Med Support Unit (Med Mod) SAMPLE.pdf

SCOPE OF AGREEMENT

This Agreement is to obtain Emergency Medical Responders in the configuration of a Medical Support Unit (MSU) for use on a local, Regional and Nationwide basis. The Contractor is responsible for all personnel licenses, licensed equipment, materials, supplies, transportation, lodging, personnel, and supervision and management of those personnel, necessary to meet or exceed the Agreement specifications. The resources may be used on fire suppression, all-hazard incidents, and prescribed fire project work to include but not limited to prescribed burn unit preparation, ignition, holding, and contingency. The Incident Commander or responsible Government Representative is authorized to administer the technical aspects of this agreement.

DAILY USAGE RATE

Mileage rates are approved for awarded resource to and from (mobilization/demobilization) incident based on location noted in Block 4 or if document in Block 6 on the EERA. Google maps or another similar search engine shall be utilized in processing mileage rates to and from incident. The most expeditious route shall be reviewed by the Government for mileage reported. If discrepancies are noted, the Government and Vendor shall agree prior to payment.

STAFFING AND EQUIPMENT (Qualifications listed below are minimum levels of qualification required)

- Two (2) ‐ Certified medical personnel (EMPF & EMTF or 2 EMPF’s)

- One (1) ‐ 4x4 vehicle

- One (1) ‐ 4x4 UTV side‐by‐side w/ patient transport capabilities

- One (1) - Trailer

- Two (2) ‐ DOT approved 3/4‐face or full‐face helmets

- Full ALS line pack with equipment and medications approved by your medical director with full cardiac monitoring and treatment capability

- Full BLS line pack with equipment and medications approved by your medical director

- AED

- Two Programmable Radios

- Backboard with foam padding

- Bicycle pump or Fix‐a‐flat

- Tire plugs

- Fire shelter (for patient)

- GPS Device

- Flagging

- Basic First Aid Kit

- Glow sticks

- Signal mirror

- Whistle

- Headlamps

- High lift Jack

PPE (Required for Fireline going personnel) Contractor is to ensure all personnel arrive at incident with the following functional gear:

- BOOTS: All Leather uppers, lace‐up type, minimum of 8 inches high with lug type sole in good condition (steel toed boots are not recommended).

- HARD HAT: Hardhat meeting NFPA Standard 1977 is required.

- GLOVES: One pair of heavy‐duty leather per person.

- EYE PROTECTION: One pair (meets standards ANSI Z87, latest edition).

- HEARING PROTECTION: Use hearing protection whenever sound levels exceed 85 dB. Earphones (headset) required with radio shall have built‐in hearing protection.

- HEAD LAMP: With batteries and attachment for hardhat.

- FIRE SHELTER: New Generation Fire Shelter is required.

- FLAME RESISTANT CLOTHING (Shirt and Pants). A minimum of two full sets of flame resistant shirt and pants. For routine fireline duties, flame resistant clothing must be certified to NFPA 1977. NOTE: It is recommended that fireline personnel wear a short‐sleeved t-shirt, underwear, and socks under fire clothing and boots. T‐shirts and underwear should be 100% cotton or a 100% flame resistant blend of fibers. Socks should be cotton, wool, or a blend of flame resistant fibers.

SAMPLE

EMERGENCY MEDICAL RESPONDER TYPING & REQUIREMENTS

- EMTB - Emergency Medical Technician Basic: Health professional who provides basic patient care within health care system.

- EMTF - Emergency Medical Technician, Fireline: Health professional who provides basic patient care within health care system and is fireline qualified.

- AEMT - Advanced Emergency Medical Technician: Health professional who provides basic and focused advanced patient care within health care system.

- AEMF - Advanced Emergency Medical Technician, Fireline: Health professional who provides basic and focused advanced patient care within health care system and is fireline qualified.

- EMTP - Emergency Medical Technician Paramedic: Health professional who provides advanced care in a variety of settings with interpretive and diagnostic capabilities.

- EMPF - Emergency Medical Technician Paramedic, Fireline: Health professional who provides advanced care in a variety of settings with interpretive and diagnostic capabilities and is fireline qualified.

All individuals must be properly certified and currently licensed to provide medical care during all incident assignments. Each person employed by the Contractor under this Agreement shall meet the following minimum requirements and be able to provide evidence that employees meet the requirements upon request.

(a) EMTs/AEMTs/Paramedics must hold a current license and remain in compliance with the appropriate EMS state licensing authority for the resource category that they have been awarded (EMT/AEMT/Paramedic). All personnel working under this agreement must comply with their medical direction, protocols, and all laws/requirements specific to the state in which the contractor is providing services while under hire on an incident. Holding a National Registry Card DOES NOT meet requirements for practicing.

(b) EMTs/AEMTs/Paramedics must have medical direction from a state recognized Medical Director that agrees to provide medical oversight (medication procurement, QI/QA and retrospective operational review) while operating on a fire assignment. This should be confirmed in writing through a signed letter from the contractors Medical Director. Contracted EMTs, AEMTs, & Paramedics will be expected to operate within the scope of practice of their normal protocols and medical direction. EMTs, AEMTs & Paramedics shall maintain currency the entire term of the agreement.

(c) Qualification cards for fireline going personnel must be always carried (if applicable).

(d) It is the responsibility of the contractor, through the Medical Unit Leader or their designee, to notify the local EMS jurisdictions of their incident assignment.

(e) It is the responsibility of the licensed EMS Provider, upon arrival to the incident, to make arrangements for Patient Care Integration Agreements with the local EMS Jurisdiction.

STATE LICENSING/CERTIFICATION/APPROVAL CONTRACTUAL REQUIREMENTS:

Personnel will arrive at incident with an Incident Qualification Card Identifying NWCG qualifications. Personnel are required to have Incident Qualification Cards. All contracted incident EMTs, AEMTs, & Paramedics are required to carry proof of current state license with them at all times. Each EMT, AEMT, and Paramedic must carry a written copy of their home EMS units off‐ line medical control documentation (standing orders and protocols) under which they operate under their own medical direction.

• Vendors are to ensure their resource can legally provide care at the location(s) of any resource order accepted.

• If the resource is found NOT to be qualified, the resource may be given time by the incident to remedy the issue.

• If the resource cannot become compliant within the time specified by the incident, they shall be demobilized and will not receive pay including mobilization for travel compensation.

This agreement does not circumvent or supersede state/local laws, regulations, and/or policies to provide emergency medical services within any given state. ALL vendors must adhere to local and state laws, regulations, and policies within the state they are being ordered to, and working in, when providing medical care. It is the responsibility of each vendor to ensure their company is properly licensed/certified/approved to work within a state, not the Government’s, prior to accepting an order for incident in that state. If a vendor is found to be non-compliant with their agreement, that could be considered grounds for termination of the agreement. If the noncompliance also violates state law, the state may prosecute.

Medical equipment and personnel including vehicle (e.g. ambulance) utilized by ambulances and EMRs must be consistent with their medical direction, protocols, and all laws/requirements specific to the state in which the contractor is providing services while under hire on an incident. Equipment (medical kit(s) and vehicle(s) shall be maintained in good repair by the Contractor.

It is the responsibility of the contractor, through the Medical Unit Leader or their designee, to notify the local EMS jurisdictions of their incident assignment. It is the responsibility of the licensed EMS Provider, upon arrival to the incident, to make arrangements for Patient Care Integration Agreements with the local EMS Jurisdiction.

UTV’s may be utilized to extract patients from the accident site to the medical evacuation site. UTV’s shall adhere to Multipurpose Off-Highway Utility Vehicle (MOHUV) standards as defined by ANSI/OPEI B71.9-2022.

NON-CONSUMABLE/CONSUMABLE MEDICAL SUPPLIES

(a) Medical equipment kits carried by contracted EMTFs must be consistent with their Medical Direction and protocols, and at a minimum, meet the stocking inventory listed below for the appropriate EMS license level. Contractor agrees to furnish a packing list of non-consumable equipment and supplies which include but will not be limited to heart monitoring, heart defibrillator, oxygen, and intravenous fluid administration capabilities, and an inventory of Consumable Medical Supplies to the Medical Unit Leader or their designee for approval upon arrival at an incident. Agency may choose to purchase additional consumable supplies that are not listed and require the medical unit to dispense these items as necessary.

(b) While at the incident the contractor will keep a daily log of medical supplies used for reimbursement purposes at the end of incident. All replacement items must be verified in writing by the Medical Unit Leader or their designee. Contractor will need to submit a claim with supporting documentation in order to receive reimbursement for supplies used on incident. Claim settlement quantities will be based on beginning inventory submitted to the Medical Unit Leader or designee upon arrival to the incident and claim payments will be based on current market prices for the inventory used on this incident. Only items approved by the MEDL will be considered for claim purpose; items not on the original inventory list will not be accepted for claim purpose.

(c) The Government may, at its option, elect to furnish supplies when necessary to keep the resource operating. Supplies furnished to the contractor by the government will need to be returned to the incident upon demobilization of the resource. If the Government provided supplies are not returned to the Government at the time of demobilization, the Government will determine the actual cost of the Government furnished supplies and those costs will be deducted from the payment to the Contractor.

TRAINING/EXPERIENCE

(a) Each person under this agreement shall meet the following minimum requirements:

(1) RT-130 Annual Fireline Refresher including fire shelter practice deployment.

(2) Intro to ICS (ICS-100)

(3) NIMS: An Introduction (IS-700)

(b) Fireline Qualified Personnel must meet training requirements for the Firefighter Type 2 Position (FFT2)

(1) Arduous Work Capacity Fitness Test

(2) Basic Firefighter Training: Introduction to ICS (ICS-100)

(3) Human Factors in the Wildland Fire Service (L-180)

(4) Firefighting Training (S-130)

(5) Introduction to Wildland Fire Behavior (S-190)

(6) NIMS: An Introduction (IS-700)

(7) Annual Fireline Safety Refresher (RT-130) *Annual Fireline Safety Refresher (RT-130 is not required for the first year as a Firefighter Type 2(FFT2); however, it is required for subsequent years.

*Note: For the Firefighter Type 2 (FFT2) position, satisfactory completion of the required training meets the position qualification requirements.

(c) The government reserves the right to verify training, medical certification/licensure, and proof of medical direction at any time for all personnel.

INCIDENT PRE‐USE INSPECTION:

All resources furnished under this agreement shall be in acceptable condition. The Government reserves the right to reject resources that are not in safe and operable condition. Prior to incident use or anytime the resource is under hire, the Government will perform inspections. If the resource does not pass inspection at the incident or designated inspection station, it is considered noncompliant.

The Contractor may be given 24 hours or time frame designated by Government representatives to bring the resource into compliance. If the resource does not pass inspection, no payment will be made for travel to the incident or point of inspection or return to the point of hire, or for the time that the resource was not available.

MISCELLANEOUS SUPPLIES, CHARGES AND CREDITS

The Government may, at its option, elect to furnish supplies when necessary to keep the resource operating. Supplies furnished to the contractor by the government shall be returned to the incident upon demobilization of the resource. If the Government provided supplies are not used on the incident or returned to the Government at the time of demobilization, the Government will determine the actual cost of the Government furnished supplies and those costs will be deducted from the payment to the Contractor. Licenses, Fees and Permits. Contractors are responsible for all licenses, fees and permits needed to perform work under this contract.

1 EERA BLANK_OF294-18a REMS agreement: