BLS EMS PWS_30JULY25 (REV2).pdf

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PERFORMANCE WORK STATEMENT (PWS)

30 JULY 2025

Basic Life Support (BLS) Emergency Medical Services (EMS)

Tobyhanna Army Depot 11 Hap Arnold Blvd.

Tobyhanna, PA 18466 i

TABLE OF CONTENTS

Contents Page

PART 1: GENERAL

Overview Scope Conflicts of Interest Overtime Hours of Operation Period of Performance Emergency Contact Drug Testing Program Physical Requirements Disclosure of Information Social Networking Contractor Identification Requirements Protection Phase-In / Out Phase-In Phase-Out Government Furnished Property (GFP) and GFE for Contractor Use... 10 Antiterrorism (AT) / Operations Security (OPSEC) Requirements

PART 2: REQUIREMENTS

Performance Measurement Response Quick Response Service Interface with Mutual Aid Resources Advanced Life Support Special Event Standbys Claims Record Keeping and Reports Training Personal Protective Equipment (PPE) Tobacco Use Weapons Phones / Cameras Driver’s License Access to Protection Information ii

Performance Based Objectives / Metrics EMS Disciplinary Actions Contractor Manpower Reporting Language for Contract Performance Work Statement and Related Background Information

PART 3: TYAD F&ES HISTORICAL RESPONSE DATA

Table 1 – TYAD F&ES Historical On-Site Response Chart Table 2 – TYAD F&ES Historical BLS Peak vs. Non-Peak Data Table 3 – TYAD F&ES Historical ALS Peak vs. Non-Peak Data Table 4 – Days of the Week (March 2023 - March 2025) Table 5 – TYAD F&ES Hour of Day Data (March 2023 - March 2025) .. 23 Table 6: Patient Category (March 2023 - March 2025)

PART 4: MISCELLANEOUS

TYAD On-Site Contractor Workforce & Visitor Restrictions Contractor On-Site Workforce – Additional Security Requirements Contractor Safety Standards for TYAD Contractor is Soley Responsible & Liable for Job-Site Safety Code Compliance Job Hazard Analysis (JHA) / Activity Hazard Analysis (AHA) Site-Specific Safety & Accident Prevention Plans Fall Protection Electrical Safety Depot Required Permits / Approvals Confined Spaces Lockout / Tagout Procedure Protection to the Drinking Water System Protection of Personnel Fire & Emergency Services If an Incident Happens Crane Lift Operations at TYAD Application of Any Oder Producing Materials Conflict Between Standards Insurance Requirements Standard Specifications for Projects

The Contractor shall invoice after each monthly service via Wide Area Workflow (WAWF).

Payment will be made after verification of invoice and inspection by COR. Invoice shall include a list of completed services to include, at minimum, number of contractor employees who worked, the total number of hours each worked, and a total amount due for the reporting period.

PART 1: GENERAL

1. OVERVIEW.

a. Tobyhanna Army Depot (TYAD) is a vital component in the United States military's logistics network, renowned for its exceptional support of the Warfighter. Strategically positioned in Tobyhanna, Monroe County, Pennsylvania, TYAD specializes in delivering World-Class Logistics Support for Command, Control, Communications, Computers, Cyber, Intelligence, Surveillance, and Reconnaissance (C5ISR) systems throughout the Department of Defense (DoD).

b. With a workforce of approximately 3,000 personnel during regular duty hours, TYAD experiences fluctuating staffing levels on nights and weekends, depending on operational demands. In fiscal year 2024, approximately 130 personnel were assigned to the second and third shifts. TYAD's unwavering commitment to excellence solidifies its position as a leader in the logistics domain, playing a critical role in enhancing the effectiveness and readiness of military operations.

2. SCOPE.

a. This service contract encompasses all operations related to Basic Life Support (BLS) Emergency Medical Services (EMS), including standby, emergency and non-emergency response, and patient treatment and transport services for the TYAD Fire and Emergency Services Branch (F&ESB). The contract requirements align with the defined scope of services expected from the fire department, reflecting the unique mission and characteristics of TYAD.

b. The contractor will provide and maintain a contractor-owned and operated BLS ground ambulance and two (2) Pennsylvania Department of Health (PA DOH) certified Emergency Medical Technician- Basics (EMT-Bs), stationed on-site at TYAD from Monday through Friday, 7:00 A.M. to 5:00 P.M., excluding federal holidays (herein referred to as regular duty hours). During overnight hours Monday through Friday, 5:01 P.M. to 06:59 A.M, weekends, and federal holidays, EMS response and patient transport services will be managed through mutual aid agreements with third-party agencies equipped to provide BLS or Advanced Life Support (ALS) as needed. These agreements will ensure the availability of additional BLS and ALS services 24/7, 365 days a year, to address overlapping emergencies on TYAD or other periods of high demand. Over the last 8 years, there has been two instances of overlapping EMS emergencies on TYAD.

c. The contractor is responsible for providing all necessary equipment and supplies required to maintain a licensed, transport-capable BLS ground ambulance.

Pennsylvania-certified personnel shall be provided on-site to operate the BLS ground ambulance service in accordance with (IAW) the PA DOH, Bureau of EMS, and Eastern Pennsylvania EMS Council licensure requirements, practices, and procedures as well as other applicable standards and requirements referenced herein. The contractor shall maintain the capability to respond immediately to any medical, fire, hazardous material, chemical, biological, radiological, nuclear, and high-yield explosive (CBRNE) incidents or rescue operations on TYAD property during regular duty hours.

d. In addition to regular on-site BLS EMS service, the contractor shall provide BLS EMS standby coverage, patient treatment and patient transport services as needed for special events (e.g., change of command ceremonies, fun runs/walks, fishing derby, law enforcement physical agility tests, etc.) during regular duty hours. The contractor will also be responsible for the disposal of all biohazard materials generated from such responses IAW with established environmental and state regulations and policies.

e. The services required under this contract are non-personal services. Contract workers are employees of the contractor and are under their administrative control and supervision. The contractor, through their workers, shall perform the tasks outlined herein. The Government will not supervise, direct, or control contractor workers.

Similarly, the contractor and their workers shall not supervise, direct, or control the activities of TYAD personnel or employees of other contractors. The contractor is accountable to the Government for the actions of their workers.

f. The contractor will be responsible for submitting an invoice for these requirements to the government on a monthly basis in WAWF.

g. Offerors shall provide in their technical proposals the following:

(1) A detailed written staffing plan that describes the methods for maintaining adequate staffing coverage during regular duty hours. This plan must include a one (1) month template of the shift schedule, indicating the start and end times for contractor employees, demonstrating staffing coverage during regular duty hours.

(2) A firm fixed price for BLS EMS services during regular duty hours which includes the core requirements for providing one (1) BLS EMS ground ambulance, two (2) PA DOH certified PA EMT’s, standby services as assigned and emergency and non-emergency responses on-site at TYAD.

3. CONFLICTS OF INTEREST.

Current Government employees are prohibited from being employed by the contractor in any capacity which may pose a personal conflict of interest as stated in FAR clause 52.203-16.

4. OVERTIME.

Overtime hours are not approved for this contract.

5. HOURS OF OPERATION.

The contractor shall maintain on-site BLS EMS standby, emergency and non-emergency response, and patient treatment and transport service capability during regular duty hours. Regular duty hours encompass periods of inclement weather, natural disasters, and other local, state, or national emergency situations. At the time of contract execution, the COR shall provide the contractor with a list of the current calendar years federal holidays. The contractor can also access this list at https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/.

6. PERIOD OF PERFORMANCE.

The period of performance is for option year 3 beginning on 9 March 2026 and option year 4 beginning on 9 March 2027. Exercise of options is at the sole discretion of the Government.

7. EMERGENCY CONTACT.

The Contractor shall provide a listing of management/supervisory personnel, in order of notification preference, by name, phone numbers and email address, where the government can make immediate contact with management representatives for administrative issues affecting contract performance (e.g., short staffing on duty, delayed response, etc.). In instances where an answering service is utilized, the contractor shall return all calls immediately after the message is left by authorized Government personnel (COR/TYAD F&ESB Fire Chief or Assistant Fire Chiefs).

8. DRUG TESTING PROGRAM.

a. The contractor shall maintain a drug-testing program that includes initial, random and reasonable suspicion testing for all contract personnel supporting this contract.

b. Offerors shall provide in their technical proposals a detailed written plan describing the drug-testing program that includes policies, procedures and methods for administering and enforcement for initial employment testing, random testing and reasonable suspicion testing.

9. PHYSICAL REQUIREMENTS.

The contractor shall ensure that all contractor employees are in good health, mentally alert and are overall fit for duty for the expected physical demands associated with BLS EMS stand-by, emergency and non-emergency response, and patient treatment and patient transport services during regular duty hours.

10. DISCLOSURE OF INFORMATION.

a. This contract may require the contractor to access data and information proprietary to a government agency, another government contractor, or of a nature such that its dissemination or use, other than as specified in this contract, would be averse to the interests of the Government or others. Neither the contractor nor contractor personnel shall divulge, or release data or information developed or obtained during the performance of this contract, except to authorized Government personnel or upon written request from the Contracting Officer's Representative (COR) and/or the Fire Chief or their delegates.

b. The contractor shall not use, disclose, or reproduce data and information obtained in the performance of this contract. The contractor will be required to execute a corporate non-disclosure agreement (NDA) and shall ensure that all on-site contractor personnel execute an NDA to provide for the security and protection of TYAD and other sensitive data. The corporate NDA will be provided by the COR upon contract award and must be returned within five (5) business days of receipt. All NDAs for on-site contractor personnel shall be submitted along with the personnel credentials IAW section 1.14 A.

11. SOCIAL NETWORKING.

Contractor employees are prohibited from posting, tweeting, or otherwise publishing data and information developed or obtained during day-to-day operations at TYAD on social networking sites, including but not limited to Facebook, X (formerly Twitter), LinkedIn, Snapchat, and Instagram.

12. CONTRACTOR IDENTIFICATION AND UNIFORM REQUIREMENTS.

a. IAW Federal Acquisition Regulation 37.114(c), all contractor personnel attending meetings, answering Government telephones, or working in situations where their contractor status is not obvious are required to identify themselves as such to avoid being mistaken for Government officials. All on-site contractor personnel must clearly represent themselves as contractor employees, distinct from Government personnel.

b. Contractor employees are required to wear their government-issued identification badges visibly while performing work on-site at TYAD. They must ensure that all emails, documents, or reports they produce are appropriately marked as contractor products, and that contractor participation is clearly disclosed. All signature blocks in emails must indicate that the sender is a contractor employee and include the contractor's company name.

c. Contractor employees must adhere to high standards of personal hygiene and maintain a clean, neat, and professional appearance. They are required to wear a complete duty uniform at all times during regular duty hours and use Personal Protective Equipment (PPE) as mandated by the PA DOH. The contractor is responsible for all costs associated with uniforms and PPE. Uniforms must include, at a minimum, uniform trousers, uniform shirts displaying the contractor company name, an all-season jacket or equivalent, and appropriate footwear to maintain a professional appearance while performing their duties and interacting with the TYAD population.

d. TYAD is committed to providing a comfortable and inclusive work environment for all employees, contractors, and visitors. Clothing that may be deemed offensive or cause discomfort to Government employees, other contractors, or visitors is strictly prohibited at all times while on-site at TYAD. This includes revealing or provocative attire, clothing featuring profane language, or clothing that promotes causes related to politics, religion, sexuality, race, age, gender, and ethnicity.

13. PROTECTION.

a. Contractor personnel shall comply with all applicable security and safety regulations, guidance, and procedures, including local, referenced in the PWS and in effect at the work sites. The Contractor shall coordinate with the supporting Government security office for submission of required suitability investigations.

b. Non-Government-owned computing systems or devices. The Contractor shall comply with AR 25-1 and AR 25-2. The Contractor shall not install or connect non- Government-owned computing systems or devices to Government networks without the COR’s coordinating and obtaining proper authorization from the appropriate Information Assurance Manager (IAM), ensuring that all software has a Government Certificate of Net worthiness. The non-Government- owned computing systems or devices include, but are not limited to, personal or Contractor- owned thumb drives (e.g., memory sticks, flash drives, Universal Serial Bus (USB) drives, jump drives, pen drives), removable or external hard drives, Personal Digital Assistants (PDA), PC Cards/Express Cards, MP3 players, cell phones, digital media, floppy disks, compact disc (CD)/digital video disk (DVD) burners, optical recordings, photo flash cards, laptops or any devices that can store data.

14. PHASE-IN/OUT.

a. Phase-In (If Applicable).

(1) Minimum phase in/out shall be seven (7) calendar days from date of contract award. Maximum phase in/out period shall not exceed 30 calendar days from the date of contract award. The contractor shall develop and provide the Contractor Officers Representative (COR) a detailed written transition plan prior to phase in. This plan shall ensure a seamless transition of services between the outgoing Government EMS BLS contractor and the succeeding BLS EMS contractor. The contractor shall establish initial contact with the COR and TYAD F&ES POC within five (5) business days from contract award via telephone or email.

(2) Phase-in is defined as providing sufficiently trained and qualified personnel, a PA DOH licensed BLS EMS ground ambulance and all required EMS equipment and supplies required to execute appropriate and professional BLS EMS stand-by, response, and patient treatment and patient transport services for TYAD F&ESB during regular duty hours. Transfer of services shall occur between the outgoing Government BLS EMS contractor and the succeeding BLS EMS contractor at the end of the existing BLS EMS contractors shift (6:00 A.M.) on the last day of the existing BLS EMS contract.

(3) This transition plan shall include, but is not limited to the following:

(a) Coordination with Government representatives.

(b) Review, evaluation and transition current support services.

(c) Government-approved training and certification process.

(d) Transfer of all necessary business and/or technical documentation.

(e) Orientation phase and program to introduce Government personnel, programs and the users to the contractor’s team, tools, methodologies, and business processes.

(f) Distribution of Government owned assets.

(g) Transfer of Government Furnished Equipment (GFE) and GFE inventory management assistance.

(h) Applicable personnel in-processing procedures.

(i) Issue and account for government keys, identification and access cards.

(j) Familiarization with TYAD and surrounding county communication procedures and channels.

(k) Familiarization with current PA DOH, Bureau of EMS BLS protocols.

(4) All contract personnel shall in-process through designated Government personnel to ensure compliance with the Government’s requirements for establishment of security measures and other administrative in-processing requirements identified by the Government.

(5) At the time of phase in and prior to commencement of services, the contractor shall provide the COR with a copy through email in PDF format of the contractors current PA DOH Licensure for the BLS level of service. The contractor shall also provide copies through email in PDF format of the credentials listed in this section 14 a. (7) for each contractor employee supporting this effort on-site at TYAD and prior to any new contractor employees reporting for duty on-site at TYAD who may be hired at any time during the period of performance. The contractor shall ensure all credentials are obtained prior to being assigned to this effort and that all contractor employees are able to maintain these requirements during the periods of performance.

(6) The contactor shall submit copies of all items listed in 14 a. (7) for each contract employee supporting this effort on-site at TYAD IAW the following submission requirements.

(a) One (1) PDF file per contractor employee, file shall be titled with the contractor employees last name and contain all credentials as one (1) file attachment.

(b) One (1) credential per page.

(c) Be legible and arranged in an organized manner.

(d) Submitted to the COR, by e-mail, no later than 3:00 P.M. EST on the date of submission.

(7) Contractor Credentials

(a) Current PA EMT-B or higher certification (Nationally Registered contractors must possess PA DOH EMT-B through reciprocity).

(b) Current CPR/AED Certification.

(c) PA Child Abuse Clearance Report.

(d) Valid State Issued Driver’s License.

(e) National Incident Management System 100, 200, 700 and 800 certificates.

(f) Signed Non-Disclosure Agreement.

b. Phase Out.

(1) The contractor shall provide a plan for a 30-day outgoing transition period in order to transition work to the succeeding BLS EMS contractor. The COR will notify the outgoing BLS EMS contractor of all outstanding requirements the contractor must first complete before the contract ends. The contractor shall not defer any requirements for the purposes of avoiding responsibility or of transferring such responsibility to the succeeding contractor. The contractor shall fully cooperate with the succeeding contractor and the Government so as not to interfere with their work or duties.

(2) IAW the Government-approved plan, the contractor shall assist the Government in planning and implementing a complete transition from this contract to the succeeding BLS EMS contractor. This shall include formal coordination with Government staff and successor staff and management. It shall also include delivery of copies of existing policies and procedures and delivery of required metrics and statistics.

(3) This transition plan shall include, but is not limited to:

(a) Coordination with Government representatives.

(b) Review, evaluation and transition of current support services.

(c) Government-approved training and certification process.

(d) Transfer of all necessary business and/or technical documentation.

(e) Orientation phase and program to introduce Government personnel, programs, and users to the Contractor's team, tools, methodologies, and business processes.

(f) Transfer of GFE and provide GFE inventory management assistance.

(g) Applicable transition debriefing and personnel out-processing procedures.

(h) Coordination with the Government to account for all Government keys, Identification and/or access cards and vehicle placards.

(i) Familiarization with TYAD and surrounding county communication procedures and channels.

(4) All contract personnel shall out-process through the designated Government personnel to ensure compliance with the Government’s requirements for terminating access and other administrative out-processing requirements as identified by the Government.

(5) The Contractor shall ensure all contract employees turn-in all Government keys, Identification and/or access cards, vehicle access passes, etc. to the COR. The TYAD Law Enforcement and Security Branch shall be notified in any instance where a contractor employee failed to turn-in any required Government issued items.

c. Government Furnished Property (GFP) and GFE for Contractor Use.

(1) Work will be accomplished at a designated on-site BLS EMS Response Location on TYAD property. Currently, this location is 11 Hap Arnold Blvd. Building 17 Tobyhanna PA, 18466, TYAD F&ESB Headquarters and is subject to change at the Government’s discretion.

(2) The location provided will include a heated garage stall for parking one (1) BLS EMS Type III or smaller ground ambulance during regular duty hours (available space is 10 feet wide max by 25 feet max due to space restrictions). Overnight or outside parking of Ambulances or Equipment is not available or authorized during overnight hours Monday through Friday, 5:01 P.M. to 06:59 A.M, weekends, and federal holidays. The designated on-site EMS response location shall have, if needed, three (3) storage lockers (secure as necessary) for expendable BLS EMS supplies and equipment appropriate for the historical call volume of TYAD responses and PA DOH licensure requirements for BLS EMS services based on historical TYAD regular duty hour response data.

(3) A plymovent vehicle exhaust system is installed at the current EMS response location, and it shall be the responsibility of the contractor for the full cost to purchase and install the appropriate plymovent adapter and transmitter for the contractor owned and operated BLS Ground ambulance to ensure compatibility with the existing plymovent system to comply with the requirements of NFPA 1500; Standard on Fire Department Occupational Safety, Health, and Wellness Program.

(4) Contractors assigned to TYAD will have access to common shower (as needed) and lavatory (some designated unisex) facilities as well as a common kitchen area equipped with a sink, microwave, and range, which is used by both contractors and Government employees. If required, the Government will provide a combination or apartment-style washer/dryer for laundering BLS EMS ground ambulance linens and towels. A common refrigerator and freezer will also be available for the use of assigned contractors during each shift. This appliance is currently located outside the Assistant Chief's office due to space restrictions and is subject to relocation at the Government's discretion. Contractors are permitted to store food and drink requiring refrigeration or freezing, and it is their responsibility to ensure that all items are properly labeled and removed in a timely manner to maintain cleanliness and organization.

(5) The contractor shall provide office supply support for the day-to-day requirements of a typical EMS office environment with less than 100 EMS responses per year. One (1) small workstation without drawers and a chair capable of supporting a computer and small printer will be provided, if required. This workstation is capable of storing a contractor owned 2-drawer filing cabinet. Both Government and contract employees are responsible for cleaning up after themselves, including washing items used in food preparation, cleaning up after meals, and wiping down countertops.

Additionally, the contractor shall assist in the daily cleaning of common areas, including sweeping and mopping floors, vacuuming, emptying all garbage cans in common areas (including apparatus stalls), and clearing snow and ice from entry and exit ways during winter weather events.

(6) Due to the existing labor management agreement, the firehouse gym is exclusively for the use of Government employees. On-duty contract personnel are required to attend the TYAD F&ESB morning start-up (roll call) meeting, which occurs in person daily, typically around 0800 and may be subject to change at the Assistant Chief’s (or acting) discretion. The contractor shall be responsible for all costs associated with contractor provided internet service, computer monitor, tower, keyboard, mouse and printer and PA DOH EMS compliant patient care reporting software.

(7) Sleeping during regular duty hours is strictly prohibited. Contractor employees will be authorized to use Government dining facilities during their normal operating hours and at contractor employee’s expense. Contractor will be prohibited from having visitors on site other than those conducting official business with and or who are employed by the Contractor. The Government will provide a vehicle placard for the depot-based ambulance for entry to the installation which must be displayed at all times while on the installation. When off the installation, this placard shall be removed from plain sight.

(8) Two (2) designated dual band TYAD Land Mobile Radio portables shall be issued by the Government to support two (2) on-duty contractor employees and one (1) BLS EMS ground ambulance assigned to TYAD during regular duty hours. At the beginning of the duty shift, the contractor will sign out and retrieve the two designated portable radios. At the conclusion of the shift, the contractor is required to sign-in and return these portable radios to their designated charging bank. All mutual aid units will operate on the appropriate Monroe County channels. Issued portable radios shall not be permitted off site unless in the performance of official duties associated with this effort (e.g., emergency response, off post for fuel, supplies, etc.). All Government issued portable radios are subject to regular property book inventory and shall be made available to the Government POC upon request from the COR. Contractors are not authorized to take any Government issued portable radios off site to monitor calls from a private residence or at any time they are off duty. The contractor shall be responsible for the full cost of replacement or repair of any Government issued portable radio that is lost, stolen and/or damaged, abused or broken outside of normal wear and tear. If intentional destruction is suspected, the Law Enforcement and Security Branch will be notified for a formal investigation. Normal wear and tear are those conditions generally encountered in the performance of BLS EMS stand-by, response and patient transport services. Contractors are not authorized to purchase fuel or other goods from the Post Exchange or Commissary unless they possess an active duty and/or retired military ID.

d. Antiterrorism (AT) / Operations Security (OPSEC) Requirements.

All security training certificates shall be provided to the Contracting Officer’s Representative (COR)/Point of Contact (POC) and the Contract Specialist/Purchasing Agent.

(1) Antiterrorism (AT) Level I Training. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date and within 30 days of report date for any additional or new contractor employees, who start after that period. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR within 10 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: https://jkodirect.jten.mil for CAC holders. Non-CAC holders may go to http://jko.jten.mil/courses/atl1/launch.html for their training. Upon request, the contractor will be provided one copy of the AT Level I Training slides for use with employees who may not have computer access. TYAD will not be responsible for printing copies of slides for training purposes. TYAD reserves the right to provide instructor led training and will so advise the contractor within one week of the start of performance or at the time of annual training, if that will be the training approach to be utilized. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record, or contractor equivalent. As applicable, contractor employees must complete annual AT awareness training as it pertains the length of the contract.

(2) iWATCH Army Training. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH Army Program. This will consist of utilizing the tools and media products on the informational iWATCH Army website to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. The iWATCH training is available at the following website: https://myarmyonesource.com select Family Programs and Services, in the drop-down boxes select: Go To, iWATCH Army –“See Something, Say Something”.

Additional guidance and support can be provided by the TYAD Antiterrorism Officer (ATO) at the contractor’s request. This training shall be completed within 30 calendar days after contract start date and within 30 days of report date for any additional or new contractor employees, who start after that period. The contractor shall notify the COR within 10 calendar days of the completed training for any new employees or subcontractor personnel to assure the ELTY form 583 or contractor equivalent is properly documented. TYAD reserves the right to provide instructor led training and will so advise the contractor within one week of the start of performance or at the time of annual training, if that will be the training approach to be utilized. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record or contractor equivalent.

(3) Operations Security (OPSEC) Training. Per AR 530-1, Operations Security, contractor employees must complete Level I OPSEC training within 30 calendar days after contract start date and within 30 days of report date for any additional or new contractor employees, who start after that period. All contractor employees must also complete annual OPSEC awareness training. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR within 10 calendar days after completion of training by all employees and subcontractor personnel. The contractor will be provided a copy of the OPSEC training slides for use with employees who may not have computer access. TYAD will not be responsible for printing copies of slides for training purposes. TYAD reserves the right to provide instructor led training and will so advise the contractor within one week of the start of performance or at the time of annual training, if that will be the training approach to be utilized. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record or contractor equivalent.

(4) Access and General Protection/Security Policy and Procedures. Contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by Government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by TYAD Security Branch. Contractor workforce must comply with all personal identity verification requirements as directed by DoD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

(5) Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190- 13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by the Government representative), or, at OCONUS locations, IAW status of forces agreements and other theater regulations.

PART 2: REQUIREMENTS

1. PERFORMANCE MEASUREMENT.

Performance measurement of Aggerate Response Time (ART) will be expressed as a percentage of total responses for EMS incidents on TYAD over a given period of time (period of performance). The Army performance standard for ART is achieving the service delivery performance time standard at the 90th percentile of the emergency response. Turnout time is defined as the time that begins when units are notified of an emergency to the beginning point of travel. Travel time is defined as the time that begins when units are enroute to an emergency incident and ends when units arrive at the scene.

2. RESPONSE.

a. For all emergency and non-emergency responses, the primary depot-based EMS unit will utilize radio-based dispatch through Government provided portable radios or the TYAD F&ES Station Alerting System to facilitate an immediate notification and the appropriate response. Cellular dispatch is not authorized. Contract personnel are prohibited from waiting for the TYAD F&ESB QRS Engine or Truck Company to respond before they respond and any medical emergency.

b. During regular duty hours, the contractor shall have a performance standard of 60 second or less for turnout time and 240 seconds or less for travel time for all medical responses on TYAD. For all non-medical responses (e.g. automatic fire alarm, odor investigation, etc.) on TYAD during regular duty hours, the contractor shall respond non-emergent (no lights or sirens) unless otherwise requested by the Incident Commander

(IC).

c. The TYAD F&ESB Assistant Fire Chief(s) (Duty Chief) and/or Fire Chief or their designee shall have overall IC at all incidents on site at TYAD and is responsible for overall incident management by establishing objectives, strategies and implementing tactics and establishing appropriate Incident Command System structure with qualified and trained personnel. The IC is responsible to determine additional resources as needed for each incident.

3. QUICK RESPONSE SERVICE.

TYAD F&ESB will provide a BLS Quick Response Service (QRS) Engine or Truck company for all EMS incidents on-site with certified PA-EMT- Bs. This response will be contingent upon the QRS apparatus/company being available at the time of the EMS incident and if TYAD F&ESB is not committed to another incident.

4. INTERFACE WITH MUTUAL AID RESOURCES.

a. The contractor’s primary mission and responsibility is to TYAD and, therefore, shall not be permitted to respond to requests for mutual aid assistance off-site using TYAD-based personnel or equipment. The contractor is required to establish mutual aid agreements with local agencies and/or governments who could be requested to respond to TYAD, as required by AR 420-5, Army Fire and Emergency Services, with those entities capable of providing additional BLS patient treatment and transport services during regular duty hours, as well as after-hours, on weekends, and federal holidays with those agencies who could be requested to respond to TYAD. Mutual aid agreements must also be developed to ensure ALS patient treatment and transport services are available 24 hours a day, 7 days a week, 365 days a year. These agreements must comply with the licensure requirements established by the PA DOH Bureau of Emergency Services and the Eastern Pennsylvania EMS Council.

b. The contractor shall ensure that any claims filed for services provided through mutual aid agreements are sent to the contractor, the contractor will then in-turn, reimburse the mutual aid agency the full amount for their services. The contactor then submits those claims to the government on a monthly basis in WAWF.

c. All mutual aid agreements shall be formally documented and include, at a minimum, the following requirements:

(1) Provisions for mutual aid BLS and ALS services will be established to assist TYAD in achieving a performance standard of 12 minutes or less at the 90th percentile.

(2) All responses to TYAD shall be emergent (lights and siren) unless otherwise requested by the TYAD F&ESB.

(3) Address billing for services provided, as required in Part 2 section 7 Claims of this Performance Work Statement (PWS).

(4) Provisions for special event stand-bys, as needed IAW Part 2, section 6 of this

PWS.

(5) Submitting EMS response data monthly for F&ESB analysis to ensure compliance with established performance standards.

(6) Signed by the outside agency or government, the contractor and approved and signed by the Fire Chief or their designee.

d. Offerors shall provide in their technical proposals a detailed written description of how they intend to establish mutual aid agreements with local agencies and/or Government.

5. ADVANCED LIFE SUPPORT.

TYAD’s Emergency Communications Center (ECC) shall automatically request an ALS for emergencies that warrant this level of service at the time of dispatch during regular duty hours. For emergencies after hours, weekends and federal holidays, the ECC shall request the appropriate level of service required at the time the call is received from Monroe County 911 Center. Instances where an ALS unit was not dispatched at the time of dispatch, and the patient’s condition changes and warrants such level of service, the Contractor shall make the request through TYAD’s ECC if still on-site at TYAD and/or summon the closest ALS unit from the appropriate PSAP based on the hospital destination.

6. SPECIAL EVENT STAND-BYS.

In addition to regular on-site BLS EMS services, the contractor may be requested to provide an additional BLS EMS ground ambulance and personnel to support special events (e.g. Octoberfest, etc.), high-risk training (e.g. live fire training, etc.), etc. that may occur during regular duty hours, after-hours, weekends or federal holidays. The COR will provide no less than seven (7) calendar days’ notice of special events requiring BLS EMS stand-by whenever possible. Historically, are less than 5 special events per year which is subject to change at the sole discretion of the government. As applicable, the contractor will be responsible for submitting all special event stand-by claims to the government in WAWF. During special event standby’s, the contractor is authorized to file claims for any patient treatment or transport services provided following the requirements in Part 2, section 7.

Offerors shall provide in their technical proposals the fixed hourly labor rate for one (1) or more additional contractor personnel for BLS EMS stand-by coverage services and the fixed hourly rate for a second BLS Ground Ambulance for Transport services.

7. CLAIMS.

a. The contractor and all mutual aid agencies are prohibited from billing any patient or their insurance for services provided to patients treated or transported from TYAD. The contractor is authorized to bill the government on a monthly basis at the fixed rate for any patient treatment, patient transport or special event stand-by service rendered during the monthly reporting period at TYAD, whether by the contractor or third-party providers. However, the contractor is not permitted to bill for standby services or other non-emergency responses required at TYAD during regular duty hours using the TYAD based ground ambulance and personnel, this excludes special event stand-bys.

b. The exercise of options is at the sole discretion of the Government. In instances where the government intends to exercise options, the contractor will have the ability to renegotiate fixed BLS and ALS rates for special event stand-by, patient treatment and transport services, provided they submit a detailed methodology for determining the costs associated with these services during regular duty hours, after hours, weekends, and federal holidays.

c. Necessary billing agreements shall be developed in conjunction with mutual aid agreements between the contractor and all third-party providers to ensure that no patient being treated or transported from TYAD, or their insurance, is billed. Claims filed for services provided under mutual aid agreements shall be sent directly to the contractor, who will then reimburse the mutual aid agency the full agreed-upon fixed rate for their services. The contractor will be responsible for submitting claims to the government on a monthly basis in WAWF.

d. Offerors shall include in their technical proposals an all-inclusive, fixed rate for the following:

(1) BLS treat, no transport rate (patient refusal).

(2) BLS transport rate.

(3) ALS treat, no transport rate (patient refusal).

(4) ALS Intercept rate

(5) ALS transport rate (broken down by level of service if applicable (e.g. ALS 1, ALS 2, etc.). a detailed description of the interventions performed at each level shall also be provide).

(a) For a claim to be filed for BLS/ALS transport, ALS intercepts and treat / no-transport, copies of PII redacted patient care reports (PCR) will be provided to the TYAD F&ESB within three (3) business days from the date of transport for Quality Assurance review. These reports will be placed in the secure PCR box in the office area of Building

17. The designated TYAD F&ESB representative shall review all reports upon notification from the contractor that the report was placed in the PCR box. All reports shall be reviewed and approved by the designated TYAD F&ESB representative prior to the contractor’s invoice being accepted in WAWF. The following minimum information must be provided on all treat / no transport charts. Date and Time of Incident

(b) Vital Signs

(c) Glasgow Coma Scale (GCS)

(d) Narrative to include treatment and assessment for the patient.

e. Non-billable responses include those responses where there is no patient transport, a patient assessment is not performed (e.g. patient refusing EMS care, etc.)

or where there is no patient contact. Examples of non-billable responses include but may not be limited to preforming firefighter rehabilitation where the firefighter has no complaints, TYAD F&ESB obtaining a patient refusal, cancelled enroute, etc.

f. Offerors shall also include a detailed methodology for determining the costs associated with BLS and ALS treatment and transport services during regular duty hours, after hours, weekends, and federal holidays. This methodology should consider factors such as mileage, hourly rates, vehicle costs, supplies/equipment, insurance costs, and overhead costs, in light of the prohibition on billing patients or their insurances for services provided. Cost estimations must be based on historical response data from TYAD's F&ESB and current industry standards.

8. RECORD KEEPING AND REPORTS.

a. The contractor will be required to report all responses and maintain on file all required state and local documentation of emergency medical responses as required by the PA DOH to include Patient Care Reports (PCR) and Patient Refusals. The Contractor must agree to release any PCR or patient refusals deemed necessary by the TYAD Legal Office to the Government for official purposes. Only the COR and Fire Chief or their designee may request this documentation from the Contractor.

b. The Contractor shall provide the COR with a Government-furnished electronic response data report detailing response data for all on-site TYAD EMS-related responses by the fourth business day of each month. This includes all regular duty hour and after hour responses with mutual aid. Appendix A will be utilized for all reporting requirements. The data requested, the format for submission, and the Government representative(s) (e.g., COR or group email box) to whom the reports are submitted are subject to change at the Government's discretion. This reporting requirement may include granting the contractor access to the Army’s F&ES Information Technology System of Record. At the time of contract execution, the COR will provide the Contractor with Appendix A in an electronic format. No deviations or alterations from this requirement will be authorized. The response data report shall include, but is not limited to, dispatch time, enroute time, on-scene time, call type, and EMS category type.

Upon request from the Government, the contractor may be required to provide additional information or documentation necessary for TYAD F&ESB to accurately respond to data calls from higher headquarters. One example includes but may not be limited to the contractor’s annual stretcher inspector report required for the annual F&ES Protection Assessment.

9. TRAINING.

a. The contractor and all assigned Emergency Medical Technicians must be recognized and certified by the PA DOH, Bureau of EMS at the BLS level of capability.

The contractor shall ensure appropriate licensure and completion of required continuing education requirements are met as required to maintain EMT certification. Contractor personnel shall complete Department of Homeland Security NIMS 100, 200, 700, and 800 training (On-site contract managers and supervisors, if applicable, shall also complete NIMS 300 training) and provide appropriate documentation of completion IAW HSPD 5 requirements during the phase in period.

b. The contractor shall ensure all contractor employees are trained and remain current with the Health Insurance Portability and Accountability Act (HIPPA). The Contractor shall participate in all TYAD Emergency Services training and exercises as determined by the Fire Chief, Assistant Chief(s) or COR to ensure a constant state of preparedness and enable the contractor to work seamlessly with TYAD emergency response personnel and their processes.

c. The Contractor will be required to ensure assigned personnel can pass a background check IAW DOD Directive Type Memorandum (DTM)-09-012. Contractor employees will also be expected to have an in-depth knowledge of locations throughout the installation (i.e., locations of all buildings, section numbers and potential associated hazardous materials, chemicals or pollutants) following an appropriate training period by TYAD emergency personnel. Contract personnel are prohibited from waiting for the TYAD F&ESB QRS Engine or Truck Company to respond before they respond and any medical emergency.

d. Offerors shall provide in their technical proposals a detailed written plan describing the methods for maintaining required certifications.

10. PERSONAL PROTECTIVE EQUIPMENT (PPE).

The contractor shall provide all contractor employees the necessary PPE required by PA DOH licensure at their own expense.

11. TOBACCO USE.

The contractor shall comply with TYAD Commanders Policy #15 – Depot Smoking Policy at all times while on-site during the performance period.

12. WEAPONS.

The contractor shall comply with TYAD Pamphlet NO. 380-4, Tobyhanna Army Depot Weapons Policy.

13. PHONES/CAMERAS.

Contractor employees shall comply with TYAD Commanders Policy #14 – Acceptable Use of Portable Electronic Devices, including Smartphones, Cameras and Video Equipment at TYAD. Vehicle recording devices are prohibited on the installation.

Contractor-owned ambulances and POVs equipped with a recording device must have the device turned off or covered at all times while on the installation.

14. DRIVERS LICENSE.

Contractor employees must have a valid state issued driver’s license and adhere to all traffic patterns, ordinances and regulations while on TYAD property.

15. ACCESS TO PROTECTED INFORMATION.

a. Protected information means all non-public information, including, but not limited to, trade secrets or proprietary information of other Contractors, Government source selection information, Privacy Act or Personally Identifiable Information (PII), or any other information with distribution limited by the Government. If, during the performance of this requirement, Contractor personnel obtain access by any means to protected information, they shall not disclose, publish, divulge, release or make known, in any manner or to any extent, the information except as necessary to carry out duties under this contract. Protected information shall be given only to persons specifically granted access to this sensitive information and may not be further divulged without specific prior written approval from an authorized U.S. Government individual. Further, contractor employees shall not use any non-public information for official/authorized Government purposes only and they shall not use the information for their personal gain, the gain of their employer or the gain of anyone else. The Contractor shall notify the Contracting Officer of any potential organizational conflicts of interest created by any such access; however, a nondisclosure agreement will not overcome an Organizational Conflict of Interest (OCI) as defined in FAR Subpart 9.5.