Attachment_2_-_SOO_-_ECMM_Requirements.pdf

Solicitation FA8003-19-R-A002

ATTACHMENT 2

Statement of Objectives (SOO) 1 Requirements 2

For 3 Expeditionary Contingency Medical Materiel (ECMM) Services 4

(May 2019) 5

BACKGROUND 7

The previous Expeditionary Contingency Medical Materiel (ECMM) contract, which ended 31 Jul 8 18, was maintained by Army MEDCOM. In October 2015, the Air Force installation Contracting 9 Agency established a Medical Enterprise Support Plan to provide additional Contracting support 10 to the Air Force Medical Service (AFMS). One of those requirements was ECMM. The current 11 contract includes requirements for – in-garrison Maintenance at Port San Antonio Texas, to 12 include specific Consolidated War Readiness Materiel (WRM) Storage and Deployment Centers 13 (CSDCs) for ECMM sites and travel team requirements to United States Air Force (USAF) 14 Military Treatment Facilities (MTFs) throughout the Continental United States (CONUS) and 15 Outside the Continental United States – Pacific. In addition, the current contract provides 16 Subject Matter Expertise (SME) to staffed sites in support of performing annual inventories and 17 additional in-garrison maintenance requirements based on the MTF’s exercise or operational 18 tasking’s of ECMM assemblages composed of both medical WRM and Medical Counter – 19 Chemical, Biological, Radiological and Nuclear (MC-CBRN) assemblages assigned to each 20 MTF account. This contract also provides inventory, equipment and training services to MTFs 21 and support to a classified mission out of the 88th Medical Group, Wright-Patterson Air Force 22 Base, Ohio. 23 Statement of Need: The Air Force Medical Operations Agency (AFMOA), Medical Logistics 25 Division, has a requirement for ECMM Services in the Continental United States (CONUS) and 26 Outside the Continental United States (OCONUS). The services provided on this contract 27 support the USAF, the Air Force Reserve Command (AFRC), the Air National Guard (ANG), the 28 Army, and the JANUS Project. The ECMM program is designed to provide medical logistics 29 personnel for routine staffing at various locations, including travel to support unstaffed locations. 30

SCOPE 32

The purpose of the Expeditionary Contingency Medical Materiel (ECMM) Program is to have a 33 contractor provide qualified personnel, services, and expertise to provide analytical and 34 management support, medical logistics support, and general warehousing services to 35 assemble, manage, support, maintain, repair, calibrate, deploy, reconstitute, and sustain ECMM 36 assemblages (including components) in pre-determined and standardized configurations. An 37 assemblage is an authorized (and approved) allowance listing of equipment and supplies 38 (medical and non-medical) which are necessary to equip, operate, maintain, and provide health 39 service support activities across a full range of military and humanitarian operations. The 40 contractor will provide support/services to staffed and unstaffed USAF, AFRC, ANG, USAMMA, 41 and JANUS installations within the CONUS and OCONUS Theater of Operations. This includes 42 the possibility for temporary surge in operations/workload for contingency, humanitarian, and 43 base exercises. 44 The Defense Health Agency may revise the requirement to meet the intent of the National 46 Defense Authorization Act for Fiscal Year 2017. As DoD medical organization responsibilities 47 continue to transition, responsibilities may evolve to include, but are not limited to: supply chain 48 management tasks; materiel acquisition; receiving, inventory management, and disposition; 49 forward customer support; and medical equipment management and maintenance in support of 50

MTF activities. Any resulting increase/decrease in requirements will be addressed through a 51 contract modification that will be negotiated prior to modification execution. 52

a. ECMM Support Services for Port San Antonio, TX Industrial Operations (AF) 54 Contractor duties and responsibilities will include, but are not limited to: providing qualified on-55 site personnel, services, and expertise (except for GFP, facilities, and services) to support 56 assembly builds; sustainment, deployment, reconstitution, and modernization operations; and 57 management services at Port San Antonio, TX (leased government facility). Daily operations 58 require assembly and sustainment of ECMM assemblages, IM/IT system configuration 59 management, and transportation operations management support. The ECMM assemblages 60 and modernization projects are identified and grouped in build periods (minimum of two per 61 fiscal year) with a start and ship date in accordance with the annual Build, Spend, and 62 Production Planning Conference. This conference is approved for execution by the Air Force 63 Surgeon General to assemble and modernize approved AFMS capabilities. The contractor shall 64 perform medical logistics support functions to ensure the USAF secures individual line items 65 and assemblages arranged in predetermined and standardized configurations. In addition, the 66 contractor shall: 67 General Responsibilities and Support. 69

• Provide warehouse management, receipt, inspection, repacking and distribution; assist in 70 procurement management within the supply system (utilizing government funds), inventory 71 management and equipment maintenance/repair for on-site stored ECMM assets, Hazardous 72 Materiel (HAZMAT) management, disposal and removal of materiel, controlled medical items 73 management, transportation management, and Low Unit of Measure (LUM) sustainment to 74 geographically separated Department of Defense locations. In addition, the contractor shall 75 work all assemblage, special projects and programs deemed necessary (within contract 76 requirements) as coordinated, approved, and prioritized by the COR in direct support of all 77 Department of Defense (DoD) medical missions. 78

• Establish, conduct, and manage a comprehensive QC Program which adheres to DoD 79 guidance. 80

• Be responsible for maintaining and securing readiness of ECMM assemblages for 81 operational use (real-world/exercise requirements) which includes packing, crating (including 82 procurement of required materials), shipping/cargo movement, inventorying, receiving supplies 83 and equipment, biomedical equipment maintenance, HAZMAT management. 84

• Be expected/capable of obtaining government license (as required) to operate material 85 handling equipment to include forklift operations (4K through 15K capacity); mobile picker/pallet 86 transport units; electric/manual 463L pallet jacks, 463L scales; electric plastic shrink units; etc. 87

• Be knowledgeable with the DoD’s selected Medical Material Information System (MMIS) and 88 be required to perform services in an independent manner, ensuring coordination with the 89 government Contracting Officer Representatives (CORs), Contracting Officer (CO), and 90 Program Manager (PM) as applicable/required. 91

• Be responsible for the identification, removal, packaging, transportation and disposing of 92 various HAZMAT in compliance with proper procedures for HAZMAT and NON-HAZMAT waste 93 handling and management to ensure compliance in accordance with domestic and international 94 regulations. 95

• Accommodate plan changes to their staffing requirements based on realignment and/or 96 shifts in pre-positioned ECMM assemblages to meet the needs of the USAF. However, 97 coordination of changes in location and number of assemblages will be coordinated with the 98 contractor prior to implementation. 99

• Provide travel site support services necessary to conduct site visits by the travel teams. 100

The required services are based on the WRM and/or MC-CBRN assigned to that MTF. See 101 solicitation exhibits H, I, J, and K for locations and workload. 102 ECMM In-Garrison Maintenance and Re-Constitution Support. 103 In-garrison Maintenance. (This phrase is used to identify assemblages in a non-operational 104 status. This includes designated MTFs and consolidated WRM CSDCs identified by AFMS 105 leaders to sustain/maintain, reconstitute, modernize or build WRM and/or MC-CBRN 106 assemblages in order to respond to any exercise or real-world event.) 107

• Conduct ongoing and as-required inventories; monthly QC inspections; dated item 108 management and the establishment/management of: excess materiel program; disposal and 109 destruction program; controlled medical items program; hazardous waste management 110 program; biomedical maintenance program; IM/IT software updates; establishment and 111 maintenance of QC and WRM continuity folders to include information such as Centrally 112 Managed Equipment due-ins and Shelf Life Extension Program (SLEP) and records of 113 shipment; and scheduled/unscheduled maintenance on equipment assets, to include completion 114 of monthly management reports on equipment assets. 115

• Incorporate changes or updates into existing ECMM assemblages with appropriate 116 government approval/guidance. The contractor shall provide the government with expertise and 117 proposed staffing plan for coordination prior to movement of personnel to ensure the 118 appropriate mix of contractor resources/desired experience are provided at CONUS/OCONUS 119 staffed sites. Additionally, this site will have the responsibility to maintain ECMM assemblages 120 stored in smaller quantities at other active, ANG, and Reserve Component sites traditionally 121 supported. 122

• Provide complete ECMM in-garrison management services; to include serving as host 123 account for the smaller active, ANG, and Reserve Component sites traditionally supported in 124 accordance with applicable guidance. See solicitation exhibits H, I, J, and K for workload. 125

• Conduct pallet build-up to include Hazardous Materiel (HAZMAT), marshalling for 126 Expeditionary/Contingency operations, Humanitarian Relief Operations (HUMRO), Defense 127 Support to Civil Authorities (DSCA), Consequence Management, and Pandemic 128 Influenza/disaster response operations and exercise taskings. In the event ECMM stored 129 assemblages are deployed, these on-site contractors may be reallocated to perform local MTF 130 general medical logistics duties as required by the Medical Logistics Flight Commander (MLFC) 131 and approved by the COR. 132 Biomedical Equipment Maintenance Support. 134

• BMET support will be provided IAW the “ECMM Support Services for JANUS” task (see 135 BMET support). 136 Production Planning. 138

• Monitor, produce, and manage an assemblage production plan. 139

• Procure (with government funds) individual line items through the MMIS in accordance 140 with government ECMM requirements. 141

• Pack assemblages IAW Logistics Detail for storage or shipment to gaining DoD locations in 142 accordance with the time constraints of the government’s Production Plan. 143

• Ensure proper medical materiel and biomedical equipment maintenance data (i.e. item 144 ID, location, quantity, manufacturer, manufacturer date and expiration, lot numbers, 145 assemblage, serviceable tag, inspection certification tag) is loaded in the MMIS record. 146 Information Management/Information Technology (IM/IT) System Configuration Management. 148

• Load, integrate and analyze various government provided hardware and software 149 application programs onto the Government-furnished computer systems and communication 150 devices to include radios and satellite phones In Accordance With (IAW) DoD Information 151 Technology (IT) standards. 152 o The government will provide the system configuration listing for each ECMM 153 assemblage and will provide a requirements checklist of the approved assemblage line 154 items to be tested. 155

• Establish and execute a modernization plan for fielded computer systems and maintain a 156 database of current configurations fielded as coordinated/approved by the government. 157 Radio Communications Systems Management. 159

• Provide the necessary level of ECMM tactical radio/communications equipment expertise. 160 This is to ensure successful completion of scheduled maintenance procedures conducted semi-161 annually, as approved by the government. 162

• Maintain and manage all tactical radio systems within the inventory. These radios are 163 scalable, high-speed broadband, networkable medians, providing connectivity over multiple 164 waveform spectrums (i.e. HF, VHF, UHF, SHF, EHF, and L- Band) in fixed tactical 165 environments. 166

• Provide necessary training, as required, to ensure on site expertise is available to execute 167 required radio/communications equipment sustainment actions IAW AFMOA approved check 168 list. 169

• Ensure build plan requirements for radio/communications are completed in accordance with 170 approved allowance standards, and designated modernization builds per assigned Medical 171 Resource Letter (MRL) requirements. 172

• Ensure that all government approved radio/communications equipment assigned to in- 173 garrison WRM locations will have maintenance checklists and maintenance documents 174 available for use at all WRM contingency asset locations within the Air Force Inventory. 175

• Initiate Medical Manpower, Equipment Force Packaging Responsible Agencies (MRA) 176 request to AFMOA for funding approval for all non-warranty work at Depot level 177 maintenance with the manufacturer. A MRA request will be established for Radios that are 178 under Warranty and sent to the manufacturer for repair. Upon return the government will 179 provide a listing of items to be tested by the contractor. 180

• Establish and execute a modernization plan and maintain a database of current 181 configurations fielded as coordinated/approved by the government. 182 Low Unit of Measure (LUM) Sustainment. 184

• Provide procurement (with government funds), inventory management of stock levels, 185 packing and crating orders (including procurement of required materials), and follow-up actions 186 for LUM ECMM assemblages. 187 Transportation Management. 189

• Perform shipping operations for all ECMM requirements to designated locations as specified 190 by the government. 191

• Leverage land, sea, and air shipments (both commercial and military) to meet world-wide 192 ECMM shipping requirements, including HAZMAT, to achieve operational objectives at the 193 lowest delivered cost. 194 Reachback/Theater Lead Agent Medical Materiel (TLAMM) Sustainment Support. 196

• Provide procurement (with government funds) support for the processing of requisitions, 197 receipts, follow-up, packing, crating (including procurement of required materials), and 198 transportation management actions in support of deployed joint forces world-wide. 199

b. ECMM Staffed Support Services for In-Garrison CSDC Installations (AF) 201 Contractor duties and responsibilities will include, but are not limited to: providing qualified on-202 site personnel, services, and expertise (except for GFP, facilities, and services) to support 203 assembly builds; sustainment, deployment, reconstitution, and modernization operations; and 204 management services at designated CSDC locations. In addition, the contractor shall: 205 General Responsibilities and Support. 207

• Support will be provided IAW the “ECMM Support Services for Port San Antonio, TX 208 Industrial Operations” task (see General Responsibilities and Support). 209 ECMM In-Garrison Maintenance and Re-Constitution Support. 211

• Support will be provided IAW the “ECMM Support Services for Port San Antonio, TX 212 Industrial Operations” task (see ECMM In-Garrison Maintenance and Re-Constitution Support). 213 Biomedical Equipment Maintenance Support. 215

• BMET support will be provided IAW the “ECMM Support Services for JANUS” task (see 216 BMET Support). 217

c. ECMM Support for Staffed CONUS Locations (AF) 219 Contractor duties and responsibilities will include, but are not limited to: providing qualified on-220 site personnel, services, and expertise (except for GFP, facilities, and services) to support 221 assembly builds; sustainment, deployment, reconstitution, and modernization operations; and 222 management services at designated locations. In addition, the contractor shall: 223 General Responsibilities and Support. 225

• Accommodate plan changes to their staffing requirements based on realignment and/or 226 shifts in pre-positioned ECMM assemblages to meet the needs of the USAF. However, 227 coordination of changes in location and number of assemblies will be coordinated with the 228 contractor prior to implementation. 229

• Conduct ongoing and as-required inventories; monthly QC inspections; dated item 230 management and the establishment/management of: excess materiel program; disposal and 231 destruction program; controlled medical items program; hazardous waste management 232 program; biomedical maintenance program; IM/IT software updates; establishment and 233 maintenance of WRM and MC-CBRN continuity folders to include information such as Centrally 234 Managed Equipment due-ins and SLEP, to include completion of monthly management reports 235 on equipment assets. 236

• Incorporate changes or updates into existing ECMM assemblages with appropriate 237 government approval/guidance. 238

• Conduct pallet build-up to include HAZMAT, marshalling for Expeditionary/Contingency 239 operations, HUMRO, DSCA, Consequence Management, and Pandemic Influenza/disaster 240 response operations and exercise taskings. In the event ECMM stored assemblages are 241 deployed, these on-site contractors may be reallocated to perform local MTF general medical 242 logistics duties as required by the MLFC and approved by the COR. 243

• Conduct assigned daily WRM operations as outlined in federal, state, and local guidance. 244

• Assist in developing strategies with the MLFC on how dated items will be managed, how 245 equipment items will be inspected and maintained and how MMIS records will be updated. 246

• Perform medical materiel management and conduct annual ECMM inventories, sustainment 247 and asset posturing for exercise/real-world equipment deployment and reconstitution efforts as 248 identified/approved by the government. 249 o The inventory cycle for WRM UTCs will be inventoried no less frequently than 24 250 months from the previous inventory, however the MC-CBRN assets will remain on a 1-251 year cycle. Contractors staffed in CONUS shall provide MLFC with required inventory 252 documentation. 253

• Provide WRM and MC-CBRN management training to MTF personnel. The government 254 training plan will be managed by the contractor and approved by the COR. Changes may be 255 made to the training plan as guidance is updated by the government. 256

• Assist the MLFC in managing all aspects of the local WRM/MC-CBRN program. During a 257 real-world or exercise scenario the SME may receive orders by the government, to travel to 258 designated locations based on mission requirements. The contractor shall be afforded a 259 minimum of 24 hours response time. 260 Biomedical Equipment Maintenance Support. 262

• BMET support will be provided IAW the “ECMM Support Services for JANUS” task (see 263 BMET Support). 264 MC-CBRN Program. 266

• Perform an annual inventory IAW the COR-approved schedule. The inventory shall include 267 validation of balance records. The segregation of outdated and excess items may be completed 268 if approved by local Team Chief and/or the MLFC. Any final adjustments of balance records via 269 inventory gains/losses or issue transactions may be performed also with the approval of 270 government MC-CBRN Team Chief. 271 Note: The contractor will not be responsible for BMET requirements. 272 Major Command and Headquarters Support. 274 Contractor duties and responsibilities will include, but are not limited to: providing necessary 275 on-site ECMM analytical and subject matter expertise (to include training government 276 personnel) in the areas of WRM, Medical Materiel Management life cycle management, 277 planning, program and project management, analysis, administrative, telecommunications, and 278 medical readiness to perform defined mission requirements. In addition, the contractor shall: 279

• Provide innovative ideas and methodologies regarding materiel readiness development, 281 modernization, life cycle management (CAF ground medical WRM allowance standards & 282 AFMS Centrally Managed Equipment (CME)), sourcing and sustainment capability for ACC 283 (Langley), AFSOC (Hurlburt), and Fort Detrick. This shall include recommendations for 284 developing and describing standard, predefined manpower and equipment force packages and 285 determining the deployment characteristics of these packages in support of Joint Operation 286 Planning and Execution System (JOPES) and Contingency Operations Mobility Planning and 287 Execution System (COMPES). In addition, the contractor shall: 288

• The Chief, Medical Readiness and Logistics Division or designated representative will 289 provide overall contract oversight and be the primary point of contact for the COR. The 290 contractor’s employees shall supplement existing Government staffing in the management of 291 projects, the implementation of medical readiness and logistics support plans and documenting 292 of procedures. Contractors must be able to commute between several different locations within 293 the Langley AFB area to perform work. Temporary travel to areas outside the local area may 294 also be required after approval by the COR. 295

• Provide the name, address, and telephone number of the person to the COR prior to 296 contract start. The Contractor shall provide notice, in writing, to the CO/COR three working 297 days in advance of any change of the person. The contractor shall be able to understand, 298 speak, read and write the English language. A temporary contractor shall be designated to act 299 for the incumbent during absences such as illness, vacation, etc. 300

• Return all calls from the CO/COR within 1 hour, 24 hours a day, seven days a week and be 301 available to meet on the installation with government personnel (designated by the CO/COR) to 302 discuss problem areas within 48 hours from notification. 303

• Assist the MEFPAK Manager and ACC/SG staff in the development and registration of 304 standard UTCs. 305

• Monitor and maintain all ACC (AFSOC assigned standard UTCs) assigned Allowance 306 Standards (AS) and Logistics Details (LOGDETs). 307

• Assist the Government in the planning and programming of funding. 308

• Assist the Government in the development and maintenance of training standards and 309 mission essential task lists. 310

d. ECMM Support for Staffed OCONUS Locations 312 Locations include, but are not limited to: Alaska, Japan, and Guam, and Qatar. Contractor 313 duties and responsibilities will include, but are not limited to: providing the necessary on-site 314 ECMM analytical and subject matter expertise (to include training government personnel) in the 315 areas of WRM, Medical Materiel Management life cycle management, planning, program and 316 project management, analysis, administrative, telecommunications, and medical readiness to 317 perform defined mission requirements. OCONUS SMEs will be required to provide support and 318 perform these services at other OCONUS locations as requested by the government. In 319 addition, the contractor shall: 320

• Comply with all regulations and clauses listed in the agreements for each nation. 322

• Provide OCONUS AOR support (both program management consultation and physically 323 assisting with annual ECMM inventories), sustainment and asset posturing for exercise/real-324 world equipment deployment, and reconstitution efforts as identified/approved by the 325 government. See solicitation exhibits H, I, J, and K for locations and workload. 326 o The inventory cycle for WRM UTCs will be inventoried no less frequently than 24- 327 months from the previous inventory, however the MC-CBRN assets will remain on a 1-328 year cycle. 329

• Provide MLFC with required inventory documentation and conduct WRM and MC-CBRN 330 management training to MTF personnel. The government training plan will be managed by the 331 contractor and approved by the COR. Changes may be made to the training plan as guidance 332 is updated by the government. 333

• The contractor shall ensure that all assigned WRM will be maintained on an annual basis. 334 Contractors staffed in OCONUS shall provide MLFC with required bi-annual inventory 335 documentation. 336

• Assist in developing strategies with the MLFC on how dated items will be managed, how 337 equipment items will be inspected and maintained and how MMIS records will be updated. 338

• Assist the MLFC in managing all aspects of the local WRM/MC-CBRN program. During a 339 real-world or exercise scenario throughout the OCONUS Theater of Operations, the SME may 340 receive orders by the OCONUS Major Command Surgeon General or Combatant Commander 341 (COCOM), in coordination with the CO, COR and PM, to travel to designated locations based 342 on mission requirements. The contractor shall be afforded a minimum of 24 hours response 343 time. 344 MC-CBRN Program. 346

• MC-CBRN Program support will be provided IAW the “ECMM Support Services for CONUS 347 Locations” task (see MC-CBRN Program). 348

e. Planned Travel (USAF, ANG, Army) 350 The Contractor shall be required to perform periodic planned travel to CONUS and/or OCONUS 351 sites in support of ECMM operations. A schedule of planned travel shall be submitted with the 352 proposal to include a detailed travel quote for each individual trip. Contractor will get COR 353 approval prior to travel. The government, with COR approval, may request trip rescheduling. In 354 addition, the contractor shall: 355

• At OCONUS sites, the contractor SMEs shall work in coordination with the MLFC in 357 managing all aspects of the local WRM/MC-CBRN program. During a real-world or exercise 358 scenario throughout the OCONUS Theater of Operations, the SME may receive orders from the 359 MLFC, in coordination with the CO and COR, to travel to designated locations based on mission 360 requirements. The contractor shall be afforded a minimum of 24 hours response time. 361

• Coordinate a formal agenda to the MLFC and/or organizational representative(s) 10 362 business days prior to arrival, provide pre-brief upon arrival, and an out brief prior to departing 363 the location being visited. 364

• Contract travel teams shall prepare travel trip reports and designate action officer’s for all 365 open items. The contractor travel lead shall conduct follow-up on all open items for 45 days. 366 Unresolved open items that exceed the 45 days shall be reported by the contractor to the COR. 367

• Provide WRM and MC-CBRN management training to the MTF medical logistics staff 368 members during the annual ECMM support services visit. The training plan will be developed 369 by the contractor and approved by the COR. Changes may be made to the training plan as 370 guidance is updated by AFMOA, MRAs or COCOMs. 371

• Provide the services necessary to conduct site visits by the travel teams. The required 372 services are based on the WRM and/or MC-CBRN assemblages assigned to that MTF. See 373 solicitation exhibits H, I, J, and K for locations and workload. 374 WRM (i.e. BW/CW, Anti-Malaria/Cholera) Program. 376

• Conduct ongoing and as-required inventories; monthly QC inspections; dated item 377 management and the establishment/management of: excess materiel program; disposal and 378 destruction program; controlled medical items program; hazardous waste management 379 program; order processing and shipment to DoD locations world-wide; establishment and 380 maintenance of continuity folders to include the SLEP and records of shipment. 381 Note: For the AF, the contractor will not be responsible for BMET repairs at unstaffed (BMET) 382 locations. 383 o Contract travel team must obtain local approval from the MLFC prior to processing 384 inventory adjustments. The contractor shall include all incomplete actions as open items on 385 travel trip reports. The contractor shall complete all WRM equipment requirements during 386 visits and shall include all follow-on and open items on travel trip report. 387

MC-CBRN Program. 389

• Perform an annual inventory IAW the COR-approved schedule. The inventory shall include 390 validation of balance records. The segregation of outdated and excess items may be completed 391 if approved by local Team Chief and/or the MLFC. Any final adjustments of balance records via 392 inventory gains/losses or issue transactions may be performed also with the approval of 393 government MC-CBRN Team Chief. 394 Note: For the AF, the contractor will not be responsible for BMET requirements. 395 WRM Program at Reserve Component Sites. 397

• Provide host MTF account support to ANG and AFRC sites as assigned on the MRL. The 398 objective is to provide complete materiel support as outlined above under travel site support. 399 o A formal report shall be completed in writing no later than 15 calendar days after 400 contract performance start and submitted to COR for review/endorsement. The COR 401 will send an electronic copy of the report to the medical logistics activity and/or medical 402 readiness leadership at a minimum. 403

• The contractor shall ensure that all assigned WRM will be maintained on an annual basis. 404 Contractors staffed in CONUS and OCONUS shall provide MLFC with required annual inventory 405 documentation. 406

• The contractor shall assist in developing strategies with the MLFC on how dated items will 407 be managed, how equipment items will be inspected and maintained and how MMIS records will 408 be updated. 409

f. Unplanned Travel (USAF, ANG, Army) 411 The Contractor shall be required to perform periodic unplanned travel to CONUS and/or 412 OCONUS sites. Unplanned travel trips may be required to support post exercise inventories, 413 deployment preparation, post deployment reconstitution, the integration of modernization builds, 414 and/or other unplanned travel required to support ECMM operations. 415 Prior to utilizing unplanned travel, the Contractor shall receive written direction and approval 417 from the Contracting Officer (CO) and Contracting Officer Representative (COR). The 418 Contractor is prohibited from traveling without prior written approval from the CO unless an 419 exception applies. 420 Exceptions to CO Approval. In most instances, the Contractor shall acquire written CO approval 422 prior to unplanned travel. However, given the contingency and humanitarian aspect of this 423 contract, in emergency situations the Contractor may acquire COR written approval if travel is 424 necessary within the next 48 hours and the CO is unavailable. 425 Contract travel team shall prepare travel trip reports and designate action officer’s for all open 427 items. The contractor travel lead shall perform follow-up on all open items for 45 days. 428 Unresolved open items that exceed the 45 days shall be reported by the contractor to the COR. 429

g. Training (USAF, and ANG, Army) 431 This CLIN is only for contractor personnel requiring training that can’t be provided by the 432 government. 433 Prior to utilizing training, the Contractor shall receive written direction and approval from the 435 Contracting Officer (CO) and Contracting Officer Representative (COR). The Contractor is 436 prohibited from conducting training without prior written approval from the CO unless an 437 exception applies. 438

h. ECMM Support Services for JANUS 440 Project JANUS is a classified, strategic, national medical contingency program. The 441 Department of the Air Force was directed to support this mission in 2006, which was further 442 delegated to the Commander, 88th Medical Group, Wright-Patterson Air Force Base (AFB), by 443 the USAF Deputy Surgeon General. ECMM support is provided to the 88th Medical Group 444 under this contract. The contractor shall prepare, maintain, collect and deploy specified medical 445 materiel and equipment in support of DoD requirements. Based on the nature of this 446 requirement each of the members directly supporting the JANUS Program shall possess a 447

FINAL Top Secret clearance by contract start based on Single Scope Background Investigation 448 (SSBI) or SSBI-Periodic Review (PR). 449 Top Secret Clearances Supporting JANUS Mission. A DoD Contract Security Classification 451 Specifications Top Secret (DD Form 254) is required at a minimum for the following labor 452 categories for the specified number of positions as broken out by locations: 453

Position

Location

Minimum # of Clearances Required

Clearance

Type

Basis of Clearance

JANUS Medical Materiel Specialist, Skill Level III (maximum of 440 Billable Hours, see note)

Wright- Patterson

AFB

Top Secret

SSBI or SSBI-PR

Medical Materiel Specialists Skill Level II

Wright- Patterson

AFB

2 Top Secret SSBI or SSBI-PR

BMET

Skill Level II

Wright- Patterson

AFB

1 Top Secret SSBI or SSBI-PR

Note: The Medical Materiel Specialist Skill Level III position located at Wright-Patterson AFB 456 (88th Medical Group) has a “dual” responsibility to also serve as an MRA Medical Materiel 457 Manager/Planner (requiring a Top Secret Clearance) under, ECMM support services for 458 JANUS. The contractor’s primary duty location is Wright-Patterson AFB. However, as required, 459 this contractor will either administratively and/or physically support the JANUS Project team and 460 mission in the capacity of an MRA Medical Materiel Manager/Planner for a maximum of 440 461 annual hours in management of the medical material responsibilities. This individual will be 462 required to travel to support JANUS locations. 463 Back-Up Positions Required to be Read-In to JANUS Mission Requirements for 465 Surge/Sustainment Operations Support: 466

Clearance

Type

Program Manager 1 Top Secret SSBI or SSBI-PR Medical Materiel Specialist Skill Level II

1 Top Secret SSBI or SSBI-PR

Medical Materiel Specialist Skill Level I

1 Top Secret SSBI or SSBI-PR

BMET

Skill Level II

1 Top Secret SSBI or SSBI-PR

Note: The back-up positions listed above are for the sole purpose of identifying the positions 469 requiring Top Secret clearances and does not necessarily represent what the total manning 470 should be or where the personnel need to be located for these labor categories in order to 471 perform this contract. The final contractor staffing plan will be completed and delivered no later 472 than 30 days after contract award. The staffing plan will include: names, position being filled, 473 labor category, and location of personnel. 474 Security Requirements: 476 This program is a restricted program and portions of the requirements below may be waived on 477 a case-by-case basis by the JANUS Program Security Manager. See DD Form 254 for 478 additional information. 479

• All personnel supporting this program must be briefed by the JANUS Program Security 480 Manager. Knowledge of any program related information (facilities, capabilities, locations or 481 methods) will not be disclosed to anyone, unless they have been approved in advance and 482 briefed by the JANUS Program Security Manager or designee. 483

• JANUS Program Security Manager will publish additional (OPSEC) guidance that provide 484 instructions on how to interact with program facilities and personnel in a secure manner. 485

• Travel to any site must be approved in advance by the JANUS Program Security Manager 486 or designee. 487

• Contractor personnel shall abide by all established security regulations and OPSEC 488 procedures and shall be subject to random and unannounced security checks. 489

• Any internet connectivity from the program facilities/sites must be approved in advance by 490 the JANUS Program security manager in coordination with the site manager. 491

• Contractor personnel on duty shall wear site-provided identification badges. Badges will 492 remain on-site. 493 The contractor shall provide the following technical, operational and analytical support services. 495 These duties and responsibilities will include, but are not limited to: 496

• Manage, inventory, and rotate medical supplies/drugs for each site as required. 498

• Order and receive medical supplies and drugs through established procedures with the 88th 499 Medical Group and distributed to sites as required by government. Funds will be provided via a 500 Military Interdepartmental Purchase Request (MIPR) to the 88th Medical Group. 501

• Performs basic management skills (decision making, problem solving, planning) organizes 502 teams to complete labor intensive inventory functions, provides limited training to site personnel. 503

• Document all transactions associated with acquiring assets, managing quality 504 assurance, performing inventories, performing maintenance, and maintaining historical 505 maintenance information on each piece of accountable equipment. 506

• Recommend, to on-site personnel, equipment and supplies which should be added to the 507 inventory. 508

• Manage required logistical status information and report various percentages for the non- 509 standard hospital supported by in-garrison medical logistics. 510

• Coordinate as necessary with the PM to determine potential availability of assets required at 511 each site. Recommend purchase or replacement of equipment as necessary. 512

• Manage the requisitioning, receipt, storage, QC, inventory, issue and turn-in of medical 513 materiel using MMIS or a manual system. The contractor will obtain items established on the 514 Allowance Standard by the Government. Items requiring open market or contracting buys will 515 be forwarded to AFMOA or other government agency for purchase. 516

• Prepare and validate computer input data to establish, revise, and maintain master records 517 using both manual and automated methods. 518

• Requisition supply and equipment shortages in accordance with local directives. 519

• Assist with managing the Shelf Life Extension Program, suspended stock, dated item 520 control, and materiel complaint system. Conduct periodic internal inspections of medical 521 materiel assets for compliance with policies and directives. Analyze results and implement 522 corrective action on all discrepancies. 523

• Perform Medical Material Management functions that assist in planning and performing 524 annual or cyclical inventory to include the use of packing lists/mass updates and inventory 525 accuracy analysis reports. Apply special handling procedures for controlled medical items, 526 gases, precious metals, dangerous and hazardous materials and refrigerated or frozen 527 materials. 528

• Document and maintain deferred procurement plans and supporting contingency contracts. 529

• Ensure contingency contracts are exercised IAW established agreements. 530

• Maintain prime vendor and alternate source transaction records and files. Record, 531 reconcile, and verify entries in MMIS transaction documents. 532 Biomedical Equipment Maintenance Support. 534

• Assemble, install, and inspect new and used biomedical equipment. Assemble equipment 535 and conduct pre-operational tests to verify compliance with medical and technical standards, 536 specifications, contracts, and regulatory guidance. Install or coordinate the installation of 537 medical equipment that requires interface with other devices or with the facilities system. 538

• Resolve installation and associated maintenance support problems. 539

• Inspect, service, and modify biomedical equipment and support systems. Inspect 540 biomedical equipment systems to determine operational status and compliance with 541 technical standards and specifications. 542

• Perform preventative maintenance tasks such as lubrication and mechanical adjustments; 543 and replacement of: 544 filters, tubing, and other parts subject to deterioration. 545

• Evaluate user maintenance procedures and ensures safe medical equipment practices 546 are exercised. 547

• Calibrate medical equipment according to manufactures’ technical literature, pertinent 548 federal regulations, national standards, state and local laws, and Air Force/DoD guidance. 549

• Apply electrical, electronic, optical, mechanical, pneumatic, hydraulic, and physiological 550 principles to diagnose and locate system malfunctions. Use test equipment, technical data, 551 engineering drawings, schematics, and reference materials for troubleshooting and repair of 552 medical equipment. 553

• Perform safety inspections. Inspect and test medical and patient-related non-medical 554 equipment for compliance with electrical and patient safety codes and standards. 555

• Identify deficient equipment, initiate corrective action, and inform personnel of possible 556 safety hazards. 557

• Perform maintenance management and administrative functions. Develop and coordinate 558 methods and procedures to be used in the maintenance activity. Determine the type, extent, 559 and feasibility of repairs; and implement repair or condemnation procedures. Perform tasks 560 relating to collecting and recording historical maintenance data. Generate QC reports to ensure 561 accuracy of bench stock balance records and historical maintenance records (HMRs). 562

• Revise preventative maintenance and calibration cycles based on Air Force regulations, 563 manufacturers’ literature, and local conditions. 564

• Administer the medical equipment warranty and guarantee program for the equipment 565 assigned to the non-standard hospital system. 566

• Ensure availability and control of spare parts, test equipment, and tools. 567

• Arrange for the preventative maintenance and repair of equipment assets that are not within 568 local capabilities after ensuring the funding is first approved by the Government. 569

• Training will be provided for unique equipment or when the BMET assigned has not been 570 previously trained on a particular piece of equipment. Training will also be provided when a 571 MRA adds a new piece of equipment, in which the BMET has not been trained on, to an 572 Allowance Standard. In each of these cases, funding will be provided by the Government. 573

• Manage repair/calibration, inventory, issue and turn-in of medical equipment using MMIS. 574

• Work with the Medical Logistics Specialist, in performing medical logistics functions 575 associated with the non-standard hospital. 576

i. ECMM Support Services for ANG 578 Headquarters Air National Guard (HQ ANG/SG). The contractor shall provide medical materiel 579 and equipment support services in support of ANG Homeland Response (HLR) missions, to 580 include, but not limited to Expeditionary Medical Support, Chemical, Biological, Radiological, 581 Nuclear and Explosives Enhanced Response Force Package, and installation-level MC-CBRN 582 program. Services will be provided at Department of Defense installations. 583 The contractor shall provide the following technical, operational and analytical support services. 585 These duties and responsibilities will include, but are not limited to: 586 ECMM Planning, Programming and Operations Support. 588

• Provide oversight and management of the complete Life Cycle of Air National Guard 589 Medical Service (ANGMS) Allowance Standards for all Medical requirements. 590

• Provide contractor oversight and management of materiel sourcing capabilities through 591 deferred procurement programs and sustainment in support of ANG Medical Allowance 592 Standards. 593

• Organize formal planning processes and support cradle-to-grave deliberate planning 594 process at an enterprise level. Ensure integration and interoperability of plans and programs. 595 Provide day-to-day operational support for National Guard units on contingency assemblage 596 materiel accountability and management to include analyzing equipment and materiel 597 requirements. 598

• Provide MMIS subject matter expertise. 599

• At the direction of the government, implements Contingency Allowance Standards and 600 provides subject matter expertise in support of Air Force and Joint Medical Logistics Doctrine 601 and policy. 602

• Develop and Implement Medical Logistics Sustainment and Support Plan. 603 Medical Logistics Analysis Support. 605

• Provide appropriate subject matter expert analyses that addresses ANGMS Medical 606 Contingency Response requirements. Such analyses may include, but are not limited to, the 607 following categories: Statistical and Cost Benefit Analysis; Product Research; Acquisition Data. 608

• Analysis and design support for Air National Guard Medical Contingency Response 609 Initiatives and Military Health System initiatives/requirements. 610 Public Relations/Human Capital Management Support. 612

• Provide subject expertise to NGB/SG during Homeland Defense Working Groups and 613 committees. 614

• Coordinate allowance standard updates/changes with the MRAs. 615

• Provide project management support and documentation, brief status and updates on 616 Medical Contingency Response to the government. 617 Executive Administration, Clerical, Technical and Oversight Support. 619

• Provide executive and administrative, general clerical, technical, and documentation 620 support. 621

• Provide written Defense Medical Logistics Standard Support MMIS system procedures 622 for Medical Materiel and Equipment information system processes to support Medical 623 Contingency Responses. 624 Air National Guard Medical Equipment Maintenance, Sustainment and Re-Constitution Support. 626

• Requisition, receipt, QC, storage and issuance/turn-in of medical materiel. Contractor will 627 advise the ANG in the establishment of a dated item management program, as well as the 628 establishment of a credit returns program. 629

• Conduct ongoing and as-required inventories; QC inspections; dated item 630 management and the establishment/management of: excess materiel program; credit returns 631 program; disposal and destruction program; controlled medical items program; biomedical 632 maintenance program; IM/IT software updates; establishment and maintenance of Centrally 633 Managed Equipment due-ins and SLEP, to include completion of monthly management reports 634 on equipment assets. 635

• Assist in developing ANG strategies on how dated items will be managed, how 636 equipment items will be inspected and maintained and how MMIS records will be updated. 637

• Accountability of associated medical materiel, to include on-going and as-needed 638 inventories. This accountability will also include monthly quality assurance inspections. 639

• Provide assemblage procurement support by processing requisitions for medical materiel, 640 as well as assembling, configuring and delivering complete equipment assemblages. 641 Assemblages may consist of medical and non-medical supplies/equipment, computer and 642 communication systems included in the appropriate assemblage. 643

• Perform Initial inspection of equipment, scheduled and un-scheduled equipment 644 maintenance, scheduled parts replacement and life-cycle equipment maintenance, to include 645 but not limited to preventative maintenance and calibration support for ANG medical and non-646 medical equipment. 647

• Establish an effective Dated Item Management and Credits Return Program to maximize 648 funding and readiness percentages of deployable medical assets. 649

• Serve as the MMIS server administrator at the work site. Manage MMIS user accounts and 650 passwords, as well as completing all system updates, backups, and restore processes, archived 651 file management, data input and end-of-period processes. Computer systems maintenance and 652 IM/IT software updates. 653

• Create and manage local HLR folders/binders and develop local Standard Operating 654 Procedures. 655

• Special handling procedures will be applied by contracted employees for controlled medical 656 items, gases, precious metals, dangerous and hazardous materials, and refrigerated and frozen 657 materials. 658 ANG deployment support of medical and non-medical equipment packages for ECMM mission 660 operations. 661

• During a disaster or HLR mission, Contractor Personnel are expected to assist in 662 operations, to include preparing assemblages for set-up and pre-positioning assets at various 663 locations IAW installation response plans and local/state/federal guidance. If needed, 664 Contractor Personnel are also expected to participate in evacuation operations to ship assets, 665 as directed. 666 Biomedical Equipment Maintenance Support. 668

• As part of their Medical Equipment Maintenance and Repair Team duties, travel will be 669 required to provide direct and indirect Biomedical Equipment Maintenance support IAW the 670 JANUS task (see BMET support) at DoD locations located throughout the CONUS and 671 OCONUS. The Medical Equipment Maintenance Office functionality will operate from HQ 672 ANG/SG, Joint Base Andrews, MD. See solicitation exhibit I for locations and workload. 673

j. ECMM Support Services for Army – US Army Medical Materiel Agency (USAMMA) 675 Headquarters Medical Command (MEDCOM) -- Department of the Army Prepositioned Stocks 676 and Army Surgeon General Contingency Stocks Sustainment. The contractor shall manage 677 Supply Class (SC) VIII (medical supply) Army Prepositioned Stock (APS) and Unit Deployment 678 Packages (UDP) which are maintained at the Port San Antonio, TX CSDC and provide staffing 679 support at Goose Creek, SC for management of the APS-3 Afloat program, and provide staffing 680 support at Camp AsSayliyah, Doha, Qatar for management of the APS-5 and UDP programs. 681 All MEDCOM in-garrison maintenance operational expectations, program management and 682 leadership hierarchy are clearly outlined in the Memorandum of Agreement (MOA) between the 683 United States Army Medical Materiel Agency and the United States Air Force Medical 684 Operations Agency. The MOA only applies to APS and UDP materiel located at the Port San 685 Antonio, TX CSDC.