Attachment 1 EMS Director SOW.doc

SCOPE OF WORK

Medical Director for Bureau of Land Management Colorado (BLM-CO) Emergency Medical Services (EMS) Program

The purpose of this scope of work is to obtain the professional services required by state law to provide Emergency Medical Services (EMS) medical direction for the BLM-CO EMS Program. The BLM-CO EMS Program will provide emergency medical care for wildland fire operations, law enforcement activities, employees involved in remote work projects, employees involved in public interaction activities, and the automated external defibrillator (AED) program located in BLM-CO facilities. The BLM-CO EMS Program has historically had around 10 Emergency Medical Technicians and about 45 AEDs. This number may fluctuate from year to year.

The Medical Director must be a Colorado licensed physician and will have overall responsibility for the medical aspects of care provided by BLM medical providers in the state. Failure to produce a current and valid Colorado Medical License will disqualify candidates from considerations.

This includes but is not limited to assistance and expertise with the development of medical supervision plan, provider credentialing, and assistance with protocol development, continuing educational activities, patient care review, and contemporaneous on-line medical control.

This contract is for one year with up to four option years. It is estimated at approximately 80 hours average annually depending on fire activity to fulfill the needs of this requirement.

Medical Director Services shall include:

1. Training: The contractor will be required to provide and attend initial and annual EMS training in conjunction with BLM-CO. BLM-CO will coordinate locations and times for this training to occur. The contractor will provide input for training which will cover the dynamics of emergency medical care for wildland fire operations, law enforcement activities, and for employees involved in remote work projects and public interaction activities. During this training, the contractor will cover the medical supervision plan and medical protocols for the BLM-CO EMS Program. Travel and per diem expenses will be inclusive of the contract payment, and therefore will be covered by the Medical Director.

2. Program Development: The contractor will provide consultation, direction, and expertise to the Contract Officer Representative (COR) on maintenance and updating of the EMS plan for BLM-CO including agency licensure, personnel licensure, credentialing, and deployment of medical resources on initial attack fire responses, law enforcement operations, work projects in remote areas, and public interaction activities. This plan will also address emergency medical evacuations and destination criteria, tactical medical training, and AED program guidelines for BLM-CO facilities.

3. Protocol Review and Approval: The contractor will assist BLM-CO in providing oversight for the established program protocols and will function as the Medical Director who will review and approve the protocols every year or as necessary.

4. Subject Matter Expert (SME): Provide guidance on up-to-date medical issues attained through participation in local, state, national meetings, workshops, and continuing education that impact the quality of care provided in wildland fire incident or remote wilderness location settings.

5. Education: Provide oversight, develop content, approve practical exercises and certify the state and/or national registry continuing education bi-annual EMT educational meeting/ training as requested.

6. Patient Care Report (PCR) Review: Review an adequate sample of PCRs for each incident to determine quality of documentation for problem assessment/reassessment, treatment, and disposition. Based on this review, provide a written response with recommendations such as a change in documentation or treatment protocol and topics for continuing education.

7. Online Medical Direction: The Medical Director will be available to answer questions and provide direction to the EMS providers in the field. The Medical Director, or approved designee, will provide a response within 10 min from initial contact from the months of April through October.

8. Liability Insurance: The Medical Director will maintain and provide proof of liability insurance on an annual basis to the Contracting Officer (CO).

9. Quality Assurances Performance Plan (QAPP): The Medical Director will submit monthly written reports to the COR during the identified fire season and quartile reports outside of fire season including;

a. Summary of all submitted wildland fire Patient Care Reports (PCR)

b. Review on 10% of: submitted PCR, incident accident sites, summary of SME activities, and online medical direction requests.

Authorization to Begin The contractor is authorized to begin work after award and written notice is given by the Contracting Officer’s Representative or Contracting Officer.

Key Officials

(a) The contractor shall assign to this contract the following key personnel who will have the full authority to act on behalf of the contractor during performance of efforts hereunder:

To be determined during negotiations (Individual names shall be included in the resultant contract as an attachment. Revisions in accordance with the provisions of this clause will be made by superseding letters to be included as a bilateral contract modification) Supervision shall be the responsibility of the Contractor. Any Contract employee problems in performance, attendance, or other personal problems shall be referred to the On-Site Supervisor to be referred on to the Contractor.

(b) During the first year of performance, the Contractor shall make no substitutions of those personnel unless the substitution is necessitated by illness, death, termination of employment, or otherwise approved by the CO. The Contractor shall notify the CO within 15 calendar days after the occurrence of any of these events and provide information required by paragraph (c) below. After the initial year, the Contractor shall submit the information required by paragraph (c) to the CO at least 15 calendar days prior to making any permanent substitution.

(c) Substitution of key personnel shall require the written approval of the CO. The Contractor shall provide an explanation of the circumstances necessitating the proposed substitution, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutions should have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on substitutions. The key listing of personnel shall be modified by superseding letters as a bilateral contract modification as stated in (a) above.

(d) The Government reserves the right to refuse any contractor employees recommended or referred by the Contractor.

For the BLM:

Primary: Contracting Officers Representative (COR)

Mary Loan Project Inspector

Kevin Grant Financial Business Management System Receiving Official

Kerry Jacobson Technical Direction

(a) Technical direction must be within the scope of work stated in the contract. The COR does not have the authority to, and may not, issue any technical direction which:

(1) Constitutes an assignment of additional work outside the Statement of Work;

(2) Constitutes a change as defined in the contract clause(s) entitled "Changes", located in Section C;

(3) Causes an increase or decrease in the total price or the time required for contract performance;

(4) Changes any of the expressed terms, conditions or specifications of the contract; or

(5) Interferes with the Contractor's right to perform the terms and conditions of the contract.

(b) The term "technical direction" is defined to include:

(1) Directions to the Contractor which redirect the contract effort, shifts work emphasis between work areas or tasks, requires pursuit of certain lines of inquiry, fills in details or otherwise serves to accomplish the contractual Statement of Work.

(2) Providing written information to the Contractor which assists in the interpretation of drawings, specifications or technical portions of the work description.

(3) Review, and where required by the contract, approval of technical reports, drawings, specifications and technical information to be delivered by the Contractor to the Government under the contract.

(c) Technical directions can be issued in writing or verbally by the COR.

(d) The Contractor shall proceed promptly with the performance of technical directions duly issued by the COR in the manner prescribed by this article and within his authority under the provisions of this clause. If, in the opinion of the Contractor, any instruction or direction by the COR falls within one of the categories defined in (a)(1) through (5) of this clause, the Contractor shall not proceed but shall notify the CO in writing within five (5) working days after receipt of any such instruction or direction and shall request the CO to modify the contract accordingly. Upon receiving the notification from the Contractor, the CO shall:

(1) Advise the Contractor in writing within thirty (30) days after receipt of the Contractor's letter that the technical direction is within the scope of the contract effort and does not constitute a change under the "Changes" clause, located in Section C, of the contract;

(2) Advise the Contractor within a reasonable time that the Government shall issue a written change order;

(3) Rescind the technical direction.

(e) A failure of the Contractor and Contracting Officer to agree that the technical direction is within the scope of the contract, or a failure to agree upon the contract action to be taken with respect thereto shall be subject to the provisions of the clause entitled "Disputes", incorporated by reference in FAR 52.212-4 Contract Terms and Conditions -- Commercial Items in Section C.

Observance of Legal Holidays

(a) The Contractor hereby agrees to observe the following Government holidays:

New Year's Day Columbus Day

President's Day Veteran's Day

Memorial Day Thanksgiving Day

Independence Day Christmas Day

Labor Day

Martin Luther King's Birthday

(b) Also, any other day designated by Federal Statute, any other day designated by Executive Order, and any other day designated by the President's proclamation. When any such day falls on a Saturday, the preceding Friday is observed; when any such day falls on a Sunday, the following Monday is observed. All personnel assigned to this contract shall limit their observation of holidays to those set forth above.

Procedures for avoidance of actual or apparent personal services

In order to avoid actual or apparent personal services for contractor employees performing work at Government facilities the following procedures shall apply to this contract and subsequent task orders:

(i) Each contractor employee shall be provided, and shall wear in plain sight, an identification badge which clearly indicates they are a contractor employee.

Professional Standards and Ethics

All personnel furnished by the Contractor shall be fully qualified for the services they are assigned. If any services performed by an individual do not conform to the contract requirements, or jeopardize successful performance of the contract, the CO may require the Contractor to immediately remove the individual from the contract at no additional cost to the Government. The Contractor shall conduct only business covered by this contract during period paid for by the Government and shall not conduct any other business on Government premises. Contractor employees assigned to this contract shall not solicit business that may be within the scope of this contract.

Pay and Benefits

(a) Regular hourly rates shall include fringe benefits, G&A, and overhead.

(b) Contractor personnel are not entitled to administrative leave for such functions as picnics, blood drives, luncheons, dedications, etc.

(c) Contractor employees are not eligible to receive monetary awards from the Government.

Certified Employee Time Records

The Contractor shall maintain certified employee time records for the life of the contract. The records shall consist of a daily time log for each employee. The log shall be signed or initialed and certified as correct by the employee and the On-Site Supervisor. The time records for the period covered by an invoice shall be submitted with the invoice.

Hold harmless and indemnification agreement The Contractor shall hold harmless and indemnify the Government against any and all liability, claims, and costs of whatsoever kind and nature for injury to or death of any person or persons and for loss or damage to any property occurring in connection with, in any way incident to, or arising out of the occupancy , use, service, operation or performance of work under the terms of the contract, resulting in whole or in part from the negligence acts or omissions of the Contractor, any subcontractor, or any employee, agent, or representative of the Contractor or subcontractor.

Government Issued Keys and Identification Cards

(a) All Contractor personnel shall be required to wear identification cards, supplied by the Government, while on the Government site. This requirement applies to personnel who are co-located at Government sites either on a full or part-time basis.

(b) It may become necessary for the Government to issue keys to the Contractor personnel.

(c) Prior to, or upon completion or termination of work required hereunder, the Contractor shall return all such keys and identification cards to the CO or the duly authorized representative. In the event such keys or identification cards are not returned, the Contractor understands and agrees that the Government may, in addition to any other withholding provisions of the contact, withhold $50.00 for each key or identification card not returned. If the keys or identification cards are not returned within 30 days from the date the withholding action was initiated, any amount so withheld shall be forfeited by the Contractor.