Final PWS Army Birthday as of 6-2-2025.docx

PERFORMANCE WORK STATEMENT (PWS)

Emergency Medical Services 2025 Army Birthday Festival

Part 1 General Information

1. General: This is a non-personal service(s) contract to provide Emergency Medical Services (EMS) under which the personnel rendering the service(s) are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government in accordance with all terms and conditions in the contract.

1.1 Description of Services/Introduction: This is a non-personal service(s) contract to provide Emergency Medical Services in designated medical aid station(s), for the 2025 Army Birthday Festival, 12th Street Expressway, National Mall, Washington, DC, 20004, 11-15 June 2025. EMS will support the running of designated Basic Life Support (BLS) only for pre-festival set-up 11-13 June 2025 and designated both BLS and Advanced Life Support (ALS) aid station(s) for Birthday Festival, 14 June 2025, and BLS only for post-festival take down, 15 June 2025. These hours are subject to change depending on festival execution needs. The approximate number of personnel supported for this event assumed to be 10,000-15,000 participants and attendees.

1.2 Background: The contractor shall coordinate healthcare provider services with HQDA (G1) and other Federal Agencies, to include, Department of Health and Human Services, US Secret Service, and District of Columbia (DC) Fire and EMS.

1.3 Scope: The Contractor shall provide non-personal service(s) healthcare providers as well as the following items to run Basic Life Support (BLS) and Advanced Life Support (ALS) Services at the aid station(s): all medical supplies (to include bottled water and ice for aid station use only), medications, medical equipment, cots, IT equipment, to include communications system and patient tracking capability, patient transfer vehicles to be used in the area, (i.e., UTVs, golf carts, or like transportation). The dates and times for the 2025 Army Birthday Festival are: pre-Festival set up, 11-13 June 2025 (0600-2000) with an anticipated 100-200 personnel requiring coverage per day, Army Birthday Festival, 14 June 2025 (0600-1830) with an anticipated 10,000-15,000 personnel requiring coverage, post-Festival disassembly, 15 June 2025, (0600-1700) with an anticipated 100-200 personnel requiring coverage.

1.4 Objectives: To provide coordinated BLS and ALS care to DOD patients or authorized non-DOD patients admitted to the Medical Aid Station (s). The contractor is to fill 100% of the required healthcare positions who are qualified, credentialed and licensed in the Washington DC area, to provide healthcare services for the Army Birthday Festival.

1.5 General Information:

1.5.1 Quality Control Plan (QCP): This acquisition is for commercial services and will be performed using FAR Part 12 and FAR Part 13. The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor's QCP is the means by which it assures that the work provided complies with the requirements of the contract.

The Contractor’s Proposed QCP shall be submitted to the Contracting Officer (KO) through the Contracting Officer’s Representative (COR) for review within five (5) days after date of contract award.

The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within five (5) days. If the Government has provided comments, the Contractor shall then have five (5) days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than five (5) days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes.

1.5.1.1 Contractor Continuing Quality Improvement (CQI): At a minimum, the QCP must include and answer the following to be acceptable:

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

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

1.5.1.2 Addendum to the QCP. An Analysis of Quality Control and Timeliness of Submittals (i.e., deliverables) shall be provided to the COR within 15 days upon completion of the contract.

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

1.5.2 Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the PWS. This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels (performance thresholds).

1.5.3 RESERVED

1.5.3.1 RESERVED

1.5.4 Operating Hours: The operating hours for the 2025 Army Birthday Festival are 11-13 June 2025, 0600-2000, 14 June 2025 0600-1830 and 15 June 2025 0600-1700.

1.5.4.1 RESERVED

1.5.4.2 RESERVED

1.5.4.3 RESERVED

1.5.4.3.1 RESERVED

1.5.5 RESERVED

1.5.6 Place of Performance: The work to be performed under this contract shall be for EMS, (BLS and ALS services) at the Army Birthday Festival, 12th St Expressway, National Mall, Washington DC 20004. There is an additional requirement that the contractor shall also attend event planning meetings such as the ROC drill, COMMEX, Operational Planning Teams (OPT), and other identified work groups as identified by the HQDA G-1 military liaison officer (LNO). The place for these meetings and work groups is TBD.

1.6 Security Requirements: The following information is provided on security related matters. The contractor and personnel filling required positions shall pass a security background check to obtain United States Secret Service (USSS). XXXXXXX will provide instructors to Contractor on how to submit healthcare provider credentialing packets. Due to a tight timeline for execution of this requirement, healthcare provider credentials must be given to the COR for the medical officer within two (2) days after contract award.

1.6.1 RESERVED

1.6.2 RESERVED

1.6.3 RESERVED

1.6.3.1 RESERVED

1.6.3.2 RESERVED

1.6.3.3 RESERVED

1.6.3.4 RESERVED

1.6.4 Background Checks: The Requiring Activity (RA) will consult with the responsible Security Office and Activity Manager applicable to location(s) associated with this PWS and identify the level of background check, supported by the applicable regulation(s).

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

1.6.4.2 U.S. Citizen: Contractors that work with or teach youth under the age of 18 years are subject to U.S background checks. The Requiring Activity Manager will determine the extent of background checks required. The Contractor employee may begin performance of the contract after receiving a favorable local background check. The Contractor agrees to replace the employee should results of the background check, if required, be unfavorable as determined by the Requiring Activity Manager. The Contractor’s replacement of the employee with the unfavorable background check shall be within a timeframe provided by the Requiring Activity Manager. The Contractor shall also replace employees whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the Requiring Activity Manager. The Contractor shall forward a copy to the Contracting Officer via the COR and the Requiring Activity Manager of each favorable background check within 10 days of receipt by the Contractor, identifying such with the appropriate contract number. The Contractor shall forward a copy to the Contracting Officer via the COR and the Requiring Activity Manager of each unfavorable background check within 5 days of receipt by the Contractor, identifying such with the appropriate contract number. When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.4.3 List of Excluded Individuals and Entities (LEIE). The contractor shall query, the DoD List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) to determine if the healthcare provider has been excluded from participation in Federal Health Programs. If the provider’s name appears on this list, the provider is disqualified from working for the DoD, in any capacity.

1.6.4.4. Criminal History Background Check. A criminal history and background check will be conducted in accordance with paragraph 4.5.

1.6.5 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured IAW the Army Physical Security Program (AR 190-13).

1.6.6 RESERVED

1.7 RESERVED

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

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

1.9 Contracting Officer’s Representative (COR): Refer to Part 2 of this PWS for the definition of a COR. As determined by the Contracting Officer, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the Contracting Officer. The designation letter states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary in connection with contract performance, maintain written and oral communications with the Contractor concerning technical aspects of the contract, issue written interpretations of technical requirements, including Government drawings, designs, specifications, monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies, coordinate availability of Government property, and coordinate site entry of Contractor personnel.

1.10 Key Personnel: The following personnel Contract Manager, are considered key personnel by the Government: The Contractor shall provide a Contract Manager, in writing to the Contracting Officer during the post-award meeting or no later than five (5) days after contract award. Qualifications for key personnel are listed below:

a. Contract Manager and Alternate Contract Manager: The Contract Manager and Alternate Contract Manager must demonstrate the ability to manage contracts and working as a Supervisor.

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

1.12.1 Contractor employees shall identify themselves by name and company affiliation when answering the telephone, presenting briefings, conducting, or attending meetings, and seminars. All Contractor correspondence (written, facsimile, and email display) shall include their company name. Requirements for Contractor vehicles is addressed under Part 4 paragraph 4.4.

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

1.13 RESERVED

1.14 RESERVED

1.15 RESERVED

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

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

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

1.19 Organizational Conflict of Interest (OCI): Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI.

1.20 RESERVED

1.21 Safety: The following provides information pertaining to Safety and Accident Prevention:

1.21.1.1 In addition to other requirements for accident prevention specified in this contract, the Contractor shall comply with all Federal and State requirements governing safety and health protection on construction sites and other applicable occupational safety codes.

1.22 RESERVED

1.23 RESERVED

1.23.1 RESERVED

1.23.2 RESERVED

1.23.3 RESERVED

1.23.3.1 Complaints against behavior or courtesy may result in requiring Contractor to remove offender from the provisions of contracted services. The COR shall monitor the service provided. Contractor shall cooperate with the COR in providing information and answering questions in a timely manner when requested. Contractor shall refer complaints received directly from the customer(s) to the COR. All complaints received by the COR and forwarded to the Contractor shall be investigated promptly. After investigation and disposition, Contractor shall respond to the COR within five (5) working days after receipt by the Contractor.

1.23.4 RESERVED

1.24 Notice to Proceed: The effective date of contract will constitute the date of notice to proceed.

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

PART 2

DEFINITIONS & ACRONYMS

2. Definitions and Acronyms

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

Certification- A process by which a nationally recognized organization confirms that an individual healthcare organization has met certain predetermined standards or procedures required for certification Contracting Officer (KO) – means a person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings on behalf of the Government affecting scope, schedule, quantities, terms, conditions, and price. Note: The only individual who can legally bind the Government.

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

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

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

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

Credentialed Healthcare Provider- Any individual identified by DHA as credentialed. This may include an individual who maintains professional qualifications such as education, internship/fellowship, licensure, registration, and/or certification to practice in a clinical discipline Credentials- The documents that provide the necessary information for the Government to validate credentials on a credentialed contract worker prior to performance at a place of performance. The type of information in a credentials package includes, but is not limited to, qualifying degrees, education, professional experience, licensure/registration, and certification requirements. Additional requirements for credentialed contract workers will be outlined in the PWS and regulatory guidelines. A credentials package for privileged contract workers also provides the necessary information for the Government to grant clinical privileges at a place of performance. The type of information in a credentials package for a privileged contract worker also includes verification of current clinical competency. Additional requirements for privileged contract workers are outlined in the PWS and regulatory guidelines.

Credentials Review- The credentials inspection and verification process conducted for healthcare providers before selection for military service, employment, and procurement. The credentials review process is also conducted for healthcare providers before medical staff appointment and granting of clinical privileges and is repeated at the time of reappointment and renewal of privileges.

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

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

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

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

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

License- A grant of permission by an official agency of a State, the District of Columbia, or a Commonwealth, territory, or possession of the United States to provide health care within the scope of practice of a specified discipline. Licenses shall be current, active, valid and unrestricted. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. Providers in the MHS may not have one active license and another currently suspended or probationary license. For non-personal service contracts, healthcare providers are not granted licensure portability and must have a license in the state, territory they are practicing according to 10 USC 1094 and the Defense Health Agency (DHA) Policy Manual 6025.13 Clinical Quality Management in the Military Health System, volume 4, Credentialing and Privileging.

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

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

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

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

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

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

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

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

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

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

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

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

PART 3

GOVERNMENT PROPERTY (GP) AND SERVICES

3. Government Property and Services

3.1 Services: NONE

3.2 Facilities: ADA and standard Port-a-potties and handwashing stations

3.3 Utilities: Environmental Control Units (ECUs), generators and lighting

3.4 Equipment: Tents, lights, generator

3.6 Materials: Area maps

3.6 Training: NONE

3.8 Common Access Cards (CAC): N/A

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Property and Services

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

4.2 Secret Facility Clearance: Not Applicable

4.3 Materials: The Contractor shall provide any medical Personal Protective Equipment (PPE), medical consumable supplies, all required medications, medical equipment, cots, office supplies and materials, and IT equipment to include communication system and patient tracking capability.

4.4 Vehicles and Equipment: The Contractor shall provide all necessary vehicles (no GSA vehicles provided to Contractor for use on this contract and equipment to perform the work described in this PWS), to include “gators” or other like vehicles for use for transport of patients, supplies within the Festival area on all days of this requirement.

4.5 Background Checks: The Contractor shall provide Background Checks in accordance with this PWS and as determined by the Government. Personnel must be able to obtain USSS security credentials/badges.

4.6 Health & Immunization Requirements

4.6.1 The contractor shall have the following medical immunization requirements on file for each healthcare provider prior to the start of this contract and provided to the COR.

(a) A history to show that contract personnel have completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years). A test for immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis.

(b) Serologic evidence of immunity to measles and rubella or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following guidelines:

(i) Employees born before 1957 without documentation of previous vaccination with MMR should receive one (1) dose.

(ii) Employees born in or after 1957 who have received one (1) dose of MMR previously shall receive one (1) booster dose.

(iii) Employees born in or after 1957 without documentation of any previous vaccination with MMR should receive two (2) doses of vaccine, separated by no less than one (1) month.

(c) Serologic evidence of immunity to varicella or documented history of illness or immunization.

(d) For personnel who do not have proof of having completed a primary series, completion with enhanced potency inactivated poliovirus vaccine (eIPV) is recommended. Reliable history of spending early childhood and attending elementary schools in the United States since may suffice as clinical history of polio immunization but requires physician documentation. This documentation shall be included in the immunization file.

(e) Contract personnel shall be screened within the year prior of date of contract start, for tuberculosis by a tuberculin skin test using the Mantoux technique (TINE test is disallowed as a substitute) or the QuantiFERON-TB Gold Plus (QFT-Plus). If a tuberculin skin test is used, a result of 10 mm of indurations or more shall be required to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of indurations or more will require documentation providing an assessment of the patient (status of infection- active, inactive; need for preventive treatment or not as determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positivity, etc.). These results shall be documented by a physician in the immunization record.

4.6.2 All contract personnel performing direct healthcare services under this contract, who experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The contractor shall ensure a process to evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C, and Human Immunodeficiency Virus (HIV). It shall be the Contractor's responsibility to provide appropriate treatment as needed to include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The Contractor shall be responsible for providing the contract personnel with initial testing and appropriate follow up care for exposure. The contractor shall report such incidences to the COR and JTF-NCR Surgeon/Deputy Surgeon cell.

4.6.3 Contract personnel shall receive the current influenza immunization prior to start of the contract, as a condition of employment and documentation provided with all other immunization requirements.

4.6.5 Contract personnel performing services under this contract shall comply with the immunization requirements as stated herein prior to contract start. The expense for all health requirements shall be borne by the Contractor at no additional cost to the Government.

4.6.6 Compliance with health and immunization requirements contained herein are a condition of employment and not suitable for exemption to policy without JTF Surgeon/Deputy Surgeon and KO approval.

PART 5

SPECIFIC TASKS

5.1 Basic Services: The Contractor shall provide EMS, BLS and ALS Services in designated medical aid station(s) for the 2025 Army Birthday Festival, 12th St. Expressway, National Mall, Washington, DC 20004. The personnel required are for 1-Medical Director (MD or DO), Nationally Registered Emergency Medical Technicians (NREMTs), Nationally Registered Paramedics (NRPs), and/or Certified Emergency Registered Nurse (CEN), 1-Medical Logistics personnel, 1-Operations Officer.

5.2 Tasks: The Contractor RN, Paramedic, and EMT shall perform, in strict compliance with Federal, State, and local protocols, the following medical procedures as required.

a. Airway Obstruction and Respiratory Arrest. Based on the patient's condition, open and maintain the airway (using the head-tilt maneuver, jaw-thrust maneuver, face down modified jaw thrust maneuver, and esophageal obturator airway technique). Perform pulmonary resuscitation if breathing fails to start spontaneously upon the opening of the airway, using such techniques as Bag Valve Mask (BVM).

b. Cardiac Arrest. RN/Paramedic will provide cardiopulmonary resuscitation, including advanced life support techniques, such as IV insertion, airway management, administration of drugs, etc., varying the approach for small children/infants. Defibrillate cardiac arrest victims.

c. Mechanical Breathing Aids. Determine the need and equipment to provide appropriate life support, e.g., oropharyngeal and nasopharyngeal airways, etc.

d. Shock and Fluid Therapy. Accurately determine blood pressure readings to be used in conjunction with a variety of symptoms to identify the nature of the shock. Assess the state of dehydration and over-hydration, coordinate with the physician, and consider hypovolemic shock or other variations of shock when administering IV fluids.

e. Wounds. Recognize and determine the causes and basic medical implications of closed and open soft tissue wounds and treats appropriately. Apply appropriate bandages.

f. Fractures of Torso and Extremities. Recognize fractures, dislocations and sprains. Determine the proper method and take steps to immobilize the patient for transport.

g. Head, Face, Neck, and Spine Injuries. Identify the symptoms of potential life-threatening dangers and provide appropriate immobilization for injuries, Eye, Chest, Abdomen, and Genitalia. Treat a variety of eye injuries, e.g., impaled objects, chemical, heat, and light buns, etc. Recognize and treat chest trauma/lung collapse symptoms caused by various chest intrusions. Recognize, treat, and immobilize for transport injuries to the abdomen and genitalia while preventing shock, monitoring/evaluating vital signs, control of bleeding, etc.

h. Child Birth. Assist in childbirth. Respond to pre-delivery complications, e.g., convulsions, heart/lung hemorrhaging, etc., as well as normal deliveries, newborn resuscitation, breech delivery, prolapsed cord, miscarriage, and premature infant birth.

i. Miscellaneous Medical Emergencies. Recognize, stabilize and treat a wide variety of medical emergencies, e.g., bites/stings, heart attacks, strokes. Employ communicable disease control and containment measures.

j. Environmental Emergencies. Assess the seriousness of and treat cold or heat related injuries/illness, electrical, and radiation burns, heat exhaustion/stroke, etc. Depending on the projected climate, be prepared to have more supplies available for increased heat injuries.

k. Pharmacology. RN/Paramedic when providing treatment of an injury or illness that requires the administration of drugs, will verify the medication to be administered with the designated physician, calculate the dosage required, and administer the drug through an IV bag, IV insertion, or intra-muscular injection.

l. Extrication and Packaging of Victims. Use a variety of light rescue tools and equipment for removal of victims/patients.

m. Telemetry and Communication. Use radio equipment and follow the Federal Communications Commission (FCC) procedures to communicate with and transmit EKG information to the emergency service physician.

5.2.1 Tasks: The Contractor Medical Director shall:

a. Maintain oversight of the care rendered by the healthcare providers on this contract.

b. Be responsible for providing medical oversight to the nurses, paramedics and EMTs regarding aspects of patient care including scope of practice, District of Columbia Emergency Medical Service (EMS) program standards, US Army EMS protocols, standing orders, quality assurance, and quality improvement.

5.2.2 Tasks: The Contractor Medical Logistics Personnel shall:

a. Ensure all contracted medical aid stations and ALS teams are fully provisioned with sufficient PPE, medical consumable supplies, medications, medical equipment, cots, office supplies and materials, and IT equipment to include communication system and patient tracking capability to care for patients through the entirety of the contract period without resupply.

b. Ensure all medical waste is properly marked, contained, and disposed of in strict accordance with Federal, State, and local protocols.

5.2.3 Tasks: The Contractor Operations Officer shall:

a. Serve as Liaison Officer (LNO) to the HHS Unified Medical Command.

b. Maintain open lines of communication with medical aid station(s).

c. Maintain full medical cognizance (MEDCOG) of all patients from point of initial encounter with contracted medical personnel until dispersion or transportation to higher echelon of care via electronic patient tracking system.

d. Immediately report all patient transportations and other Commander’s Critical Information Requirements (CCIR) to individuals identified by the medical planner.

e. Generate a final patient encounter report at the conclusion of the contract period to include patient identifying information, chief complaint, and final disposition.

5.3 Healthcare Provider Requirements

5.3.1 Primary Source Verification: The Contractor shall perform all initial and yearly primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged and privileged staff IAW DHAPM 6025.13, volume 4. All educational items, current professional licenses, certifications, or registrations, including those the healthcare provider previously held that are now inactive, expired, or suspended, must undergo initial Primary Source Verification (PSV). The Contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the DHAPM 6025.13 credentialing verification processes. The United States Government personnel will not assist the Contractor in obtaining any needed information for initial credentialing. The Contractor is responsible for submission of evidence of current competency for the healthcare provider that is used to provide health care services under the PWS. Contractors will ensure that credentials packets are maintained and readily available for inspection by the COR, KO/KS and the medical lead xxxxx. Healthcare workers that do not maintain their professional certifications and licensures to remain credentialed, will not remain on the contract and removed immediately. If the contractor adds additional or replacement healthcare providers during the contract period, the replacement shall meet the same qualification and credentialing/privileging standards as outlined in the DHAPM 6025.13, vol. 4 as well as the health requirements as stated in this PWS. PSV completed by one of the following accepted methods:

A. Written confirmation directly from the issuing authority.

B. Verbal telephone confirmation from the issuing authority. A detailed record of the telephone interaction will be documented, which will include the names of the organization and the individual contacted, date/time, phone number, signature, and title of the person responsible for verification.

C. Via the internet. Such verification is acceptable if the information is obtained directly from the professional organization's website. Identification of the individual making the website contact, and the date will be annotated on the web page printout.

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

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

5.3.4 Basic Life Support (BLS) Certification: Contract workers shall maintain current certification in BLS from the American Heart Association or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. The Contractor will not bill the Government for contractor time to attend BLS certification training. All healthcare providers will also maintain Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

5.3.5 Licensure: Documentation demonstrating permission by an official agency of a State, the District of Columbia, or a Commonwealth, territory, or possession of the United States to provide health care within the scope of practice of a specified discipline. Licensure, certification, or registration is a qualification for employment as a healthcare provider in the MHS. Healthcare providers must have one current, valid, active, and unrestricted license. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. Providers in the MHS may not have one active license and another currently suspended or probationary license. Healthcare providers for this contract shall have an active license for the District of Columbia.

5.3.6 Non-Personal Services Arrangement and Licensure: Contract workers under a nonpersonal services arrangement requiring licensure must maintain an unrestricted license in the U.S. jurisdiction within which the contract worker is performing on the contract as mandated by Title 10 USC 1094 and the DHAPM 6025.13, Volume 4. Licensure portability does not apply to non-personal services healthcare providers.

5.3.7 Drug Enforcement Agency (DEA) Requirements: Contract healthcare workers who are required to obtain a DEA registration number, shall have a current, valid DEA registration prior to performing on this contract in accordance with regulatory guidelines. The Contractor shall ensure DEA registrations are renewed throughout the performance of the contract worker. Non-personal services contractors are not eligible for no-fee government DEA certificates.

5.4 Medical Professional Qualifications/Certifications:

5.4.1 Nationally Registered Emergency Medical Technician (NREMT) /Nationally Registered Paramedic (NRP):

Minimum Qualifications:

a. Degree: State License and/or State Certification.

b. Education: Certification from NREMT.

c. Certification: Possess and maintain national certification from the NREMT/NRP.

d. Experience: One year of experience within the last two years for EMT and two years’ experience in the last three years for NRP.

*** Special Note*** In specialties that are not licensed by the State, and the requirements of the granting authority for State registration or certification are highly variable, there must be validation by a national organization that the individual is professionally qualified to provide health care in a specified discipline. Examples of this are the National Commission on the Certification of Physicians Assistants (NCCPA) for physician assistants (PAs) and the NREMT for emergency medical technicians (AR 40-68). Paramedics shall meet all requirements established by the State of California and the NREMT. Paramedics shall be certified to practice as a paramedic in the State of California. Have and maintain current BLS, ACLS, and Pediatric Advanced Life Support (PALS) certifications, Basic Trauma Life Support (BTLS).

5.4.2 Physician: Includes, but not limited to, Primary Care and Specialty Care Physicians.

Minimum Qualifications-

a. Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).

b. Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American Medical Association (AMA), graduation from a college of osteopathy approved by the American Osteopathic Association (AOA), or graduation from a medical school with evidence of Educational Commission for Foreign Medical Graduates (ECFMG) certification.

c. Certification: The physician Medical Director will be board certified by the American Board of Emergency Physicians. The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of Osteopathic Specialists.

d. Internship/Residency/Fellowship: Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).

e. Experience: One year experience in the last two years in emergency medicine.

f. Licensure: Current, full, active, and unrestricted license to practice medicine.

Certification by the Educational Commission for Foreign Medical Graduates (ECFMG) for physicians, certification by the Commission on Graduates of Foreign Nursing Schools (CGFNS) for nurses. Contract workers who are graduates of foreign medical schools will possess both a U.S. medical license and certification by ECFMG for health care physicians and CGFNS for nurses as defined in 29 CFR 825.125. Residency institutions must have been ACGME accredited during the time the member was enrolled.