DHA PWS Template V13 November 16, 2021

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Department of Defense Defense Health Agency

Performance Work Statement

Emergency Medical Services (EMS) Ambulatory Services

DHA Network 9 78 MTF/SGGM

Solicitation Number:

Version:

Date: 24 March 2026

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PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide emergency management services to service Robins Air Force Base (RAFB), Georgia.

1.2 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, transportation, vehicles, tools, materials, management, supervision, and other items and non-personal services necessary to perform high quality 24-hours/seven (7) days a week emergency ambulance services and patient transport operations as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this PWS.

1.3 Background: Robins Airforce Base (RAFB) installation has a requirement to provide emergency services and assist with dispatch calls. Due to this, the 78th Military Treatment Facility (MTF) has traditionally contracted this requirement out to cover all emergency service calls on RAFB and work in coordination with the medical, fire and security forces units to ensure timely response and meet training requirements.

1.4 Objectives: The objective for this contractor is to complete the list below:

1.4.1 Provide 24/7 Emergency Medical Services (EMS): Ensure continuous paramedic-level emergency response and patient transport services, including holidays and adverse weather conditions.

1.4.2 Delivery High Quality Patient Care: Maintain professional standards consistent with the TJC, NREMT, and state EMS protocols.

1.4.3 Ensure Rapid Response Times: The contractor shall independently determine and execute the necessary operational and staging strategies to consistently meet the required response time standards across the entire installation. The required standards are seven (7) minutes for primary emergency calls and twelve (12) minutes for secondary back-up calls, achieving 90% compliance measured on a monthly basis.

1.4.4 Support Operational Readiness: Participate in facility exercises, training programs, and emergency response planning to enhance readiness and coordination.

1.4.5 Maintain Compliance and Accountability: Adhere to federal, state, and local regulations including safety, security, and quality control requirements while providing detailed reporting and documentation.

1.5 Scope: Scope of services include EMS, patient transport, in-flight emergency response, participation in training and exercises, documentation and reporting, ensuring personnel requirements, maintaining safety and health compliance, complying with DHA security protocols, and communicating and coordinating with the 78 MDG and 78 Fire Department.

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1.5.1 Scope Expansion (Additional MTFs): The primary requirement of this PWS is to support Robins Air Force Base. However, the Government reserves the right to add similar EMS requirements for other Military Treatment Facilities (MTFs) located exclusively within the states of Georgia and South Carolina during the Period of Performance. Any such geographic expansion of services is contingent upon the contractor's demonstrated capability and must be executed via a formal, bilaterally negotiated contract modification. The Government makes no guarantee that additional locations will be added, and the contractor shall not incur costs for other locations until a modification is formally executed.

1.6 Period of Performance (PoP):

Base Year- 1 November 2026 to 30 April 2027 Option Year 1- 1 May 2027 to 30 April 2028 Option Year 2- 1 May 2028 to 30 April 2029 Option Year 3- 1 May 2029 to 30 April 2030 Option Year 4- 1 May 2030 to 30 April 2031

1.6.1 Transition: Transition-in/transition-out period.

1.6.1.1 Transition: The Government's objective is to award the contract prior to the full performance start date of 1 November 2026 to allow for a transition period. However, the exact duration of the transition period is strictly contingent upon the actual date of contract award. Offerors are advised there is a high probability of a minimal or highly compressed start-up timeframe.

During any available transition period, the contractor shall accomplish all necessary administrative start-up activities (e.g., recruiting, hiring, vehicle procurement, and initiating base access). Contractor personnel will not be issued Common Access Cards (CACs); instead, they will be issued Defense Biometric Identification System (DBIDS) passes for installation access.

The contractor is responsible for ensuring all personnel obtain required installation access by the full performance start date. Prompt submission of all required DBIDS documentation to the Visitor Control Center is essential to ensure mission readiness on 1 November 2026.

1.6.1.2 Transition-In Performance: Transition-in performance is defined as the time to transition with the current contractor to the new contractor while working with the MTF and Fire Department on local procedures and policies. During the transition-in period, the contractor shall prepare to meet all contract requirements. The contractor shall provide the government with a transition plan for phasing in contractor performance, which shall be delivered no later than 20 calendar days after contract award. Incoming personnel must be functionally trained and qualified by the full performance start date; however, cybersecurity requirements must be fully adhered to upon contract award. Any personnel hired to fill vacancies after the full performance start date shall be trained and qualified within 15 calendar days of their start date.

1.6.1.2.1 The contractor shall comply with transition-in requirements of the DHA, as listed in paragraph 1.11.1, for contractors needing to be issued Common Access Card (CAC) identification, including Department of Defense (DoD) and DHA-directed training and forms submission, prior to network access.

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1.6.1.3 Transition-Out Period: The transition-out plan shall facilitate the accomplishment of a seamless transition from the incumbent to incoming contractor/Government personnel at the expiration of the contract. See Part 7, Technical Exhibit 1.

1.6.1.3.1 The contractor shall comply with transition-out requirements of the DHA for contractors who have been issued a CAC or who generate “records”, as defined by DoD (records manual), including DoD-directed disposition of records, and others displayed on the In/Out (I/O) Processing Portal.

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at Robins Air Force Base and will include transportation of patients off base to local medical facilities.

1.7.2 Recognized Federal holidays: Contractor will be required to work all federal holidays.

1.7.3 Hours of operation: Contractor shall adhere to 24-hours of on-site Paramedic and emergency ambulance service for patient transport at RAFB, GA. Maintain a system to ensure that backup support is provided in the event of simultaneous responses, equipment failures, or other unforeseen circumstances. Services must always be available.

1.7.3.1 Adverse Weather Conditions: During adverse weather conditions, contractor shall continue to provide services for RAFB.

1.7.4 Mission-Essential Emergency Services and Contingency Support

1.7.4.1 Exercise Support: On occasion, services may be required to support an activation or exercise of contingency plans. This support is in addition to routine 24/7 duty requirements and may include providing additional crews, ambulances, or establishing on-site triage points. For pricing purposes, offerors shall assume a planning estimate of up to 40 additional service hours per year for these events. This support will only be performed upon formal request by the Contracting Officer (KO) or designated COR, and the estimated hours are not a guarantee of work.

1.7.4.2 Mission-Essential Service Designation: The ambulance services required under this PWS have been formally identified as Mission-Essential (M-E) in accordance with DFARS 237.76, Continuation of Essential Contractor Services. This service is a critical initial medical response capability for RAFB.

1.7.4.3 Continuity of Operations Plan (COOP): As the provider of a mission-essential service, the contractor shall develop, maintain, and deliver a comprehensive Continuity of Operations Plan (COOP) detailing their approach to sustaining services during a crisis. This plan shall be delivered in accordance with CDRL A007. The plan must, at a minimum, provide actionable procedures for continuing operations during events such as a pandemic, natural disaster, or loss

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of communication, and must address the following elements:

a. Crisis Management & Communication: A clear chain of command and a robust communication plan for all contractor employees and key government points of contact.

b. Staffing & Personnel: A process to identify minimum safe staffing levels and procedures for recalling personnel to ensure continuous 24/7 coverage.

c. Logistics & Supply Chain: Procedures for managing and acquiring essential resources (medical supplies, PPE, fuel) if normal supply chains are disrupted.

d. Base Access & Security: A plan to ensure essential contractor personnel can access the installation during heightened security postures, coordinated with the COR.

e. Plan Maintenance & Exercises: A schedule for annually reviewing and updating the COOP and a commitment to participate in government exercises to test the plan.

1.8 Contractor travel: Contractors shall travel to incident locations in an appropriate medical response vehicle with the appropriate personnel per information received primarily from the RAFB Fire Department. Withstanding transportation of patients, travel outside of the local area is not required for this service.

1.9 Other Direct Costs (ODC): None.

1.10 Quality

1.10.1 Quality Control (QC): The contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective services. The contractor’s QC program is the means by which the work complies with stated requirements.

The contractor shall submit a Quality Control Plan (QCP) within 30 days after contract start date.

Quality control should include medical control capabilities at the cost of the contractor.

Contracting Officer Representative (COR) will inspect contractor performance in accordance with the Quality Assurance Surveillance Plan (QASP) and other technical guidance and regulations. After acceptance of the Quality Control Plan (QCP) the contractor shall receive KO’s acceptance in writing of any proposed change to his QC system. See Part 7, Technical Exhibit 1 - CDRL A001.

1.10.2 Quality assurance (QA): The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.10.3 The contractor shall maintain an internal Self-Assessment Program (SAP) to evaluate the effectiveness of existing procedures and internal controls, to determine organizational compliance with regulatory requirements and to complement external inspections and assessments. (CDRL-A004, Self-Assessment Program)

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1.10.4 The contractor shall support Air Force initiatives and participate in other applicable Quality Control programs and Continuous Process Improvement (CPI) initiatives designed to indicate the appropriate end-state of managed technical orders. The contractor shall comply with resulting changes to existing processes/procedures from these programs/initiatives. (AFMCI 90- 104).

1.11 Contractor personnel

1.11.1 CAC requirements: For all contractors who will work in Government facilities, the Facilities Security Officer (FSO)/Company's Security point of contact (POC) will provide the Government all the required information per the DHA CAC request process current version 2.1, January 2018, or more recent when updated. See process attached at Part 7 Section 7.1.1 of the PWS. A CAC is the standard identification for eligible DoD contractor personnel.

1.11.1.1 The contractor shall return all CACs to the COR upon the departure of the contractor(s).

1.11.2 Contractor onboarding and training: The contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

1.11.2.1 The contractor shall use the government-provided Defense Health Agency (DHA) Onboarding and Offboarding Portal to process all contractor personnel for system access and security credentialing. The web address and specific instructions for using this portal will be provided by the Contracting Officer's Representative (COR) at the post-award kick-off meeting.

1.11.2.2 The DHA’s contractor training instructions embedded at Part 7 Section 7.1.2.

1.11.2.3 The DHA’s new employee handbook at Part 7 Section 7.1.43.

1.11.3 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.11.4 Key control: The contractor shall establish and implement methods of making sure all keys/key cards issued to the contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the contractor by the Government shall be duplicated. The contractor shall develop procedures covering key control that shall be included in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the

KO.

1.11.4.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction of the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor.

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In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the contractor.

1.11.4.2 The contractor shall prohibit the use of Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the KO.

1.11.5 Lock combinations: The contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the contractor’s

QCP.

1.12 Key personnel (Contractor):

1.12.1 Designation: The contractor shall designate a primary Contract Manager and an alternate Contract Manager as Key Personnel. The names and contact information for both individuals shall be provided in writing to the Contracting Officer (KO) prior to the start of the performance period.

1.12.2 Authority and Responsibility: The Contract Manager and their alternate are responsible for the overall performance of the work and shall have full authority to act for the contractor on all matters relating to the daily operation of this contract.

1.12.3 Availability: One of these designated individuals (primary or alternate) shall be reachable by phone or email at all times (24 hours per day, 7 days per week, 365 days per year) to resolve contract issues.

1.12.4 On-Site Liaison: To ensure effective on-site coordination, the Contract Manager may serve in a dual-hatted role as a performing Paramedic or be an administrative lead who acts as the liaison between the contractor's employees and government personnel, including the COR and Functional Requirements Evaluator Designees (FREDs).

1.13 Data rights: RESERVED.

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): RESERVED.

1.14.2 Non-Disclosure Agreement (NDA): RESERVED.

1.14.3 Government’s COR: The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract; perform inspections necessary

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in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notifies both the KO and contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting contract.

1.14.4 Post-Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post-award conference convened by the contracting activity at no additional cost to the government. The contractor shall also attend periodic progress meetings as scheduled by the Contracting Officer or COR to review performance and resolve any outstanding issues.

1.15 Contractor Identification

1.15.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHA/Deputy Assistant Director for Acquisition (DAD-A)/Head of the Contracting Activity (HCA) has business dealings. The contractor shall: Answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the DAD-A understands that the person is contractor support personnel.

Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA/DAD-A/HCA understands that the person is contractor support personnel.

1.15.2 Contractor personnel will be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.15.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services.

1.16 Contractor Access to Health Affairs (HA)/DHA Network(s): Reserved

1.17 Personnel Security

1.17.1 The contractor shall comply with DoD 8570.01-M, “Information Assurance Workforce Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated March 14, 2014; DoD Manual (DoDM) 6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care Programs” dated March 3, 2019, Department of Defense Instruction (DoDI) 6025.18 “HIPAA Privacy Rule Compliance in DoD Health Care Programs”, dated March 13, 2019; and DoDM

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5200.02 “Procedures for the DoD Personnel Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.1.1 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract.

1.17.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information (CUI).

1.17.1.3 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

1.18 Sustainable Procurement

1.18.1 Policy Compliance: The contractor shall comply with all applicable federal, state, and local regulations regarding sustainable procurement. This includes the policies outlined in FAR Part 23, which require the acquisition and use of environmentally preferable products and services.

1.18.2 Contractor Responsibilities: To demonstrate compliance, the contractor shall, at a minimum:

a) Purchase and use products containing recycled content as designated in the EPA's Comprehensive Procurement Guideline (CPG) list when practicable.

b) Purchase and use Energy Star® certified and other energy-efficient products where applicable.

c) Properly manage and dispose of any hazardous materials or waste generated during performance in accordance with EPA and OSHA guidelines.

d) Comply with all other applicable sustainable procurement requirements, such as purchasing bio-based products or non-ozone-depleting substances where relevant to the services being performed.

1.18.3 Reporting: The contractor shall maintain records of sustainable products purchased and provide a summary report of compliance to the COR as requested by the COR or Contracting Officer

1.19 Environmental Management System (EMS): Any contractor employee working on RAFB shall require EMS training and certification. The prime contractor is responsible for ensuring that all subcontractors comply with this requirement. Computer-based training is provided by the Base Civil Engineering Group Environmental Management Office.

https://geobase.robins.af.mil/emstraining/EMSTrainingOptions.aspx. For questions concerning this training, contact 78 CEG/CEG, 327-8344 for assistance.

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1.20 Contractor Safety Program

1.20.1 The contractor shall establish and maintain an acceptable safety program in accordance with their accepted Safety and Health Plan.

1.20.2 All changes to the plan must also be submitted in writing and approved by the government via the DD 1423 Data Item Number Data Acquisition Document Number DI-ENVR-81375 for contractor's Standard Operating Procedures (SOP) to receive the contractor's Safety and Health Plan Update.

1.20.3 Contractor-Caused Mishaps and Safety Standards

The contractor is responsible for ensuring safe operations at all times. A mishap is defined as an unplanned event that results in injury or property damage. For the purposes of this contract, mishaps will be categorized as follows based on severity and contractor fault.

1.20.3.1 Mishap Classification:

• Preventable Class A/B Mishap (Standard: Zero per year): Any contractor-caused accident or action that results in a fatality, permanent total disability, permanent partial disability, or property damage exceeding $600,000.

• Preventable Class C Mishap (Standard: Goal of no more than two per year): Any contractor-caused accident that results in a nonfatal injury requiring days away from work or property damage between $60,000 and $600,000.

• Preventable Vehicle Accident (PVA): Any vehicle accident where the contractor's driver is determined to be at fault by the investigating authority (e.g., Security Forces), regardless of the cost of damage.

1.20.3.2 Performance Requirement and Government Action:

• The occurrence of a single Preventable Class A/B Mishap shall be considered a material failure to perform and may be grounds for contract termination for cause.

• The occurrence of any Preventable Class C Mishap or Preventable Vehicle Accident

(PVA) will trigger a formal Corrective Action Request from the Contracting Officer. The contractor shall be required to provide a detailed report on the incident and a plan to prevent recurrence. Multiple preventable mishaps within a performance period may result in a negative performance assessment in CPARS.

1.20.4 Safety Plan

1.20.4.1 Within 10 calendar days after contract award, the contractor shall provide a copy of their company Safety Plan that is required to ensure compliance with applicable federal, state, local, and consensus standards (e.g., OSHA (Public Law 91-596), NFPA, National Institute of Occupational Safety and Health (NIOSH), and TJC). The Safety Plan shall be provided to the COR for review. The COR will provide acceptance or non- acceptance within 5 working days of receipt to the government point-of-contact who will notify the KO. (CDRL A005, Safety and Health Plan)

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1.20.4.2 The contractor Safety Plan shall address the Occupational Safety and Health Act (OSHA) (Public Law 91-596), and all required State and Federal safety standards. The contractor’s internal procedures must be identifiable within the submitted Safety Plan or shall be provided in an amendment or addendum to the company’s Safety Plan. The contractor will have 5 working days to resubmit the Safety Plan, amendment, or addendum to address or correct issues identified for non-acceptance. The Safety Office will provide acceptance or non-acceptance of the resubmission within 5 working days of receipt to the government POC who will notify the KO.

1.20.4.3 Safety Mishap/Incident Reporting: The contractor shall report all mishaps/incidents in accordance with DHA-AI 6055.01. The contractor shall immediately secure the mishap scene and damaged property and impound pertinent maintenance and training records until released by the DHA Safety Office. Such release shall be accomplished through the KO. The contractor shall cooperate and assist Government personnel in the investigation of the incident and submit an Accident/Incident Report within 24 hours of the accident/incident. The contractor shall require all subcontractors to comply with required safety, health and fire standards. (CDRL A006, Mishap/Incident Report)

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PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Category D: Information Technology (IT) and Telecommunications Services (called D- Services)

2.1.2 Category R: Support (Professional/Administrative/Management) Services (called R- Services)

2.1.3 Contracting Officer (KO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.4 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the KO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Nonpersonal services contract: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.1.6 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. The Government may either prepare the QASP or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the Government’s plan.

2.1.7 Exercise Support: Refers to support required for readiness-related events, including but not limited to base-wide readiness exercises, mass casualty drills, and unit training support as directed by the COR.

2.1.8 Special Event Support (Over and Above): Refers to support for non-readiness events, including but not limited to official ceremonies (e.g., Changes of Command, retirements), air shows, or other base-sponsored community functions.

2.2 Acronyms:

ACLS Advanced Cardiac Life Support AEMT Advanced Medical Technician (AEMT) AFI Air Force Instruction AIS Automated Information System APL Approved Products List APL

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AQL Acceptable Quality Level ARRT Acquisition Requirements Roadmap Tool ATO Authority to Operate B2B Business-2-Business BLS Basic Life Support CAC Common Access Card CAP Cloud Access Point CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme CDC Center for Disease Control CDI Covered Defense Information CE Computer Environment CDRL Contract Data Requirement List CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CLIN Contract Line-Item Number CMMC Cybersecurity Maturity Model Certification CMR Contractor Manpower Reporting CNSSI Committee on National Security Systems Instruction CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative CSP Cloud Service Provider CSSP Cyber Security Service Provider CUI Controlled Unclassified Information DAD-A Deputy Assistant Director for Acquisition DC3 DoD Cyber Crime Center DD Form 254 Department of Defense Contract Security Requirement List (if applicable) DD Form 2569 Department of Defense Third Party Collection Program/Medical Services

Account/Other Health Insurance DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DSAs Data Sharing Agreements DSAA Data Sharing Agreement Application DMZ Demilitarized Zone DoDM Department of Defense Manual DPCLO DHA Privacy and Civil Liberties Office DPH OEMS-T Department of Public Health Office of Emergency Medical Services and

Trauma DSN Defense Switched Network DUA Data Use Agreement EMS Emergency Medical Services eMSM Enhanced Multi-Service Markets

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EMT Emergency Medical Technicians EULA End User License Agreement EVM Earned Value Management FAR Federal Acquisition Regulation FC Fire Chief FCI Federal contract information FD Fire Department FE Facilities Enterprise FedRAMP Federal Risk Authorization and Management Program FISMA Federal Information Security Modernization Act FRCS Facility Related Control Systems FRED Functional Requirements Evaluator Designee FSO Facilities Security Officer GA Georgia GFE Government Furnished Equipment GFP Government Furnished Property HA Health Affairs HAZMAT Hazardous Material HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity HIT Health Information Technology IGCE Independent Government Cost Estimate IA Information Assurance IAW In Accordance With IO Initial Outfitting I/O In/Out Processing Portal IPv Internet Protocol Version IS Information System ISP Internet Service Provider IT Information Technology ISCM Information Security Continuous Monitoring IV&V Independent Verification & Validation KO Contracting Officer(s) LMR Land Mobile Radio MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NIAP National Information Assurance Partnership NIST National Institute of Standards and Technology NREMT National Registry for Emergency Medical Technicians O&A Over and Above Work OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs

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OPM Office of Personal Management OSD Office of the Secretary of Defense OSHA Occupational Safety and Health Administration P-ATO Personal Authorization to Operate P&R Personnel and Readiness PALS Pediatric Advanced Life Support PGI Procedures, Guidance and Information PDT Project Delivery Team PH Public Health PHI Protected Health Information PII Personally Identifiable Information PIT Platform Information Technology PK Public Key PKI Public Key Infrastructure POA&M Plan of Action and Milestones POC Point of Contact PMO Program Management Office PoP Period of Performance PP Personal Property PPSM Ports, Protocols, and Services Management PRS Performance Requirements Summary PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RAFB Robins Air Force Base RFP Request for Proposal RFQ Request for Quotation RMF Risk Management Framework SFO Senior Fire Officer SP Special Publication SPRS Supplier Performance Risk System SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TJC The Joint Commission TOS Terms of Service US United States UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

2.3 Applicable Publications, DHA Administrative Instructions (AI), etc.

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2.3.1 IEMP 10-2, Air Force Emergency Management Program Planning and Operations

2.3.2 AFI 44-119, Medical Quality Operations

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PART 3

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

The Requiring Activity Authority has assessed the need for Government Furnished Property, Equipment, and Services and determined:

3.1 Services: The Government:

☐ Will NOT provide Government Furnished Services in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Government Furnished Services required in support of this contract/task orders. These Services are described below:

Medical Waste Disposal: The contractor shall be responsible for the safe handling, temporary storage, packaging, and transportation of all regulated medical waste generated during the performance of services under this contract, in accordance with all applicable regulations and MTF infection control policies.

Medical waste is typically disposed of at the receiving medical facility upon patient transfer.

However, for medical waste that cannot be disposed of at a receiving facility, the Government (specifically, the 78th MTF) will provide for the final disposal. The contractor may turn in such waste at the designated Government collection point (e.g., the loading dock of Bldg. 700 on Robins AFB).

3.2 Facilities: The Government:

☐ Will NOT provide Facilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Facilities in support of this contract/task orders. The Government provided Facilities are described below:

The Government will provide, at no charge, on-base ambulance parking for three (3) ambulances and suitable crew quarters to support the contractor's continuous 24/7/365 operations. The contractor shall be responsible for providing sufficient personnel at all times to meet the performance standards outlined in this PWS.

3.3 Utilities: The Government:

☐ Will NOT provide Utilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Utilities in support of this contract/task orders. The Government provided Utilities are described below:

The government will pay for electric, water, gas, trash, sewage and facility maintenance.

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3.4 Equipment: The Government:

☐ Will NOT provide Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Equipment in support of this contract/task orders. The Government provided Equipment is described below:

The Government (78th MTF) will provide six (6) Land Mobile Radios (LMRs) for the contractor's use, pre-programmed with the required fire network frequency. The Government will be responsible for all maintenance, repair, and replacement of these radios

3.4.1 Procurement Integrated Enterprise (PIEE), GFP Module Application The contractor shall be responsible for obtaining and maintaining access, training and successful operation of the PIEE/GFP Module application for the entirety of the contract/task order PoP.

Contracting Office Responsibilities:

The Contracting Office shall ensure close coordination and validation of the GFP items with the COR and DHA Accountable Property Officer prior to uploading the GFP Attachment into the PIEE/GFP Module. At the time GFP is anticipated and identified, the Government will upload the GFP Attachment into the PIEE/GFP Module. It is the Contracting Office’s responsibility to prepare, upload and maintain the GFP Attachment in the PIEE/GFP Module in accordance with the GFP Attachment instructions provided at the DoD Procurement Toolbox. The KO and COR shall manage and keep an inventory of any GFP associated with contract/task orders awarded through DHA, in accordance with applicable FAR Part 45, DoD FAR Supplement (DFARS) 245 with respective clauses, DHA AI 095 and PD 45-01 following the change in disposition of items listed on that PIEE/GFP Module Attachment.

Contractor Responsibilities:

A key contractor responsibility is to work with the KO and COR to ensure the PIEE/GFP Module data, to include the PIEE/GFP Attachment, provides a timely, complete and accurate accounting of the GFP applicable to the contract/task order. Contractors are required to report the receipt of any GFP shipped to them, regardless of whether it is listed on the GFP Attachment for their contract. Similarly, contractors are required to utilize the GFP Module application in conjunction with the shipment of GFP to the Government, or in reporting Property Loss of GFP issued (such as destruction or loss). Discrepancies or disputes regarding property shipped to or shipped from the contractor must be reported via the GFP Module application, with the KO having authority over final designation of status.

The contractor shall report semi-annually 100% inventories, reconciliations, and final disposition of GFP provided by the government. Final invoices will not be paid pending GFP reconciliation.

Contractors shall be aware of and ensure compliance with applicable FAR Part 45, DFARS 245 and 252.245, Defense Pricing and Contracting Policies, Procurement Integrated Enterprise Environment Standards, DHA Administrative Instruction 094 and DHA Guidance. (CDRL A009, GFP Inventory)

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3.5 Materials: The Government:

☐ Will NOT provide Materials in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ IS providing Materials in support of this contract/task orders. The Government-provided Materials are described below:

The MTF will provide any required Government forms used in the performance of services. The state of Georgia Ambulance Run Sheet will be used to document all responses and patient transports. Also, MTF/Fire Department/ECC shall provide updated maps (Global Information System) to the contractor whenever they become available. The contractor shall limit the copying and or distribution of these maps due to security purposes.

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PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 Services: The Contractor:

☐ Will NOT provide Contractor Furnished Services in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Contractor Furnished Services required in support of this contract/task orders.

These Services are described below: provide Internet and any other convenience services they like to fund.

4.2 General: The contractor shall furnish all supplies, equipment, facilities and services required to perform work listed under Section 5 of this PWS.

4.3 Secret Facility Clearance: The contractor shall possess and maintain a SECRET facility clearance from the Defense Security Service. The contractor’s employees, performing work in support of this contract shall have been granted a SECRET security clearance from the Defense Industrial Security Clearance Office.

4.4 Materials: The contractor shall provide all medical supplies, pharmaceuticals, and uniform necessities to carry out the PWS requirements. The contractor shall ensure that the procurement, storage, use, and disposal of all cleaning agents and supplies strictly comply with Air Force Manual (AFMAN) 32-7002, Environmental Compliance and Pollution Prevention.

4.4.1 Contractor shall present a professional appearance and be easily recognized as contractor Paramedic employees. Contractor shall not wear clothing items deemed offensive. Contractor shall ensure shoes are closed toe.

4.5 Equipment: The contractor shall provide all medical equipment and vehicles to be utilized by the contractor in support of the mission.

4.6 Facilities: RESERVED.

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PART 5

5.0 SPECIFIC TASKS

5.1 General Services Provided: The contractor shall provide all labor, management, supervision, vehicles, supplies, equipment, transportation, reports, and services for full coverage of 24-hour a day Paramedic emergency ambulance services for patient transport from all of RAFB, GA. The contractor shall provide continuous, uninterrupted coverage 24 hours per day, 7 days per week, 365 days per year (24/7/365). The contractor's care shall be commensurate to that of Emergency Medical Technicians (EMT) and paramedic/ambulance services provided in the local community. Performance shall be according to the requirements contained in this PWS and professional standards of The Joint Commission (TJC), DHA-PM 6025.13, AFI 44-119, the Department of Transportation, and the National Registry for Emergency Medical Technicians

(NREMT).

5.1.1 Vehicle Operational Requirement: The contractor shall ensure that a minimum of two (2) fully equipped, serviceable ambulances are operational and available for immediate dispatch at all times (24/7/365). To meet this continuous availability requirement, the contractor must provide and maintain a total fleet of at least three (3) ambulances to allow for one vehicle to be unavailable due to maintenance or other contingencies

5.1.1.1 Vehicle Maintenance and Readiness: The contractor, at its own expense, shall be solely responsible for all maintenance, repairs, servicing, and fuel for the ambulances used to perform the services under this contract. All ambulances must be maintained in accordance with manufacturer's recommendations and all applicable state and federal safety standards. In the event a primary ambulance is out of service for maintenance or mechanical repair, the contractor shall place the third (spare) ambulance into operational service within 30 minutes to ensure the minimum of two (2) operational ambulances is always met, ensuring no disruption to 24/7/365 coverage. The spare ambulance must meet the exact same equipment and serviceability standards as the primary units.

5.1.2 Personnel and Work Schedules

5.1.2.1 Staffing Responsibility: The contractor shall provide personnel possessing the required qualifications and certifications (as defined in Section 5.10) in quantities sufficient to ensure two ambulances are fully operational and available for immediate dispatch 24/7/365. The contractor shall maintain full responsibility for the management, scheduling, and back-filling of personnel (e.g., for sick leave, training, or vacancies) to ensure continuous performance of the mission requirement.

5.1.2.2 Work Schedules: The contractor’s designated point of contact (as defined in Section 1.12) shall provide a monthly work schedule of individuals scheduled to perform services to the FRED by the 20th of the preceding month. Proposed work schedule changes shall be submitted to the FRED at least 48 hours in advance. For same-day changes due to emergencies or sick leave, the point of contact shall give a minimum of two hours’ notice to the FRED via text message or phone call. The contractor is solely responsible for ensuring that all personnel, November 16, 2021

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including emergency replacements and backups, possess valid installation access and required credentials prior to reporting for duty.

5.1.2.3 Simultaneous Responses and System Status Notification: The contractor shall maintain two (2) ambulances fully operational and available for immediate dispatch at all times. In the event that both primary ambulances are simultaneously engaged in emergency responses, the contractor shall immediately notify the Robins Emergency Dispatch Center and the Senior Fire Officer (SFO) of a "Zero Capability" status. The contractor shall further notify Dispatch immediately once a unit becomes available for service.

5.2 Emergency Paramedic Response and Patient Transport

5.2.1 Response Time Standards

a. Definition: For the purposes of this contract, "Response Time" is defined as the total time elapsed from the moment the contractor's crew is notified by the Robins Emergency Dispatch Center to the moment the ambulance arrives on the scene of the emergency.

b. Required Timeframes: The contractor is responsible for developing and implementing the necessary staging and deployment strategies to meet the following response times for any location within the Robins AFB perimeter:

1. Primary Emergency Calls: Within seven (7) minutes.

2. Secondary/Back-up Calls: Within twelve (12) minutes.

3. Simultaneous Emergencies: The applicable response time standard applies to each individual emergency call.

c. Performance Standard: The contractor shall achieve the required response time standards for at least 90% of all emergency calls, calculated on a monthly basis. To facilitate verification, the contractor shall provide weekly response time data and run sheets to the FRED. Formal compliance with the 90% standard will be evaluated and documented monthly via a Performance Assessment Report (PAR) submitted to the COR.

5.2.2 Patient Transfer: The contractor shall ensure an EMT/AEMT/Paramedic remains with patients until a qualified member of the receiving hospital properly accepts the patient. Within two (2) hours of a patient being transferred to an off-base facility, the contractor shall call the RAFB Command Post and provide the patient's name, time of arrival, and the name of the receiving hospital. If a patient expires while in the care of the contractor, the POC shall notify the Chief of Medical Staff and the RAFB Command Post within two (2) hours.

5.3 In-Flight Emergency Response: The contractor shall serve as a primary medical response to all in-flight emergencies. The responding unit will be notified by the base fire department and will fall under the authority of the Senior Fire Officer (SFO) during the incident. Documentation for these responses shall be completed in accordance with Section 5.5 of this PWS.

5.4 Exercise Participation and Readiness Support

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5.4.1 Exercise Support: The contractor shall participate in base disaster plans and exercises. This participation is considered Exercise Support as defined in Section 2.1.7 and is included within the firm-fixed-price of the contract. All requests for this support must be submitted through the FRED, who will then send the formal request to the contractor. This support includes, but is not limited to:

a) Providing on-scene ambulance coverage for 78th Civil Engineering Squadron Live Fire training, EMT All Refresher courses, and 78th Air Base Wing Level Exercises.

b) Participating in flight-line hazard and mishap response planning, including advance and post-exercise meetings.

5.4.2 Required Training: The contractor shall ensure all responding personnel maintain current certifications for HAZMAT Awareness Level I and Decompression Sickness (DCS) Training.

DCS training will be provided by the Robins Fire Department.

5.5 Official Documentation and Reporting

5.5.1 Required Forms: The contractor shall comprehensively document all patient care encounters. The primary clinical record for documentation shall be the State of GA run sheet and/or the Robins AFB Fire Emergency Services Patient Care Report (Form CEXF OI 32-69).

Additionally, for all eligible civilian personnel, the contractor shall ensure the completion of DD Form 2569 (Third Party Collections Form). The contractor shall not bill patients or patient insurance; this responsibility remains strictly with the 78th Medical Group.

5.5.2 Data Collection: For each patient encounter, the contractor shall ensure the following information is accurately collected and recorded: Date of Transport, Patient’s Name, Call Location, Destination, Nature of Call, Response Time, Run Report/Dispatch Number, Notes, Branch (e.g., Active Duty, Civilian), Sponsor’s Name, and Sponsor’s Phone Number.