duties. These duties include, but are not limited to, the following:

• Bi-weekly inventory and reporting of EMS equipment and expendable supplies.

• Coordination of supply and equipment replenishment through COR or his/her designee.

2.4.3 Radio Use: EMT’s will carry and operate a NPS supplied two-way radio. If the radio is inoperable, it shall be noted in the log for repair or replacement and the COR is to be notified.

In this event, use a National Park Service ranger radio located in building 64 until a replacement can be made available. Park Communication Center continuously monitors Dispatch channel. The Island EMT shall make all reports to the Park Communication Center on Channel 16. The EMT shall notify the Park Communication Center upon arrival to the Island and prior to departure.

The following contact numbers are provided for Non-Emergency and Emergency situations that may occur on the island:

Non-Emergency Numbers:

National Park Service Communication Center: 415-561-5505 Coast Guard: 415-399-3300

Emergency Numbers:

National Park Service Communication Center: 415-561-5656 Coast Guard: 415-556-2103

3.0 QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. The individual in this position must possess the following qualifications:

• Current NREMT Basic or higher-level emergency medical services credential or California state equivalent

• Current state driver’s license

• Satisfactory driving record in accordance with the Contractors driving policy

• Excellent communication and customer service skills

• Ability to work cooperatively with other employees and medical agencies to provide the highest level of patient care

• Ability to read and interpret all required documents and write required reports and correspondence

• Physical ability to perform all tasks required in the performance of typical EMT duties including but not limited to bending / stooping, pushing, pulling, lifting at established weight requirements, climbing, working at heights, etc. (satisfactorily meet company physical assessments/tests)

• Strong interpersonal and communication skills with an ability to work effectively with a diverse range of individuals, teams, managers, supervisors, and external partners.

• Must have the ability to consistently deliver outstanding customer service to all internal and external customers

• Strong organization skills and attentiveness to detail

• Ability to always maintain a professional manner and appearance

4.0 EDUCATION REQUIREMENTS: The individual in this position must possess the following education requirements:

• High school diploma or general education degree (GED)

• Current NREMT certification or California State equivalent

• Current American Heart Association CPR for the Healthcare Provider card

5.0 CONTRACT ADMINISTRATION

5.1 PRELIMINARY INSPECTIONS: Immediately after award and prior to performance, the Contractor and COR shall make an on-site review of total job requirements, including a walk-through of the facilities covered in this SOW. At this time, the Contractor shall review in detail; the general types of work performed.

5.2 MONTHLY PERFORMANCE INSPECTIONS: Authorized Contractor representatives shall conduct monthly inspections of the account and meet with the Facility Site Manager to determine the overall quality of contract performance, job knowledge of individual EMT’s, the effectiveness of training, and to observe and determine the conduct and appearance of the EMT(s).

6.0 CONTRACT PERFORMANCE

6.1 CONTRACT PERFORMANCE: EMT(s) shall take direction from the U.S. Park Ranger LE and/or designated Facility Site Manager. Changes in performance requirements under the contract shall only be made at the behest of said individuals, which shall be coordinated with the Contracting Officer.

7.0 SAFETY

7.1 SAFETY·: The Contractor shall perform all necessary services to assure the safety and protection of employees and visitors.

7.2 INSPECTION TOURS: At the direction of the U.S. Park Ranger LE and/or designated Facility Site

Manager, designated Contractor EMT(s)shall make foot patrols in accordance with patrol routes and schedules as established in Section 2.9 entitled "Contractor Responsibilities".

7.3 HAZARDOUS CONDITIONS: The EMT(s) shall report to the Facility Site Manager (daily or as incidents occur) potentially hazardous conditions and items in need of repair, to include things such as inoperative lights, leaky faucets, toilet stoppages, broken, slippery concrete surfaces, broken glass in closed buildings, uncovered holes in roadways, loose rubble on paths, etc. The EMT(s) shall provide (or as incidents occur), reports to the Facility Site Manager detailing the hazard to be corrected. When a new hazard occurs, for example, a fallen tree limb or debris falling from a building the EMT shall make a note in the patrol log of these hazards to pass along to the National Park Service staff. In the event of a major hazard or occurrence, the EMT shall notify Park Communication Center immediately using the island phone system or National Park Service provided radio using Dispatch channel. These reports shall be both verbal and in writing.

8.0 REPORTS AND RECORDS

8.1 REPORTS AND RECORDS: The EMT(s) shall prepare required reports (including reports on minor medical aid) and maintain and make available all records concerning the duties and responsibilities of the assignment. All EMT(s) reports, written and/or verbal, regarding patient care shall be forwarded via appropriate reporting channels to the COR as established in Section 2.4 entitled "Scope of Work". All reports shall be complete, clear, concise, legible, and capable of administrative and/or legal use by U.S. Park Ranger LE.

8.2 KEY CONTROL: If the NPS issues any keys during a shift to the Contractor's EMT(s), the Contractor will be made accountable for all issued keys. EMT(s) personnel shall return said keys at the end of each shift. Each shift shall be responsible for the safety and security of all keys and/or electronic cardkeys in their possession. Contractor shall be responsible for all expenses related to any required facility re-keying as a direct result of the EMT(s) losing keys. Additionally, Contractor shall be responsible for all expenses related to the replacement of lost electronic keycards.

9.0 ATTACHMENTS

The following completed documents are attached to and made part of this Scope of Work:

Attachment: FM-51 Field Manual – EMS Protocols and Procedures (2017) (*)

* Controlled document made available by request directly to COR or Contract Specialist.