Attachment 1_SOW_RFP 75A50226R00024.pdf

STATEMENT OF WORK

Emergency Response Wraparound Services

1 REQUIRING ORGANIZATION

Department of Health and Human Services

Administration for Strategic Preparedness and Response

2 OBJECTIVE

The purpose of this Statement of Work (SOW) is to acquire comprehensive logistics support services to augment the Administration for Strategic Preparedness and Response

(ASPR). These services will enhance ASPR’s ability to prepare for, respond to, and recover from declared public health emergencies and disasters within the continental

United States (CONUS), outside the continental United States (OCONUS), and in U.S.

territories.

3 BACKGROUND

Under the National Response Framework, the Department of Health and Human Services

(HHS) is designated as the lead agency for Emergency Support Function #8 (ESF-8):

Public Health and Medical Services. This framework provides the mechanism for coordinated federal assistance to supplement state, tribal, local, and host nation resources during a public health or medical emergency. ASPR serves as the lead entity for ESF-8 operations.

When the National Disaster Medical System (NDMS) is activated, the HHS Secretary declares a Public Health Emergency, or the President issues a disaster declaration, ESF-8 may be activated to deliver supplemental health and medical support. This assistance may involve:

• Supporting local health authorities in addressing displaced or affected populations.

• Assessing and monitoring ongoing health and human services needs.

• Providing support to at-risk individuals and populations.

• Sustaining high-acuity patient care operations exceeding 1,000 patients per site, across multiple concurrent operational sites.

• Providing services to non-medical attendants (NMAs) and associated family members.

4 SCOPE

The Contractor must provide services in support of ESF-8 preparedness and response operations. This includes support to medically displaced populations and/or inpatient clinical operations across CONUS, OCONUS, U.S. territories, and host nations as directed.

• Emergency Notification: The Contractor must respond to a Contracting Officer

(CO) notification within two (2) hours of receiving a phone call or email.

• Mobilization: Mobilization of resources at the Task Order level must begin within:

▪ CONUS: 24 hours to 4 days after receipt of a Task Order.

▪ OCONUS: 24 hours to 1 week after receipt of a Task Order.

The Contractor must provide all personnel, materials, and services necessary to meet these requirements. Services will be performed in geographic areas designated in each

Task Order.

Additional requirements:

• Government Review: Contractor personnel proposed for each Task Order will be evaluated by the Government upon submission and following award.

• Resource Management: Services must be executed using economy, lean staffing, and efficient use of infrastructure and materials. Issues must be promptly elevated to the Contracting Officer Representative (COR) and CO.

• Life Support: The Contractor must provide life support for its deployed personnel and subcontractors, including – but not limited to – office facilities, supplies, IT equipment, billeting, communications, meals, and transportation.

• Travel: Travel arrangements (e.g., hotels, flights, rental cars) must not exceed federal per diem rates in accordance with the Federal Travel Regulation (FTR) and FAR 31.205-46, unless waived by FEMA. Reimbursement must be cost-reimbursable under an Other Direct Cost CLIN.

5 TECHNICAL REQUIREMENTS/TASKS

Program Management and Project Planning

The Contractor must appoint a Program Manager (PM) as the primary point of contact and Key Personnel for the CO and COR.

• The PM must:

▪ Possess the resources and authority to ensure efficient, timely program execution.

▪ Serve as the central focal point for all required tasks.

▪ Be available 24/7/365, along with one (1) designated alternate during absences.

▪ Keep the CO and COR informed of performance issues, financial concerns, or risks to schedule and mission success.

▪ Implement timely mitigation measures for adverse impacts.

• The PM must be prepared to brief the CO and COR at any time regarding contract activities, requirements, and potential solutions.

• Plans required at the Task Order level include:

▪ Site Assessments

▪ Technical Risk Assessments

▪ Alternative Analyses

▪ Environmental Impact Assessments

▪ Project Schedules

▪ Quality Control Plans

▪ Property Control Plans

▪ Safety and Health Plans

▪ Mission Essential Control Plans

▪ Incident Action Plans

▪ Housing and Transportation Plans

▪ Service Remediation Plans

▪ Waste/Gray Water Disposal Plan

▪ Mobile Hemodialysis and Peritoneal Dialysis Support Plans

6 HOURS OF OPERATION

Unless otherwise specified, the Contractor must perform all services under each Task

Order 24 hours per day, 7 days per week, including federal holidays. If specific services are designated for less than 24-hour coverage, the Contractor must provide on-call personnel to ensure emergency availability.

7 PERSONNEL

7.1 Qualifications

The Contractor must provide personnel with the necessary skills, certifications, and licenses to perform required services. Licensing must comply with federal laws and regulations for each discipline. Personnel may hold licenses from any U.S. state or territory, provided credentials are current.

7.2 Conduct and Supervision

The Contractor must ensure all personnel adhere to the standards of conduct and contract terms. Adequate supervision must be maintained at all times.

7.3 Local Hiring

Where appropriate, the Contractor must employ local national personnel and subcontractors to enhance cost-effectiveness. Oversight and compliance remain the

Contractor’s responsibility.

8 KEY PERSONNEL

8.1 Program Manager (PM)

The Contractor must designate a full-time PM and alternates, with full authority to act for the Contractor in all contract matters. The PM (or alternate) must be onsite and accessible via phone and email at all times during events.

8.2 Notification

Prior to contract start, the Contractor must electronically provide the CO and COR with the names and contact details of the PM and alternates. Updates must be submitted at least ten (10) calendar days before any changes take effect.

8.3 Meetings

The PM (or alternate) must meet as required with CO/COR-designated personnel to discuss technical or administrative issues. Certain Task Orders may require a dedicated

PM.

9 PROPERTY CONTROL

The Contractor must submit a Property Control Plan for federally funded or provided property under each Task Order. Property must be inventoried and managed in accordance with FAR Part 45 and the Contractor’s Government-approved plan.

10 SAFETY AND HEALTH

The Contractor must submit a Safety and Health Plan for all Task Order activities. Plans must cover occupational health protections for Contractor personnel.

11 ENVIRONMENTAL PROTECTION

The Contractor must comply with all environmental protection requirements specified in the Contract.

12 PROJECT SCHEDULE

The Contractor must submit detailed Project Schedules for each Task Order to the CO and COR. Schedules must demonstrate sufficient resourcing, planning, and milestone tracking. Updates must be submitted as required. Changes to baseline milestones must be documented and formally authorized by the CO/COR.

13 SECURITY CLEARANCES AND OPERATIONAL SECURITY

Security clearances (Top Secret, Secret, etc.) are not required. However, the Contractor must conduct background checks (criminal history, credit, fingerprints, public trust, etc.)

for all prospective candidates prior to Government review and acceptance.

14 CONTRACTOR SECURITY REQUIREMENTS

The Contractor must comply with all HHS personnel vetting and badging policies.

15 MARKINGS

The Contractor must not place its name, mark, or logo on signs, maps, drawings, or items without written approval from the CO, except for references to Emergency Response

Wraparound Services (ERWS) and the contract number.

16 ESSENTIAL SERVICES

The Contractor must develop a Mission Essential Contractor Services Plan to ensure continuity of essential services during crisis conditions. Plans must align with U.S.

Government guidance for the designated Area of Operations.

17 DELIVERY SCHEDULE

The Contractor must perform in accordance with all delivery schedules established in the

Contract and at the Task Order level.

18 GOVERNMENT INVESTIGATIONS

The Contractor must support external Government investigations and conduct internal investigations as required. The Contractor must provide unrestricted access to performance locations, including subcontractor sites, and must assist the Government in investigating and reporting losses or discrepancies involving material, inventory, or property.

19 TASK DETAILS

This requirement provides a comprehensive support mechanism. The Contractor may be required to deliver full or partial support depending on Task Order needs. In some cases, the Contractor may be required to establish and operate a fully functional field site.

Chart 1: Statement of Work (SOW) – Potential Requirements by Phase of

Operations

(Phases defined as Preparedness, Response, and Recovery; duration of each phase may vary.)

At the Government’s discretion, the Contractor may be directed to pre-stage materials.

Any such requirement will be formalized through a Task Order issued by the Contracting

Officer (CO) prior to implementation.

ADDITIONAL ITEMS MAY BE ADDED IN THE FORM OF A MODIFICATION AS

NEEDED

SOW Potential Requirements by Phase of Operations

Preparedness Response Recovery

19.1 Incident Management Team x x x

19.2 Transit /Paratransit/Shuttle/Ambulance

Services x x x

19.3 Specialized Meal Services x x

19.4 Community Housing x x x

19.5 Billeting for Responders x x x

19.6 Catering Dining Facilities x x x

19.7 Laundry Services x x x

19.8 Toilet, Handwashing, and Mobile Shower

Facilities x x x

19.9 Hydration Stations x x x

19.10 Potable/Non-Potable Water x x x

19.11 Gray Water Disposal x x x

19.12 Waste Removal x x x

19.13 Material Handling Equipment (MHE) x x x

19.14 On-Site Refrigerated Trucks/MILVANs for

storage and mortuary x x x

19.15 Transportation x x x

19.16 Oxygen/Gas Bottles Delivery and Pickup x x x

19.17 Oxygen Generators (maintenance and refuel) x x x

19.18 Power Generators (maintenance and refuel) x x x

19.19 Exterior Lighting (setup and removal) x x x

19.20 Custodial Services x x x

19.21 Pest Control Services x x x

19.22 Supplies (General Commodities, Medical

Surgical, Consumables and Pharmaceuticals) x x

19.23 Blood/Plasma Bank x x

19.24 Laboratory Services x x

19.25 Biohazard Waste Removal x x x

19.26 Medical Records Maintenance

x x

19.27 Hotel Room and Conference Area x x x

19.28 Facilities Management x x

19.29 Hazardous Materials (HAZMAT) Management x x

19.30 Camp Setup x x x

19.31 Maintenance x x

19.32 Agricultural Cleaning x x

19.33 Firefighting and Fire Protection Services x x

19.34 Logistics Services Support x

19.35 Container and Cargo Management x x

19.36 Retrograde Operations x x

19.37 Procurement and Supply Management x x x

19.38 Morale, Welfare, and Recreation (MWR) x x

19.39 Medical Diagnostic Equipment x x

19.1 INCIDENT MANAGEMENT TEAM

The Contractor must provide Incident Management Team (IMT) functions and implement an organizational structure consistent with the National Incident

Management System (NIMS). The Contractor must exercise oversight only for its own employees and subcontractors. All inherently governmental functions must remain with the Government and be communicated solely through the Contracting Officer (CO) and

Contracting Officer’s Representative (COR). Contractor attendance at any meetings must be co-attended by the CO or COR.

The IMT must deliver all required reporting, logistical, operational, financial, and planning support necessary for mission execution, regardless of type, size, or complexity, and must perform the following functions:

19.1.1 Coordination and Reporting

The Contractor must report to and coordinate daily with the CO/COR, identifying:

• Potential changes in mission scope.

• Issues affecting service provision.

• Any critical change or threat to the well-being of mission personnel.

19.1.2 Incident Action Planning

The Contractor must develop and submit a formal Incident Action Plan (IAP) on a weekly basis. The IAP must include, at a minimum, the following NIMS/ICS forms:

• ICS 209 – Incident Status Summary

• ICS 202 – Incident Objectives (24, 48, 72 hours)

• ICS 205 – Communications Plan

• ICS 215 – Hazard Risk Analysis

• ICS 215 – Operational Planning Worksheet

• ICS 203 – Organization Assignment List

• ICS 204 – Assignment List

• ICS 206 – Medical Plan

• ICS 208 – Safety Message Plan

• ICS 214 – Activity Logs

19.1.3 Situation Reporting

The Contractor must establish a reporting schedule for the timely development and dissemination of weekly Situation Reports (SITREPs) and Incident Action Plans

(IAPs). Adjustments to reporting frequency may be made by agreement with the COR and reflected in the Task Order.

19.1.4 Documentation and Records

The Contractor must submit all work products – including meeting minutes (formal and informal), conference call notes, worksheets, and other electronic or written records – within the timeframe established with the COR.

19.1.5 Privacy Act and HIPAA Compliance

At the conclusion of contract performance, the Contractor must provide the

Government with all Privacy Act and HIPAA-protected information related to evacuees. The Contractor must not retain any such records following turnover to the

Government.

19.2 TRANSIT/PARATRANSIT/SHUTTLE/AMBULANCE SERVICES

19.2.1 Ambulance Services

The Contractor may be required to provide both scheduled and emergency ambulance services, including ground, air, and maritime transport. Services must cover U.S.

Government transported patients, non-medical attendants (NMAs), and family members, including those in temporary housing or requiring transfer to and from airfields and medical facilities. The Contractor must furnish all coordination, dispatching, vehicles (ambulances, airplanes, helicopters, boats), medical equipment, and qualified medical staff necessary to deliver these services.

19.2.2 Emergency Medical Transport

The Contractor must provide urgent transportation to non-life-threatening care facilities (e.g., urgent care or emergency departments) within one hour of notification.

Life-threatening emergencies will normally be managed by local Emergency Medical

Services (EMS). If EMS resources are unavailable due to disaster-related surge, the

Contractor must assume responsibility.

19.2.3 General and Appointment-Based Transportation

The Contractor may be tasked to provide paratransit and shuttle services for U.S.

Government transported patients, NMAs, and family members. Requirements include:

• Furnishing all labor, management, vehicles, equipment, and materials necessary.

• Ensuring compliance with all federal, state, and local laws, regulations, and agreements.

• Supporting transportation scenarios such as:

▪ Routine medical appointments (multiple times weekly).

▪ Discharge from medical facilities to temporary housing.

▪ Follow-up appointments and treatments.

▪ Transportation to/from airports.

▪ Approved group trips (e.g., shopping, worship services, recreation).

19.2.4 Service Objectives

The Contractor must:

• Develop an integrated transportation plan to meet medical, social service, recreation, and personal needs.

• Ensure all vehicles are less than 10 years old.

• Provide 24/7 dispatch-managed transportation services, with peak coverage from 5:00 a.m. to 9:00 p.m.

• Maintain strict on-time standards:

▪ Drivers must wait up to 15 minutes past the scheduled pickup time before departing.

▪ Patients must not be permitted more than a 15-minute tardiness window for appointments.

• Respond to urgent medical transportation requests (e.g., pharmacy, appointments) within one hour.

• Provide ALS/BLS ambulances, appropriately staffed and equipped per state requirements, for transporting medically fragile patients from arrival points to care facilities.

• Maintain sufficient general-purpose and ADA-compliant vehicles.

• Maintain fleet readiness in accordance with DOT standards, ADA accessibility requirements, and all safety equipment mandates. All operators must be properly licensed.

• Deliver courteous service, including assisting non-ambulatory clients into/out of vehicles and facilities when required.

• Submit a weekly Transportation Services Report to the COR, detailing:

▪ Number of vehicles dispatched.

▪ Scheduled vs. unscheduled trips.

▪ On-time vs. delayed missions (with explanations and corrective actions).

▪ Trips by category (medical, social, personal).

▪ Incomplete trips, late pickups, and incorrect pickup locations.

19.2.5 Shuttle Bus Services

• Operate and maintain a scheduled shuttle service.

• Publish and distribute route maps at designated bus stops and to the Contracting

Officer (CO).

• Provide bus schedules and patronage data by route to the CO.

• Support both scheduled and unscheduled shuttle movements.

19.2.6 Insurance Requirements

The Contractor must obtain and maintain all required insurance, including but not limited to:

• Defense Base Act (DBA) Insurance: As required under FAR 52.228-3, insured at the IDIQ award level for OCONUS performance.

• Workers’ Compensation Insurance: As required by law, with employer liability coverage of at least $100,000.

• General Liability Insurance: Minimum $500,000 per occurrence for bodily injury.

• Automobile Insurance (U.S. operations): Coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury, and $20,000 for property damage.

Insurance costs are reimbursable under the ODC CLIN. The Contractor must provide the CO with proof of insurance immediately following contract award.

19.3 SPECIALIZED MEAL SERVICES

19.3.1 General Requirements

The Contractor may be tasked to provide clinically and culturally appropriate meals for U.S. Government transported patients, NMAs, and family members. Meals must be prepared and delivered in accordance with all applicable state and local food safety codes. Services must include breakfast, lunch, and dinner at each designated housing location, except where meals are already provided by the housing facility.

19.3.2 Special Dietary Needs

• Meals must be tailored to accommodate medical conditions, dietary restrictions, cultural requirements, and portion sizes, as approved by a licensed dietitian.

• Snacks may be required for individuals with special medical needs; delivery schedules and quantities will be specified at the Task Order level.

19.3.3 Menu and Reporting

• The Contractor must provide a sample menu for COR approval with each Task

Order.

• A weekly report must be submitted to the COR detailing:

▪ Number of meals delivered.

▪ Number of meals consumed.

▪ Number of meals not consumed, with explanations.

19.3.4 Food Donation

In accordance with FAR 52.226-6 and the Federal Food Donation Act of 2008 (42

U.S.C. 1792), the Contractor is encouraged to donate excess, wholesome food to nonprofit organizations that serve food-insecure individuals in the United States, to the maximum extent practicable and safe.

19.4 COMMUNITY HOUSING

19.4.1 General Requirements

The Contractor must be capable of providing short- and long-term housing for U.S.

Government transported patients, NMAs, and family members in commercial or community-type settings. Housing must:

• Be compliant with ADA requirements, including wheelchair-accessible rooms, roll-in showers, and elevator access, as needed.

• Include kitchenettes in rooms when available.

• Be located, when feasible, at no more than three to four facilities in close proximity to each other to promote a community setting. The number of facilities may be adjusted based on mission requirements.

• Be approved through a detailed housing plan submitted to the COR and CO per

Task Order.

19.4.2 Community Housing Objectives

• Provide commercial housing in a community-type, long-term setting with kitchenette-equipped units. If relocation becomes necessary after initial placement, the Contractor must arrange and fund the relocation of transportees and their belongings (e.g., movers, trucks, transportation).

• Ensure ADA-compliant accommodations for transportees with special needs.

• Locate housing within 25 miles of hospitals or social service centers identified in the Places of Performance at the Task Order level.

• Provide housing with administrative or office space located within five miles of shopping centers, pharmacies, and other essential services.

• Submit a weekly Housing Report to the COR detailing:

▪ Facility location (per Task Order).

▪ Room types and quantities.

▪ Occupancy status of each room.

19.5 BILLETING FOR RESPONDERS

19.5.1 General Requirements

The Contractor must provide, operate, maintain, and manage billeting for responders, health care workers, deployed camp staff, visitors, U.S. Government transported patients, NMAs, and associated family members when commercial housing is unavailable.

• Temporary Housing: The Contractor must construct temporary housing (e.g., tents or equivalent solutions) as specified in the Task Order SOW. Permanent construction is not authorized.

• Inventory Control: The Contractor must conduct regular inventories and report all discrepancies to the CO.

• Preventive Maintenance: The Contractor must perform preventive maintenance and inspections to ensure billets remain safe and serviceable.

Decisions to repair or replace equipment must be based on best value and economy to the Government.

• Furnishings: Billets must be equipped with environmental control units

(heating/air conditioning), interior and exterior lighting, trash receptacles, fire extinguishers, smoke alarms, and electrical outlets.

• Linen Service: The Contractor must provide a linen exchange service for sheets and blankets.

19.5.2 Permanent and Transient Accommodations

• Standard Billeting: Each billet must include, at minimum, a bed with mattress, nightstand with lamp, one set of linens (sheet, mattress cover, pillowcase), one pillow, one blanket, window coverings, and a wall locker per occupant.

• Transient Billeting: The Contractor must provide and maintain accommodations for transient personnel, which may include cots or bunk beds.

Furnishings must include linens, pillows, and blankets per occupant, as specified in the Task Order.

• Distinguished Visitor (DV)/VIP Quarters: The Contractor must maintain separate DV/VIP quarters, including cleaning, maintenance, and linen services.

Hallways and latrines must be cleaned daily, and guest rooms cleaned upon checkout.

• Compliance: All billeting must comply with OSHA Temporary Labor Camp

Standard 1910.142.

19.6 CATERING AND DINING FACILITIES

19.6.1 Food Service Preparation and Operations

The Contractor must operate Government-directed dining facilities and perform all food service operations, including preparation and serving of meals. Requirements include:

• Production schedules and food requests must be submitted as required.

• Dining facilities and food storage areas must comply with all food safety and sanitation standards.

• Food service personnel must be screened for illness, wear appropriate protective gear, and comply with sanitation requirements.

• Hazard Analysis Critical Control Point (HACCP) standards must be followed to ensure food safety.

• Adequate handwashing stations must be provided, using potable water or sanitizer.

• Bottled water must be made available.

• Special event meals must be prepared and served when directed by the CO, with prior approval.

19.6.2 Meals Ready to Eat (MREs)

At the Government’s discretion, the Contractor must provide MREs for responders, U.S. Government transported patients, NMAs, family members, and Government staff.

19.6.3 Convoy Café

At the Government’s discretion, the Contractor must operate Convoy Cafés, providing meals to CAC/PIV holders, Government personnel, and foreign national truck drivers.

19.6.4 Cultural Considerations

The Contractor must provide culturally competent meals that may deviate from the standard menu when required.

19.6.5 Takeout Meals

The Contractor may be required to provide takeout meals as directed by the

Government.

19.6.6 Ice Production and Distribution

The Contractor must produce, store, and distribute ice to support site operations.

Requirements include:

• Ability to generate or supply up to 10,000 lbs of ice daily.

• Maintenance of ice reserves.

• Random testing of ice to ensure compliance with federal and local quality standards.

• Operation and servicing of distribution points for Government-approved customers.

19.7 LAUNDRY SERVICES (LINEN AND STAFF MEDICAL CLOTHING)

19.7.1 General Laundry Operations

The Contractor must perform laundry services for community housing occupants as directed in the Task Order. Requirements include:

• Clothing and equipment must remain under Contractor control during cleaning.

• Laundry claims must be processed, with reports submitted to the CO.

• Lost and found items must be managed appropriately.

• Laundry drop-off and pickup points must be established; bulk laundry must not be accepted. The Contractor must provide laundry bags.

19.7.2 Specialized Laundry

Clothing or linens soiled with industrial, or pesticide contaminants must be segregated and processed separately.

19.7.3 Medical Laundry

Laundry used in medical facilities must be processed separately to prevent cross-contamination.

19.7.4 Self-Service Facilities

At Government direction, the Contractor must provide and maintain self-service laundry facilities, including washers, dryers, and associated infrastructure.

19.7.5 RSOI Laundry Services

For Receiving, Staging, Onward Movement, and Integration (RSOI) personnel, the

Contractor must provide 24-hour turnaround laundry service where laundry support is provided.

19.7.6 Sewing Services

The Contractor must perform minor clothing repairs for uniforms and civilian clothing. Tailoring or extensive alterations are not authorized.

19.8 TOILET, HANDWASHING, AND MOBILE SHOWER FACILITIES

19.8.1 Portable Restroom Facilities

The Contractor must provide portable toilets and restroom trailers in compliance with

OSHA 1910.142(d)(5), at a minimum ratio of one toilet per 15 occupants. All units must be certified by the Portable Sanitation Association International. Requirements include:

• Daily servicing or more frequently as required.

• Wastewater removal via vacuum trucks, with offsite disposal in compliance with all federal, state, and local laws.

• ADA-compliant restroom units.

• Adequate stocking of toilet paper at all times.

19.8.2 Handwashing Stations

Sufficient handwashing stations must be provided adjacent to restroom facilities.

Stations must be stocked with water, soap, and paper towels and maintained in sanitary condition at all times.

19.8.3 Mobile Shower Facilities

The Contractor must provide ADA-compliant shower facilities at a ratio of one showerhead per 10 persons, in accordance with OSHA 1910.142(f)(1)(ii).

Requirements include:

• Individual stalls with hot and cold water.

• Water temperature maintained between 110°F and 120°F with anti-scald protection.

• Daily sanitation with disinfectants, with more frequent cleaning if directed.

19.8.4 Wastewater Disposal

All wastewater from showers must be collected and disposed of in compliance with federal regulations at permitted treatment facilities. Local utilities must be used when available.

19.9 HYDRATION STATIONS

The Contractor must provide potable water for up to 1,500 deployed personnel across operational sites. Requirements include:

• Water must be provided via dispensers with cups or bottled water.

• A minimum of 35 gallons per person per day must be supplied, in accordance with OSHA Temporary Labor Camp Standard 1910.142(c)(2).

19.10 POTABLE/NON-POTABLE WATER

19.10.1 Water Production, Storage, and Distribution

The Contractor must provide, operate, maintain, purify, store, and distribute potable and non-potable water.

• Water Purification – The Contractor must operate and maintain Reverse

Osmosis Water Purification Units (ROWPUs) or other water processing systems at designated production sites.

• Storage Requirements – The Contractor must store potable and non-potable water with the ability to adjust capacity by ±10% to account for population fluctuations and incidental usage. Potable water must meet or exceed applicable Federal, state, and host-nation quality standards.

• Water Quality Monitoring – The Contractor must test chlorination levels at all storage and distribution points, including well points, to verify suitability for personal hygiene and compliance with health standards.

19.10.2 Municipal or Host-Nation Water Systems

• The Contractor must inspect, report deficiencies, and recommend repairs to local/host-nation municipal water systems located within the site perimeter.

• Repairs within the site perimeter must be made on a case-by-case basis, as directed by the Government.

• Repairs outside the site perimeter must be reported to the CO/COR and coordinated by the onsite Federal liaison and Administrative Contracting

Officer (ACO). Responsibility for execution rests with the host-nation municipality.

• Any maintenance or repair to municipal/host-nation systems, inside or outside the perimeter, must be considered new work and executed only through a

COR/CO-initiated Task Order modification.

19.11 GRAY WATER DISPOSAL

The Contractor must develop and implement a Gray Water Disposal Plan in compliance with all Federal and local regulations. The plan must reduce demand on sewage systems that manage black water and ensure environmentally responsible handling of wastewater.

19.12 WASTE REMOVAL

The Contractor must provide full waste management services, including collection, segregation, transport, and disposal of hazardous and non-hazardous waste, consistent with Federal, state, local, and host-nation regulations.

19.12.1 Dumpsters and Trash Removal

• The Contractor must operate and maintain dumpsters, ensuring waste is transported to authorized disposal sites.

• Waste processing must comply with local laws and include Category A and B infectious substances as defined in 49 CFR § 173.134.

▪ Category A – Infectious substances capable of causing permanent disability, life-threatening, or fatal disease in otherwise healthy humans or animals.

▪ Category B – Infectious substances not generally capable of causing permanent disability, life-threatening, or fatal disease in otherwise healthy humans or animals.

• For Category A substances, compliance with HMR (49 CFR parts 171–180) is required. Reference: www.selectagents.gov.

• Safety Inspections – The Contractor must conduct regular safety inspections of dumpsters.

• Hazardous Materials – The Contractor must segregate hazardous materials and petroleum, oil, and lubricants (POL) for storage in designated facilities.

Examples include car batteries, used oil, and industrial chemicals. The http://www.selectagents.gov/

Contractor must transport these materials to a specified hazardous waste accumulation or storage point.

19.12.2 Sewage Systems

The Contractor must operate and maintain existing sewage systems and modular wastewater treatment facilities within camp boundaries, including additional system connections.

19.12.3 Non-Hazardous Waste

The Contractor must conduct non-hazardous waste management in accordance with the environmental requirements of the Task Order and base contract.

19.12.4 Recycling

The Contractor must segregate and recycle materials for proper disposition.

19.12.5 Incineration

As directed by the CO, the Contractor must install, operate, and maintain

Government-furnished incinerators.

19.13 MATERIAL HANDLING EQUIPMENT (MHE – FORKLIFTS)

19.13.1 Operations and Oversight

The Contractor must operate and maintain all MHE in support of transportation and logistics requirements.

• Movement Support – The Contractor must provide MHE and transportation assets for movement within the installation unless Government-provided assets are specified.

• Licensed Personnel – The Contractor must provide certified operators for all equipment requiring licensure. All certifications must remain current and fully compliant with OSHA standards.

• Inspections and Documentation – The Contractor must perform and document routine inspections for all MHE and Vertical Handling Equipment

(VHE) in accordance with manufacturer guidelines and applicable technical manuals (TMs).

19.13.2 Equipment Requirements

The Contractor must provide and maintain up to 50 pieces of mixed MHE and related equipment, including but not limited to:

• Forklifts: straight mast rough terrain, industrial warehouse, and shooting boom rough terrain

• Pallet jacks

• Box trucks with lift gates

• Refrigerated trucks

• Generators with trailers (11kW–100kW)

• Portable HVAC units (1T–5T)

• Standard trucks for supply movement

• ATVs, hand trucks, and warehouse shrink-wrap machines.

The Contractor must also provide equipment field maintenance and refueling support as required.

19.14 ONSITE REFRIGERATED TRUCKS and MILVANs (Storage and Mortuary)

19.14.1 The Contractor must provide refrigerated trucks and/or MILVANs for:

• Medical product storage; and Mortuary services, as directed by Task

Orders.

• Units designated for mortuary use must:

▪ Be equipped with metal flooring

▪ Remain segregated from general-use units

▪ Be decontaminated at mission completion in accordance with

Department of Transportation (DOT) and Center for Disease Control

(CDC) procedures.

• Quantities, specifications, and delivery requirements must be defined at the

Task Order level and will vary by disaster situation.

19.15 TRANSPORTATION

The Contractor must provide multimodal transportation services (truck, rail, air, vessel) for personnel, equipment, cargo, pharmaceuticals, and supplies in compliance with all State, Federal, and International laws.

19.15.1 Personnel Movement – The Contractor must have the capability to transport several hundred responders simultaneously, including personnel with light cargo, using buses, vans, trucks, aircraft, or rail.

19.15.2 Commercial Ground Transport – The Contractor must have the capability to fund reimbursable commercial ground transportation (e.g., taxis, shuttles) for designated personnel who lack immediate access to funds. The CO/COR must approve designated personnel prior to use.

19.15.3 Cargo Movement – The Contractor must provide integrated transport for HHS cargo, vehicles, equipment, and pharmaceuticals as required by mission scope.

19.16 OXYGEN and GAS BOTTLES DELIVERY AND PICKUP

19.16.1 The Contractor must provide medical gases and related services comparable to a large hospital system. Services must include, but not be limited to:

• Oxygen cylinders

• Liquid oxygen tanks (LOX)

• Cylinder refills and replacements

• Rental tanks

• Gas distribution equipment

• Hydrostatic testing of cylinders in compliance with Federal regulations.

19.17 OXYGEN GENERATORS (MAINTENANCE AND REFILL)

19.17.1 General Requirements

The Contractor must provide onsite oxygen generation using Portable Oxygen

Generators (POGs) that are:

• Fully self-contained, compact, and turnkey

• Four-person transportable and stackable

• Capable of producing:

▪ 33 LPM of USP 93% oxygen at 50 PSIG

▪ 30 LPM of medical-grade air at 50 PSIG

▪ Able to fill cylinders up to 2200 PSIG

• Designed to support continuous 24-hour oxygen flow

• Compatible with commercial oxygen-consuming equipment and accessories.

19.17.2 Enhanced Capacity

In certain situations, defined at the Task Order level, POGs must be capable of producing at least 120 LPM at 85 PSIG. Systems operating at this level must:

• Be FDA-approved for hospital distribution

• Meet all applicable medical gas laws and regulations

19.18 POWER GENERATORS (MAINTENANCE AND REFUEL)

19.18.1 The Contractor may be tasked to provide primary and backup power to support:

• Clinical operations of up to 1,000 beds

• Food service operations

• Billeting for up to 1,800 staff

• Community living for up to 1,000 USG-transported patients, NMAs, and family members

• Shower and laundry facilities for all occupants

19.18.2 Multiple operational sites may require power support simultaneously. A site-specific power generation and refueling plan must be developed at the Task Order level.

19.19 EXTERIOR LIGHTING (SETUP AND REMOVAL)

19.19.1 The Contractor must provide, install, and maintain exterior lighting for operational sites, including billeting, clinical areas, and living support facilities (dining and laundry).

19.19.2 Lighting must:

• Cover approximately 100,000 square feet

• Ensure adequate site security and pedestrian safety

• Enable nighttime operations

19.20 CUSTODIAL SERVICES

The Contractor must furnish all management, labor, tools, materials, supervision, supplies, and equipment necessary to provide custodial services for common areas.

Services must maintain a clean, sanitary, and professional facility appearance.

19.20.1 Floors – Sweep, dust mop, damp mop, or wet mop to ensure uniform appearance, free of dirt, dust, stains, and debris.

19.20.2 Walls – Clean to remove dust, stains, cobwebs, and marks; high surfaces and coves must be free of dust and debris.

19.20.3 Blinds/Curtains – Remove dust, sand, and cobwebs.

19.20.4 Trash – Empty and clean all receptacles, remove solid waste to outside containers, and ensure receptacles are odor-free and returned to their locations.

19.20.5 Showers – Clean daily or more frequently as required.

19.20.6 Toilets – Clean daily or more frequently as required.

19.20.7 Counters – Clean daily or more frequently as required.

19.20.8 Desks/Chairs – Dust daily.

19.20.9 Interior Glass/Mirrors – Clean to ensure no residue, film, dirt, streaks, or smudges remain

19.21 PEST CONTROL SERVICES

19.21.1 General Requirements

The Contractor must provide comprehensive pest management services across all assigned sites and facilities. Services must include pest surveillance, control, and removal in accordance with the Task Order Statement of Work (SOW) and applicable federal, state, and local regulations. Integrated Pest Management (IPM) principles must be incorporated into all pest control operations.

• Competency Requirements

All vector and pest management personnel must meet established competency and certification requirements applicable to their duties.

• Pest Management Coordinator

The Contractor must provide a qualified Pest Management Coordinator

(entomologist) for emergencies or unique situations requiring the purchase and use of pest management materials.

• Government Coordination

Contractor personnel must coordinate all surveillance and control activities with the Contracting Officer (CO) and Contracting Officer’s Representative

(COR).

• Feral Animal Control

The Contractor must humanely trap and transport feral animals to veterinary or other government-designated personnel for disposition. Contractor personnel are not authorized to euthanize animals.

• Bird Control

The Contractor must not be responsible for the mitigation or control of birds.

19.21.2 Pesticide Use and Certification

• Restricted Pesticides

All personnel applying restricted-use pesticides must hold a valid U.S. state certification in the appropriate categories for the type of pest control performed. The Contractor must provide documentation of certification to the

Pest Management Coordinator to ensure compliance with government standards.

• Non-Certified Personnel

Personnel without certification may apply non-restricted-use pesticides only under the direct supervision of properly licensed/certified staff.

19.21.3 Feral Animal Control Operations

Feral animal control will only occur under the direction of the CO and with veterinary support.

• All captured animals must be transported humanely to veterinary or designated personnel for disposition.

• If veterinary support is not immediately available, coordination must occur with the Senior Government Site Manager to ensure safe and timely disposition.

• Contractor personnel must not euthanize animals under any circumstances.

19.22 SUPPLIES (GENERAL COMMODITIES, UNIFORMS, MEDICAL SURGICAL

CONSUMABLES, AND PHARMACEUTICALS)

19.22.1 General Requirements

The Contractor must plan, coordinate, and rapidly deliver supplies into the area of operations in accordance with Task Order requirements. Delivery timelines will vary based on mission-specific challenges, location (CONUS, OCONUS, International), and operational urgency. All requests will originate from field operations elements and will be vetted through the CO and COR.

19.22.2 General Commodities

The Contractor must provide commercially available commodities, including but not limited to:

• Office equipment and supplies

• Personal protective equipment (PPE)

• Cleaning and janitorial supplies

• Automotive parts and supplies

• Water and Meals Ready to Eat (MREs)

• Power and maintenance tools

• Batteries, lighting, and electrical equipment

• Test instruments and warehouse supplies

• Safety supplies and cache formulary items

Services must include onsite delivery and storage where required.

19.22.3 Uniforms and Duty Gear

The Contractor must replace uniforms and duty gear destroyed, damaged, lost, or rendered unserviceable in the line of duty, provided the loss was not due to responder negligence or misconduct.

19.22.4 Medical Surgical Consumables

The Contractor must provide medical surgical consumables typically required in inpatient clinical and pre-hospital environments.

19.22.5 Pharmaceuticals

The Contractor must provide pharmaceuticals typically used in hospital or pre-hospital settings that can be rapidly delivered under a Task Order. All pharmaceuticals must be commercially available and compliant with applicable regulations.

19.23 BLOOD/PLASMA BANK

The Contractor must provide a comprehensive blood and plasma supply service capable of supporting hospital operations treating up to 2,000 patients across multiple geographic locations. All services must comply with FDA and other applicable federal regulations.

19.24 LABORATORY SERVICES

19.24.1 Specimen Collection

The Contractor must provide on-site, certified specimen collection specialists (e.g., phlebotomists) trained to collect blood and other specimens.

19.24.2 Laboratory Testing

The Contractor must provide a full range of laboratory services, including mobile laboratory testing and specimen transport to reference laboratories for further analysis.

19.25 BIOHAZARD WASTE REMOVAL

19.25.1 The Contractor must provide routine collection and disposal of all biohazard waste, including:

• Medical/surgical waste

• Expired or partially used pharmaceuticals

• Sharps containers

• Red bag waste

19.25.2 Pickup frequency must be sufficient to ensure safe onsite management. Disposal must comply with all federal, state, and local regulations. Waste volumes may reach several hundred containers per day, consistent with operations in large hospital environments.

19.26 MEDICAL RECORDS MAINTENANCE

19.26.1 The Contractor must collect, sort, and provide short-term storage for disaster-generated paper medical records, ensuring proper transfer to the National Archives and Records Administration (NARA).

19.26.2 Records management must comply with all applicable privacy laws and regulations.

19.26.3 The Contractor must scan, catalog, and digitize thousands of hardcopy documents as required to ensure secure long-term storage and accessibility.

19.27 HOTEL ROOM AND CONFERENCE AREA

19.27.1 The Contractor must arrange lodging and conference facilities to support operational requirements, ranging from a single room to several hundred rooms at multiple concurrent locations (CONUS and OCONUS).

19.27.2 Contractor must have the capability to acquire hotel reservations directly or process payments for government-booked reservations.

19.27.3 Lodging and conference space must comply with Federal Travel Regulation (FTR) rates.

19.28 FACILITIES MANAGEMENT

The Contractor must perform Operations and Maintenance (O&M) services and implement a Preventive Maintenance (PM), Scheduled Maintenance (SM), and Safety

Inspection (SI) Program designed to maximize the service life of site facilities. The

Contractor must develop, maintain, and submit a Master Schedule of Work (MSOW) to the CO/COR as required by each Task Order.

19.29 HAZARDOUS MATERIALS (HAZMAT) MANAGEMENT

19.29.1 Hazardous Waste Storage

The Contractor must operate a Hazardous Waste Storage Area to receive, store, track, and prepare HAZMAT for shipment. The Contractor is not required to perform site remediation. The Contractor must indemnify the Government for fines, penalties, or charges resulting from failure to properly manage HAZMAT. The Contractor must clean up incidental spills occurring within the Hazardous Waste Storage Area.

19.29.2 Documentation and Packaging

All HAZMAT delivered to the Contractor’s Hazardous Waste Storage Area must be properly identified, labeled, packaged, and segregated, and accompanied by:

• Material Safety Data Sheets (MSDS)

• Hazardous Waste Profile Sheet

• DD Form 1348-1A (Issue/Receipt)

The Contractor’s personnel must assist with documentation preparation within their capability; however, the generating unit retains full responsibility for documentation and packaging.

19.29.3 Right of Refusal

The Contractor may refuse acceptance of HAZMAT that is improperly identified, labeled, packaged, segregated, leaking, or lacking required documentation.

19.29.4 Prohibited HAZMAT

The following materials will not be accepted under any circumstances:

• DOT Class I Explosives

• DOT Class 2.3 Poison Gas

• DOT Class 4 Flammable Solids (Spontaneously Combustible/Dangerous

When Wet, PKG I)

• DOT Class 5.1 Oxidizers (PKG I)

• DOT Class 5.2 Organic Peroxides

• DOT Class 6.1 Poisons (PKG I)

• DOT Class 6.2 Infectious Substances

• DOT Class 7 Radioactive Materials

• DOT Class 8 Corrosives (PKG I)

• DOT Class 9 Miscellaneous Hazardous Materials

• Polychlorinated Biphenyls (PCBs)

• Improperly Packaged Asbestos

• Nuclear, Biological, and Chemical Warfare Substances

• Waste generated from any source other than the U.S. Government

19.30 CAMP SETUP

19.30.1 Setup and Inspections

The Contractor must perform camp setup in compliance with OSHA Temporary

Labor Camp Standards (29 CFR 1910.142). Phased Technical Inspections must be conducted during setup, with frequency determined by project milestones.

19.30.2 Project Planning and Scheduling

The Contractor must provide project planning and scheduling support to the

CO/COR, including:

• Site assessments

• Technical risk assessments

• Alternatives analysis

• Environmental impact assessments

• Project schedules

• Estimates for labor, equipment, materials, and subcontracting

The Contractor must not perform planning activities that create an Organizational

Conflict of Interest (OCI) under FAR 9.5 unless mitigation measures are approved by the Contracting Officer.

19.30.3 Life Support Areas

The Contractor must install housing units (e.g., modular/containerized units, Force

Provider/Harvest Falcon modules, fest tents, military tentage, clamshell structures).

These must be geographically separated from USG-transported patients, NMAs, and family members, unless otherwise directed by the CO.

19.30.4 Refurbishment

The Contractor must perform minor repairs to temporary structures (e.g., tents) if damaged during use. Repairs to permanent structures are not authorized.

19.30.5 Turnkey and Mobile Facility Capability

• Camp Setup: The Contractor must construct camps on a turnkey basis, providing facilities fully supplied, installed, and operational.

• Disassembly/Decommissioning: The Contractor must provide labor, equipment, and resources to dismantle, transport, and/or relocate Government and Contractor property as identified by the CO/COR. The Government will specify which property must remain, be relocated, or scrapped, along with environmental mitigation requirements.

• Maintenance: The Contractor must conduct preventive and scheduled maintenance, including safety inspections, for facilities and equipment per manufacturer standards and SOW requirements.

19.30.6 Service Orders

The Contractor must operate a customer service helpdesk for repairs, replacements, and maintenance requests. The Contractor must:

• Maintain a database of service orders

• Provide regular service order reports to the Government

• Complete work according to timelines defined in the applicable Task Order

19.30.7 Grounds Maintenance

The Contractor must:

• Trim grassy areas, sidewalks, roads, and curbs as needed

• Perform dust abatement on unimproved roads, motor pools, and grounds

• Inspect and maintain drainage systems to prevent flooding or property damage

• Trim and remove trees/branches near power lines or facilities, remove diseased vegetation and debris, and control weeds/brush on paved areas

19.30.8 Barrier Maintenance

The Contractor must inspect and maintain barriers (e.g., sandbags, T-walls, Jersey barriers) to ensure they remain safe and functional.

19.30.9 Perimeter Fencing

The Contractor must maintain perimeter fencing in good repair and keep clear zones

(inside and outside) trimmed.

19.30.10 Chemical Latrines and Handwashing Stations

The Contractor must provide, service, and maintain chemical latrines and handwashing stations, including consumables (soap, toilet paper, paper towels, etc.).

19.30.11 Shower, Latrine, and Ablution Units

The Contractor must provide, service, and maintain shower, latrine, and ablution facilities. Unless otherwise directed by the Government, facilities for staff must be separate from those for patients, NMAs, and family members. Consumables must be supplied by the Contractor.

19.30.12 Signs

The Contractor must provide, install, and maintain standardized signs for facilities, operational areas, safety, and services. Signs must not display Government entity names or contractor branding.

19.30.13 Technical Inspections

The Contractor must conduct technical inspections of camps, facilities, and equipment before assuming O&M responsibilities. Unsafe conditions that threaten life, health, or safety must be reported immediately to the CO. A written inspection report must be submitted, listing life/safety hazards separately along with recommended upgrades or refurbishments.

19.30.14 Clamshell, Tent, and Canvas Repair

The Contractor must provide, service, and maintain clamshells, fest tents, temper tents, general-purpose tents, and related facilities.

19.30.15 Community-Based Outpatient Services

At the Task Order level, the Contractor may be required to provide space for community-based outpatient services…