ATTACHMENT 1 - SOW MRR PFC MJL 2AUG2021.pdf

Marine Raider Regiment

PROLONGED FIELD CARE

Statement of Work (SOW)

ATTACHMENT 1

2 AUGUST 2021

1. INTRODUCTION

Marine Raider Regiment (MRR) and its subordinate battalions require Contractor provided materials and services as part of a regularly scheduled Prolonged Field Care

(PFC) Course. The course shall be capable of providing training seats to both Special

Operations Independent Duty Corpsmen (SOIDCs) and Critical Skills Operators (CSOs) in various stages of their pre-deployment training cycle. Contractor shall provide comprehensive logistics and facilities support specific to participant lodging, onsite, full technology classrooms, experienced physician and subject matter expert instructors, realistic scenarios, cadaveric anatomy and procedures familiarization, professional hyper-realistic moulage with human role player(s), coordination of high angle and rescue rigging ropes instruction with practical application, modes of unconventional transportation as well as multiple dedicated training sites and medical training lanes for use. Therefore, external support will be required to sustain mission readiness through augmented contracted external facility and training support.

2. OBJECTIVE AND SCOPE

2.1. SOIDCs (10 Personnel) and CSOs (10 Personnel) from each Marine Special

Operations Company (MSOC) will conduct Professional Development Training

(PDT) and Special Operations Medical Proficiency Training, to enhance essential capabilities and proficiency of the force. The medical capability required is associated with the conduct of direct support to operations, enhance organic Role 1

Medical knowledge, skills, and abilities, and increase unit lethality through survivability in support of COMMARFORSOC and Geographic Combatant

Commanders. Total trained will be 20 personnel per course.

2.2. This training shall provide the necessary and all-encompassing medical training support to ensure that MRR possesses operational skill sets and medical capabilities necessary to accomplish its medical and tactical specific functions.

This includes realistic training location and tactical scenarios such as live fire ranges, integrating other military units and providing locations to land helicopters beach boats and utilize internal and external modes of transportation. Accordingly, this advanced medical training will enable the MSOC to effectively interface with other SOF and Conventional medical elements that apply the same established standards of care, across the uniformed services, our allies, and areas of operation.

2.3. MARFORSOC requires training support in preparation for deployment at the

MSOC and Marine Special Operations Team (MSOT) levels. This includes different deployment location requirements and the type of medical evacuation assets that are available. MSOC level leadership will provide continuity with adjacent military units and assets as required by mission analysis. The Contractor shall provide curriculum, subject matter experts (SMEs), facilities, non- military

Statement of Work (SOW) vehicles, supplies, and equipment to provide critical SME training support and oversight.

2.4. The execution of these training events is to be a 'turn-key' evolution (i.e., all required training facilities and support is coordinated by the Contractor and provided to the designated representative), per each individual task order.

3. GENERAL REQUIREMENTS

The Contractor shall provide undistracted training support employing training facilities, training areas, vehicles/watercraft, role-players (RP), training aids, SMEs, logistical support for SOF peculiar realistic medical training as specified in individual task orders and procure the materials and equipment to support the entire exercise.

4. QUALIFIED PERSONNEL

The Contractor shall provide qualified personnel, as identified in each task order. The

Contractor shall ensure that all Contractor personnel are appropriately vetted, physically capable, possess the necessary security clearance, and are appropriately trained and educated to complete associated tasks as outlined in each task order. The Contractor shall be able to provide a consistent training cadre and key personnel capable of demonstrating continuity of instruction between training iterations.

5. DELIVERABLES

All deliverables shall be delivered to the Contracting Officer's Representative (COR).

Accordingly, the COR will perform acceptance of deliverables and evaluate them for completeness, correctness, and sufficiency of content, and submit for final approval by the KO.

6. GENERAL REQUIREMENTS

The Contractor shall provide the following requirements, as well as the detailed support identified in each specific task order for each training/exercise event.

7. Participating in Movement Via Military/Commercial Fixed or Rotary Wing

Aircraft, Waterborne Craft or Ground Transport

Contractor personnel shall be willing to conduct movement by land, sea, or air via military and civilian standard and non-standard platforms (vehicles, watercraft, aircraft) in support of unit training. The Contractor shall provide contracted personnel with personal protective equipment (PPE) as requested/required based on the platform(s) utilized. The Government will provide contracted personnel with training for embarkation and debarkation, and safety procedures of the specific platform(s) to be used before execution. Contractor personnel designated as vehicle operators/drivers shall possess a valid state driver's license.

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8. Training Environment

8.1. Weather. All Contractor personnel shall be required to work under temperatures that range from the upper 120s degrees Fahrenheit in the daytime to low 20 degrees Fahrenheit at night. It is the Contractor's responsibility to ensure that all contractor personnel have been briefed and prepared to operate under hot, cold, or wet weather conditions.

8.2. Facility Support. When facilities are requested, the Contractor shall provide facilities/land for training that will take place off DoD property, such facilities/land owned by the Contractor, or subcontracted with a private, commercial, State, or local facility that has been specifically developed, established, or operated to train during the proposed training event and dates.

9. USMC Installations – Exercise Support

Execution of exercises will not typically be aboard USMC installations. However, in the event an exercise/training event (or a portion of the scenario) is executed aboard a USMC installation, the Contractor will work with MARFORSOC Program Lead (PL) to facilitate that installation access, and requirements are met. The Contractor shall coordinate closely with the MARFORSOC COR for any required support. If training is to take place on USMC facilities, contractor and MSOC leadership will ensure role player requirement are in accordance with USMC Policy.

10. NON-DISCLOSURE STATEMENT

The Contractor shall not disclose or release to other than Government-authorized persons or activities, the content of any Government software, procedures, materials, or products generated under this contract, or information provided to the Contractor. There shall be no release of any task order information, outside of individuals with a 'need-to-know' without written approval from the Contracting Officer.

11. OVERVIEW OF REQUIREMENT: Prolonged Field Care (PFC) Training

The Contractor shall provide support for a five (5) day Prolonged Field Care (PFC)

Training event centered on small unit tactics in medical best practices, especially in situations with extended evacuations and limited resources in austere environments. The

Contractor shall be expected to support up to a total of six (6) courses per year. PFC

Training may be requested at the MSOT level, or multiple MSOT requirements combined at the MSOC level. The table below outlines the general requirements to support PFC training.

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Table 1 – Overview Prolonged Field Care Training Requirements

Requirements Description

Units to be Trained MSOT

MSOC

Duration Five (5) Days

Contractor

Personnel

Program Lead

Primary Instructors

Lane Instructors

Exercise Manager

Contractor

Facilities

Primary Training Facility

Satellite Operations Center IVO Exercise Areas

Wilderness Scenario Training Areas

Extended Medical Scenario Areas

Unconventional Mission Support Sites

Dining Facility

Gym Facility

Equipment Storage Facility

Training Aids All Medical Training Equipment

All Medical Class VIII (Supplies)

Cadaver Patient Models

Administration/Logistics Program Analytics/Reporting

Curriculum

Student Course Material

Transportation 4x4 Vehicles

Box Trucks

Commercial non-standard transport for insert/egress

Watercraft

Other HLZ, LZ

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DETAILED PROGRAM REQUIREMENTS

12. BACKGROUND

In 2005, SECDEF Robert Gates mandated DOD forces in the Iraq and Afghanistan war to abide by the Golden Hour rule for MEDEVAC. Fast forward 15 years later, and these wars wage on with less MEDEVAC support and additional resource constraints.

More specifically, this stage of the GWOT is defined by shrinking medical resources, a smaller battle space footprint, and the need to perform prolonged field care for missions in evacuation delayed denied areas. Although this pivot from golden hour care and quick evacuation to prolonged field care will require significantly different equipment and medical expertise, what it most requires is a different mindset. The

GWOT has raised a generation of golden hour warrior medics, both SOCM and 18D, Marines and CSOs alike, who have been doing excellent work. They now need new skills, new equipment, and most importantly a new approach for casualty care on a new and completely different battlefield. As SECDEF James Mattis once said, "America's military has no preordained right to victory on the battlefield" (NDS, 2019). Pursuit of increased modality options for further educational advancements and training is in line with all MARSOC, SOCOM, and USMC campaign guidance in order to increase survivability efforts in future fights.

13. OBJECTIVES

13.1. This training includes objectives for training a standard baseline level of care and performance above the TCCC level for a MARFORSOC element, to include unit medical providers (MD/PA), SOIDCs, and non-medical CSOs. Training will encompass enhanced team and individual skills in the treatment and evacuation of critically injured patients. The training shall support proficiency in the 10 Core

PFC capabilities for Medics and Non-Medics as outlined by the prolonged field care working group (i.e., prolongedfieldcare.org), align with the recommendations outlined in the Joint Trauma Systems (JTS) prolonged field care clinical practice guidelines, and documentation through JTS forms and AAR reports website. The increased level of care is complex, with rapidly changing medical conditions, lifesaving interventions, and early identification of worsening symptoms. This program is focused on providing increased advanced medical knowledge, treatment options, and incorporating the basic non-medic team member to assist in the prolonged treatment of a casualty.

13.2. Increase the capability and expand the scope of surgical and critical care medical practice in order to mitigate urgent life, limb or eyesight emergencies. This includes intimate, firsthand exposure and training to standards of emergency life-saving critical care procedures, nursing, and austere surgical interventions.

13.3. Provide complete immersion in an academic medical environment.

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13.4. Support an expanded scope of practice to fill identified gaps per 2015 USASOC

Prolonged Field Care exercise After Action Report and the 2016 Prolonged Care

Capabilities Based Assessment to include protocol development, improved pharmacology training, improved patient care skills, improved identification and management of critical care illnesses, increased critical care teleconsultation proficiency, improved familiarity with diagnostic, treatment, and monitoring technologies (ultrasound, ventilators, pulse oximetry, end-tidal CO2 monitors), and increasing use of high-fidelity simulation resources.

13.5. Practice in using 3rd world, unconventional, improvised, and primitive medicine.

14. SCOPE

The Contractor shall provide the personnel, management, materials, equipment, and facilities necessary to educate, familiarize, and provide hands-on training for the care of a patient in excess of 24 hours.

15. PROGRAM SPECIFIC REQUIREMENTS

15.1. Training shall consist of classroom training (lectures and hands-on practical) followed by a multi-day scenario-based practical application, not to exceed 36 hours, focused on prolonged field care for both medics and non-medics.

15.2. Classroom training shall consist of two (2) separate Lines of Effort (LOE) to run concurrently.

15.3. LOE 1 will be for Tier 2 (Combat Life Saver) TCCC trained CSO non-medical personnel.

15.4. LOE 2 will be for SOIDC and medical personnel and focus on advanced medical skills sustainment and enhancing the clinical judgement and medical decision making that the PFC environment will demand.

15.5. The training topics will be taught utilizing the most up to date medical references utilizing trauma and emergency medicine clinical practice guidelines as outlined by the Joint Trauma System.

15.6. Classroom Portion Curriculum Requirements:

15.6.1. LOE 1 and LOE 2 shall follow an established and standardized course syllabus designed by the Contractor to train all aspects of prolonged care to both medical and non-medical personnel.

15.6.2. Contractor shall provide cadaver or real tissue training exposure module suitable to procedural and surgical skills training to a ratio of no more than

Statement of Work (SOW) seven students to one model.

15.6.3. Contractor shall provide outline of syllabus and analytic criteria and for

LOE 1 and LOE 2, to MARFORSOC POC for review and acceptance prior to execution of the program.

15.6.4. Contractor shall coordinate with the MARFORSOC POC in the development of final medical scenarios to be conducted by separate teams of students simultaneously, in an environment capable of integrating with

DoD organic fixed and rotary wing assets, off-road vehicles, and other vehicles of opportunity identified below.

15.6.5. Students will be divided into teams consisting of up to five (5) students, one (1) primary instructor, one (1) lane instructor, and one (1) professional amputee role player per team meeting the requirements listed below in section 20 PFC Training Key Personnel and Required Skills/

Qualifications.

15.6.6. Amputee role-players shall utilize wearable and realistic medical procedure devices in order to provide students with the ability to perform the following lifesaving surgical procedures; Sternal IO, Surgical

Cricothyrotomy, Chest Tube, Foley Catheterization, Intravenous

Cannulation.

15.6.7. Contractor shall provide a mass casualty event for each team in the scenario utilizing professional medical role-players and professional moulage/Special FX.

15.6.8. Teams will consist of a mix of students from both LOE 1 and LOE 2.

15.6.9. At least one instructor per team shall be a Physician/PA level instructor meeting the requirements listed below in section PFC Training Key

Personnel and Required Skills/Qualifications.

15.6.10. At least one Instructor per team shall be an 18D/SOIDC/PJ/RN level instructor meeting the requirements listed below in section PFC Training

Key Personnel and Required Skills/Qualifications.

15.6.11. A portion of each scenario will be in a period of darkness.

15.6.12. Contractor shall provide a detailed mission planning brief and operational/ tactical objectives for the scenario.

15.6.13. No student attending the course will be utilized as a role player during the course unless part of the training scenario or be utilized as instructor cadre. Students will only participate as a role player during didactic

Statement of Work (SOW) training and in an iterative lesson. Contractor shall not utilize students as role player during any Full Mission Profile evaluations.

15.6.14. Vehicles of opportunity will be utilized in each scenario adding to the complexity of patient movement and medical intervention reassessment.

15.6.14.1. Transportation methods include but are not limited to:

15.6.14.2. Contractor shall furnish vehicles of opportunity such as RVs, cars, trucks, vans, motor bikes, and four wheelers.

15.6.14.3. Contractor shall furnish motor propelled boats, flotation devices, canoes as required.

15.6.14.4. Contractor shall facilitate and incorporate Government furnished rotary wing and fixed wing assets as required.

15.6.15. Utilization of realistic moulage applied by a professional make-up artist meeting the requirements listed in the PFC Training Key Personnel and

Required Skills/Qualifications is required. Application will be scenario based with injuries ranging from small lacerations, sucking chest wounds, amputations, degloving, impalements, etc.

15.6.16. Contractor shall provide one exercise manager during the field exercise phase meeting the requirements listed below in the PFC Training Key

Personnel and Required Skills/Qualifications.

15.6.17. Contractor shall provide patient scenarios and objectives, inclusive of key learning points referenced and linked with the curriculum syllabus provided for the classroom portion.

15.6.18. Contractor shall submit scenarios and learning objectives to

MARFORSOC POC prior to performance for review and acceptance.

15.6.19. Contractor shall provide all necessary medical equipment and medical supplies required for training as listed under the Materials Section.

15.6.19.1. Contractor is responsible for appropriate clean up and disposal of all medical waste and training materials.

16. CONTRACT PERSONNEL REQUIREMENTS

16.1. Key Personnel

16.2. Program Lead (PL)

16.3. A Program Lead (PL) is identified as Key Personnel for this requirement.

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16.4. Due to the size and complexity of this requirement the Government requires a

Contractor single point of contact, referred to as the Program Lead (PL). The

Contractor shall ensure any absences (including leave, medical emergencies, etc.), where the PL is unable to fulfill his/her duties are backfilled with a qualified candidate for the duration of the absence or until permanently filled.

16.5. Duties of the PL shall include tasks such as:

16.6. Oversee and perform the day-to-day management and administration of program tasks;

16.7. Develop detailed work plans and schedule;

16.8. Assign contractor staff responsibilities and supervise all contractor staff efforts;

16.9. Interact continually with the Government COR and any appointed Technical

Representatives (TR) to present interim results, discuss concerns, and ensure total product/service satisfaction;

16.10. Attend all planning meetings, and ensure format compliance of submitted unit requirements, as well as unit adherence to timeline submission requirements.

Planning timelines will be established NLT 60 days prior to the start of training.

16.11. Acts as focal point for input of all unit mission training requirements related to the program; and PFC courses trainings/classes.

17. Location and Work Hours

Performance by the PL shall be onsite at the Contractor provided location. Normal workdays are Monday through Friday except US Federal Holidays. Normal duty hours are 0730 – 1600, with a 30-minute lunch. However, the PL may be required to work nights and weekends, dependent upon support requirements.

18. PFC Training Key Personnel and Required Skills/Qualifications

Table 2 – PFC Required Skills/Qualifications

Position Required Skills/Qualifications

Program Lead

● Shall hold a bachelor’s degree or higher.

● Former Senior Non-Commissioned Officer (NCO), Warrant Officer or Officer.

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● Shall have 10 years SOF medical experience as an MOS

18D, SARC, SOIDC or PJ/USAF Pararescue operator or leader in either a Special Mission Unit (SMU); U.S.

Army Special Forces; Navy SEALs; Marine Special

Operations Command; U. S. Army 75th Ranger Regiment or other USSOCOM Operational Unit to include award and retention of their Military Occupational Specialty

Qualification (MOS Q).

● Shall have held position of leadership for at least three years at an O-4 staff level command or higher

● Shall have 4 years' experience working with/for

MARFORSOC (performance as military, civilian or

Contractor in any MARFORSOC position).

● Current driver's license.

Primary Instructors ● Shall have a minimum five (5) years SOF medical experience as an MOS 18D, SARC, SOIDC or PJ/USAF

Pararescue operator or leader in either a Special Mission

Unit (SMU); U.S. Army Special Forces; Navy SEALs;

Marine Special Operations Command; U. S. Army 75th

Ranger Regiment or other USSOCOM Operational Unit to include award and retention of their Military

Occupational Specialty Qualification (MOS Q)

● Have no less than six (6) years progressive medical instructor experience within SOF.

● Have experience in the delivery of PFC training to

USSOF, SOF enablers, and/or other USSOCOM personnel within the past two (2) years.

● Shall possess National Registry Paramedic or ATP

Certification.

Lane Instructor ● Shall have experience within the past two (2) years as a

Lane Instructor for the delivery of a PFC exercise for

SOF.

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Exercise Manager ● Shall hold a bachelor’s degree or higher.

● Former Senior Non-Commissioned Officer (NCO), Warrant Officer or Officer.

● Shall have held position of leadership for at least three years at an O-4 staff level command or higher

● Shall have ten (10) years SOF medical experience working with/for Special Operations (performance as military, civilian or Contractor).

● Current driver's license.

Subject Matter

Expert- Ultrasound

● Instructor will be an advanced Subject Matter Expert in

Point of Use Ultrasound in the SOF medical realm. This

SME shall be capable to provide instruction on eFAST/

FAST exam, peripheral/central catherization and regional blocks. This SME shall be recognized in his field as an expert through certifications/license documentation.

● Instructor position considered highly qualified if previous experience working within SOF Medical Community.

Subject Matter

Expert- Airway and

Ventilator Support

● Minimum Instructor requirement of advanced SME who has documented certifications and considered highly preferred as a Registered Respiratory Therapist (RRT), Respiratory Care Practitioner (RCP) for instruction of advanced airway periods of instruction.

● Instructors is considered highly qualified if having worked in SOF environment in last 5-years with documented experience in instruction of advanced subjects pertaining to PFC.

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PFC Training Facilities Specific Requirements

19. The facilities required for PFC Training will meet the requirements as outlined below.

19.1. Contractor training facilities shall be located within the state of North Carolina, to facilitate ease of travel from the base of operations to the training area.

19.2. Classrooms shall have media-share, projection capabilities, and climate control and will facilitate up to 20 students.

19.3. The Contractor shall work with any individual who may have special dietary needs or requests as soon as it comes to their attention. (i.e., some do not eat pork so provide an alternative such as turkey bacon). The facility shall facilitate up to 30 students.

19.4. All classrooms, lodging facilities, and training areas shall be within 25 min vehicle travel from one another with exception during the prolonged field care exercise.

19.5. The property shall provide a private entrance and exit into the interior. Access to the property shall be gated and secure in a low crime area that is not highly trafficked. The property shall have electricity, water, sewage, and have 24-hour access to full shower and restroom facilities with no less than a 1:5 occupancy ratio. The facility shall have an onsite fully equipped gym. Laundry services shall be available or provided.

19.6. Lodging facilities shall maintain large parking areas to facilitate student parking and separate staging areas for large military working vehicles and trailers.

19.7. Facility shall have access within close proximity of 3 miles or onsite HLZ no less than 100mx100m within 200ft of the training site.

19.8. Culmination exercise areas shall have capability to utilize multiple training lanes.

Training lanes shall contain multiple remote field hospital type facilities not openly accessible or visible to public that provides both a real-world safe house criterion, surgical capabilities, supporting physician staff and shall have the ability to receive up to twelve (12) litter bound role-player casualties. Each facility shall be separated from each other by an adequate distance to facilitate student/team integrity.

19.9. Culmination exercise area shall be sufficient in size with capability to utilize

ATV/off-road driving during exercise.

20. TRAINING MATERIALS.

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20.1. The Contractor shall develop training manuals, handouts, and other exercise and training documentation. Contractor shall provide pre- and post-course testing as a check on learning. Student learning metrics will be calculated and made available to MARFORSOC POC at completion for training validation.

20.2. Contractor shall perform student demographic surveys analyzing relevant participant data related to course performance, knowledge, and skills retention.

The Contractor shall conduct formative course evaluations capturing at a minimum: relevance of material for trainees, quality of role players and moulage from trainee and Lane Instructor, and role player performance, and quality of the classroom instruction and Field Exercise.

20.3. The Contractor shall gather feedback from role players and trainees utilizing a formal course evaluation process and forms. The evaluation process shall follow an accepted Government process and use accepted Government forms and occur after each course.

20.4. The Contractor shall procure and utilize for training and exercise specialized medical equipment that is equivalent or mimics organic unit capabilities to an

MSOT. This information will be provided to the contractor no less than 60 days prior to the start of training to allow for enough time to source any deficiencies.

20.5. Contractor shall provide all medical class VIII materiel and supplies for the classroom phase.

21. Medical Aid Bags. Contractor shall provide all medical class VIII supplies for the

Culmination Exercise phase. Table below lists the minimum required supplies for six (6) special operations aid bags to be utilized in practical scenario training.

TABLE - 3: CULMINATION EXERCISE AID BAG SUPPLY

Tourniquet Combat Application Black Ea. 24

Elastic Bandage 6 inch 18

Elastic Bandage 3 inch 18

TRAINING COMBAT GAUZE 18

Responder Compressed Gauze 18

Large Trauma Dressing 6

Pelvic Binder 6

Gloves (pair) 30

Kerlix Rolled Gauze Dressing 24

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Cric Kit 6

BVM 6

Bougie 6

Suction or 60cc Syringe 6

Peep Valve 6

HME Filter 6

ET Tube 7.0-7.5 12

Nasopharyngeal Airway 12

King LT 6 i-Gel Airway 6

Surgilube Packet 12

Needle Decompression Dart (14ga or 10ga) 24

Halo Chest Seal (2pack) 24

IV Start Kit 24

Blood Transfusion Kit 24

IV Admin Tubing 12

250cc NS Bag 24

500cc NS Bag 24

100cc NS Bag 24

3-way Stopcock 6

Oral Rehydration Salts 18

Flush 36

Blizzard Survival Blanket 6

Blanket Heated Ready Heat 6

SAM Splint 12

Traction Splint 6

Bandage Triangular Arm 24

Diagnostic Kit (bp cuff, thermometer, pulse ox, stethoscope, penlight) 6

Ultrasound Gel Packets or Bottle 60

Foley Catheter Kit 6

NG/OG Tube 6

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Chest Tube Kit or CT Tube + scalpel 6

Sharpie Marker Fine Point Black, EA 6

Medical Tape 6

Aluminum Eye Shield 6

18ga Needle 24

20ga Needle 24

3cc or 5cc Syringe 24

60cc Syringe 6

10cc Syringe 24

Alcohol Pads 60

TCCC Card 6

Sutures w/ needle 12

Small Burn Dressing 6

Large Burn Dressing 6

Burn Tissue Sheet 60x90 6

Minor Wound Care Kit 6

Alcohol Prep Pad 120

Mad Device 12

Simulation Narcotic Vials 120

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22. SENSITIVE ITEMS

Contractor is responsible for the proper securing, coordination, and documentation/ accountability necessary for the transport of weapons systems, munitions, and equipment to the drop-off, pick up, or storage areas as designated by the Government. Contractor shall provide the COR a by-name serial number list, and daily SITREPS on overall contractor requirements status.

23. EMERGENCY MEDICAL TREATMENT

Medical services for contracted personnel are the responsibility of the Contractor. In the event of a medical emergency, the Government shall provide care strictly on an emergency basis, life, limb, or eyesight for job-related injuries while an employee is performing under this contract. Emergency medical care may be available through local hospitals or through the Tricare Network based on the Contractor's agreement with individuals or the individual's medical insurance plan. For emergency ambulance service, call 911. Such emergency medical care shall be limited to those services necessary to prevent undue suffering or loss of life and shall be provided only during the period of emergency. In such circumstances, action will be taken to transfer employees of the

Contractor to a civilian health care provider as soon as possible.

24. PROVIDE CATERING SERVICES

24.1. Contractor shall provide catering to designated areas on time as coordinated by unit; specific requirements will be identified in the task Order SOW requirements.

In the event a dining facility is not available, the catering service must have the ability to prepare meals at their own business furnished location (e.g., a mobile kitchen or own local business), and deliver meals to the designated feeding site.

24.2. Support will include, but is not limited to:

24.2.1. Breakfast, Lunch, Dinner and Between Meal Enhancements

24.2.2. Must be proportionally correct for number of personnel

24.2.3. Must be of correct temperature at time of delivery

24.2.4. Must provide alternative options for Government personnel that are not able to eat at posted mealtimes due to training requirements; Government will provide numbers requiring this alternative and time they will be available to eat

24.2.5. Properly credentialed catering service that meets all DOD requirements as an approved source; Credentials shall be provided upon request by the

Government

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24.2.6. Provide current sanitation certification for all employees and keep certifications on hand during operations

24.2.7. Have the ability to enter and exit the military installation without escort

24.2.8. Provide documentation that employees have attended service safe classes either within the scope of state certification or DOD certification

24.2.9. Shall have the ability to serve prepared meals

24.2.10. Shall have the ability to cook, warm or store food products at the dining facility as may be required and deemed necessary for sanitation purposes

24.2.11. Adhere to the four-hour rule at all times

24.2.12. Set up and tear down after each meal at both serving locations

24.2.13. Provide all serving utensils to include, pots, pans, hot and cold containers, paper plates, Styrofoam bowls and cups, plastic utensils, napkins

24.2.14. Refer to Enclosure (1) Performance Menu Guidelines for additional details of requirements and example meal menus.

25. SECURITY

Security Requirements. Contractor and subcontractor employees shall comply with installation rules and regulations. The contractor is responsible for ensuring that each of its subcontractors fully complies with the following provisions and shall include a clause for subcontracts to satisfy this contractual obligation.

25.1. The contractor shall ensure requirements for safeguarding classified information and classified materials, for obtaining and verifying personnel security clearances, for verifying security clearances and indoctrination of visitors, for controlling access to restricted areas, for protecting USG property, and for the security of automated and non-automated management information systems and data are fulfilled. The contractor's management system shall prevent unauthorized disclosure of classified and sensitive unclassified information. The contractor shall immediately notify the USG of any security incident or any indication of a potential unauthorized disclosure or compromise of classified or sensitive unclassified information.

25.2. The contractor is responsible for providing the information required for obtaining any necessary clearances, permits, passes, or security badges that are required for contractor personnel or equipment access. This includes information required for police or background checks or investigations. The contractor is responsible for ensuring such clearances, permits, passes, or security badges are promptly returned

Statement of Work (SOW) to the issuing activity upon termination of an employee, completion of a project, or termination of a contract or subcontract.

25.3. All contractor personnel performing work under this contract who require access to military installations shall obtain personal entry and vehicle passes from including but not limited to PMO for Camp Lejeune. Contractor personnel and equipment entering a military installation are subject to security checks. Contractor personnel shall follow any direction given by Military Police or other security or safety personnel.

25.4. The MARSOC Security Office has broad authority to remove or exclude any person from the military installation to protect personnel and property, to maintain good order and discipline, and to ensure the successful and uninterrupted performance of MARSOC. In the exercise of this authority, the Commanding

Officer may refuse to grant personal entry passes or may bar contractor employees, including employees who have been granted a personal entry pass. Refusal to grant an employee a personal entry pass or barment of an employee does not relieve the contractor of the responsibility to continue performance under this contract.

25.5. The Immigration Reform and Control Act of 1986 (IRCA), Public Law 99-603 (8

U.S.C. 1324a) requires employers to verify the eligibility of individuals for employment to preclude the unlawful hiring, or recruiting or referring for a fee, of aliens who are not authorized to work in the United States. By signing this proposal/contract or by beginning work under this contract, the contractor certifies it has and will comply with IRCA, to include that it has verified the identity and employment eligibility of any individual employed who is or may be employed by the contractor and works under this contract.

26. SERVICE DELIVERY SUMMARY (SDS)

Task Order performance assessments will be provided to the Contracting Officer (KO) by the Contracting Officer’s Representative (COR) per the Quality Assurance Surveillance

Plan. Meeting or not meeting the thresholds identified in the Task Order SOW

Attachment will be the basis of that performance evaluation.

27. PLACE OF PERFORMANCE

The place of performance will be within the state of North Carolina. Exercise and

Training events will occur on military, Government, Federal, State, and privately owned facilities and land throughout North Carolina with contractor being responsible for compliance with those agencies or pertaining regulations.

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Enclosure (1) Performance Menu Guidelines

(Reference: See POL 6-18 ARSOF Performance Menu Guidelines, Appendix D; MCO 10110.49 Nutrition and Menu Standards for Human Performance Optimization)

Example of Approximate Appropriate Portions Per Meal:

Divided Evenly Between Meals Estimated Based Upon a Ref. Male Marine Age 26 years old, 72 in., 190 lb., Moderately High Activity in the Heat Subtracted Expected Outside-Meal Nutrient Intake from Enhancements/Beverages

50g Protein, 130g Carb, 40g Fat (Equiv. to ~7-8 ounces of meat, 2-3.5 cups starch, and 5 servings/Tablespoons of total fat)

Menu Item(s) Minimum Requirements Specifications

Meats & Entrée Options

Minimum of 2 meats choices available per meal.

• Minimum portion of 30g protein per serving, per individual served.

• Preferred cuts may include, but are not limited to round, loin, leg, breast, tenderloin, etc. with any visible fat trimmed.

• Available selections at each meal must include either a white meat (poultry/pork) or a fish/seafood option and one lean, red meat

• Fatty fish must be offered at least twice per week (either tuna or salmon)

• Only lean ground meats (90% lean or higher) are to be used and shall include no fillers or extenders.

• Meat and fish shall be baked, broiled, or grilled only.

Eggs and Dairy

Eggs offered daily at breakfast; low-fat dairy products offered at a minimum of 2 choices per meal.

• Egg white alternatives shall be offered when noted in the menu

• Powdered eggs shall not be used.

• No ‘processed cheese products’ are to be used.

• Cheeses offered shall be reduced fat or made from 2% milk and included on the side unless integral to the recipe.

• 1% or skim milk is preferred and should be labeled to reflect fat content.

• Preference for low-fat cottage cheese and/or low-fat Greek yogurt to be offered at each meal.

Statement of Work (SOW)

Grains and Starches

Minimum of 2 starches served per meal with at least 1 served hot, 6 cereals for breakfast, 3 bread choices shall be offered per meal

• One non-fried hot starch served per meal without added fat (i.e. potatoes, rice, pasta, quinoa, couscous, oatmeal, grits, etc.).

• One legume/bean served at least 3 times per week.

• At least one bread offered shall be 100% whole grain (>3g fiber per serving).

• At least one bread offered is folate and iron fortified.

• At least one hot cereal without added fat or sugars at breakfast.

• Minimum of half of cold cereals offered must list 100% whole grain as first ingredient.

• Choice of 6 whole grain, ready-to-eat cold cereals: 4 must be without sugar coating and at least 2 contain 3g fiber per serving.

Fruits and Fruit Juices

Two or more fresh fruit choices per meal, cut up and ready to eat.

• Preference should be given to in-season fruits when available.

• Fruit juices shall be 100% fruit or fruit/vegetable blend.

• Fresh fruits should always be the preferred option at all meals. If necessary, frozen unsweetened fruit options may replace 1 cut fruit. No canned pie fillings or canned fruit are to replace fruit options at any meal or snack.

Vegetables and Salad Bars

At least two hot vegetables without added fat per meal, one salad option per dinner. Vegetables shall be offered and included in breakfast entrees when called for within the recipe.

• At least one vegetable must be non-starchy and of a vibrant color.

• Salad bar must include leafy green salads (no iceberg-only blends) and a minimum of 5 additional toppings to include, but not limited to: washed pre-cut vegetables, undressed protein (hard-boiled egg, tuna, etc.), and nuts/seeds.

• Three salad dressings (two house dressings less than or equal to 20% saturated fat, extra virgin olive oil + vinegar).

• Pre-prepared salads made with dressing that contains less than or equal to 20% saturated fat.

Beverages

Coffee, Tea, and 1% milk shall be available at breakfast. Other beverage options shall be available.

At least 2 Sports Beverage options shall be available at all meals.

• Low-fat and skim milk.

• 1% milk (offered at least once daily, preference at breakfast)

• Sports Beverage (i.e. Powerade/Gatorade/Accelerade)

• Coffee and Tea (fresh brewed, unsweetened) o Sugar, honey, and no-calorie sweetener packets available o Coffee creamers shall be free of trans-fats

Statement of Work (SOW)

Condiments and Sauces

This is not a serving-size-specific requirement for every meal but understood as being incorporated as toppings with breakfast/dinner items or garnishes as appropriate for the dish the vendor may serve.

• Sauces, condiments and spreads must be trans-fat free and contain no partially hydrogenated oils and less than or equal to 1 gram saturated fat per 100 calories (equates to approximately 10% saturated fat content), with exception for butter, nut butters, avocado/guacamole as a condiment.

• When hot or cold sandwiches are offered, provide appropriate accompaniments and condiments such as but not limited to sliced tomatoes, onions, pickles, lettuce leaves, ketchup, mayonnaise, mustard, relish, and salad dressing.

Fat Sources

This is not a serving-size-specific requirement for every meal but understood as being incorporated as toppings with breakfast/dinner items or garnishes as appropriate for the dish the vendor may serve.

• Fat-free and low-fat cooking methods shall be used.

• Use oils high in monounsaturated fats such as, but not limited to, olive, olive/canola blends, walnut, avocado, or grapeseed oils for food preparations.

• Performance fats are to be available at meals, including but not limited to avocado, olives, nuts, seeds and nut butters.

• Total fat must not exceed 30% of the energy value.

• All oils used to prepare food shall not contain more than 20% saturated fat.

Between-Meal Enhancements

Offered to support between-meal energy needs; left by Contractor at end of breakfast meal.

• Minimum requirement of 2 starch choices, 2 fat/protein option and 2 sports beverages/powder mixes available per person, per day. Suitable examples include:

o Starch/Grains: Baked pretzels or crackers; meal replacement bars (ProBar Meal, Bear Valley MealPack, Clif Bar, etc.); granola packs, and energy gels or chews.

o Fat/Protein: Trail mix pouches, nut/seed butter packets, bars containing a minimum of 15g protein (Oatmega or MunkPack Cookies, Rise Bar, Epic Bar, ProBar Base, etc.), lean jerky (1.5-2.0 oz. package), or tuna packets.

o Sports Beverages: Liquid ready-to-drink or powder packets for mixing. Examples include:

Powerade/Gatorade/DripDrop/AllSport

Dessert Minimum of one trans-fat free baked product per dinner meal.

• Minimum of one trans-fat free baked product per dinner meal.

EXAMPLE Meal Days

Example of appropriate portion sizes per meal 50g Protein, 130g Carb, 40g Fat (Equivalent to ~7-8 ounces of meat, 2-3.5 cups starch, and 5 servings/tablespoons of total fats)

Breakfast

• 3 eggs per individual per breakfast meal (equaling approximately 21g protein and 15g fat)

Statement of Work (SOW)

Contractor must utilize low-fat or fat-free cooking methods in food preparation o Egg white alternatives shall be offered when noted in the menu o Powdered eggs shall not be used.

• 2 breakfast meat options shall be provided (Shall provide a 3-ounce portion per individual per meal) o Canned meat, such as SPAM or canned ham, shall not be used o Must be a “low-fat” meat as defined by the FDA (less than 30% calories from fat)

• 2 starches served per breakfast meal at minimum (Must equal a serving size of no less than 2.5 cups per individual per meal) o Shall provide no less than 6 cereal choices for breakfast

▪ One Cereal must be a hot cereal without added sugars or fat (ex.

Oatmeal)

▪ Minimum of half of cold cereals offered must list 100% whole grain as the first ingredient.

▪ Choice of 6 whole grain, ready-to-eat cold cereals: 4 must be without sugar coating and at least 2 contain 3g fiber per serving o At least one bread offered shall be 100% whole grain (>3g fiber per serving).

o At least one bread offered is folate and iron-fortified

• 2 fruit options per breakfast meal at minimum (Must equal at minimum 2 pieces of whole fruit or 1 cup of fruit per individual served) o Fruit shall be cut and made ready to eat (apples, oranges, and other handheld fruits do not need to be cut) o Preference should be given to in-season fruits when available.

o Fruit juices shall not be offered in lieu of fresh fruit o Fresh fruits should always be the preferred option at all meals. If necessary, frozen unsweetened fruit options may replace 1 cut fruit. No canned pie fillings/canned fruit are to replace fruit options.

• 2 vegetables minimum per breakfast meal (may be incorporated into recipe when called for, i.e. egg frittata) o One of the vegetables must be non-starchy and of a vibrant color

• 1 dairy option must be served at each breakfast meal (ex. Cheese, yogurt, cottage cheese, and must provide minimum of ½ cup serving per individual) o Cheese may not be “processed cheese product” or “prepared cheese product” (No American Cheese, tub cheese, or canned spray cheese) o Cottage cheese or Greek yogurt must be “low-fat” option

• Beverages o Coffee, tea, and 1% milk shall be made available at breakfast (minimum of one

16-ounce portion of coffee per individual, minimum of one 8-ounce portion of tea per individual, and minimum of one 8-ounce portion of 1% milk per individual) o Coffee and Tea shall be freshly brewed and unsweetened and shall not be an “instant” variety o 1 Fruit juice option shall be made available and shall be 100% fruit juice or fruit/vegetable juice blend (will provide one 8-ounce portion per individual served) o 2 sports drink option shall be provided

• Sauces and condiments

Statement of Work (SOW) o Will provide condiments appropriate to the meal provided (such as ketchup, hot sauce, avocado, nut butters, salt and pepper, etc.)

o Sauces, condiments and spreads must be trans-fat free and contain no partially hydrogenated oils and less than or equal to 1 gram saturated fat per 100 calories (equates to approximately 10% saturated fat content), with exception for butter, nut butters, avocado/guacamole as a condiment.

• Fats o Contractor shall use minimal fats while preparing breakfast meal (less than 10% of calories per meal) o Use oils high in monounsaturated fats such as, but not limited to, olive, olive/canola blends, walnut, avocado, or grapeseed oils for food preparations.

o Performance fats are to be available at meals, including but not limited to avocado, olives, nuts, seeds and nut butters.

o Total fat must not exceed 30% of the energy value.

o All oils used to prepare food shall not contain more than 20% saturated fat

Lunch

Contractor must utilize low-fat or fat-free cooking methods in food preparation

• 2 meat options shall be provided at the lunch meal (will provide one 8-ounce portion of meat per individual per meal) o Preferred cuts may include, but are not limited to round, loin, leg, breast, tenderloin, etc. with any visible fat trimmed.

o If offering cold cuts as the meat option, must be turkey, roast beef, or ham and may not include any hard meats such as salami, pepperoni, capicola, etc.

o Available selections at each meal must include one lean read meat, and either a poultry/pork or fish/seafood option o Fatty Fish must be offered at least twice per week (tuna, salmon) o Only lean ground meats (90% lean or higher) are to be used and shall include no fillers or extenders.

o Meat and fish shall be baked, broiled, or grilled only.

• 2 starch options shall be provided at the lunch meal (will provide a minimum of 2.5 cup serving per individual served), and contractor will provide 3 bread options per meal o One non-fried hot starch served per meal without added fat (i.e. potatoes, rice, pasta, quinoa, couscous, oatmeal, grits, etc.).

o One legume/bean served at least 3 times per week.

o At least one bread offered shall be 100% whole grain (>3g fiber per serving).

o At least one bread offered is folate and iron fortified.

• 2 fruit options per lunch meal at minimum (Must equal at minimum 2 pieces of whole fruit or 1 cup of fruit per individual served) o Fruit shall be cut and made ready to eat (apples, oranges, and other handheld fruits do not need to be cut) o Preference should be given to in-season fruits when available.

o Fruit juices shall not be offered in lieu of fresh fruit o Fresh fruits should always be the preferred option at all meals. If necessary, frozen unsweetened fruit options may replace 1 cut fruit. No canned pie fillings/canned fruit are to replace fruit options.

• 2 vegetable options per lunch meal at minimum (Must equal at minimum 2 cups of vegetables per individual served) o All vegetable must be non-starchy (i.e. no potatoes, beans, etc.) and of a vibrant color.

Statement of Work (SOW) o Salad bar must include leafy green salads (a minimum of 3 different types of lettuce, no iceberg-only blends) and a minimum of 5 additional toppings to include, but not limited to: washed pre-cut vegetables, undressed protein (hard-boiled egg, tuna, etc.), and nuts/seeds.

o Three salad dressings (two house dressings less than or equal to 20% saturated fat, extra virgin olive oil + vinegar).

o Pre-prepared salads made with dressing that contains less than or equal to 20% sat fat.

• Beverages o Coffee and tea shall be made available at lunch (minimum of one 16-ounce portion of coffee per individual, minimum of one 8-ounce portion of tea per individual) o Coffee and Tea shall be freshly brewed and unsweetened and shall not be an “instant” variety o 1 Fruit juice option shall be made available and shall be 100% fruit juice or fruit/vegetable juice blend (will provide one 8-ounce portion per individual served) o 2 sports drink option shall be provided

• Sauces and condiments o Will provide condiments appropriate to the meal provided (such as ketchup, hot sauce, avocado, nut butters, salt and pepper, etc.)

o Sauces, condiments and spreads must be trans-fat free and contain no partially hydrogenated oils and less than or equal to 1 gram saturated fat per 100 calories (equates to approximately 10% saturated fat content), with exception for butter, nut butters, avocado/guacamole as a condiment.

• Fats o Contractor shall use minimal fats while preparing lunch meal (less than 10% of calories per meal) o Use oils high in monounsaturated fats such as, but not limited to, olive, olive/canola blends, walnut, avocado, or grapeseed oils for food preparations.

o Performance fats are to be available at meals, including but not limited to avocado, olives, nuts, seeds and nut butters.

o Total fat must not exceed 30% of the energy value.

o All oils used to prepare food shall not contain more than 20% saturated fat.

Dinner

Contractor must utilize low-fat or fat-free cooking methods in food preparation

• 2 meat options shall be provided at the dinner meal (will provide one 8-ounce portion of meat per individual per meal) o…