31b. NAME OF CONTRACTING OFFICER (Type or print)30c. DATE SIGNED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30. 1. REQUISITION NUMBER PAGE 1 OF 3

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON 12. DISCOUNT TERMS

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

13a. THIS CONTRACT IS A

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

8(A)

13b. RATING

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

BOARD (FOB) DESTINATION RATED ORDER UNDER 14. METHOD OF SOLICITATION REQUEST

17a. CONTRACTOR/

OFFEROR

CODE FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

OFFER BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print)

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

UNLESS BLOCK IS MARKED

SEE SCHEDULE

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

REQUEST

FOR QUOTE

(RFQ)

INVITATION FOR

FOR BID PROPO

(IFB) (RFP)

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

SEE SCHEDULE

4. ORDER NUMBER

80JSC027R0003

Kendrea Vallien - Contracting Officer Telephone calls will not be accepted, only emails.

09/15/2026

4:00 PM CT

9. ISSUED BY

NASA Johnson Space Center (JSC) 2101 NASA Parkway Houston, TX 77058-3696 United States

21356

621910

SEE SCHEDULE

SEE SCHEDULE

See Schedule

See Block 9

X X

NASA Shared Services Center (NSSC) Financial Management Division (FMD) Accounts Payable NSSC-AccountsPayable@nasa.gov Stennis Space Center, MS 39529

NSSC

X X

Kendrea D. Vallien See Block 31a

80JSC027R0003

Supplies or Services and Prices

Additional Information/Notes

Please Note: All Offerors are requested to propose prices for all “Offeror Fill-In” (OFI) blocks within this Section B

– Supplies or Services & Prices below. All pricing shall be prepared in accordance with the instructions see Section L

– Instruction of Offerors below.

Section B - Supplies or Services & Prices

FIRM FIXED PRICE (FFP) GROUP MEMBERSHIP

Part 1 pre-paid membership group pricing covers the SOW elements covered in Section I and Section II.

1.a Pre-Paid Group Membership Price***

Period of Performance

Period of Performance Dates

Number of Travel Days

Price

Base 10/01/26 – 9/30/29 60,000 $ OFI

Option 1 10/01/29 – 9/30/30 20,000 $ OFI

Option 2 10/01/30 – 9/30/31 20,000 $ OFI

1.b OPTIONAL*: Pre-Paid Group Membership Price Increase for Medevac Using Portable Medical Isolation Unit (e.g. infectious disease medevac)**

Period of Performance

Period of Performance Dates

Number of Travel Days

Price

Base 10/01/26 – 9/30/29 60,000 $ OFI

Option 1 10/01/29 – 9/30/30 20,000 $ OFI

Option 2 10/01/30 – 9/30/31 20,000 $ OFI

* The Government may require a medevac using a Portable Medical Isolation Unit (e.g. infectious disease medevac). The exercise of the optional coverage will unilaterally be determined by the Government, and shall result in a modification to the contract to update Section B.

**Prices in Table 1.b represent the delta price from the standard air ambulance coverage, priced in Table 1.a, to provide a medevac using a Portable Medical Isolation Unit (e.g. infectious disease medevac). The sum of the prices identified in 1.a and 1.b represent the total price for the period for medevac coverage that includes using Portable Medical Isolation Unit (e.g. infectious disease medevac). If medevac using a Portable Medical Isolation Unit (e.g.

infectious disease medevac) is included in the base membership price in Table 1.a, then fill-in ‘$0’ in Table 1.b.

***Membership includes all scope specified in the Statement of Work Sections I and II. The Government and individual traveler shall not be responsible for any additional costs beyond those expressly provided for under this membership.

2. NASA Identified Independent Traveler Membership Pricing

NASA has a requirement for a select number of NASA identified independent travelers to receive the same requirements stated in this contract under SOW Sections I and II, but their travel days are not included in travel days identified in the pricing tables in Part 1 pre-paid membership group pricing. The pre-paid requirements and services for these NASA identified independent travelers will not be charged to NASA, nor counted towards fulfillment of NASA travel days/requirements. The enrollment will be established and paid for directly between the NASA independent individual traveler and the Contractor without NASA involvement. The pricing in the following tables is valid for the entirety of the contract.

Part 2 pre-paid membership pricing for the NASA Identified Independent Traveler to receive the same coverage as specified in SOW Sections I and II.

2.a Pre-Paid Membership Price for NASA Identified Independent Traveler (excluding Portable Medical Isolation Unit Evacuations)****

Membership Type Individual Price Family Price***

Coverage for 15 days per year $ OFI $ OFI Coverage for 30 days per year $ OFI $ OFI

Coverage for 90 days per year $ OFI $ OFI

Coverage for 365 days per year $ OFI $ OFI

2.b OPTIONAL*: Pre-Paid Membership Price for NASA Identified Independent Traveler for Medevac Using Portable Medical Isolation Unit (e.g. infectious disease medevac)**, ****

* The traveler may request medevac coverage using a Portable Medical Isolation Unit (e.g. infectious disease medevac).

** Prices in Table 2.b represent the delta price from the standard air ambulance coverage, priced in Table 2.a, to provide a medevac using a Portable Medical Isolation Unit (e.g. infectious disease medevac). The sum of the prices identified in 2.a and 2.b represent the total price for the period for medevac coverage that includes using Portable Medical Isolation Unit (e.g. infectious disease medevac).

*** Includes the NASA Identified Independent Traveler, spouse or domestic partner, and all dependent children.

****Membership includes all scope specified in the Statement of Work Sections I and II.

3. Reservation and Call-up/Execution of Medical Transport via Air Ambulance for Traveler

NASA may require a reservation of medical transport via air ambulance in advance for a Soyuz landing. As needed, NASA will unilaterally issue a revision to this order for the reservation utilizing the price listed in Table 3.a.

NASA may require call-up/execution of the reserved medical transport via air ambulance for a Soyuz landing. If this medical transport via air ambulance, which is determined solely by the Government, is called-up and executed after reservation, NASA will pay the price listed in Table 3.b for the occurrence.

All additional costs shall be the responsibility of the Contractor and no additional cost beyond the Table 3.a price per reservation fee, and Table 3.b, if executed, will be incurred by NASA. The advance reservation and possible subsequent medical transport via air ambulance will be unilaterally determined by the Government and shall result in a modification to the contract to update Section B.

Part 3 reservation and call-up/execution of medical transport via Air Ambulance for Traveler as specified in SOW Sections I and III.

The pricing in the following tables is valid for the entirety of the contract.

Membership Type Individual Price Family Price***

Coverage for 15 days per year $ OFI $ OFI Coverage for 30 days per year $ OFI $ OFI

Coverage for 90 days per year $ OFI $ OFI

Coverage for 365 days per year $ OFI $ OFI

3a. OPTIONAL: Price for Reservation of Medical Transport via Air Ambulance for Traveler*, ***

Period of Performance

Period of Performance Dates

Price Per Reservation Occurrence

Quantity Ordered

Base 10/01/26 – 9/30/29 $ OFI

Option 1 10/01/29 – 9/30/30 $ OFI

Option 2 10/01/30 – 9/30/31 $ OFI

3b. OPTIONAL: Price for Call-Up/Execution of Medical Transport via Air Ambulance for Traveler*, **, ***

Period of Performance

Period of Performance Dates

Price Per Call- Up/Execution Occurrence

Quantity Ordered

Base 10/01/26 – 9/30/29 $ OFI

Option 1 10/01/29 – 9/30/30 $ OFI

Option 2 10/01/30 – 9/30/31 $ OFI

* The advance reservation and subsequent call-up/execution of medical transport via air ambulance is unilaterally determined by the Government and may occur independently. Ordering a reservation does not obligate the Government to order a call-up/execution, and no reservation shall be construed as a commitment to execute the associated call-up/execution. The Government and individual travelers shall not be responsible for any additional costs beyond those listed in Table 3.a or Table 3.b for the respective optional service(s).

** Once a NASA flight surgeon determines the traveler is fit-to-fly, there is no requirement for an observation or stabilization period at a local medical facility prior to medical transport via air ambulance.

*** Reservation and Call-up/Execution includes all scope specified in the Statement of Work Sections I and III.

Additional Regulation or Supplement Clauses Incorporated by Reference

Number Title Effective Date NFS 1852.216-78 Firm-Fixed-Price Dec 2025

Description/Specifications/Statement of Work

Section C - Specification/SOW

STATEMENT OF WORK (SOW)

Section I. General

Section I provides the scope of the work applicable to all SOW sections and associated tasks required to manage and execute the MedEvac 5 contract.

1.1.1. The Contractor shall be responsible for the overall performance of the contract and provide all necessary resources to meet contract requirements. All work completed under this contract shall comply with contract requirements. All deliverables under this contract shall not be marked proprietary or confidential or with any other markings limiting the Government’s use, unless otherwise specified by the Government.

1.1.2. The Contractor shall provide services globally without exception. In the event that the Contractor cannot provide a medevac in specific parts of the world, then the Contractor shall provide sufficient rationale to the NASA COR why it cannot and provide an alternate solution at no additional cost beyond the prepaid amount.

1.1.3. The Contractor shall be responsible for all medevac and medical travel service costs. This excludes personal medical expenses accrued by the traveler that are not arranged for or provided by the Contractor; such expenses are the sole responsibility of the traveler. NASA will not provide arbitration or remediation to resolve disputes between the Contractor and traveler regarding reimbursements of uncovered expenses.

1.1.4. The Contractor shall ensure that any of the contractor’s owned, leased, or chartered aircraft used in the performance of this contract comply with all applicable local and long‑distance aircraft and pilot requirements, including those applicable to both prime contractors and subcontractors. Aircraft used for NASA traveler transportation shall be certificated, operated, and maintained in accordance with the requirements of 14 CFR:

a. Part 21—Certification Procedures for Products and Parts

b. Part 25—Airworthiness Standards: Transport Category Airplanes Part 29—Airworthiness Standards:

Transport Category Rotorcraft Part 39—Airworthiness Directives

c. Part 43—Maintenance, Preventative Maintenance, Rebuilding, and Alteration Part 61—Certification: Pilots, Flight Instructors, and Ground Instructors

d. Part 65—Certification: Airmen Other Than Flight Crewmembers Part 91—General Operating and Flight Rules

e. Part 135—Operating Requirements: Commuter and On-Demand Operations

*NASA will recognize other equivalent regulatory agencies when carriers are not governed by the aforementioned federal aviation regulations.

1.1.5. The Contractor shall have a documented Safety Management System (SMS) in accordance with International Civil Aviation Organization (ICAO), Federal, and industry standards. Requirements include the following:

a. A structured means of safety risk management decision making.

b. A means of demonstrating safety management capability before system failures occur.

c. Increased confidence in risk controls through structured safety assurance processes.

d. An effective interface for knowledge sharing.

e. A safety promotion framework to support a sound safety culture.

1.1.6. The Government does not assume liability that results from claims that arise from their direct performance of this contract. The Contractor shall indemnify the Government for any occurrence, action, or claim that might trigger the Government's liability; unless the Government is found to be liable. The rights and obligations of the parties under this clause shall survive the termination, expiration, or completion of this contract.

Section II. Medical Travel Services, Air Ambulance Medical Evacuations, and Additional Participation and Reporting Requirements

2.1.0. Medical Travel Services

2.1.1. The Contractor shall provide medical travel services in response to a worldwide medical event for NASA’s Human Spaceflight Mission Directorate (HSMD), Johnson Space Center (JSC), or other travelers identified by NASA (referred to as ‘traveler(s)’ throughout) on a pre-paid basis regardless of traveler’s home location or country of origin. These services include the following:

a. Provide transportation of patient from site of injury to appropriate medical facilities;

b. Coordinate with medical providers to ensure timely access to medical care;

c. Provide pharmacy assistance;

d. Obtain medical monitoring;

e. Provide assistance obtaining medications, vaccines, blood transfers, and medical devices;

f. Obtain medical referrals and consultations with English-speaking doctors;

g. Provide patient advocacy;

h. Provide bed side case management services such as in-person interaction and care;

i. Provide medical translation and interpretation services to include telephonic language assistance with medical incidents and medical translations of medical records to the extent required to resolve the medical emergency;

j. Coordinate uninterrupted hospital admittance and discharge;

k. Coordinate hospital payments including direct billing between insurer, medical provider and traveler, without any involvement or responsibility of the Government;

l. Coordinate insurance information between the patient, insurers, and medical providers, without any involvement or responsibility of the Government;

m. Provide Guarantee of Payment (GOP) services and pay medical costs as an agent for the traveler to ensure timely care and immediate discharge. The Contractor and the traveler will handle all subsequent GOP and pay as agent reimbursements directly between themselves. The Government has no involvement, liability, or responsibility for these financial transactions;

n. Provide repatriation of mortal remains for travelers to the location specified by NASA;

2.1.2. The Contractor shall transport the injured or ill traveler to nearest appropriate medical facility that practices U.S.

standards of medical care. This is defined as facilities with treating physicians and nurses who are trained in the US/Europe or are US/Europe board certified.

a. In the event that the medical facility does not meet the U.S. standards of medical care, the Contractor shall provide sufficient rationale to the NASA/JSC Chief Medical Officer and NASA Contracting Officer Representative (COR) for using the proposed facility.

2.1.3. The Contractor shall co-develop with NASA the notification process for timely communication, integration and operational protocols with NASA physicians, and dissemination of confidential medical reports.

2.1.4. The Contractor shall obtain all necessary insurance information from the traveler, as required, and shall coordinate the payment of personal medical expenses incurred by the traveler that are not arranged for or provided directly by the Contractor. Such coordination shall be conducted exclusively between the Contractor, the traveler, and the traveler’s insurer, without any involvement from the Government.

2.1.5. The Contractor shall provide group membership as specified in Section B Firm Fixed Price (FFP) Group Membership.

2.2.0. Air Ambulance Medical Evacuations

2.2.1. The Contractor shall provide an “Air Ambulance Medical Evacuation” (medevac) service in response to a worldwide medical emergency for NASA’s Human Spaceflight Mission Directorate (HSMD), Johnson Space Center (JSC), or other travelers identified by NASA (referred to as ‘traveler(s)’ throughout) on a pre-paid basis regardless of traveler’s home location or country of origin.

a. “Air Ambulance Medical Evacuation” (medevac) service includes, but is not limited to, comprehensive air and surface medical transport services appropriate for the condition of a sick or injured traveler; providing medical personnel, medical escorts, equipment and transportation that are fully certified and licensed, in accordance with local laws and regulations where operations are performed, to ensure the sick or injured traveler is provided the proper services to be stabilized prior to and during air and surface medical transport. Medevac transport is to NASA’s hospital of choice, which may be in the United States (U.S.) or elsewhere, for the traveler who is experiencing a medical condition when any of the following conditions are met:

i. Traveler has a medical condition that requires a medical evacuation from the country of travel and cannot safely travel by commercial means.

ii. Traveler requires a medical escort for the medical condition.

b. The Contractor shall provide transportation for three accompanying travelers specified by NASA on the same transport as the injured/ill individual requiring a medevac. A NASA physician/flight surgeon may accompany the traveler for continuity of care.

c. In the event that the same transport cannot accommodate all three accompanying travelers, at least one accompanying traveler specified by NASA shall be accommodated on the same transport.

d. The Contractor shall provide sufficient rationale to the NASA Contracting Officer Representative (COR) why it cannot transport all accompanying travelers and provide alternate transportation for the remaining accompanying travelers within 24 hours to the same location as the injured or ill traveler.

2.2.2. The Contractor provided services shall meet the Commission on Accreditation Medical Transport Services (CAMTS), National Accreditation Alliance of Medical Transport Applications (NAAMTA) Global, and European Aero-Medical Institute (EURAMI) accreditation standards or equivalent for personnel and assets. Active credentials must be maintained according to the standard renewal timelines dictated by the respective accrediting body. Any deviations must be reported to the JSC Chief Medical Officer and Contracting Officer Representative (COR), and approved by NASA prior to implementation, unless otherwise specified by the Contracting Officer.

2.2.3. Decision to Evacuate

a. The decision to perform a medevac shall be made jointly (50/50) by NASA and the

Contractor, who will apply U.S. standards of medical care. In the case of disagreement on medical evacuation between NASA and the Contractor, an independent third party will be consulted. This independent third party will be mutually agreed upon within 30 calendar days of contract award.

2.2.4. The Contractor shall provide a medical evacuation using a Portable Medical Isolation Unit (e.g. infectious disease) upon request by NASA. This requirement is priced in accordance with Tables 1.b and 2.b in Section B Firm Fixed Price (FFP) Group Membership.

2.2.5. Evacuation and Additional Medical Travel Services Cost Responsibility

a. If a medical event occurs, all costs for evacuation and additional medical travel services shall be the responsibility of the Contractor and no additional cost beyond the prepaid provided group membership as specified in Section B Firm Fixed Price (FFP) Group Membership amount will be incurred by NASA or its travelers.

2.3.0. Additional Participation and Reporting Requirements

2.3.1. The Contractor shall conduct a program status meeting each contract year with NASA management and JSC’s Chief Medical Officer, with the first meeting happening within 90 calendar days of the start of the contract.

2.3.2. The Contractor shall participate in NASA Contingency Tabletop simulations of evacuation events to validate communication and operations plans and decision-making procedures (estimate twice per year).

2.3.3. The Contractor shall provide, within 60 calendar days of contract start and update annually for currency by Oct 1st, a Medical Facility Support Plan for each of the Russia and Kazakhstan medical facilities identified by NASA which contains the following:

a. Points of Contact (primary, alternate, and emergency) and communication protocols, including language/translation support and expected response times.

b. Medical Capabilities and Transport Capabilities, including bed‑to‑bed transport feasibility, equipment availability, access to specialized care, and any seasonal or regional constraints that may affect operations.

c. Admittance, Use, GOP, and Discharge Processes, including procedures required to initiate care, provide ongoing coordination, and transfer patients between facilities and medevac resources.

d. Insurance Acceptance Status, identifying whether each facility accepts U.S. Government employee medical insurance plans and any known payment requirements, pre‑payment expectations, or dispute‑resolution considerations.

e. Facility Use Recommendations, including NASA‑specific considerations and any operational limitations or risk factors.

f. Regional Risk Assessment, summarizing relevant geopolitical, infrastructure, transportation, or environmental risks, along with proposed mitigation strategies.

g. Transport and Access Considerations, including typical timelines and constraints for access to airports, border crossings, restricted areas, or local authorities.

h. Verification and Validation Procedures, describing how the Contractor annually confirms the accuracy of facility information, capabilities, and points of contact data.

2.3.4. The Contractor shall establish and provide, within 60 calendar days of contract start and maintain for the duration of the contract, the GOP advance service agreements with the specific medical facilities that NASA identifies as critical medical facilities in Russia and Kazakhstan. If the Contractor cannot establish a GOP advance service agreement at one of NASA’s identified medical facilities in Russia/Kazakhstan by the end of that 60-day period, then the Contractor shall notify the NASA COR and provide an alternate course of action to meet the intent of the GOP advance service agreement. Annually by December 15th, the Contractor shall provide a written summary report on the status of GOP advance service agreements for the NASA identified hospitals.

2.3.5. The Contractor shall establish and provide, within 60 calendar days of contract start and updated annually for currency by Oct 1st, a written medevac plan of action/response for each location that NASA frequently visits to include Moscow, Russia; Baikonur, Kazakhstan; Karaganda, Kazakhstan; Nordwijk, Netherlands; Montreal, Canada; Tsukuba, Japan; and Tanegashima, Japan. The plan shall include at a minimum:

a. Specific points of contact the Contractor will utilize to access restricted airports or facilities;

b. Unique country and local specific requirements for medevac services and plans on how to address each;

c. Specific facilities, capabilities, and transport services in country the Contractor will utilize for bed-to-bed medical transport including any operational limitations or risk factors;

d. Transport and Access Considerations, including typical timelines and constraints for access to airports, border crossings, restricted areas, or local authorities.

e. Regional Risk Assessment, summarizing relevant geopolitical, infrastructure, transportation, or environmental risks, along with proposed mitigation strategies.

f. Whether selected medical providers accept U.S Government employee medical insurance plans;

g. List of data and documentation the Contractor requires NASA to provide to support medevac.

h. Verification and Validation Procedures, describing how the Contractor annually confirms the accuracy of facility information, capabilities, and points of contact data.

2.3.6. The Contractor shall provide, within 10 calendar days of contract start, a secure electronic registration capability that:

a. Provides travelers with a description of the scope of Contractor’s services in accordance with this SOW.

b. Educates travelers on specific instructions to follow should a medical incident or emergency occur and traveler’s responsibilities in accordance with this SOW.

c. Captures critical information from travelers that expedites medical assistance and evacuation when necessary.

d. Meets industry standards for data protection, accessibility, storage, and retention requirements of private medical and personal information (e.g. Personally Identifiable Information, Health Insurance, etc.).

2.3.7. The Contractor shall provide a weekly report on current and historical NASA traveler enrollment and critical traveler information.

2.3.8. Travelers will not be required to be pre-enrolled or registered in a Contractor’s system in order for the Contractor to provide services covered under this contract.

2.3.9. The Contractor shall provide, by Sept 30th annually, a summary report of all medical incidents by date and incidence level (Levels 1-4), medical evacuations, reservations and call-ups of medical transport via air ambulance for Soyuz landings (if executed) supported by the Contractor during that year.

2.3.10. The Contractor shall provide, within 60 calendar days after contract award, wallet sized cards to the NASA COR for every NASA traveler with information including an international call number for support for medical support and emergencies. Approximately 1,200 cards are required annually for NASA travelers. The cards shall be updated for currency and provided annually thereafter to the NASA COR by Oct 1st.

Section III – Soyuz Landing Backup Medical Transport via Air Ambulance

3.1.1. The Contractor shall provide a Reservation and Call-up/Execution service for medical transport via air ambulance for Soyuz crew landing event.

3.1.2. If NASA orders a reservation of medical transport via air ambulance, NASA will unilaterally revise the order based on price per Terms and Conditions Section 5, paragraph 3.a. NASA will order the reservation at least 10 days prior to the Soyuz crew landing event. Within 36 hours of NASA reservation, the Contractor shall provide a Reservation Readiness Package consisting of a dedicated tail-number assignment, overflight and landing permits, diplomatic route clearances, aircraft medical and transport capabilities, and staffing plan.

3.1.3. If NASA orders a call-up/execution of the reserved medical transport via air ambulance, NASA will unilaterally revise the order based on price per Terms and Conditions Section 5, paragraph 3.b. The decision to call-up/execute the medical transport via air ambulance is NASA’s sole decision. NASA will provide call-up/execute notification to the Contractor no later than 36 hours prior to the Soyuz landing event. The crew member and the associated NASA flight surgeon shall be transported to Houston, Texas. Within 3 hours of the NASA call-up, the Contractor shall activate the asset and personnel and provide an Operational Deployment Package consisting of a copy of the officially filed International Civil Aviation Organization (ICAO) flight plan, crew-rest compliance, real-time satellite tracking link, confirmation of NASA passengers on flight manifest, finalized staffing plan, and communications matrix.

3.1.4. The decision to execute the medical transport via air ambulance is NASA’s sole decision when NASA orders the Reservation and Call-Up/Execution service under SOW Section III. Once a NASA flight surgeon determines the traveler is fit-to-fly, there is no requirement for an observation or stabilization period at a local medical facility prior to medical transport via air ambulance.

3.1.5. If a reservation or call-up for medical transport via air ambulance occurs, all costs for the reservation and medical transport via air ambulance shall be the responsibility of the Contractor and no additional cost beyond the prepaid reservation fee and call-up fee as specified in Section B Firm Fixed Price (FFP) Group Membership amount will be incurred by NASA or its travelers.

Packaging and Marking

Section D - Packaging and Marking

[This page is intentionally left blank]

Inspection and Acceptance

Section E - Inspection and Acceptance

Deliveries or Performance

Section F - Deliveries or Performance

Period of Performance The period of performance for the contract base of the resulting purchase order is October 1, 2026 - September 30, 2029.

Option 1 The period of performance for Option 1 of the resulting purchase order is October 1, 2029 - September 30, 2030.

Option 2 The period of performance for Option 2 of the resulting purchase order is October 1, 2030 - September 30, 2031.

The overall period of performance (including Option 1 and Option 2) for the resulting purchase order is October 1, 2026

- September 30, 2031.

Contract Administration Data

Section G - Contract Administration Data

JSC 52.204-92 NASA Security Program and Identification of Employees Jul 2022

Special Contract Requirements

Section H - Special Contract Requirements

NFS 1852.232-77 Limitations of Funds (Fixed Price Contract) Mar 1989

H.1 Endorsements NASA does not endorse or sponsor any commercial product, service, or activity. The Contractor shall not use the words "National Aeronautics and Space Administration" or the letters "NASA" in connection with a product or service in a manner reasonably calculated to convey any impression that such product or service has the authorization, support, sponsorship, or endorsement of NASA, which does not, in fact, exist. In addition, the Contractor shall submit in advance any proposed public use of the NASA name or initials for NASA review and approval. NASA approval shall be based on applicable law and policy governing the use of the NASA name and initials. NASA’s approval will not be unreasonably withheld. Use of NASA emblems/devices (i.e., NASA Seal, NASA Insignia, NASA logotype, NASA Program Identifiers, and the NASA Flag) is governed by 14 C.F.R. Part 1221. The Contractor shall not publicly use such emblems/ devices without prior NASA review and approval in accordance with such regulations.

(End of clause)

Section I - Contract Clauses

FAR Clauses Incorporated by Reference

52.202-1 Definitions Jun 2020 52.203-17 Contractor Employee Whistleblower Rights Nov 2023 52.204-13 System for Award Management - Maintenance Nov 2025 52.204-19 Incorporation by Reference of Representations and Certifications. Dec 2014 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services Sep 2023 52.212-4 Terms and Conditions - Commercial Products and Commercial Services Nov 2023 52.222-50 Alternate I Combatting Trafficking in Persons Alternate I Nov 2025 52.222-90 Addressing DEI Discrimination by Federal Contractors Apr 2026 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving May 2024 52.232-1 Payments Apr 1984 52.232-39 Unenforceability of Unauthorized Obligations. Jun 2013 52.232-40 Providing Accelerated Payments to Small Business Subcontractors Mar 2023 52.233-2 Service Protest Sep 2006 52.233-4 Applicable Law for Breach of Contract Claim Nov 2025 52.243-1 Alternate I Changes—Fixed-Price Alternate I Apr 1984 52.244-6 Subcontracts for Commercial Products and Commercial Services Nov 2025 52.247-34 F.O.B. Destination Nov 1991

NFS 1852.203-71 Requirement to Inform Employees of Whistleblower Rights Sep 2025 NFS 1852.215-84 Ombudsman Nov 2023 NFS 1852.225-70 Export Licenses Dec 2025 NFS 1852.225-71 Restriction on Funding Activity with China Dec 2025 NFS 1852.225-74 Emergency Medical Services and Evacuation Feb 2026 NFS 1852.226-73 Major Breach of Safety or Security Feb 2026 NFS 1852.232-80 Submission Of Vouchers for Payment Apr 2018 NFS 1852.237-72 Access to Sensitive Information Dec 2025 NFS 1852.237-73 Release of Sensitive Information Dec 2025 NFS 1852.240-75 Security Classification Requirements Sep 2025 NFS 1852.240-76 Security Requirements for Unclassified Information Technology Resources Jan 2026 NFS 1852.242-72 Denied Access to NASA Facilities Dec 2025

FAR Clause Incorporated in Full Text

I.1 52.217-8 Option to Extend Services (Nov 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor.

The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

I.2 52.217-9 Option to Extend the Term of the Contract (Mar 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years.

List of Attachments

Section J - List of Attachments

Representations and Certifications

Section K – Representations and Certifications

The Offeror must submit a statement of verification that, as of the date of its offer, its representations and certifications posted electronically in www.SAM.gov for the provisions listed in FAR 52.204-19 - Incorporation by Reference of Representations and Certifications Section I above, are current, accurate, and complete. The Offeror’s representations and certifications in www.SAM.gov will be incorporated by reference in any resultant purchase order.

Section L - Instructions, Conditions, & Notices to Offerors

Instructions to Offerors

The Offeror is requested to submit a proposal for this effort. The Offeror shall prepare their proposal in accordance with the instructions in this solicitation. Information contained in the Offeror’s proposal must be in sufficient detail to allow adequate assessment of for Technical Capability and Price. The Offerors’ proposal must contain the absolute best offer as the Government has the right to award without discussions. All proposal data shall be provided in Microsoft Excel, Microsoft Word or PDF formats only. The proposal shall include the following:

1. Technical Capability

a. Questions/Responses as annotated below.

b. Scenarios as annotated below.

2. Pricing - Must include “Offeror Fill-In” (OFI) blocks with table as annotated in Section B above.

3. Representations and Certifications – Statement of verification as annotated in Section K above.

Please only submit an electronic copy of your proposal. DO NOT compress any electronic files. DO NOT password protect any portion of your electronic submission.

This RFP does not commit NASA to pay any proposal preparation costs, nor does it obligate NASA to execute an award. This request shall not be construed as authorization to proceed with or be paid for charges incurred by performing any of the work called for in this solicitation.

In providing these instructions, the Government's intention is to solicit information that will permit a competitive evaluation of the Offeror's proposal. The information solicited will demonstrate the Offeror's competence and understanding of requirements and the capability to successfully complete all the requirements specified in the Medevac SOW.

All responsible sources may submit an offer, which shall be considered by the Agency. The Government intends to make a single award for all items on an "all or none" basis; therefore, Offerors must provide a proposal that responds to all items below. Partial quotes will not be considered responsible to this solicitation and therefore not accepted. The Government intends to award the resulting purchase order, if any, without discussions.

This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-01.

The NAICS Code and the small business size standard for this procurement are 621910 and revenue of $22.5 million, respectively. The Offeror shall state in their offer their size status for this procurement.

NASA is not requesting any political security advisory or evacuation services.

a

MINIMUM REQUIREMENTS

This notice is being issued as a solicitation, specifically a Request for Proposal (RFP), for MedEvac 5. The minimum requirements for the resulting contract in Section C - Statement of Work. Offerors must provide responses to these areas in sufficient detail to demonstrate responsiveness to the solicitation.

1. Technical Capability Questions/Responses

Responses shall be submitted in a Microsoft Word document in Times New Roman, size 12 font.

a. Describe the offeror’s approach, teaming arrangements, resources, processes and procedures to provide worldwide medical evacuation and medical travel services capabilities per the requirements of the Statement of Work (SOW). The information provided should be in sufficient detail to provide NASA technical and medical experts with evidence that demonstrates the Offeror technical understanding of NASA’s requirements and demonstrates the Offeror has the necessary resources, experience and qualifications to perform all NASA's requirements described in the SOW. The Offeror shall explain its capabilities and expected operational timelines/durations with medical support for NASA travelers with minor medical emergencies and medical scenarios that require commercial air business class transportation return to the US. The Offeror shall explain its capabilities and expected operational timelines/durations with medical extractions for potential life or death circumstances with a point of origin in a non-western country similar in size, scope, and complexity to the requirements in the SOW and scenarios. The Offeror shall explain how it flows down the contract terms and conditions to its subcontractors and teaming partners. The Offeror shall explain its capabilities and expected operational timelines/durations with medical transport via air ambulance reservation and call up for NASA Astronauts participating in Soyuz landings and return to the US. The Offeror shall provide a compliance matrix (cross-walk table) explicitly mapping each element of the Statement of Work (SOW) to the specific section and page number where it is addressed in the Technical Capability Proposal. For each SOW element, the table must point to a narrative explaining the Offeror's specific methodology and implementation approach; a restatement or acknowledgment of the requirement is insufficient for evaluation.

b. Describe the air and ground transportation assets (type/design/age/capabilities/locations) your company uses to provide worldwide medical evacuations per the requirements of the Statement of Work (SOW). What types of certifications do these assets hold and where are they certificated (US, other country)? Does the Offeror maintain a fleet of its own fixed wing and rotary aircraft required for medical transport or does it subcontract aircraft from other companies (If other companies, which ones)? To what standards are the aircraft maintained (FAA, foreign equivalent, other) and is the maintenance provider FAA Part 145 (or equivalent) certified? Does the aircraft provider have a Safety Management System (SMS) in place (For example International Standard for Business Aircraft Operations (IS-BAO))?

c. With regard to pilots used by Offeror for local and long-distance transport, does the Offeror maintain their own pilot cadre or does it subcontract pilots from other companies (If other companies, which ones)? Where, how, and to what standards are the pilots certified (For example FAA Commercial/Airline Transport Pilot (ATP), international equivalent)?

To which medical standards are the pilots held (i.e. FAA, Class I/II, other)? What are the minimum experience levels of the pilots (flight time, international operations, IFR operations, etc./i.e. minimum 1500 hours turbine/multi-engine etc.)?

What recurrent training and minimum proficiency requirements are mandated for the pilots (i.e. FAA Part 121 or Part 135 recurring training requirements)? Does the source of the pilot cadre have a Safety Management System (SMS) in place (for example IS-BAO)?

d. Provide evidence showing your company is capable of providing each of the following services:

1. Advanced airway management including ventilator support/oxygenation

2. Advanced medication management in flight (anti-seizure meds, IV meds, etc.)

3. Advanced Cardiac Life Support

4. Medical Escort Services

5. Medevac Using Portable Medical Isolation Unit (e.g. infectious disease medevac)

e. Describe how your company will apply US standards of medical care for travelers under this contract? How is this applied to your subcontractors and teaming partners?

f. Provide evidence that demonstrates how your quality assurance program ensures that only appropriately trained, certified, and credentialed medical staff, equipment and transports are used to provide services within your company’s limits. Please provide similar evidence for any subcontractors. Additionally, please submit proof of CAMTS, NAAMTA Global and/or EURAMI certification or equivalent. For equivalent certification, please provide narrative on applicability and a compliance mapping matrix alongside the technical proposal.

g. Provide all steps required to execute a Contractor-provided medical evacuation under this contract. Please specify all steps required by the Government with rationale to support the medical evacuation.

2. Scenarios

Offerors shall describe how they would respond to (4) four medical scenarios provided below assuming they occur at the time of the solicitation. The response for each scenario shall not exceed two pages each. Responses shall be submitted in a Microsoft Word document in Times New Roman, size 12 font.

Offeror’s responses shall include action plans; decision points; operational timelines; specific resources, personnel, equipment, transport and other assets used at each stage; travel route from origin of incident to hospital of choice; permits, licenses, certifications, etc. required to execute the Offeror’s response; interfaces with the Government; all operational assumptions; and any other information that will illustrate your company’s capabilities to perform the requirements in the Statement of Work, including how their plan complies with the SOW even if assumptions fail. Offerors shall state in their response the specific SOW requirements the steps in their solution addresses.

Offerors must demonstrate their ability to apply US standards of medical care to its patients during a Medevac scenario.

Offerors must also demonstrate their ability to include NASA officials in the medical transportation decision process as well as demonstrate its quality assurance program, which ensures that only appropriately trained, certificated and credentialed medical staff, equipment and transportation are provided for medical care within the company’s limits.

Offerors must also demonstrate their ability to provide a GOP and state the steps involved. Each scenario response shall include a scenario-specific confirmation that “all services provided are fully included in the fixed price membership with no additional charges in accordance with the SOW”.

A) A 37-year old female NASA sponsored traveler is at Baikonur Cosmodrome, Kazakhstan. Early in the day, her husband launched aboard a Soyuz headed to the space station. She is 22 weeks pregnant and she develops abdominal pain and vaginal spotting. Local medical capability cannot provide appropriate care for her. NASA has a physician onsite supporting her. The patient is stable and has been cleared by the NASA physician for medevac. Her 12-year old daughter is also present at Baikonur. The NASA COR contacts you requesting urgent medical evacuation. The patient is requesting transportation to the University of Texas Medical Branch (UTMB) Hospital in Galveston, Texas where her OBGYN doctor will see her. She also insists on having her daughter and the NASA flight surgeon return on the same aircraft with her. How do you proceed from NASA notification through handover to UTMB?

B) A 48-year old NASA astronaut is performing a Soyuz landing training session at a remote field site 50 miles due east of Dzhezkazgan, Kazakhstan. During this training, the astronaut is noted to have atrial fibrillation. The astronaut is placed on rate control medication and anticoagulant. The accompanying NASA flight surgeon determines the astronaut is stable but requires return to the Cleveland Clinic in Cleveland, Ohio for appropriate care. At this point NASA notifies the Contractor with the request along with the latitude and longitude of the astronaut and NASA flight surgeon. How do you proceed from NASA notification through handover to Cleveland Clinic?

C) A Soyuz flight is scheduled to land two days from now with a 45-year old NASA astronaut on board. NASA has exercised the option for a reservation for medical transport via air ambulance for transfer of the astronaut back to Houston, TX. The NASA COR contacts the Contractor with 40 hours remaining before the Soyuz landing, notifying your company that the NASA GV aircraft has experienced a mechanical problem and the MedEvac 5 call up for the medical transport via air ambulance is required. How do you proceed from NASA notification through handover to NASA at Ellington Field in Houston, TX?

D) A previously healthy 51-year old female NASA employee is on NASA travel in Star City, Russia. She is walking to a restaurant for dinner with colleagues and takes a fall injuring her knee. She has trouble walking with severe pain. She is taken to a local hospital where it is determined that she does not have a broken leg but does have a severe sprain with the possibility of torn ligaments. The NASA COR contacts the Contractor requesting urgent assistance with a need for medical support and return home. The hospital will not discharge her until the hospital fees are paid, but she is traveling solo and the hospital will not accept her form of payment (US credit card and US insurance). How do you proceed from NASA notification through her return to Houston, TX?

Additional Information:

Travel Days The values in the Number of Travel Days columns in Section B Tables 1a and 1b represent the cumulative number of travel days covered across all travelers in the contract period specified in that row. For example, 3 travelers attending meetings in Moscow, Russia for 5 days would equal a total 15 travel days. These travel days do not include the travel of NASA identified independent travelers covered by Section B Tables 2a. and 2b.

Accordingly, the Contractor is expected to cover 60,000 travel days for the Base period of performance under the resulting contract, and 20,000 travel days per year for each of the remaining Option periods, if exercised.

Below is a list of critical documents to review to understand the actual usage of the previous contracts. Please review these attachments carefully to best understand the requirements of this procurement.

1. Russia and Kazakhstan Medical Facilities - Describes the known hospital and medical facilities most likely to be used by NASA to support a medical situation during NASA operations in Russia and Kazakhstan. This does not preclude other solutions provided by the Contractor.

2. NASA Historical Travel Data - FY21 - FY25 - States the cumulative number of international travel days broken out by year from 2021 through 2026. The total number of travel days was approximately 35,675 and the total number of countries visited during this time has been approximately 61 countries.

3. NASA Actual Incidence Data - 2011 - June 2026 - Shows how many medical incidents NASA/JSC reported to the Contractor over the past 15 years. During these 15 years, there were 13 relevant cases requiring contractor support. There were no Level 4 incidents, which required air ambulance transport.