Amendment 3- Attachment IV- EMS contract Questions and Response.pdf

15 June 2026

Questions and Answers from Solicitation PANDHA26P0000038595

1. Is there any incumbent/recompete or this is a brand-new project? If yes, could you please provide us with their award number or even if the customer bought similar services in the past.

Government Response: The current incumbent award number is FA850123P0008

2. Page 7 of the solicitation incorporates FAR 52.222-41, Service Contract Labor Standards, and FAR 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards— Price Adjustment. However, the solicitation appears to explicitly outline only FAR 52.222-42 on page 16 (not included by reference), Statement of Equivalent Rates for Federal Hires, which expressly states it is not a Wage Determination. Could the Government please identify the Department of Labor Wage Determination applicable to this procurement and amend the solicitation accordingly if omitted?

3. As a follow-on to the previous question, could the government please identify the Wage Determination that will serve as the baseline for future option-year and FAR 52.217-8 extension price adjustments under FAR 52.222-43?

4. To ensure all offerors propose labor pricing on a common basis, could the government please identify the labor classifications anticipated under the referenced Wage Determination for performance of this requirement, including but not limited to EMT- Basic, EMT-Intermediate/AEMT, Paramedic, Ambulance Driver, Shift Supervisor, Contract Manager, and any other required labor categories?

5. If the Government does not intend to identify applicable classifications to the previous question’s labor categories, could the Government please clarify how offerors should determine labor classifications and pricing assumptions for proposal purposes and how the Government will ensure fair and equal evaluation of labor pricing among competing offerors?

Government Response: (Questions 2 through 5) The applicable Department of Labor Wage Determination for this requirement is WD 2015-4495 (Revision 31) for Houston County, Georgia, which has been incorporated into the solicitation and will serve as the baseline for future adjustments. Regarding labor categories, it is the offeror's sole responsibility to determine the appropriate labor mix required to meet the PWS standards. Offerors are advised that the DOL Directory of Occupations utilizes the broad classification of 12040 - Emergency Medical Technician to encompass various levels of pre-hospital emergency care providers (including Paramedics). Proposed pricing will be evaluated based on the Total Evaluated Price for fairness and reasonableness.

6. PWS 5.10.6 requires an active Georgia EMS service license prior to operation on RAFB.

Can the Government confirm whether offerors must possess the required Georgia EMS provider license at proposal submission or only before performance commences?

Government Response: An active Georgia EMS Service License is not required at the time of proposal submission. The successful offeror must possess all necessary state and local licenses prior to the commencement of full performance on 1 November 2026. [Note to Offeror: The Georgia EMS Service License requirement is now located in PWS 5.13.6 of the revised PWS].

7. Please clarify whether possessing an active Georgia EMS Service License and licensed Georgia ambulances will be evaluated as part of the Technical Capability factor when assessing an offeror's ability to execute the required highly compressed transition and achieve operational readiness by 1 November 2026? If not, please explain how the Government will assess transition feasibility for offerors that do not currently possess the required Georgia operating authority.

Government Response: The Government will evaluate the feasibility of the offeror's Transition Plan under Factor 1 (Technical Capability). Offerors who do not currently possess a Georgia EMS Service License should detail their strategy and timeline for obtaining the necessary operating authority to ensure operational readiness by 1 November 2026.

8. Given declining national ETI volumes and increasing use of video laryngoscopy and supraglottic airways, can the Government explain how offerors are expected to maintain the required live intubation numbers without Government-provided clinical access?

Government Response: The Government will evaluate the feasibility of the offeror’s credentialing and training strategy under Factor 1 (Technical Capability). It is the sole responsibility of the Contractor to maintain the required four (4) live endotracheal intubations (ETIs) without relying on Government-provided clinical access. Offerors shall detail their own strategy and methodology to ensure all proposed personnel meet and maintain this requirement throughout the Period of Performance. Personnel who do not meet the direct ETI requirement will be restricted from performing unsupervised ETIs on-site.

9. PWS 4.3 requires a SECRET Facility Clearance and SECRET personnel clearances. Since Section 6 states all work under the contract is unclassified, can the Government reconcile the SECRET FCL requirement? Please identify the specific contract functions that require SECRET facility and personnel clearance requirements and clarify whether possession of such clearances will be evaluated at proposal submission, award, or performance commencement.

Government Response: The Government concurs with the offeror’s assessment. All work performed under this contract is UNCLASSIFIED. The solicitation and PWS are hereby amended to delete all references to SECRET Facility Clearance (FCL) and SECRET personnel clearance requirements (PWS 4.3 is deleted). The Government will not issue a DD Form 254.

Contractor personnel are only required to successfully complete the background vetting process for, and obtain, Defense Biometric Identification System (DBIDS) passes for installation access, as detailed in PWS Section 1.6.1.1.

10. Given the mission-essential designation under DFARS 237.76 and the requirement for uninterrupted 24/7 EMS operations and airfield management/operations, will the Government place additional emphasis on demonstrated experience performing military installation EMS, airfield response operations, in-flight emergency response, and continuous ALS ambulance coverage on secured federal installations compared to general commercial ambulance/transfer service experience?

Government Response: No. The Government will evaluate Past Performance strictly in accordance with the criteria explicitly outlined in Addendum 52.212-2, Factor 2

11. If not, how will the Government evaluate the relative relevance of military-installation EMS experience compared to municipal or civilian campus EMS experience?

Government Response: As explicitly stated in Addendum 52.212-2, Factor 2, performance in 'municipal, or highly secured campus' environments is defined as equally relevant to military environments for evaluation purposes based on similarity in scope, magnitude, and complexity

12. Given the specialized non-personal services and oversight requirements, will the Government conduct any assessment of whether an offeror's proposed staffing approach is consistent with its proposed pricing and capable of meeting the PWS requirements?

Government Response: The Government will evaluate Price for Fairness and Reasonableness only. A Price Realism analysis will not be conducted. The solicitation is hereby amended to delete the sentence 'Prices must be entirely compatible with the technical capability portion of the proposal' from Addendum 52.212-2, Factor 3.

13. Does the government have any formatting instructions they would like offerors to follow (e.g., font type and size, page margins, and paragraph spacing, among others)?

Government Response: Yes. The solicitation is hereby amended to add the following to Addendum 52.212-1, Section A.3: Text shall be formatted in standard 11-point or 12-point font (e.g., Arial or Times New Roman) with standard 1-inch margins.

14. Are there any page limitations associated with each volume for this RFQ?

Government Response: Yes. The solicitation is hereby amended to establish the following page limitations: Volume I (Technical) is limited to 7 pages; Volume II (Past Performance) is limited to 3 pages per reference. There is no page limit for Volume III (Price) or administrative documents.

15. Secret Facility Clearance and Personnel Security Requirements

PWS 4.3 requires a SECRET facility clearance and individual SECRET clearances for performing personnel. This appears inconsistent with PWS 6.1, which states that all work under this contract is unclassified, and PWS 6.2, which designates positions as Tier II, non-critical sensitive. PWS 4.3 also references the Defense Security Service and Defense Industrial Security Clearance Office, both of which appear to have been superseded. Please clarify whether this requirement involves access to classified information, classified systems, or classified work areas, or whether the requirement is limited to installation access, background screening, and suitability for contractor EMS personnel performing on Robins AFB.

Specifically, please confirm:

a. Whether the contractor entity must possess a SECRET facility clearance for this requirement.

b. Whether individual EMS personnel must possess SECRET clearance eligibility/access, or whether DBIDS installation access and the applicable background investigation/suitability process are sufficient.

c. If a SECRET facility clearance or individual SECRET clearances are required, please clarify whether the Government will provide a DD Form 254 or other contract security classification guidance, and identify the classified access, classified system, classified work area, or classified performance requirement necessitating the clearance.

Government Response: The Government concurs with the offeror’s assessment. All work performed under this contract is UNCLASSIFIED. The solicitation and PWS are hereby amended to delete all references to SECRET Facility Clearance (FCL) and SECRET personnel clearance requirements (PWS 4.3 is deleted). The Government will not issue a DD Form 254.

Contractor personnel are only required to successfully complete the background vetting process for, and obtain, Defense Biometric Identification System (DBIDS) passes for installation access, as detailed in PWS Section 1.6.1.1.

16. Installation Access and CAC Requirement

PWS 1.6.1.1 states that contractor personnel will receive DBIDS passes and will not be issued Common Access Cards. However, PWS 1.6.1.2.1 and PWS 1.11.1 reference CAC issuance and DHA network/cybersecurity onboarding. Please clarify whether DBIDS installation access is sufficient for EMS personnel performing this requirement, or whether any personnel require CAC issuance, DHA network access, or access to DHA systems.

Government Response: The Government concurs with the offeror. DBIDS installation access is sufficient for the performance of this requirement. Contractor personnel will not be issued Common Access Cards (CACs) and do not require access to DHA networks or IT systems. The solicitation is hereby amended to delete PWS 1.6.1.2.1 and PWS 1.11.1 in their entirety to resolve this contradiction.

17. Medical Control

PWS 1.10.1 states that quality control should include medical control capabilities at the cost of the contractor. PWS 5.10.6 also requires the contractor to maintain an active Georgia ambulance service license, comply with Georgia EMS laws and regulations, and operate within the scope of practice defined by the Georgia Office of EMS and Trauma. Please clarify whether the contractor is required to furnish its own EMS medical director and medical control program in full, or whether any portion of medical control, protocol approval, clinical oversight, or provider credentialing will be provided by the 78th MTF, RAFB Fire Department, or another Government medical authority.

Government Response: The contractor is required to furnish its own EMS Medical Director and medical control program, at its own expense, to satisfy the requirements of maintaining an active Georgia EMS Service License and complying with state laws (per PWS 1.10.1 and PWS 5.13.6).

The Government will not provide a Medical Director for the contractor's corporate licensing or credentialing purposes. [Note to Offeror: The licensing and medical control requirements are now located in PWS 1.10.1 and PWS 5.13.6 of the revised PWS. The reference to Air Force clinical oversight has been removed to maintain non-personal services boundaries].

18. ETI Credentialing and Medical Director Scope Authorization

PWS 5.10.8 requires each paramedic to complete four live intubations within the prior 365 days, prohibits simulation from satisfying the requirement, and states that any paramedic who does not meet the annual live-intubation requirement cannot fulfill the ALS staffing requirements of the contract.

Please clarify the following:

a. Whether the requirement applies to every paramedic assigned to the contract, only paramedics independently authorized by the contractor's medical director to perform ETI, or only the lead ALS clinician on each operational unit.

b. Whether contractor personnel may be assigned duties below their state license level when the contractor's medical director has limited that individual's authorized scope for clinical, CQI, credentialing, or competency reasons.

c. Whether the Government will accept contractor medical director attestation, agency credentialing records, clinical rotation records, anesthesia rotation records, ePCR documentation, or other verifiable records to document ETI currency.

d. Whether the Government will consider allowing ETI competency to be satisfied through current Georgia paramedic licensure, contractor medical director credentialing, documented skills verification, continuing education, CQI review, high-fidelity simulation, clinical rotation documentation, or other verifiable medical director-approved competency validation.

Government Response: The Government provides the following clarifications regarding the ETI credentialing requirements, which are now located in PWS 5.13.8 of the revised PWS:

a. The requirement for four (4) live endotracheal intubations (ETIs) applies to all contract paramedics who operate independently.

b. At the sole discretion of the Contractor's Medical Director, contractor personnel may be restricted to performing duties below their state license level for clinical or competency reasons.

The Government will not be involved in, nor grant approvals for, the Contractor's internal clinical credentialing decisions. However, any personnel who do not maintain full, unrestricted privileges to perform all required Advanced Life Support (ALS) interventions cannot be utilized to fulfill the primary ALS staffing requirements of this contract.

c. To verify ETI currency, the Government will accept the following documentation: agency credentialing records, clinical rotation records, written attestation from a clinical training supervisor, or a case log signed by a supervising physician or paramedic who performed the ETI with the individual.

d. The requirement for four live intubations is mandatory and cannot be satisfied solely through simulation or skills verification. However, of the four required annual live intubations, a maximum of two (2) may be performed using Video Laryngoscopy (VL); the remaining two

(2) must be performed via Direct Laryngoscopy (DL).

[Note to Offeror: The ETI Credentialing requirements are now located in PWS 5.13.8 of the revised PWS].

19. NREMT Certification

PWS 5.10.1 requires "valid current unrestricted State of Georgia and NREMT Certification as required by the state of Georgia" for EMT, AEMT, and Paramedic personnel. Please clarify whether all assigned EMT, AEMT, and Paramedic personnel must maintain active National Registry of Emergency Medical Technicians certification throughout contract performance, or whether current unrestricted Georgia EMS licensure at the applicable provider level satisfies this requirement.

Government Response: All assigned EMT, AEMT, and Paramedic personnel must maintain both an active, unrestricted State of Georgia EMS license at their applicable provider level AND an active National Registry of Emergency Medical Technicians (NREMT) certification throughout the entire period of contract performance. Maintaining only a State of Georgia license will not satisfy the requirements of PWS 5.13.1.

[Note to Offeror: The NREMT certification requirements are now located in PWS 5.13.1 of the revised PWS].

20. Historical Workload Information

Could the Government provide historical workload information for the previous three (3) years, including:

a. Number of emergency responses;

b. Number of patient transports;

c. Number of incidents requiring simultaneous responses or deployment of a second ambulance;

and

d. Number of Special Event hours utilized annually.

Government Response: Historical workload data is provided below for informational purposes only. Offerors are advised that this data is historical and does not guarantee future volume. The requirement remains a Firm-Fixed-Price (FFP) contract for continuous 24/7/365 availability of two (2) operational ambulances, regardless of actual call volume.

Historical Data (Averages per Year for 2023-2025):

a. Emergency Responses: 264 annually (793 total)

b. Patient Transports: 160 annually (481 total)

c. Simultaneous Incidents: 20 annually (61 total)

d. Special Event Hours: 63 annually (190 total)

21. Ambulance Staffing Requirements

Can the Government clarify the minimum staffing requirements for each ambulance?

Specifically, is a Paramedic required on both operational ambulances at all times, or will alternative staffing models be considered provided all applicable state licensure requirements and ALS service capabilities are maintained?

Government Response: Alternative staffing models that downgrade the clinical capability of the responding units will not be considered. As explicitly stated in the Performance Work Statement (PWS), the primary requirement of this contract is the provision of continuous 24/7/365 Advanced Life Support (ALS) coverage. Both operational primary ambulances must be staffed with personnel credentialed at the appropriate levels to maintain full ALS capabilities at all times. It is the offeror's sole responsibility to propose a staffing mix that satisfies this requirement.

22. Ambulance Staging Requirements

Does the Government require both operational ambulances to be physically stationed on Robins Air Force Base at all times, or may one ambulance be strategically positioned off installation provided the contractor consistently meets the required response time standards?

Government Response: No. All operational ambulances and their assigned crews must be physically staged on Robins Air Force Base at all times during their designated shifts. The Government requires dedicated 24/7/365 emergency response capability for the installation.

Staging operational units off-installation, regardless of the contractor's internal response time modeling, is not authorized and will not satisfy the requirements of the PWS. The Government will provide designated on-base staging locations as detailed in PWS Section 3.2.

23. Special Event Coverage

For Special Event coverage, is the contractor expected to provide an additional ambulance and crew beyond normal contract staffing levels, or may existing on-duty contract resources be utilized when operationally appropriate?

Government Response: The contractor is expected to provide an additional crew beyond normal contract staffing levels to support Special Event coverage. The contractor shall ensure that sufficient personnel are scheduled to cover the special event while simultaneously maintaining uninterrupted 24/7/365 coverage for the normal base population.

The contractor may utilize the third (3rd) ambulance, which serves as the designated on-site spare, to support Special Event coverage, provided that operational readiness is maintained and base population coverage is not degraded under Factor 1 (Technical Capability).

24. Historical Staffing Model

Can the Government provide information regarding the historical staffing model used to perform this requirement, including the number of ambulances, paramedics, EMTs, and supervisory personnel utilized?

Government Response: The Government will not provide historical staffing models or personnel counts. This is a Performance-Based Acquisition. It is the sole responsibility of the offeror to determine the appropriate staffing model, labor mix, and number of personnel required to successfully execute the PWS requirements, maintain continuous 24/7/365 coverage of two

(2) operational ambulances, and meet the response time standards established in PWS 1.4.3.

25. Reserve Ambulance Requirements

Can the Government clarify whether a dedicated reserve ambulance is required under this contract, or whether a contractor-owned contingency vehicle available for immediate deployment would satisfy continuity of operations requirements?

Government Response: A dedicated third (reserve/spare) ambulance is required. A contingency vehicle shared with other non-Government contracts or staged off installation does not satisfy the requirements of this contract. As established in the solicitation, the contractor must maintain a fleet of at least three (3) fully equipped, serviceable ambulances dedicated to this requirement.

To meet the strict 30-minute operational swap requirement defined in PWS 5.1.1.1, the third (spare) ambulance must be physically staged on Robins AFB at all times.

26. Government-Furnished Facilities

Will contractor personnel have access to any Government-furnished facilities, including office space, parking, storage areas, crew quarters, utility access, or similar accommodations on Robins Air Force Base?

Government Response: Yes. Offerors are directed to thoroughly review PWS Section 3.0 (Government Furnished Property, Equipment, and Services), specifically Section 3.2 (Facilities), which explicitly details the parking, crew quarters, and utility access the Government will provide on Robins Air Force Base.

27. Technical Capability Evaluation

For evaluation purposes, will demonstrated access to additional ambulances, personnel, and operational resources located within the local geographic area be considered a strength under the Technical Capability factor?

Government Response: No. Proposals will be evaluated strictly in accordance with the criteria established in the Addendum to FAR 52.212-2 (Evaluation Criteria). The Government has not established 'local geographic access' as a distinct evaluation criterion or an automatic strength.

Offerors must demonstrate how their specific proposed approach will satisfy the PWS requirements.

28. Historical Performance Considerations

Without disclosing proprietary or source-selection sensitive information, can the Government share any lessons learned, operational challenges, or areas of emphasis identified during performance of the current or previous contract that offerors should consider when developing their technical approach?

Government Response: The Government will not provide historical operational analyses, lessons learned, or subjective performance data from previous or current contracts. The Performance Work Statement (PWS) comprehensively details all current operational requirements, performance standards, and areas of emphasis for this acquisition. Offerors are instructed to base their technical approach and pricing solely on the requirements explicitly defined in the solicitation and its attachments.

29. Item 1.4.1 references 24/7 coverage:

Q- Is it acceptable that the medics fulfilling this contract are on duty for 24 hour shifts, and off duty for 48 hours before returning to work?

Government Response: The Government will not approve or validate specific shift schedules or staffing models prior to evaluation. As stated in PWS 5.1.2.1, it is the sole responsibility of the contractor to determine the appropriate scheduling, management, and back-filling of personnel to ensure continuous performance of the 24/7/365 mission requirement and compliance with all applicable labor laws.

30. Page 2, Item 1.4.3 references response times and staging:

Q- Can you tell us the address/location on base where the 2 staffed ambulances can/will be parked?

Q- Where the 3rd back-up unit will be parked?

Q- Where staff sleeping quarters are located?

Q- Are the staff quarters in separate locations?

Q- Is there an office for a supervisor?

Government Response: Offerors shall base their proposals solely on the facility provisions explicitly described in PWS 3.2 (Facilities). The Government will provide on-base parking for three (3) ambulances and "suitable crew quarters" with basic utility connections to support 24/7/365 operations; the contractor is responsible for providing any furniture or administrative equipment required for their internal operations

31. Page 3, Item 1.6.1.1 references the start date of November 1, 2026 and the Instructions to offerors mentions being paid via EFT:

Q- When would payments for the operation begin and are the deposits made monthly?

Government Response: As stated in the solicitation, contract financing or advance payments are not authorized. Payments will be made in arrears on a monthly basis following the successful performance and acceptance of services. The successful offeror will submit invoices monthly via the Procurement Integrated Enterprise Environment (PIEE) / Wide Area Workflow (WAWF) system in accordance with the invoicing clauses (e.g., DFARS 252.232-7006) included in the contract.

32. Page 3, Item 1.6.1.1 and page 20 item 4.3 reference the compressed start-up time frame and the SECRET clearance:

Q- Will you elaborate on the time it takes to get all needed clearances and passes needed for staff and vehicles, assuming everything was perfect and ready to go on June 29, 2026, and everyone has a clean background. If this were the case how many hours/days/weeks would it take to vet each person, get clearances, passes and vehicle cleared to be on base in full operation?

Q- If someone already has a SECRET clearance, is there a way to confirm this when they are hired?

Government Response: As previously addressed in this Q&A, all references to SECRET Facility Clearances and SECRET personnel clearances have been deleted from the solicitation and PWS (Section 4.3). Contractor personnel are only required to obtain Defense Biometric Identification System (DBIDS) passes. The Government cannot provide guaranteed processing times or estimates for DBIDS background vetting. The contractor assumes all responsibility for submitting complete and accurate DBIDS documentation to the Visitor Control Center immediately upon contract award. The contractor remains solely responsible for ensuring all assigned personnel possess valid installation access prior to the full performance start date of 1 November 2026.

33. Page 3, Item 1.6.1.2 references policy and procedure:

Q- Does the base hospital/Medical Director have any specific policy/orders/protocols they require the contractor to follow, and are there any specific medication/pharmacy formulary that we would need to follow?

Government Response: The Robins AFB EMS Medical Director requires the contractor and all performing personnel to strictly adhere to all applicable policies, orders, protocols, and regulations set forth by the State of Georgia governing EMTs, Paramedics, and ambulance services. All medication and pharmacy formularies utilized under this contract must comply with State of Georgia EMS regulations and must be formally vetted and approved by the contractor’s Medical Director.

34. Page 4, Item 1.7.1 references taking patients to hospitals off base:

Q- Is there an acceptable “maximum” time limit for the off base transfers to take?

Q- Given the amount of time it takes traveling off base to, and returning from those facilities we assume this is taken into consideration for the impact on response times?

Q- Do you know the percentage of the responses that are transferred to an off base medical facility?

Government Response: There is no established maximum time limit for off-base patient transfers, as transport duration is highly dependent upon which regional medical facility accepts the patient. Historically, approximately 50% to 60% of emergency responses require transport to an off-base facility. Under the Firm-Fixed-Price (FFP) contract structure, it is the contractor's responsibility to manage their on-duty staffing and resources (minimum of two fully staffed operational ambulances) to ensure that off-base transports do not degrade the required on-base response times and coverage standards outlined in the PWS.

35. Page 4, Item 1.7.1.3 sub item (c.) references supply chain disruptions and includes fuel.

We did not see any other reference for fuel availability in any normal use situations in the information, other than we are responsible to provide fuel for our vehicles:

Q- Would the EMS service be able to fuel the vehicles with a credit card at a service station/convenience store on base, or must our vehicles be fueled off base?

Q- Is having a fuel tank stored on base an option?

Q- Is paying for and filling up with the base security/fire department tanks an option?

Government Response: The Contractor is solely responsible for procuring and providing fuel for all contractor-furnished vehicles.

Base Government Tanks: No. Contractors are not authorized to utilize Government-owned fuel points (including Security Forces or Fire Department tanks) due to Defense Logistics Agency (DLA) Energy accounting regulations.

On-Base Commercial Station: The Contractor may utilize the commercial AAFES (Base Exchange) service station located on the installation using commercial payment methods (e.g., credit card), provided the station can accommodate the size of the vehicles. Otherwise, vehicles must be fueled off-base.

Fuel Storage: No. The Contractor is not authorized to install or store a private, contractor-owned fuel tank on the installation.

36. Page 4, Item 1.7.4.1 references Exercise Support and the need for additional ambulances and staff:

Q- Are the “additional ambulances” mentioned in this section in reference to the 3rd backup unit required in the RFP? If not, how many more ambulances may be required on those days?

Government Response: The 'additional ambulances' referenced in PWS 1.7.4.1 (Exercise Support) refers only to the utilization of the contractor's third (spare) ambulance, provided the contractor brings in sufficient qualified personnel to staff it. The maximum requirement under this contract is the provision of two (2) primary operational ambulances and one (1) spare ambulance. The Government will not require the contractor to provide or staff vehicles beyond the three (3) dedicated ambulances required by the PWS.

37. Page 4, Item 1.7.4.3 references sustained service during crisis:

Q- If an EMS staff member is injured in the line of duty at Robins AFB, could he/she be treated at the base hospital?

Q- Does the base hospital operate an Emergency Room with a physician on duty 24/7/365?

Government Response: Robins Air Force Base does not operate a hospital, Emergency Room (ER), or Urgent Care facility. Minor or major injuries sustained by contractor personnel in the line of duty cannot be treated at the installation's Military Treatment Facility (MTF) clinic and must be managed at an appropriate off-base civilian facility in accordance with the contractor's internal occupational health and safety protocols.

38. Page 8, Item 1.15.1 references answering phone calls:

Q- Will there be a phone line or internet service available for the EMS service on the base?

Q- If so, what address will that phone/internet line be located and what is the square footage of that office?

Government Response: Yes, the Government will provide access to a phone line and internet service for the EMS contractor. These connections will be provisioned within the designated crew quarters footprint.

39. Page 8, Item 1.17.1 references cyber security for staff:

Q- Will our IT staff have access to the internet on base, or must we utilize a Robins AFB IT person?

Government Response: Contractor IT staff access to the installation’s network is subject to strict DoD cybersecurity protocols. Network configuration, connectivity, and troubleshooting on the Government-provided internet line must be coordinated through and executed by authorized Robins AFB IT personnel.

40. Page 17, Item 3.2 references the Government providing crew quarters:

Q- Will these quarters be in 1 location or multiple locations?

Q- What is the address(s)/location(s) of where these quarters are on base?

Q- How many bedrooms, bathrooms and offices?

Q- Are there separate male and female showers?

Q- Is there a kitchen?

Q- What is the square approximate footage?

Q- Will we have access to vehicle shore power for engine warmers and patient compartment heaters?

Q- Is there furniture, a place for desks, chairs or a supervisor office?

Q- Is there a single point of contact for all the facility needs?

Q- Will all 3 Ambulances be kept indoors?

Q- Will Ambulance bays have electric/remote activated doors?

Government Response: The Government will provide a designated space for crew quarters on the installation sufficient to accommodate the required on-duty personnel. The primary location will include standard utilities, restroom/shower facilities (not designated as separate male/female), and outdoor staging with access to vehicle shore power for two (2) of the operational ambulances. The third (3rd) operational ambulance will be staged at a separate designated location on the installation; specific details will be provided during the transition period.

The Government does not provide enclosed ambulance bays, dedicated administrative offices, or contractor furnishings (e.g., beds, desks). The Contractor is responsible for providing all necessary furnishings not explicitly listed as Government Furnished Property in the PWS. Exact facility locations, diagrams, and access protocols will be provided to the awardee during the transition period.

41. Page 17, Item 3.3 references Utilities and does not address internet and phone communication:

Q- Is there an on base internet provider?

Q- Can you elaborate on the process for having that connected?

Q- What address/room/office would be suited for that connection based on the location of the facilities the government is providing in item 3.2 above?

Q- Can we use cellular equipment while on base?

Government Response: As noted in the response to Question 38, the Government will provide the internet and phone connection at the designated crew quarters; therefore, the contractor is not required to independently procure an on-base internet provider. The connection process will be coordinated with Robins AFB IT post-award. The contractor is permitted to use commercial cellular equipment while on the installation, subject to standard operational security and restricted-area policies.

42. Page 18, Item 3.4 references provision of 6 LMR Radios provided by Government:

Page 24, Item 5.7 references MTF radios provided by the Contractor:

Q- Can you provide us with the brand and model number of the radio system the government uses at Robins AFB

Q- Will the 6 LMR radios be brand new and come with chargers?

Q- Is there a vendor that performs all the Robins AFB radio work?

Q- Would you would share contact information with us, if awarded the contract?

Q- Will our EMS units be dispatched to emergency requests by the base 911 service via radio only?

Government Response: The Government utilizes the Motorola APX-6000 (Model # H46QDF9PW66N) Land Mobile Radio (LMR) system. The Government will provide six (6) LMRs with associated charging equipment as Government-Furnished Property (GFP). The condition of the GFP will be documented at the time of issue.

Solicitation Amendment: The solicitation is hereby amended to clarify PWS Section 5.11. Due to operational security and network requirements, the Contractor shall not independently seek third-party vendors for radio programming. The Government (Robins AFB Communications Squadron) is solely responsible for the programming, encryption, and maintenance of the Government-provided LMRs.

The LMR system is the primary method for dispatch communications with the base 911 service;

however, offerors should ensure secondary communication capabilities (e.g., cellular phones) are available for their crews.

[Note to Offeror: The Communications section is now located in PWS 5.11 of the revised PWS].

Page 18, Item 3.4.1 references PIEE and GFP:

Q- Can you elaborate on how this system will be utilized in the operation of this contract?

Government Response: The Procurement Integrated Enterprise Environment (PIEE) is the mandatory Department of Defense enterprise-wide IT platform used for procurement, payment, and property management. As explicitly referenced in PWS 3.4.1, the successful offeror will be required to utilize the PIEE system to formally acknowledge receipt and track the physical custody of all Government-Furnished Property (GFP) provided under this contract, such as the Land Mobile Radios (LMRs). Additionally, PIEE (specifically the Wide Area Workflow [WAWF] module) will be the required system for the contractor to submit monthly invoices for payment.

43. Page 19, Item 3.5 references the actual words “state run sheet” with regard to reporting:

Q- Is this an actual sheet of paper that is filled out, or is it referencing the Georgia state EMS electronic ePCR GEMSIS / Image Trend?

Government Response: The "state run sheet" refers to the standardized electronic patient care report (ePCR) form generated by EMS personnel following the delivery of patient care.

44. Page 20, Item 4.4 references contractor provided facilities:

Q- Can you elaborate on what facility the contractor will need to provide?

Government Response: The contractor is not required to provide a facility. PWS 4.4 references the safe storage of cleaning agents and medical supplies. Offerors are advised that the contractor shall utilize the Government-provided "suitable crew quarters" (detailed in PWS 3.2) to store their daily operational supplies. The contractor is responsible for ensuring that any cabinets, lockers, or containers they bring into the Government-provided quarters to store such cleaning agents comply with AFMAN 32-7002.

45. Page 20, Item 4.4 references Pharmacuiticals:

Q- Does the Base Hospital or Fire Department have a pharmacy formulary for medications/pharmaceuticals they require to be carried by the contractor, or are the medications/pharmaceuticals in this RFP the discretion of the contractors Medical Director?

Government Response: The selection and carry requirements of all medications and pharmaceuticals under this contract are at the sole discretion and authorization of the contractor's Medical Director. The Government (including the Military Treatment Facility) does not mandate a specific pharmacy formulary for this requirement, though the Government welcomes open collaboration with the contractor's clinical team post-award.

46. Page 20, Item 4.5 references contractor to provide vehicles:

Q- There is no mention of required badging, paint colors, numbering, or identification requirements for the vehicles. Are there any we should consider while completing the RFP?

Government Response: No. The Government does not require specific paint colors, military badging, or customized Government identification for contractor-owned vehicles. As established in PWS 5.1.1.1, the contractor is solely responsible for providing commercial ambulances. All vehicles must maintain valid state registrations and meet all applicable safety standards.

47. Page 22, Item 5.1.2.3 references reaching “level zero”:

Q- does the base 911 operator automatically notify mutual aid, or is this the responsibility of the contractors EMS crews?

Government Response: The base 911 operator does not automatically notify mutual aid. When a "level zero" event occurs, it is the responsibility of the contractor's on-duty EMS crew to initiate the request for mutual aid by coordinating directly with Robins Fire Dispatch. Robins Fire Dispatch will then make the official request to the appropriate adjacent (off-base) dispatch centers for assistance.

48. Page 22, Item 5.2.2 references transportation off base:

Q- Due to the established 7min response time requirement, is there an established “reasonable” time out of service, when the unit(s) are off base that is accepted?

Q- When an ambulance is off base due to legitimate EMS responses, is that taken into consideration for the computation of the average response times?

Government Response: Correct. When an EMS unit is off-base actively transporting a patient, they are unavailable for dispatch and will not be factored into the average response time calculations. There is no established out-of-service time limit, but the unit is expected to return to base as soon as patient transport and transfer of care are complete.

49. Page 25, Item 5.10.2.2 references Flight line driver training and escorts:

Q- How often are flight line driver training classes given?

Q- How long is the flight line driving course?

Government Response: The Government provides Flight Line Driver Training to contractor personnel as required. The initial training course is up to eight (8) hours in duration, which includes two (2) hours of night driving familiarization. Following initial certification, personnel are required to complete a one (1) hour annual refresher training course to maintain their flight line driving credentials. [Note to Offeror: The Flight Line Driver Training requirement referenced in the question is now located in PWS 5.13.2.2 of the revised PWS].

50. Page 26, Item 5.10.8 (c.) references the Local Air Force EMS Medical Director:

Q- Is this person the actual Medical Director to be contacted for all the EMS operations provided by the contractor?

Q- Is this physician a licensed Emergency Medicine Physician?

Q- Will this person have any involvement in this operation?

Q- Is there “on-line” Medical Control located at the base hospital available by phone or radio 24/7/365?

Government Response: The contractor must provide their own internal Medical Director for EMS operations. The local Air Force EMS Medical Director is not an Emergency Medicine Physician and serves only as a coordination Point of Contact (POC).

There is no base hospital or 24/7/365 on-site "on-line" Medical Control. The installation clinic operates only from 0730 to 1630, and the contractor must provide their own medical direction protocols. [Note to Offeror: The section referencing the Local Air Force EMS Medical Director is now located in PWS 5.13.8 of the revised PWS].

51. Page 26, Item 5.11.3 references various required vaccinations:

Q- Are there any situations when specific religious convictions/beliefs are an excuse for a religious exemption?

Q- Are there any situations when documented medical reasons are considered for not being vaccinated?

Q- If any vaccine series (exp. Hepatitis C) has been started prior to the November 1, 2026 start date, will that be acceptable as documentation of the vaccine for that medic to report to work?

Government Response: All contractor personnel must comply with the immunization requirements outlined in DoD Instruction (DoDI) 6205.02, DoD Immunization Program.

a. & b. Exemptions: In accordance with DoDI 6205.02, medical exemptions for required immunizations may be considered with valid documentation from a licensed medical provider.

Requests for religious accommodations based on sincerely held religious beliefs must be submitted and processed through the appropriate Equal Employment Opportunity (EEO) channels for review as a potential Reasonable Accommodation (RA). Approval of any exemption or accommodation is not guaranteed.

c. In-Progress Vaccinations: If a contractor employee has already initiated a required multi-dose vaccine series (e.g., Hepatitis B) prior to the contract start date, documentation showing the series is in-progress is acceptable for initial onboarding. The employee is required to complete the full vaccine series in accordance with the established medical timeline. [Note to Offeror: The immunizations requirement referenced in the question is now located in PWS 5.14.3 of the revised PWS].

52. Past Performance Questionnaire instructions state they are to be emailed directly to you:

Q- Can this be emailed directly to you and copied to the Offeror in the same email to ensure it was sent?

Government Response: As stated in the Addendum to FAR 52.212-1, Factor 2, clients must email the completed PPQs directly to the Contracting Officer and Contract Specialist. While the Government does not dictate how a client manages their outgoing email, to ensure candid feedback and maintain the integrity of the evaluation process, the Government strongly discourages offerors from requesting that clients copy (CC) them on the submission of completed PPQs. Offerors may independently contact their references to confirm submission.

53. Price Sheet:

Q- The Price Sheet has a number in the top title box, HT940626RXXXX (RFP ). Is this to be left alone, or should it be replaced with PANDHA26P0000038595?

Government Response: The government has made an update to the Price Sheet to reflect

PANDHA26P0000038595.