Draft PWS Air Medical Helicopter Transportation Service as of 21 FEB 2024.pdf

PERFORMANCE WORK STATEMENT

AIR MEDICAL TRANSPORT AMBULANCE SERVICES

FORT HUNTER LIGGETT

GENERAL INFORMATION

PART 1

1. General

This is a non-personal service(s) contract under which the personnel rendering the service(s) 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.

1.1 Description of Services: Air Medical Transport Ambulance Services (AMTAS) for Fort Hunter Liggett (FHL), CA. Contractor shall provide dedicated, exclusive use, full-time medical evacuation (MEDEVAC) to provide Advanced Life Support (ALS) to injured Department of Defense (DoD) personnel at an incident location to a higher level of care as required. The aircrew is expected to operate incompliance with all applicable requirements of the Federal Aviation Administrative (FAA) regulation in respect of its General Operation Manual for air operations conducted under Part 135. The lower weather minimums are considered a high risk. The pilot in command of the aircraft, being overall responsible for safe mission execution, retains the right not to fly due to unsafe weather conditions. The Contractor shall provide ALS, Basic Life Support (BLS), and aeromedical transportation services, as defined in this Performance Work Statement (PWS). This is a firm-fixed price service contract, with 24-hour a day, with a seven (7) day-a-week staffing requirement. Actual incidents and frequency of movement will vary based upon training density on the ranges, and the number of MEDEVAC required. The Contract employees providing these services are hereafter referred to as Contract Service Provider (CSP).

1.1.1 Performance shall be according to the requirements contained in this PWS and the Commission Accreditation of Medical Transport Services (CAMTS). The Contractor must be Commercial Airlift Review Board (CARB) certified, and have passed FAA inspections on all equipment, and have not been grounded by the FAA within the last year prior to award of this contract. The Government reserves the right to inspect the maintenance of all equipment utilized under this contract. The Contractor will correct identified deficiencies within thirty (30) calendar days of written notification from the Government. In addition, if the Contractor fails FAA inspection during the term of this contract, this shall be grounds for immediate termination for cause. The Contractor shall provide proof of FAA inspections for the last year to the Contracting Officer (KO) at time of offer under this request for proposal, prior to contract award, and at annual inspection intervals.

1.1.2 Non-Personal Services Contract: Any resulting contract will be a commercial, nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the Contractor will perform as an independent Contractor. The Government will evaluate the quality of service provided but retains no control over the aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall indemnify the

Government for any liability producing act or omission by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical Professional liability insurance in the minimum amount of $1 million per incident and $3 million in the aggregate and provide proof of coverage to the KO within five (5) working days before contract start date. The Contractor shall ensure that its subcontractors, if any, have medical Professional liability insurance in these amounts. Verification will be required at time of contract award.

1.1.3 The Contractor shall comply with the Office of the Surgeon General (OTSG) / U.S. Army Medical Command (MEDCOM) policy Memo 21-040, Sexual Harassment/Assault Response and Prevention (SHARP) Program, Oct 7, 2021. The SHARP reporting requirements apply only to knowledge obtained by Contractor personnel while performing services under this contract. The Contractor shall require all CSP with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the Contractor is providing services under this contract, to report the incident to the Contractor who shall immediately (within 24-hours) report the incident in writing to the government's Contracting Officer’s Representative (COR) and/or the Alternate Contract Officer’s Representative (ACOR). All incidents shall be reported whether they involve Contractor personnel or Government personnel, or other individuals.

1.1.4 Sexual Harassment/Assault Response and Prevention Program: The Contractor shall ensure all CSP receive SHARP training not later than thirty (30) calendar days after Contractor personnel begin performance under this contract. The Contractor shall coordinate with the COR who will contact the local SHARP representative at their assigned location for classroom training.

Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the SHARP representative. Verification of the training (initial contract start, new personnel training, or annual refresher training) shall be provided to the COR/ACOR within ten (10) calendar days after completion of the training (Technical Exhibit B – Deliverables Schedule #16).

1.1.5 The Contractor will provide a physician Medical Director (MD) who has oversight of the care rendered by the healthcare provider CSPs on this contract. The Contractor MD is responsible for providing medical oversight to the nurses and paramedics and regarding aspects of patient care including scope of practice, US Army Emergency Medical Service (EMS) protocols, standing orders, quality assurance, and quality improvement. The inspection and acceptance point for all services rendered under this contract will be by the COR/ACOR or the KO. The performance by the CSP, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance, and review for acceptance by the COR/ACOR and/or designated representative. Any services rendered by the CSP to patients or interaction with military/civilian personnel deemed unprofessional/ threatening/dangerous by competent authority and approved by the KO will be considered as grounds for immediate removal of the CSP and possible termination under clause 52.212-4(m) - Termination for Cause.

Other performance evaluation factors will be monitored that are not quantified by numerical measurements, which include: CSPs not meeting the minimum qualification standards;

inappropriate use of pharmaceuticals; patient customer service comments; compliance with policies and procedures. Services provided by the CSP shall be reviewed and rated in accordance with the PWS and the Commission on Accreditation of Medical Transport Systems (CAMTS). A poor rating shall be grounds for immediate removal of the CSP and possible termination of the contract.

1.2 Background: FHL is located in southern Monterey County, California. Situated among the rolling hills, the Installation is 165,000-acres in size with a training complex of approx.160,000-acres. Terrain varies from rolling hills to steep mountain terrain with unit training occurring throughout the complex. The Installation is considered remote and isolated as the closest town is King City which is twenty-four (24) miles to the north. Due to the remoteness and the distance to trauma centers by ground ambulance, an air ambulance capability is needed to provide life-saving medical transportation in emergency situations.

1.3 Scope: The Contractor shall provide air MEDEVAC services to injured persons (military or civilian) upon dispatch to an incident location throughout most weather conditions. The Contractor shall provide ALS and BLS to the injured patient, as defined in this PWS.

1.4 Objectives: The object of this contract is to support the utilization of a civilian Part 135 Helicopter Air Ambulance at FHL that provides care and access to patients requiring critical care in the cantonment and remote training areas.

1.5 General Information

1.5.1 Quality Control Plan: The Contractor is required to implement a Quality Control Plan (QCP) to ensure that the medical services are provided at a level of quality that meets all applicable federal, State of California, Monterey County, and Medical Director standards.

The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor's QCP is how it assures that the work provided complies with the requirements of the contract.

The Contractor’s proposed QCP shall be submitted to the KO through the COR for review within ten (10) calendar days after date of contract award. The KO will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within ten (10) calendar days. If the KO has provided comments, the Contractor shall then have ten (10) calendar days to submit a final QCP. After receipt of the final QCP, the Contractor will receive the KO acceptance in writing. Any proposed changes to the final QCP are required to be resubmitted for acceptance to the KO no later than ten (10) calendar days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes (Technical Exhibit B – Deliverables Schedule #01). At a minimum, the QCP must include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team.

(b) How the Contractor will monitor work to ensure performance complies with all deliverables (etc. timelines, deadlines, and goals).

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses.

(d) How the Contractor will monitor and ensure staff qualifications remain current and valid including DoD Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance.

(e) How the Contractor will ensure all keys issued will remain controlled items (Paragraph

1.7 Key Control).

(f) How the Contractor will inventory and track maintenance of all Government Furnished Equipment (GFE) such as a handheld radio(s) for dispatch.

(g) How the Contractor will identify, investigate, and correct any non-conforming performance and prevent similar deficiencies in the future.

(h) How the Contractor will file and save all quality control related documents for the life of the contract plus 5 years.

1.5.1.2 Analysis of Quality Control and Timeliness of Submittals: Analysis of Quality Control and Timeliness of Submittals (i.e., deliverables) shall be provided to the COR within thirty (30) calendar days upon completion of each Period of Performance (PoP) or Task Order (Technical Exhibit B – Deliverables Schedule #02).

1.5.1.3 The Contractor shall inform the COR/ACOR of issues or potential issues that might affect the performance within 12-hours of identifying those issues. Verbal reports shall be followed up by written reports within 72-hours.

1.5.1.4 The Contractor's Contract Manager shall, at no additional cost, meet with the COR when requested by the COR to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

1.5.1.5 The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations. If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

1.5.2 Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do 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 acceptable quality levels.

1.5.2.1 Quality Assessment and Improvement: The Government will monitor the Contractor's performance under this contract using the Quality Assessment and Improvement (QA&I) procedures pursuant to the Contract Terms and Conditions - Commercial Items clause, paragraph entitled Inspection/Acceptance. Additionally, the Contractor's performance is subject to scheduled and unscheduled review by the QA&I Committee as defined by the QASP and Army Regulation 40-68.

1.5.3 Recognized Holidays: The following provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g., deliverables, submittals, etc.)

deadlines fall on a holiday, the closest workday prior to the holiday will apply as the deadline for submittal.

1.5.3.1 U.S. Holidays: Work shall be performed on U.S. federally recognized holidays occurring during the normal workweek unless otherwise directed by the KO.

• New Year’s Day January 1st

• M. L. King Memorial Day 3rd Monday in Jan

• Presidents’ Day 3rd Monday in February

• Memorial Day last Monday in May

• Juneteenth June 19th

• Independence Day July 4

• Labor Day 1st Monday in September

• Columbus Day 2nd Monday in October

• Veteran’s Day November 11th

• Thanksgiving Day 4th Thursday in November

• Christmas Day December 25th

1.5.3.2 Host Nation Holidays: RESERVED

1.5.4 Operating Hours: The Government facility office hours, facility operating hours, and the Contractor support hour requirements often coincide, however, they may differ.

1.5.4.1 Government Facility Office Hours: The Government facility office hours are 0700 to 1700, Monday through Friday except U.S. Holidays identified in paragraph 1.5.3.1 or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

1.5.4.2 Government Facility Operating Hours: The Government facility is open for operations during the recognized U.S. Holidays identified in paragraph 1.5.3.1. The Government facility may close to nonessential personnel due to local or national emergencies, administrative closings, or similar Government directed facility closings and will be communicated by the KO to the Contractor. The contractor is expected to be exempt from all closures and be prepared to execute services as described in paragraph 1.1 and 1.3.

1.5.4.3 Contractor Support Hours: The Contractor shall provide support 24-hours a day, seven

(7) days a week, (to include holidays), and during Low-Level Light (LLL) and inclement weather conditions.

A designated medical treatment facility will be within a two-hundred and fifty (250) nautical mile radius of FHL. The designation of a treatment facility is dependent on the nature of the emergency and the availability of that particular care at that trauma center.

The Contractor shall always maintain an adequate workforce, for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential.

The Contractor will be dispatched to the appropriate location by the FHL 911 Dispatch Center, the Range Officer of Range Operations Division, or a designated representative, will direct the Contractor when and where to perform the services. Only the KO may direct the diversion of the Contractor from tasks assigned in the contract. In the case of an emergency, the KO, COR or ACOR may issue verbal direction to the Contractor to be followed up by written direction as soon as reasonably feasible.

Absences - Continuity of Service. This is a 24-hours per day, seven (7) days a week operation, therefore the Contractor shall ensure that fully qualified back-up/replacement personnel and equipment are available to always provide coverage. For clarity, in the event the Contractor’s primary personnel and/or equipment is unavailable to respond to an incident due to it being occupied with another transport, down for scheduled or unscheduled maintenance, or for any other reason, the Contractor shall immediately dispatch a helicopter to respond from one of the Contractor’s existing airbases within forty (40) nautical miles of FHL and shall notify the COR of the activation of a backup crew.

Absence of any crewmembers or equipment without backup crew coverage may result in termination of the contract for cause.

All personnel, including back-up/replacement medical flight crew members shall be rested, and fully physically and mentally capable of performing the duties required under this contract. Back-up/replacement CSPs must have and maintain the same qualifications/requirements as the crew member that are being replaced. Failure to perform shall be grounds for contract termination for cause.

1.5.4.3.1 Contractor Work Plan: The plan, as a minimum, shall identify regularly scheduled work (to include location, work to be completed, timeline, etc.) The Contractor’s proposed Work Plan shall be submitted to the KO via the COR for review within ten (10) calendar days after date of contract award. The Government will review and either accept or return their comments to the Contractor within ten (10) calendar days. The Contractor shall then have three (3) calendar days to submit a Final Work Plan. Any proposed change to the accepted Final Work Plan is required to be resubmitted via the COR for review and acceptance by the

KO at a minimum thirty (30) calendar days prior to implementation (Technical Exhibit B – Deliverables Schedule #03). The timeline noted above shall apply for review and acceptance for proposed changes.

1.5.5 Training Holidays: RESERVED

1.5.6 Place of Performance: The work to be performed under this contract will be performed at FHL cantonment and training areas with transport area of two-hundred and fifty (250) nautical miles. Aircraft will be stationed at FHL Tusi Army Airfield.

1.6 Security Requirements: Since the CSPs shall have access to and/or process information, requiring protection under the Privacy Act of 1974. Compliance with DoD Directive 5200.28, DoD 5200.2-R, AR 25-2, and AR 380-67 is mandatory for Automated Data Processing (ADP) Sensitive positions. Therefore, a National Agency Check with Inquiries (NACI) is required for each CSP. The Contractor shall ensure that each CSP fully adheres with the provisions of referenced publications by making an appointment (through the COR) with the appropriate security organization at FHL.

The CSP will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The Contractor is advised that a positive report for its CSP is needed as a condition of employment under this contract. The Contractor shall ensure that its CSP applies for the NACI within three workdays after start of performance

1.6.1 Security Program: Contractor personnel performing work under this contract must have T1 Background Investigation submitted within 30 days of the contract start date and must maintain favorable HSPD-12 Determination that is required for the life of the contract. The security requirements are IAW with the DoD Contract Security Classification Specification (DD Form 254), which is currently accessible at the following link:

http://www.dtic.mil/whs/directives/forms/eforms/dd0254.pdf

1.6.2 Personnel Security Clearance Requirements: Contractor and all associated subcontractors’ employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DoD, Headquarters Department of the Army (HQDA) and/or local policy. (The SF-86 is the documentation. Clearance level will be at the Tier 1 Level, known formerly at the NACI). 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. (The capability of the helicopter is essential; it is not affected by FPCON changes unless there is a threat directly to resource).

Safeguarding Material. The CSP shall be responsible for safeguarding all Government property provided for CSP use. The CSP shall safeguard information of a confidential or sensitive nature.

The CSP shall not disclose or cause to be disseminated any information concerning the operation of the Installation that could result in or increase the likelihood of the possibility of breach of https://en.wikipedia.org/wiki/Simmons_Army_Airfield http://www.dtic.mil/whs/directives/forms/eforms/dd0254.pdf http://www.dtic.mil/whs/directives/forms/eforms/dd0254.pdf security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974, except as authorized by the KO or as required by law (e.g., testimony in court or at a deposition).

1.6.3 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings, and controlled areas. The Contractor shall ensure that any subcontractors used in performance of this contract complies with these requirements and that all employees, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

• The Contractor shall be aware of and comply with the requirements associated with Installation Access Control System (IACS). The Government is not liable for any costs associated with performance delays due solely to the Contractor’s failure to comply with IACS processing requirements.

1.6.3.1 Common Access Cards and Log: The Contractor shall provide a personnel list of those who will require a Common Access Card (CAC) within ten (10) calendar days after contract award unless circumstances require otherwise and as directed by the KO. After contract start, the Contractor shall update and submit the CAC log to the COR for review quarterly (Technical Exhibit B – Deliverables Schedule #04). The CAC log format will be at the Contractors discretion but must contain, at the minimum, the name, position, and last four (4) digits of the employee’s social security number. Note - CACs are Government property and must be accounted for.

1.6.3.2 Background Checks: Contractor and all associated sub-contractors’ employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Officer. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) 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.

1.6.3.3 Individual Termination or Expiration of Employment:

The Contractor shall collect the CAC the same day employment of an individual has expired or has been terminated and shall return them to the issuing office within One (1) business day.

1.6.3.4 Contract Termination or Cancellation: Upon termination or cancellation of this contract, the Contractor shall collect all CAC and return them to the issuing office within one (1) business days. The CAC log will be utilized to verify that all CAC have been returned to the proper office.

1.6.4 Removal of Contract CSPs: At any time during the performance of this contract, the KO or COR may direct the Contractor CSP to be immediately removed based on actions and/or an impaired state that raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract CSPs, Government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

1.6.4.1 If the need for a removal occurs, the COR, with KO approval, will direct removal from performance under the contract.

1.6.4.2 The Contractor shall formally meet with the COR to discuss further action in accordance with the Quality Assurance and Inspection (QA&I) Plan and AR 40-68.

1.6.4.3 If after completion of any investigation deemed necessary by the KO and discussions with the Contractor, the KO concludes that the Contractor’s impairment requires permanent removal from performance under the contract, the KO will notify him/her that permanent removal is required in accordance with FAR 52.212-4. In the event of disagreements between the Government and the Contractor, the decision of the KO will be final.

1.6.4.4 The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the CSPs competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for nonprivileged personnel.

1.6.5 Inquiries: The Contract CSP shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the Installation Public Affairs Officer.

1.6.5.1 There shall be no interviews, comments, or any other response without the knowledge and approval of the COR. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

1.6.6 Smoking: The Contractor/CSPs shall comply with the Federal smoking policy.

1.6.7 Complaints: Complaints will be validated by the COR and be reported in writing to the KO and the Contractor for action, if it constitutes a failure to perform, as determined by the Government. Patients may also be a source of legitimate complaints that constitute a failure to perform. There shall be no more than two substantiated complaints per twelve (12) month period per CSP.

1.6.8 Conduct: The CSP shall abide by federal and local FHL regulations and requirements concerning the nature of limited privileged communication between patients, and the CSP as may be necessary for security and personnel reliability programs.

1.6.9 Local Nationals and Third Country Nationals: RESERVED

1.6.10 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use. Contractor shall ensure that all doors and windows are secured when not being utilized. Contractor shall ensure CSP secure all gates are secured after being utilized by the CSP. All Contractor property within the confines of the FHL shall be secured and accounted for.

1.7 Key Control: The Contractor shall establish and implement methods of ensuring keys issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. The Contractor shall prepare and maintain a key control log to account for Government keys issued for the duration of the contract within thirty (30) calendar days of contract start. The key control log will record, at the minimum, date and time of key issuance and return, name of CSP the key was issued to, and the keys purpose (Technical Exhibit B – Deliverables Schedule #05). The Contractor personnel will abide by the following requirements:

a. No keys issued to the Contractor by the Government shall be duplicated.

b. The Contractor shall develop procedures covering key control that shall be included in the Contractor’s Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas.

c. The Contractor shall immediately report any incidents of lost or duplicate keys to the

COR or KO.

d. The Contractor shall prohibit the use of Government issued keys by any persons other than the Contractor’s employees who are authorized such keys.

e. 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 COR or KO.

f. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons including key codes for automated doors and gates.

In the event keys issued to the CSP 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 rekeying or the replacement of the lock or locks shall be deducted from payment due to the Contractor. 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 payment due to the Contractor.

1.8 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The KO, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the KO will apprise the Contractor of how the Government views the Contractor's performance and the Contractor shall apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.8.1 The Contractor shall attend, participate in, and furnish input to scheduled and unscheduled meetings, conferences, and briefings that relate to the functions and services herein as required by the Government to provide effective communication and impart necessary information. The Contract Manager or designated representative shall attend meetings as requested by the Government. Meeting attendees shall at times include Contractor managerial, supervisory, and other personnel knowledgeable of the subject matter.

Meetings may start or end outside of regular duty hours.

1.9 Contracting Officer’s Representative (COR): As determined by the KO, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the KO. The designation letter states the responsibilities and limitations of the COR, especially regarding 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 order.

The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary 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 property, and coordinate site entry of Contractor personnel.

1.10 Key Personnel: The following personnel are considered key personnel by the Government:

Contract Manager and the MD.

Contractor shall provide a Contract Manager who shall be responsible for the performance of the work. The name of this person and an Alternate Contract Manager, who shall act for the Contractor when the Contract Manager is absent, along with a Curriculum Vitae (CV) for each of these individuals, shall be provided in writing to the KO no later than 5 days after award of contract. The Contract Manager and Alternate Contract Manager shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. Changes in the Contract Manager or Alternate Contract Manager, at any time after the contract PoP begins, shall be in writing to the COR at least five working days prior to the change. The Contract Manager or Alternate Contract Manager shall be available between the hours of 0800 to 1700, Monday through Friday. Qualifications are listed below:

a. Contract Manager and Alternate Contract Manager: Contractor shall ensure that the contract manager and the alternate contract manager has at least 2 years of experience in the following areas - medical operations, air ambulance operations, contract management, and human resources management.

Contractor shall provide a Medical Director who shall be responsible for the performance of the medical professionals as it pertains to the medical requirements within this PWS. The name of this

Medical Director shall be provided in writing to the KO no later than 5 days after award of contract.

The Medical Director shall have full authority to act for the Contractor on all contract matters relating to daily medical operations of this contract. The Medical Director shall be available between the hours of 0800 to 1700, Monday through Friday. Qualifications are listed below:

a. Medical Director: The Medical Director will be board certified by the American Board of Emergency Physicians. The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) Bureau of Osteopathic Specialists. The EMS Medical Director must have one year experience in the last two years in emergency medicine.

The Contractor shall ensure that all Contractor personnel providing services meet the following requirements: The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from Federally 12 funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp

• Contractor personnel shall be a U.S. citizen or otherwise meet the requirements of AR 25- 2, Information Assurance.

• Contractor personnel shall not have been convicted of a felony.

• Contractor personnel shall successfully complete a criminal history background check in accordance with paragraph 1.6.3.2 of the PWS.

• Contractor personnel shall be able to read, write, and speak English fluently and enunciate with sufficient clarity to effectively communicate with patients and other providers.

• Contractor personnel shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the Contractor personnel can relate to a variety of patients from diverse backgrounds.

• CSPs are required to meet Continuing Medical Education (CME) requirements as determined by the provider’s State of licensure. The Government will not reimburse for these costs.

• CSP shall have sufficient skills, knowledge, and experience to perform the specific tasks listed for their specialty.

• Contractor and CSPs shall abide by all standards, rules, and procedures including requirements for licensure, credentialing, and quality assurance programs.

• CSP shall be required to take and maintain in a status, any on-going training as required by regulation, command directive, state law and/or any other inspecting entity.

• The CSP is not listed on the HHS list of providers excluded from Federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

http://oig.hhs.gov/fraud/exclusions.asp http://oig.hhs.gov/fraud/exclusions.asp http://oig.hhs.gov/fraud/exclusions.asp http://oig.hhs.gov/fraud/exclusions.asp

• CSPs demonstrate ability to use microcomputers, ability of data processing operations and relational database software, spreadsheet software, word processing (e.g., Windows Operating Systems, Microsoft Office products).

1.10.1 The Contractor will meet or exceed the standards set forth by the Commission Accreditation of Medical Transport Services (CAMTS).

1.10.1.1 The Contractor must be Commercial Airlift Review Board (CARB) certified to receive a contract award for this requirement.

1.10.1.2 The Contractor shall have passed FAA inspections on all equipment and not been grounded by the FAA within the last year. If the Contractor fails FAA inspection during the term of this contract, this shall be considered grounds for immediate termination for cause. The Contractor shall provide proof of FAA inspections for the last year to the KO at the time of offer under the Request for Proposal (RFP), prior to contract award and at annual inspection intervals.

1.10.2 Qualifications for Contract Service Providers: The Contractor shall ensure that all healthcare CSPs providing services meet the following qualifications for their specialties in the PWS and in Technical Exhibit A Contractor Healthcare Provider Requirements (Physician Medical Director, Flight Nurse, and Paramedic).

1.10.2.1 Flight Nurse (FN): Three years’ experience within the last four years as a registered nurse in Flight nursing. See Annex A for clinical requirements.

1.10.2.2 Paramedic: Three years’ experience in the last four years as a Nationally Registered Paramedic. See Annex A for specific healthcare provider requirements.

1.10.2.3 Pilot: Minimum acceptable qualifications are a minimum of three thousand (3,000) flight hours, two-hundred and fifty (250) hours of Night Vision Goggle (NVG) flight hours, current FAA Airline Transport Pilot with an Instrument Flight Rules (IFR) rating, and a current First-Class Medical Certificate.

1.10.2.4 CSP Qualifications and Credentials Package: Contractor shall provide a qualifications and credentials package for each CSP that will be submitted to the COR and the KO for review and verification within the period between the contract award and contract start.

New CSP after contract start shall be submitted before employment begins with the Contractor (Technical Exhibit B – Deliverables Schedule #17). Upon any question or issue concerning any qualification or credential will be brought to the Contractors attention for clarification or resolution.

Qualifications or credentials that are in question or in resolution, the CSP is prohibited from performing any healthcare or operations under this contract until such time as the issue(s) are resolved.

1.10.2.4.1 CSP Qualifications and Credentials Annual Review: Contractor shall provide the qualifications and credentials, on an annual basis, of each CSP to the COR for review (Technical Exhibit B – Deliverables Schedule #19). Upon any question or issue concerning any qualification or credential will be brought to the Contractors attention for clarification or resolution.

Qualifications or credentials that are in question or in resolution, the CSP is prohibited from performing any healthcare or operations under this contract until such time as the issue(s) are resolved.

1.10.2.3.1 FAA Air Carrier Operating Certification: Each pilot who performs under this contract shall hold a valid commercial operating certificate with the appropriate ratings for the conditions of the flight being undertaken and operate under the FAA rules for that certificate. One hundred percent (100%) compliance is always required. Failure to comply with this requirement will result in termination and the Government will seek all remedies available under statute and regulation, including acquisition of similar items from another contractor and charging the Contractor with any excess re-procurement costs together with any incidental or consequential damages incurred because of the termination.

1.10.2.3.2 Instrument Flight Rules: Effective April 2015, the FAA will require all medical helicopter operators enhanced procedures for flights in adverse weather, at night, and when landing in remote locations. Pilot must be capable of operating within IFR and be able to land and take off from a 100’ X 100’ landing zone (LZ) and be capable of landing in dusty zones with the potential for “brown out” conditions.

1.10.2.3.3 Aero Medical Evacuation Operations: All pilots shall have at least two (2) years’ experience in aero medical evacuation operations, have a current FAA commercial license, IFR rotorcraft rating, and be able to locate destinations often identified only by map coordinates, landmarks, or similar means during day and/or night operations.

1.10.3 Administrative

1.10.3.1 Bill Rates: Billing shall occur in arrears on the last day of the month in which work is performed. NOTE: The Government will only pay for hours, days or units worked/provided. CLIN 0001 is a flat monthly rate, however, if the Contractor is unable to, or does not provide ordered services, or provides those services with less than three CSPs for any period during the month, invoices for those periods shall be reduced accordingly.

1.10.3.2 Reports: In addition to any reports required elsewhere in the contract, the Contractor shall submit other reports or information necessary to monitor Contractor performance and elements pertinent to his/her credentials as requested by the COR or KO.

1.10.4 Orientation and Training

1.10.4.1 Prior to working, the CSP will be provided a government orientation to familiarize himself/herself with the policies and procedures of the Installation. Orientation attendance is required and will be scheduled by the COR.

1.11 Identification of Contractor Employees: All Contractor personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties must identify themselves, to include proper marking of signature blocks in correspondence, to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor shall ensure that all documents or reports, produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.11.1 Contractor workspace: Contractor workspace shall contain a sign signifying the space is occupied by Contractor employee(s) to ensure that Government employees and the public know that they are not Government employees. The proposed sign shall be submitted to the KO via the COR for review and acceptance within thirty (30) calendar days after contract award (Technical Exhibit B – Deliverables Schedule #06). Workspace sign location shall be coordinated with the COR. Contractor employees shall identify themselves by name and company affiliation when answering the telephone, presenting briefings, conducting, or attending meetings, and seminars.

All Contractor correspondence (written, facsimile, and email display) shall include their company name.

1.11.2 Contractor Identification Badges: Contractor personnel shall be easily identifiable through the display of badges IAW Contractor Identification (AE Reg. 27-715).

1.12 Contractor Travel: RESERVED

1.13 Other Direct Costs: RESERVED

1.14 Data Rights: The Government has unlimited rights to all documents and materials produced under this contract. All documents and materials, to include the source codes of software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership and copyright belonging exclusively to the Government.

These documents and materials may not be used or sold by the Contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.15 Non-Disclosure Requirements: Performance under this contract may require the Contractor to access data and information proprietary to a Government Agency, another Government Contractor, or of such nature that its dissemination or use other than as specified in this PWS would be averse to the interests of the Government or others. The Contractor and Contractor personnel shall not divulge, or release data or information developed, or obtained under performance of this PWS, except to authorized Government personnel or upon written approval of the KO. The Contractor shall not use, disclose, or reproduce proprietary data, which bears a restrictive legend, other than as specified in this PWS. All documentation showing individual names or other personal information shall be controlled and protected under the provisions of the Privacy Act of 1974, Public Law 93-579, 5 United States Code (U.S.C.) Section 552a.

1.16 Protection of Government and Contract Information: Per Public Use Notice of Limitations stated by Defense imagery Management operations Center and contained at www.dimoc.mil/resources/limitations/ , the Contractor shall not cite any information (e.g., contract http://www.dimoc.mil/resources/limitations/ http://www.dimoc.mil/resources/limitations/ information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.17 Non-Disclosure Statements: RESERVED

1.18 Organizational Conflict of Interest (OCI): Contractor and subcontractor personnel performing work under this contract may receive, have access to, or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) or perform evaluation services which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The Contractor’s OCI Mitigation Plan will be determined to be acceptable solely at the discretion of the KO (Technical Exhibit B – Deliverables Schedule #07). In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.18.1 The CSP shall not bill the patient for services rendered under this contract. The CSP is prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

1.18.2 The CSP shall not recommend or suggest to persons authorized to receive medical care at Army expense that they receive medical care from the CSP when the CSP is not on duty, from a civilian associate in practice with the CSP, or medical treatment facility associated with the CSP unless medical care will be furnished without cost to the patient, the Government or any other person or firm. The CSP is not prohibited, by reason of employment under this contract, from conducting a private practice. Private practice shall not conflict with the performance of duties under the contract and the CSP shall not make use of any Government facilities or other Government property in connection therewith.

1.18.3 The CSP shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication unless the project is specifically approved through the Institutional Review Board at FHL.

1.18.4 Confidentiality of Information: Unless otherwise specified, all financial, statistical, personnel, and/or technical data which are furnished, produced or otherwise available to the CSP during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. None of the above information shall be released by the Contractor or CSP without prior written consent of the COR or

KO.

1.19 Indemnity and Liability: The Contractor shall indemnify the Government for any liability resulting from an act or omission by the Contractor, its employees, or agents, occurring during contract performance.