Amendment_1__Solicitation_HSFE70-17-R-0008.pdf
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HSFE70-17-R-0008
SOLICITATION, OFFER AND AWARD
4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER
7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)
ORDER UNDER DPAS (15 CFR 700)
6. REQUISITION/PURCHASE NUMBER
NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".
NEGOTIATED (RFP)
SEALED BID (IFB)
5. DATE ISSUED
1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES
1 241
C. E-MAIL ADDRESS
EXT.NUMBERAREA CODE
B. TELEPHONE (NO COLLECT CALLS)A. NAME
10. FOR
INFORMATION
CALL:
CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.
(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the
SOLICITATION
9. Sealed offers in original and
PART IV - REPRESENTATIONS AND INSTRUCTIONS
OTHER STATEMENTS OF OFFERORS
EVALUATION FACTORS FOR AWARD
INSTRS., CONDS., AND NOTICES TO OFFERORS
REPRESENTATIONS, CERTIFICATIONS AND
LIST OF ATTACHMENTS
CONTRACT CLAUSES
PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
I
J
K
L
M SPECIAL CONTRACT REQUIREMENTS
CONTRACT ADMINISTRATION DATA
DELIVERIES OR PERFORMANCE
INSPECTION AND ACCEPTANCE
PACKAGING AND MARKING
DESCRIPTION/SPECS./WORK STATEMENT
SUPPLIES OR SERVICES AND PRICES/COSTS
SOLICITATION/CONTRACT FORM
PART II - CONTRACT CLAUSESPART I - THE SCHEDULE
H
G
F
E
D
C
B
A
SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)
11. TABLE OF CONTENTS
18. OFFER DATE17. SIGNATURE
SUCH ADDRESS IN SCHEDULE.
IS DIFFERENT FROM ABOVE - ENTER
15C. CHECK IF REMITTANCE ADDRESS
EXT.NUMBERAREA CODE
15B. TELEPHONE NUMBER
(Type or print)AND
ADDRESS
OF
OFFEROR
CODE FACILITY
16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME
DATEAMENDMENT NO.DATEAMENDMENT NO.
and related documents numbered and dated):
amendments to the SOLICITATION for offerors
(The offeror acknowledges receipt of
14. ACKNOWLEDGEMENT OF AMENDMENTS
CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)
(See Section I, Clause No. 52.232.8)
13. DISCOUNT FOR PROMPT PAYMENT
designated point(s), within the time specified in the schedule.
by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the
12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted
NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.
OFFER (Must be fully completed by offeror)
IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.
28. AWARD DATE
(Signature of Contracting Officer)
27. UNITED STATES OF AMERICA
25. PAYMENT WILL BE MADE BY
26. NAME OF CONTRACTING OFFICER (Type or print)
CODE 24. ADMINISTERED BY (If other than Item 7)
ITEM
(4 copies unless otherwise specified)
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:
21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED
AWARD (To be completed by government)
CODE
03/24/2017 X
FEMA HQ
FEMA HQ
FEDERAL EMERGENCY MANAGEMENT AGENCY
OFFICE OF CHIEF PROCUREMENT OFFICE
500 C STREET SW
3RD FLOOR
WASHINGTON DC 20472
1100 ES 05/12/2017
Kimberly A Coakley 202 Kimberly.Coakley@fema.dhs
.gov664-9732
X
X
X
X
X
X
X
X
X
X
X
X
X
PAGE(S)
Sam K. Ansani
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is unusable
STANDARD FORM 33 (Rev. 9-97)
Prescribed by GSA - FAR (48 CFR) 53.214(c)
See Section L.10
Amendment 1 04/10/2017
Amendment 1
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Request for Proposals National Medical Transport and Support (NMTS)
Period of Performance: 07/28/2017 to 07/27/2022
0001 Zone 1, Readiness
See Section C 6.1
Period of Performance: 07/28/2017 to 01/27/2018
0001AA Zone 1, Readiness 6 MO
Period of Performance: 07/28/2017 to 01/27/2018
0001AB Zone 1, Readiness 6 MO
"Zones Plus" Readiness
Period of Performance: 07/28/2017 to 01/27/2018
0001AC Zone 1, Readiness 6 MO
Shelter Packages - Replenishment
Medical and General
See Section C 6.2
Period of Performance: 07/28/2017 to 01/27/2018
0002 Zone 1, Start-Up cost 1 LO
Period of Performance: 07/28/2017 to 01/27/2018
0003 Zone 1, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0003AA Zone 1, Ground Ambulance 750 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0003AB Zone 1, Ground Ambulance 375 HR
Type IV - BLS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0003AC Zone 1, Ground Ambulance 25 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0003AD Zone 1, Ground Ambulance 25 HR
Type VI - Critical Care
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004 Zone 1, Para-Transit Vehicles
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
NSN 7540-01-152-8067
3 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
See Section C 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004AA Zone 1, Para-Transit Vehicles 12 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Block
Period of Performance: 07/28/2017 to 01/27/2018
0004AB Zone 1, Para-Transit Vehicles 90 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004AC Zone 1, Para-Transit Vehicles 90 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004AD Zone 1, Para-Transit Vehicles 150 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004AE Zone 1, Para-Transit Vehicles 55 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0004AF Zone 1, Para-Transit Vehicles 50 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0005 Zone 1, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0005AA Zone 1, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0005AB Zone 1, Air Resources - Fixed Wing 20 HR
Type II - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
4 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
0005AC Zone 1, Air Resources - Fixed Wing 10 HR
Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0006 Zone 1, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0006AA Zone 1, Air Resources - Rotary Wing 6 HR
Type I - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0006AB Zone 1, Air Resources - Rotary Wing 7 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0006AC Zone 1, Air Resources - Rotary Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0007 Zone 1, Subject Matter Expert 520 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0008 Zone 1, Communications Support Team Member 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0009 Zone 1, Paramedic - Fixed Location Support 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0010 Zone 1, EMT - Fixed Location Support 262 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0011 Zone 1, Operations Support Team Member 120 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
5 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0012 Zone 1, Specialty Nurse/Advance Practice Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0013 Zone 1, Registered Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0014 Zone 1, Critical Care Paramedic 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0015 Zone 1, Physician 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0016 Zone 1, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-to-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0017 Zone 1, Fuel 1 LO
Not-to-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0018 Zone 1, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-to-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0019 Zone 1, Additional Shelter Packages
See Attachment 8
Period of Performance: 07/28/2017 to 01/27/2018
0019AA Zone 1, Medical Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0019AB Zone 1, Medical Shelter Supplemental Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0019AC Zone 1, General Population Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0019AD Zone 1, General Population Shelter Supplemental 1 PK
Package
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
6 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
Period of Performance: 07/28/2017 to 01/27/2018
0020 Zone 2, Readiness
See Section C 6.1
Period of Performance: 07/28/2017 to 01/27/2018
0020AA Zone 2, Readiness 6 MO
Period of Performance: 07/28/2017 to 01/27/2018
0020AB Zone 2, RESERVED
Period of Performance: 07/28/2017 to 01/27/2018
0020AC Zone 2, Readiness 6 MO
Shelter Base Packages Readiness - Replenishment
Medical and General
See Section C 6.2
Period of Performance: 07/28/2017 to 01/27/2018
0021 Zone 2, Start up Cost 1 LO
Period of Performance: 07/28/2017 to 01/27/2018
0022 Zone 2, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0022AA Zone 2, Ground Ambulance 612 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0022AB Zone 2, Ground Ambulance 375 HR
Type IV - BLS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0022AC Zone 2, Ground Ambulance 25 HR
Type V - Bariatric ALS
Period of Performance: 07/28/2017 to 01/27/2018
0022AD Zone 2, Ground Ambulance 25 HR
Type VI - Critical Care
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023 Zone 2, Para-Transit Vehicles
See Section C 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
7 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0023AA Zone 2, Para-Transit Vehicles 12 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023AB Zone 2, Para-Transit Vehicles 90 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023AC Zone 2, Para-Transit Vehicles 90 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023AD Zone 2, Para-Transit Vehicles 150 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023AE Zone 2, Para-Transit Vehicles 55 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0023AF Zone 2, Para-Transit Vehicles 50 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0024 Zone 2, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0024AA Zone 2, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0024AB Zone 2, Air Resources - Fixed Wing 20 HR
Type II - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0024AC Zone 2, Air Resources - Fixed Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
8 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0025 Zone 2, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0025AA Zone 2, Air Resources - Rotary Wing 6 HR
Type I - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0025AB Zone 2, Air Resources - Rotary Wing 7 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0025AC Zone 2, Air Resources - Rotary Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0026 Zone 2, Subject Matter Expert 520 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0027 Zone 2, Communications Team Member 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0028 Zone 2, Paramedic - Fixed Location Support 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0029 Zone 2, EMT - Fixed Location Support 262 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0030 Zone 2, Operations Support Team Member 120 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0031 Zone 2, Specialty Nurse/Advance Practice Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
9 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0032 Zone 2, Registered Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0033 Zone 2, Critical Care Paramedic 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0034 Zone 2, Physician 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0035 Zone 2, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0036 Zone 2, Fuel 1 LO
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0037 Zone 2, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0038 Zone 2, Additional Shelter Packages PK
See Attachment 8
Period of Performance: 07/28/2017 to 01/27/2018
0038AA Zone 2, Medical Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0038AB Zone 2, Medical Shelter Supplemental Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0038AC Zone 2, General Population Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0038AD Zone 2, General Population Shelter Supplemental 1 PK
Package
Period of Performance: 07/28/2017 to 01/27/2018
0039 Zone 3, Readiness
See Section C 6.1
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
10 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0039AA Zone 3, Readiness 6 MO
Period of Performance: 07/28/2017 to 01/27/2018
0039AB Zone 3, RESERVED
Period of Performance: 07/28/2017 to 01/27/2018
0039AC Zone 3, Readiness 6 MO
Shelter Packages - Replenishment
Medical and Base
See Section C 6.2
Period of Performance: 07/28/2017 to 01/27/2018
0040 Zone 3, Start up Cost 1 LO
Period of Performance: 07/28/2017 to 01/27/2018
0041 Zone 3, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0041AA Zone 3, Ground Ambulance 612 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0041AB Zone 3, Ground Ambulance 375 HR
Type IV - BLS
Period of Performance: 07/28/2017 to 01/27/2018
0041AC Zone 3, Ground Ambulance 25 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0041AD Zone 3, Ground Ambulance 25 HR
Type VI - Critical Care
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0042 Zone 3, Para-Transit Vehicles
6/12 Hour Blocks
See Section C 8.2.1
Period of Performance: 07/28/2017 to 01/27/2018
0042AA Zone 3, Para-Transit Vehicles 12 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
11 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0042AB Zone 3, Para-Transit Vehicles 90 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0042AC Zone 3, Para-Transit Vehicles 90 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0042AD Zone 3, Para-Transit Vehicles 150 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0042AE Zone 3, Para-Transit Vehicles 55 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0042AF Zone 3, Para-Transit Vehicles 50 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0043 Zone 3, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0043AA Zone 3, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0043AB Zone 3, Air Resources - Fixed Wing 20 HR
Type II - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0043AC Zone 3, Air Resources - Fixed Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0044 Zone 3, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
12 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0044AA Zone 3, Air Resources - Rotary Wing 6 HR
Type I - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0044AB Zone 3, Air Resources - Rotary Wing 7 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0044AC Zone 3, Air Resources - Rotary Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0045 Zone 3, Subject Matter Expert 520 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0046 Zone 3, Communications Support Team Member 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0047 Zone 3, Paramedic - Fixed Location Support 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0048 Zone 3, EMT - Fixed Location Support 262 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0049 Zone 3, Operations Support Team Member 120 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0050 Zone 3, Specialty Nurse/Advance Practice Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0051 Zone 3, Registered Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
13 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
0052 Zone 3, Critical Care Paramedic 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0053 Zone 3, Physician 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0054 Zone 3, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0055 Zone 3, Fuel 1 LO
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0056 Zone 3, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0057 Zone 3, Additional Shelter Packages
See Attachment 8
Period of Performance: 07/28/2017 to 01/27/2018
0057AA Zone 3, Medical Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0057AB Zone 3, Medical Shelter Supplemental Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0057AC Zone 3, General Population Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0057AD Zone 3, General Population Shelter Supplemental 1 PK
Package
Period of Performance: 07/28/2017 to 01/27/2018
0058 Zone 4, Readiness
See Section C 6.1
Period of Performance: 07/28/2017 to 01/27/2018
0058AA Zone 4, Readiness 6 MO
Period of Performance: 07/28/2017 to 01/27/2018
0058AB Zone 4, RESERVED
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
14 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Period of Performance: 07/28/2017 to 01/27/2018
0058AC Zone 4, Readiness 1 YR
Shelter Packages - Replenishment
Medical and Base
See Section C 6.2
Period of Performance: 07/28/2017 to 01/27/2018
0059 Zone 4, Start up Cost 1 LO
Period of Performance: 07/28/2017 to 01/27/2018
0060 Zone 4, Ground Ambulance
See Section 8.2.1
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0060AA Zone 4, Ground Ambulance 612 HR
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0060AB Zone 4, Ground Ambulance 375 HR
Type IV - BLS
Period of Performance: 07/28/2017 to 01/27/2018
0060AC Zone 4, Ground Ambulance 25 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0060AD Zone 4, Ground Ambulance 25 HR
Type VI - Critical Care
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061 Zone 4, Para-Transit Vehicles
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AA Zone 4, Para-Transit Vehicles 12 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AB Zone 4, Para-Transit Vehicles 90 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AC Zone 4, Para-Transit Vehicles 90 HR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
15 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AD Zone 4, Para-Transit Vehicles 150 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AE Zone 4, Para-Transit Vehicles 55 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0061AF Zone 4, Para-Transit Vehicles 50 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0062 Zone 4, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0062AA Zone 4, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0062AB Zone 4, Air Resources - Fixed Wing 20 HR
Type II - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0062AC Zone 4, Air Resources - Fixed Wing 20 HR
Type II - CC and ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0063 Zone 4, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0063AA Zone 4, Air Resources - Rotary Wing 6 HR
Type I - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0063AB Zone 4, Air Resources - Rotary Wing 7 HR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
16 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Type II - ALS
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0063AC Zone 4, Air Resources - Rotary Wing 10 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0064 Zone 4, Subject Matter Expert 520 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0065 Zone 4, Communications Support Team Member 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0066 Zone 4, Paramedic - Fixed Location Support 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0067 Zone 4, EMT - Fixed Location Support 262 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0068 Zone 4, Operations Support Team Member 120 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0069 Zone 4, Specialty Nurse/Advance Practice Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0070 Zone 4, Registered Nurse 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0071 Zone 4, Critical Care Paramedic 112 HR
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0072 Zone 4, Physician 112 HR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
17 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
See Attachment 9
6/12 Hour Blocks
Period of Performance: 07/28/2017 to 01/27/2018
0073 Zone 4, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0074 Zone 4, Fuel 1 LO
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0075 Zone 4, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-To-Exceed
Period of Performance: 07/28/2017 to 01/27/2018
0076 Zone 4, Additional Shelter Packages
See Attachment 8
Period of Performance: 07/28/2017 to 01/27/2018
0076AA Zone 4, Medical Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0076AB Zone 4, Medical Shelter Supplemental Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0076AC Zone 4, General Population Shelter Base Package 1 PK
Period of Performance: 07/28/2017 to 01/27/2018
0076AD Zone 4, General Population Shelter Supplemental 1 PK
Package
Period of Performance: 07/28/2017 to 01/27/2018
1001 Zone 1, Readiness
See Section C 6.1
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1001AA Zone 1, Readiness 12 MO
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1001AB Zone 1, Readiness 12 MO
"Zones Plus" Readiness
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
18 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
1001AC Zone 1, Readiness 1 YR
Shelter Packages - Replenishment
Medical and General
See Section C 6.2
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1002 Zone 1, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1003 Zone 1, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1003AA Zone 1, Ground Ambulance 1500 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1003AB Zone 1, Ground Ambulance 750 HR
Type IV - BLS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1003AC Zone 1, Ground Ambulance 50 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1003AD Zone 1, Ground Ambulance 50 HR
Type VI - Critical Care
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004 Zone 1, Para-Transit Vehicles
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AA Zone 1, Para-Transit Vehicles 25 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Block
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
19 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AB Zone 1, Para-Transit Vehicles 175 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AC Zone 1, Para-Transit Vehicles 175 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AD Zone 1, Para-Transit Vehicles 300 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AE Zone 1, Para-Transit Vehicles 110 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1004AF Zone 1, Para-Transit Vehicles 95 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1005 Zone 1, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1005AA Zone 1, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1005AB Zone 1, Air Resources - Fixed Wing 35 HR
Type II - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
20 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
1005AC Zone 1, Air Resources - Fixed Wing 15 HR
Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1006 Zone 1, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1006AA Zone 1, Air Resources - Rotary Wing 10 HR
Type I - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1006AB Zone 1, Air Resources - Rotary Wing 15 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1006AC Zone 1, Air Resources - Rotary Wing 20 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1007 Zone 1, Subject Matter Expert 1040 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1008 Zone 1, Communications Support Team Member 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1009 Zone 1, Paramedic - Fixed Location Support 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1010 Zone 1, EMT - Fixed Location Support 525 HR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
21 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1011 Zone 1, Operations Support Team Member 235 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1012 Zone 1, Specialty Nurse/Advance Practice Nurse 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1013 Zone 1, Registered Nurse 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1014 Zone 1, Critical Care Paramedic 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1015 Zone 1, Physician 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1016 Zone 1, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-to-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1017 Zone 1, Fuel 1 LO
Not-to-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1018 Zone 1, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-to-Exceed
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
22 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1019 Zone 1, Additional Shelter Packages
See Attachment 8
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1019AA Zone 1, Medical Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1019AB Zone 1, Medical Shelter Supplemental Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1019AC Zone 1, General Population Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1019AD Zone 1, General Population Shelter Supplemental 1 PK
Package
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1020 Zone 2, Readiness
See Section C 6.1
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1020AA Zone 2, Readiness 12 MO
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1020AB Zone 2, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1020AC Zone 2, Readiness 1 YR
Shelter Base Packages Readiness - Replenishment
Medical and General
See Section C 6.2
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1021 Zone 2, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1022 Zone 2, Ground Ambulance
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
23 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1022AA Zone 2, Ground Ambulance 1225 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1022AB Zone 2, Ground Ambulance 750 HR
Type IV - BLS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1022AC Zone 2, Ground Ambulance 50 HR
Type V - Bariatric ALS
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1022AD Zone 2, Ground Ambulance 50 HR
Type VI - Critical Care
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023 Zone 2, Para-Transit Vehicles
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023AA Zone 2, Para-Transit Vehicles 25 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023AB Zone 2, Para-Transit Vehicles 175 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023AC Zone 2, Para-Transit Vehicles 175 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
24 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Period of Performance: 01/28/2018 to 01/27/2019
1023AD Zone 2, Para-Transit Vehicles 300 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023AE Zone 2, Para-Transit Vehicles 110 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1023AF Zone 2, Para-Transit Vehicles 95 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1024 Zone 2, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1024AA Zone 2, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1024AB Zone 2, Air Resources - Fixed Wing 35 HR
Type II - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1024AC Zone 2, Air Resources - Fixed Wing 15 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1025 Zone 2, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
25 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
1025AA Zone 2, Air Resources - Rotary Wing 10 HR
Type I - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1025AB Zone 2, Air Resources - Rotary Wing 15 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1025AC Zone 2, Air Resources - Rotary Wing 20 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1026 Zone 2, Subject Matter Expert 1040 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1027 Zone 2, Communications Team Member 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1028 Zone 2, Paramedic - Fixed Location Support 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1029 Zone 2, EMT - Fixed Location Support 525 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1030 Zone 2, Operations Support Team Member 235 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1031 Zone 2, Specialty Nurse/Advance Practice Nurse 225 HR
See Attachment 9
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
26 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1032 Zone 2, Registered Nurse 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1033 Zone 2, Critical Care Paramedic 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1034 Zone 2, Physician 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1035 Zone 2, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1036 Zone 2, Fuel 1 LO
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1037 Zone 2, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1038 Zone 2 - Additional Shelter Packages
See Attachment 8
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1038AA Zone 2 - Medical Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1038AB Zone 2 - Medical Shelter Supplemental Package 1 PK
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
27 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
HSFE70-17-R-0008
(A) (B) (C) (D) (E) (F)
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1038AC Zone 2 - General Population Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1038AD Zone 2 - General Population Shelter Supplemental 1 PK
Package
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1039 Zone 3, Readiness
See Section C 6.1
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1039AA Zone 3, Readiness 12 MO
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1039AB Zone 3, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1039AC Zone 3, Readiness 1 YR
Shelter Packages - Replenishment
Medical and Base
See Section C 6.2
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1040 Zone 3, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1041 Zone 3, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1041AA Zone 3, Ground Ambulance 1225 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1041AB Zone 3, Ground Ambulance 750 HR
Type IV - BLS
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
28 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1041AC Zone 3, Ground Ambulance 50 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1041AD Zone 3, Ground Ambulance 50 HR
Type VI - Critical Care
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042 Zone 3, Para-Transit Vehicles
6/12 Hour Blocks
See Section C 8.2.1
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042AA Zone 3, Para-Transit Vehicles 25 HR
Type I - Sedan/Minivan (1-7 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042AB Zone 3, Para-Transit Vehicles 175 HR
Type II - Minibus (8-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042AC Zone 3, Para-Transit Vehicles 175 HR
Type III - Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042AD Zone 3, Para-Transit Vehicles 300 HR
Type IV - Wheelchair Van (1-9 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1042AE Zone 3, Para-Transit Vehicles 110 HR
Type V - ADA Minibus (10-26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
29 241
CONTINUATION SHEET
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(A) (B) (C) (D) (E) (F)
1042AF Zone 3, Para-Transit Vehicles 95 HR
Type VI - ADA Transit Bus (>26 Seats)
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1043 Zone 3, Air Resources - Fixed Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1043AA Zone 3, Air Resources - Fixed Wing 10 HR
Type I - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1043AB Zone 3, Air Resources - Fixed Wing 35 HR
Type II - CC and ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1043AC Zone 3, Air Resources - Fixed Wing 15 HR
Type III - Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1044 Zone 3, Air Resources - Rotary Wing
See Section C 8.2.2
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1044AA Zone 3, Air Resources - Rotary Wing 10 HR
Type I - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1044AB Zone 3, Air Resources - Rotary Wing 15 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1044AC Zone 3, Air Resources - Rotary Wing 20 HR
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
30 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
Type III - Neonatal Specific
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1045 Zone 3, Subject Matter Expert
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1046 Zone 3, Communications Support Team Member 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1047 Zone 3, Paramedic - Fixed Location Support 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1048 Zone 3, EMT - Fixed Location Support 525 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1049 Zone 3, Operations Support Team Member 235 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1050 Zone 3, Specialty Nurse/Advance Practice Nurse 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1051 Zone 3, Registered Nurse 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1052 Zone 3, Critical Care Paramedic 225 HR
See Attachment 9
6/12 Hour Blocks
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
31 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1053 Zone 3, Physician 225 HR
See Attachment 9
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1054 Zone 3, Travel 1 LO
Actuals reimbursed per the Federal Travel
Regulations (FTR)
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1055 Zone 3, Fuel 1 LO
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1056 Zone 3, Other Direct Cost 1 LO
To be approved in advanced by the CO and/or COR
Not-To-Exceed
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1057 Zone 3, Additional Shelter Packages
See Attachment 8
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1057AA Zone 3, Medical Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1057AB Zone 3, Medical Shelter Supplemental Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1057AC Zone 3, General Population Shelter Base Package 1 PK
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1057AD Zone 3, General Population Shelter Supplemental 1 PK
Package
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1058 Zone 4, Readiness
Continued ...
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
32 241
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
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(A) (B) (C) (D) (E) (F)
See Section C 6.1
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1058AA Zone 4, Readiness 12 MO
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1058AB Zone 4, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1058AC Zone 4, Readiness 1 YR
Shelter Packages - Replenishment
Medical and Base
See Section C 6.2
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1059 Zone 4, RESERVED
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1060 Zone 4, Ground Ambulance
See Section C 8.2.1
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1060AA Zone 4, Ground Ambulance 1225 HR
Type II - ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1060AB Zone 4, Ground Ambulance 750 HR
Type IV - BLS
Date Option to be Exercised01/28/2018
Period of Performance: 01/28/2018 to 01/27/2019
1060AC Zone 4, Ground Ambulance 50 HR
Type V - Bariatric ALS
6/12 Hour Blocks
Date Option to be Exercised01/28/2018
Period of…
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