HSFEHQ-11-R-0017_dated_10-20-2011.docx

HSFEHQ-11-R-0017 Section M

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)

HSFEHQ-11-R-0017

10/18/2011 X Federal Emergency Management Agency

FEMA/OCPO

Office of the Chief Procurement Officer Attn: David Zhang 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

11/28/2011 David Zhang 212-4880 David.Zhang@fema.gov X X X X X X X X X X X X X Federal Emergency Management Agency/FFC OCFO Finance Center Attn: Vendor Payments P.O. Box 9001 Winchester, VA 22604 N/A

TABLE OF CONTENTS

Contents

HSFEHQ-11-R-0017 TOC

TOC-3

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 al 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.

BASE YEAR

Zone 3

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 0301, 0303, and 0312-0354 are FFP CLINs 0302 is T&M CLINs 0355 and 0356 are Cost Reimbursable CLINs 0304-0311, 0313, 0317-0320, 0327-0330, 0336-0341, 0346-0350 and ≥0357 are open CLINs for future use as necessary.

BASE YEAR

Zone 4

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLINs 0401, 0403, and 0412-0454 are FFP CLIN 0402 is T&M CLINs 0455 and 0456 are Cost Reimbursable CLINs 0404-0411, 0413, 0417-0420, 0347-0430, 0436-0441, 0446-0450 and ≥0457 are open CLINs for future use as necessary.

OPTION YEAR 1

Zone 3

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLINs 1301 and 1312-1354 are FFP CLIN 1302 is T&M CLINs 1355 and 1356 are Cost Reimbursable CLINs 1303-1311, 1313, 1317-1320, 1327-1330, 1336-1341, 1346-1350 and ≥1357 are open CLINs for future use as necessary.

OPTION YEAR 1

Zone 4

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLINs 1401 and 1412-1454 are FFP CLIN 1402 is T&M CLINs 1455 and 1456 is Cost Reimbursable CLINs 1403-1411, 1413, 1417-1420, 1347-1430, 1436-1441, 1446-1450 and ≥1457 are open CLINs for future use as necessary.

OPTION YEAR 2

Zone 3

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 2301 and 2312-2354 are FFP CLIN 2302 is T&M CLINs 2355 and 2356 is Cost Reimbursable CLINs 2303-2311, 2313, 2317-2320, 2327-2330, 2336-2341, 2346-2350 and ≥2357 are open CLINs for future use as necessary.

OPTION YEAR 2

Zone 4

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 2401 and 2412-2454 are FFP CLIN 2402 is T&M CLINs 2455 and 2456 is Cost Reimbursable CLINs 2403-2411, 2413, 2417-2420, 2347-2430, 2436-2441, 2446-2450 and ≥2457 are open CLINs for future use as necessary.

OPTION YEAR 3

Zone 3

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 3301 and 3312-3354 are FFP CLIN 3302 is T&M CLINs 3355 and 3356 is Cost Reimbursable CLINs 3303-3311, 3313, 3317-3320, 3327-3330, 3336-3341, 3346-3350 and ≥3357 are open CLINs for future use as necessary.

OPTION YEAR 3

Zone 4

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 3401 and 3412-3454 are FFP CLIN 3402 is T&M CLINs 3455 and 3456 is Cost Reimbursable CLINs 3403-3411, 3413, 3417-3420, 3347-3430, 3436-3441, 3446-3450 and ≥3457 are open CLINs for future use as necessary.

OPTION YEAR 4

Zone 3

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 4301 and 4312-4354 are FFP CLIN 4302 is T&M CLINs 4355 and 4356 is Cost Reimbursable CLINs 4303-4311, 4313, 4317-4320, 4327-4330, 4336-4341, 4346-4350 and ≥4357 are open CLINs for future use as necessary.

OPTION YEAR 4

Zone 4

Ground Ambulances

Para-Transit Vehicles

Air Resources - Fixed Wing

Air Resources - Rotary Wing

Miscellaneous

CLIN 4401 and 4412-4454 are FFP CLIN 4402 is T&M CLINs 4455 and 4456 is Cost Reimbursable CLINs 4403-4411, 4413, 4417-4420, 4347-4430, 4436-4441, 4446-4450 and ≥4457 are open CLINs for future use as necessary.

HSFEHQ-11-R-0017 Section B

B-6

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

MEDICAL TRANSPORT AND SUPPORT SERVICES

SECTION C TABLE OF CONTENTS

ACRONYM LIST

FEMA – Federal Emergency Management Agency

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. 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 a 12-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 Western U.S. and/or Central U.S. (Zones 3 and 4 respectively).

Zone 3 includes the states of Washington, Oregon, California, Idaho, Nevada, Montana, Wyoming, Utah, Arizona, Colorado, and New Mexico.

Zone 4 includes the states of North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Minnesota, Iowa, Missouri, Arkansas, Wisconsin, Illinois, Michigan, Indiana, Kentucky, Tennessee, and Ohio.

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.

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 Technical Representative

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

6.4. Technical Monitor

The Technical Monitor (TM) assists the COTR 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.

The Project Director shall be the primary point of contact (POC) for the CO and the COTR. 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 COTR 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 COTR 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:

· 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 COTR. 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

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 COTR 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 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 COTR and the deployed resources while responding to an event. The FOT shall direct the deployed resources in response to direction from the COTR. 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 COTR 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.

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. Contractor personnel at fixed locations shall be equipped with the same provisions and supplies required in the ALS ambulances.

8.4. Equipment

8.4.1. Ground Resources

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 (24 liters) 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…