Attachment 6 - Exhibits A B C and D.pdf
PDF 4 MB Posted
- Attached to
- Paramedics & Ambulance Services
- Solicitation number
- FA810126R0004
About this file
This document is a Contract Data Requirements List (CDRL) consisting of multiple DD Form 1423s for Paramedic and Ambulance Services to be provided by a contractor to the 72 Medical Group (72 MDG). The contract includes four line items (Exhibits A through D) spanning multiple option years, with each exhibit containing three identical data requirements: Quality Control Plan, Transportation Documentation, and Records.
The Quality Control Plan (CDRLA001, CDRLB001, CDRLC001, CDRLD001) must be submitted to the Contracting Officer for review, feedback, and approval no later than the post-award conference and annually thereafter. The plan shall address the contractor's strategy for quality workmanship, continual process improvement, and deficiency correction. Additionally, the contractor must submit a Process Improvement Plan quarterly to the Contracting Officer's Representative identifying problem areas with corrective actions and follow-ups. Transportation Documentation (CDRLA002, CDRLB002, CDRLC002, CDRLD002) requires monthly submissions to the Medical Treatment Facility by the 5th of each month for the previous month's transports, including dispatch times, run numbers, run type (BLS or ALS), patient information, patient condition, care rendered, incident and destination locations, and response time exceptions. Contractors must also complete DD Form 2569 Third Party Collections forms for all transported personnel. Records (CDRLA003, CDRLB003, CDRLC003, CDRLD003) shall be created, maintained, and disposed of per PWS paragraph 1.10, with Government-requested records provided within five working days. All run report and dispatch numbers must be emailed to the Tinker Fire Department and Contracting Officer's Representative at shift end, and patient care reporting forms must integrate with the Tinker Fire Department. Distribution Statement B applies to all requirements. The requiring office is 72 MDG with copies distributed to AFSC/PZIOA and the contractor.
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
0002A001
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLA001
2. TITLE OF DATA ITEM
Quality Control Plan
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.22
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
NLT Pre-Performance
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- A written Quality Control Plan (QCP) shall be submitted to the CO for review, feedback, and approval.
The plan shall be submitted NLT the post-award conference and annually thereafter. The QCP shall specifically address the Contractor’s strategy to provide quality workmanship, continual process improvement, and for correcting deficiencies as required.
- The Contractor shall submit a Process Improvement Plan quarterly to the COR identifying problem areas with corrective actions and follow ups as determined. (PWS 1.2.6)
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:53:58 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
79899063 Date: 2026.05.11 11:23:23 -05'00'
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
0002A002
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLA002
2. TITLE OF DATA ITEM
Transportation Documentation
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
N/A
5. CONTRACT REFERENCE
PWS Para 1.9.1, 1.9.2
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- IAW PWS 1.9, The Contractor will provide monthly documentation to the MTF relating to all transports NLT the 5th of each month for the previous month, example: September's info will be submitted NLT 5 October. This information will include: date, time dispatched/enroute/on scene/first pt contact/depart pickup location/hand off to hospital personnel, run number,, type of run (BLS or ALS), available patient information (full name, military (last 4 of SSN) or civilian, DOB). Patient condition, all patient care rendered, complete incident and destination location addresses, and an explanation of any exceptions to response time or reasonable patient care by local and national standards contained in public release;
Distribution is unlimited.
- The Contractor shall be required to complete the DD Form 2569 Third Party Collections (TPC) form for all personnel transported.
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:49:05 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
Date: 2026.05.11 11:19:29 -05'00'
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
0002A003
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLA003
2. TITLE OF DATA ITEM
Records
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.10
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
-- The Contractor shall be responsible for creating, maintaining, and disposing of only those Government required records which are specifically cited in the PWS or as may be required by the provisions of a mandatory directive listed in paragraph 1.10 of this PWS. If requested by the Government, the Contractor shall provide the original record or a reproducible copy of any such records within five working days of receipt of the request. All run report/dispatch numbers must be emailed to the TFD and the COR at the end of each shift. The Contractor shall integrate patient care reporting forms or automated systems with the Tinker Fire Department in order to affect a comprehensive team approach to patient care.
Distribution Statement B. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:54:52 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
Date: 2026.05.11 11:20:40 -05'00'
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
1002B001
B. EXHIBIT
B
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLB001
2. TITLE OF DATA ITEM
Quality Control Plan
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.22
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
NLT OY1 Start
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- A written Quality Control Plan (QCP) shall be submitted to the CO for review, feedback, and approval.
The plan shall be submitted NLT the post-award conference and annually thereafter. The QCP shall specifically address the Contractor’s strategy to provide quality workmanship, continual process improvement, and for correcting deficiencies as required.
- The Contractor shall submit a Process Improvement Plan quarterly to the COR identifying problem areas with corrective actions and follow ups as determined. (PWS 1.2.6)
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:53:58 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
1002B002
B. EXHIBIT
B
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLB002
2. TITLE OF DATA ITEM
Transportation Documentation
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
N/A
5. CONTRACT REFERENCE
PWS Para 1.9.1, 1.9.2
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- IAW PWS 1.9, The Contractor will provide monthly documentation to the MTF relating to all transports NLT the 5th of each month for the previous month, example: September's info will be submitted NLT 5 October. This information will include: date, time dispatched/enroute/on scene/first pt contact/depart pickup location/hand off to hospital personnel, run number,, type of run (BLS or ALS), available patient information (full name, military (last 4 of SSN) or civilian, DOB). Patient condition, all patient care rendered, complete incident and destination location addresses, and an explanation of any exceptions to response time or reasonable patient care by local and national standards contained in public release;
Distribution is unlimited.
- The Contractor shall be required to complete the DD Form 2569 Third Party Collections (TPC) form for all personnel transported.
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:49:05 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
1002B003
B. EXHIBIT
B
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLB003
2. TITLE OF DATA ITEM
Records
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.10
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- The Contractor shall be responsible for creating, maintaining, and disposing of only those Government required records which are specifically cited in the PWS or as may be required by the provisions of a mandatory directive listed in paragraph 1.10 of this PWS. If requested by the Government, the Contractor shall provide the original record or a reproducible copy of any such records within five working days of receipt of the request. All run report/dispatch numbers must be emailed to the TFD and the COR at the end of each shift. The Contractor shall integrate patient care reporting forms or automated systems with the Tinker Fire Department in order to affect a comprehensive team approach to patient care.
Distribution Statement B. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:54:52 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
2002C001
B. EXHIBIT
C
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLC001
2. TITLE OF DATA ITEM
Quality Control Plan
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.22
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
NLT OY2 Start
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- A written Quality Control Plan (QCP) shall be submitted to the CO for review, feedback, and approval.
The plan shall be submitted NLT the post-award conference and annually thereafter. The QCP shall specifically address the Contractor’s strategy to provide quality workmanship, continual process improvement, and for correcting deficiencies as required.
- The Contractor shall submit a Process Improvement Plan quarterly to the COR identifying problem areas with corrective actions and follow ups as determined. (PWS 1.2.6)
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:53:58 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
2002C002
B. EXHIBIT
C
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLC002
2. TITLE OF DATA ITEM
Transportation Documentation
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
N/A
5. CONTRACT REFERENCE
PWS Para 1.9.1, 1.9.2
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- IAW PWS 1.9, The Contractor will provide monthly documentation to the MTF relating to all transports NLT the 5th of each month for the previous month, example: September's info will be submitted NLT 5 October. This information will include: date, time dispatched/enroute/on scene/first pt contact/depart pickup location/hand off to hospital personnel, run number,, type of run (BLS or ALS), available patient information (full name, military (last 4 of SSN) or civilian, DOB). Patient condition, all patient care rendered, complete incident and destination location addresses, and an explanation of any exceptions to response time or reasonable patient care by local and national standards contained in public release;
Distribution is unlimited.
- The Contractor shall be required to complete the DD Form 2569 Third Party Collections (TPC) form for all personnel transported.
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:49:05 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
2002C003
B. EXHIBIT
C
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLC003
2. TITLE OF DATA ITEM
Records
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.10
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
-- The Contractor shall be responsible for creating, maintaining, and disposing of only those Government required records which are specifically cited in the PWS or as may be required by the provisions of a mandatory directive listed in paragraph 1.10 of this PWS. If requested by the Government, the Contractor shall provide the original record or a reproducible copy of any such records within five working days of receipt of the request. All run report/dispatch numbers must be emailed to the TFD and the COR at the end of each shift. The Contractor shall integrate patient care reporting forms or automated systems with the Tinker Fire Department in order to affect a comprehensive team approach to patient care.
Distribution Statement B. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:54:52 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
3002D001
B. EXHIBIT
D
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLD001
2. TITLE OF DATA ITEM
Quality Control Plan
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.22
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
NLT OY3 Start
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- A written Quality Control Plan (QCP) shall be submitted to the CO for review, feedback, and approval.
The plan shall be submitted NLT the post-award conference and annually thereafter. The QCP shall specifically address the Contractor’s strategy to provide quality workmanship, continual process improvement, and for correcting deficiencies as required.
- The Contractor shall submit a Process Improvement Plan quarterly to the COR identifying problem areas with corrective actions and follow ups as determined. (PWS 1.2.6)
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:53:58 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
3002D002
B. EXHIBIT
D
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLD002
2. TITLE OF DATA ITEM
Transportation Documentation
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
N/A
5. CONTRACT REFERENCE
PWS Para 1.9.1, 1.9.2
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- IAW PWS 1.9, The Contractor will provide monthly documentation to the MTF relating to all transports NLT the 5th of each month for the previous month, example: September's info will be submitted NLT 5 October. This information will include: date, time dispatched/enroute/on scene/first pt contact/depart pickup location/hand off to hospital personnel, run number,, type of run (BLS or ALS), available patient information (full name, military (last 4 of SSN) or civilian, DOB). Patient condition, all patient care rendered, complete incident and destination location addresses, and an explanation of any exceptions to response time or reasonable patient care by local and national standards contained in public release;
Distribution is unlimited.
- The Contractor shall be required to complete the DD Form 2569 Third Party Collections (TPC) form for all personnel transported.
Distribution Statement A. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:49:05 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
3002D003
B. EXHIBIT
D
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
Paramedic and Ambulance Services
E. CONTRACT/PR NO. F. CONTRACTOR
TBD
1. DATA ITEM NO.
CDRLD003
2. TITLE OF DATA ITEM
Records
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82199
5. CONTRACT REFERENCE
PWS Para 1.10
6. REQUIRING OFFICE
72 MDG
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
11. AS OF DATE
See Blk 16
12. DATE OF FIRST SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
- The Contractor shall be responsible for creating, maintaining, and disposing of only those Government required records which are specifically cited in the PWS or as may be required by the provisions of a mandatory directive listed in paragraph 1.10 of this PWS. If requested by the Government, the Contractor shall provide the original record or a reproducible copy of any such records within five working days of receipt of the request. All run report/dispatch numbers must be emailed to the TFD and the COR at the end of each shift. The Contractor shall integrate patient care reporting forms or automated systems with the Tinker Fire Department in order to affect a comprehensive team approach to patient care.
Distribution Statement B. Approved for public release; Distribution is unlimited. Ref:
DoD Directive 5230.24 "Distribution Statement on Technical Documents", Enclosure 4.
72 MDG 1
AFSC/PZIOA 1
Contractor 1
15.TOTAL 0 3 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Nathan Schooling
H. SIGNATURE I. APPROVED BY
Lacie Permenter
J. SIGNATURE
SCHOOLING.NATHA
N.ALAN.1125002648
Digitally signed by
SCHOOLING.NATHAN.ALAN.11250
02648 Date: 2026.05.11 10:54:52 -05'00'
PERMENTER.LACIE.E
LIZABETH.1279899063
Digitally signed by
PERMENTER.LACIE.ELIZABETH.12
| Attachment 6 - Exhibit A - Copy |
| Attachment 6 - Exhibit A |
| Exhibit A - CDRL A001 |
| Exhibit A - CDRL A002 |
| Exhibit A - CDRL A003 |
| Exhibit A - CDRL A004 |
| Exhibit A - CDRL A001 |
| Exhibit A - CDRL A002 |
| Exhibit A - CDRL A003 |
| Exhibit A - CDRL A004 |
| Attachment 6 - Exhibit A |
| Attachment 6 - Exhibit A |
| Exhibit A - CDRL A001 |
| Exhibit A - CDRL A002 |
| Exhibit A - CDRL A003 |
| Exhibit A - CDRL A004 |
| Exhibit A - CDRL A001 |
| Exhibit A - CDRL A002 |
| Exhibit A - CDRL A003 |
| Exhibit A - CDRL A004 |
File details come from the government source that posted it. Updated .