MARINE FORCES SPECIAL OPERATIONS COMMAND

SPECIAL OPERATIONS MEDICAL TRAINING SERVICES (SOMTS)

PERFORMANCE WORK STATEMENT (PWS)

Date: 3 Nov 2026

1.0 INTRODUCTION

Marine Forces Special Operations Command (MARSOC) requires contractor-provided medical training services to sustain and enhance the medical readiness of MARSOC personnel. This

Performance Work Statement (PWS) establishes requirements for flexible, realistic, and performance-based medical training solutions across multiple Contract Line Item Numbers

(CLINs).

The contractor shall provide all labor, management, personnel, facilities, equipment, supplies, consumables, transportation, logistics, and non-personal services necessary to perform the requirements of this PWS, except for those items expressly identified as Government-furnished or Government-responsible in this PWS or an applicable task order.

This PWS is organized into two parts:

1. Contract-wide requirements that apply to all CLINs, as applicable; and

2. CLIN-specific requirements that apply only to the respective CLIN unless expressly stated otherwise.

The contractor shall provide medically relevant, operationally realistic, and safe training that supports MARSOC mission requirements, readiness objectives, and applicable medical-training standards.

2.0 SCOPE

This PWS encompasses turnkey delivery of advanced medical training services through a flexible, multi-CLIN Indefinite-Delivery, Indefinite-Quantity (IDIQ) contract structure.

The contractor shall furnish all resources necessary to execute the training requirements identified in this PWS and in applicable task orders. Services may include medical instruction, scenario-based training, practical exercises, prolonged casualty care training, trauma and operational medical training, clinical rotations, medical simulation, role-player support, moulage support, specialized medical equipment and supplies, training facilities, lodging, meals, transportation, logistics, and custom medical training support.

The CLINs under this requirement are:

CLIN X00101 – Prolonged Field Care (PFC) Training.

PFC training includes classroom instruction, practical application, scenario-based training, culmination exercises, medical supplies and equipment, role-player support, and optional separately priced cadaveric or real-tissue training.

CLIN X00102 – Austere Medical Training for Non-Medical Personnel.

A contractor-operated, multi-phase austere medical training program for non-medical personnel that includes Emergency Medical Technician (EMT) certification preparation, tactical and operational medical training, prolonged casualty-care training, clinical rotations, practical exercises, assessments, and certification-preparation activities.

CLIN X00103 – Custom Medical Training.

Custom medical training includes tailored training modules, exercises, subject matter expert support, role-player support, mobile training concepts, research initiatives, and other medical-training solutions identified by the Government within the scope of this contract.

3.0 OBJECTIVES

The objective of this requirement is to provide MARSOC with comprehensive, flexible, scalable, and performance-based medical training solutions that sustain medical readiness while reducing

Government administrative and logistical burden.

3.1 Continuity and Sustainment

The contractor shall provide recurring and responsive training opportunities that maintain and reinforce critical medical skills for MARSOC personnel. Training shall support continuity of instruction, relevant curriculum standards, measurable performance outcomes, and sustainment of individual and team medical readiness.

3.2 Realistic and Relevant Training

The contractor shall provide medically relevant, operationally realistic, and scenario-based training that supports prolonged casualty care, tactical casualty care, operational clinical medicine, casualty movement, evacuation, limited-resource environments, and other mission-relevant medical requirements identified in this PWS or an applicable task order.

Training scenarios, facilities, equipment, role players, moulage, and practical exercises shall support the applicable learning objectives and intended level of realism for each CLIN.

3.3 Turnkey Efficiency and Responsiveness

The contractor shall provide integrated training solutions that minimize Government administrative burden and support timely planning, coordination, resourcing, execution, and closeout of required training events.

The contractor shall provide the facilities, personnel, equipment, supplies, logistics, and support required for each ordered training requirement, except where this PWS or an applicable task order expressly assigns responsibility to the Government.

3.4 Modularity, Flexibility, and Scalability

The contractor shall support scalable and modular training solutions responsive to changing mission requirements, student populations, funding availability, and task-order requirements.

The Government may order optional, separately priced training enhancements, including cadaveric or real-tissue training, extended scenario days, mobile training modules, specialized subject matter expert support, and custom medical-training requirements, when within the scope of this contract and identified in an applicable task order.

3.5 Measurable Outcomes

The contractor shall use objective and measurable methods to assess student learning, course execution, and training outcomes. The contractor shall provide required course records, assessments, performance metrics, After Action Reports (AARs), certificates, and other deliverables in accordance with this PWS and applicable task-order requirements.

4.0 CONTRACTING APPROACH

4.1 CLIN Structure

Services under this contract shall be ordered through task orders issued under the applicable

CLIN structure established in the contract.

Each task order shall identify, as applicable:

1. The CLIN or CLINs being ordered;

2. The applicable period of performance;

3. Training dates and location requirements;

4. The number of Government students or student-seat allocations;

5. The applicable PFC capacity tier, if ordering CLIN X00101;

6. Optional add-ons or specialized training requirements;

7. Government-furnished property (GFP), Government-furnished information (GFI), or

Government-provided planning inputs, if any;

8. Required deliverables and milestones; and

9. Any CLIN-specific requirements necessary to execute the training event.

The Government may order any combination of CLIN requirements within the scope of this

PWS and subject to available funding and applicable contract limitations.

4.2 Pricing and Ordering Framework

4.2.1 CLIN X00101 – Tiered PFC Course Pricing

CLIN X00101 shall use scalable, firm-fixed-price course-iteration capacity tiers. The

Government may order a PFC course iteration at one of the following capacity tiers:

1. Tier 1 – Up to eight (8) students;

2. Tier 2 – Up to sixteen (16) students; or

3. Tier 3 – Up to twenty-four (24) students.

The applicable task order shall identify the PFC capacity tier ordered. The contractor shall provide all personnel, facilities, equipment, supplies, scenario support, role-player support, moulage support, logistics, lodging, meals, transportation, and other resources necessary to execute the ordered capacity tier in accordance with this PWS.

The firm-fixed-price rate for the ordered PFC capacity tier shall not vary based on actual student attendance, provided the number of students does not exceed the ordered capacity tier.

The Government is not obligated to order any particular PFC capacity tier or number of PFC course iterations.

4.2.2 Optional Cadaveric or Real-Tissue Training Add-On

Cadaveric or real-tissue training is an optional, separately priced add-on for CLIN X00101. The

Government may order the optional add-on only in conjunction with an ordered CLIN X00101

PFC course iteration.

The applicable task order shall identify the corresponding cadaveric or real-tissue training capacity tier. The contractor shall provide sufficient specimens or tissue-training stations to comply with the maximum student-to-specimen or student-to-training-station ratio specified in

Section 6.0 of this PWS.

The Government is not obligated to order cadaveric or real-tissue training under this contract.

4.2.3 CLIN X00102 – MARSOC Student-Seat Allocation Pricing

CLIN X00102 shall be priced on a firm-fixed-price basis per MARSOC student-seat allocation of up to five (5) MARSOC students in one contractor-operated course iteration.

The Government is purchasing a reservation allocation of up to five (5) MARSOC student seats and is not purchasing exclusive use of, or the full capacity of, a contractor-operated course iteration.

The applicable task order shall identify the scheduled course iteration and the Government-reserved MARSOC student-seat allocation. The firm-fixed-price allocation rate shall not vary based on the actual number of MARSOC students attending, provided the number does not exceed five (5).

The contractor shall reserve the Government-ordered MARSOC student seats for the scheduled course iteration. The Government does not require the contractor to recruit, enroll, fill, or otherwise provide students for remaining seats in the contractor-operated course iteration.

4.2.4 CLIN X00103 – Custom Medical Training Pricing

CLIN X00103 Custom Medical Training requirements shall be priced and ordered at the individual task-order level on a firm-fixed-price basis.

Before issuing a task order, the Government shall provide the contractor a defined requirement that identifies, as applicable, the training objectives, scope, student capacity, schedule, location, personnel, facilities, equipment, supplies, logistics, deliverables, performance standards, and other requirements necessary to establish a firm-fixed-price task-order price.

The contractor shall submit a firm-fixed-price proposal in response to each Government request for a CLIN X00103 requirement. The proposal shall identify the proposed firm-fixed-price amount and provide sufficient detail to demonstrate that the proposed price includes all labor, personnel, facilities, equipment, supplies, consumables, transportation, lodging, meals, role-player support, moulage support, cadaveric or real-tissue support when applicable, administrative support, overhead, fee, and other resources necessary to execute the defined task-order requirement.

The Government and contractor shall negotiate and establish a firm-fixed-price task order before performance begins. The contractor shall not begin performance of a CLIN X00103 requirement until authorized by an executed task order issued by the Contracting Officer.

4.3 Task-Order Administration

The Contracting Officer is the only Government official authorized to modify the scope, price, period of performance, or other terms and conditions of the contract or an issued task order.

The Contracting Officer’s Representative (COR) may provide technical direction, conduct surveillance, review deliverables, coordinate planning, and communicate Government requirements within the scope of the contract and applicable task order. The COR shall not direct work that changes the scope, price, period of performance, or other contractual requirement.

The contractor shall promptly notify the Contracting Officer and COR when it identifies an actual or potential issue affecting performance, schedule, safety, cost, facility availability, student capacity, staffing, equipment, or compliance with this PWS.

5.0 CONTRACT-WIDE REQUIREMENTS

5.1 PWS Organization and Applicability of Requirements

This PWS contains both contract-wide requirements and CLIN-specific requirements.

Unless expressly stated otherwise, requirements identified within a CLIN-specific section apply only to the corresponding CLIN. Requirements identified as contract-wide, common, or applicable to the entire contract apply to all CLINs, as applicable.

Contract-wide requirements include, but are not limited to, contract administration, quality control, reporting, deliverables, performance surveillance, corrective action, facility accessibility, and general contractor responsibilities.

CLIN-specific requirements include course scope, curriculum, facilities, personnel qualifications, training materials, student support, equipment, supplies, clinical rotations, exercise requirements, and performance standards expressly stated under the applicable CLIN.

In the event of a conflict between a contract-wide requirement and a CLIN-specific requirement, the CLIN-specific requirement controls for that CLIN unless this PWS expressly states otherwise.

5.2 Turnkey Responsibilities

The contractor shall provide all training services as a turnkey solution for each ordered requirement.

For purposes of this PWS, “turnkey” means a fully integrated training package in which the contractor is responsible for providing all labor, qualified personnel, facilities, equipment, supplies, consumables, training materials, medical training equipment, transportation, logistics, administrative support, and other resources necessary to execute the applicable PWS and task-order requirements.

Contractor turnkey responsibilities are subject to the specific Government responsibilities and

CLIN-specific exceptions stated in this PWS or an applicable task order. The contractor shall not assume that the Government will provide any facility, equipment, supply, student support, curriculum, logistics, lodging, meal, transportation, or other resource unless expressly identified as Government-furnished or Government-responsible.

5.3 Government-Furnished Property and Information

The Government may furnish property, information, planning inputs, site-access information, student information, equipment-reference information, or other resources when expressly identified in this PWS or an applicable task order.

The contractor shall not rely on Government-furnished property or Government-furnished information unless specifically identified by the Government in writing.

Unless otherwise identified in this PWS or an applicable task order, the contractor shall provide all curriculum, instructional materials, facilities, equipment, supplies, personnel, and resources necessary for performance.

The Government will not furnish a proprietary curriculum, curriculum license, instructional materials, intellectual-property rights, or affiliation with a particular commercial training provider for CLIN X00102 unless specifically identified as Government-furnished information in an applicable task order.

5.4 Initial Mobilization and First Training Event Lead Time

The Government shall provide the contractor a minimum of sixty (60) calendar days of mobilization and planning lead time before the first scheduled training event under CLIN

X00101, CLIN X00102, or CLIN X00103.

The Government shall not require the contractor to begin initial training performance before expiration of the 60-day period unless the Contracting Officer and contractor mutually agree in writing to a shorter period.

For the first scheduled event under each applicable CLIN, the Government shall provide available Government-furnished planning inputs necessary to support compliant performance.

Applicable inputs may include the Government point of contact, requested training dates, training objectives, number of Government students or reserved student seats, authorized student-contact information, site-access information, Government-furnished equipment or information identified in the applicable task order, and applicable unit-specific requirements.

This paragraph does not alter CLIN-specific planning, course-material, student-notification, or other lead-time requirements that may exceed 60 calendar days.

5.5 Contractor Program of Instruction, Syllabus, Course Schedule, and Assessment

Submission

The contractor shall develop and submit a Program of Instruction (POI), syllabus, course schedule, and associated student-assessment methodology for each standard training course before course execution.

The submitted materials shall demonstrate compliance with all applicable PWS requirements, including curriculum content, learning objectives, instructional methodology, personnel, facilities, equipment, practical exercises, student assessments, safety requirements, and performance standards.

The contractor shall not begin course execution until the Government provides written acceptance of the applicable POI, syllabus, course schedule, and assessment methodology.

Government acceptance of contractor-submitted materials does not relieve the contractor of responsibility for compliance with all PWS and task-order requirements.

The contractor shall not materially revise an accepted POI, syllabus, course schedule, learning objective, training methodology, exercise design, or assessment process without prior written

Government acceptance.

For CLIN X00102, the contractor shall submit a detailed course schedule that identifies, at a minimum:

1. Distance-learning and pre-course requirements;

2. Phase I, Phase II, and Phase III training duration and sequence;

3. Resident-training periods;

4. Clinical rotations;

5. Practical exercises and culmination exercise activities;

6. Assessments, testing, and certification-preparation activities;

7. The timing and availability of the five-day refresher option; and

8. The estimated total course duration.

5.6 Facility Accessibility and Legal Compliance

The contractor shall ensure that all contractor-furnished facilities used for contract performance comply with all applicable Federal, State, and local laws, regulations, codes, permits, inspections, approvals, and requirements.

This includes applicable accessibility requirements under the Americans with Disabilities Act

(ADA), the Architectural Barriers Act (ABA), where applicable, and applicable State and local accessibility requirements.

The contractor is responsible for determining the accessibility, safety, licensing, permitting, inspection, property-control, occupancy, and other legal requirements applicable to each proposed facility based on ownership, control, funding, intended use, location, and other relevant circumstances.

The contractor shall provide documentation of applicable permits, approvals, inspections, property permissions, access agreements, or accessibility compliance upon Government request.

5.7 CLIN-Specific Lodging, Meals, and Subsistence Responsibilities

Notwithstanding any other provision of this PWS, lodging, meals, and subsistence responsibilities shall be as follows:

5.7.1 CLIN X00101 – Prolonged Field Care Training

The contractor shall provide and include in its proposed price all student and contractor-personnel lodging, meals, and associated subsistence support required to execute each ordered

CLIN X00101 PFC course iteration.

This requirement applies regardless of the proximity of the contractor’s training facility to

Marine Corps Base Camp Lejeune, Stone Bay, or another Government installation.

5.7.2 CLIN X00102 – Austere Medical Training for Non-Medical Personnel

The Government is responsible for lodging, meals, per diem, and other subsistence expenses for

MARSOC students occupying Government-reserved CLIN X00102 student seats.

The contractor shall not include MARSOC student lodging, meals, per diem, or other MARSOC student subsistence costs in its proposed CLIN X00102 price unless specifically directed in an applicable task order.

The contractor remains responsible for providing all facilities, equipment, instructors, supplies, transportation, and other training support required by this PWS for Government-reserved

MARSOC students.

5.7.3 CLIN X00103 – Custom Medical Training

Lodging, meals, per diem, transportation, and other subsistence responsibilities for CLIN

X00103 shall be identified in the applicable task order.

Unless otherwise stated in the task order, the contractor is responsible for lodging, meals, travel, per diem, and other subsistence expenses for contractor personnel.

5.7.4 Contractor Personnel

Unless otherwise specified in an applicable task order, the contractor is responsible for lodging, meals, travel, per diem, and all other subsistence expenses for contractor personnel.

5.7.5 Order of Precedence

In the event of a conflict between this paragraph and other PWS language concerning lodging, meals, per diem, or subsistence, this paragraph controls.

5.8 Contract Administration, Communications, and Coordination

The contractor shall designate a primary point of contact responsible for day-to-day coordination with the Government. The contractor shall maintain effective communication with the

Contracting Officer, COR, and other Government personnel designated in writing by the

Contracting Officer or COR.

The contractor shall participate in planning meetings, coordination meetings, site visits, pre-course reviews, hot-washes, and other Government-directed coordination activities reasonably necessary to execute the requirements of this PWS.

The contractor shall provide timely notice to the Government of any actual or potential issue that could affect training execution, including personnel availability, facility availability, student capacity, safety, weather, equipment readiness, medical supply availability, clinical rotation access, transportation, lodging, meals, scenario support, or other task-order requirements.

The contractor shall maintain records sufficient to demonstrate compliance with PWS requirements and shall make applicable records available to the Government upon request.

5.9 Quality Control, Deliverables, and Reporting

The contractor shall maintain an internal quality-control process sufficient to ensure that all personnel, facilities, equipment, supplies, logistics, curriculum, training materials, assessments, and deliverables comply with this PWS and applicable task-order requirements.

At a minimum, the contractor shall review and validate, before each training event:

1. Personnel qualifications and availability;

2. Facility readiness and legal compliance;

3. Equipment and supply readiness;

4. Safety procedures and emergency response arrangements;

5. Student-support and logistics requirements;

6. Curriculum, POI, syllabus, course schedule, and assessment readiness;

7. Required task-order deliverables and reporting requirements; and

8. Any CLIN-specific requirements applicable to the scheduled event.

The contractor shall submit all required deliverables, including planning materials, rosters, training records, course completion documentation, certificates, student-performance metrics, AARs, assessment results, and corrective-action documentation, within the timeframes specified in the applicable CLIN, task order, or written Government direction.

5.10 Performance Surveillance and Corrective Action

The Government may conduct performance surveillance through direct observation, document review, facility inspection, review of student feedback, review of contractor quality-control records, verification of personnel qualifications, review of course records and deliverables, and other reasonable methods necessary to assess contract compliance.

Government surveillance does not relieve the contractor of responsibility for quality control, safety, compliance, or successful performance of the contract.

When the Government identifies a deficiency, nonconformance, or failure to meet a PWS requirement, the Government may issue a Contract Discrepancy Report (CDR) or other written notice to the contractor.

Unless another timeframe is specified by the Contracting Officer, the contractor shall provide a written Corrective Action Plan (CAP) within ten (10) business days after receipt of a CDR or written notice requiring corrective action.

The CAP shall identify, at a minimum:

1. The root cause of the deficiency;

2. Immediate corrective actions taken or planned;

3. Preventive actions intended to prevent recurrence;

4. The responsible contractor official; and

5. The anticipated completion date for corrective actions.

The Government may require additional information, reject an inadequate CAP, require resubmission, or take other action available under the contract when deficiencies are not timely or satisfactorily corrected.

6.0 CLIN X00101 — PROLONGED FIELD CARE TRAINING

6.1 Scope and Course Structure

The contractor shall provide Prolonged Field Care (PFC) training to support MARSOC medical readiness requirements. The training shall prepare MARSOC personnel, including medical and non-medical personnel as identified by the Government, to manage casualties in distributed, resource-limited, austere, and operationally challenging environments.

The contractor shall provide a comprehensive PFC training solution that integrates Tactical

Combat Casualty Care (TCCC), Prolonged Casualty Care (PCC), applicable Joint Trauma

System (JTS) Clinical Practice Guidelines (CPGs), operational medical lessons learned, casualty evacuation planning, telemedicine integration, and scenario-based practical application.

The contractor shall deliver training that develops and assesses student ability to perform prolonged casualty management, medical decision-making, team coordination, casualty movement, communication, evacuation planning, and treatment in austere conditions.

Each CLIN X00101 PFC course iteration shall be ordered and executed using one of the following capacity tiers:

1. Tier 1 – Up to eight (8) students;

2. Tier 2 – Up to sixteen (16) students; or

3. Tier 3 – Up to twenty-four (24) students.

The applicable task order shall identify the PFC capacity tier ordered. The contractor shall staff, resource, and execute the ordered capacity tier regardless of actual student attendance, provided student attendance does not exceed the ordered tier.

The contractor shall provide all instruction, personnel, facilities, equipment, supplies, consumables, medical training aids, role-player support, moulage support, transportation, lodging, meals, administrative support, safety support, and other resources required to execute the ordered PFC capacity tier, except as expressly identified as Government-furnished or

Government-responsible in this PWS or the applicable task order.

6.2 Planning and Coordination

The contractor shall designate a Program Lead responsible for planning, coordination, course execution, and Government interface for CLIN X00101.

The Program Lead shall attend required planning meetings and coordinate with the Government to identify and resolve applicable training requirements, including student capacity, course dates, location, training objectives, scenario requirements, logistical support, equipment, medical supplies, facility requirements, safety considerations, and optional add-ons.

For each PFC course iteration, the contractor shall submit a course-execution plan to the

Government for review and acceptance no later than sixty (60) calendar days before the scheduled training start date, unless the Contracting Officer approves a different timeline in writing.

The course-execution plan shall address, at a minimum:

1. Ordered PFC capacity tier;

2. Proposed course schedule and training sequence;

3. Student-team organization;

4. Instructor, lane-cadre, Exercise Manager, SME, role-player, moulage, and other staffing plan;

5. Facility and training-area plan;

6. Scenario and culmination-exercise approach;

7. Transportation, vehicle, and aviation-support requirements, if applicable;

8. Lodging, meals, hygiene, gym, laundry, and other student-support requirements;

9. Medical equipment, supplies, consumables, and aid-bag readiness;

10. Safety, emergency-response, and risk-management measures;

11. Required deliverables, performance assessments, and course records; and

12. Any optional cadaveric or real-tissue training, extended scenario day, mobile training module, or other task-order requirement.

The contractor shall promptly notify the Government of any actual or potential issue that could affect course execution, including staffing, facilities, transportation, equipment, medical supplies, role players, cadaveric or real-tissue support, safety, weather, or student capacity.

6.3 Curriculum, Instruction, and Student Assessment

The contractor shall provide an established, standardized PFC curriculum designed to provide prolonged-care education to both medical and non-medical participants.

The contractor’s curriculum shall include didactic instruction, practical application, scenario-based training, medical decision-making, team coordination, casualty movement, evacuation planning, and other training necessary to accomplish the PFC learning objectives established in this PWS and the applicable task order.

The contractor shall develop and submit a PFC Program of Instruction (POI), syllabus, course schedule, analytic criteria, and student-assessment methodology in accordance with Section 5.5 of this PWS.

The contractor shall ensure the PFC curriculum and associated instructional materials are current, medically relevant, operationally appropriate, and aligned with applicable TCCC, PCC, JTS CPG, and other PWS requirements.

The contractor shall develop, propose, and administer pre-course and post-course assessments to measure student learning and performance against applicable PFC learning objectives. The contractor may use written knowledge assessments, scenario-based practical evaluations, skills checklists, instructor-observation rubrics, or a combination of such methods, provided the methodology includes objective and measurable evaluation criteria.

The contractor shall submit its proposed evaluation process, forms, scoring methodology, and reporting format to the Government for review and acceptance before use.

The contractor shall calculate and provide resulting student-performance metrics to the

MARSOC point of contact upon course completion.

6.4 Optional Cadaveric or Real-Tissue Training Add-On

Cadaveric or real-tissue training is an optional, separately priced add-on capability and is not required for every CLIN X00101 PFC course iteration.

The Government may order cadaveric or real-tissue training through the applicable task order in conjunction with an ordered CLIN X00101 PFC capacity tier.

When ordered, the contractor shall provide a complete cadaveric or real-tissue training package that supports the procedural, surgical, and other learning objectives identified in the applicable task order.

The contractor shall provide sufficient specimens or tissue-training stations to ensure that no more than ten (10) students are assigned to a single specimen or tissue-training station.

For planning and pricing purposes, the contractor shall provide at least:

1. One (1) specimen or tissue-training station for the Tier 1 PFC capacity tier of up to eight

(8) students;

2. Two (2) specimens or tissue-training stations for the Tier 2 PFC capacity tier of up to sixteen (16) students; and

3. Three (3) specimens or tissue-training stations for the Tier 3 PFC capacity tier of up to twenty-four (24) students.

The optional cadaveric or real-tissue training add-on shall include all labor, specimens or tissue, procurement, transportation, storage, laboratory facilities and support, equipment, supplies, safety measures, regulatory compliance, required handling and disposition, waste management, administrative support, and all other resources necessary to execute the ordered training.

The contractor shall include all costs associated with the cadaveric or real-tissue training package in the separately proposed firm-fixed-price add-on rate for the ordered PFC capacity tier.

6.5 Scenario-Based Training and Culmination Exercise

The contractor shall provide scenario-based training that enables students to apply PFC knowledge and skills in realistic operational environments.

Training shall be organized into student teams of up to eight (8) students. The contractor shall provide one (1) primary instructor, one (1) lane instructor, and one (1) dedicated professional role player for each student team.

For an ordered CLIN X00101 capacity tier, the contractor shall provide at least the following number of complete training teams:

Ordered PFC Capacity Tier Minimum Complete Training Teams

Up to 8 students 1

Up to 16 students 2

Up to 24 students 3

Each complete training team shall include the required primary instructor, lane instructor, and dedicated professional role player.

The required professional role player is a separate scenario-support role and shall not be simultaneously counted toward fulfillment of a primary instructor, lane instructor, Exercise

Manager, Subject Matter Expert (SME), or other required cadre position.

An SME may support a scenario in an instructional, consultative, evaluative, or observational capacity but shall not be used to satisfy the professional role-player requirement while assigned to perform SME duties.

Scenarios shall support realistic student practice of critical PFC procedures and casualty-management tasks. Scenario design shall incorporate, as applicable:

1. Amputee role players;

2. Realistic wearable medical devices and task trainers;

3. Casualty assessment and treatment;

4. Advanced airway management;

5. Chest procedures;

6. Intravenous and intraosseous access;

7. Hemorrhage control and transfusion-related training;

8. Prolonged casualty management;

9. Casualty movement and evacuation;

10. Mission planning and operational decision-making;

11. Communications and telemedicine integration;

12. Vehicle, ground, waterborne, or aviation-support integration, as applicable; and

13. Mass-casualty events.

The contractor shall provide mass-casualty events using professional role players, advanced moulage, and special effects appropriate to the scenario learning objectives and ordered PFC capacity tier.

The contractor shall conduct a portion of scenario-based training during periods of reduced visibility or darkness to replicate operational conditions and stress student decision-making, when safe and appropriate to the approved training plan.

When moulage is required, it shall be performed by or under the direction of a qualified moulage artist.

For purposes of this PWS, a qualified moulage artist is an individual with documented formal training, certification, or other verifiable qualifications in medical moulage, trauma simulation, special-effects makeup, prosthetics, or a closely related discipline, and demonstrated experience producing realistic trauma moulage for medical, emergency-response, military, disaster-response, or comparable training environments.

The contractor shall provide qualification documentation for the qualified moulage artist upon

Government request. The qualified moulage artist is not required to be the Exercise Manager and is not a separate proposal-evaluated key-personnel position.

The contractor shall ensure that moulage and special effects accurately support approved patient cases, injury patterns, scenario realism, student safety, and applicable learning objectives.

6.6 Personnel Requirements

6.6.1 General Requirements

The contractor shall provide qualified personnel sufficient to execute all CLIN X00101 requirements for the ordered PFC capacity tier.

The contractor shall ensure that all personnel assigned to perform CLIN X00101 duties meet the applicable qualification requirements in Table 1 before performing assigned duties.

The contractor shall provide one dedicated Exercise Manager for each CLIN X00101 PFC course iteration. The Exercise Manager shall not be assigned another required PFC execution role when doing so would impair performance of Exercise Manager duties.

The contractor may use personnel in more than one role only when the individual meets all applicable qualification requirements and the contractor demonstrates that the proposed assignments will not impair course execution, required cadre ratios, scenario support, safety, or other PWS requirements.

6.6.2 Table 1 — CLIN X00101 PFC Personnel Qualifications

Position Minimum Qualifications

Program Lead

- Shall be a former senior Special Operations Forces (SOF)

Noncommissioned Officer, Warrant Officer, or commissioned officer.

- Shall be a former graduate of a military SOF Instructor

Training Course.

- Shall have at least ten (10) years of SOF medical experience as a Military Occupational Specialty (MOS) 18D, Special

Operations Combat Medic (SOCM), Special Amphibious

Reconnaissance Corpsman (SARC), Special Operations

Independent Duty Corpsman (SOIDC), or U.S. Air Force

Position Minimum Qualifications

Pararescue operator or leader, including award and retention of the applicable MOS qualification.

- Shall have at least ten (10) years of experience working with or for MARSOC as military personnel, civilian personnel, or contractor personnel in a MARSOC instructor position.

- Shall be a National Association of Emergency Medical

Technicians (NAEMT) Tactical Combat Casualty Care

(TCCC) Tier 3 Combat Medic/Corpsman instructor.

- Shall be qualified as a Specialized Medical Standards (SMS)

Austere Emergency Care Course Director or possess an equivalent qualification. For purposes of this requirement, an equivalent qualification is a credential or certification for directing a prolonged casualty care or austere medical program of similar scope and complexity, issued by another

U.S. military component or a nationally recognized trauma or emergency medicine organization. Offerors proposing an equivalent qualification shall provide documentation sufficient for the Government to evaluate equivalency, including the credentialing organization, curriculum or program standards, scope and duration of the qualifying program, and documentation of the proposed individual’s credential. Relevant experience and background may be submitted as supporting information but do not, by themselves, satisfy the equivalent-qualification requirement.

- Shall possess a current driver’s license.

Primary Instructor

LOE 1 (non-medic)

- Shall have at least five (5) years of SOF medical experience as an MOS 18D, SOCM, SARC, SOIDC, or U.S. Air Force

Pararescue operator or leader in a Special Mission Unit, U.S.

Army Special Forces, Navy SEAL, MARSOC, U.S. Army

75th Ranger Regiment, or other USSOCOM operational unit, including award and retention of the applicable MOS qualification.

- Shall have documented experience within the past two (2) years delivering PFC training to MARSOC or another

USSOCOM component.

Primary Instructor

LOE 2 (medic)

- Must be a graduate of an accredited medical school or

Physician Assistant program and have worked as a Medical

Doctor or Physician Assistant for at least two (2) years. Must have former military, special operations, or other relevant documented austere medical experience, such as experience with search and rescue teams, disaster response, or similar relevant organizations.

- Shall have documented experience within the past two (2) years delivering PFC training to MARSOC or another

USSOCOM component.

Primary Lane Cadre

PA/MD

- Must be a graduate of an accredited medical school or

Physician Assistant program and have worked as a Medical

Doctor or Physician Assistant for at least two (2) years. Must have former military, special operations, or other relevant austere medical experience, such as experience with search and rescue teams, disaster response, or similar relevant organizations.

- Shall have documented experience within the past two (2) years serving as a lane instructor for delivery of a PFC exercise for MARSOC or another USSOCOM component.

Assistant Lane Cadre

18D/SOIDC/SOCM

- Shall have at least five (5) years of SOF medical experience as an MOS 18D, SARC, SOIDC, or U.S. Air Force

Pararescue operator or leader in a Special Mission Unit, U.S.

Army Special Forces, Navy SEAL, MARSOC, U.S. Army

75th Ranger Regiment, or other USSOCOM operational unit, including award and retention of the applicable MOS qualification.

- Shall have documented experience within the past two (2) years serving as a lane instructor for delivery of a PFC exercise for MARSOC or another USSOCOM component.

Exercise Manager

- Shall have at least five (5) years of experience supporting military special operations medical training courses and exercises of similar size and scope to this requirement as military personnel, civilian personnel, or contractor personnel.

- Shall have recent and relevant experience executing PFC medical training of similar scope and complexity.

- Shall be a current or former Emergency Medical Technician.

- Shall possess current certification in NAEMT or Deployed

Medicine TCCC Tier 3 Combat Medic/Corpsman, current

NAEMT Prehospital Trauma Life Support certification

- Shall have a current driver’s license.

SME – Ultrasound

- Shall be an advanced subject matter expert in point-of-care ultrasound in the SOF medical environment. Shall be capable of providing instruction on extended focused assessment with sonography in trauma/focused assessment with sonography in trauma examinations, peripheral and central catheterization, and regional blocks.

- Shall be recognized as an expert through applicable certification, licensure, or other credential documentation.

- Shall have documented experience within the past five (5) years working in a SOF environment and instructing advanced subjects pertaining to PFC.

SME –

Airway/Ventilator

Support

- Shall be an advanced subject matter expert with documented qualifications relevant to instruction in advanced airway and ventilator support. Registered Respiratory Therapist or

Respiratory Care Practitioner credentials are highly preferred.

- Shall have documented experience within the past five (5) years working in a SOF environment and instructing advanced subjects pertaining to PFC for MARSOC or another USSOCOM component.

6.6.3 Table 1 Notes

Evaluated Key Personnel and Required Execution Personnel. The following positions are evaluated key personnel for proposal-submission purposes and require résumés under Section L, Subfactor 1A:

1. Program Lead;

2. Primary Instructor LOE 2 (medic);

3. Primary Lane Cadre PA/MD;

4. Exercise Manager;

5. SME – Ultrasound; and

6. SME – Airway/Ventilator Support.

Primary Instructor LOE 1 (non-medic) and Assistant Lane Cadre 18D/SOIDC/SOCM are required execution personnel. The contractor shall provide personnel meeting the qualification requirements in Table 1 for those roles, but offerors are not required to submit résumés for those positions with their proposals.

Role-Player Requirement. The SME – Ultrasound and SME – Airway/Ventilator Support positions are specialized instructional and evaluated key-personnel roles. These positions shall not be used to satisfy the dedicated professional role-player requirement in Section 6.5 when the individual is assigned to perform SME duties. The contractor shall provide separate professional role players sufficient to meet all scenario-based training requirements.

6.7 Facilities, Safety, and Place of Performance

6.7.1 General Facility Requirements

The contractor shall provide all facilities necessary to support CLIN X00101 PFC training. The facility requirements in this section apply regardless of the proximity of contractor-furnished facilities to Marine Corps Base Camp Lejeune, Stone Bay, or another Government installation.

Primary CLIN X00101 training facilities shall be located within the State of North Carolina.

The contractor shall provide classroom space capable of accommodating up to twenty-four (24) students. Classroom space shall include climate control, media-sharing capability, and projection capability sufficient to support required instruction.

The contractor shall provide a dining facility capable of seating up to thirty (30) personnel and capable of accommodating special dietary requirements, including medical and religious accommodations.

Except during field-based PFC exercises, classrooms, lodging, dining areas, hygiene facilities, gym facilities, laundry facilities, and other required training-support areas shall be located within a twenty-five (25)-minute vehicle travel radius of one another.

All contractor-furnished locations shall have private, gated, and secure entrance and exit points and shall be located in low-crime, low-traffic areas appropriate for the required training.

All contractor-furnished facilities shall provide necessary utility services, including electricity, water, and sewage, and shall provide direct 24-hour access to showers and restroom facilities.

Hygiene facilities shall support at least a 1:6 shower and restroom occupancy ratio.

The contractor shall provide or make available to all training participants:

1. A fully equipped gym or physical-fitness facility;

2. Laundry services;

3. Sufficient student parking; and

4. Separate designated staging areas for military vehicles and trailers.

6.7.2 Helicopter Landing Zone Requirements

For aviation support, the contractor shall provide access to a helicopter landing zone (HLZ) located within three (3) miles of the training center, or an onsite HLZ measuring at least 100 meters by 100 meters and located within 200 feet of the main facility.

The contractor shall obtain and maintain all property-owner permissions, access agreements, permits, approvals, site documentation, and coordination required by applicable Federal, State, local, installation, aviation, and safety requirements to make the HLZ available for required training.

The contractor shall provide HLZ location information, site diagrams, access procedures, and supporting documentation to the Government upon request.

Government review or inspection of an HLZ does not constitute Government certification, approval, or acceptance for flight operations and does not relieve the contractor of responsibility for compliance with this requirement.

The final operational determination to use an HLZ for a specific aviation event remains with the applicable aviation authority and aircraft pilot in command.

6.7.3 Culmination Exercise Facilities and Training Areas

The contractor shall provide culmination-exercise facilities and training areas sufficient to execute the PFC scenario-based training and culmination-exercise requirements for the ordered

PFC capacity tier.

Culmination-exercise sites shall:

1. Support the number of training lanes required for the ordered PFC capacity tier;

2. Provide remote field-hospital-type facilities not accessible or visible to the public;

3. Incorporate safe-house criteria, surgical capability, and supporting physician presence, as required by the approved course-execution plan;

4. Support litter-bound role-player casualties as required by the approved scenario plan, up to twelve (12) litter-bound role-player casualties for a Tier 3 course iteration;

5. Provide sufficient separation between lanes and structures to preserve student-team integrity, operational security, and scenario realism; and

6. Include an exercise area capable of supporting at least twelve (12) continuous, non-looped miles of all-terrain vehicle or off-road driving.

6.7.4 Safety and Emergency Preparedness

The contractor shall develop and implement a safety plan appropriate to the ordered PFC course iteration. The safety plan shall address classroom activities, field training, vehicle operations, role-player activities, moulage, medical simulation, aviation support, cadaveric or real-tissue training when ordered, and other applicable training hazards.

The contractor shall ensure that facilities, equipment, training areas, vehicles, role-player support, and scenario-support resources are inspected and ready before training begins.

The contractor shall immediately notify the Government of any safety incident, injury, near miss, facility issue, equipment failure, or other event that could affect safe performance of the PFC course.

6.7.5 Place of Performance

The primary place of performance for CLIN X00101 shall be contractor-provided facilities located within the State of North Carolina.

The Government may authorize alternate locations when expressly identified in an applicable task order.

6.8 Training Materials, Medical Supplies, and Equipment

6.8.1 Training Materials and Performance Tracking

The contractor shall develop and provide all training manuals, handouts, exercise documents, scenario materials, supporting materials, evaluation forms, and other instructional resources necessary for PFC instruction and exercises.

The contractor shall conduct demographic surveys and performance analysis, including analysis of medical and non-medical student roles, to assess retention of knowledge and practical skills.

The contractor shall conduct formative course evaluations after each PFC course iteration. These evaluations shall assess, at a minimum:

1. Role-player support;

2. Moulage quality;

3. Classroom instruction;

4. Field instruction;

5. Scenario realism and delivery;

6. Facility suitability;

7. Equipment and supply readiness; and

8. Student feedback.

The contractor shall obtain feedback from students, instructors, and role players using the contractor’s Government-accepted evaluation process, forms, and methodology.

6.8.2 Medical Supplies and Equipment Baseline

The medical equipment, supplies, consumables, and minimum quantities expressly identified in this PWS, including Table 2, establish the baseline requirement for each CLIN X00101 PFC course iteration.

The contractor shall procure, stock, maintain, transport, and utilize all baseline medical equipment, supplies, consumables, medical aid bags, simulation devices, procedural task trainers, diagnostic devices, monitoring devices, and other resources necessary to execute classroom, field, scenario-based, and culmination-exercise training.

The contractor shall include all costs associated with the PWS baseline in the applicable CLIN

X00101 firm-fixed-price capacity-tier rate.

The contractor shall provide all Class VIII medical materiel and consumable supplies required for baseline classroom, field, scenario-based, and culmination-exercise training.

The contractor shall provide comprehensive medical aid bags for training evolutions, including, as applicable, advanced airway kits, intravenous therapy supplies, transfusion-training equipment, procedural task trainers, pulse oximetry, ultrasound, ventilators, patient monitors, and other items identified in Table 2 or required to accomplish approved training objectives.