DRAFT N3220522Q0077 AMENDMENT 0004.pdf

MILITARY SEALIFT COMMAND

N10 - CONTRACTS AND BUSINESS MANAGEMENT DIRECTORATE

Amendment 0004 to Military Sealift Command Draft Combined Synopsis and Solicitation Notice Information

1. The purpose of this amendment to Draft Combined Synopsis and Solicitation Notice Information N3220522Q0077 is to amend the instructions to offerors.

2. FAR 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Nov 2021)

(DEVIATION 2018-O0018)(ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--

COMMERCIAL ITEMS Section e is amended to change the response due date and question deadline. See attached updated draft combined synopsis and solicitation.

3. All other terms and conditions hereby remain unchanged and are in full force and effect.

Amendment 0003 to Military Sealift Command Draft Combined Synopsis and Solicitation Notice

3. The purpose of this amendment to Draft Combined Synopsis and Solicitation Notice Information N3220522Q0077 is to amend the instructions to offerors.

4. FAR 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Nov 2021)

(DEVIATION 2018-O0018)(ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--

COMMERCIAL ITEMS Section e is amended to change the response due date and question deadline. See

Amendment 0002 to Military Sealift Command Draft Combined Synopsis and Solicitation Notice

1. The purpose of this amendment to Draft Combined Synopsis and Solicitation Notice Information N3220522Q0077 is to amend the instructions to offerors.

2. FAR 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Nov 2021)

(DEVIATION 2018-O0018)(ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--

COMMERCIAL ITEMS Section e is amended to change the response due date and question deadline. See

Amendment 0001 to Military Sealift Command Draft Combined Synopsis and Solicitation Notice

1. The purpose of this amendment to Draft Combined Synopsis and Solicitation Notice Information N3220522Q0077 is to amend the instructions to offerors.

2. FAR 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Nov 2021)

(DEVIATION 2018-O0018)(ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--

COMMERCIAL ITEMS Section e is amended to change the response due date and question deadline. See

Military Sealift Command Draft Combined Synopsis and Solicitation Notice Information

1. This is a draft combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are not being requested and a written solicitation will not be issued. Feedback is requested from interested vendors on the structure of the solicitation. It is anticipated for the Government to post final combined synopsis/solicitation afterward.

2. Solicitation number is N3220522Q0077 and is being issued as a Draft Request for Quotation (RFQ).

3. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2022-03 effective 01/01/2022 located on https://www.acquisition.gov.

4. The associated NAICS code is 621910 and the associated PSC code is Q999 for this procurement:

NOTE: A Class Waiver is not applicable to a procurement unless the NAICS code, PSC, and NAICS Code Descriptor currently in effect, match the item(s) being procured.

is not being set-aside for small businesses.

is being set-aside for small businesses.

5. The table below lists the Contract Line Item Number(s) (CLIN(s)) and items, quantities and units of measure, inclusive of any applicable options:

CLIN DESCRIPTION QUANTITY UNIT OF

MEASURE

0001 Five-Year Ordering Period - Medical Advisory & Travel Risk Advisory Services

1 Activity Unit

0002 Five-Year Ordering Period – Medical Evacuation (MEDEVAC) Labor

1 Activity Unit

0003 Five-Year Ordering Period – MEDEVAC Materials 1 Activity Unit 1001 Option Period One - Medical Advisory & Travel

Risk Advisory Services 1 Activity Unit

1002 Option Period One – MEDEVAC Labor 1 Activity Unit 1003 Option Period One – MEDEVAC Materials 1 Activity Unit

****Quotes submitted in response to this RFQ shall not contain nor be subject to the vendor's standard commercial terms and conditions. Any quote submitted in response to this solicitation which includes the vendor's standard commercial terms and conditions may be considered a material defect and may be rejected as being non-responsive to the solicitation****

CONTRACT TYPE FOR TASK ORDERS

Most of the Task Orders awarded under this IDIQ will be firm-fixed-price.

In some instances, Time-and-Material or Labor-Hour type orders may be issued at the Government’s discretion.

This contract type will only be utilized in instances where there is no way, at the time of placing the order, for the Government to accurately estimate the extent or duration of the work or to anticipate associated costs of the requirement and urgent requirements.

6.

PERFORMANCE WORK STATEMENT (PWS)

MEDICAL DIRECTED TRANSPORTATION, MEDICAL ADVISORY, AND TRAVEL ADVISORY

SERVICES

Part 1

General Information

1. GENERAL: This is a non-personal services contract to provide medical directed transportation, medical advisory, and travel advisory services. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

1.1 Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform medical directed transportation, medical advisory, and travel advisory services as defined in this PWS, except for those items specified as Government furnished property and services. The Contractor shall perform to the standards in this contract.

1.2 Background:

The mission of Military Sealift Command (MSC) is to provide Sealift for strategic mobility support of national objectives. Specifically, MSC provides cargo and petroleum, oil and lubricants, transportation, fleet auxiliaries and special mission ships in peace, in addition to preparing for and providing strategic sealift during mobilization. MSC discharges its mission through the employment of sealift forces consisting of Government owned ships, augmented by Contractor-operated and Government-operated ships and commercial services. MSC is a working capital fund organization. It executes its own contracts in support of its missions, and acts as program manager. MSC's mission supports United States Transportation Command, Chief of Naval Operations, and the Navy Reserve.

Within MSC, the Force Surgeon's Office (N02H) is charged with establishing medical policy and providing medical support services to civil service mariners (CIVMARS), active duty military personnel and sponsor personnel embarked on MSC vessels.

Each ship/vessel in the fleet has either a Medical Services Officer (MSO) or Medical Department Representative (MDR) to address acute or emergent medical needs. MSOs have previously trained as a Navy Independent Duty Corpsman, Registered Nurse, or Physician’s Assistant. MDRs have been trained and certified to meet the minimum standard of Standard in Training Certification and Watch keeping for Seafarers (STCW) "Person in Charge of Care" as required by the United States Coast Guard.

There are approximately 59 MSC Government owned, Government operated (GOGO) vessels and 4 squadron staffs in the MSC fleet. This number is expected to increase to 69 over the life of the contract. The personnel comprising the formal staff of the four prepositioning squadrons will be the Government’s employees. The United States Navy (USN) vessels have their own organic medical personnel to support the active duty and are serviced by the Department of Defense for transportation. However, the MSC CIVMARs, other civil service personnel and Contractor/technical representatives aboard those ships are beneficiaries to receive medical advice and urgent or emergency medical transportation per this Contract.

1.3 Objectives:

To provide quality tele-medicine and travel advisory services to the fleet, ensuring the best available care while underway.

To provide emergency, medical-directed transportation services in case of acute serious illness or injury while underway.

1.4 Scope:

The Contractor shall provide urgent and emergency medical advice, urgent or emergency patient transportation and en route medical support to advance care mainland medical facilities for all MSC GOGO ships and units located worldwide (Technical Exhibit 1). The Contractor shall provide a local travel advisory briefing upon request of an MSC GOGO ship. Medical evacuation shall be defined as the movement of patients from one medical facility to another for emergent, urgent, and non-urgent medical reasons. The patients may range from critically ill requiring mechanical life support to stable patients requiring medical attendants.

Medical transportation will most commonly be from one shore based medical facility to another, but may occasionally be from another designated location, such as an airfield when a patient is being transported from a ship at sea. Medical transportation may require the use of appropriate land vehicles, air transportation, water transportation, or any combination thereof. The total covered population under the scope of this contract is approximately 5500 but is subject to fluctuation based on mission requirements and changes in the ship inventory. If an evacuation is required, the Contractor will acquire permission/clearance for it aircraft (either organic to its organization or subcontracted) to comply with requirements of the transport areas.

This is a Performance Based Contract in accordance with the Federal Acquisition Regulation (FAR) subpart

37.6. The Government will monitor the Contractor's performance under this contract using the performance objectives and standards in the attached Performance Requirements Summary (PRS).

Non-personal services shall be provided under this contract. Personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees. The Contractor shall not under any circumstances perform inherently governmental functions (as defined in FAR subpart 7.5) under this contract.

1.5 Period of Performance: The period of performance shall be for one, five-year ordering period and one, six-month option period. The period of performance reads as follows:

Five-Year Ordering Period 01 April 2022 - 31 March 2027 Option to Extend Services (FAR 52.217-8) 01 April 2027 - 30 September 2027

1.6 General Information

1.6.1 Quality Control: The Contractor shall develop and maintain an effective quality control/protocol program to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s quality control program is the means by which it assures itself that its work complies with the requirement of the contract.

1.6.2 Quality Assurance: The Government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards.

It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The Contractor is required to be available on all holidays world-wide.

1.6.4 Hours of Operation: The Contractor is responsible for conducting business 365/366 days per year, 24 hours per day, 7 days per week. Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5 Place of Performance:

The work to be performed under this contract shall be performed at the Contractor's site. This facility shall maintain a means of communication with ships at sea and the Contractor's consulting physician, twenty-four

(24) hours per day, seven (7) days per week. Medical transportations may occur worldwide.

1.6.6 Type of Contract: The Government will award a Firm-Fixed-Price and Time & Materials contract.

1.6.7 Licenses, Permits, and Precautions:

The Contractor shall comply with all international, federal, state and local regulations for the proper handling and disposal of hazardous materials. The Contractor shall, at the Contractor’s expense, be responsible for obtaining any necessary licenses and permits, and for complying with any applicable laws, codes, and regulations, in connection with the performance of work. Further, the Contractor is responsible to ensure that proper safety and health precautions are taken to protect the patients, work, the workers, the public, and the property of others.

1.6.8 Security Identification of Non-Disclosure Requirements:

The Contractor will be required to work with business sensitive information in the performance of this PWS.

No sensitive or proprietary information of, or in the possession of MSC or any of its operating units, will be disclosed without the written consent of the Contracting Officer. The Contractor shall comply with all applicable public laws, Government regulations, and command procedures regarding privacy, specifically the Privacy Act of 1974 as amended, and the Health Insurance Portability and Accountability Act (HIPAA).

1.6.9 Special Qualifications:

Crew Qualifications. The Government shall provide a list of specific qualifications of on-board medical personnel. Such qualifications may be limited to first aid training.

Personnel Requirements: Personnel utilized to perform medical advisory services under this Contract shall meet the requirements specified below:

1.6.911 Credentialed in Emergency Medicine.

1.6.912 Licensed to practice medicine in the United States.

1.6.913 Certified by the American Board of Emergency Medicine (for Medical Doctors) or the American

Osteopathic Board of Emergency Medicine (for Doctors of Osteopathy).

1.6.914 When credentialed in Internal Medicine, personnel shall be certified by the American Board of Internal Medicine (for Medical Doctors) or American Osteopathic Board of Internal Medicine (for Doctors of Osteopathy).

1.6.915 Physician specialists, if used, shall be licensed to practice in the United States and be

American Board Certified in their respective specialty area.

Personnel utilized to perform medical transportation services under this Contract shall meet the requirements specified below:

Medical Transportation Requirements:

1.6.916 Credentialed in Emergency Medicine and experienced in medical transportation from remote locations

1.6.917 In-flight medical personnel required to support the patient, such as a licensed physician or nurse, will be licensed or certified in their respective originating country.

1.6.10 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR subpart 42.5. The Contracting Officer, Contracting Officer’s Representative, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the Contracting Officer will apprise the Contractor of how the Government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.6.11 Contracting Officer’s Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract;

perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor Contractor's performance and notify both the Contracting Officer and Contractor of any deficiencies; coordinate availability of Government furnished property; and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.12 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.6.13 Organizational Conflict of Interest: Contractor and sub-Contractor personnel performing work under this contract may receive, have access to, or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer. In the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may effect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.6.14 Phase in/Phase out Period: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract starting date. The objective is to minimize the disruption of emergency medical services. The Government estimates no phase-in transition period.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1 DEFINITIONS

2.1.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5 DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.7 QUALITY ASSURANCE. The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.8 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

2.1.9 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.10 SUBCONTRACTOR. One that enters into a contract with a prime Contractor. The Government does not have privity of contract with the sub-Contractor.

2.1.11 ADVANCED LIFE SUPPORT (ALS). Requires more advanced in route medical equipment and medical care. These missions require attendants with credentials of EMT or Paramedic. Calls include 911 calls, airfield/airport to BAMC, BAMC to airfield/airport, BAMC to other facility to include nursing homes, rehab, hospitals/clinics or vice versa.

2.1.12 AIR EVACUATION. Refers to ground ambulance transports to or from local military airfields or commercial airports. Transport loads may consist of one (1) to 28 patients in the event of a mass casualty. Air evacuation missions may require the use of an ambulance bus or large passenger carrying vehicles with combined loads of ambulatory or litter patients.

2.1.13 AMBULATORY. A patient with no special care/attention requirements during transport.

2.1.14 BASIC LIFE SUPPORT (BLS). Trips which require use of oxygen or intravenous drugs being administered to patients during transport by one or more medical attendants. Calls include 911 calls, airfield/airport to BAMC, BAMC to airfield/airport, BAMC to other facility to include nursing homes, rehab, hospitals/clinics or vice versa.

2.1.15 COMMON ACCESS CARD (CAC). A common access card (CAC) is a Unites States Department of Defense (DoD) smart card for multifactor authentication. CACs are issued as standard identification for active-duty military personnel, reserve personnel, civilian employees, non-DoD Government employees, state employees of the National Guard and eligible contractor personnel. In addition to its use as an ID card, a CAC is required for access to Government buildings and computer networks.

2.1.16 REPATRIATE (REPAT). This is a request and or action of sending someone back to his or her original place of departure/country.

2.2 ACRONYMS:

ACOR Alternate Contracting Officer's Representative BAMC Brooke Army Medical Center CFR Code of Federal Regulations CIVMAR Civil Service Mariner (Government employee) CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer’s Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf COMSC Commander Military Sealift Command DON Department of the Navy DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense FAR Federal Acquisition Regulation GOGO Government Owned Government Operated HIPAA Health Insurance Portability and Accountability Act of 1996 IAW In Accordance With KO Contracting Officer MEDEVAC Medical Evacuation MDR Medical Department Representative MSC Military Sealift Command MSO Medical Service Officer MTF Medical Treatment Facility

NLT No Later Than NMCARS Navy Marine Corps Acquisition Regulation Supplement OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TE Technical Exhibit

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 No Government furnished property, equipment, or services.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

PART 5

SPECIFIC TASKS

5. SPECIFIC TASKS:

5.1 Basic Services. The Contractor shall provide medical advisory, travel advisory and medical evacuation services.

The Contractor shall perform the following tasks:

5.1.1 Medical Consult and Travel Advisory Services. The primary consulting physician and any supporting consulting physicians or specialists shall be available twenty-four (24) hours per day, seven (7) days per week, 365/366 days a year to provide medical advice to MSC ships at sea. The physician and/or specialists shall make recommendations to medical personnel aboard the ships for the treatment of sick or injured crewmembers and other personnel. The advice shall include any and all recommendations for seeking professional medical treatment from other USN ships or ashore medical resources, when necessary and as available, taking into account the time and distance from sources of professional medical treatment and the expense of obtaining such treatment. The

Contractor shall, upon request, provide MSC personnel with travel advisory services in near real time to meet MSC shore and afloat staff requirements in addition to medical advisory support.

Estimated number of requests from entire fleet is 5-10 per month. Travel advisory may include, but is not limited to, political situation, weather advisory, local pandemic information, quality of local medical care. Travel advisory should be provided within 12 hours of the request. Request may come from ship’s Master or MSO.

5.1.2 Maintain Reference Information: The Contractor shall have available, at all times, as ready reference to the physician providing the medical advice, the information listed below. Information followed by an asterisk (*) is Government-furnished.

a. Transportation procedures from the ships to an appropriate medical facility.*

b. List of appropriate medical facilities worldwide and their respective capabilities.

c. Lists of shipboard available/standard medical equipment and supplies. *

d. Medical records for on-going current cases.

e. List of medical transportation resources worldwide.

f. Physician's Recommendation/Referrals. The Contractor shall provide recommendations and assistance to the ship and to MSC activities ashore in selecting the sources and location of appropriate, competent treatment 24/ 7- 365/366 days a year. This service is required when obtaining professional treatment that requires transport of the patient. Recommendations shall identify medical facilities and personnel worldwide, including points of contacts and phone numbers, who can provide such treatment and the means of moving and transporting patients to avoid further injury or illness. The Contractor must also take into account the needs of the patient, the time and distance to the place of treatment, the cost of diversion if known, and other pertinent factors. With respect to this paragraph, neither party shall act as the agent for the other.

Operational and transportation decisions made and/or actions taken by the ship's Master as a result of receiving the medical advice remain the responsibility of the MSC Force Surgeon/Force Medical Officer and the ship's Master. In addition, the ship’s Master has the authority regarding ship’s movement.

g. Emergency Medical Transportation Services (NOT REPAT) shall not be disrupted. If emergency medical transport is required, the Contractor shall arrange and manage the medical transportation of personnel upon request from any MSC ship. The Contractor is responsible for providing all equipment, fully trained and qualified medical personnel, and any other resources necessary to transport personnel to a medical treatment facility designated by the Government. It shall be the Government's responsibility to secure a patient's admission to a medical treatment facility. The Contractor's responsibility shall terminate once a medical treatment facility has accepted custody of a patient. COVID-19 testing shall be performed when deemed necessary by the MSC Force Surgeon or MSC Force Medical Officer or MSC vessel Master or MSO or MDR to meet requirements from both departure and arrival Host Nations to achieve a complete MEDEVAC. Final MEDEVAC report is due within 10 calendar days after transport.

h. All requests for services shall be verified through the COR or ACOR. Potential transportation resources must be identified and screened in advance to allow timely access to remote sites. Medical transportation must be initiated within one calendar day of MSC’s determination that the patient must be transported and service is requested. Note: “initiated” means that the Contractor shall have all necessary arrangements (to include any agreements and/or subcontracts) in place and a plane departing from the case origin. The Contractor will ensure the proper transport units are appropriately staffed and onsite ready for transport at least one hour prior to the ETA.

5.1.3 Medical Quality Assurance/Risk Management (QA/RM):

Business Availability. The Contractor shall be available via telephone twenty-four (24) hours per day, seven (7) days per week, 365/366 days-a-year for the MSC vessels designated by this contract.

The Contractor shall meet QA/RM documentation requirements as set by the MSC Force Surgeon. The Contractor shall provide access to files and records of urgent or emergency patient transportation and the in transit support/treatments provided. All patient care records shall be made available for review by the MSC Force Surgeon or designated Force Medical Officer within twenty-four (24) hours of the Contractor rendering care and transport of a patient in question.

a. The Contractor shall perform procedures compatible with the MTF’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation and approval from the MTF Commander, or authorized representative.

b. The Government will evaluate Contractor performance in accordance with FAR 52.212-4, Contract Terms and Conditions and the Performance Requirements Summary, or regulation. Meetings may be scheduled on a quarterly basis, or as needed to discuss performance of the contract with the Contractor or representative, KO, COR or other Government personnel as needed. The Contractor may request a meeting with the KO and COR as needed.

5.1.4 Communication Capabilities.

The Contractor shall be able to rapidly initiate and maintain direct contact between the physician and the medical representative aboard the ship and shall ensure the best possible transmission for clarity, depending upon the medium of communications selected by the ship. The Contractor shall be available to establish initial voice communication with the ship or unit within one (1) minute of a request for service and shall guarantee that a physician, qualified as identified in this contract, is available within five (5) minutes of said request. The Contractor shall maintain an ability to communicate directly by voice or by electronic mail. However, when voice communications are not possible, contact via other means shall be accomplished as soon as possible; however, these communications must be initiated within one (1) hour of receipt of request. The Contractor shall have the following communications capabilities:

a. One (1) dedicated commercial telephone line and one (1) non-dedicated telephone line for secondary use are the minimum requirements. An operator must cover these lines at all times as defined in this contract.

b. Email capabilities. Note: When this means of communication is utilized, the Contractor shall acknowledge receipt as soon as possible, but not later than two (2) hours after receipt of the request and must be in full compliance with HIPAA and ensure the safeguarding of personally identifiable information (PII).

5.1.5 Contracted Medical Personnel must be a licensed consulting physician who shall be available twenty- four (24) hours per day, seven (7) days per week, 365/366 days a year and must be certified in Emergency Medicine and experienced in aero-medical transportations from remote locations. Where in-flight medical personnel are required to support the patient, the supporting medical personnel will be licensed or certified in their respective originating country, such as a licensed physician or nurse. The Contractor must have a representative available within five (5) minutes of the transportation request to initiate the transportation. Personnel utilized to perform the services under this Contract shall meet the requirements specified below credentialed in one of the following medical professional fields in the United States:

• Emergency Medicine Licensed.

• Certified by the American Board of Emergency Medicine (for Medical Doctors) or American Osteopathic Board of Emergency Medicine (for Doctors of Osteopathy).

• When credentialed in Internal Medicine, personnel shall be certified by the American Board of Internal Medicine (for Medical Doctors) or American Osteopathic Board of Internal Medicine (for Doctors of Osteopathy).

• Physician specialists, if used, shall be licensed to practice in the United States and be American Board Certified in their respective specialty area.

Medical Transportation Requirements:

• Credentialed in Emergency Medicine and experienced in medical transportation from remote locations.

• In-flight medical personnel required to support the patient will be licensed or certified in their respective originating country, such as a licensed physician or nurse.

• NOTE: Contractor shall be required to provide copies of all credentials, licenses, etc. when requested by the Government. The cost of providing such documents shall be borne by the Contractor.

PART 6

APPLICABLE PUBLICATIONS

6. APPLICABLE PUBLICATIONS (CURRENT EDITIONS):

Public Law 91-596 29 Dec 70 Occupational Safety and Health Administration Public Law 104-191 dated 21 Aug 96 Health Insurance Portability and Accountability

Act of 1996 JOINT PUB 1-02, 12 APR 01 (JP 1-02) DOD Dictionary of Military Terms AMA CPT Physician’s Current Procedural Terminology DoD 1341.2-M DEERS Program Manual DoDD 5200.2 DoD Personal Security DoD 6010.8-R Joint Ethics Regulation Uniformed Services CHAMPUS, Ch. 9, 1 Jul 1991 FM 3-19.30 Physical Security PL 89-614 Chapter 55, 10 U.S.C. (1071-1088) Title 29, CFR Occupational Safety and Health Standards MSC Instruction 6000.1 dated 6 Mar 14 BAMC MEMO190-13 BAMC Physical Security Program FAR Federal Acquisition Regulation

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures.

PART 7

ATTACHMENT/TECHNICAL EXHIBIT LISTING

7. ATTACHMENT/TECHNICAL EXHIBIT LIST:

7.1 Technical Exhibit 1 – Performance Requirements Summary

7.2 Technical Exhibit 2 – Deliverables Schedule

7.3 Technical Exhibit 3 – Estimated Workload Data

7.4 Technical Exhibit 4 – Potential Locations for MEDEVACS

7.5 Attachment 1 – Pricing Spreadsheet

TECHNICAL EXHIBIT 1

Performance Requirements Summary

(PRS)

The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective (The Service required—usually a shall statement)

Standard Performance Threshold (This is the maximum error rate. It could possibly be “Zero deviation from standard”)

Method of Surveillance

PRS # 1

Develop and Maintain Records of Medical Care. The Contractor will create within 24 hours of the request for assistance a record which it shall maintain for each patient serviced by this contract. The record will contain all forms, letters, documents, consultations, and communications associated with the patient's medical case and a copy of the record file will be forwarded to MSC Medical office Norfolk. The transmission may be by electronic or other means and must be protected in accordance with HIPAA.

Within 24 hours of request by MSC ship or MSC Vessel provide United States standard of care medical evacuation services.

MEDEVAC reports should be provided within 10 calendar days of patient movement.

Within 24 hours of request by MSC ship or Unit. Within 48 hours of case closure Annual Report 5.3.4 With 45 days of the end of the calendar year

100% Inspection:

MSC Force Medical staff reviews all records. Less than satisfactory medical advisory services will be addressed by the Force Medical Officer to the contractor’s Medical Director.

PRS #2

Medical Protocol Manual. The Contractor shall provide a medical protocol manual to the COR and the MSC Force Medical Officer within 30 calendar days of the contract award.

The Contractor shall incorporate Force Surgeon's Office standards with comments into the distributable version of the manual.

Contractor shall provide updates with any changes to the manual within 10 calendar days.

MSC N02H will review submissions and provide any necessary feedback.

PRS # 3

The Contractor and Government shall have at a minimum monthly meetings during the period of performance.

Monthly meetings will be held by tele-conference to review contract

Every 30 days COR will be in attendance and will take minutes for the file.

PRS # 4

The contractor shall maintain an active case log of all consultations and medical evacuations. MSC also requests a summary report of

Maintaining a secured portal for mariner information with daily emails to MSC providers on cases.

Portal accessible via Cloud 365/366 days/year. Daily emails with updates on hospitalizations

COR will maintain reports for discussion during monthly meetings if required.

cases weekly, monthly, and annually.

Summary in EXCEL format with no PII. and medical evacuations.

PRS #5

Contract Clause: (FAR 52.222-50) Combating Trafficking in Persons

Contract requirements must meet the terms of FAR 52.222-50

100% compliance required as per US Zero tolerance policy

Periodic Inspection of the requirements of

FAR 52.222-50

PRS #6

Medical Advisory Services

Timeliness Within five (5) minutes from direct establishment of communication as required in PWS

COR tracking/customer complaints

PRS #7 Travel Advisory Services Travel Risk Advisory. At the request of a MSC Surgeon or MSC vessels, the contractor will provide information for known health risks, emerging health threats, and health care capabilities / facilities for the anticipated port. In concert with the MSC customer.

-100% completion rate within 12 hours.

- Reports contain required reporting elements from an accredited or Government information source.

95%

95%

File reviews

File reviews and citation references and Customer feedback

PRS #8

Medical Evacuation Services

The Contractor must transport patients within one calendar day (24 hours)

100% compliance 100 % COR inspection

TECHNICAL EXHIBIT 2

DELIVERABLES

Deliverable Frequency # of Copies Medium/Format Submit To

Medical Protocol Within 30 calendar days of

1 Searchable .pdf COR and Force

Manual (PRS #2) the beginning of the format Medical Officer contract, then any updates to manual within 10 calendar days

Summary reports

(PRS #4)

Weekly, monthly, and annually.

1 EXCEL MSC Medical Distribution including the COR

Encounter Reports Medical Advisory Services (PWS 5.1.1)

Within 2 calendar days.

1 Searchable .pdf MSC Medical Distribution

MEDEVAC Reports (PWS Section 5.1.2.g)

Within 10 calendar days of patient movement

1 Searchable .pdf MSC Medical Distribution and

COR.

Travel Advisory Report (PRS#7)

Within 12 hours of the request

2 E-mail or .pdf Requestor and MSC Medical Distribution

TECHNICAL EXHIBIT 3

ESTIMATED WORKLOAD DATA

ITEM

NAME

ESTIMATED QUANTITY

1 MEDEVAC 3 PER YEAR

Historical data:

2018 – 0

2019 -1

2020 - 3

2 Medical Advisory Services 250 2020 High usage due to COVID- Historical data: 19.

2018 – 113

2019 – 91

2020 - 312

TECHNICAL EXHIBIT 4

POTENTIAL (not limited to) LOCATIONS FOR MEDEVACs

7th Fleet 6th Fleet 5th Fleet 4th Fleet

Singapore - Sembawang and Changi Naval Base

Rijeka, Croatia

Gaeta, Italy

Al Duqm, Oman

Muscat, Oman

Tumaco, Colombia

Panama City, Panama Sasebo, Japan Souda Bay, Crete Jebel Ali, UAE Honduras Yokohama, Japan

Busan, Korea Rota, Spain Qatar Bahrain

Djibouti

Puerto Barrios, Guatemala

Subic Bay, Philippines

Guam

Santo Domingo, Dominican Republic

Diego Garcia

7. The following FAR and DFARS provisions and clauses apply to this solicitation and are incorporated by reference:

52.202-1 Definitions (Jun 2020) 52.203-3 Gratuities (Apr 1984) 52.203-12 Limitation on Payments to Influence Certain Federal Transactions (Jun 2020) 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May

2011) 52.204-7 System for Award Management (Oct 2018) 52.204-13 System for Award Management Maintenance (Oct 2018) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020) 52.204-19 Incorporation by Reference of Representations and Certifications (Dec 2014) 52.204-22 Alternative Line Item Proposal (Jan 2017) 52.207-2 Notice of Streamlined Competition (May 2006) 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services (Nov

2021) 52.212-4 Contract Terms and Conditions—Commercial Items--Alternate I (Nov 2021) 52.216-31 T&M/LH Proposal Requirements—Commercial Item Acquisition (Nov 2021) 52.217-5 Evaluation of Options (Jul 1990) 52.222-29 Notification of Visa Denial (Apr 2015) 52.222-56 Certification Regarding Trafficking in Persons Compliance Plan (Oct 2020) 52.223-5 Pollution Prevention & Right-To-Know Information (May 2011) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.225-14 Inconsistency Between English Version and Translation of Contract (Feb 2000) 52.229-3 Federal, State, and Local Taxes (Feb 2013) 52.229-11 Tax on Certain Foreign Procurements—Notice and Representation (Jun 2020) 52.229-12 Tax on Certain Foreign Procurements (Feb 2021) 52.232-7 Payments under Time-and-Materials and Labor-Hour Contracts (Nov 2021) 52.232-8 Discounts for Prompt Payment (Feb 2002) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Nov 2021) 52.233-1 Disputes (May 2014) 52.236-7 Permits and Responsibilities (Nov 1991) 52.237-1 Site Visit (Apr 1984) 52.237-2 Protection of Government Buildings, Equipment, and Vegetation (Apr 1984)

52.242-13 Bankruptcy (Jul 1995) 52.243-1 Changes—Fixed Price--Alternate I (Apr 1984) 52.243-3 Changes—Time-and-Materials or Labor-Hours (Sep 2000) 52.244-2 Subcontracts (Jun 2020) 52.246-4 Inspection of Services—Fixed-Price (Aug 1996) 52.246-6 Inspection—Time-and-Material and Labor-Hour (May 2001) 52.249-8 Default (Fixed-Price Supply and Service) (Apr 1984) 52.249-14 Excusable Delays (Apr 1984) 252.201-7000 Contracting Officer's Representative (Dec 1991) 252.203-7000 Requirements Relating to Compensation of Former DoD Officials (Sep 2011) 252.203-7005 Representation Relating to Compensation of Former DoD Officials (Nov 2011) 252.203-7002 Requirement to Inform Employees of Whistleblower Rights (Sep 2013) 252.204-7000 Disclosure of Information (Oct 2016) 252.204-7003 Control of Government Personnel Work Product (Apr 1992) 252.204-7008 Compliance with Safeguarding Covered Defense Information Controls (Oct

2016) 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting (Dec 2019) 252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support (May

2016) 252.204-7016 Covered Defense Telecommunications Equipment or Services—Representation

(Dec 2019) 252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications

Equipment or Services—Representation (May 2021) 252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications (Jan

2021) 252.204-7019 Notice of NIST SP 800-171 DoD Assessment Requirements (Nov 2020) 252.204-7020 NIST SP 800-171 DoD Assessment Requirements (Nov 2020) 252.205-7000 Provision of Information to Cooperative Agreement Holders (Dec 1991) 252.208-7000 Intent to Furnish Precious Metals as Government-Furnished Material (Dec

1991) 252.209-7004 Subcontracting with Firms that are Owned or Controlled by the Government of a Country that is a State Sponsor of Terrorism (May 2019) 252.215-7008 Only One Offer (Jul 2019) 252.219-7003 Small Business Subcontracting Plan (DoD Contracts)—Basic (Dec 2019) 252.222-7002 Compliance with Local Labor Laws (Overseas) (Jun 1997) 252.222-7004 Compliance with Spanish Social Security Laws and Regulations (Jun 1997) 252.225-7005 Identification of Expenditures in the United States (Jun 2005) 252.225-7041 Correspondence in English (Jun 1997) 252.225-7043 Antiterrorism/Force Protection for Defense Contractors Outside the United

States (Jun 2015) 252.225-7048 Export-Controlled Items (Jun 2013) 252.225-7972 Prohibition on the Procurement of Foreign-Made Unmanned Aircraft Systems

(May 2020) (DEVIATION 2020-O0015) 252.225-7973 Prohibition on the Procurement of Foreign-Made Unmanned Aircraft

Systems—Representation (May 2020) (DEVIATION 2020-O0015) 252.225-7976 Contractor Personnel Performing in Japan (Aug 2018) (DEVIATION 2018-

O0019) 252.225-7980 Contractor Personnel Performing in the United States Africa Command Area of

Responsibility (Jun 2016) (DEVIATION 2016-O0008) 252.225-7995 Contractor Personnel Performing in the United States Central Command Area of Responsibility (Sep 2017) (DEVIATION 2017-O0004) 252.225-7997 Contractor Demobilization (Aug 2013) (DEVIATION 2013-O0017) 252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and

Native Hawaiian Small Business Concerns (Apr 2019) 252.227-7015 Technical Data--Commercial Items (Feb 2014)

252.227-7028 Technical Data or Computer Software Previously Delivered to the Government (Jun 1995)

252.228-7006 Compliance with Spanish Laws and Insurance (Dec 1998) 252.229-7003 Tax Exemptions (Italy) (Mar 2012) 252.229-7005 Tax Exemptions (Spain) (Mar 2012) 252.229-7006 Value Added Tax Exclusion (United Kingdom) (Dec 2011) 252.229-7007 Verification of United States Receipt of Goods (Jun 1997) 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports (Dec 2018) 252.232-7008 Assignment of Claims (Overseas) (Jun 1997) 252.232-7010 Levies on Contract Payments (Dec 2006) 252.232-7011 Payments in Support of Emergencies and Contingency Operations (May 2013) 252.232-7017 Accelerating Payments to Small Business Subcontractors--Prohibition on Fees and Consideration (Apr 2020) 252.233-7001 Choice of Law (Overseas) (Jun 1997) 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel (Jun 2013) 252.237-7023 Continuation of Essential Contractor Services (Oct 2010) 252.237-7024 Notice of Continuation of Essential Contractor Services (Oct 2010) 252.243-7001 Pricing of Contract Modifications (Dec 1991) 252.243-7002 Requests for Equitable Adjustment (Dec 2012) 252.244-7000 Subcontracts for Commercial Items (Jan 2021) 252.244-7001 Contractor Purchasing System Administration—Basic (May 2014)

8. The following FAR and DFARS provisions and clauses apply to this solicitation and are incorporated by full text:

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance

Services or Equipment (Oct 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub.

L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a…