Solicitation HSFE90-12-R-0038.pdf

1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

UNDER DPAS (15 CFR 700)

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

SEALED BID (IFB)

NEGOTIATED (RFP)

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

9. Sealed offers in original and _____________________________ copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in until local time _______________________ (Hour) (Date)

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.

A. NAME B. TELEPHONE (NO COLLECT CALLS) C. E-MAIL ADDRESS

AREA CODE NUMBER EXT.

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A SOLICITATION/CONTRACT FORM I CONTRACT CLAUSES

B SUPPLIES OR SERVICES AND PRICES/COSTS PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

C DESCRIPTION/SPECS./WORK STATEMENT J LIST OF ATTACHMENTS

D PACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS

E INSPECTION AND ACCEPTANCE

F DELIVERIES OR PERFORMANCE

G CONTRACT ADMINISTRATION DATA L INSTR., CONDS., AND NOTICES TO OFFERORS

H SPECIAL CONTRACT REQUIREMENTS M EVALUATION FACTORS FOR AWARD

K

REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

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 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 designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

(See Section I, Clause No. 52-232-8)

14. ACKNOWLEDGEMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated:

CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER 15A. NAME AND

ADDRESS

OF OFFEROR

(Type or print)

15B. TELEPHONE NUMBER 17. SIGNATURE 18. OFFER DATE

AREA CODE NUMBER EXT.

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM (4 copies unless otherwise specified)

10 U.S.C. 2304(a) ( ) 41 U.S.C. 253(c) ( )

24. ADMINISTERED BY (If other than Item 7) 25. PAYMENT WILL BE MADE BY CODE CODE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

(Signature of Contracting Officer)

(REV. 9-97)

10. FOR INFORMATION CALL:

11. TABLE OF CONTENTS

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 33

Previous edition is unusable Prescribed by GSA-FAR (48 CFR) 53.214(c)

SOLICITATION, OFFER AND AWARD

SOLICITATION

OFFER (Must be fully completed by offeror)

AWARD (To be completed by Government)

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HSFE90-12-R-0038 05/15/2012

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Federal Emergency Management Agency FEMA/OCPO Office of the Chief Procurement Officer Attn: Marcelle Loveday

395 E St. S.W., PP 5th Floor 395 E St. S.W., PP 5th Floor, W72 Washington DC 20472-3205 Washington DC 20472-3205

See Section L

395 E St. SW; Washington DC 20472-3205 11:00am EST 06/15/2012

Marcelle Loveday 202 646-3859 Marcelle.Loveday@dhs.fema.gov

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Federal Emergency Management Agency/FFC OCFO Finance Center Attn: Vendor Payments P.O. Box 9001 Winchester, VA 22604

AMENDMENT NO. P00001 10/27/2011

HSFE90-12-R-0038 TOC

TOC-1

TABLE OF CONTENTS

Contents

PART I - THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT LINE ITEMS

B.2 MINIMUM AND MAXIMUM FUNDING LIMITATIONS

B.3 SERVICE CONTRACT ACT WAGE DETERMINATIONS

B.4 TRAVEL

B.5 FUEL

B.6 OTHER DIRECT COSTS

B.7 PRICING SCHEDULE

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

SECTION D - PACKAGING AND MARKING

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

E.2 INSPECTION AND ACCEPTANCE

E.3 METHODS OF SURVEILLANCE

SECTION F - DELIVERIES OR PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

F.2 TERM OF CONTRACT

F.3 PLACE OF PERFORMANCE

F.4 PERIOD OF PERFORMANCE

F.5 DELIVERY SCHEDULE

SECTION G - CONTRACT ADMINISTRATION DATA

G.1 IDENTIFICATION OF GOVERNMENT OFFICIALS

G.2 CONTRACT ADMINISTRATION

G.3 CONTRACTING OFFICER’S REPRESENTATIVE TECHNICAL DIRECTION

G.4 TECHNICAL SURVEILLANCE

G.5 TASK ORDER PROCEDURES

G.6 INVOICES

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 SMALL BUSINESS SUBCONTRACTING PLAN

H.2 OVERTIME

H.3 ACCESSIBILITY OF MEETINGS, CONFERENCES, AND SEMINARS TO PERSONS WITH

DISABILITIES

H.4 REPRODUCTION OF REPORTS

H.5 COORDINATION OF FEDERAL REPORTING SERVICES

H.6 PUBLICATION

H.7 OBSERVANCE OF LEGAL HOLIDAYS

H.8 NON-PERSONAL SERVICES

H.9 DATA MANAGEMENT PROGRAM REQUIREMENTS

H.10 CONFIDENTIALITY OF INFORMATION

PART II - CONTRACT CLAUSES

SECTION I - CONTRACT CLAUSES

I.1 NOTICE OF HYBRID CONTRACT

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I.2 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

I.3 52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (FEB 2012)

I.4 52.209-8 UPDATES OF INFORMATION REGARDING RESPONSIBILITY MATTERS (FEB

2012)

I.5 52.215-23 LIMITATIONS ON PASS-THROUGH CHARGES (OCT 2009) ALTERNATE I (OCT

2009)

I.6 52.216-7 ALLOWABLE COST AND PAYMENT (JUN 2011)

I.7 52.216-18 ORDERING (OCT 1995)

I.8 52.216-19 ORDER LIMITATIONS (OCT 1995)

I.9 52.216-22 INDEFINITE QUANTITY (OCT 1995)

I.10 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

I.11 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

I.12 52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (JANUARY 2011) ALTERNATE II

(OCT 2001)

I.13 52.222-21 PROHIBITION OF SEGREGATED FACILITIES (FEB 1999)

I.14 52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

I.15 52.222-41 SERVICE CONTRACT ACT OF 1965 (NOV 2007)

I.16 52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989) .. 24

$ I.17 52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT ACT - PRICE

ADJUSTMENT (MULTIPLE YEAR AND OPTION CONTRACTS) (SEP 2009)

I.18 52.222-49 SERVICE CONTRACT ACT - PLACE OF PERFORMANCE UNKNOWN (MAY

1989)

I.19 52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (JAN 2009)

I.20 52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY DATA

(JAN 1997) ALTERNATE I (JUL 1995)

I.21 52.227-3 PATENT INDEMNITY (APR 1984)

I.22 52.232-7 PAYMENTS UNDER TIME-AND-MATERIALS AND LABOR-HOUR CONTRACTS

(FEB 2007) ALTERNATE I (FEB 2007)

I.23 FAR 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997) .. 33

I.24 52.249-14 EXCUSABLE DELAYS (APR 1984)

I.25 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

I.26 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

I.27 HSAR 3052.204-70 SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION

TECHNOLOGY RESOURCES (JUN 2006)

I.28 HSAR 3052.204-71 CONTRACTOR EMPLOYEE ACCESS (JUN 2006) ALTERNATE I (JUN

2006)

I.29 HSAR 3052.215-70 KEY PERSONNEL OR FACILITIES (DEC 2003)

I.30 HSAR 3052.242-71 DISSEMINATION OF CONTRACT INFORMATION (DEC 2003)

I.31 HSAR 3052.242-72 CONTRACTING OFFICER'S TECHNICAL REPRESENTATIVE (DEC

2003)

I.32 NARA RECORDS MANAGEMENT LANGUAGE FOR CONTRACTS

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

SECTION J - LIST OF ATTACHMENTS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF

OFFERORS

K.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

K.2 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (MAR 2012)

K.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (FEB 2012)

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K.4 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2008)

SECTION L - INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

L.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

L.2 52.215-16 FACILITIES CAPITAL COST OF MONEY (JUN 2003)

L.3 52.215-22 LIMITATIONS ON PASS-THROUGH CHARGES--IDENTIFICATION OF

SUBCONTRACT EFFORT (OCT 2009)

L.4 52.216-1 TYPE OF CONTRACT (APR 1984)

L.5 52.216-31 TIME-AND-MATERIALS/LABOR-HOUR PROPOSAL REQUIREMENTS--

COMMERCIAL ITEM ACQUISITION (FEB 2007)

L.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

L.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

L.8 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984)

L.9 NOTICE OF FILING REQUIREMENTS FOR AGENCY PROTESTS

L.10 PROPOSAL INSTRUCTIONS

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

M.2 EVALUATION INFORMATION

HSFE90-12-R-0038 Section B

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PART I - THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT LINE ITEMS

This is an indefinite-delivery, indefinite quantity contract from which task orders may be issued with fixed price, labor hour, and/or cost reimbursement line items, based on the situation that necessitates the order. Funding will be provided on a task order basis.

Task orders shall be issued in accordance with the Section G.5 entitled “Task Order Procedures”.

Readiness and one-time start-up prices shall be funded through a firm-fixed price task order. Readiness may include, but is not limited to, project management, training, reports, and software licenses necessary to maintain a constant state of readiness. The Price Schedule establishes fixed rates that shall be used in the issuance of fixed price or time-and-materials/labor hour task orders.

The fixed hourly rates include wages, overhead, general and administrative expenses, and profit.

B.2 MINIMUM AND MAXIMUM FUNDING LIMITATIONS

The guaranteed minimum for this contract is $10,000.00 for each zone. The maximum funding limitation of all task orders is $49,750,000.00 per zone per period. The not-to-exceed ceiling amount of the IDIQ including the base period and all option periods is $248,750,000.00 per zone.

B.3 SERVICE CONTRACT ACT WAGE DETERMINATIONS

The resulting contract and task orders will be subject to the Department of Labor (DOL) Service Contract Act. The Contractor shall utilize the wage determination applicable to the location of the Contractor’s facilities at which Readiness Services are performed.

B.4 TRAVEL

Travel shall be a cost-reimbursement CLIN included on task orders as applicable. Travel shall be in accordance with Federal Travel Regulations. Cost will be based on actual expenses occurred, as shown by receipts. Travel expenses could include fares (airline, train, bus, taxis), car rental fees and mileage, lodging, and meals.

B.5 FUEL

Fuel shall be a cost-reimbursement CLIN included on task orders as applicable. Cost will be based on actual usage as shown by receipts of purchase and mileage logs.

B.6 OTHER DIRECT COSTS

Other Direct Costs (ODCs) shall be cost-reimbursement CLINs included on task orders as applicable. All ODCs shall be pre-approved by the Contracting Officer Representative (COR), and Responder Camps approval shall be in accordance with Section

11.1.1 of the Statement of Work. Cost reimbursements will be based on actual expenses occurred, as shown by receipts.

B.7 PRICING SCHEDULE

The pricing schedule for this contract is found in Attachments 11 and 12.

HSFE90-12-R-0038 Section C

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SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

MEDICAL TRANSPORT AND SUPPORT SERVICES

TABLE OF CONTENTS

1. BACKGROUND ......................................................................................................................................... C-2

2. PURPOSE .................................................................................................................................................... C-2

3. SCOPE ......................................................................................................................................................... C-2

4. PERIOD OF PERFORMANCE ................................................................................................................... C-2

5. PLACE OF PERFORMANCE .................................................................................................................... C-2

6. DEFINITIONS ............................................................................................................................................. C-3

7. PERSONNEL .............................................................................................................................................. C-3

8. DESCRIPTION OF REQUIREMENT ........................................................................................................ C-5

9. DELIVERY REQUIREMENTS .................................................................................................................. C-8

10. MOBILIZATION & DEMOBILIZATION ............................................................................................. C-10

11. VENDOR LOGISTICAL SUPPORT ...................................................................................................... C-11

12. PROPERTY ADMINISTRATION .......................................................................................................... C-11

13. MISCELLANEOUS ................................................................................................................................ C-12

14. REFERENCES ........................................................................................................................................ C-12

15. LIST OF ATTACHMENTS .................................................................................................................... C-13

ACRONYM LIST

ALS – Advanced Life Support FMC – Fully Mission Capable AMC – Air Medical Crew FOT – Field Operations Team BLS – Basic Life Support GFE – Government Furnished Equipment CAD – Computer Aided Dispatch GFP – Government Furnished Property CC – Critical Care HHS – U.S. Department of Health and Human Services CO – Contracting Officer ICS – Incident Command System COR – Contracting Officer Representative IDIQ – Indefinite Delivery Indefinite Quantity CST – Communication Support Team M &IE – Meals and Incidental Expenses DHS – U.S. Department of Homeland Security NIMS – National Incident Management System DOT – U.S. Department of Transportation NRF – National Response Framework EMAC – Emergency Management Assistance Compacts OHA –DHS Office of Health Affairs EMS – Emergency Medical Services POC – Point of Contact EMT – Emergency Medical Technician TM – Technical Monitor ESF – Emergency Support Function TOO – Theatre of Operations FAA – Federal Aviation Administration VSA – Vehicle Staging Area FEMA – Federal Emergency Management Agency

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1. BACKGROUND

The immediate response to a catastrophic disaster, act of terrorism or other emergency involves local public safety, emergency medical services, public health, and health care organizations. While most emergencies are handled locally, major incidents may require assistance from other jurisdictions, including the State and Federal governments.

The National Response Framework (NRF), within the construct of the National Incident Management System (NIMS), is an all-hazards plan that provides the structure and mechanisms for national-level policy and operational coordination for domestic incident management. The NRF identifies the Federal Emergency Management Agency (FEMA) as the lead for the Federal Government in coordinating and leading the unified Federal Response during a major/complex incident. FEMA works in partnership with other organizations that are part of the nation's emergency management system including state and local emergency management agencies, and Federal agencies, such as the U.S. Department of Health and Human Services (HHS) and the Department of Homeland Security (DHS) Office of Health Affairs (OHA)

2. PURPOSE

The purpose of this requirement is to obtain Contractor-managed multi-functional medical support resources and capabilities as needed in support of Federal assistance, evacuations, or other medical support activations for national events. The support resources shall be in the form of both staffed medical transport capabilities as well as licensed and certified medical personnel for augmentation beyond medical transportation.

3. SCOPE

FEMA has a need for medically related support services to include but not be limited to:

1) Medical Transportation

a) Advanced Life Support (ALS) or Basic Life Support (BLS) Ground Ambulances

b) Para-transit support

c) Medical Airlift

2) Medical Personnel

a) Emergency Medical Technician (EMT)

b) Paramedic

3) Field Operations Team (FOT)

4) Communication Support Team (CST)

5) Planning and Exercise Support Services

The Contractor must be able to provide all five services in the zone.

4. PERIOD OF PERFORMANCE

The period of performance is for an 8-month base period starting at contract award, with four (4) optional 12-month periods.

Task order period of performance shall be stated upon issuance.

5. PLACE OF PERFORMANCE

FEMA has divided the 48 contiguous states into four geographical zones (see Attachment 2). This contract provides the described services to the Gulf Coast U.S. and/or Atlantic Coast U.S. (Zones 1 and 2 respectively).

Zone 1 includes the states of Texas, Louisiana, Mississippi, Alabama, Georgia and Florida.

Zone 2 includes the states of South Carolina, North Carolina, Virginia, West Virginia, Maryland, Delaware, New Jersey, New York, Pennsylvania, Connecticut, Rhode Island, Massachusetts, New Hampshire, Vermont and Maine.

The Contractor may be requested to provide support in areas outside of the awarded zone(s). Such requests shall be a best effort with prices and costs to be determined at the time of the request.

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Readiness shall take place at the Contractor’s facility. Task Orders will designate the exact locations for other services to be provided.

6. DEFINITIONS

6.1. Full Zone

A “full zone requirement” shall consist of the following resources:

300 medically staffed ground ambulances (a combination of ALS and BLS) 25 medically staffed aircraft (combination of fixed- and rotary-wing) 3500 para-transit seats 150 medical support personnel (combination of EMTs and paramedics) 1 Operations Support Team (to be determined by scope of task) 1 Communications Support Team (to be determined by scope of task)

It shall be the sole responsibility of the Contractor to properly staff all deployed resources for safe, effective, and continuous operations. When resources are ordered to respond to an event, it is expected that the Contractor provide enough personnel and assets as necessary to perform the required duties 24 hours a day, seven (7) days a week during the period of performance stipulated in each task order.

6.2. Contracting Officer

The Contracting Officer (CO) has ultimate contracting authority and all contracting issues fall under his or her purview. COs are responsible for administering the contract, including the resolution of disputes and protests and terminating and/or closing out of the contract. COs are responsible for ensuring all contractors receive impartial, fair, and equitable treatment.

6.3. Contracting Officer’s Representative

Contracting Officer’s Representatives (CORs) are specifically appointed by the CO and delegated limited responsibilities for inspecting and accepting work performed by the contractor. CORs are responsible for assisting and advising the CO on technical matters relating to issuing task orders and administering the contract. CORs are not authorized to change any terms of the contract.

6.4. Technical Monitor

The Technical Monitor (TM) assists the COR in defining the requirement(s) of task orders issued under the contract and inspecting the subsequent work products.

6.5. Organic

In the context of this document, organic refers to assets and capabilities owned or wholly controlled by the Contractor.

6.6. National Event

A national event, as used in this document, is when federally provided medical transportation and support capabilities are needed to support activities that otherwise exceed available local and state resources.

7. PERSONNEL

7.1. Project Director

The Contractor shall provide a Project Director who shall be responsible for all Contractor work performed under this IDIQ contract and has the authority to obligate the Contractor to the terms and conditions of the contract as well as operational task orders. The Project Director is further designated as Key Personnel by the Government. The Contractor shall supply a resume of the proposed project director for evaluation by FEMA.

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The Project Director shall be the primary point of contact (POC) for the CO and the COR. There shall be at least one Alternate Project Director designated by the Contractor and communicated to FEMA in the event the primary Project Director is unavailable to perform his/her duties. The Alternate Project Director is also designated as Key Personnel.

The Project Director and/or Alternate Project Director shall be available to the CO and COR via telephone and email on a 24 hours, seven (7) days a week basis.

Before replacing any individual designated as Key Personnel by the Government, the Contractor shall notify the COR in advance and provide an acceptable substitute to the Government. The Government may designate additional Contractor personnel as Key Personnel in each Task Order awarded under this contract.

The Project Director shall be a senior level employee empowered to execute and direct on behalf of the contractor. The Project Director shall have no less than 10 years of direct emergency management and/or medical administration experience. In the absence of the Project Director, the Alternate Project Director shall be empowered to execute and direct on behalf of the contractor. The Alternate Project Director shall have no less than 10 years of direct emergency management and/or medical administration experience. Additionally, the Project Director and all designated alternates shall be able to read, write, speak and understand English.

7.2. Medical Liaison

The medical liaison shall coordinate between the deploying ambulances and the existing local medical direction and control system to ensure the number of assets ordered are integrated and comply with local medical directives and protocols. Medical direction and control will be provided by one or more of the following methods as determined by FEMA:

Utilize existing local medical control through a contracted medical doctor.

State or Regional EMS medical director(s) will perform this function.

HHS will perform this function through one of its own physicians if required Contractor shall provide medical direction and control.

The Medical Liaison must be a person who maintains a current medical license as a physician in good standing. Additionally, the Medical Liaison and all designated alternates shall be able to read, write, speak and understand English.

7.3. Medical Personnel

The Contractor shall provide qualified personnel to perform all requirements specified in Task Orders awarded under this IDIQ contract. All sub-Contractors shall be with licensed and credentialed (in their State of origin) ambulance provider organizations.

FEMA will assist in getting the affected state(s) to allow reciprocity for Contractor and subcontractors responding pursuant to this contract.

The EMS scope of practice for EMTs and paramedics will follow the National Highway Traffic Safety Administration’s published “National EMS Scope of Practice Model.” DOT HS 810 657 September 2006 referenced in section 14.3.

A certified EMT may perform any of the following functions:

Rescue, first aid, resuscitation and other services to the extent that he/she has been trained to perform such services under the provisions of the national standard EMT training curriculum developed by the U.S. Department of Transportation (DOT).

The functions authorized above may be performed by the certified EMT under any of the following conditions:

While he/she is at the scene of a medical emergency where voice contact is established with a physician and under a physician’s order.

While he/she is at the scene of a life threatening emergency and under a protocol that has been approved by the local medical authority, until voice communication with the physician is established.

A certified paramedic may perform any of the following functions:

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Any services to the extent that he/she has been trained to perform under the provisions of the national standard paramedic training curriculum developed by the DOT.

Administration of other drugs or procedures for which the certified paramedic has received training, certification and approval in their state of origin; is recognized, authorized and approved in the state where responding; and which may be considered necessary by the ordering physician.

The functions authorized above may be performed by the certified paramedic under any of the following conditions:

While he/she is caring for a patient in a participating hospital under the direct supervision of a physician.

While he/she is at the scene of a medical emergency where voice contact is established with a physician and under physician’s orders.

While he/she is at the scene of a life threatening emergency and under a protocol that has been approved by the local medical authority, until voice communication with a physician has been established.

7.4. Field Operations Team Member

FOT members shall have no less than five years police, fire, or rescue emergency management experience. Members must be certified at Incident Command System (ICS) level 400.

7.5. Communications Support Team Member

A Communication Support Team (CST) member shall have no less than five years experience in a police, fire, or rescue emergency management experience emergency communications role and meet the minimum requirements of the Incident Command System (ICS) course IS-704 found at: http://training.fema.gov/EMIWeb/IS/is704.asp.

A CST member shall have direct experience with:

Flexible communications and information systems inclusive of interoperability across agencies and jurisdictions Specifying communication protocols and information-sharing arrangements through mutual aid and assistance agreements Developing strategies and systems to support communication, storage, and reporting for all stages of a deployment Assuring all equipment is in operating condition and deployed to the field

7.6. Medical Planners

Medical planners shall have no less than ten years direct medical experience within the emergency response field. Planners shall also be licensed and certified at not less than the paramedic level. Further, candidates shall have demonstrated experience in planning, exercise, and administration of medical support services. Specialized medical planning and exercise experience may be substituted for overall years of experience. The Contractor shall supply a resume of proposed medical planners for evaluation by FEMA.

8. DESCRIPTION OF REQUIREMENT

8.1. Readiness

8.1.1. Contractor Infrastructure

The Contractor shall establish a coordination center to support and coordinate a response pursuant to this Contract. In conjunction with the Project Director, the coordination center shall act as the single point of contact for contract activation and coordination for the COR. The coordination center shall establish continuity and coordination of all deployed and in-theatre resources. All operational reports and statistical data shall originate from the coordination center. The coordination center personnel shall have intermediate and advanced ICS training using NIMS guidelines (not to be provided by FEMA).

8.1.2. Computer Aided Dispatch

The Contractor is required to maintain and operate a Computer Aided Dispatch System (CAD) of a capacity capable of maintaining dispatch capabilities and asset management for a full zone deployment.

8.1.3. Medical Personnel Repository

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The Contractor shall maintain a repository of all potential medical responders to substantiate insurance, certifications, licenses, and training as required by State and local authorities in their State of origin. The Contractor shall also maintain records of participation by its employees in continuing education programs and reports showing frequency and type of medical incidents. The Contractor is responsible for providing a validation report containing personnel names and any data required to verify credentials, given their respective disciplines, at the centralized check-in area within 24 hours of activation.

At the request of the COR and as a readiness and activation monitoring tool, the Contractor shall immediately validate the credentials of all prospective responders.

8.2. Supplies

It shall be the sole responsibility of the Contractor to properly stock all deployed vehicles for safe, effective, and continuous 24 hour per day operations. The Contractor shall be responsible for obtaining fuel for all Contractor deployed ground and air resources.

8.2.1. Vehicle Identification

All transportation resources deployed pursuant to this contract shall display FEMA-approved placards with the following characteristics: Identify them as FEMA National Ambulance or Para-transit Contractors; Contractor’s identifying logo; distinct unit number issued by Contractor; and type or level of resource/asset. The Contractor may elect to store caches of reserve ambulances. At time of activation, these vehicles will be marked with special placards identifying them as reserve ambulances. FEMA shall require that vehicles and personnel are properly identified as FEMA contract assets. An example of a vehicle placard and personnel ID can be found in Attachments 5 and 6 respectively.

8.2.2. Reserve Ambulance Caches

The Contractor may stockpile caches of reserve ambulances. These ambulances are to be used for task order response only and will not be used in non-task order daily EMS operations. The Contractor shall ensure that these resources are not part of a state or local EMAC agreement. The vehicles will be required to be registered pursuant to state laws and regulations however they will not be required to be permitted/licensed as an ambulance by the EMS Office in the state and/or local jurisdiction in which they are stored since they will not be used for routine EMS response in that state or local jurisdiction.

However, all reserve ambulance units shall be properly equipped and Fully Mission Capable (FMC) as defined in Attachment 1.

They will be required to display a placard on the vehicle that identifies them as a resource to be used only pursuant to this FEMA contract. If these vehicles do have license plates from the state(s) where the task order occurs, they will be allowed to respond pursuant to this contract.

8.3. Services

It shall be the sole responsibility of the Contractor to properly staff all deployed resources for safe, effective, and continuous 24 hour per day operations. The Contractor is responsible for logistics such as planning, stocking and maintenance of all resources. All labor and equipment required for the following services are defined in the section 7 and 8.4 respectively.

8.3.1. Medical Transportation

ALS or BLS Ground Ambulances The Contractor shall provide up to 300 ground ambulances per zone as specified in the Task Order. The Contractor shall have adequately certified and trained ground ambulance personnel to staff up to 70% with ALS and up to 30% with BLS per each zone.

Para-transit services The Contractor shall provide up to 3,500 para-transit passenger seats per zone as specified in the Task Order. Passenger seats and para-transit vehicles equipped with wheelchair lifts shall not exceed 25% of the 3,500 total seats. Non-ambulatory passengers who can sit upright without assistance may be transported in vehicles without wheelchair lifts if the passengers can safely be loaded on and off the vehicle using a portable patient carrying device. The one-way distance to transport para-transit passengers shall not exceed 250 miles.

Para-transit vehicles may be staffed by non-medically trained drivers whose primary responsibility is safe vehicle operation.

Medical support during transport shall be provided by the assigned caregivers, the facility of origin, or other medical resource. The

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FEMA/HHS Para-transit Resource Utilization Guide referenced in Attachment 4 will serve as a reference when considering the appropriate para-transit resources.

Medical Airlift Services Transportation The Contractor shall provide medical airlift services (fixed and rotary wing) to include: aircraft with flight crew and air medical crew (AMC) capable of providing critical care (CC), ALS or BLS, medical supplies and equipment as specified in the Task Order.

All contracted aircraft shall be available for operation until the FAA grounds aircraft due to weather or safety concerns.

8.3.2. Medical Personnel Services

The Contractor shall have the capability of providing a minimum of 150 EMT and paramedic medical positions per zone to perform all requirements specified in Task Orders awarded under this IDIQ contract. All personnel assigned to the EMT and paramedic positions shall possess the appropriate certifications and licenses outlined in Section 7.3 and meet the minimum requirements referenced in section 14.3.

8.3.3. Field Operations Team (FOT)

The Contractor shall provide a FOT team. The operations team shall be the Contractor’s representative between the COR and the deployed resources while responding to an event. The FOT shall direct the deployed resources in response to direction from the COR. The Contractor shall determine which team positions to fill based on the size and scope of the issued task order and the span of control. The Contractor shall provide a construct of the recommended field operations support team in conjunction with each task authorization for consideration by FEMA prior to the issuance of a task order. The Contractor shall be solely responsible for all logistics and support of the operations team.

8.3.4. Communication Support Team (CST)

The Contractor shall provide a dedicated communication team responsible for providing communication services in the event that the existing infrastructure fails. The Contractor is expected to establish and support communication infrastructure to manage the medical component, ambulance tracking system, and one-on-one communication resources necessary for the successful performance of this contract. The CST shall utilize organic, sub-contracted, and Government Furnished Equipment (GFE) to establish voice communications where possible. The Contractor shall provide a construct of the recommended communications support team in conjunction with each task authorization for consideration by the CO and COR prior to the issuance of a task order.

Moreover, the CST shall integrate communication constructs within the theatre of operations (TOO). The CST shall arrive at the VSA within 24 hours to support and maintain communication continuity.

8.3.5. Planning and Exercise Support Services

The Contractor shall provide subject matter expertise in support of planning and exercise medical response and support activities at the state and federal level requested on a task-by-task basis.

Planning and exercise scope, effort and deliverables shall be determined on a task order basis.

8.3.6. Multi-Modal Transportation Medical Services

The Contractor shall supply paramedics and EMTs with the required certification within this contract to perform medical support services in support of multi-modal transportation. Such support may occur within trains, buses, or other transportation modes utilized in purpose of transporting persons/evacuees. Equipment listed in Attachment 10 shall be provided by the Contractor for the multi-modal transportation medical services.

8.3.7. Fixed Location Medical Support

The Contractor shall supply paramedics and EMTs with the required certification to be stationed within shelters, airheads, triage centers, or other fixed locations. Equipment listed in Attachment 10 shall be provided by the Contractor to the fixed locations.

8.4. Equipment

8.4.1. Ground Resources

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Ambulances The Contractor shall provide ground ambulance vehicles based on the FEMA Typed Resource Definitions, Emergency Medical Services Resources referenced in Section 14.1:

Type II – ALS Non-Hazmat Type IV – BLS Non-Hazmat Type V – Bariatric Advanced Life Support Type VI – Med-Evac Bus (≥ 4 litters)

Para-Transit Vehicles.

Contractor shall provide para-transit vehicles based on the FEMA Typed Resource Definitions, Emergency Medical Services Resources.

Type I – Sedan/Minivan (1-7 seats) Type II – Minibus (8-26 seats) Type III – Transit Bus (>26 seats) Type IV – Wheelchair Van (1-9 seats with wheelchair lift) Type V – ADA Minibus (10-26 seats with wheelchair lift) Type VI – ADA Transit Bus (>26 seats with wheelchair lift)

8.4.2. Air Resources

Fixed-wing Aircraft Contractor shall provide fixed-wing aircraft based on the FEMA Typed Resource Definitions, Emergency Medical Services Resources.

Type I – CC and ALS Type II – CC and ALS Type III – ALS Type IV – BLS Type V – Neonatal

Rotary-wing Aircraft Contractor shall provide rotary-wing aircraft based on the FEMA Typed Resource Definitions, Emergency Medical Services Resources.

Type II – ALS Type III – ALS Type IV – ALS Type V – Neonatal Specific

9. DELIVERY REQUIREMENTS

The Contractor shall maintain an adequate Response Network of resources to meet the requirements of this Contract. The Contractor shall be intimately familiar with the deployment and management of medical services over a large geographical area. The Contractor shall have available infrastructure and systems capable of allowing the Contractor to simultaneously deploy requirements to both zones.

The Contractor is precluded from utilizing resources from the affected state(s)’ and/or resources from a contiguous state that is part of an Emergency Management Assistance Compact (EMAC) agreement.

9.1. Coordination Meetings

The Contractor shall be required to participate in FEMA sponsored meetings and/or exercises in order to demonstrate a continuing capability to fulfill the provisions of the contract with respect to numbers and types of deployable resources, appropriate adherence to agreed upon timelines, amount and condition of supplies and maintenance status of all equipment. The Contractor shall be

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9.2. Response Time

The Contractor must be able to deploy a full zone as defined in this Section within 6 hours and arrive to the check-in location(s) within 24 hours of receiving a verbal or written authorization to proceed by the Contracting Officer. Any task order issued for less than a full zone deployment must also deploy within 6 hours and arrive at the designated check-in location(s) within 24 hours of receiving a task order.

If the Government requires and the Contractor can provide more resources than a full zone, there may be two waves of response resources. A full zone shall still deploy within 6 hours and arrive at the check-in location(s) within 24 hours of receiving a task order. All other resources shall be deployed within 12 hours and arrive within 48 hours.

If the Contractor is providing these services to more than one zone, resources from another zone may be used, provided they are not responding to another event either under another task order issued under this contract or under EMAC.

9.3. Tracking of in-transit resources

Upon issuance of a task order, the Contractor shall verbally provide on an 8-hour basis the current status of all inbound resources to the COR. The status report shall include the resources deployed, anticipated arrival times, and any limitations to meeting the task order requirements. The in-transit status report shall continue until all tasked resources arrive at the directed point of destination.

9.4. Operational Status Reports

When a Task Order is issued for resources, the Contractor shall begin to provide a written report to the COR, every 12 hours commencing 24 hours after Task Order issuance and/or verbal authorization from the CO. The operational status report shall include status of all deployed resources, their location, operational status, patient contact data, current availability, equipment failure breakdown or sickness, and limiting factors.

9.5. Operational Timeline

The Contractor’s coordination center shall maintain a written, detailed timeline of all activities from pre-deployment conference calls until the last resource is deactivated and arrives at its home portal. The timeline will include all significant internal and external communications and activities. The Contractor shall provide intermediate updates of the operational timeline upon request of the COR. Additionally, the Contractor shall provide a completed operational timeline no later than 14 days after the conclusion of an activation.

9.6. Annual Status Report

A written Annual Status Report on Contract Readiness is due to the COR (with a copy to the FEMA Contracting Officer) ninety (90) days before the end of each contract year. This is a brief review summarizing the activities, progress, and status (also identifies information updates on current sub-Contractor partners and resources available for deployment).

9.7. Management Plan

The Contractor shall develop a written Management Plan that details its corporate protocols to maintain a safe and effective work environment. All changes to this written plan must be submitted to the Contracting Officer and COR within one (1) week of alteration. The Management Plan shall include means of oversight, relief, intervention, and resolutions.

The Management Plan shall contain at a minimum:

Organization Chart: Illustrate the reporting structure of personnel to support this requirement and summarize each official’s responsibilities.

Safety Management: Detail corporate protocols to maintain a safe and effective work environment. Resources will be manned on a 24-hour per day basis, so consideration must be given to the safety and effectiveness of the crews operating the resources.

Security: List measures to address security issues, including those to protect resources, handle controlled substances, and secure personally identifiable information as required by law.

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9.8. General Report Requirements

The Contractor shall provide all written reports in electronic format with read/write capability using applications that are compatible with Microsoft Office Applications via email. All reports shall be provided to the Contracting Officer and the COR.

10. MOBILIZATION & DEMOBILIZATION

10.1. Pre-Planning Conferences

Except in no-notice events, activations can be anticipated and will therefore lend themselves to pre-planning conferences. In such circumstances, the COR shall conduct pre-activation conference calls to discuss possible activations. The discussion of potential activations is a preliminary planning and coordination action and shall not be construed at a tasking or authorization for the Contractor to incur costs. The Contractor, through the Project Director, shall provide relative information and input as required.

10.2. Check-in & Check-out Procedure

During times of activation Contractor employees/subcontractors shall wear an identification card that, at a minimum, displays the Contractor name, delineation as FEMA Contractor, individual’s level of certification/medical licensure and the individual’s name.

All Contractor employees/subcontractors shall carry their state driver’s license and healthcare certification at all times. All Contractor employees/subcontractors shall identify themselves as Contractors when their status is not readily apparent and display all identification badges in plain view above the waist at all times. Examples of check-in and check-out sheets can be found in Attachment 7.

10.2.1. Ground Resources

The Contractor shall activate the required resources in compliance with the performance requirements of the contract and direct all resources to report to the VSA for check-in and in-processing. For purposes of continuity, at the time of Task Order issuance and/or verbal authorization from the CO the COR will inform Contractor of the name and location of the FEMA COR within the TOO.

The VSA shall be overseen by FEMA managed personnel and supported by the Contractor’s FOT. Resources shall be checked-in, properly placarded, provided appropriate communication and tracking equipment and released to the ESF#8 coordination officer on site for deployment and assignment coordination.

10.2.2. Air Resources

Deployed air resources shall be directed to a fixed airfield location that will act as the air base of operations. Upon arrival and in processing by a FEMA representative, the air resources shall be integrated into the FEMA air command structure of the ICS with the assistance of the Federal Aviation Administration (FAA) liaison to FEMA. In conjunction with the State, HHS and the Contractor’s FOT air resources shall be managed, resourced and directed as required. All air resources shall be properly equipped and staffed for 24 hour-a-day flight operations.

It is anticipated that in a weather based event most air resources will be utilized and released prior to the onset of inclement weather.

Therefore, air resources shall be prepared to demobilize immediately upon notification and prior to weather deterioration causing air craft to be grounded. FEMA will make every attempt to give as much advanced notice as possible. However, if an air resource does not demobilize when directed (aircraft not grounded by weather), the government shall no longer be responsible for the cost of said aircraft.

Determination of suitable flying conditions shall be made by the local Federal Aviation Administration (FAA) representative responsible for the subject geographical area.

Medical Airlift Access to Federal Airspace If the airspace is restricted or closed, FEMA will cooperate / assist the Contractor with obtaining FAA approval to authorize medical airlifts into required air space. However it shall be the sole responsibility of the Contractor to establish and comply with all FAA rules and regulations

10.2.3. Demobilization

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The time and extent of demobilization shall be determined by the Contracting Officer based upon support requirements within the TOO. It is anticipated that demobilization of resources shall occur in a phased manner. Therefore, the Contractor needs to anticipate a multi-staged demobilization process.

In conjunction with the Contracting Officer’s authorization, demobilization shall occur in a timely basis. A demobilization order shall contain a date and time that a resource is to demobilize. A demobilization order shall be in writing or verbally communicated to the Contractor by the Contracting Officer with a written direction to follow. In the case of an order to “immediately” demobilize a resource, the resources shall demobilize in a prompt and efficient manner. Each demobilization resource shall be required to “out-process” at the aforementioned VSA or other site as directed by the demobilization order. The time a resource is out-processed shall be utilized as the basis for the portal-to-portal calculation.

Should multiple contiguous events occur, the Contractor may be required to respond to a second event without demobilization from the first event. The Government is not required to have a minimum deployment if the Contractor responds to a second event without demobilizing from a contiguous previous event.

10.2.4. Travel

Reimbursable transportation costs for deployed resources include fares, rental fees, mileage payments, and other expenses related to transportation. Meals and Incidental Expenses (M&IE) are reimbursed at no more than the daily rate located on the U.S. General Services Administration (GSA) website http://www.gsa.gov.// under the “Per Diem Rates” link.

Any travel associated with the direct support of the contract shall require CO approval (the issuance of task order shall include authorization for travel). Travel shall be reimbursed on an actual cost basis. Travel costs shall include transportation and per diem (for lodging, meals & incidental expenses). Receipts are required to substantiate all claimed travel expenses not covered by M&IE.

If any lodging or meals are provided by the Government at no cost to the Contractor or its agents during the performance of this contract, FEMA shall not be billed.

11. VENDOR LOGISTICAL SUPPORT

11.1. Self-Sufficiency

The Contractor shall be responsible for all aspects of maintaining their personnel in a readiness form. The Contractor shall be self sufficient during a deployment and is responsible for the logistics, delivery, food, lodging, personal support services, fuel, etc., of their personnel.

11.1.1. Responder Camp

The Contractor may request approval from the Contracting Officer for the securing of a responder support camp for their personnel.

Approval for the securing of a responder camp shall be obtained prior to incurring any expense. Responder camps will only be considered for approval in the event that the anticipated deployment period exceeds 72 hours. Within its sole discretion, FEMA may direct contract personnel to occupy federally secured responder support camps in lieu of the Contractor securing their own. M&IE shall be appropriately adjusted to reflect the Contractor utilizing a responder support camp.

11.2. Controlled Substances

Unless otherwise restricted by state or Federal regulations, the Contractor is responsible for providing…