06_Nov_2014_FY_15_Statement_of_Work.docx

STATEMENT OF WORK

TABLE OF CONTENTS

1. Description of Services

1.1 Scope of Contract

1.2 Aircraft Requirements

1.3 Aircrew Requirements

1.4 Aircraft Maintenance

1.5 Unsafe Aircraft/Risk Assessment

1.6 Evacuation Service

1.7 In Transit Visibility

2. Service Delivery Summary

3. General

3.1 Project Management

3.2 Insurance

3.3 Costs

3.4 Security

3.5 Aircrew Duty Day Restrictions.

3.6 Medical Item Pacing Report

4. Period of Performance

5. Foreign Clearance Guide Requirements

1. Description of Services

1.1 Scope of Contract. Contractor shall provide contractor owned, contractor operated fixed-wing aircraft (both jet and propeller driven aircraft) and helicopters that meet or exceed the required performance characteristics configured to support casualty evacuation (CASEVAC). The contractor shall provide medical personnel to provide medical care to patient while in flight to destination. This requirement supports both persistent and episodic engagements supporting the Combined-Joint Task Force – Horn of Africa (CJTF-HOA) mission and provides United States (U.S.) service members, civilians, and coalition forces required casualty evacuation. Coalition forces who are evacuated will be responsible for reimbursing the U.S. government for all expensed incurred. For the purposes of this Statement of Work (SOW), the Primary Operating Area (POA) is within the CJTF-HOA Area of Responsibility (AOR) and Area of Interest (AOI). The AOR and AOI perimeters may change.

1.1.1 Use contractor owned, contractor operated fixed-wing aircraft (both jet and propeller driven aircraft) and helicopters that meet or exceed the required performance characteristics configured to support casualty evacuation (CASEVAC).

1.1.2 Contractor Point of Contact (POC) shall be personnel of primary contractor. If subcontractor is used for casualty evacuation services a POC from primary contractor should be available to retrieve calls and process requests in 2 hours from the time of the initial call.

1.1.3 One jet and one propeller driven aircraft will be on call/ad-hoc at all times, with launch time of approximately 2 hours from time of notification (excluding time required to obtain country clearances).

1.1.4 Upon notification, the contractor shall provide an Intensive Care Unit (ICU)-trained physician and an ICU- trained nurse and evacuate personnel from the area.

1.1.5 The contractor shall support operations 24 hours a day/7 days a week.

1.1.6 Contractor performance shall include day, night and low visibility mission requirements involving short field landings / take offs. Contractor shall be able to successfully operate on improved and unimproved airfield landing zones and non-surveyed helicopter landing areas in the performance of their duties.

1.1.7 Primary CJTF-HOA point of contact is the Contracting Officer Representative (COR).

1.2 Aircraft Requirements.

1.2.1 The Contractor shall provide contractor owned, contractor operated fixed-wing aircraft (both jet and propeller driven aircraft) and helicopters that meet or exceed the required performance characteristics configured to support casualty evacuation (CASEVAC).

1.2.2 The aircraft shall be operated in accordance with applicable rules and regulations of International Civil Aviation Organization (ICAO).

1.2.3 The aviation contractor shall be a DoD-Approved United States Flag Carrier or DoD-Approved Foreign Flag Carrier, certified by the DoD Commercial Air Review Board (CARB).

1.2.4 The aircraft shall have oxygen readily available for crew and passengers above 10,000 ft.

1.2.5 The aircraft shall be capable of transporting up to two (2) patients (2 litters or a combination of litter and ambulatory) from unimproved landing zones to an airfield designated by supported unit.

1.3 Aircrew Requirements.

1.3.1 Aircrew shall be trained, qualified and maintain proficiency in accordance with applicable European or United States FAA regulations.

1.3.2 Pilot Personnel. The Contractor shall provide pilots as required to safely operate the CASEVAC aircraft, meeting the OPTEMPO, all requirements of the FAA, or certifying CAA, and any other requirements designated by the Host Nation.

1.3.2.1 Each mission shall be staffed with the appropriate number of pilots to safely and effectively operate the aircraft.

1.3.2.2 Pilots shall make all flight related decisions and are responsible for flight safety.

1.3.2.3 Pilots shall be responsible for pre-flight planning, aircraft pre-flight checks, and coordinating the mission with the operators.

1.3.2.4 During flight pilots shall monitor airspace, weather, radio communications, mission flight boundaries, other air traffic, and aircraft systems.

1.3.2.5 The pilot shall coordinate all missions with the appropriate fixed base of operation (FBOs) and Air Traffic Control (ATC) facilities (military and civilian).

1.3.2.6 Pilots shall also ensure safe, efficient aircraft operation, and that all aircraft maintenance is properly accomplished and documented.

1.4 Aircraft Maintenance.

1.4.1 The aircraft shall be maintained entirely by contractor personnel.

1.4.2 The aircraft shall be maintained in accordance with FAA Regulation Part 135 or CAA equivalent.

1.4.3 The Contractor shall provide all parts/services/inspections to maintain the aircraft in accordance with the OEM maintenance procedures and FAA regulations.

1.5 Unsafe Aircraft/Risk Assessment: The Contractor shall assess the current situation (weather, intelligence, terrain, crew experience, and tactical situation) prior to launch to make an accurate risk assessment before performing a mission.

1.6 Evacuation Service: The aircraft shall be capable of providing airborne CASEVAC response within 2 hours of notification (N+2), excluding time required to obtain country clearances.

1.6.1 The air transport service shall be capable of operating from remote locations with no facilities to provide on- site CASEVAC for high risk activities.

1.6.2 The air transport service shall maintain accreditation by an internationally recognized air medical services organization (e.g. European Air Medical Institute, Commission on Accreditation of Medical Transport Systems, National Accreditation Alliance of Medical Transport Applications, etc.).

1.6.3 The Contractor shall have medical providers for the aircraft consisting of a minimum of one (1) ICU-trained physician and (1) ICU-trained nurse per evacuation unless otherwise agreed upon by the CJTF-HOA COR. Contractor shall ensure all medical personnel wear the appropriate clothing/uniforms to safely operate and communicate during running aircraft operations (day or night). Additionally, the contractor shall supply and wear the appropriate medical protection against disease, contamination and any other biological hazards during patient care.

1.6.3.1 Physician Personnel shall have minimum 5 years current work experience, to include 2 years of ICU level care. Physician personnel shall have completed postgraduate medical training leading in specialty designation in Anesthesiology, ICU medicine, or Emergency Medicine. Physician personnel shall maintain active clinical privileges and work in a hospital-based ICU in order to maintain proficiency. They shall have Advance Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) qualifications. Additional Critical Care Air Transport education and experience is preferable.

1.6.3.2 Nursing Personnel shall have minimum 4 years current work experience, to include 2 years of ICU level care. They shall have a Kenyan ICU diploma (one year course with emphasis on intensive care medicine) or equivalent. Additionally, formal training and experience in Air Transport nursing medicine is required.

1.6.4 The Contractor shall provide and properly maintain all necessary equipment to facilitate en route medical care. This medical equipment needs to be portable and battery powered to allow for removal from aircraft to be used at point of patient pickup. Contractor shall ensure proper selection of medical equipment based on nature of evacuation mission in order to optimize patient care. The following equipment represents the minimum requirements for the contractor to maintain for use in flight as needed for each mission:

· Automated blood pressure cuffs

· Syringe pumps

· Blood glucose monitor

· Handheld lab equipment e.g. I-Stat

· Portable pulse oximeters (e.g. Nonin)

· Ventilators (e.g. Draeger Oxylog series)

· Cardiac monitors/defibrillators: (e.g. Zoll 3 or 12 lead Propaq monitors)

· Automated suction units

· Chest drainage equipment with Heimlich valves

· Current Advanced Life Support medications

· Rapid Sequence Intubation medications

· IV Fluids (crysalloids, colloids)

· Airway adjuncts (nasal cannulae, non-rebreather masks, guerdal airways)

· Non-invasive ventilation masks

· Difficult airway intubation apparatus (e.g. Airtraq, I-Gel, etc.)

· Endotracheal intubation equipment

· Full body splint vacuum mattresses

· Head blocks

· Extraction devices (e.g. Kendrick)

· Scoop stretchers

· Traction splints

· Rigid cervical spine collars

· Snake antivenin

1.6.5. Contractor shall document all patient care provided during each mission and provide a legible copy of medical documentation in English to the receiving medical facility or receiving medical crew (if being transferred to another medical aircraft) upon transfer of care. Copies of all medical documentation shall be retained by the contractor for (1) one year from date of mission and provided to the Contracting Officer Representative (COR) upon request.

1.6.6 Contractor shall arrange for admission of patient to a local hospital approved by the CJTF-HOA Force Surgeon or approved representative.

1.6.6.1 If patient is returned to Nairobi, preferred hospitals for admission are currently the Aga Khan Hospital and (then) the Nairobi Hospital. The contractor shall arrange for ground transportation via ambulance from the airport to the hospital, ensuring that the quality of care rendered in the ambulance during transport does not diminish from that rendered during the flight.

1.6.6.2 If the patient is flown to Djibouti, the contractor shall coordinate with the CJTF-HOA Surgeon Cell to arrange for U.S. ambulance services to meet the air ambulance and transfer patient for admission on Camp Lemonnier’s Expeditionary Medical Facility. The contractor’s medical staff shall remain with the patient to provide medical care until the patient is admitted to the Expeditionary Medical Facility.

1.6.6.3 The contractor shall be liable for injury or death to passengers while those passengers are being transported by the contractor except for: friendly fire incident, enemy fire incident, a patient expires en route from pickup to medical facility and any other circumstance outside of the operator’s control.

1.6.7 In the event that a patient is exhibiting any of the listed symptoms or being diagnosed with any of the conditions listed below, they WILL be CASEVAC’ed with a medical provider and ICU trained nurse. The medical provider and ICU nurse shall provide medical care to patient to sustain life while in flight to destination. The appropriate medical procedures and supplies will be used on patient while in flight to destination:

· A person who is at high risk for clinical decompensation

· If they requires mechanical ventilation

· High risk for deteriorating respiratory status (for e.g. the pt with the malaria diagnosis

· Requiring invasive hemodynamic monitoring

· Requiring ongoing active resuscitation and/or lab monitoring

· Requiring aggressive in-flight fluid/blood product administration

· Requiring vasopressin support to maintain BP

· Requiring ICP monitoring (for e.g. massive head trauma)

· Requiring cardiac pacing

· Have unstable spine fracture that requires transport on a VSB

· High risk for clot or hemorrhage ( e.g. multiple long bone fracture/pelvic fracture

· Pt has unstable angina, unstable arrhythmia, or recent MI

· Burns that involves >10% total body surface in children and adults over 50 years old and all burns involving > 20% total body surface that are significant to the hands, face, genitalia or perineum, or 3rd degree burns > 5% total body surface. In addition burns with inhalation injury requiring intubation and burns with significant pre-existing medical disorders, multiple trauma associated with burns or with significant electrical injury including lighting and chemical burns.

1.7 In Transit Visibility/Communications. Contractor shall provide CJTF-HOA notification of departure and arrival. If communication is not available, contractor shall provide information either in flight or upon return to home station.

2. Service Delivery Summary:

Provide on-time departure for all medical evacuation missions

notification unless delayed due to country clearance delayed.

hospital agreed upon by CJTF-HOA Surgeon Cell prior to admission.

arrival of medical evacuation mission.

3. General Information.

3.1 Project Management. The contractor shall assign a Project Manager (PM) authorized to manage and administer all terms and conditions of this contract.

3.2 Insurance. At all times the Contractor shall maintain appropriate insurance, to include (but not limited to) aircraft public and passenger liability, hull liability, and medical services liability. Certification of insurance shall be required prior to commencement of operations.

3.3 Costs. Costs associated with support and operation of the aircraft are the Contractor’s responsibility and not directly reimbursable by the Government.

3.3.1 The Casualty Evacuation costs shall be quoted from the Firm-Fixed pricelist and include the Contractor's proposal for supporting the planned missions.

3.3.2 At a minimum, the Contractor shall provide and/or coordinate the following requirements at all locations as required.

3.4 Security. The contractor shall provide their own security for all employees, aircraft, and equipment.

3.5 Aircrew Duty Day Requirements. The contractor shall comply with United States Federal Aviation Administration (FAA) regulations (http://www.faa.gov) and Code of Federal Regulations part 417 regarding duty day restrictions.

3.6 Medical Item Pacing Report. Medical pacing items are those items which are critical to the conduct of CASEVAC operations, and if not available, preclude successful execution of a CASEVAC. The contractor shall provide the CJTF-HOA Force Surgeon or their representative notification within 3 hours of a Medical Pacing item becoming non-mission capable, along with a projected corrective action plan.

4.0. Period of Performance: The period of performance associated with this SOW will consist of one base year and two (2) option years to be exercised at the option of the Government. The period of performance for the service shall be as follows:

5.0. Foreign Clearance Guide Requirements: Aircraft and crew shall meet all requirements specified in the Foreign Clearance Guide (FCG) for each country in the POA. The contractor shall be solely responsible for submitting all theater/country clearance requests for contractor aircraft and personnel in accordance with the Foreign Clearance Guide. CJTF-HOA Area of Responsibility (AOR) and Area of Interest (AOI). The AOR and AOI perimeters may change. The Contacting Officer and/or Contracting Office Representative will give contractor POC country listings upon contract award and updates on country listings during the contract base year and option years.