Attachment 1 - USAFA Ambulance Services PWS - 8 Oct 2026.pdf

PERFORMANCE WORK STATEMENT

Ambulance Services

8 Oct 2026

Services Acquisition Lead (SAL) Approval

Table of Contents

1 Purpose

2 General Service Requirements

3 Description of Services

4 Services Summary (SS)

5 Contractor Requirements

6 Contractor Personnel Requirements

7 Contractor Compliance

8 Quality Assurance

9 Government-Furnished Property and Incidentals

10 Government Provided Services

11 Appendices

1 Purpose

1.1 Introduction. This is a non-personal services contract to provide Ground Ambulance

Services at the United States Air Force Academy (USAFA). The Contractor shall provide all personnel, supervision, management, equipment, ambulances, medical supplies, pharmaceuticals, tools, transportation, communications equipment, training, and other items necessary to perform the services required by this Performance Work Statement

(PWS), except for those items specifically identified as Government-Furnished Property or

Government-Furnished Incidentals. The Government shall not exercise any supervision over Contractor personnel. Contractor personnel shall be accountable solely to the primary

Contractor who in turn is responsible to the Government.

1.2 Background. USAFA requires dedicated Advanced Life Support (ALS) and Basic Life

Support (BLS) emergency medical response and patient transport services to support cadets, military personnel, beneficiaries, civilian employees, contractors, visitors, athletic activities, flight operations, and other installation missions, as well as the Interstate 25 (I-

25) corridor bordering the base (I-25 North and Southbound lanes between mile markers

150-157).

1.2.1 Performance Target #1 - Continuous Emergency Medical Response Coverage. The

Contractor shall provide the appropriate level of emergency medical response and patient transport capability required by this PWS to ensure continuous ALS and

BLS coverage throughout USAFA and the designated I-25 corridor, airfield coverage during active flight operations, and standby ambulance support for

Government-designated athletic and special events.

1.2.2 Performance Target #2 - Timely Emergency Response. The Contractor shall respond to emergency service requests within the response-time standards established in this PWS, including emergent USAFA responses within 12 minutes and emergent I-25 corridor responses within 14 minutes, measured from receipt of the dispatch call to arrival at the location identified by dispatch.

1.2.3 Performance Target #3 - Safe, Compliant, and Integrated Patient Care. The

Contractor shall provide safe, effective, and appropriately documented patient assessment, treatment, stabilization, transportation, and coordination with USAFA

Fire Department, airfield operations, receiving facilities, dispatch, incident command personnel, and other emergency-response partners, as applicable.

1.3 Scope of Services. The Contractor shall travel to response sites in the required medical response vehicle within the response times required by this PWS. The Contractor shall respond to requests from dispatch and shall provide the full range of emergency medical technician (EMT), paramedic, and ambulance services provided in the local community to include local protocols or standing orders and staffing minimums in accordance with

(IAW) the most current State of Colorado and National Registry of Emergency Medical

Technicians (NREMT).

Services shall include emergency response, patient assessment, treatment, stabilization, transportation, standby event support, airfield emergency response, and participation in exercises and emergency management activities as required by this PWS and IAW applicable federal, state, local, and installation requirements. The Contractor shall furnish a total of three dedicated ambulances and up to four intermittent ambulances, all staffed with qualified personnel and capable of accomplishing the following tasks:

1.3.1 The Contractor shall furnish two dedicated ambulances and provide continuous, 24/7, ALS and BLS emergency medical response and patient transport services.

1.3.2 The Contractor shall furnish one dedicated airfield ambulance and provide ALS and BLS emergency medical response and patient transport services during active airfield operating hours as defined by USAFA flight operations schedules.

1.3.3 The Contractor shall provide at least one ambulance to stand by during National

Collegiate Athletic Association (NCAA) sporting and other athletic events and special events. The Government may require the Contractor to provide up to four ambulances in support of events.

1.3.4 The Contractor shall establish and maintain a continuous emergency response capability and shall ensure backup ambulance support is available during simultaneous responses, vehicle failures, mass casualty incidents, staffing shortages, or other unforeseen events.

2 General Service Requirements

2.1 Place of Performance. Services shall be provided throughout the USAFA installation, including, but not limited to:

• Cadet Area

• Cadet Athletic Area

• Community Center

• Davis Airfield

• Jack’s Valley (3,300-acre training complex, the required terrain use for these services can be accessed with normal road capable ambulance unit capabilities)

• Pine Vally Housing Area

• Douglass Valley Housing Area

• I-25 Corridor (I-25 North and Southbound lanes between mile markers 150-157)

• Other designated USAFA operational areas

2.2 Hours of Operation. The Contractor shall provide continuous emergency medical response and patient transport services 24 hours per day, seven days per week, including weekends and federal holidays. Two ambulances shall provide 24/7 installation coverage, and one ambulance shall provide coverage during active airfield operating hours.

2.2.1 Active airfield hours are regularly scheduled Monday through Saturday and typically occur during daylight hours. The airfield will rarely be open on Sundays, approximately 1-2 days per year, and the Contractor shall perform services during those times.

2.2.2 The Government shall provide the Contractor with airfield operating schedules and notification of non-standard flight operations during performance of this contract.

During periods when the airfield is inactive due to weather, installation closure, operational pauses, or other Government-directed conditions, the Government may direct the flight line ambulance to augment installation-wide emergency response coverage.

2.3 Federal Holidays. The Contractor is required to perform 24/7/365 core ambulance services and designated airfield services on all federal holidays unless specifically directed otherwise by the Contracting Officer (CO) or Contracting Officer Representative (COR).

Due to the critical, life-safety nature of this requirement, the Contractor shall ensure appropriate staffing levels are maintained during all recognized federal holidays to meet the response times and coverage requirements established in this PWS.

If a holiday falls on a Saturday, for most federal employees, the preceding Friday will be treated as a holiday. It is the Contractor’s responsibility to remain aware of any changes to designated federal holidays. Any holiday that is declared by Presidential Executive Order shall be observed in the same manner as the holidays listed. The following federal holidays are currently observed by the Government:

New Year's Day (Jan 1st) Labor Day (1st Monday in Sep)

Martin Luther King, Jr. (3rd Monday in Jan) Columbus Day (2nd Monday in Oct)

Washington's Birthday (3rd Monday in Feb) Veterans Day (Nov 11th)

Memorial Day (Last Monday in May) Thanksgiving Day (4th Thursday in Nov)

Juneteenth (Jun 19th) Christmas Day (Dec 25th)

Independence Day (Jul 4th)

2.4 Mission Essential Services. The services under this contract have been determined to be

Mission Essential by the Mission Element commander IAW Defense Federal Acquisition

Regulation Supplement (DFARS) clause 252.237-7023, Continuation of Essential

Contractor Services. In the event of a natural disaster, pandemic, installation emergency, severe weather event, national emergency, or other crisis, the Contractor shall continue providing services unless otherwise directed by the CO.

2.4.1 The Contractor is required to maintain a Mission-Essential Contractor Services

Plan detailing provisions for the acquisition of essential personnel and resources to maintain continuity of operations for up to 30 days in a crisis. The Contractor shall submit a Mission Essential Plan within 30 days of contract award.

2.5 Insurance. The Contractor shall obtain and provide proof of insurance required by Federal

Acquisition Regulation (FAR) clause 52.228-5 Insurance-Work on a Government

Installation within 30 days of contract award.

2.6 Emergency. In the event of an emergency, the Police, Medical, and Fire Departments can be reached by calling 911. The caller will reach the El Paso County dispatcher and shall identify that they are located on USAFA.

2.7 Contract Transition. This contract shall provide for a 60-day Phase-In Period which allows the Contractor to prepare to assume full operational responsibility IAW the PWS and the terms and conditions of this contract. The Contractor shall have all personnel on board and fully credentialed by the end of this period. During the Phase-In Period, the

Contractor shall become familiar with all performance requirements to commence full performance of services at the start of the base period. The incumbent Contractor shall be responsible for contract performance during the transition period.

2.7.1 Tasks During Phase-In. The Contractor shall complete all onboarding, credentialing, training, licensing, equipment deployment, communications setup, and security requirements prior to commencement of full performance. Phase-In activities include, but are not limited to, the following:

• Personnel security and background investigations

• Childcare background checks for all staff working at USAFA

• Credentialing and licensing verification

• Base access and Common Access Card (CAC) processing

• Communications testing

• Vehicle inspections

• Equipment inventory verification

• Coordination meetings

• Operational familiarization

• Submission of required plans and deliverables

2.7.2 Phase-Out. If at the end of the contract period of performance the follow-on contract is awarded to a Contractor other than the incumbent Contractor, the incumbent Contractor shall cooperate to the extent required to permit an orderly transition of services, records, facilities, and Government property IAW FAR clause 52.237-3 - Continuity of Services contained in the contract terms and conditions.

2.8 Contracting Officer Representative (COR). A COR(s) may be appointed by the CO to evaluate Contractor performance and assist with monitoring all technical aspects of contract administration. Each COR shall have a letter of designation stating their responsibilities and limitations. If at any point during contract performance a COR is not available (i.e. terminated, resigned, on leave) and an alternate COR has not been appointed, all responsibilities previously delegated shall be retained by the CO until otherwise notified.

2.9 Contract Management. The Contractor shall respond to all Government requests, establish key personnel, and maintain an adequate workforce for uninterrupted performance of all tasks defined within this PWS. The Contractor shall establish clear organizational lines of authority and responsibility to provide effective management and control of resources.

2.10 Government Publications. The Contractor shall maintain current copies of all instructions, manuals, standards, and other directives as defined in this PWS and listed in

Appendix 3. The Contractor shall access these documents from electronic media such as the Internet. The Contractor shall make these documents available to all employees. The

Government will provide the Contractor with copies of, or access to, all required directives, publications and documents that are not available online.

2.10.1 Department of the Air Force Instructions (DAFIs) can be obtained at the

Department of the Air Force (DAF) Publishing Home Page at: https://www.e-publishing.af.mil/ProductIndex/.

2.10.2 Department of Defense Instructions (DoDIs) and Department of Defense Manuals

(DoDMs) can be obtained at the Executive Services Directorate site at:

https://www.esd.whs.mil/Directives/issuances/dodi/.

2.10.3 The TRICARE Reimbursement Manual can be obtained at the TRICARE Manuals site at: https://manuals.dha.mil/Explore/Publications.

2.10.4 The Code of Colorado Regulations (CCR) can be obtained at the official state portal at: https://www.sos.state.co.us/CCR/Welcome.do.

2.10.5 U.S. Codes can be found on the official U.S. Code Database at https://uscode.house.gov/browse.xhtml.

2.10.6 Public Law 91-596 can be obtained from the Occupational Safety and Health Act

(OSHA) Portal at https://www.osha.gov/.

3 Description of Services

3.1 Task Specifics. The Contractor shall provide ambulance, EMT, and paramedic resources to respond to emergencies IAW the run cards established by the USAFA Fire Department and as dispatched by El Paso County Sheriff’s Office (EPSO). The Contractor shall be responsible for completing the tasks below in order to provide USAFA Ambulance

Services:

3.2 Task 1 – Standard Ambulance Services. The Contractor shall furnish two dedicated ambulances staffed with qualified personnel capable of providing ALS and BLS emergency medical response and patient transport services on a continuous basis.

3.2.1 Subtask 1.1. Provide one ambulance dedicated to responding to incidents in the

Cadet Area with 24/7 coverage.

3.2.1.1 Responses to the Cadet Area shall include ambulance services and patient transport to the nearest appropriate medical facility.

https://www.e-publishing.af.mil/ProductIndex/ https://www.e-publishing.af.mil/ProductIndex/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://manuals.dha.mil/Explore/Publications https://www.sos.state.co.us/CCR/Welcome.do https://uscode.house.gov/browse.xhtml https://www.osha.gov/

3.2.1.2 The ambulance shall be physically located in or near the Cadet Area to cover the entire north area of USAFA when not actively responding to an incident.

3.2.2 Subtask 1.2. Provide one roving ambulance across the entire USAFA installation with 24/7 coverage.

3.2.2.1 Responses to the roving area shall include ambulance services and patient transport to the nearest appropriate medical facility.

3.2.2.2 When not actively responding to an incident, the ambulance may be used as coverage in the event another ambulance is transporting a patient.

3.2.3 Subtask 1.3. Provide ambulance services for the I-25 corridor with 24/7 coverage.

3.2.3.1 Ambulance services and patient transport services must be provided for the I-25 corridor, between mile markers 150-157, as this section of interstate is within USAFA’s area of responsibility. Emergency responses provided for the I-25 corridor, off base, often result in civilian transport.

3.3 Task 2 – Airfield Ambulance Services. The Contractor shall furnish one dedicated airfield ambulance staffed with qualified personnel capable of providing ALS and BLS emergency medical response and patient transport services during active airfield operating hours as defined by USAFA flight operations schedules.

3.3.1 Subtask 2.1. Provide one ambulance dedicated to the flight line area during active flight line operating hours. Active airfield hours are regularly scheduled Monday through Saturday and typically occur during daylight hours. The airfield will rarely be open on Sundays, approximately 1-2 days per year, and the Contractor shall perform services during those times. The Government shall provide the Contractor with airfield operating schedules and notification of non-standard flight operations during performance of this contract.

3.3.1.1 Unless otherwise directed by the Government, the ambulance servicing the flight line shall remain physically located at Davis Airfield at 9201 Talon

Drive when the airfield is active, except when providing airfield responses.

3.3.1.2 The Contractor shall provide in-field and emergency airfield medical care, including ALS, IAW protocols approved by the Contractor’s Medical

Director. The Contractor shall maintain the capability to assess and treat decompression sickness and injuries associated with aircraft emergencies.

3.3.1.3 The Contractor shall coordinate with the Incident Commander and applicable installation emergency-response agencies; the Incident

Commander determines the appropriate course of action.

3.3.1.4 Responses to the airfield shall include ambulance services and patient transport to the nearest appropriate medical facility.

3.3.1.5 In case of temporary airfield closure, the airfield ambulance shall perform ambulance services throughout USAFA.

3.4 Task 3 – Event and Standby Ambulance Services. The Contractor shall provide approximately 1,000 hours of ambulance standby coverage per year to cover athletic and special events and to participate in training and exercises. The Government may request additional standby hours, which will be agreed upon bilaterally.

3.4.1 Subtask 3.1. The Contractor shall provide at least one ambulance for standby coverage at Government designated NCAA Division 1 athletic events.

3.4.1.1 Covered athletic events may include, but are not limited to, football, ice hockey, men’s and women’s basketball, men’s and women’s gymnastics, lacrosse, track and field events when pole vault is scheduled, and boxing;

other locally designated elevated-acuity athletic events.

3.4.2 Subtask 3.2. The Contractor shall participate in 10th Air Base Wing (10 ABW), 306th Flying Training Group (306 FTG), USAFA, and Military Treatment Facility

(MTF) training, exercises, and special events to include, but not limited to, cadet graduation, Basic Cadet Training, MTF training days, and other events.

3.4.2.1 The Contractor may be required to provide ambulance standby during fire training and aerial flight operations.

3.4.3 Standby Services are in addition to the Standard and Flight Line Services listed in

Task 1 and Task 2.

3.4.4 Periodically, up to four additional ambulances may be required for athletic or special events.

3.4.5 The Government will provide the Contractor with at least 48 hours advance notice for standby services and will notify the Contractor of the number of dedicated ambulances required for each event.

3.5 Response Times. The calculation of response time begins from the time of receipt of the call from dispatcher to the time of arrival at the emergency location identified by dispatch.

For detailed response time requirements, see DoDI 6055.06 Section 7.2. Table 1.

3.5.1 Response time for all emergent requests for service on USAFA, to include BLS and

ALS, shall be within 12 minutes.

3.5.2 Response time for all emergent requests for service on the I-25 corridor shall be within 14 minutes.

3.5.3 Response time requirements do not apply to non-emergent or transfer calls. Non-emergent calls are defined as non-life threating illness/injury (i.e. calls that wouldn’t require ALS). Transfer calls are defined as the transportation of patients from one facility to another, e.g. from the 10th Medical Group (10 MDG) on

USAFA to Evans Army Community Hospital (EACH) on Ft. Carson.

3.6 Patient Transport Service. The Contractor shall coordinate patient transport with military hospitals and local civilian hospitals when transporting patients from USAFA. Patients shall be transported IAW:

• Colorado EMS protocols

• Medical direction

• Patient condition

• Destination capability

• Applicable MTF procedures

3.6.1 TRICARE beneficiaries with minor acute injuries and illnesses shall be transported to EACH on Ft. Carson IAW established protocols and in consultation with an attending provider at the hospital.

3.6.2 Non-TRICARE patients shall be transferred to the nearest appropriate civilian medical facility.

3.6.3 Cadet Transportation. Following transport of a cadet to a hospital, the Contractor shall notify the USAFA Command Post at 719-333-2733 as soon as operationally practical and the Cadet Medicine Clinic at 719-333-5187 normally within 1 hour, but no later than 1 business day after transport. The Contractor shall provide notification to authorized Command Post and Cadet Clinic representatives.

3.6.3.1 Notification shall not delay necessary patient care, safe ambulance operations, or response to another emergency incident.

3.6.3.2 The notification shall include the cadet’s name, destination hospital, transport date and time, and the minimum necessary information known to the Contractor at the time of transport to support continuity of care (i.e.

chief complaint, apparent condition, and acuity).

3.6.3.3 If notification cannot be completed within the normal timeframe, the

Contractor shall make reasonable notification attempts and complete notification as soon as practicable.

3.6.3.4 The Cadet Medicine Clinic is open Mon-Fri 0630-1630 and closed on the weekends and federal holidays.

3.6.4 The Government may require on-base patient transport services. These services shall not reduce required emergency response coverage.

3.7 Insurance Reimbursement.

3.7.1 TRICARE Prime and TRICARE Select Beneficiaries. The Contractor shall submit claims for reimbursement directly to the appropriate TRICARE Managed Care

Support Contractor (MCSC) IAW the TRICARE Reimbursement Manual for covered TRICARE Prime and TRICARE Select Beneficiaries. Information on

TRICARE Reimbursement for ambulance services can be found in the TRICARE

Reimbursement Manual 6010.64-M.

3.7.2 TRICARE Plus Beneficiaries. The Contractor shall submit claims first to the applicable Medicare Part B claims processor. After Medicare adjudication, the

Contractor shall submit any remaining eligible balance to Wisconsin Physicians

Service (WPS) when TRICARE is the secondary payer.

3.7.3 Nonemergent Ambulance Services - Referral and Authorization. For nonemergent ambulance services, the Contractor shall, when practicable and consistent with patient care requirements, verify beneficiary eligibility and obtain or confirm applicable MTF, Primary Care Manager (PCM), TRICARE, or other required referral or authorization before transport. The Contractor shall document the referral or authorization status in the patient care and billing records and submit claims to the appropriate claims processor IAW current TRICARE requirements.

3.7.3.1 The Contractor shall not delay emergency response, treatment, or transport to obtain referral or authorization information.

3.7.3.2 When a required referral or authorization is not available for a nonemergent service, the Contractor shall coordinate with the COR and 10

MDG TRICARE Operations and Patient Administration (TOPA) Flight, as appropriate, to resolve billing or claims-processing issues.

3.7.4 Prohibition of Balance Billing (Hold Harmless). In the event the Contractor does not obtain full reimbursement, or the MCSC/WPS pays less than the billed amount, the Contractor shall NOT balance bill TRICARE beneficiaries for the remaining balance under any circumstances. The Contractor shall hold the beneficiary harmless.

3.7.5 Dispute Resolution. If a billing dispute or reimbursement shortfall occurs, the

Contractor shall first attempt resolution directly with the TRICARE MCSC or

WPS. If the issue remains unresolved, the Contractor shall immediately notify the

COR. The COR will then facilitate coordination with the 10 MDG TOPA Flight to resolve the discrepancy.

3.7.6 Non-TRICARE Beneficiaries. The Contractor is authorized to bill non-TRICARE beneficiaries (e.g., civilian personnel, visitors, contractors) for transport services to local hospitals IAW standard commercial practices.

3.8 Financial Liability and Billing Integrity.

3.8.1 Limitation of Government Liability. The Government’s financial liability under this contract is limited to the awarded contract value. Failure by the Contractor to obtain reimbursement from third-party payers shall not create additional

Government liability.

3.8.2 Accurate Medical Coding and Billing. The Contractor shall ensure all billing accurately reflects the level of care provided. The Contractor shall not:

• Bill ALS services when only BLS services were provided

• Bill for medically unnecessary services

• Bill for canceled responses or non-transports not eligible for reimbursement

• Submit duplicate claims

• Upcode transport levels

3.8.3 TRICARE Network Provider Status. The Contractor shall initiate the process to establish an agreement with the TRICARE MCSC as a participating, network provider immediately upon contract award. The Contractor shall make every commercially reasonable effort to finalize this agreement no later than the end of the Phase-In Period and shall provide status updates to the COR upon request.

3.9 Reporting. Patient information shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any manner. All patient information shall be handled IAW all applicable Health Insurance Portability and

Accountability Act (HIPPA) regulations and guidelines.

3.9.1 Run Report. The Contractor shall prepare and submit a consolidated monthly report of ambulance responses (Run Report) to the COR. The Contractor shall submit the

Run Report no later than the last day of each month or the business day immediately preceding the last day if the last day falls on a non-business day. The

Run Report shall be legible, accurate, and thorough.

3.9.1.1 Run Report Content. The Run Report shall separately identify USAFA runs, I-25 runs, transfers, and canceled runs. For each run, the report shall include, but is not limited to, the following information:

• Date and time of call

• Run/Patient Care Report (PCR) number

• Alert type, chief compliant, or patient condition

• Pick up address or location

• USAFA or I-25

• Receiving hospital or facility for on base transfers

• Final outcome of the call, such as transport, patient refusal, cancelled call, cancelled en route, on base transfer, or not patient contact

• Dispatch time

• En route time

• Time of arrival on scene

• Calculated total response time for each applicable run, measured from dispatch to arrival on scene

• Reasoning for any calls that exceed the required response time

3.9.2 Patient Care Report (PCR). The Contractor shall provide completed PCRs to the

COR twice monthly. The Contractor shall submit PCRs no later than the 15th day of each month, or the business day immediately preceding the 15th day if the 15th day falls on a non-business day, and no later than the last day of each month, or the business day immediately preceding the last day if the last day falls on a non-business day.

3.9.2.1 The Contractor shall prepare and submit PCRs IAW Health Insurance

Portability and Accountability Act (HIPAA) requirements and all applicable federal, state, local, DoD, and DAF requirements. All patient refusals shall be documented in the applicable PCR to the same level of detail required for other applicable patient encounters.

3.9.2.2 PCRs shall follow the data standard in the National Emergency Medical

Services Information System (NEMSIS). The Contractor shall ensure

PCRs contain all required clinical documentation IAW applicable EMS protocols and contract requirements. Identified deficiencies in documentation shall be addressed in writing within five business days of

COR notification including corrective actions when applicable.

3.9.2.3 Government medical subject matter experts will review PCRs for quality of care. The COR will communicate identified quality of patient care concerns with the Contractor. Clinical concerns will be evaluated against applicable medical protocols and the circumstances of the emergency response. Differences in clinical judgment alone shall not automatically constitute a performance deficiency.

3.9.3 Incident/Mishap Reporting. In the event of a safety incident or mishap, the

Contractor shall take reasonable and prudent actions within its authority to protect life and safety, establish control of the scene, prevent further damage to persons or property, and preserve evidence until released by the appropriate investigative authority. These actions shall not delay necessary emergency medical care or conflict with the directions of civil authorities, emergency responders, or

Government officials with jurisdiction. The Contractor shall immediately notify the

COR of any significant incident or mishap, including an injury, vehicle accident, patient safety event, or security incident. For purposes of this requirement, “immediately” means as soon as operationally practicable after the Contractor has addressed immediate life-safety requirements.

3.9.3.1 Government Investigation Support. If the Government elects to investigate an incident or mishap, the Contractor shall cooperate fully and provide information, records, and assistance requested by the Government in support of the investigation.

3.9.3.2 Incident/Mishap Report. The Contractor shall submit a Contractor

Incident/Mishap Report to the CO and COR no later than two business days after the event. The report shall include, at a minimum, the date and time of the event, location, personnel and vehicles involved, a factual description of the event, immediate actions taken, known injuries or property damage, notifications made, and available supporting documentation.

3.9.3.3 Safety Reporting Requirements. The Contractor shall provide information and assistance necessary to support Government safety reporting requirements under applicable DAF safety publications, including DAFI

91-204, Safety Investigations and Reports, and applicable supplements, when directed by the CO or COR.

3.9.4 Continuity and Backup Response Plan. The Contractor shall submit a written

Continuity and Backup Response Plan to the CO and COR within 30 days of contract award. The Contractor shall establish and maintain a system to ensure that backup ambulances and related emergency support is provided in the event of simultaneous responses, mass casualty incidents, equipment failures, or other unforeseen circumstances. Services must always be available. The Contractor’s

Backup Response Plan may include mutual aid agreements, reserve ambulances, cross-coverage procedures, or other operational contingencies sufficient to maintain required response capability. The response plan shall address:

• Surge staffing

• Mutual aid coordination

• Triage operations

• Communications

• Resource allocation

• Incident Command System integration

3.9.5 Shift Handover. The Contractor shall ensure continuity of care and operational readiness during shift changes. The Contractor shall account for a 15-to-30-minute shift handover period. Personnel shall remain on duty until relieved or until patient transfer responsibilities are completed. If an emergency response extends beyond a scheduled shift end time, the responding crew shall remain on duty until the patient is transferred to an appropriate receiving facility or relieved by qualified personnel.

(https:/static.e-publishing.af.mil/production/1/af_se/publication/dafi91-204/dafi91-204.pdf) (https:/static.e-publishing.af.mil/production/1/af_se/publication/dafi91-204/dafi91-204.pdf)

3.10 Emergency Operations Coordination. During declared emergencies, the Contractor shall coordinate operations with the USAFA Emergency Operations Center (EOC), USAFA Fire

Department, Incident Commander, CO, COR, and other designated Government officials.

4 Services Summary (SS)

4.1 Services Summary Table. The Services Summary table below describes those performance requirements that have been determined to be the most critical to achieve mission success. The table is organized into performance objectives that relate directly to mission essential items, and the performance threshold briefly describes the minimum acceptable levels of service required for each requirement.

4.1.1 The minimum levels do not relieve the Contractor from performing 100 percent of the requirements outlined in the contract and the PWS.

4.1.2 The COR, with the assistance of the Program Manager, shall review all customer complaints to determine validity. If an agreement cannot be made, the CO will make the final determination.

4.1.3 During the initial 30 days of the contract, two additional errors on each Service

Summary item shall be allowed to identify normal phase-in challenges.

Services Summary Table

SS Item

Number Performance Objective Performance Threshold

PWS

Paragraph

SS-1

The Contractor shall meet response time requirements for emergent requests.

- 90% of responses to emergent requests for service on USAFA, to include BLS and ALS, shall be within 12 minutes.

- 90% of responses to emergent requests for service on the I-25 corridor shall be within 14 minutes.

3.5

SS-2

The Contractor shall provide the full range of EMT, paramedic, and ambulance transport services, and provide medical care and treatment appropriate to patient’s condition.

- No more than one valid customer complaint per quarter. A quarter is defined as the period between 1 Jan - 31

Mar, 1 Apr - 30 Jun, 1 Jul - 30 Sep, and 1

Oct - 31 Dec.

- The Contractor will provide responses to 100% of identified quality of patient care concerns, including corrective actions as applicable, within five business days.

3.2, 3.3, 3.4, and

3.9.2.3

Services Summary Table

SS Item

Number Performance Objective Performance Threshold

PWS

Paragraph

SS-3

The Contractor shall prepare and submit accurate and timely documentation of the ambulance responses.

- Run Reports shall be received monthly.

- PCRs shall be received semimonthly.

- No more than one late report per quarter; not to exceed three days late.

- Documentation deficiencies shall be addressed in writing within five business days of COR notification.

3.9.1 and

3.9.2

5 Contractor Requirements

5.1 Licenses, Permits, Certifications, Registrations, and Authorizations. The Contractor shall obtain, maintain, and comply with all applicable federal, state, local, professional, and installation-specific licenses, permits, certifications, registrations, approvals, and authorizations required to perform ambulance and EMS under this contract and provide to the COR within 45 days of contract award.

5.1.1 All required credentials shall remain current throughout the period of performance.

5.1.2 The Contractor shall meet all professional standards for accreditation set forth by the State of Colorado and El Paso County.

5.1.3 The Contractor shall abide by any changes to the State of Colorado regulations and protocols that occur during the term of this contract. This includes local protocols, standing orders and minimum requirements of staffing.

5.1.4 The Contractor shall maintain the following, as applicable:

• Colorado Ground Ambulance Service License.

• Any applicable State of Colorado ambulance operating authority.

• Any applicable El Paso County or other local authorization required to operate ambulance services.

• Any other federal, state, or local regulatory approvals required for contract performance.

5.2 Ambulance Vehicle Requirements. The Contractor shall furnish all vehicles required to perform the services identified in this PWS. Each ambulance furnished under this contract shall:

• Meet applicable Colorado licensing, permitting, and registration requirements.

• Meet applicable inspection requirements.

• Meet equipment requirements established by Colorado regulations and contract requirements.

• Be maintained in operational readiness.

5.3 Controlled Substance Requirements. The Contractor shall maintain all applicable Drug

Enforcement Administration (DEA) registrations or authorizations and comply with all federal and state requirements governing storage, security, accountability, inventory, documentation, and disposal of controlled substances.

5.4 Operational Communications and Dispatch Connectivity. The Contractor shall furnish, operate, maintain, and test the communications capability necessary to receive, acknowledge, and respond to emergency medical service dispatches issued by the El Paso

County Sheriff’s Office Regional Communications Center (RCC). Additionally, the

Contractor shall maintain interoperable radio communications with the following agencies:

• USAFA Fire Department

• El Paso County dispatch systems

• Incident Command personnel

• Medical facilities

5.4.1 The 400 Megahertz (MHz) system is operated by the 10th Communications

Squadron (10 CS), and the 800 MHz system is operated by the Pikes Peak

Communications Network (El Paso Red). Each vehicle shall be equipped with mobile and portable 400 MHz and 800 MHz radios capable of providing immediate voice communications with USAFA Fire Emergency Services, the Incident

Commander, and the El Paso County dispatch center.

5.4.2 The Contractor shall maintain a primary and backup method of receiving dispatches and operational communications. The Contractor shall not rely solely on

USAFA wireless internet service or any single communications method to meet this requirement. Primary and backup communications methods may include, as authorized and applicable, radio, cellular telephone, mobile data, or other approved communications systems. The Contractor shall implement backup communications procedures without delay when the primary communications method is unavailable or unreliable. Availability or interruption of installation Wi-Fi or Government network access does not relieve the Contractor of responsibility for maintaining reliable dispatch-receipt and response capability.

6 Contractor Personnel Requirements

6.1 Key Personnel. The Program Manager, Alternate Program Manager, and Medical Director are designated as Key Personnel for this contract. Key Personnel shall be on board 45 days after contract award. All Key Personnel must be able to read, write, speak, and understand

English clearly and effectively enough to communicate with patients and healthcare staff.

6.1.1 Names and contact information of Key Personnel must be provided to the CO and

COR within 45 days of contract award. The Contractor shall provide the CO and

COR notice of change in staffing for any Key Personnel no later than two business days after the change occurs.

6.1.2 Program Manager. The Contractor shall provide a Program Manager responsible for overall contract performance. The Program Manager shall:

• Possess authority to act on behalf of the Contractor

• Be available via phone within 10 minutes during normal duty hours (0700 –

1700 hours) on business days

• Be reachable via phone within one hour during non-duty days and non-duty hours

• Serve as primary point of contact with the Government

• Attend airfield orientation and base orientation including fire department practices and procedures

• Provide all Contractor personnel with airfield orientation and base orientation including fire department practices and procedures

• Obtain a Special Airfield Driving Certification, Air Force Form 483, and complete Unit Airfield Driving Program Manager training IAW AFI 13-213, USAFA Supplement

• Attend monthly Airfield Responder meetings

6.1.3 Alternate Program Manager. An Alternate Program Manager shall be designated and perform all duties of the Program Manager when the Program Manager is not available.

6.1.4 Medical Director. The Contractor shall provide a Medical Director IAW 6 CCR

1015-3. The Medical Director must be a licensed physician in good standing in the

State of Colorado and must comply with applicable Colorado EMS regulations.

6.2 Medical Personnel Requirements. All Contractor personnel must adhere to the following requirements.

6.2.1 Licenses and Certifications. Contractor personnel shall possess and maintain all licenses and certifications required for their assigned duties, including:

• EMT or Paramedic license in the State of Colorado

• National Registry of Emergency Medical Technicians (NREMT) certification

• Basic Life Support (BLS)

• Advanced Cardiovascular Life Support (ACLS)

• Pediatric Advanced Life Support (PALS)

• Cardiopulmonary Resuscitation (CPR) certification from a Colorado

Department of Public Health and Environment CPR approved provider

• Continuing education necessary to maintain required credentials

6.2.2 Experience Requirement. All paramedics assigned to this contract shall possess a minimum of two years of experience in a 911 emergency response environment.

6.2.3 Health Requirements. Contractor personnel providing services under this contract shall have a pre-employment physical examination; tuberculosis (TB) testing;

Measles, Mumps, Rubella (MMR) immunization; Varicella immunization;

Hepatitis B immunization; Diphtheria, Tetanus, Pertussis (TDap) immunization;

Influenza immunization; Polio immunization; and Tuberculin Skin Test prior to commencement of work with updates as required.

6.2.3.1 Personnel Health Certification. The Contractor shall submit a certification to the COR indicating personnel have completed medical evaluation, testing and all immunizations required above, prior to full contract performance. Certification of new employees who onboard during contract performance shall be submitted to the COR no later than five business days before the Contractor employee starts work. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and a statement concerning the physical health of the individual.

6.2.4 Base Orientation and Training. The Contractor shall provide base orientation and training and ensure all personnel complete applicable orientation and training before independently providing emergency medical services coverage. The

Contractor shall provide and document operational familiarization sufficient for personnel to safely and effectively respond on USAFA.

6.2.4.1 The Contractor shall provide initial installation, communications, and safety orientation before the employee’s first duty shift. The Contractor shall complete all remaining installation-specific operational familiarization within 10 business days of an employee starting work and before the employee independently provides emergency medical services coverage. Personnel who have not completed the required orientation may perform duties only under the direct supervision of fully oriented

Contractor personnel. The Contractor shall ensure personnel demonstrate sufficient familiarity with assigned coverage areas and resources before being released for independent duty. At a minimum, orientation shall address:

• Installation access procedures, entry control points, credentialing requirements, and emergency response access procedures.

• The locations, access routes, and identifying features of designated facilities, response posts, ambulance staging locations, emergency equipment, medical supplies, automated external defibrillators, and other equipment or resources used in performance of this contract.

• Base street names, building numbers, facility names, landmarks, emergency access points, and primary and alternate response routes relevant to assigned coverage areas.

• Procedures for locating and accessing patients, coordinating with installation agencies and facility personnel, and transferring care to the appropriate medical treatment facility or receiving provider.

• Applicable installation-specific emergency procedures, communications procedures, and local protocols provided by the

Government.

• Procedures for reporting discrepancies, access issues, missing equipment, or conditions that could delay emergency response.

6.2.4.2 The Contractor shall maintain orientation and training records, including the employee’s name, date completed, training content, and instructor or verifier, and shall provide such records to the COR upon request. The

Government will provide reasonable access to available installation-specific information, facilities, and resources necessary for the Contractor to perform this requirement.

6.2.4.3 The Contractor shall participate in fire department trainings including two one-hour classes per month.

6.2.5 Orientation and Training for Athletic Facilities. The Contractor shall ensure assigned personnel complete annual orientation and Emergency Action Plan (EAP) training for designated athletic and special-access facilities. The training is typically held in July or in the first week in August. The training shall familiarize personnel with facility access routes, emergency entry procedures, patient-extraction considerations, staging areas, and coordination procedures for athletic and special events. Training shall include, at a minimum:

• Football stadium access, staging, and emergency response procedures

• Gymnastics pit extraction procedures

• Natatorium emergency response procedures

• Hockey arena and field house emergency access and response procedures

• Special event emergency response coordination

6.2.6 Ambulance Driver Requirements. All drivers operating an emergency ambulance in the State of Colorado:

• Must possess a valid Class C Colorado driver’s license.

• Must not have any reckless or dangerous driving citations within the previous

24-month period and have no Driving While Ability Impaired (DWAI) or

Driving Under the Influence (DUI) convictions in the previous three years.

• Must obtain a Special Airfield Driving Certification. All drivers performing flight line driving services shall have the base required airfield driving certification. The Contractor shall submit Air Force Form 483, Certificate of

Competency, for each driver performing services under this contract to the

COR before full contract performance begins or within 15 business days of a new driver starting work.

6.2.6.1 The 306th Operations Support Squadron (306 OSS) will provide a train-the-trainer course for Special Airfield Driving to the Program Manager within 30 days of the start of the Phase-In Period. This course will allow the Contractor to train their employees. The Contractor shall schedule this training through 306oss.airfieldmanagement@us.af.mil.

6.2.7 Personnel Records. The Contractor shall maintain files to ensure that all EMTs and paramedics performing work under this contract have current certifications and documents IAW Colorado EMS regulations. Upon request, the Contractor shall allow the Government access to review these documents for any EMTs and paramedics performing under this contract. The Contractor shall provide copies of certifications upon request from the CO or COR.

6.2.7.1 Notification Requirements. The Contractor shall immediately notify the

CO and COR of any suspension, expiration, revocation, restriction, or loss of any required license, certification, registration, permit, or authorization that may affect contract performance.

6.3 Personnel Security and Base Access. All Contractor personnel must accomplish the following:

6.3.1 Background Investigations. The Contractor shall coordinate with the COR and

USAFA Security Office for the initiation of background checks, childcare background checks and fingerprinting of its employees. The Contractor is responsible for ensuring the following documentation is accurately completed and reviewed by the Program Manager or Contractor designee for each employee prior to the start of full contract performance and within five business days of hiring new employees:

• Questionnaire for Non-Sensitive Positions (Standard Form 85)

• Declaration for Federal Employment (Optional Form 306)

• Proof of U.S. citizenship (e.g., birth certificate, valid U.S. Passport) or a valid

U.S. Permanent Resident Card (Form I-551, known as a Green Card)

• A completed New Incoming Personnel form, annotating the requirement for a

Childcare Background Check

• Any other forms deemed necessary by the COR or USAFA Security Office

6.3.2 Base Access and Training. The Contractor shall obtain all required base access credentials (e.g., CACs) for its employees and complete any specific Government training during the Phase-In Period.

6.3.3 Common Access Card (CAC) Requirements. A CAC is the standard identification for eligible DoD Contractor personnel. The Contractor shall comply with all installation access and identification requirements. For all Contractor personnel who will work in Government facilities, the Contractor shall provide the

Government with all the required information per the CAC request process. The

Contractor shall return all CACs to the COR upon the departure of the Contractor personnel.

6.3.4 Physical Security. The Contractor shall be responsible for safeguarding all

Government equipment, information, and property provided for Contractor use.

6.4 Contractor Identification. Contractors shall obtain USAFA contractor identification proxy badges through the 10th Security Forces Squadron (10 SFS) Pass & Registration

Center located at the south entrance to USAFA. Contractor badges shall be returned to the

10 SFS Pass & Registration Center when employment is terminated.

All Contractor personnel shall always wear a Government-issued badge to identify themselves as a Contractor employee. Contractor employees shall identify themselves as being a Contractor when attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties (e.g., clients, vendors, customers, public contacts, etc.) to avoid creating an impression that they are Government officials.

6.5 Contractor Appearance. All Contractor employees are expected to conduct themselves in a professional, polite, and competent manner while performing on this contract. Contractor employees shall perform all contract duties in a courteous manner. Profane, vulgar, racist, sexist and obscene language, gestures, or clothing shall not be tolerated. A professional appearance and customer service attitude shall be always displayed while interacting with supported agencies and patients. All Contractor personnel must be able to speak and understand English. Contractor personnel shall comply with installation rules and regulations for motor vehicle use while on base.

6.6 Meetings and Communication. Contractor personnel may be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this contract.

6.7 Personnel Absence/Departure.