Attachment 1 - Emergency Medical Serivces J-A -Redacted.pdf

Justification and Approval (J&A) for Other Than Full and Open Competition

SOURCE SELECTION SENSITIVE

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I. Agency and Contracting Activity.

Agency: 82 TRW/ POC: MDG Contracting Activity: 82 CONS

II. Nature and/or description of the action being approved.

This requirement will be a Firm Fixed Price contract to provide full 911 Emergency Medical Services (EMS) to include ground transport services, Advanced Life Support (ALS), 24/7 service for patients requiring emergency transportation from Sheppard Air Force Base (SAFB) to higher levels of care in the surrounding geographical areas.

Historically, this requirement has been an 8(a) direct award.

Two contracts were awarded to A Plus Technologies as a base year plus four option years:

FA3020-08-C-0013 - $ POP 01 October 2008- 30 September 2013 FA3020-13-C-0004 - $ POP 01 October 2013-30 September 2018 6 mo extension covering 01 October 2018 to 31 March 2019 ($

One Contract awarded to CHEROKEE NATION OPERATIONAL SOLUTIONS, LLC:

FA3020-19-C-A006 - $ POP 01 April 2019 - 31 July 2020

The Small Business Administration has deemed this as a new requirement due to the increased scope and 5 year gap in services.

This requirement is being pursued as sole source due to an Exclusive Rights contract between Wichita County and the recommended company, AMR. See Section IV for further information on the Exclusive Rights contract.

III. Description of supplies/services required to meet agency needs.

An on base ambulance and crew that provide 24 hour/7 days/week Advanced Life Support (ALS) EMS transport-capable on base response within 10 minutes from call time to the emergency location for at least 90% of all 911 calls monthly, this includes an allowance of 1 minute call response time for the Emergency Control Center (ECC).

These EMS services require at least one paramedic and one Emergency Medical Technician to transport patients for an estimated 1000 events per year. These services must be able to triage, treat and transport. The requested EMS services must be able to respond to two simultaneous calls. The EMS services must also be able to participate in SAFB military exercises, flight line response, and medical coverage for military or partner events on SAFB (ie: Change of Commands, Hotter than Hell). Types of vehicles used for transport will include but are not limited to: ambulances and/or ambulance buses capable of transporting a combination load of litters and ambulatory patients in the event of a mass casualty event.

This requirement is projected to be awarded by 1 March 2025. The period of performance will be a base year with 4 option years (1 March 2025-28 February 2030).

The CLIN structure will be one firm fixed priced CLIN for the 24 hour/7/365 coverage and two not to exceed hourly CLINs for simultaneous calls and participation in SAFB events and exercises.

CLIN Description of Requirement: Quantity Unit Unit Price Total Price

Justification and Approval (J&A) for Other Than Full and Open Competition

SOURCE SELECTION SENSITIVE

August 2023 SOURCE SELECTION SENSITIVE Page 6 of 6

Recommend this acquisition be a direct award to the below contractor based on familiarity with medical requirements of Sheppard Air Force Base, and the ability to perform the service.

American Medical Response Ambulance Service, Inc.

(dba American Medical Response)

UEI/CAGE: KKRBLNH7DKX7 / 6FDJ4

Local Address: 4377 Seymour Hwy, Wichita Falls, TX 76309 Corporate Address: 4400 State Hwy 121, Suite 700, Lewisville, TX 75056 Socio-Economic Class: Large Business Website: www.AMR.net Point of Contact: Joshua Rose, Associate Vice President, Specialized and Federal Services Joshua.Rose@GMR.net 508.808.1158

VIII. Any other facts supporting the use of Other Than Full and Open Competition.

None

IX. List of any sources that expressed, in writing, an interest in the acquisition.

Five sources expressed in writing an interest in the acquisition as a response to the sources sought posted to SAM on 14 November 2024. The companies were ( and

X. A statement of the actions, if any, the agency may take to remove or overcome any barriers to competition before any subsequent acquisitions for the supplies or services required.

82 CONS will communicate with the City of Wichita Falls to inquire on their plans once the Exclusive Rights contract ends (February 2026). Inquiry on whether the City of Wichita Falls intends to compete any future Exclusive Rights contracts is recommended to determine if competition has taken place for the requirement. Communication will help acquisition planning to determine if future EMS contracts should remain sole source or be competed.

XI. Certification by the Contracting Officer.

As evidenced by my signature above, I certify that this justification is accurate and complete to the best of my knowledge and belief.

XII. Certification by the technical/requirements personnel.

As evidenced by my (our) signature(s) above, I (we) certify that any supporting data contained herein, which is my (our) responsibility, is both accurate and complete.