Performance Work Statement (05 MAY 2026).pdf

PERFORMANCE WORK STATEMENT (PWS)

PROJECT: ON-DEMAND EMERGENCY AEROMEDICAL EVACUATION SERVICES

LOCATION: U.S. ARMY GARRISON - KWAJALEIN ATOLL (USAG-KA) TO OAHU,

HAWAII

AGENCY: U.S. ARMY CORPS OF ENGINEERS, HONOLULU DISTRICT (POH)

DATE: 05 MAY 2026

PART 1: GENERAL INFORMATION

1.1 GENERAL

This is a non-personal services contract to provide on-demand emergency aeromedical evacuation 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.

1.2 DESCRIPTION OF SERVICES

The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform On-Demand Emergency Aeromedical Evacuation Services as defined in this Performance Work Statement.

The Contractor shall provide a dedicated or on-call fixed-wing air ambulance capability to transport U.S. Army Corps of Engineers (USACE) personnel and their dependents from Kwajalein Atoll, Republic of the Marshall Islands (RMI) to a receiving medical facility in Oahu, Hawaii.

1.3 BACKGROUND

The U.S. Army Corps of Engineers (POH) maintains a field office on Kwajalein Atoll.

Medical facilities on the island are limited to a basic clinic/ER capable only of patient stabilization. There is no capability for complex surgery, critical care, or long-term hospitalization on-island. In the event of a life-threatening or limb-threatening emergency, personnel must be evacuated to a higher level of care in Oahu, Hawaii (approx. 2,100 nautical miles). Delays of any kind increase the risk of severe injury or death.

1.4 OBJECTIVES

□ Readiness: Maintain 24/7/365 administrative and operational readiness to accept an evacuation mission.

□ Response: Guarantee patient pickup at Bucholz Army Airfield (KWA) within 24 hours of mission notification.

□ Safety: Conduct bedside-to-bedside transport utilizing fixed-wing pressurized aircraft fully certified for long-range over-water operations.

1.5 SCOPE

The Contractor shall provide two distinct categories of service:

1. Availability (Retainer): A monthly fixed fee to maintain licensure, aircraft availability, and 24/7 dispatch readiness (CLIN x001).

2. Evacuation Missions (Task Order): Execution of air ambulance flights on an as-needed basis (CLIN x002).

1.6 PERIOD OF PERFORMANCE

The period of performance shall be for one (1) Base Year of 12 months and four (4) 12-month option years.

□ Base Year: 01 May 2026 – 30 April 2027

□ Option Year 1: 01 May 2027 – 30 April 2028

□ Option Year 2: 01 May 2028 – 30 April 2029

□ Option Year 3: 01 May 2029 – 30 April 2030

□ Option Year 4: 01 May 2030 – 30 April 2031

1.7 QUALITY CONTROL PLAN (QCP)

The Contractor shall develop and maintain an effective quality control plan to ensure the requirements of the contract are performed within this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services.

The QCP shall be submitted to the Contracting Officer (KO) within ten (10) calendar days of contract award. The QCP shall include:

□ A chart showing the organizational structure and lines of authority.

□ Inspection procedures covering all services required by the contract.

□ Method of identifying and correcting deficiencies in the quality of service.

□ Procedures to ensure all medical and aviation licenses/certifications remain current.

1.8 HOURS OF OPERATION

The contractor shall provide services 24 hours a day, 7 days a week, 365 days a year, to include Federal holidays, regardless of national emergencies. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS.

1.9 SECURITY REQUIREMENTS

Work under this contract is unclassified. However, the Contractor shall comply with all applicable DoD security regulations and procedures during the performance of this contract, including:

□ Antiterrorism (AT) Level I Training: All contractor employees requiring access to Army installations, facilities, and controlled access areas shall complete AT

Level I awareness training within 30 calendar days after contract start date.

□ OPSEC Training: All new contractor employees will complete Level I OPSEC training within 30 calendar days of their reporting for duty.

□ iWATCH Training: The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity).

1.10 HIPAA AND PRIVACY ACT

The Contractor shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Privacy Act of 1974. The Contractor shall safeguard and not disclose sensitive information, computer systems data, or Protected Health Information (PHI) except as required for patient care transfer.

PART 2: DEFINITIONS & ACRONYMS

2.1 DEFINITIONS

□ Bedside-to-Bedside: A service model where the contractor’s medical crew takes custody of the patient at the sending facility (Kwajalein Hospital), accompanies them on all ground and air transport, and hands over custody at the receiving facility (Oahu Hospital).

□ Critical Care Transport (CCT): The movement of critically ill patients requiring advanced airway management, ventilator support, or invasive monitoring.

Requires a Paramedic/Nurse team with advanced training.

□ ETOPS: Extended-range Twin-engine Operations Performance Standards;

required for safety over large bodies of water (Pacific Ocean).

□ Non-Medical Attendant (NMA): A family member or escort accompanying the patient (e.g., a parent accompanying an injured child).

2.2 ACRONYMS

□ ALS: Advanced Life Support

□ ATP: Airline Transport Pilot

□ CAMTS: Commission on Accreditation of Medical Transport Systems

□ CLIN: Contract Line-Item Number

□ COR: Contracting Officer’s Representative

□ FAA: Federal Aviation Administration

□ KO: Contracting Officer

□ PWS: Performance Work Statement

□ QASP: Quality Assurance Surveillance Plan

PART 3: GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 GENERAL

The Government will not provide aircraft, medical equipment, or flight crews. These are the sole responsibility of the Contractor.

3.2 AIRFIELD ACCESS

The Government (USAG-KA) will facilitate landing rights and airfield access at Bucholz Army Airfield (KWA) for the Contractor’s aircraft during authorized emergency missions.

The Government will provide standard airfield services (lighting, landing clearance) commensurate with airfield operations.

3.3 GROUND TRANSPORT (KWAJALEIN ONLY)

The Government (via Kwajalein Hospital/Garrison) will provide ground ambulance transport from the Kwajalein Hospital to the aircraft at Bucholz Army Airfield. The Contractor is responsible for ground transport in Oahu.

3.4 UTILITIES AND COMMUNICATIONS

The Government will not provide office space or utilities. The Contractor is responsible for their own Operations Center and communication infrastructure.

PART 4: CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 GENERAL

The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work under this contract.

4.2 AIRCRAFT REQUIREMENTS

The Contractor shall provide a Fixed-Wing Multi-Engine Pressurized Aircraft capable of non-stop or limited-stop transport between Kwajalein and Oahu.

□ Range: Aircraft must possess sufficient range and fuel reserves to safely conduct the trans-Pacific crossing.

□ Configuration: Cabin must be configured for at least one (1) litter patient and one (1) ambulatory Non-Medical Attendant (NMA).

□ Pressurization: Aircraft must be pressurized to maintain sea-level or low-altitude cabin pressure for patient physiology.

□ Safety: Aircraft must be equipped with weather radar, Traffic Collision Avoidance

System (TCAS), and Terrain Awareness and Warning System (TAWS).

□ Over-Water Gear: Aircraft must carry life rafts, life vests, and survival equipment suitable for open-ocean operations (ETOPS compliant).

□ Regulatory Requirment: Commercial air carriers must become a DOW approved Air Carrier.

4.3 MEDICAL EQUIPMENT

The Contractor shall provide all medical equipment required for Advanced Life Support (ALS) and Critical Care Transport (CCT), including but not limited to:

□ Multi-parameter cardiac monitor/defibrillator.

□ Transport ventilator with oxygen supply sufficient for the flight duration plus 2 hours reserve.

□ IV infusion pumps.

□ Advanced airway management kit.

□ Full range of ACLS medications and narcotics (with appropriate DEA licensure).

□ Infection control supplies (PPE, disposal bags) in accordance with OSHA bloodborne pathogen standards.

4.4 PERSONNEL QUALIFICATIONS

□ Flight Crew: Minimum of Two (2) Pilots (Captain and First Officer) per mission.

Both must hold FAA Airline Transport Pilot (ATP) certificates and current Class 1 or 2 Medical Certificates. Pilots must have documented experience in international/oceanic operations.

□ Medical Crew: See Part 5.4 for healthcare provider qualifications. Minimum of Two (2) Medical Providers per mission. Compositions shall be either [Nurse + Paramedic] or [Physician + Nurse/Paramedic], depending on patient acuity.

PART 5: SPECIFIC TASKS

5.1 CLIN X001: AVAILABILITY & READINESS (RETAINER)

The Contractor shall maintain a 24/7/365 state of readiness to support the POH mission.

□ Operations Center: The Contractor shall maintain a 24-hour

Dispatch/Operations Center accessible via phone and email.

□ Licensure Maintenance: The Contractor shall maintain all FAA Part 135 certificates, international overflight permits, and medical licenses required to legally operate in the RMI and USA.

□ Readiness Reporting: The Contractor shall submit a monthly Readiness Report to the COR confirming aircraft status, crew availability, and insurance currency.

5.2 CLIN X002: AEROMEDICAL EVACUATION MISSIONS (TASK ORDER)

□ Upon notification by the Contracting Officer (KO) or designated representative, the Contractor shall execute an aeromedical evacuation mission.

5.2.2 Mission Activation and Dispatch

□ The Government (POH Representative) will contact the Contractor’s Operations

Center to initiate a request.

□ The Contractor shall verify aircraft/crew availability and acknowledge the mission request within one (1) hour of notification.

□ The Contractor shall provide an estimated time of arrival (ETA) at Bucholz Army

Airfield (KWA).

5.2.3 Response Timeline

□ The Contractor’s aircraft must arrive at Bucholz Army Airfield (KWA) and be ready for patient uptake within 24 hours of the initial mission notification.

□ Delays due to weather or mechanical failure must be immediately communicated to the COR.

5.2.4 Patient Transport (Bedside-to-Bedside)

□ Kwajalein Handoff: The Contractor’s medical crew shall meet the patient at the sending facility (or airfield ambulance transfer point) and accept care from the sending physician. A patient briefing and medical record transfer shall occur.

□ In-Flight Care: The Contractor shall provide continuous medical monitoring and intervention (ALS/CCT) consistent with the patient’s condition during the flight to

Oahu.

□ Oahu Arrival: The Contractor is responsible for arranging ground ambulance transport in Oahu from the airfield to the receiving hospital.

□ Final Handoff: The Contractor shall perform a bedside hand-off to the receiving physician at the Oahu medical facility.

5.2.5 Documentation and Logistics

□ Customs/Immigration: The Contractor is responsible for all flight planning, eAPIS filing, and Customs/Immigration clearance for entry into the US/Hawaii.

□ Patient Care Report (PCR): The Contractor shall complete a detailed medical record of the transport. A copy shall be provided to the receiving hospital upon arrival.

5.3 INVOICING AND BILLING

□ Availability Fee: Billed monthly in arrears (1/12th of annual cost).

□ Mission Cost: Billed per completed mission. The invoice shall include the specific Flight Log, Patient Manifest (redacted/secure), and authorization reference (Task Order number).

5.4 HEALTHCARE PROVIDER QUALIFICATIONS

□ Primary Source Verification: The Contractor shall perform all initial and early primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged and privileged staff IAW DHAPM 6025.13, Clinical Quality Management in the Military

Health System, volume 4, Credentialing and Privileging. All educational items, current professional licenses, certifications, or registrations, including those the healthcare provider previously held that are now inactive, expired, or suspended, must undergo initial Primary Source Verification (PSV). The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the DHAPM 6025.13 credentialing verification processes. The

United States Government personnel will not assist the Contractor in obtaining any needed information for initial credentialing. The Contractor is responsible for submission of evidence of current competency for the healthcare provider that is used to provide health care services under the PWS. Contractors shall maintain current credentials packets on all healthcare providers and have them readily available for inspection by the COR and/or contracting officer. Healthcare workers that do not maintain their professional certifications and licensures to remain credentialed and/or privileged, will not remain on the contract and removed immediately until reconciled. If the contractor adds additional or replacement healthcare providers during the contract period, the replacement shall meet the same qualification and credentialing/privileging standards as outlined in the

DHAPM 6025.13, vol. 4 as well as the health requirements as stated in this PWS.

PSV shall be completed by one of the following accepted methods:

• Written confirmation directly from the issuing authority.

• Verbal telephone confirmation from the issuing authority. A detailed record of the telephone interaction will be documented, which will include the names of the organization, and the individual contacted, date/time, phone number, signature, and title of the person responsible for verification.

• Via the internet. Such verification is acceptable if the information is obtained directly from the professional organization's website. Identification of the individual making the website contact, and the date will be annotated on the web page printout.

□ Professional Liability: The Contractor shall immediately notify the Government

(i.e., COR or KO at the performance location) of any suit, action filed, or claim made against a contract worker, which occurred because of work performed by the contract worker under this contract.

□ Malpractice for Non-Personal Services Arangements: When the PWS specifies a non- personal services arrangement for contract workers, the

Contractor, and all subcontractors, shall meet the requirements of FAR Clause

52.237-7, Indemnification and Medical Liability Insurance, for its contract workers on the contract.

□ Licensure: Documentation demonstrating permission by an official agency of a

State, the District of Columbia, or a Commonwealth, territory, or possession of the

United States to provide health care within the scope of practice of a specified discipline. Licensure, certification, or registration is a qualification for employment as a healthcare provider in the MHS. Healthcare providers must have one current, valid, active, and unrestricted license. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. Providers in the MHS may not have one active license and another currently suspended or probationary license.

□ Certification: Contract workers shall maintain current certification in Basic

Cardiac Life Support (BLS) from the American Heart Association, or the American

Red Cross. Certification cards must display the American Heart Association, the

American Red Cross or other approved certifying body emblem. The Contractor will not bill the Government for contractor time to attend BLS certification training.

5.4.2 PHYSICIAN MINIMUM QUALIFICATIONS

□ Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).

□ Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American

Medical Association (AMA), graduation from a college of osteopathy approved by the American Osteopathic Association (AOA), or graduation from a medical school with evidence of Educational Commission for Foreign Medical Graduates

(ECFMG) certification.

□ Board Certification: The physician Emergency Medical Services (EMS) Medical

Director will be a board certified by the American Board of Emergency Physicians.

The DoD only recognizes certifications issued by boards that are members of the

American Board of Medical Specialties (ABMS) or the AOA Bureau of

Osteopathic Specialists.

□ Internship/Residency/Fellowship: Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).

□ Experience: One year experience in emergency medicine in the preceding two years prior to contract execution.

□ Licensure: Current, full, active, and unrestricted license to practice medicine.

□ Certification by the Educational Commission for Foreign Medical Graduates

(ECFMG) for physicians, certification by the Commission on Graduates of Foreign

Nursing Schools (CGFNS) for nurses. Contract workers who are graduates of foreign medical schools will possess both a U.S. medical license and certification by ECFMG for health care physicians and CGFNS for nurses as defined in 29

CFR 825.125. Residency institutions must have been ACGME accredited during the time the member was enrolled. ECFMG is required for graduates of medical schools located outside the U.S., Puerto Rico, and Canada. As of 2017 a provider who possesses Fifth Pathway is no longer acceptable.

5.4.3 Registered Nurse Minimum Qualifications

□ Degree: Associates Degree of Nursing

□ Education: Graduate from a college or university accredited by Accreditation

Commission for Education in Nursing (ACEN), the Commission on Collegiate

Nursing Education (CCNE).

□ Experience: Three years’ experience within the last four years, as a registered nurse in flight nursing or within the following disciplines (may combine time in these nursing disciplines to apply towards three years):

• Emergency Room/Intensive Care Unit (ICU) experience.

• Mobile Intensive Care Nurse (MICU).

• Certified Emergency Nurse (CEN).

• Certified Critical Care Nurse (CCRN).

• Certified Flight Registered Nurse (CFRN).

• Flight Registered Nurse (CFRN) certification is preferred prior to contract start and is required within 12 months of hire.

□ Licensure: A Current, full, active, and unrestricted license to practice as a

Registered Nurse.

□ Have and maintain current BLS, Advanced Cardiac Life Support (ACLS),Neonatal

Resuscitation Program (NRP) and Pediatric Advanced Life Support (PALS) certifications.

5.4.4 PARAMEDIC MINIMUM QUALIFICATIONS (Includes, but not limited to, Nationally

Registered Paramedic)

□ Degree: State License and/or State Certification.

□ Education: State approved paramedic program.

□ Certification: Possess and maintain national certification from the NREMT as a paramedic.

□ Experience: Two years of experience within the last three years as an NRP.

□ Special Note: In specialties that are not licensed by the State, and the requirements of the granting authority for State registration or certification are highly variable, there must be validation by a national organization that the individual is professionally qualified to provide health care in a specified discipline.

Examples of this are the National Commission on the Certification of Physicians

Assistants (NCCPA) for physician assistants (PAs) and the NREMT for emergency medical technicians (AR 40-68). Paramedics shall be certified to practice as a paramedic in one of the 50 United States. Shall have and maintain current BLS, ACLS, and Pediatric Advanced Life Support (PALS) certifications, Basic Trauma Life Support (BTLS).

PART 6: APPLICABLE PUBLICATIONS

6.1 MANDATORY COMPLIANCE

The Contractor shall abide by all applicable regulations, manuals, and local policies, including but not limited to:

□ 14 CFR Part 135: Operating Requirements: Commuter and On-Demand

Operations.

□ DOD Approved Air Carrier: Commercial Airlift Review Board certifies commercial air carriers; the approval process takes approximately 120 days or from the date the documents are received by the DOD

Commercial Airlift Division. Initial surveys may be delayed due to limited scheduling opportunities and resources.

□ CAMTS Standards: Commission on Accreditation of Medical Transport Systems

(current edition).

□ HIPAA: Health Insurance Portability and Accountability Act (Public Law 104-191).

□ DoD 5200.2-R: Personnel Security Program.

□ DoD 6025.18-R: DoD Health Information Privacy Regulation.

□ DoD 6025.13: Clinical Quality Management in the Military Health System, volumes 1-7 (volume 4 Credentialing and Privileging)

□ AR 40-3: Medical, Dental & Veterinary Care (relevant sections).AMR

□ USAG-KA Regulation 190-5: Installation Access Control (Kwajalein specific).

PART 7: TECHNICAL EXHIBIT 1 - PERFORMANCE REQUIREMENTS SUMMARY

(PRS)

Performance Objective

Standard

Performance Threshold

Method of Surveillance

Availability (CLIN X001)

Contractor Operations Center is reachable 24/7 and aircraft is available.

100% Availability

Periodic Inspection / Test Calls

Response Time

(CLIN X002)

Aircraft arrives at Kwajalein (KWA) for patient pickup within 24 hours of notification.

Compliance

Inspection (Per Mission)

Patient Safety

Transport performed without preventable adverse medical event or safety violation.

Zero Tolerance for Safety Violations

Customer Complaint / Medical Review

Reporting

Post-mission medical and flight reports submitted within 48 hours.

95% On-Time Submission

Periodic Inspection

Security/Training

All staff current on

AT/OPSEC/HIPAA

training.

95%

Compliance

Annual Audit

PART 8: TECHNICAL EXHIBIT 2 - DELIVERABLES SCHEDULE

Deliverable Frequency Medium/Format Submit To

A001 - Quality Control Plan (QCP)

10 days post-award

Electronic (PDF)

KO / COR

A002 - Proof of Insurance (Aircraft & Liability)

Annually

KO / COR

A003 - Readiness Report

Monthly (by 5th of month)

COR

A004 - Flight/Mission Report

Within 48 hours of mission completion

A005 - Patient Care Record (PCR)

Within 48 hours of mission completion

Secure Transfer

(HIPAA

Secure)

A006 - Training Certificates

(AT/OPSEC/HIPAA)

Within 30 days of hire/annually

A007 – Provider Healthcare Credentials File

Quarterly Electronic (PDF) COR