2022.07.21 AIR AMB QAs 1-25.pdf

Number Reference Question Response

RFQ Letter, Page 1, Paragraph 1 May we bid on domestic transports only, or are we required to complete both domestic and international flights?

Offeror may bid for domestic transports only if they do not want or have the capability to do international transports.

RFQ Letter, Page 1, Paragraph 4 Offeror’s customer is CAMTS accredited. We are their air transportation provider.

The Executive Director of CAMTS has stated we are therefore accredited because we are the air carrier for the CAMTS accredited customer. CAMTS has stated they will not accredit the air carrier unless they only perform air ambulance flights. Offeror provides other types of flights, but Offeror’s customer maintains their CAMTS accreditation due to our contract with the customer

Per the RFQ letter, Page 1 paragraph 3, "Medical crews must be accredited by the Commission on accreditation of Medical Transport Systems (CAMTS) and/or the National Accreditation Alliance of Medical Transport Applications (NAAMTA)." Also, per RFQ letter page 2, paragraph 6.d-f, the air carrier, would need to provide documentation that they have the agreements in place to obtain CAMTS of NAAMTA certification. As AMC/DoD is the "customer" in this situation, they will not be providing CAMTs or NAAMTA accreditation; therefore, the prime contractor must be able to provide the accreditation, either through their services or partnering with another company. If the carrier owns the aircraft and partners with a CAMTS/NAAMTA certified medical team, this would be acceptable. This documentation showing accreditation needs to be submitted prior to award.

RFQ Letter, Page 2, Paragraph 6 What is the current due date for proposal submittals? The RFQ letter states July 15, 2022; the Synopsis states “…on or about July 8, 2022.

The RFQ letter is correct. Per the RFQ Letter Page 2, Paragraph 6, the due date for submission is 11:59 AM (CT) on 15 July 2022. .

I have heard that there is an industry day coming up in the early part of July. Would you please confirm this and point me to how interested parties may register?

USTRANSCOM/AMC does not intend to hold an industry day for this acquisition.

Attachment 3, Page 8 Section 11 Paragraph b What is the definition of a “Aircraft Medical Incident”? 1. Any significant change in patient status that requires a divert/increased monitoring requirements or resulting in either temporary or permanent disability a medical incident.

2. A crew member getting injured or becoming ill

Attachment 1, Page1 Section 2 Regarding pricing for the levels of air medical crew member is this per person or per two-member team. As out lined in an Amendment #1 released 07/05/2022 Page 2, Number 5 it mentions one medical professional. In accordance with NAAMTA standards all levels of medical transport require a minimum of two medical professionals in attendance

Attachment 1 Section 2, pricing is per individual. The mission will dictate how the members of the medical crew are assigned and allocated, including medical personnel. Both the Government and the awardee will consider CAMTA and NAAMTA accreditation when planning missions and assigning air crews. It is the contractor’s responsibility to maintain that accreditation, which will be taken into consideration when planning missions.

Attachment 1, Page1 Section 1 Note 1 For point-to-point pricing can you advise from historical data what the average length in miles is as well as hours for the patient loaded leg.

Flight hours and miles vary depending on specific needs and type of mission. For each mission AMC conducts a cost-based analysis to include, location of the aircraft, and the patient’s departure and arrival point and other factors. To give an average could set an unknown expectation of usage.

Attachment 1, Page 2 Paragraph 5 Is the fuel rate calculation in addition to aircraft base mileage and medical team reimbursement fees?

Yes, per Attachment 3, Page 2, Paragraph, 3.i., fuel costs will be reimbursed separately using the calculations in this paragraph for aircraft burn rates.

Attachment 1, Page1 Section 1 Note 1 Regarding the hours. How are hours calculated, are times calculated off of lift off times or when the aircraft leaves the tarmac

Hours are calculated from aircraft liftoff to touchdown.

Attachment 1, Page1 Section 1 Note 1 Regarding pricing for ACM. If a bidder's pricing for medical personnel is typically structured on a daily rate basis as opposed to an hourly basis, factoring in all associated costs for such personnel, is an acceptable hourly rate for the purpose of this proposal the result of that daily rate divided by 8?"

It is the responsibility of the Offeror to determine the proposed rate. If minimum hours exist the contractor may note this on the pricing memo. Attachment 3, Page 4, Paragraph 4 g Total mission cost is taken into account when rank ordering missions.

Attachment 3, Page 1 Section 3 When there is extended patient care being conducted while waiting on ground transport, can the time be added to the invoice?

If wait times in excess of 30 minutes occurs due to Government actions, the Government will consider additional documented time. This is not a guarantee of payment. The contractor may also submit a request for equitable adjustment. Attachment 4 page 2 line2.

Attachment 3, Page 1 Section 3

Will the contract also have reimbursement of ground transportation for the patient if the contractor is required to pay?

Yes

Attachment 3, Page 1 Section 3

Regarding OCONUS transports, will supplemental invoices be allowed in WAF?

Landing fees, international fees etc. typically are billed the following month after they occur.

Yes

Is the CAR a recommendation or requirement? A Cabin Altitude Restriction is a requirement based upon the determination of our medical director.

(USTRANSCOM Validating Flight Surgeon) any changes will need to be addressed prior to departure.

Would it be possible for the contracted medical team be allowed to determine if the patient requires the CAR based on patient presentation prior to and during transport?

While on the ground: If mission parameters need to be adjusted based on a change in patient status a phone call will be required to our AE Operations Team and approval from our medical director (USTRANSCOM Validating Flight Surgeon) would be required. Adjustments for in-flight emergency medical care is at the sole discretion of the medical providers in the aircraft.

Would a list of conditions that require cabin altitude restrictions be provided? Yes, The patient movement request or (PMR) will provide all pertinent medical information about that patient and if needed the 24 hr Medical Operations desk located beside our 24 hr AE Operations desk will be able to provide or clarify any further information required .

17 Is the team composition a recommendation or requirement? Team Composition is a requirement based upon the determination of our medical director.

(USTRANSCOM Validating Flight Surgeon)

QUESTION AND ANSWER

AIR AMBULANCE SERVICE HTC71122QR010

21JULY2022

18 Attachment 1, Page 1 Section 2

Can a nurse practitioner or physician assistant with specialized training be substituted for a physician? An APRN with a CFRN and FP-C, for example, will be better skilled for flight related incidents then a hospital-based physician unfamiliar with gas laws and other physiological considerations related to providing healthcare in an aircraft.

That change will need to be requested and is at the discretion of our medical director. (USTRANSCOM Validating Flight Surgeon)

Attachment 3, Page 1 Section 3

For OCONUS mission, is covid testing reimbursable if required by the foreign country and/or USA?

Although it is highly unlikely that this scenario will happen the answer is yes

20 Attachment 1, Page 2 Section 3 Would a “baby pod” be a suitable option for isollette transports if the contracted medical team determines a baby pod is a suitable option?

That change will need to be requested and is at the discretion of our medical director. (USTRANSCOM Validating Flight Surgeon)

21 Attachment 8 , RFQ Letter Does the Government intend on enforcing the Wage Determinations for service locations outside of the Missouri/Illinois geographic regions.

Yes, Updated Wage Determination will be provided at award based on awardees location.

RFQ Letter, Page 3, Paragraph 10 Section 10 states that offerors are required to provide acknowledgement of Solicitation Amendment. However, we have not seen any official amendment documentation posted to SAM.gov to-date. How does USTRANSCOM want offerors to acknowledge receipt of amendments?

All amendments to the solicitation shall be acknowledged by the quoter by signing and submitting a copy of the amendment(s)

Attachment 1 If the offeror has more than one aircraft type on its OpSpecs that meet fit the three aircraft types listed (i.e. Jet Aircraft, Turbo-Prop, and Rotary-Wing), is the offeror permitted to make edits to the price list to indicate which aircraft type is being offered?

Yes: If differing quoted prices exist within each aircraft type, the offeror may update the price list to indicate differing prices

24 RFQ Letter Page 2, Paragraph 6.c.

Please confirm whether offerors are required to complete Attachment 5, if the offerors reps and certs and all referenced FARs are already completed within its SAM.gov profile.

It is the offerors responsibility to ensure that all requested reps and certs for this solicitation are current and complete on SAM.GOV or Attachment 5. The offeror may reference their SAM.gov profile in their proposal rather than completing Attachment 5.

25 Attachment 1

If our firm typically utilizes subcontractors to fulfill medical personnel roles and equipment, should we still provide pricing for ; should we provide a prices for medical personnel and the neonatal incubator?

The offer needs to submit pricing for service they offer. Not every price is required, however if the offer wishes to be considered for that service a price should be included. When ordering under the BPA the ordering officer conducts a best value decision in accordance with Attachment 3, Page 4, Section 4, paragraph g, utilizing the prices included on the Attachment 1, Price List. If a price is not listed for the service the Government requires, the offeror will not be considered for award of the mission.

RFP QA 1-25