Draft PWS for Sources Sought Notice 05.11.2026.pdf

DRAFT

PERFORMANCE WORK STATEMENT (PWS)

Emergency Medical Services (EMS) in support of the Joint Security Cooperation Group- Panama (JSCG-P) and the Jungle Operation Training Course- Panama (JOTC-P)

Part 1 General Information

1. General: This is a non-personal services contract to provide EMS for the JSCG-P and the JOTC-P. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government in accordance with all terms and conditions in the contract.

1.1 Description of Services/Introduction: This is a non-personal services contract to provide Basic Life Support (BLS) and Advanced Life Support (ALS) EMS in designated areas in Panama. These areas include the Panama Canal Zone especially Colon, Cristobal Colon Aeronaval Base, the highway between Panama City and Colon, Panama City itself, and Panama Pacifico, but could change as required by the U.S. Government.

This contract consists of two parts:

1.1.1. JOTC-P (near Colon)- A dedicated ambulance that will be on site at the JOTC-P site (Cristobal Colon AERONAVAL base) 24 hours a day, 7 days a week (24/7) for 21 days for ten (10) courses a year to transport patients to Panamanian hospitals in either Colon (Hospital Cuatro Altos) or Panama City (Hospital Nacional or Panama Clinic) depending on the injury type. Panama Clinic will be used for all severe trauma injuries.

1.1.2. JSCG-P (near Panama Pacifico)- Area support within the Panama Canal Zone (from Colon to Panama City) that will provide on-call ambulance services for transportation of injured / ill personnel to Panamanian hospitals in either Colon (Hospital Cuatro Altos) or Panama City (Hospital Nacional or Panama Clinic) depending on the injury type. Panama Clinic will be used for all severe trauma injuries.

1.2 Background: The JSCG-P is the designated U.S. unit responsible for the conduct of jungle training at the JOTC-P and multiple security cooperation tasks within and around Panama. The unit conducts mission-essential operations across dispersed host-nation locations, including the JOTC-P and JSCG-P advisory, engagement, and support missions. There are no organic medical units or equipment assigned to these training areas. The areas have limited and unreliable host-nation medical capability, requiring contracted support. The JOTC-P is expected to have envenomation injuries and trauma injuries due to falls and machete injuries. The JSCG-P is expected to have primarily motor vehicle accidents and cardiovascular illnesses (heart attack and strokes).

1.3 Scope: The Contractor shall provide ambulances, all medical supplies, medications, medical equipment, IT equipment, to include communications systems, patient tracking capability, medical liability insurance and incidentals, and all other items necessary to perform EMS for the JOTC-P and the JSCG-P at the following sites: the Panama Canal Zone especially Colon, Cristobal Colon Aeronaval Base, the highway between Panama City and Colon, Panama City itself, and Panama Pacifico. This should also include, but is not limited to: Arraijan, Chorrera, and Pacora. The JSCG-P missions support up to 200 personnel, including Soldiers, Department Of War (DOW) civilians, and contractors. Ambulance support for the JSCG-P will be a Panama Canal Zone area support contract and will operate on-call 24 hours a day, 7 days a week (24/7).

At JOTC-P, restrictive jungle terrain and limited evacuation routes elevate medical risk. Dedicated ambulance support with immediate response, stabilization, and transport is required. Ambulance support at the JOTC-P will be 24 hours a day for ten (10) 21-day periods in each calendar year.

1.4 Objectives: To provide coordinated BLS and ALS care to DOW military and civilians participating in the JSCG-P and JOTC-P. The following services shall be provided from the Contractor.

Overall Objectives

(a) Emergency Medical Services that meet all Panama Ministry of Health requirements to operate. A medical director is required and shall be provided.

(b) BLS and ALS EMS paramedics (with paramedic degrees and properly credentialed to provide services within Panama)

(c) Ambulance driver (properly trained and licensed within Panamanian requirements)

JOTC-P Site Support Objectives

(d) The Contractor shall provide one (1) fully equipped and staffed ambulance, on-site at JOTC-P, providing 24/7 coverage.

(e) Coverage shall be provided in ten (10) rotations per year, with each rotation lasting 21 days. The Government will provide a schedule of rotation dates 30 days in advance of the execution timeline.

(f) The ambulance shall be staffed with certified bilingual (English/Spanish) medical personnel qualified to provide emergency medical response, patient stabilization, and transport services, meeting or exceeding US & Panamanian ALS EMS standards/certifications

(g) The ambulance shall be equipped in accordance with American College of Surgeons Committee on Trauma guidelines for ambulance equipment. This includes but is not limited to: AED, Continuous Monitoring, Ventilator, IV infusers, oxygen, splints, bandages, and airway management tools.

(h) The Contractor shall be responsible for maintaining the ambulance and all associated equipment in fully operational condition, including regular maintenance, inspections, and repairs.

(i) The Contractor shall be capable of transporting patients to the nearest appropriate medical facility, as directed by JOTC-P personnel or the on-scene medical authority.

(j) US Medical Personnel will be allowed to ride along with the injured US personnel to the hospital (maximum of two personnel)

(k) Rehearsals. Prior to each course date (10 per year), the ambulance crew and vehicle will be involved in medical rehearsals of simulated casualties and will involve transporting the simulated patients to the required hospital.

JSCG-P Area Support Objectives

(l) The Contractor shall provide a comprehensive monthly medical plan providing emergency response and stabilization services for up to two hundred (200) personnel, including Soldiers, DOW civilians, and contractors, supporting JSCG-P missions throughout the Panama Canal Zone.

(m) The medical plan shall include access to qualified bilingual (English/Spanish) medical staff capable of providing initial medical assessment, stabilization, and referral to appropriate medical facilities.

(n) The Contractor shall provide a system for personnel to access medical services, including a 24/7 hotline or point of contact for reporting medical emergencies and requesting assistance.

(o) The Contractor shall provide a detailed description of the medical services included in the plan.

(p) The Contractor shall provide proof of professional liability insurance coverage.

(q) The Contractor shall provide screening criteria that meets DOW compliance for access badges into required areas.

(r) Rehearsals. A maximum of four (4) times a year, the ambulance crew and vehicle will be involved in medical rehearsals of simulated casualties and will involve transporting pick-up and movement of the simulated patients to the required hospital.

These rehearsals may be conducted without prior notice at any time during the period of service.

• 1.4.1 Period of Performance: Service for JOTC-P will begin NLT 12 June 2026. Service for JSCG-P will begin ten (10) days after contract award. The period of performance shall be for a base period of 12-months and one (1) 12-month option period.

• 1.4.2 Contractor must be capable of providing 21 days of coverage approximately every month (ten total iterations a year) adjusting to the dates required. The Government will provide the dates at least 30 days in advance of the execution timeline.

1.4.3 The Government reserves the right to extend the term of this contract at the prices set forth in accordance with the terms and conditions contained in FAR Clause 52.217-9 titled, “Option to Extend the Term of the Contact”.

1.5 General Information:

1.5.1 Quality Control Plan (QCP): The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services.

The Contractor's QCP is the means by which it assures that the work provided complies with the requirements of the contract.

The Contractor’s Proposed QCP shall be submitted to the Contracting Officer (KO) through the Contracting Officer’s Representative (COR) for review within ten (10) days after date of contract award.

The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within 15 days. If the Government has provided comments, the Contractor shall then have ten (10) days to submit a final QCP. After receipt of the final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than ten (10) 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.

1.5.1.1 Contractor Continuing Quality Improvement (CQI): 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).

1.5.1.2 Addendum to the QCP. An Analysis of Quality Control and Timeliness of Submittals (i.e., deliverables) shall be provided to the COR within 30 days upon completion of each option period or task order.

1.5.1.3 The Contractor shall inform the COR of issues or potential issues that might affect the performance within one (1) hour of identifying those issues. Verbal reports shall be followed by written reports within five (5) days.

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 (performance thresholds).

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 Work shall be performed on both Panamanian and U.S. federally recognized holidays occurring during the normal work week unless otherwise directed by the Contracting Officer.

NOTE: For U.S. holidays occurring on a Saturday, the holiday is observed on the preceding Friday. For U.S. holidays falling on a Sunday, the holiday is observed on the following Monday.

New Year’s Day (Observed 1 January)

Martin Luther King Jr’s Birthday (Observed the third Monday in January)

Presidents' Day (Observed the third Monday in February)

Memorial Day (Observed the last Monday in May)

Juneteenth (Observed 19 June)

Independence Day (Observed 4 July)

Labor Day (Observed the first Monday in September)

Columbus Day (Observed the second Monday in October)

Veterans Day (Observed 11 November)

Thanksgiving Day (Observed the fourth Thursday in November)

Christmas Day (Observed 25 December)

1.5.4 Operating Hours: Ambulance support at the JOTC-P will be 24 hours a day for ten (10) 21-day periods in each calendar year.

Eighteen days of this will be for course execution, and three (3) days prior to the course to support medical rehearsals. Ambulance support for the JSCG-P will be a Panama Canal Zone area support contract and will operate 24 hours a day, 7 days a week (24/7) on an “on-call” basis.

1.5.4.1 Government Facility Operating Hours: The Government facility operating hours are 24/7 operations. The Government facility may be opened during local or national emergencies, administrative closings, or similar Government directed facility closings. The Government facility is open for operations during the recognized U.S. Holidays identified in paragraph 1.5.3.1 above. The Government facility may close due to local or national emergencies, administrative closings, or similar Government directed facility closings and will be communicated by the Contracting Officer to the Contractor.

1.5.4.2. Contractor Support Hours: The Contractor shall provide EMS support 24 hours a day, seven (7) days a week. The Contractor shall always maintain an adequate workforce, for the uninterrupted performance of all tasks defined in this PWS. When hiring healthcare personnel, the Contractor shall keep in mind that personnel with licensure and credentials must be ready to support exercises throughout the year. No healthcare provider shall be used on this service who is not fully vetted as described in this PWS.

1.5.4.2.1 Contractor Work Plan: The duty schedules will be one (1) ambulance staffed with two (2) personnel (one (1) paramedic and one

(1) driver) to provide EMS and transportation at the JOTC-P (Cristobal Colon AERONAVAL base), 24/7 for the 21-day cycle. Depending on the injury, transportation to Colon (Hospital Cuatro Altos) or to Panama City (Panama Clinic) may be required. This determination will be made by U.S. medical providers on the ground at the JOTC-P. The ambulances in the area support contract, JSCG-P, shall be available and shall arrive within 15 minutes of notification.

1.5.5 Place of Performance: The work to be performed under this contract are for the following sites during exercise support.

JOTC-P- at Cristobal Colon AERONAVAL base JSCG-P- Area Support for the entire Panama Canal Zone

1.5.6 RESERVED:

1.6 Security Requirements: The following information is provided on security related matters.

1.6.1 RESERVED

1.6.2 Personnel Security Clearance Requirements:

a. Upon notification, the Panamanian Ministry of Health will conduct background checks on all contract Health Care Provider (HCP) personnel.

b. Complete disclosure of any past incidents in HCP professional duties or of incidents which might be considered to impact his/her professional standing, such as charges (unless acquitted) involving felonies or misdemeanors (other than minor traffic violations), is a necessary part of the competency process. This disclosure shall also specifically include reports of any actions, claims, charges of malpractice ever brought against the HCP (either individually or as a part of a group), as well as the outcome (or current status) of any such case. The governing policy is Defense Health Agency Policy Manual (DHAPM) 6025.13 Clinical Quality Management in the Military Health System, volume 4 , Credentialing and Privileging, in regard to healthcare provider credentialing and privileging.

c. HCP are advised to make full disclosure under this paragraph as a condition of employment. Failure to make a full disclosure will result in a determination that the provider's services were unsatisfactory.

1.6.3 Installation Access: Access to Panamanian military installations, buildings, and controlled areas is required and contract personnel shall meet security criteria to be authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to Panamanian military 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 personnel, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements. If contract personnel cannot pass the security criteria, the individual(s) will be replaced.

a. The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with installation access control system processing requirements.

b. The Contractor shall return installation passes to the issuing installation access control system office when the contract is completed or when Contractor personnel no longer require access.

1.6.3.1 RESERVED

1.6.3.2 RESERVED

1.6.3.3 RESERVED

1.6.3.4 RESERVED

1.6.4 Background Checks: In accordance with (IAW) Army Regulation 525-13, paragraph 5-19, all prospective contract HCPs will undergo a verification process to determine trustworthiness and suitability prior to being granted access to federal property. Limited access with escort may be granted (at the installation's discretion) for an interim period while investigations are being conducted.

1.6.4.1 Background Criminal Checks and Investigations. The Contractor shall screen all employees to ensure that they meet core competencies on an annual basis: that they have performed a criminal background check on any staff member who will be treating or transporting patients, etc. The Contractor is responsible to ensure training is current and training standards are up to date.

1.6.4.2 U.S. Citizen: The requiring activity manager will determine the extent of background checks required. The Contractor employee may begin performance after receiving a favorable local background check. The Contractor agrees to replace the employee should results of the background check, if required, be unfavorable as determined by the requiring activity manager. The Contractor’s replacement of the employee with the unfavorable background check shall be within a timeframe provided by the requiring activity manager. The Contractor shall also replace employees whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the requiring activity manager. The Contractor shall forward a copy to the Contracting Officer via the COR and the requiring activity manager of each favorable background check within ten (10) days of receipt by the Contractor, identifying such with the appropriate contract number. The Contractor shall forward a copy to the Contracting Officer via the COR and the requiring activity manager of each unfavorable background check within five (5) days of receipt by the Contractor, identifying such with the appropriate contract number. When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.4.3 List of Excluded Individuals and Entities (LEIE). For any provider (privileged and non-privileged) within the DOW, the List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) must be queried to determine if the provider has been excluded from participation in Federal Health Programs. If the provider’s name (all names ever used) appears on this list, the provider is disqualified from working for the DOW, in any capacity. A signed copy of the query goes into the credentials file.

1.6.4.4 RESERVED.

1.6.4.5 TRICARE Sanctions List: For any provider (privileged and non-privileged) within the DOW, a query of the TRICARE sanction list shall be performed on all names ever used. A signed copy by the Contractor shall be placed in the credentials file.

https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/Fraud-and-Abuse/Excluded- Providers

1.6.5 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use.

At the close of each work period, Government facilities, equipment, and materials shall be secured IAW the Army Physical Security Program (AR 190-13)

1.6.6 RESERVED.

1.7 RESERVED.

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 Contracting Officer, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the Contracting Officer 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): Refer to Part 2 of this PWS for the definition of a COR. As determined by the Contracting Officer, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the Contracting Officer. The designation letter states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting 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 Contracting Officer 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: The Contractor shall provide a list of key personnel in writing to the COR immediately after contract award, within five (5) days after any changes to list, and annually afterwards .

Qualifications for key personnel are listed below:

a. Medical director. The medical director must be a physician licensed within Panama to independently practice medicine capable of supervising the protocols and practice of EMTs and paramedics.

b. Contract manager and alternate contract manager: The contract manager and alternate contract manager must demonstrate the ability to manage contracts and work as a supervisor.

1.11 Identification of Contractor Employees: All Contractor personnel attending meetings, answering Government telephones, and working in other situations where 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 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 (to include subcontractors) shall be easily identifiable through the display of badges IAW Contractor Identification (AE Reg. 27-715).

1.12 RESERVED

1.13 RESERVED

1.14 RESERVED

1.15 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 Contracting Officer. 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.

1.16 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 performance work statement would be adverse 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 Contracting Officer. 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.

1.17 Protection of Government and Contract Information: Per Public Use Notice of Limitations stated by Defense Media Activity and contained at https://www.dma.mil/Services/Visual-Information/References/Limitations/ . The Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.18 Non-Disclosure Statements: The Contractor shall provide signed non-disclosure agreements to the Government no later than five (5) days prior to commencement of work under the contract. Disclosure of information by Contractor personnel may result in removal of Contractor personnel from performance under this contract.

1.19 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.) which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI.

1.20 Phase Out Period: To minimize decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the 30-day phase-out period. The phase-out period is at no additional cost to the Government.

1.21 Safety: The Contractor personnel shall maintain safety and health standards compliant with requirements of Panama and the Ministry of Health (MINSA).

https://www.dma.mil/Services/Visual-Information/References/Limitations/

1.21.1 In addition to other requirements for accident prevention specified in this contract, the Contractor shall comply with all overseas requirements governing safety and health protection.

1.22 RESERVED

1.23 Required Training: The following provides information on training requirements.

1.23.1 Combating Trafficking In Persons (CTIP) IAW DFARS PGI 222.17 and FAR Clause 52.222-50, the KO will be notified immediately of any information from any source that alleges a contractor employee, subcontractor and/or subcontractor employee has engaged in conduct that violates the United States Government “zero” tolerance policy regarding trafficking in persons

If training cannot be conducted on the website, the Contractor shall coordinate with the COR who will contact the local AT Officer 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 AT Officer. Verification of the training shall be provided to the COR within five (5) days after completion of the training.

1.23.2 OPSEC Training: All Contractor employees, including subcontractors, shall complete Level I OPSEC training within thirty (30) days of employment under this contract. Verification of the training shall be provided to the COR within thirty (30) days after completion of the training. OPSEC Level I training is available at http://www.cdse.edu/catalog/elearning/GS130.html. Contractor personnel shall complete refresher training every 12 months. Verification of the training shall be provided to the COR within thirty (30) days after completion of the training.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR, who will contact the local OPSEC Officer 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 OPSEC Officer. Verification of the training shall be provided to the COR within thirty (30) days after completion of the training and placed in the contractor’s file.

1.23.3 iWATCH Training: The Contractor and all associated sub‐contractors shall brief all employees on the local iWATCH Army program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 days of contract award and within 30 days of new employees commencing performance with the results reported to the COR no later than 15 days after contract award. Training is available at the following website: https://praxisaerospace.talentlms.com/catalog/info/id:140,cat:8

1.23.4 Anti-Terrorism (AT) Level I Training: All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I Awareness training within 30 days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 30 days after completion of training by all employees and subcontractor personnel. AT level I Awareness training is available at the following website: http://jko.jten.mil.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR who will contact the local AT Officer 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 AT Officer. Verification of the training shall be provided to the COR within 30 days after completion of the training.

1.23.5 Personally Identifiable Information (PII): Contractor personnel, including subcontractors, performing services under this contract with access to PII and Government information shall complete “Identifying and Safeguarding PII” within 30 days of employment.

Contractor personnel shall complete refresher training every 12 months from initial completion. The Contractor shall provide the COR a copy of the training certificates for its health care personnel no later than five (5) days after completion. Training is available at http://iatraining.disa.mil/eta/piiv2/launchPage.html

1.24 RESERVED

1.25 Government Property and Services: Refer to Part 3 of this PWS for Government Property (GP) for this contract.

http://www.cdse.edu/catalog/elearning/GS130.html https://praxisaerospace.talentlms.com/catalog/info/id:140,cat:8 http://jko.jten.mil/ http://iatraining.disa.mil/eta/piiv2/launchPage.html

PART 2

DEFINITIONS & ACRONYMS

2. Definitions and Acronyms

2.1 Definitions: Although not inclusive of every term used within this PWS, the following provides a list of definitions used throughout this PWS and commonly used in the acquisition field.

Certification- A process by which a nationally recognized organization confirms that an individual healthcare organization has met certain predetermined standards or procedures required for certification.

Contracting Officer (KO) – means a person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings on behalf of the Government affecting scope, schedule, quantities, terms, conditions, and price. Note: The only individual who can legally bind the Government.

Contracting Officer's Representative (COR) – As defined in DFARS 202.101, means an individual designated and authorized in writing by the Contracting Officer to perform specific technical or administrative functions. DOW Instruction (DOWI) 5000.72, Part II Definitions states the following when defining a COR: “Defined in subpart 202.101 of Reference (f). Any individual delegated responsibilities pursuant to subpart 1.602-2 of Reference (e), regardless of local terminology, must be certified in accordance with this instruction. For example, local terminology can be COR, Contracting Officer’s technical representative, technical point of contact, technical representative, alternate COR, administrative COR, assistant COR, line-item manager, task order manager, quality assurance personnel, quality assurance evaluator, or COR management.” In addition, Army Regulation 70-13, Chapter 2, paragraph 2-2g, states, in part, the following when providing other surveillance support personnel to assist the COR when needed, “…These other surveillance support personnel may serve as on-site representatives of the COR in performance of actual contract surveillance if they meet all COR requirements and have been appointed by the Contracting Officer as alternate CORs.” The COR cannot authorize deviations from the specifications and requirements of the contract.

Contractor – means a supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term “Contractor” as used herein refers to both the prime Contractor and his employees, and with any subcontractors and their employees. The Contractor shall be responsible for assuring that his subcontractors comply with the provisions of this contract.

Contractor-acquired Property - means property acquired, fabricated, or otherwise provided by the Contractor for performing a contract and to which the Government has title.

Credentials- The documents that constitute evidence of appropriate education, training, licensure, experience, and expertise of a healthcare provider.

Credentialed Healthcare Provider- Any individual identified by the DHA as credentialed. This may include an individual who maintains professional qualifications such as education, internship/fellowship, licensure, registration, and/or certification to practice in a clinical discipline

Credentials Package- The documents that provide the necessary information for the Government to validate credentials on a credentialed contract worker prior to performance at a place of performance. The type of information in a credentials package includes, but is not limited to, qualifying degrees, education, professional experience, licensure/registration, and certification requirements. Additional requirements for credentialed contract workers will be outlined in the PWS and regulatory guidelines. A credentials package for privileged contract workers also provides the necessary information for the Government to grant clinical privileges at a place of performance. The type of information in a credentials package for a privileged contract worker also includes verification of current clinical competency. Additional requirements for privileged contract workers are outlined in the PWS and regulatory guidelines.

Day – means, unless otherwise specified, a calendar day.

Defective Service – means a service output that does not meet the standard of performance associated with the Performance Work Statement.

Deliverable – means anything that can be physically delivered but may include non-manufactured things such as meeting minutes or reports.

Government-furnished Property – As reflected in FAR 52.245-1, Government-furnished Property “means property in the possession of, or directly acquired by, the Government and subsequently furnished to the Contractor for performance of a contract.” Government-furnished property includes, but is not limited to, spares and property furnished for repair, maintenance, overhaul, or modification. Government-furnished property also includes contractor-acquired property if the contractor-acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract.

Government Property - means all property owned or leased by the Government. Government property includes both Government-furnished and Contractor-acquired property. Government property includes material, equipment, special tooling, special test equipment, and real property. Government property does not include intellectual property and software.

Malpractice- A dereliction of professional duty, incorrect or negligent treatment, failure of professional skill or learning, as well as illegal or immoral conduct by any provider/professional responsible for health care, that results in death, injury, loss, illness or damage to the health care beneficiary.

National Practitioner Data Bank- The NPDB is a web-based repository of reports containing information on medical malpractice payments and certain adverse actions related to healthcare practitioners, providers, and suppliers. The NPDB is managed by the Department of Health and Human Services in accordance with Section 11101 of Title 42, United States Code.

Primary Source Verification- Validation that a document is true and valid through contact with the issuing institution or its authorized agent.

Property Administrator - means an authorized representative of the Contracting Officer appointed in accordance with agency procedures, responsible for administering the contract requirements and obligations relating to Government property in the possession of a Contractor.

Physical Security – means that part of security concerned with physical measures designed to safeguard personnel; to prevent unauthorized access to equipment, installations, material, and documents; and to safeguard against espionage, sabotage, damage, and theft.

Quality Assurance – (or Government contract quality assurance) means the various functions, including, inspection, performed by the Government to determine whether a Contractor has fulfilled the contract obligations pertaining to quality and quantity.

Quality Assurance Surveillance Plan (QASP) – means the key Government-developed surveillance process document and is applied to Performance-Based Service Contracting (PBSC). The QASP is used for managing Contractor performance assessment by ensuring that systematic quality assurance methods validate that Contractor quality control efforts are timely, effective, and are delivering the results specified in the contract or task order. The QASP directly corresponds to the performance objectives and standards (i.e., quality, quantity, timeliness) specified in the Performance Work Statement (PWS). It provides specific details on how the Government will survey, observe, test, sample, evaluate, and document Contractor performance results to determine if the Contractor has met the required standards for each objective in the PWS. The QASP, with very few if any exceptions, is an internal to Government document.

Quality Control – means all necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

Quality Control Plan (QCP) – The Contractor Quality Control Plan is the Contractor’s management plan for executing the contract. The QCP shall describes the way in which the Contractor’s step-by-step approach that will be taken to ensure the quality control, quality assurance and continuous process improvement.

Statement – means the specific results-based activities required to satisfy HLOs. A statement contains a result, the context of the statement, and the required action(s). Statements focus on “what” is to be accomplished; however, they are not prescriptive in describing “how” the outcome is to be achieved. Each HLO may have several statements to flesh out the areas necessary to meet the objective. Statements are similar to Level 3 in a Work Breakdown Structure.

Subcontractor – means one that enters into a contract with a prime Contractor. The Government does not have privity of contract with the subcontractor.

Work Day - The number of hours per day the Contractor provides services in accordance with the contract.

2.2 Acronyms: Although not inclusive of every term used within this PWS, or that may be included in an acquisition, the following provides a list of acronyms commonly used in the acquisition field.

ACOR Alternate Contracting Officer's Representative AFARS Army Federal Acquisition Regulation Supplement AHA Activity Hazard Analysis ALS Advanced Life Support AOR Area of Responsibility AOD Administrative Officer of the Day AR Army Regulation

AT Anti-terrorism BLS Basic Life Support CAC Common Access Card CFR Code of Federal Regulations COR Contracting Officer’s Representative DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DMDC Defense Manpower Data Center DOW Department of War EMS Emergency Medical Services EMT Emergency Medical Technician EMT-P Emergency Medical Technician-Paramedic FAR Federal Acquisition Regulation GFP Government Furnished Property HCP Health Care Provider HLO High Level Objective HIPAA Health Insurance Portability and Accountability Act of 1996 IA Information Awareness IAC Installation Access Control IACO Installation Access Control Office ID Identification IT Information Technology JOTC-P Jungle Operation Training Course- Panama JSCG-P Joint Security Cooperation Group- Panama JTR Joint Travel Regulation JPAS Joint Personnel Adjudication System KO Contracting Officer MINSA Ministerio de Salud de la República de Panamá (Ministry of Health) NRP Nationally Registered Paramedic OCI Organizational Conflict of Interest OPSEC Operations Security OVEM Operador Vehículos de Emergencias Médicas (Emergency Medical Vehicle Operator) PA Property Administrator PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RA Requiring Activity RCO Regional Contracting Office TE Technical Exhibit UOM Unit of Measure

PART 3

GOVERNMENT PROPERTY (GP) AND SERVICES

3. Government Property and Services

3.1 Services:

3.2 Facilities: The USG will not provide the contractor with life support facilities or housing

3.3 Utilities: No utilities, generators, lighting, sleeping, bathing, restroom, or dining facilities will be provided by the USG

3.4 Equipment: No US Government equipment will be provided other than what is placed on a patient prior to transfer to the ambulance (IV lines, bandages, IV medications, etc.).

3.6 Materials: The US Government will not provide any medical supplies needed for the operation of the EMS.

3.7 Training: The US Government will not directly fund nor provide any training required for maintenance of certification nor licensure.

3.8 Common Access Cards (CAC): Contractors will not require CAC cards

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Property and Services

4.1 General: The Contractor shall furnish all personnel, equipment, supplies, transportation, tools, materials, supervision, and other items necessary to perform services as described in the PWS and associated contract documents, except for those items specified in Part 3 Government Property and Services.

4.2 Secret Facility Clearance: Not Applicable

4.3 Materials: The Contractor shall provide any medical Personal Protective Equipment (PPE), medical consumable supplies, medications, medical equipment for BLS and ALS ambulance services, communication systems, patient tracking and ability to execute medical records and medical record storage. Additional medications for this remote area include but are not limited to IV epinephrine and Naloxone.

4.4 Vehicles and Equipment: The Contractor shall provide EMS (BLS and ALS) ambulances, medical equipment and supplies for BLS and ALS missions. The vehicles will include defibrillation capability, mechanical ventilation capability, and regulated intravenous infusion capability.

4.5 Background Checks): The Contractor shall provide background checks in accordance with this PWS and as determined by the Government.

PART 5

SPECIFIC TASKS

5.1 Basic Services: The Contractor shall provide BLS and ALS emergency medical services in the designated areas in support of the JSCG-P and JOTC-P. The JOTC-P will be staffed with one (1) ambulance and two (2) personnel (one (1) Panamanian registered paramedic and one (1) driver). Requirements for the JSCG-P area support mission require one (1) ambulance (on demand) and two (2) personnel (one

(1) Panamanian registered paramedic and one (1) driver) will respond to each emergency call.

5.2 Healthcare Provider and EMS Requirements:

5.2.1 The EMS shall meet all Panamanian Ministry of Health standards for operation of the BLS and ALS EMS service. The Contractor shall maintain the required certifications for EMS operations throughout the life of the contract, with no lapse in accreditation/certification.

This is a service that is purchased from the Panamanian government, not individual healthcare providers; the Emergency Medical Technicians (EMTs), paramedics, and the EMS medical director are not required to maintain U.S. licensure per Army Regulation 40-68, Clinical Quality Management. The Contractor is beholden to all governing laws and oversight of the Panamanian Ministry of Health for their healthcare provider license and the operation of the EMS. Ambulance drivers (Operador Vehículos de Emergencias Médicas or OVEM) must be certified by a registered institution with an ambulance driver course (OVEM) that is at least 40 hours of training after having a professional driver license type D as per Panamanian Resolution 170.

5.2.2 Professional Liability: The Contractor shall immediately notify the Government (i.e., COR or KO at the performance location) of any suit, action filed, or claim made against a contract worker, which occurred because of work performed by the contract worker under this contract.

5.2.3 Malpractice for Non-Personal Services Arrangements: When the PWS specifies a non- personal services arrangement for contract workers, the Contractor, and all subcontractors, shall meet the requirements of FAR Clause 52.237-7, Indemnification and Medical Liability Insurance, for its contract workers on the contract.

5.3 RESERVED.

5.4. Specific Tasks: The quality of EMT and EMT-P services shall meet or exceed reasonable standards of professional practice for healthcare as determined by the same authority that governs military medical professionals in the same discipline. The EMTs and EMT-P shall:

5.4.1. HCPs properly complete patient care records as required. Report must indicate patient’s name, history, assessment and treatment given. The report must be legible, and all treatment provided properly documented.

5.4.2. HCPs will respond to on-site accidents and other emergencies involving injury and illness and sometimes encounter situations which may be life threatening. Upon arrival at the scene, make an independent preliminary assessment of the patient's condition and select from a variety of prescribed protocols the one which he/she considers appropriate under the given circumstances. Proceed to provide the treatment as prescribed in the protocol. Make modifications to the protocol, if necessary, within prescribed limits. Conduct a complete examination of the patient to determine the nature, extent, and seriousness of his/her condition and search for medical alert symbols. Determine, with due regard to the patient's condition, if and how he/she can be moved and to which medical facility he/she should be transported.