Attachment 4 PWS 24 HR Turnkey.pdf

FAXXXX-25-R-XXXX

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Quality, Schedule, AFTC Performance Work Statement (PWS) Template

Requirement Title: Ambulance Services POC: Maj. Nicholas Weightman

Requiring Organization: 412 MDG Phone: 661-275-2825

Performance-Based Service Acquisition (PBSA)

Per the Federal Acquisition Regulation (FAR), PBSA means an acquisition structured around the results to be achieved as opposed to the manner by which the work is to be performed, and a Performance Work Statement (PWS) means a statement of work for performance-based acquisitions that describes the required results in clear, specific and objective terms with measurable outcomes.

Minimum Mandatory PBSA Requirements

1. Performance requirements in the Service Summary shall align with the Contractor Performance Assessment Reporting System (CPARS) categories.

2. Performance requirements define the work in measurable, mission-related terms.

3. Performance standards (i.e., quality, quantity, timeliness) are tied to performance requirements.

4. A Quality Assurance Surveillance Plan (QASP) describes how the contractor’s performance will be measured against the performance standards.

5. If the acquisition is either critical to the agency mission accomplishment or requires relatively large expenditures of funds, positive and negative incentives are tied to the QASP measurements.

6. Specifies procedures for reductions of fee or for reductions to the price of a fixed-price contract when services are not performed or do not meet contract requirements.

7. Includes performance incentives where appropriate; positive and negative incentives shall be considered in connection with service contracts for the performance of objectively measurable tasks when quality of performance is critical, and incentives are likely to motivate the contractor.

Additional PBSA Components

1. An historic workload analysis is performed or estimated if historic data is unavailable, to aid in determining the performance requirements and standards, QASP, and incentives offered to contractors.

2. The solicitation and contract/task order convey a logical, easily understood flow among performance requirements, performance standards, QASP, and performance incentives.

3. Process-oriented requirements (e.g., job descriptions, education requirements, level-of-effort) and reports are eliminated to the maximum feasible extent.

4. Government Quality Assurance (QA) performance evaluators assigned to assess contractor performance are trained in PBSA.

5. Commercial and/or industry-wide performance standards, where available, are relied upon.

6. The marketplace and other stakeholders are provided with the opportunity to comment on draft performance requirements and standards, QASP, and performance incentives.

7. If the size of the requirement justifies the resource expenditures, potential offerors are given the opportunity to learn more about the "as is" operation to facilitate their ability to develop intelligent proposals.

8. The contract/task order is a fixed price and is completion type (vs. term type or level-of-effort).

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FOR EDWARDS AFB CONTRACTING OFFICERS ONLY

Please ensure the following FAR Clauses are listed in the contract under the section titled, Clauses Incorporated by Reference or Clauses Incorporated by Full Text

FAR Clause Number Reference Only

Full Text

52.223-1: Biobased Product Certification 52.223-2: Affirmative Procurement of Biobased Products Under Service and Construction Contracts

52.223-3: Hazardous Material Identification and Material Safety Data Yes 52.223-4: Recovered Material Certification 52.223-5: Pollution Prevention and Right-to-Know Information Yes 52.223-7: Notice of Radioactive Materials 52.223-9: Estimate of Percentage of Recovered Material Content for EPA Designated Items

52.223-10: Waste Reduction Program Yes 52.223-11: Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons

52.223-12: Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners

52.223-19: Compliance with Environmental Management Systems 52.223-20: Aerosols 52.223-21: Foams 52.223-22: Public Disclosure of Greenhouse Gas Emissions and Reduction Goals – Representation

52.223-23: Sustainable Products and Services DFAR Clause Number

252.223-7001: Hazard Warning Labels Yes 252.223-7006: Prohibition on Storage, Treatment, and Disposal of Toxic or Hazardous Materials

Yes

252.223-7008: Prohibition of Hexavalent Chromium AFFAR Clause Number

5352.223-9001: Elimination of Use of Class I Ozone Depleting Substances

(ODS)

9. Past performance evaluations are based on the results of contract QA measurements and incentives, and QA plans are consistent with past performance factors.

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PERFORMANCE WORK STATEMENT

FOR

AMBULANCE SERVICES

AT

EDWARDS AFB, CA

12 Aug 2025

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Ambulance Services

Table of Contents

1.0 SECTION I: DESCRIPTION OF SERVICES

1.1 General Scope

1.2 Inherently Governmental Function

1.4 Period of Performance

1.5 Place of Performance

1.6 Specific Tasks

1.7 Historical Data

1.8 Minimum Qualifications

1.9 Deliverables

1.10 Contractor Travel

1.11 Small Business Subcontracting Program

1.12 Contractor Phase-In and Phase-Out Transition

2.0 SECTION II: SERVICE SUMMARY

2.1 General

2.2 Performance Evaluation

2.3 Government Quality Assurance

2.4 Performance Assessment

2.5 Quarterly Progress Meetings

2.6 Contracting Officer’s Representative

2.7 Contractor’s Performance

3.0 SECTION III: GOVERNMENT FURNISHED PROPERTY and SERVICES

3.1 Government Furnished Services

3.2 Government Furnished Facilities

3.3 Government Furnished Property to include Equipment and Material

3.4 Contractor Furnished Property and Services

4.0 SECTION IV: GENERAL INFORMATION

4.1 Hours of Operation

4.2 Contractor Personnel

4.3 Continuation of Essential DoD Contractor Services During Crisis

4.4 Miscellaneous Paragraph

4.5 Security

4.6 Safety

5.0 SECTION V APPENDICES & EXHIBITS

APPENDIX 1 Definitions, Abbreviations, and Acronyms APPENDIX 2 Workload Estimates APPENDIX 3 Government Furnished Facilities APPENDIX 4 Applicable Publications and Forms APPENDIX 5 Anti-Terrorism Awareness Pamphlet APPENDIX 6 Business Associate Agreement (BAA)

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SECTION I

1.0. DESCRIPTION OF SERVICES

1.1 General Scope: This is a nonpersonal services contract to provide Ambulance Services. The government will not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers will be accountable solely to the contractor who, in turn, is responsible to the government.

1.1.1. Description of Services/Objectives: The contractor shall provide all management, personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and nonpersonal services necessary to perform Emergency Patient Response Services, as defined in this Performance Work Statement (PWS) except for those items specified as Government Furnished Property and services. The contractor shall perform to the standards in this contract. This includes the planning, coordination, and surveillance of the activities necessary to ensure disciplined work performance and timely resources application to accomplish all tasking under the contract. The contractor shall be responsible for maintaining communication with the contracting officer (CO) and the contracting officer’s representative (COR), and to immediately notify both the CO and the COR of any problems that would prevent the timely performance of this contract. The contractor is responsible for and required to implement, and maintain management control systems necessary to plan, organize, direct, and control all activities under this contract.

1.2. Inherently Governmental Function: The contractor shall not perform inherently governmental functions as defined in FAR Subpart 7.5 in relationship to this PWS.

1.3. Period of Performance: This is a 3-year contract with 1 base year and 2 option years.

1.4. Place of Performance: The contractor shall perform the services in the PWS at Edwards Air Force Base, CA. The contractor’s personnel shall report to the Air Force Research Laboratory (AFRL) at the start of shift.

1.5. Specific Tasks: The contractor shall provide full emergency patient response services at AFRL in accordance with (IAW) specific Department of Defense Instruction (DoDI) 6055.06, Department of Defense Manual (DoDM) 6055.06, Air Force Instruction (AFI) 32-2001, AFI 44-102, Technical Implementation Guide 1710-16, and Defense Health Agency policies. These EMS services require at least one (1) paramedic and one (1) Emergency Medical Technician to transport patients. These services must be able to triage, treat and transport. These services must be coordinated with EAFB Fire Dispatch Center and other on-base emergency response systems, communications, and security systems. The requested EMS services must also be able to participate in EAFB military exercises, flight line response, and medical coverage for military or partner events on EAFB (e.g. Change of Commands, Air Shows).

In addition, the contractor shall provide a dedicated emergency response Advanced Life Support (ALS) ambulance standby at prolonged incidents and incident rehabilitation to responders for the duration of the emergency (until released by the Incident Commander (IC) to EAFB Fire Emergency Services. Services include, but are not limited to structure fires, wild-land fires, hazardous materials release, motor vehicle accidents, technical rescue, active shooter, and bomb threat emergency response. The contractor shall participate in all coordinated/scheduled EAFB base Wing Inspection Team (WIT) exercises. Emergent dispatch calls take precedence over base exercises. The contractor shall supply all necessary labor required to perform ambulance and EMT/Paramedic resources and respond to emergencies as dispatched by the EAFB Emergency Fire Dispatch services.

1.5.1. The contractor shall be responsible for creating, maintaining, and destroying of medical documentation as required by the Health Insurance Portability and Accountability Act (HIPAA).

1.5.2. Performs a full range of ambulance services on site at the MTF and in the field when performing ambulance emergency or in-flight response, transfer, or transport services. The contract personnel shall

Page - 6 - of 46 respond to calls within EAFB jurisdiction. The contractor personnel shall practice within the guidelines set by the EMS Medical Director IAW DAFI 44-102 Paragraph 2.20.7. Provides emergency hospital and pre-hospital care for all types of patients.

1.5.3. Responds to ALS emergency calls within established time frames according to DoDI 6055.06, Table E3.T1: Aggregate Response Times (ART) for ALS calls shall be within twelve (12) minutes for 90% of the calls. 412 CES/CEF Fire Dispatch will be the official timekeeper who screens all emergency calls and dispatches them via Government issued hand-held radios or radios hard mounted in the ambulances. If unable to meet the response time as defined in this paragraph, the contractor shall immediately, but not later than six (6) minutes of dispatch notification, contact the EAFB Fire Dispatch.

The Government reserves the right to procure such services from another source pending full restoration of full paramedic emergency patient transport by the contractor. Any late response or failure to respond will require a review by the Government to assess the contractor’s ability to provide services.

1.5.3.1 Given the fact that some responses will be to locations other than the area to which the 12-minute ART reasonably applies, after the fact, all required response times in excess of a reasonable 12-minute standard shall be coordinated upon government request, with the PM (or equivalent) and

CO.

1.5.4. Recognizes medical emergencies and responds appropriately. Initiates Cardiopulmonary resuscitation (CPR) when necessary and administers advanced cardiac life support measures when necessary.

1.5.5. Provides, documents and completes patient exam on forms loaded into the MDG electronic health record; provides oral/written reports to receiving physician and medical facility. Performs documentation audit, and ensures care provided is in compliance with Joint Prehospital Emergency Care Protocol, after each response is complete.

1.5.6. Responsible for and assists with orientation and training of newly assigned and inexperienced contract personnel.

1.5.7. Participates in AFRL exercises, in-service training, and continuing education programs. Maintains MTF training record or equivalent contract system.

1.5.8. The contractor shall establish and maintain good interpersonal relationships between contract personnel and with other health team members. The contractor personnel shall provide medical care and appropriate treatment to each patient’s condition. The contractor shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

1.5.9. Health Insurance Portability and Accountability Act (HIPAA) OF 1996: All individuals performing services at an Air Force MTF are required to complete an initial and annual refresher HIPAA Privacy and Security Rule training as provided by MTF for its personnel and will be held accountable for complying with health information privacy and security policies and procedures.

1.5.10. The contractor shall maintain the ambulance, from available supplies, in a serviceable condition, and in compliance with the Joint Prehospital Emergency Care Protocols.

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1.6. Historical Data: The tasks described above have been performed in the past by 4 full-time equivalent employees.

1.7. Minimum Qualifications:

1.7.1. Knowledge: The following USAF specific knowledge must be completed within 30 days of the contractor start date:

1.7.1.1. Emergency Medical Treatment; Job and Office Safety Standards; Aseptic and Surgical Technique; Infection Control, Communicable Diseases; Medical Ethics and Legal Aspects; Operation and Maintenance of Therapeutic Equipment; Medical Terminology; Transportation of the Sick and Injured;

Disaster Preparedness Procedures, National Incident Management System (NIMS).

1.7.1.2. Knowledge of current hospital and pre-hospital protocols within 45 days of the contractor employee start date, to assess, plan, implement, and evaluate care of patients in pre-hospital settings.

1.7.1.3. Certifications, knowledge, and skill in CPR and advanced life saving measures used to initiate resuscitation measures when necessary and assist unit in providing support measures.

1.7.2. Education: Graduation from an accredited EMT-Basic, EMT-Paramedic respectively, certification program; a current, valid paramedic license and certification from the National Registry of Emergency Medical Technicians (NREMT); Current certification in Basic Life Support (BLS); Advanced Cardiac Life Support (ACLS); Pediatric Advanced Life Support (PALS); Tactical Emergency Casualty Care (TECC); and Hazard Materials Awareness.

Certificate/license provided at time of contractor award or prior to the start date for a replacement employee. Certifications will be through an American Heart Association and/or Red Cross approved training program and will be renewed every two years.

1.7.3. Experience: One (1) year of full-time experience having performed as a paramedic within the last three (3) years or a demonstrated ability to perform normally demonstrated by One (1) year of full-time experience within the last three (3) years.

1.7.4. Language Skills: The Paramedic must be able to read, write, and speak fluent English.

All documentation shall be completed in English.

1.7.5. Driving Skills: Drivers must not have any reckless or dangerous driving citations within the previous 24-month period and have no Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) convictions in the previous five (5) years. Drivers can have a maximum of six (6) points per year assessed under the state of California driving infraction system.

Ambulance certificate/license provided at time of award or prior to replacement employee start date. Flight Line Driver’s license is required. Training will be provided by and scheduled by the Government.

1.7.6. Physical Abilities: The Paramedic must be able to run 100 yards and lift 175 lbs. with assistance. Verification provided at time of award or prior to replacement employee start date.

An updated copy will be kept in their Competency Assessment Folder.

1.7.7. Non-Personal Service Contractor Healthcare Worker (HCW) Licensure: Non-personal service HCWs requiring licensure shall have and maintain a current, valid, unrestricted license

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jurisdiction within which the contractor HCW is performing as outlined in the applicable regulation or instruction at the place of performance. All licenses must be unencumbered and remain in effect during the duration of the contractor HCW performance on the contract.

1.7.8. Health Requirements: Contractor personnel shall have records showing proof of immunization against Hepatitis A and B, Measles, Mumps, Rubella, Varicella, Influenza and any other vaccines recommended by the Center for Disease Control (CDC) or health organizations. The contractor shall also provide proof of negative tuberculosis (TB) skin test taken within the past 12 months. A 2-step tuberculin skin test (TST) is required. If the TB test was positive, submit proof of negative chest x-ray within the past 12 months. The contractor shall comply with CDC Health and Prevention record requirements and any other applicable guidance. The contractor shall comply with all health requirements in the contract. No later than 10 days prior to physical performance of services by the HCW, the contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing, (i.e., tuberculosis/N95 particulate respirator duckbill mask fitting) at the time of initial placement and annually thereafter, as required. The expense for all health requirements, including monitoring and tracking annual requirements, will be borne by the contractor at no additional cost to the Government. Documentation shall be provided to the

COR.

1.7.9. Annual Immunizations: The contractor shall ensure HCWs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the CDC for HCWs or service/MTF specific guidance as outlined in DoDD 6205.02E, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The annual influenza vaccine may be provided by the Government, if available, as determined by the MTF. Alternately, the HCW may obtain the vaccine at another facility, at no cost to the Government, and provide proof of vaccination to the Government.

1.7.10. Immunization Tracking: The contractor shall maintain their own process and system of tracking the currency of health immunizations and shall not rely on the Government to ensure the HCWs are in compliance.

1.7.11. Blood Borne Pathogen Exposure: HCWs shall participate in the MTF’s Blood Borne Pathogen Program, which outlines the post blood borne exposure protocols for testing, treatment, and monitoring.

1.7.12. Health Notifications: The Government will notify the contractor of any work hazards. If work hazards exist, it will be the Government’s decision whether HCW continues to work in the environment.

1.7.13. Medical Tests: No medical tests or procedures required by the contract will be performed by the Government with the exception post blood borne exposure protocols after exposure.

1.7.14. Contractor personnel shall maintain good personal hygiene and a well-groomed, professional appearance. Contractor personnel shall wear identifying badges (e.g., AFRL line badge, MTF-issued identification badge and/or contractor badge) above the waistline during duty hours.

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1.7.15. Qualifying document packages must include certifications, licensure, resume and experience. This will include BLS/ACLS/PALS/TECC, and any other documents listed under Qualifications.

1.8. Deliverables:

Maintenance records

Personnel record or qualifications

Training records

Monthly Manpower Report

Monthly Progress Report

Certifications

1.8.1. Service Contractor Reporting of Information (SCR): If applicable and/or required of the contractor, SCR is addressed by contract clause.

1.8.2. Data: The government has unlimited rights to all deliverables of this contract.

1.8.3. Inspection: Deliverables will be inspected by the government within 7 workdays of receipt. Progress meetings may be held as required.

1.9. Contractor Travel: [Not Applicable]

1.10. Small Business Subcontracting Program: If applicable, when a Subcontracting Plan, it must include the elements identified in FAR 19.704 and the cognizant clause in one of the three types of subcontracting plans identified in subparagraph 1.11.1.

1.10.1. Types of Subcontracting Plans: The contractor may use one of three types of plans: subcontracting plan, commercial plan (for commercial items), and the DoD comprehensive (test) plan. (See FAR 19.704 for additional guidance.) An Individual Subcontracting Report (ISR) will be submitted semi-annually during contract performance for the periods ending March 31 and September 30. Reports are due 30 days after the close of each reporting period, unless otherwise directed by the CO. A report is also required for each contract within 30 days of contract completion. Summary Subcontract Reports (SSR), including those submitted for comprehensive subcontracting plans under the DoD Small Business Subcontracting Plan (Test Program), will be submitted semi-annually for the 6 months ending March 31 and the 12 months ending September 30. Reports are due 30 days after the close of each reporting period. For commercial plans, the SSR is due 30 days after the end of the government's fiscal year. For the CPARS rating, the government may use the most recent ISR and/or SSR that the contractor submitted that will not delay the evaluation if the rating period is different than the subcontracting reporting period.

1.11. Contractor Phase-In and Phase-Out Transition:

1.11.1. Contractor Phase-In: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor will have personnel on board, during the phase in/ phase out periods. The incoming contractor’s personnel shall receive thirty (30) calendar days of on-the-job training (OJT) by the incumbent contractor. Incoming contractor personnel to be trained by the incumbent contractor shall possess, prior

Page - 10 - of 46 to training, all special skills, licenses, and certifications needed to perform the specific tasks in this PWS. The training will cover unique features of all systems and equipment. The OJT may be augmented by any applicable instruction from manuals and videotapes. Contractor phase-in will not be necessary for an incumbent contractor.

1.11.2. Contractor Phase-Out: The outgoing contractor shall allow the incoming contractor to interview for employment the outgoing contractor’s personnel, if work interruption time is reasonable.

1.11.2.1. The outgoing contractor shall provide thirty (30) calendar days of OJT training for the incoming contractor. The outgoing contractor shall integrate the incoming contractor personnel into the regular work schedule to maximize OJT benefits. Contractor personnel to be trained shall possess, prior to training, all required special skills needed to perform the specific tasks in this PWS. The training objective is to enhance technical skills so that the transfer of responsibilities will be efficient.

1.11.2.2. During the thirty (30) calendar day training period, the outgoing contractor shall perform all requirements in the PWS.

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SECTION II

2.0. Service Summary (SS)

2.1. General:

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success but do not represent all contract performance requirements. All contract performance requirements in this PWS will be monitored.

2.2. Performance Evaluation:

Performance of a service shall be evaluated to determine whether it meets the performance requirements of this contract. Re-performance of unacceptable services at no additional cost is the preferred course of action when appropriate. In the case of issued Corrective Action Reports (CARs), the contracting Officer will take appropriate measures according to the inspection of services clause in the contract. Corrective Action Reports may categorize nonconformance as minor, major or critical IAW the following FAR 46.101 definitions:

“Minor nonconformance” means a nonconformance that is not likely to materially reduce the usability of the supplies or services for their intended purpose or is a departure from established standards having little bearing on the effective use or operation of the supplies or services.

“Major nonconformance” means a nonconformance, other than critical, that is likely to result in failure of the supplies or services, or to materially reduce the usability of the supplies or services for their intended purpose.

“Critical nonconformance” means a nonconformance that is likely to result in hazardous or unsafe conditions for individuals using, maintaining, or depending upon the supplies or services; or is likely to prevent performance of a vital agency mission.

SS# Performance Objective PWS Section Performance Threshold

Rating Criteria (Based on Findings before

Re-performance unless otherwise noted)

Quality

The contractor shall maintain the ambulance, from available supplies, in a serviceable condition, and in compliance with standards in the Joint Prehospital Emergency Care Protocols.

1.5.10, 2.2 No more than 1 discrepancy per month with no critical nonconformance, Findings during any single observation constitutes a discrepancy.

>0 Critical Nonconformances = Unsatisfactory

AND

0 Critical Nonconformances with

# of Other Discrepancies =

0 = Very Good

1 = Satisfactory

>1 = Unsatisfactory

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Schedule

The contractor shall respond to advance life support (ALS) emergency calls within established time frames according to DoDI 6055.06:

Aggregate Response Times (ART) for ALS calls will be within 12 minutes for 90% of the calls.

1.5.3 Demonstrates ART for

ALS calls within 12 minutes to a 90% standard for the most recent 12 months.

>90% = Satisfactory

<90% = Unsatisfactory

All required response times in excess of a reasonable 12-minute standard shall be coordinated upon government request, with the PM (or equivalent) and CO.

1.5.3.1 The contractor

coordinated upon government request, for the most recent 12 months, 100% of the time.

100% = Satisfactory <100% = Unsatisfactory

Management

The contractor shall establish and maintain good interpersonal relationships between contract personnel and with health team members. The contractor shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

1.5.8 No more than one (1)

discrepancy per month.

# of Discrepancies =

0 = Very Good 1 = Satisfactory

2 = Marginal

>2 = Unsatisfactory

Regulatory

The contractor shall provide/document complete patient exams on approved forms, provide oral/written reports to receiving physician and MTF

1.5.5 Provides patient

documentation for all encounters and ensures care provided, is in compliance with Joint Prehospital Emergency Care Protocol, with no discrepancies per month.

# Discrepancies

0 = Satisfactory

>0 = Unsatisfactory

2.3. Government Quality Assurance: The government will inspect and evaluate the contractors’ performance to ensure services are received in accordance with the requirements set forth in this contract. The COR will use the contractor’s work schedule, or modified version thereof, to record validation results. Results of the validation then become the official Air Force record of the contractor’s performance. Government surveillance of tasks not listed in the PWS Service Summary or by methods other than those listed in the PWS (such as provided for by the Inspection of Services clause) may occur during the performance period of this contract. Such surveillance will be done according to standard inspection procedures or other contract provisions. Any action taken by the CO as a result of surveillance or otherwise in connection with nonconforming supplies or services of the contractor will be according to the terms of this contract and in accordance with FAR 46.102, FAR 46.407, DFARS 46.407 and

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DFARS PGI 46.407 which specify procedures for reductions of fee or for reductions to the price of a fixed-price contract when supplies are nonconforming or services are not performed or do not meet contract requirements.

2.3.1. The government will periodically evaluate the contractor’s performance in accordance with the Quality Assurance Surveillance Plan (QASP). The government may inspect each task as completed and increase the number of quality assurance inspections if deemed appropriate because of repeated failures discovered during surveillance inspections or because of repeated customer complaints. Likewise, the government may decrease the number of quality assurance inspections if performance dictates.

2.3.2. When an observation indicates defective contractor performance, the COR will require the contractor’s Contract Manager or representative at the site to initial the observation. The formal process is, when a performance threshold has not been met or contractor performance has not been accomplished, the COR will initiate and provide the CO with a Corrective Action Report (CAR) for issuance to the contactor. The contractor shall respond to the CAR IAW instructions provided and in the CAR. While the formal process of this paragraph addressing unacceptable contractor performance is always available, the Government reserves the right to initiate a less formal process involving the contractor, the COR and the CO meeting together at no additional cost to the Government regarding unacceptable contractor performance.

2.4. Performance Assessment:

2.4.1. Periodic Surveillance: This method requires the COR to employ a “spot check” style of evaluation based on the contractor’s services. Periodic surveillance will be conducted on a scheduled basis (daily, weekly, monthly, quarterly, semi-annual or annually) and may be adjusted, based on quality trends.

2.4.2. Customer Complaints: The COR will receive and investigate all complaints. The COR will be responsible for validating customer complaints. The CO will make final determination of the validity of customer complaint(s) in cases of disagreement with the COR and the contractor. Validated customer complaints will be reperformed, if possible, within 3 business days of notification at no additional cost to the Government IAW the inspection clause of the contract and the direction of the Contracting Officer.

2.4.3. Review of Audits: COR reviews result of the contractor’s accepted quality management system audits and related quality metrics.

2.4.4. 100 Percent Inspection: This method requires the COR to do 100 percent inspection on all tasks performed.

Appropriate for tasks that occur infrequently. Usually only deals with Safety and/or Security, unless mandated by an Air Force Instruction (AFI) or industry standard.

2.5. Quarterly Progress Meetings: The CO, Government’s Program Manager (PM), /Services Acquisition Lead (SAL), COR, other government personnel as appropriate, and the contractor will meet quarterly to discuss the contractor’s performance.

The following issues, at a minimum, will be discussed:

- Opportunities to improve the contract,

- Any modifications required of the contract,

- Unsatisfactory inspections,

- Valid customer complaints against each performance objective observed, and

- Steps taken by the contractor to prevent occurrences in the future.

The contractor shall provide a summation of unsatisfactory inspections and customer complaints and provide insight into any identified trends.

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2.5.1. The minutes of these meetings will be reduced to writing, signed by the CO and any other signatures as deemed appropriate, distributed to the functional area and the contractor. Should the contractor not concur with the minutes, the contractor shall provide a written notification within 5 working days to the CO identifying areas of non-concurrence for resolution.

2.6. Contracting Officer’s Representative (COR): CORs are representatives of the CO and will participate in the administration of this contract. After the award of the contract, the contractor will be provided with a letter identifying the COR and setting forth their duties and authorities. The COR is not authorized to change any of the terms and conditions of the contract/task order.

2.6.1. Acquisition Team Meetings. The contractor’s Contact Manager (CM) with the CO, Contract Administrator (CA), COR, and other government personnel constitute an acquisition team [See FAR 1.102 (c)] and shall meet on a regular basis. The Acquisition Team will establish how often meetings are needed based on contract complexity. As a subset of the Acquisition Team, Government members of the Acquisition Team are often referred to as the Multi-Functional Team (MFT) and may meet as determined by the MFT. The contractor may request a meeting with the CO when the contractor believes such a meeting is necessary. If the CO or CA deems necessary, written minutes of any such meetings will be recorded by the CA in the contract file and signed by the PM and the CO or CA. If the contractor does not concur with any portion of the minutes, such nonconcurrence will be provided in writing to the CO within 10 calendar days following receipt of the minutes.

2.7. Contractor’s Performance: The government assesses a contractor’s performance on an on-going basis, both positive and negative, and provides a record on a given contract during a specified period of time.

2.7.1. Past Performance Information (PPI): PPI can be provided to other government agencies, as requested.

2.7.2. Contractor Performance Assessment Report (CPARS): Depending on the estimated value of the contract, formal assessment and reporting of contractor performance is required and is documented using the CPARS system. An assessment usually provided on an annual basis is sent to the contractor’s representative for their comment. The contractor will have up to 60 days to review and comment on the assessment.

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SECTION III

3.0. GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1. Government Furnished Services (Base Support): The government will provide:

3.1.1. Automated Data Processing Equipment: The government will provide computers for use on the local area network (LAN), email, and the internet for work related to this contract.

3.1.2. Custodial Service: The government shall provide custodial services for restroom facilities in base facilities IAW the current base custodial contract. All inquiries regarding scheduling and the level of custodial services will be directed to the COR.

3.1.3. Employee Training: Government furnished training will be provided, only adherence to Air Force Protocols.

3.1.4. Insect and Rodent Control: The government will provide insect and rodent control services. Services will be furnished upon request to the facility manager.

3.1.5. Postal/Installation Distribution: The Base Information Transfer System is available for official government mail, messages and information pickup distribution point at LMCA.

3.1.6. Refuse Collection: The government will provide refuse collection services. The contractor shall take refuse to the nearest dumpster on a regular basis. The contractor shall comply with all installation recycling programs, refuse volume reduction programs, hazardous waste collection policies, IAW base policies.

3.1.7. Security Police and Fire Protection: Phone number for Security Forces, 911; Fire Protection, 911.

3.1.8. Telephone Service: The government will provide local and DSN telephone services FOR OFFICIAL USE ONLY, for use at no cost to the contractor. Commercial long-distance calls shall be at the contractor’s expense.

3.1.9. Utilities: The government will provide all electricity, water and sewage at no additional cost to the contractor. The contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish requirements under this PWS.

3.2. Government Furnished Facilities: The Government will furnish the following: Office and rest room, sleeping quarters, kitchen with hot plate or stove, showers (within 10 minutes) at, 106 N. Mercury Blvd., Edwards AFB, CA The Government will provide the necessary workspace in the MTF for the Contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment.

3.3. Government Furnished Property (GFP) To include Equipment and Material): The government will provide computer equipment required to schedule, check in, document, order ancillary services, and maintain appropriate electronic medical information that supports the hard copy medical record. The MTF will provide the required training for these systems. The contractor is required to use the computer systems that are standard for the support of health care delivery at MTF. All software and hardware, passwords/access to military internet/e-mail and applicable databases will be available within the scope of this contract. The contractor shall comply with local, Air Force and DoD policies concerning Information Management and Information Technology applications and connectivity to military systems.

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3.3.1. Government Furnished Property (GFP) Accountability: The contractor shall establish GFP accountability under this contract in accordance with the included Government Property clauses, if any. This may include conducting a joint inventory with the Government if deemed necessary by the Government’s Property Administrator (Property Administrator). If GFP is transferred from a previous contract with the same contractor, the Property Administrator may waive the requirement for a full physical inventory based on the reliability of existing records and condition of the property. However, the contractor must validate and document all GFP to ensure contract-specific accountability is accurately reflected in PIEE; accepting a formal transfer of GFP within the PIEE GFP Module may suffice as record validation when authorized by the Property Administrator. The contractor shall sign a receipt for all equipment provided by the government. The contractor shall determine and certify the working order and condition of all equipment. Items of equipment missing or not in working order shall be recorded. If the contractor does not elect to participate in the inventory within the timeframe listed above, the contractor must accept as accurate, the listing and stated condition of equipment provided by the government.

If the contractor participates in the inventory but does not agree with the government representative's determination as to the working order of the equipment, the equipment will be turned in as excess or the matter will be turned over to the CO for resolution. The contractor shall designate a property custodian throughout the life of the contract to receipt and account for all GFP. By completion or extension of each yearly option of the contract, an inventory of GFP shall be conducted by the contractor and an audit performed by the government Property Administrator (PA). All equipment in need of repairs/maintenance shall be repaired/maintained by the government, depending on contract type and clauses elected for use in contract or unless the damage was caused by willful negligence of contractor.

3.4. Contractor Furnished Property and Services: Except for those items or services specifically stated to be government-furnished in Section III and any appendixes, the contractor shall furnish all medical and non-medical supplies including an ambulance, and everything required to perform this contract in accordance with all its terms.

The mentioned requirements are not all inclusive of the contractor furnished items and services required in the performance of this contract.

3.4.1. Contract employee training: The contractor shall maintain at no cost to the Government, current certification in either the American Heart Association BLS Course C or the American Red Cross CPR/BLS Course. The contractor shall train, qualify and certify personnel for specific job tasks to be performed in Medical Services. Records of training, qualifications and certifications shall be maintained by the Contractor on file and provided to the Government upon request. The contractor shall fund any additional training required to meet the scope of this contract and maintain the proficiency of contract personnel during the performance period. If trained personnel resign prior to the end of this contract, the contractor, not the Government, shall be responsible for all training costs for replacement personnel.

3.4.2. Contractor Health Requirements: The contractor shall be responsible for providing all health requirements and medical tests as mentioned in para. 1.7.8 and 1.7.9 with the exception of post blood borne exposure protocols after exposure.

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SECTION IV

4.0. GENERAL INFORMATION

4.1. Hours of Operation: The Contractor shall provide one Paramedic and one Emergency Medical Technician to provide full paramedic emergency services during the following hours: 0630-0630, 24-hours a day, Monday through Sunday except Federal holidays or when the government facility is closed due to local or national emergencies, administrative closings, or similar government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons.

4.1.1. Recognized Federal Holidays:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth National Independence Day Christmas Day Independence Day

4.2. Contract Personnel

4.2.1. Contract Manager (CM): The contractor shall provide a contract manager and alternate(s) who are knowledgeable of ambulance services. The contractor shall submit the name, address, telephone number and a resume of the CM to the CO within 2 days of the contract start date. The list will be kept current throughout the life of the contract. The CM or alternate(s) shall have full authority to act for the contractor on all contract matters relating to the daily operation of this contract. The CM or alternate(s) shall be available within 0730- 1630, physically and/or virtually, to meet with government personnel designated by the CO to discuss problem areas. The CM and alternate(s) shall be able to read, write, and speak English. The CM shall be able to effectively communicate with contractor employees. NOTE: This position does not need to be a separate FTE.

4.2.2. Personnel Roster: The contractor may be required to provide a personnel roster consisting of names and other pertinent personnel data to the requiring activity for the purposes of 100% accountability real-world and exercise situations. The contractor personnel roster shall be updated as individuals are removed and added.

4.2.3. Health Notification: The Government will notify the contractor of any work hazards. If work hazards exist, it will be the Government’s decision whether HCW continues to work in the environment.

4.2.4. Medical Tests: No medical tests or procedures required by the contract will be performed by the Government with the exception post blood borne exposure protocols after exposure.

4.2.5. Use of Government Employees: The contractor shall not employ any person who is an employee (either military or civilian) of the U.S. Government if employing that person would create a conflict of interest. In addition, the contractor shall not employ any person who is an employee (either military or civilian) of the Department of the Defense if such employment would be contrary to the policies contained in DAFI 64-106 – Contracting – Contractor Labor Relations Activities - Chapter 3, Employment of Off-Duty Government Personnel.

4.2.6. Off-duty Military Personnel: The contractor is cautioned that off-duty active military personnel hired under this contract may be subject to permanent change of station, change in duty hours, or deployment. Military Reservists and National Guard members may be subject to reorder to active duty. The abrupt absence of these

Page - 18 - of 46 personnel could adversely affect the contractor's ability to perform. However, their absence at any time will not constitute an excuse for nonperformance under this contract.

4.2.7. Identification of Contractor Employees: All contract personnel attending meetings, answering government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. Contract personnel will be required to obtain and wear a badge for AFRL.

4.2.8. Personal Conflict of Interest (PCI): The term "PCI" means that a contractor employee assigned to the contract has interests which (i) may diminish his/her capacity to give impartial, technically sound, objective assistance and advice in performing this contract, (ii) may otherwise result in a biased work product under this contract, or (iii) may result in an unfair competitive advantage. Any potential instance of PCI must be reported to the CO immediately.

4.2.9. Privately Owned Vehicles: Each contractor employee driving a privately owned vehicle on the installation must carry minimum liability insurance as required by the state. Contractor employees shall adhere to all posted speed limits and will not use hand-held cellular telephones while driving on the installation for phone calls or texting. Use of seat belts is mandatory. Any contractor employee cited for driving under the influence will have their driving privileges immediately revoked for a period to be determined.

4.3. Continuation of Essential DoD Contractor Services During Crisis:

In accordance with DoDI 1100.22, Policy and Procedures for Determining workforce Mix, DFARS 237.76, and the Air Force implementation thereof, unless otherwise directed by the CO or COR, it is determined that the services as identified in this PWS ARE essential for performance during a crisis.

4.3.1. All services in this PWS are designated as essential services for performance during crisis IAW the included clause. Hereafter, the personnel identified by the contractor to perform these services will be referred to as “Mission Essential Contractor Personnel.”

4.3.1.2. The requirement for continuation of essential services could possibly be as currently scheduled in the PWS; however, the schedule will be determined based on the crisis requirements. The CO or COR will contact the contractor’s Contract Manager or alternate by telephone or in person if essential services are required. This will be followed up in writing and subsequently by modification to the contract to incorporate the requirements via full text or by reference. The contractor may file a proposal for cost or other impacts under the Changes clause or a Request for Equitable Adjustment.

4.3.1.3. Within 30 days after award, the contractor shall provide a written list of all “Mission Essential Contractor Personnel” to the CO or COR. The list shall identify names and base location where each employee will perform work under this contract.

4.3.1.4. The contractor shall develop contingency plans for tasks designated as essential no later than 30 days after the start of the contract to provide reasonable assurance of continuation of services during crisis conditions.

4.3.2. Military Personnel: The government retains the option to assign military representatives on a full or part-time basis at all contracted sites as deemed necessary for reasons, such as, to receive training, to assist in contingency efforts at site, or to evaluate site performance (not inclusive). The presence of military personnel will in no way diminish the contractor’s responsibility to provide the operation services specified in this PWS.

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4.3.3. Contingency Plan: The contractor shall submit a contingency plan to the CO at the contract start date, which explains how the contractor will expand operations in emergency or contingency situations to ensure all services are provided, how the contractor will ensure there are no interruptions of routine contract services due to labor disputes. Such a plan will be approved by the CO prior to the contractor assuming duties under this contract.

4.3.4. Labor Disruptions: The government reserves the right to take over the performance of this contract in the event of a labor strike, bankruptcy, default or period of non-performance by the contractor’s employees. In such events, the services will be performed exclusively by government personnel and not a mix of government and non-striking contractor employees.