H92421-26-Q-E021 PWS.docx

PERFORMANCE WORK STATEMENT (PWS)

UNITED STATES ARMY SPECIAL OPERATIONS COMMAND

SPECIAL OPERATIONS FORCES AUSTERE MEDICAL TECHNICIAN

Part 1 General Information

1. GENERAL: This is a contract to provide Special Operations Forces Austere Medical Technician (SOFAMT) training in accordance with 1st SFC(A) Surgeon Cell Standard Operating Procedures (SOP) and guidance of the medical skill set. The 1st SFC(A), GX, Special Operations Forces Austere Care Course (SOFACC) cadre, shall exercise supervision and 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.

1.1. Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, transportation, tools, materials, and any other items or non-personal services necessary to perform SOFACC instruction as defined in this Performance Work Statement, except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2. Background: This training is a 1st SFC(A) 350-1 Deployment requirement for service members (SM) on small teams conducting Sensitive Activities (SA) or low-visibility operations in areas devoid or denied relevant and developed health service support platforms (FST, CSH, medevac, supply). These teams lack organic medical assets (18D, 68WW1 or Corpsmen) and mission sets place them squarely in remote locales devoid of the conventional medical assets enjoyed throughout the peak of OEF/OIF/OND campaigns. Some mission sets support coastal and maritime operations. Medical Logistics supply lines are absent or severely restricted by distance, terrain, and other factors.

1.2.1. The attendees will consist of non-medical personnel selected by government points of contact, their command surgeon and leadership with aptitude and skill set to successfully complete this course.

1.2.2. The course is nine weeks long and consists of two phases, Phase 1 is Distance Learning (DL) and Phase 2 is Resident. Phase 1 (DL) will consist of six weeks of contractor-provided National Registry Emergency Medical Technician Basic (NREMT-B), Advanced Medical Life Support (AMLS), Prehospital Trauma Life Support (PHTLS) online DL computer-based training. Phase 2 (Resident) is three weeks of classroom/didactic-driven instruction and certification testing in NREMT-B, AMLS, PHTLS and Tactical Combat Causality Care (TCCC) Tier 3 Combat Medic Corpsman (CMC). During phase 2 the course progresses through tactical, clinical, and prolonged field care medicine scenarios. The training consists of clinical medicine, austere emergency care, prolonged field care (PFC) instruction, role player clinical scenarios, and multiple PFC exercises. SOFAMT attendees will familiarize themselves with private sector and Department of War (DOW) health service support systems IOT improve their MEDEVAC/CASEVAC planning capabilities. SOFAMT-qualified service members and SA teams have demonstrated (and reported) that their training enabled them to mitigate risk and conduct operations in areas that were previously restricted. The contractor shall be prepared to support a max of 18 students, the minimum number of students in a class will be 6.

1.3. Objectives: The fundamental objective of this training is to ensure that all course attendees are certified in compliance with NREMT-B, AMLS, PHTLS, TCCC tier III and meet all national certification requirements, which allows them to perform casualty care operations critical for mission success in support of military training and operations.

1.4. Scope: The 6-week DL and the 3-week resident portion of the SOFAMT program of instruction (POI) uses a curriculum developed by the contractor and approved by the 1st SFC(A), GX, SOFACC cadre. Training and certification exams for NREMT-B, AMLS, PHTLS and TCCC tier III will be conducted by contractor instructors nationally accredited to train and certify. Additionally, non-certification producing training such as Prolonged Field Care (PFC) will be conducted by contractor instructors with previous experience and current knowledge in the instructed subject.

1.4.1. 1st SFC(A), GX, plans on funding up to four SOFAMT producing courses per contract year. SOFAMT resident training must be conducted on Fort Bragg, NC at government supplied facilities. The Government will publish projected course dates for the following fiscal year approximately one year in advance. To facilitate any required scheduling changes in the 1st SFC(A) cadre led CULEX, course dates will be finalized no less than 90 days prior to the start of a course.

1.4.2. Phase 1 Distance Learning (DL): The contractor shall provide computer-based distance learning instruction to students in NREMT-B, PHTLS and AMLS which will satisfy required didactic hours and prepare them for the rigorous classroom instruction and national testing. Students will be required to access material for a minimum of six weeks prior to the resident portion of training. Students must have access to a virtual classroom format, supported by at least four hours of live instruction, answering questions and classroom facilitation by a qualified instructor. The Contractor shall coordinate, lead and be responsible in conducting all medical training resulting in the Phase 2 (Resident) national credentialing and certification without government assistance.

1.4.3. Phase 2 Residence: This phase will be conducted on-site at Government provided facilities on Fort Bragg, NC. The Contractor provides POI’s to satisfy requirements for NREMT-B. AMLS, PHTLS and TCCC tier III. This training will include battlefield, disease and non-battle injury (DNBI) -centric medical scenarios requiring students to demonstrate competency in the treatment modalities consistent with the scopes of practice for a SOFAMT. Training and national certification will equip SOFAMT non-medical personnel with 1) a working knowledge base of medical risk mitigation; 2) an increased knowledge of battlefield, disease, DNBI, medications, and treatment modalities; and 3) an enhanced understanding of civilian medical infrastructure development. Students will receive the following certifications at the successful completion of testing during phase 2: NREMT-B, PHTLS, AMLS, and TCCC Tier 3.

1.4.4. CULEX: This Contract Line Item Number (CLIN) will be utilized if the 1st SFC (A) GX SOFACC cadre led Culmination Exercise (CULEX) is unable to occur, providing SOFACC students with the opportunity to apply their skills in a simulated Irregular Warfare (IW) environment. If selected, this CLIN is to be finalized at least one quarter (three months) prior to training. The contractor will be prepared to plan, coordinate, manage and execute a CULEX without government assistance.1st SFC (A), GX, SOFACC Cadre will work with the contractor to plan, develop and execute the CLIN. The contractor led CULEX should include multiple prolonged field care/austere medical scenarios that range in length of 1 to 8 hours. The total length of the CULEX should be no less than 5 days. The contractor will develop training scenarios that should change every SOFACC course to facilitate current and relevant military-related medical events and situations within the exercise and government guidance. The CULEX will be executed within 200 miles of Fort Bragg, NC. The contractor should conduct extended exercises with long range movements that span an area of over 25 miles. The purpose is to replicate extended evacuation times experienced in operational environments. The CULEX will be conducted at contractor provided commercial facilities.

1.4.5. Refresher Distance Learning (DL): This Contract Line-Item Number (CLIN) will provide a one-week NREMT-B DL refresher course. This refresher course will occur up to five times per fiscal year. Each refresher course will facilitate up to 20 DL students in a virtual classroom format, supported by at least four hours of live instruction, answering questions and classroom facilitation by a qualified instructor. This refresher course can run in conjunction with or independent of the SOFACC course. This course will encompass online classes in the subjects required to fulfil the 40 credits of continuing medical education (CME’s) necessary to recertify NREMT-B. At the conclusion of the refresher course, the contractor will be responsible for submitting all continuing medical education documentation to obtain student recertification. If a SOFAMT has fallen outside the window of EMT-B recertification (2 years) and requires full reinstatement of their EMT-B license, they are required to complete 40 hours of CME’s and take the NREMT-B exam. The contractor should be prepared to provide information to the service member on how to take their NREMT-B exam in his home state and complete the requirements for reinstatement.

1.5. Period of Performance: The period of performance

6 April 2026-12 June 2026

1.6. General Information

1.6.1. Quality Control: Quality Control is the responsibility of the Contractor. The Contractor is responsible for the delivery of quality services/supplies to the Government.

1.6.1.1. Quality Control Program: The Government is committed to a highly interactive relationship between quality control by the Contractor and quality assurance by the government recipient of services. This relationship shall be achieved through an effective prevention-based Quality Control Program dedicated to ensuring the best possible products and services to end users. The Contractor shall provide their final written Quality Control Plan (QCP) no later than (NLT) 15 days after award and within five (5) days of any proposed changes.

1.6.1.1.1. The Contractor’s quality program shall demonstrate its prevention-based outlook by meeting the objectives stated in the PWS throughout all areas of performance. The QCP shall be developed to specify the Contractor’s responsibility for management and quality control actions to meet the terms of the contract. The QCP as a minimum shall address continuous process improvement; procedures for scheduling, conducting and documentation of inspection; discrepancy identification and correction; corrective action procedures to include procedures for addressing Government discovered non-conformances; procedures for root cause analysis to identify the root cause and root cause corrective action to prevent re-occurrence of discrepancies; procedures for trend analysis; procedures for collecting and addressing customer feedback/complaints.

1.6.1.1.2. Within 7 days of completion of each iteration the Contractor shall provide all reports generated as a result of the Contractor’s quality control efforts. This shall include any summary information used to track quality control, including any charts/graphs.

1.6.1.1.3. The Contractor’s QCP shall be incorporated into and become part of this contract after the plan has been accepted by the KO. Proposed changes made after KO acceptance shall be submitted in writing through the COR to the KO for review and acceptance prior to implementing any revision. The Contractor’s QCP shall be maintained throughout the life of the contract and shall include the Contractor’s procedures to routinely evaluate the effectiveness of the plan to ensure the Contractor is meeting the performance standards and requirements of the contract.

1.6.1.2. Contractor Discrepancy Report (CDR): When the Contractor's performance is unsatisfactory, a CDR will be issued. The Contractor shall reply in writing within five (5) workdays from the date of receipt of the CDR, giving the reasons for the unsatisfactory performance, corrective action taken, and procedures to preclude recurrence.

1.6.1.3 Quality Assurance: The COR will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the COR 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 minimum acceptable defect rate(s). When an observation indicates defective performance, the COR will require the Contractor or designated on-site representative to initial the observation to acknowledge the defective performance. The acknowledgement of the observation does not necessarily constitute Contractor concurrence with the observation, only that the Contractor has been made aware of the defective performance.

1.6.2. Hours of Operation: The contractor is responsible for establishing a POI and work schedule to conduct training that meets the requirements of this PWS. Facilities are not available during Federal Holidays or when the Government is closed due to local or national emergencies, administrative closings, or similar Government-directed facility closings. The contractor is authorized, if required, to conduct training on weekends to maintain course standards and to meet operational requirements in this PWS. Specifically, if the CULEX CLIN is optioned, the hours will vary as some scenarios may run continuous beyond 24 hours. The Contractor must maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor should keep in mind that the stability and continuity of the workforce are essential.

1.6.3. Place of Performance: Phase 1: DL, Phase 2: Fort Bragg, NC, CULEX: (if optioned) Contractor provided facilities.

1.6.4. Type of Contract: The government will award Firm Fixed Price (FFP) Task Order for each of the SOFAMT training courses.

1.6.5. Security Requirements: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. Contractor personnel performing work under this contract shall be able to read, write, speak, and understand the English language to effectively carry out all contract requirements. They shall have a command of both the written and spoken English language to properly clearly and effectively communicate in person or via electronic devices (telephone or Email) with co-workers, customers, and the general public.

1.6.5.1. Contractor personnel performing work under this contract shall be U.S. citizens unless the provisions of Army Regulation 25-2, Information Assurance have been fully completed, and approval has been granted by the Government for the non-U.S. citizen to perform the required support.

1.6.5.2. All Contractor employees, including sub-contractor employees, requiring access to an Army or USSOCOM controlled installation, facility, or area shall comply with applicable security policies and procedures (provided by the government representative). This includes policies pertaining to the use or prohibition of electronic recorders, devices, cameras, etc. If the Contractor is required to take photographs or videos on a Government Installation, the Contractor must obtain written permission from the Senior Commander. The Contractor shall also provide all information required for background checks to meet installation and facility access requirements to be completed by the installation Provost Marshall Office, Director of Emergency Services, or Security Office. The Contractor workforce must comply with all personal identity verification requirements as directed by DOW, HQDA, USSOCOM, USASOC and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should Force Protection Condition (FPCON) at any individual facility or installation change, the government may require changes in Contractor security matters or processes

1.6.5.3 All contractor employees, including subcontractor employees who are not in possession of the appropriate security clearance, will be escorted in areas where they may be exposed to classified and/or sensitive materials. The Contractor will coordinate with the COR and/or the facility security office for access if/when required.

1.6.5.4. Pre-screen applicants using E-Verify Program. The Contractor must pre-screen applicants using the E-verify Program (http://www.dhs.gov/E-Verify) website to meet the established employment eligibility requirements. The Contractor must ensure that the applicant has two valid forms of government issued identification. Contractor responsible for ensuring security documentation is completed by applicants. The Contractor must facilitate the security screening process for CRPs (US/non-US citizens who do not require a security clearance and/or access to classified information) by ensuring the applicants complete the required security documentation (Privacy Act Advisement, SF 85P, Fingerprint Cards, OFI Form 86C Special Agency Check (SAC), Intelligence Security Questionnaire, and a National Intelligence Agency Spreadsheet). A blank security CI-screening packet will be provided to the Contractor by the Contracting Office upon request. An initial list of applicants must be provided to the COR no later than 7 business days after the initial contract award to start the CI-focused security screening process.

1.6.5.5. NCIC and terrorist threat data base screening required. All contractor employees, including subcontractor employees, who are not in possession of a current Common Access Card (CAC) will be vetted by the local security office to determine fitness and eligibility for access IAW DTM 09-012, paragraph 2.b(4) to include but not limited to an NCIC III and Terrorist Database screening. The Contractor will ensure that the government has sufficient biographical information to conduct said screening including, but not limited to the person’s name, date of birth, and social security number.

1.6.5.6. If required, contractors must provide completed packets at least 70 days prior to the start of the training event/exercise in a sealed envelope/box to the designated security office conducting the CI-focused security screenings. The Contractor must ensure that applicants are available for scheduled interviews. The Contractor must provide the COR notification of those applicants who will not be available for interviews prior to the scheduled event.

1.6.5.7. COR notification to the Contractor. If required, the COR will notify the Contractor of the access determination for each applicant after the CI-focused screenings are complete. The Contractor must provide a final list of vetted/approved applicants to the COR at least 7 business days prior to the start of the training/exercise event to ensure that the Installation Security Office is notified in advance.

1.6.5.8. iWATCH training. The Contractor and all associated subcontractors shall brief all employees on the local iWATCH program (training standards provided by the government requiring activity Antiterrorism Officer (ATO)). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the designated security office. Training shall be completed within 60 calendar days of contract award and within 30 calendar days of new employees' commencing performance with the results reported to the COR no later than 30 days after contract award and new employees' commencing performance.

1.6.5.9. Requirement for OPSEC training. Per AR 530-1, Operations Security, new contract employees shall complete OPSEC Level I training within 30 calendar days of reporting for duty. All contract employees shall complete annual OPSEC Awareness Training.

1.6.5.10. For contractors that do not require CAC, but require a federal ID access to a DOW facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations. When issued by local authority the Contractor shall report departed employees and the dates their local identification cards were returned to the COR or the Installation issuing facility as of the last day of the month on a monthly basis. The report will include the names and circumstances of those departed employees whose local identification card was not retrieved. Negative reports are required.

1.6.6. Special Qualifications: The contractor shall be responsible for providing the appropriate number of instructors that must be certified, qualified, and accredited to provide training, assessment and national certification testing for the following certifications: NREMT-B, AMLS, PHTLS, and TCCC tier III. The contractor must have a previous EMT-B passing rate of 90% or higher within the last two years. The contractor should also make all coordination for any student patient encounter requirements necessary for testing and certification. The contractor shall have experience providing SOFACC programs (EMT-B, PHTLS, AMLS, TCCC, PFC) within the last two (2) years.

1.6.7. The Contractor shall have experience providing instruction and testing in NREMT-B, AMLS, PHTLS, TCCC tier III, prolonged field care, and other aspects of military medicine. The Contractor shall be responsible for ensuring all personnel performing work under this contract possess and maintain current certifications as indicated in PWS.

1.6.8. The contractor shall facilitate or coordinate National Registry testing for up to 18 students.

1.6.9. SOFAMT Training Assessment Mechanisms The Contractor will conduct periodic quizzes (learning checks) and quiz retesting as needed. Retesting frequency, End of Course Evaluations and After Action Review data sets are collected and reviewed by the Contracting Officer Representative to determine metrics of success and areas of the POI needing improvement.

1.6.10. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer, Contracting Officers Representative (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 will 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.

1.6.11. Contracting Officer Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration 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 furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, 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.

1.6.12. Key Personnel (Resumes Required):

1.6.12.1. Program Director: The Contractor shall provide a Program Director (PD) separate from the Program Manager, LSSS and CULEX Director and other named positions who shall be responsible for the overall performance of the work under this contract. The PD or PM shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. This position is expected to forecast course and contractor needs for long, medium, and short-range management. This position is to ensure the contractor portion of training is finalized prior to training at least one quarter (three months) ahead. The PD must be a former graduate of the USSOCOM 18D, SOCM, SARC or SOIDC programs with more than 10 years operational experience in SOF which must include multiple deployments to include JCETS, JIIM and other low visibility operations working in austere environments. The PD must also have multiple combat deployments and at least 10 years instructing USSOCOM medical courses. It is highly desirable that the PD have completed the Basic Army Instructor Course, the Small Group Instructor Course, the training Development Course and/or additional graduate education and hold a current Paramedic, PA, RN or MD license or certification.

1.6.12.2. Program Manager: The Contractor shall provide a Program Manager (PM) separate from the CULEX Director and other named positions who shall be responsible for the daily performance of the work under this contract who shall act for the Contractor when the PD is absent. The PM shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. This position is expected to forecast course and contractor needs for long, medium, and short-range management. This position is to ensure that the contractor portion of training is finalized prior to training at least one quarter (three months) ahead. The PM shall be available between the hours of 8:00 AM to 5:00 PM, Monday through Friday, except federal holidays or when the government facility is closed for administrative reasons. The PM must be a former graduate of the USSOCOM 18D, SOCM, SARC or SOIDC programs with more than 5 years operational experience in SOF which must include multiple deployments to include JCETS, JIIM and other low visibility operations working in austere environments. The PM must also have multiple combat deployments and at least 7 years instructing USSOCOM medical courses. It is highly desirable that the PM have completed the Basic Army Instructor Course, the Small Group Instructor Course, the training Development Course and/or additional graduate education and hold a current Paramedic, PA, RN or MD license or certification.

1.6.12.3 Logistics and Simulations Support Specialist (LSSS). The Contractor shall provide a logistics and simulations support specialist (LSSS) who will work the entire SOFACC course to include one week prior the start of the course for preparation and one week after each course for maintenance and accountability. The Contractor LSSS will be responsible for all the organization, cleanliness and readiness of the facilities, equipment and supplies for each day of each class.

1.6.12.4 Culex Director (CD). The Contractor shall provide a CULEX Director if the CLIN is optioned. The CD will coordinate and prepare all training sites, (including MASCAL sites), timelines, tele-med coordination, student briefs, instructor readiness, moulage patients, vehicles, drivers, role players, scenario development, and maintain a friendly demeanor as a representative of the professional course that is established. The CD must be a stand-alone position and not dual tasked as an instructor, site overseer, driver or role player. The CULEX Director must have experience in instructing similar scoped medical courses and prolonged field care medical training exercises.

1.6.12.5. Phase 1 Instructors: The Contractor shall provide one qualified instructor to facilitate and guide DL on a remote on-line platform for all students. Daily instruction will progress with the course material through the 6 weeks of DL. Instruction shall be open to all students for no less than 4 hours a working day.

1.6.12.6. Phase 2 Instructors: The Contractor shall provide a proper ratio of one qualified instructor to six students as required by the National Registry. These instructors will be in addition to the PM and will instruct classes and facilitate hands-on skills practice and testing. Instructors must be former graduates of the USSOCOM 18D, SOCM, SARC or SOIDC programs with more than 4 years operational experience in SOF with at least 2 years’ experience instructing SOCOM medical personnel including proctoring prolonged field care lanes on or off military installations.

1.6.12.7. Phase 3 CULEX Proctor/Instructors: The Contractor shall provide one instructor per small team of maximum 6 students throughout CULEX hands-on skills and simulated clinics. CULEX lane instructors must be a former graduate of the USSOCOM 18D, SOCM, SARC or SOIDC programs with more than 4 years operational experience in SOF with at least 2 years’ experience instructing SOCOM medical personnel including proctoring prolonged field care lanes on or off military installations.

1.6.13. Contractor Personnel Appearance and Performance: It is essential that all Contractor personnel meet the highest standards of professionalism and personal integrity. The Contractor shall ensure their personnel do not perform work under the influence of alcohol, illegal prescribed drugs or any other incapacitating agents. Contractor personnel shall be neatly groomed and dressed in business casual attire to always present a professional appearance.

1.6.14. Recognized Holidays: The contractor shall not be required to perform services on recognized Federal Holidays.

Independence Day

1.6.14.1. When a holiday occurs on a Saturday, Federal employees are normally granted the previous Friday as the holiday observance. When a holiday occurs on a Sunday, Federal employees are normally granted the following Monday as the holiday. The contractor shall work on the days the Government is scheduled to work.

1.6.14.2. When an unforeseen installation closure occurs on a regularly scheduled day of work, the Contractor will have the following options:

1.6.14.3. Reschedule the work so it is performed the following day unless the following day falls on a weekend.

1.6.14.4. Reschedule the work on any day that is mutually satisfactory

PART 2

DEFINITIONS & ACRONYMS

2. Definitions and Acronyms:

2.1. DEFINITIONS:

2.2. ACRONYMS:

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: 1st SFC(A), GX, SOFACC cadre will be on site during all resident training modules to facilitate training and provide additional instruction if needed. SOFACC Cadre will review all training plans and POI NLT 60 days prior. SOFACC cadre will update the contractor on any changes to the SOFAMT SOP such as scope of practice and drug formulary.

3.2. Facilities/Utilities: The Government will provide a building that includes classrooms, latrines, locked storage, office space and break areas. The training facilities will support classroom instruction and practical exercises to include wooded outdoor areas for trauma lanes and medical scenarios. The facilities will include individual small group clinics for clinical and PFC training. Secured storage of equipment and class VIII will be allowed at training site.

3.3. Equipment: The classroom will be equipped with audio and visual aids to facilitate instruction. Chairs, tables, refrigerator, instructor podium and monitors will be provided.

3.4. Materials: none

Part 4

CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1. General: The Contractor shall furnish all supplies, equipment, and services required to perform work under this contract. The Contractor assumes all liability for their personnel, contractors, and products throughout the life of this contract.

4.1.1. The contractor must produce a course curriculum to be approved by the Government personnel no later than 14 days prior to the course registration deadline date with the understanding that based on feedback and mission changes could evolve over time to fit identified needs.

4.1.2. Contractor will provide National Registry Emergency Technician Basic (NREMT-B), National Association of Emergency Medical Technicians Prehospital Trauma Life Support (NAEMT PHTLS), National Association of Emergency Medical Technicians Advanced Medical Life Support (NAEMT AMLS), and National Association of Emergency Medical Technicians Tactical Combat Casualty Care Tier III Combat Medic/Corpsman (NAEMT TCCC Tier 3 CMC). Recommended resources and/or textbooks; new/unopened consumable CLVIII medical supplies, patient assessment and monitoring equipment, disposable training aides, serviceable and non-disposable task trainer replicas for students each day IAW US medical standards of quality for patient care. The Contractor is responsible for all items, associated costs, transport, procurement, and anything not listed necessary to fulfill SOFACC support requirements.

4.2 Phase 1: Distance Learning (DL)

4.2.1 Facilities: Contractor will provide adequate DL platforms to hold virtual NREMT-B, PHTLS and AMLS courses for no less than 4 hours a day. These platforms shall provide positive didactic communication flow from the students to the instructor’s feedback, which satisfies the requirements to achieve a passing score on the NREMT-B, PHTLS and AMLS testing during Phase 2.

4.2.2 Materials: All required DL based training aids as required by NREMT-B, PHTLS and AMLS. The Contractor shall develop end of day and end-of-week quizzes designed to prepare the SOFACC student to pass the NREMT-Basic exam. The sum of these preparatory quiz questions shall be no less than 1500 simulated NREMT-B based test questions. Both metrics from previous class NREMT-B results and class instructor feedback will be used to continually tailor these exams/quizzes.

4.2.3 Personnel: PD, PM, as previously described in 1.6.12., an adequate number of qualified NREMT and NAEMT instructors who meet national requirements to facilitate DL.

4.2.5 Certifications/vouchers: Provides all vouchers required for NREMT-B, AMLS and PHTLS course of instruction material. The Contractor shall develop end of day and end of week quizzes designed to prepare the SOFACC student to pass the NREMT-B, PHTLS and AMLS exams.

4.3. Phase 2: Residence

4.3.1. Facilities: The Government will provide a training facility that allows for both large classroom didactics as well as individual rooms for small-group simulations. When fulfilling patient encounter requirements for EMT-B, the contractor will coordinate all necessary ambulance ride-along schedules and locations. The Contractor shall be responsible for coordinating and scheduling an on-post or off-post testing facility that meets National Registry Emergency Medical Technician requirements/constraints.

4.3.2. Materials: The Contractor is required to provide all required CLVIII expendable, non-expendable, durable and reuseable medical supplies, all training aids and equipment needed NREMT-B, AMLS, PHTLS and TCCC tier III. Additional specialized materials required to perform intravenous infusions, autologous blood transfusions, cricothyroidotomy etc. and other applicable procedures. Contractor will provide high fidelity wearable, simulated task trainers and role players with clothing that can be torn or cut away during training scenarios as required. The Contractor shall develop end of day and end-of-week quizzes designed to prepare the SOFACC student to pass the NREMT-Basic exam. The sum of these preparatory quiz questions shall be no less than 1500 simulated NREMT-B based test questions. Both metrics from previous class NREMT-B results and class instructor feedback will be used to continually tailor these exams/quizzes.

4.3.3 Personnel: PD, PM, LSSS, as previously described in 1.6.12., an adequate number of instructors qualified to meet NREMT and NAEMT teaching requirements. During the first two Saturdays of training the Contractor shall provide an instructor to be available for a six-hour study hall, voluntary to students. This study hall's purpose is to prepare students to pass the National Registry Emergency Medical Technician-Basic exam. This is in addition to previous and subsequent manpower requirements.

4.3.4 Vehicles: Ambulance or other vehicles which meet the requirements of the mandatory Emergency Vehicle Operator Safety (EVOS) training module. Vehicle props to be used for simulated training scenarios.

4.3.5 Certifications: Provides all students upon successful completion of all tasks and test required with NREMT-B, NAEMT PHTLS, NAEMT AMLS, NAEMT TCCC Tier 3 CMC. The Contractor shall monitor student performance during the practical exercise phase, and award appropriate credentials and certifications at the conclusion of residence training.

4.4. Phase 3: CULEX (if optioned)

4.4.1.1 CULEX Facilities: IAW 1.4.1, This Contract Line-Item Number (CLIN) will be utilized to provide SOFACC students with the opportunity to apply their skills in a simulated Irregular Warfare (IW) environment. The Contractor must provide dedicated training facilities and locations for the CULEX. Training facilities must provide on-site lodging and meals to facilitate long training hours. The Facility must have a minimum of two on-site classrooms with capacity for 6 students each. The facility must provide four dedicated medical simulation labs with A/V recording capabilities. The Contractor must provide a minimum 200 acres of austere training areas in the immediate vicinity of the main training facility. The Contractor must provide separate CULEX areas. These facilities and the usage of these facilities may fluctuate and change every SOFACC course in order to facilitate varied scenario events and unit specific objectives. The contractor provided facilities must cover an extended exercise area of 25 miles for long-distance movements. All facilities must be contractor provided and managed facilities. The contractor shall also provide a dedicated CULEX support building to facilitate back-side support, command and control, and role player ready areas. The contractor will provide non-standard urban sites, to include three hotel rooms, large commercial buildings, and a minimum of three separate safe houses. Additionally, the contractor will provide rural sites, including three guerrilla bases, three Underground Hospitals, and three different scenario sites replicating operational environments and problem sets. This is required to facilitate the SOFACC CULEX during each iteration of training.

4.4.2 Materials: The Contractor is required to provide all CLVIII expendable medical supplies, training aids and equipment needed for the course. The Contractor will provide high fidelity wearable and simulated task trainers. The contractor shall provide the role players with clothing that can be torn or cut away during training scenarios. The contractor must provide a minimum of one modern battlefield casualty scenario including battlefield effects simulations, UAV strike simulations, smoke generators, and non-pyrotechnic large explosion simulators.

4.4.3 CULEX Personnel: PD, PM, LSSS and CD as previously described in 1.6.12., an adequate number of qualified instructors, Role-players actors, and professional moulage artists. Minimum personnel required per small team: one Instructor, one Lane Manager/Driver, one Primary Role-player actor. Contractor small-group instructor personnel must be prior SOF Medic/Corpsmen/Medical Technicians, and maintain either a National Registry Paramedic Certification, or State Paramedic Certification, or higher medical credential. The contractor is liable for providing medical coverage for contracted personnel in the event of an adverse outcome. They shall be physically able to endure extended exercise scenarios, as well as endure local outdoor and seasonal weather conditions. They must also be able to provide realistic patient reactions during exercise scenarios. The Contractor assumes all liability and responsibility for role players during medical training scenarios. The Contractor provides simulators and mannequins for use whenever procedures are infeasible on live role players. The contractor is solely responsible for the wellbeing, medical treatment and insurance of each role player.

4.4.4.1 CULEX Vehicles: The Contractor shall provide vehicle support during the CULEX to include one box truck style vehicle for exercise support and one air-conditioned van per small team.

4.4.4.2 The Contractor shall provide access to utilize the ADVISOR telemedicine line or a contractor provided telemedicine service that replicates the ADVISOR system. The students will be utilizing their phones/radios/network to contact contractor coordinated tele-med providers or service. This service or contracted providers will be available during all training events.

4.4.5 Labor/Non-Labor Summaries: The Contractor shall provide the COR invoice summaries within thirty days of the last day of each course.

Part 5 Performance Requirement Summary