RFP SAQMMA11R-0010.pdf

SOLICITATION, OFFER, AND AWARD

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR

700)

RATING

C9

2. CONTRACT NUMBER 3. SOLICITATION NUMBER

SAQMMA11R0010 SEALED BID (IFB)

X NEGOTIATED (RFP)

4. TYPE OF SOLICITATION 5. DATE ISSUED

02/01/2011

6. REQUISITION/PURCHASE NUMBER

CODE: LMAQM

OFFICE OF ACQUISITION MANAGEMENT (A/LM/AQM)

PO BOX 9115, ROSSLYN STATION

US DEPARTMENT OF STATE

ARLINGTON, VA 22219

7. ISSUED BY 8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

9. Sealed offers in original and __1__ copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in

__A/LM/AQM__ until __16:00:00__ local time __03/31/2011 __

10. FOR

INFORMATION

E-MAIL:

A. NAME

Kenneth Dougherty 703-875-6112

B. TELEPHONE (NO COLLECT

CALLS)

C. E-MAIL ADDRESS

DoughertyKG@state.gov

11. TABLE OF CONTENTS (See Table of Contents on page 2)

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES CONTRACT

X B SUPPLIES OR SERVICES AND PRICES/COSTS PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

X C DESCRIPTION/SPECS./WORK STATEMENT X J LIST OF ATTACHMENTS

X D PACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE X K REPRESENTATIONS CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORSX F DELIVERIES OR PERFORMANCE

X L INSTRS., CONDS., AND NOTICES TO OFFERORSX G CONTRACT ADMINISTRATION DATA

X M EVALUATION FACTORS FOR AWARDX H SPECIAL CONTRACT REQUIREMENTS

OFFER (Must be fully completed by offeror)

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

In compliance with the above, the undersigned agrees, if this offer is accepted within __________ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

12.

13. DISCOUNT FOR PROMPT PAYMENT (See Section I, Clause No.

52.232-8)

10 CALENDER DAYS(%)

0.00 %

20 CALENDER DAYS(%)

0.00 %

30 CALENDER DAYS(%)

0.00 %

0 CALENDER DAYS(%)

0.00 %

14. ACKNOWLEDGEMENT OF AMENDMENTS (The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME AND

ADDRESS OF

OFFEROR

CONTACT: DUNS: 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or Print)

15B. TELEPHONE NUMBER

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN (4 copies unless otherwise specified)

ITEM

CODE:24. ADMINISTERED BY (if other than Item 7) CODE: RMGFO

GLOBAL FIN. SVCS (RM/GFS/ADO/FM) CHARLESTON, SOUTH CAROLINA

PO BOX 150008; Fax To: 1-866-483-3436

OFFICE OF CLAIMS (RM/GFS/F/C)

CHARLESTON, SC 29415-5008

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

Paul Desilets

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA 28. DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

SAQMMA11R0010

Table of Contents

Section Description Page Number

B Supplies or Services and Prices/Costs Section B Supplies and Services

C Descriptions/Specifications/Statement of Work C.1 Description

D Packaging and Marking D.1 Packaging and Marking

E Inspection and Acceptance 52.246-4 Inspection of Services--Fixed-Price (Aug 1996) Inspection and Acceptance Inspectgion and Accpetance

F Deliveries or Performance F.1 Deliveries or Performance

G Contract Administration Data G.1 Contract Administration

H Special Contract Requirements H.1 Special Contract Requirements

I Contract Clauses 52.209-8 Updates Of Information Regarding Responsibility Matters (Apr 2010) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items (Oct 2010) 52.215-19 Notification of Ownership Changes (Oct 1997) 52.219-9 Small Business Subcontracting Plan (Oct 2010) 52.223-18 Contractor Policy to Ban Text Messaging While Driving (Sep 2010) 52.230-4 Disclosure and Consistency of Cost Accounting Practices -- Foreign Concerns (June 2010) 52.230-6 Administration of Cost Accounting Standards (June 2010) 52.244-6 Subcontracts for Commercial Items (Oct 2010) 52.215-23 Limitations on Pass-Through Charges (Oct 2009) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.225-19 Contractor Personnel in a Designated Operational Area or Supporting a Diplomatic or Consular Mission Outside the United States (Mar 2008) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984)

J List of Attachments List of Attachments Attachment No Attachments

K Representations, Certifications, and Other Statements of Offerors or Respondents 52.225-25 Prohibition on Engaging in Sanctioned Activities Relating to Iran--Certification (Sep 2010) 52.204-8 Annual Representations and Certifications (Feb 2009) 52.225-20 Prohibition on Conducting Restricted Business Operations in Sudan--Certification (Aug 2009)

L Instructions, Conditions, and Notices to Offerors and Respondents 52.233-2 Service of Protest (Sept 2006) L.1 Instructions to Offerors 52.215-22 Limitations on Pass-Through Charges -- Identification of Subcontract Effort (Oct 2009)

M Evaluation Factors for Award M.1 Basis of Contract Award

001 Medical Support - LABOR- Pricing will be in accordance with Attachment 2 Labor Rates Pricing Structure.

0.00 LT

The labor rates incorporated into the contract, with the exception of airfare and hotels, shall reflect all costs associated with all required training, and other requirements necessary to bring an individual on site.

Unless specifically authorized by the contracting officer, the contractor shall not be entitled to any additional charges associated with bringing an individual into or out of the country.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2011 to 06/06/2012

002 Travel in Support of Medical Support- Pricing will be in accordance with Attachment 2 Pricing Structure

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2011 to 06/06/2012

003 Other Direct Costs in Support of Medical Services. These costs will be negotiated on delivery order basis and will cover all items with a unit cost of $250.00 or less.

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2011 to 06/06/2012

004 Other Direct Costs in Support of Medical Services. 0.00 LT These costs will be a Not To Exceed Cost n on delivery order basis and will cover all items with a unit cost of in excess of $250.00.

Fee is not authorized on items purchased under the contract line item number.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2011 to 06/06/2012

005 Defense Base Act Insurance DBA Insurance as required by DOSAR 652.228-70 - Copy of Policy to be provided within 10 days of contract Award.

1.00 LT

No G&A or Fee is authorized on DBA Insurance

The DBA Premium will be determined on a Delivery Order Basis. The contractor shall provide an updated copy of the insurance coverage with each order awarded under this contract.

Rates July 2010 through July 2011.

Service 3.6% Constructiion 4.95% Security w/o aviation 18.00% Security w/aviation 9.45%

The contractor shall pay the rates in effect at the time the order is issued.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

01/01/2012 to 06/30/2012

101 Medical Support - LABOR- Pricing will be in accordance with Attachment 2 Labor Rates Pricing Structure for the

0.00 LT

SAQMMA11R0010

Line Item Summary

Solicitation Number:

SAQMMA11R0010

Contract Number: Title: Baghdad Medical Date of Solicitation:

02/01/2011

Line Item No. Description Quantity Unit Unit Price Total Cost first option period.

The labor rates incorporated into the contract, with the exception of airfare and hotels, shall reflect all costs associated with all required training, and other requirements necessary to bring an individual on site.

Unless specifically authorized by the contracting officer, the contractor shall not be entitled to any additional charges associated with bringing an individual into or out of the country.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2012 to 06/06/2013

102 Travel in Support of Medical Support- Pricing will be in accordance with Attachment 2 Pricing Structure

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2012 to 06/06/2013

103 Other Direct Costs in Support of Medical Services. These costs will be negotiated on delivery order basis and will cover all items with a unit cost of $250.00 or less.

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2012 to 06/06/2013

104 Other Direct Costs in Support of Medical Services. 0.00 LT These costs will be a Not To Exceed Cost n on delivery order basis and will cover all items with a unit cost of in excess of $250.00.

Fee is not authorized on items purchased under the contract line item number.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2011 to 06/06/2012

105 Defense Base Act Insurance DBA Insurance as required by DOSAR 652.228-70 - Copy of Policy to be provided within 10 days of contract Award.

1.00 LT

No G&A or Fee is authorized on DBA Insurance

The DBA Premium will be determined on a Delivery Order Basis. The contractor shall provide an updated copy of the insurance coverage with each order awarded under this contract.

Rates July 2010 through July 2011.

Service 3.6% Constructiion 4.95% Security w/o aviation 18.00% Security w/aviation 9.45%

The contractor shall pay the rates in effect at the time the order is issued.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

01/01/2012 to 06/30/2012

201 Medical Support - LABOR- Pricing will be in accordance with Attachment 2 Labor Rates Pricing Structure for the second option period.

0.00 LT

SAQMMA11R0010

Line Item Summary

Solicitation Number:

SAQMMA11R0010

Contract Number: Title: Baghdad Medical Date of Solicitation:

02/01/2011

The labor rates incorporated into the contract, with the exception of airfare and hotels, shall reflect all costs associated with all required training, and other requirements necessary to bring an individual on site.

Unless specifically authorized by the contracting officer, the contractor shall not be entitled to any additional charges associated with bringing an individual into or out of the country.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2013 to 06/06/2014

202 Travel in Support of Medical Support- Pricing will be in accordance with Attachment 2 Pricing Structure

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2013 to 06/06/2014

203 Other Direct Costs in Support of Medical Services. These costs will be negotiated on delivery order basis and will cover all items with a unit cost of $250.00 or less.

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2013 to 06/06/2014

204 Other Direct Costs in Support of Medical Services. 0.00 LT These costs will be a Not To Exceed Cost n on delivery order basis and will cover all items with a unit cost of in excess of $250.00.

Fee is not authorized on items purchased under the contract line item number.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2013 to 06/06/2014

205 Defense Base Act Insurance DBA Insurance as required by DOSAR 652.228-70 - Copy of Policy to be provided within 10 days of contract Award.

1.00 LT

No G&A or Fee is authorized on DBA Insurance

The DBA Premium will be determined on a Delivery Order Basis. The contractor shall provide an updated copy of the insurance coverage with each order awarded under this contract.

Rates July 2010 through July 2011.

Service 3.6% Constructiion 4.95% Security w/o aviation 18.00% Security w/aviation 9.45%

The contractor shall pay the rates in effect at the time the order is issued.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

01/01/2013 to 06/30/2014

301 Medical Support - LABOR- Pricing will be in accordance with Attachment 2 Labor Rates Pricing Structure for the third option period.

0.00 LT

The labor rates incorporated into the contract, with the

SAQMMA11R0010

Line Item Summary

Solicitation Number:

SAQMMA11R0010

Contract Number: Title: Baghdad Medical Date of Solicitation:

02/01/2011 exception of airfare and hotels, shall reflect all costs associated with all required training, and other requirements necessary to bring an individual on site.

Unless specifically authorized by the contracting officer, the contractor shall not be entitled to any additional charges associated with bringing an individual into or out of the country.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2014 to 06/06/2015

302 Travel in Support of Medical Support- Pricing will be in accordance with Attachment 2 Pricing Structure

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2014 to 06/06/2015

303 Other Direct Costs in Support of Medical Services. These costs will be negotiated on delivery order basis and will cover all items with a unit cost of $250.00 or less.

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2014 to 06/06/2015

304 Other Direct Costs in Support of Medical Services. 0.00 LT These costs will be a Not To Exceed Cost n on delivery order basis and will cover all items with a unit cost of in excess of $250.00.

Fee is not authorized on items purchased under the contract line item number.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2014 to 06/06/2015

305 Defense Base Act Insurance DBA Insurance as required by DOSAR 652.228-70 - Copy of Policy to be provided within 10 days of contract Award.

1.00 LT

No G&A or Fee is authorized on DBA Insurance

The DBA Premium will be determined on a Delivery Order Basis. The contractor shall provide an updated copy of the insurance coverage with each order awarded under this contract.

Rates July 2010 through July 2011.

Service 3.6% Constructiion 4.95% Security w/o aviation 18.00% Security w/aviation 9.45%

The contractor shall pay the rates in effect at the time the order is issued.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

01/01/2014 to 06/30/2015

401 Medical Support - LABOR- Pricing will be in accordance with Attachment 2 Labor Rates Pricing Structure for the fourth option period.

0.00 LT

The labor rates incorporated into the contract, with the exception of airfare and hotels, shall reflect all costs

SAQMMA11R0010

Line Item Summary

Solicitation Number:

SAQMMA11R0010

Contract Number: Title: Baghdad Medical Date of Solicitation:

02/01/2011 associated with all required training, and other requirements necessary to bring an individual on site.

Unless specifically authorized by the contracting officer, the contractor shall not be entitled to any additional charges associated with bringing an individual into or out of the country.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2015 to 06/06/2016

402 Travel in Support of Medical Support- Pricing will be in accordance with Attachment 2 Pricing Structure

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2015 to 06/06/2016

403 Other Direct Costs in Support of Medical Services. These costs will be negotiated on delivery order basis and will cover all items with a unit cost of $250.00 or less.

0.00 LT

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2015 to 06/06/2016

404 Other Direct Costs in Support of Medical Services. 0.00 LT These costs will be a Not To Exceed Cost n on delivery order basis and will cover all items with a unit cost of in excess of $250.00.

Fee is not authorized on items purchased under the contract line item number.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

06/07/2015 to 06/06/2016

405 Defense Base Act Insurance DBA Insurance as required by DOSAR 652.228-70 - Copy of Policy to be provided within 10 days of contract Award.

1.00 LT

No G&A or Fee is authorized on DBA Insurance

The DBA Premium will be determined on a Delivery Order Basis. The contractor shall provide an updated copy of the insurance coverage with each order awarded under this contract.

Rates July 2010 through July 2011.

Service 3.6% Constructiion 4.95% Security w/o aviation 18.00% Security w/aviation 9.45%

The contractor shall pay the rates in effect at the time the order is issued.

Doc Ref No:

Delivery Date (Start to End) Date FOB:

01/01/2015 to 06/30/2016

Section B Supplies and Services

SAQMMA11R0010

Line Item Summary

Solicitation Number:

SAQMMA11R0010

Contract Number: Title: Baghdad Medical Date of Solicitation:

02/01/2011

B.1 Price Summary

The Contractor shall provide the pricing for all labor categories, NTE Travel, Other Direct Costs (ODC), General and Administrative (G&A) Costs. The Contractor is not authorized to charge a fee on Defense Base Act Insurance, Travel, or Other Direct Costs.

B.2 Type of Contract

This will be an IDIQ contract with task orders issued on a firm fixed price basis to the extent practicable. The travel portion of the task order will be on a reimbursable basis and paid in accordance with the Joint Federal Travel Regulation (JFTR). The government will award separate task orders for transition as well as for support of the individual sites. The first task order under this contract will be for Program Management. This task order will be awarded simultaneously with the contract and will be the guaranteed minimum for work under this contract.

The Department does not guarantee any minimum during the contract's option years. The maximum amount ordered under this contract will be $1,000,000,000 over the five year life of the contract.

B.3 Labor Categories

Section C, Description / Performance Work Statement, contains the specific tasks for which the Contractor shall determine personnel requirements needed in the performance of this contract. The Contractor will utilize the appropriate labor categories for each of the positions and assign a fixed price for these categories (Attachment A - Labor Categories). If additional categories are required the contract will be modified after award to include the additional labor position(s). The additional rates will be slotted by comparing the new category to the established rates in terms of complexity and skill level(s) required.

B.3.1 Reimbursable Materials

The Contractor shall be reimbursed for all non-expendable supplies and equipment (hereby referred to as material) required to operate and sustain the health care facilities. Reimbursable equipment shall not exceed US $5,000 without prior written approval from the COR before procuring any reimbursable materials. The Contractor shall e-mail a request for approval to purchase the equipment along with a short justification.

In the event the Government requests the Contractor purchase Reimbursable Materials, the Contractor shall provide 2-3 competitive offeror quotes for all purchases exceeding $3,000 in support of the purchase, as well as a written justification if the Contractor selects other than the lowest priced quote. The quotes shall serve as a determination of fair and reasonable pricing by the Contracting Officer.

Section C - Descriptions/Specifications/Statement of Work

C.1 Description

C.1 Purpose and Objectives

This is a non-personal services contract to provide for Health Service Support to U.S. personnel and authorized foreign nationals serving for the United States in Iraq. The Contractor will provide trained and certified health care professionals and administrative service support to U.S. and U.S. sponsored beneficiaries working and residing in Iraq. The Contractor will staff, operate, equip, and supply health care facilities in locations prescribed by the Department of State to meet operational requirements as identified in this Performance Work Statement. Mission capable status (all sites listed in table C.1) is 1 December 2011. Mission capable means able to perform all requirements under this PWS.

C.2 Background The health care support mission will transition from the U. S. Department of Defense to the U. S. Department of State over a period of time as denoted in Attachment A. Transition Timeline, beginning on or about June 2011 with complete transfer completed by December 2011 coinciding with majority of the U.S. forces' departure.

After the U.S. military forces withdraw from Iraq, the U.S. Embassy and constituent posts and sites will be comprised of approximately 14,000 to 17,000 U.S. Government personnel under the U.S. Ambassador which includes U.S.G. civilians, military and local national employees; and supporting Contractors (U.S. third country, and local national). All U.S. and third country personnel will require medical care (local nationals only in emergencies or work related injuries).

The Department of State will establish a network of Contractor operated facilities in three regional support areas (see Attachment B for map of the facility locations and support regions) consisting of seven Health Units (HU), one large Diplomatic Support Hospital (DSH), and three small DSHs that provide patient care. A description of the capabilities required of each of the three types of facilities may be found in the Scope of Work of this PWS.

Health care facilities will be in secure compounds within each of the three geographical support regions with general logistics, utilities, and housing support provided by separate contracts.

The Contractor will be responsible establishing facilities as indicated in Table C.1 below:

Table C.1 Facility Type, Locations, and Population Supported

Location Facility Type Estimated Population at Risk Erbil HU 1100 - 1300

Kirkuk Small DSH 800 - 1000

Mosul Small DSH 600 - 800

Tikrit

Sather (Baghdad)

HU

Large DSH

200 - 300

1600 - 1800*

Shield HU 1000 - 1200

Taji HU 200 - 400

Union III HU 200 - 300

Besmaya HU 300 - 500

Basrah Small DSH 1100 - 1400

Umm Qasr HU 100 - 200

* Location population requiring primary care; DSH will also serve as the surgical referral center for an additional population of 5,000

C.3 Scope of Work

C.3.1 Concept of Medical Support and Services.

The medical Contractor will establish and provide primary health care as well as resuscitative surgical care in accordance with US or equivalent medical standards on a 24 hour basis, 365 days of the year to Chief of Mission (COM) personnel to a population consisting of approximately 14,000 adult personnel. Specific beneficiary eligibility will be determined by the COM or his or her designee.

C.3.2 Health Unit (HU) Capabilities.

The Contractor shall provide on-site primary, urgent and initial emergency care for general medical, surgical, orthopedic, gynecologic (GYN) and mental health conditions; triage, stabilize and evacuate patients to the next level of medical care; and keep up to two patients in the HU for up to 24 hours until stabilized or medically evacuated. Staffing shall be continuous and uninterrupted; coverage for illness and vacations shall be the responsibility of the Contractor.

The Contractor shall designate a medical director for appropriate medical oversight at each facility. This medical director shall be named in the resultant task orders. Routine care shall be provided during regular working hours, and on an emergency basis after normal working hours based on COM requirements. At least one physician with expertise in all aspects of emergency care shall be available 24 hours daily. All providers shall be licensed to US or equivalent standards and physicians shall be qualified by US or equivalent specialty boards. All primary care providers (Physician(s), Physician Assistants, Nurse Practitioners) shall hold current credentials in trauma care (e.g. ATLS, CALS or equivalent) and cardiac care (ACLS or equivalent).

The Contractor shall also provide the following supplies and services at each HU facility:

• Medical and medical emergency equipment.

• Basic formulary and vaccines to include, but not limited to:

• Thrombolytic therapy.

• Medical supplies.

• Laboratory equipment and supplies and maintenance thereof,

• Clinical Laboratory Improvement Act (CLIA) waived lab capabilities to include, but not limited to: basic hematology, blood chemistries, urine analysis, cardiac enzymes, d-dimer testing.

C.3.3 Small Diplomatic Support Hospital DSH Capabilities.

In addition to the capabilities outlined above for a HU facility, the Contractor shall establish a medical/trauma care hospital with the following capabilities:

• Basic x-ray, diagnostic ultrasound (to include Focused Abdominal Sonogram for Trauma (FAST) Right Upper Quadrant (RUQ), renal, OB (tubal pregnancy), GYN, testicular, and Deep Vein Thrombosis (DVT) evaluations).

• Appropriate number of trauma bays in the emergency medical and trauma unit for care and stabilization.

• Overnight bed capabilities for up to four patients (8 beds total ( 4 ICU beds + 4 regular beds))

• Post operative / intensive care capabilities for up to four patients to be stabilized until medically evacuated

• One operating room table with anesthesia and supplies.

• Laboratory with blood bank.

• Computerized Tomography (CT) Scanner with the capability to conduct non-contrast, contrast (oral and IV), and the ability to do PA-grams (ideally with venous run-off).

Staffing shall reflect that necessary to manage a single surgical patient with the required operating room (OR) techs, nurses, anesthetists and the possibility of multiple injured or ill patients. The professional staff, when time permits, shall be integral to all aspects of the facility. Physicians, surgeons, anesthetists, OR tech, EMTs, laboratory technologist and nurses shall meet the requirements outlined below in the Staffing section.

C.3.4 Large Diplomatic Support Hospital (DSH) Capabilities.

Sather Air Base will have the same common items as the Small DSH facilities and Health Units, but will have:

• staffing that reflects the requirements to manage two surgical patients and the possibility of multiple injured or ill patients

• staffing to include competency in performing and interpreting ECG stress tests

• possess a total of 2 OR tables with anesthesia and supplies

• overnight bed capabilities for up to six patients (12 beds total (6 ICU beds + 6 regular beds))

• post operative / intensive care capabilities for up to six patients to be stabilized until medically evacuated

• It is anticipated that full occupancy would be a rare occurrence.

C.3.5 Hours of Operations.

HU: It is anticipated that routine services and primary care will be offered at the Consulate and other locations during regular hours as determined by COM (e.g. 08:00 until 18:00). The Health Unit staff is expected to respond to after-hour and weekend calls, though patients may be referred to the Health Unit the following day in accordance with good practice standards. Patients shall be seen promptly if circumstances warrant. In the event that a patient needs to be "boarded" overnight, the Health Unit staff should make appropriate adjustments to their staffing pattern.

DSH: DSHs will operate on a 24 hour, 365 day schedule. It is anticipated that routine services and primary care will be offered at the DSHs during regular hours as determined by COM (e.g. 08:00 until 18:00). For after-hours and weekends, one staff member shall be available in the DSH at all times; the remaining DSH medical staff will be immediately available (< 5 minute response time) to respond to after-hour and weekend emergency calls. When patients need to be boarded post-operatively, until stabilized, evacuated or discharged, the DSH will be staffed accordingly to safely meet inpatients' needs.

C.3.6 Program Management Support

The Contractor shall provide all necessary personnel, administrative, financial, and managerial resources necessary for the support of this contract. The Contractor shall use proven methodologies that assure that all activities are identified, documented, and tracked so that the contract will continuously be evaluated and monitored for timely and quality service. The Contractor shall deliver the monthly status report to the Contracting Officer's Representative (COR) referenced in paragraph G.2.

C.3.7 Monthly Status Reports

The Contractor shall provide a Monthly Status Report (MSR) that briefly summarizes - by task order - the management and technical progress to date, as well as provides the current accounting information indicated below. The Contractor shall provide at a minimum the following information:

• Status of all activities/requirements by program,

• Progress against milestones and estimated cost,

• Deliverables submitted for the period,

• Name, rate, and total billed hours by individual,

• Travel costs, and

• ODC costs.

The Contractor shall reconcile the MSR with each invoice such that they can be matched month by month.

C.4 Description of Work / Services C.4.1 Medical Treatment - Resuscitative, General Surgical Care and Medical Care If return to quarters is not anticipated within 96 hours of surgery or medical admission, patients will be medically evacuated for onward treatment and medical care, environmental conditions permitting.

C.4.1.1 Emergency Response

For the purposes of this PWS, the term Embassy refers to the Embassy, Consulate, and all other entities under the COM control.

Within Embassy Compounds. When there is an emergency within a DoS support area due to a medical condition, the Tactical Operations Center (TOC) shall arrange for medical response and transportation to the nearest health care facility. The response is part of another contract and not a requirement of this contract however the Contractor shall receive the patient from the responding Contractor and render care.

Outside Embassy Compounds. When there is an emergency outside a DoS support area due to a medical condition, the Tactical Operations Center (TOC) shall arrange for medical response and transportation to the nearest health care facility. The response is part of another contract and not a requirement of this contract however the Contractor shall receive the patient from the responding Contractor and render care.

Medical Evacuation within Iraq. When a patient's medical condition requires a transfer to a general surgical team located at a DSH, the designated medical director will notify the TOC and place a request for evacuation.

The medical director will also inform the TOC if there is a requirement for additional medical equipment or requirement for enroute medical care. The TOC will make the necessary coordination with the MEDEVAC team and will provide them the patient's information and any additional requirements for medical equipment for example the 9-line evacuation form used by DoD (see Attachment C for sample).

Medical Evacuation from Iraq. The medical director at the DSHs will be responsible for making the determination that medical evacuation out of Iraq is necessary. Contract employees will be evacuated IAW the cognizant Contractor's standard operating procedures. For US government direct hire employees the medical director will contact the Regional Medical Officer in Baghdad, who will make arrangements for the medical evacuation. In all medical evacuation cases, the RSO will be involved in the evacuation coordination and decision process.

Mental Health Evacuation from Iraq. US government direct hire mental health cases will be evacuated to Washington in accordance with current Department of State guidelines, in coordination with the RMO and the Regional Medical Officer / Psychiatrist (RMO/P). Contractor mental health cases will be evacuated in accordance with policies established by the Contractor's / patients' medical evacuation insurance company.

C.4.2 Dental

Dental services, if ordered, will be limited to performance at the Sather Facility. The Contractor shall provide emergency and routine dental services at the Sather DSH within the scope of practice of general dentistry to eligible patients.

C.4.3 Public Health Although this contract may require coordination with other contracts for performance of specific services, primary responsibility for performance of the following services will reside with other contracts and are not the responsibility of this contract:

Medical Waste Disposal

Food and Water Point Inspection / Testing

Pest / Vector Control

Cafeteria Inspections

This contract shall require tracking and reporting of occupational injuries, disease trends (e.g. influenza-like illness), blood-borne pathogen and needle stick exposure programs, periodic health education and disease prevention programs and other services in accordance with industry standards and as determined by the Department of State.

C.4.4 Medical Logistics.

C.4.4.1 Medical Supplies. The Contractor shall be responsible for all supply chain management processes to support the operations of health care facilities. This includes determining what pharmaceuticals, medical supplies, and medical equipment required to sustain patient care operations. The Contractor shall find their own sources for material ordered and must ensure that they only use US FDA or European Medicines Agency (EMA) approved products in the delivery of health care. The Contractor is responsible for any import fees, tariffs, and /or taxes imposed by Iraq as well as completion of all the cross border documentation required as part of this contract.

Other contracts will provide medical waste disposal, laundry services, equipment disposal, oxygen tank refills;

trash collection; hazard material management and general housekeeping. The Contractor will be responsible for coordinating these services and for general supply ordering and replenishment.

C.4.4.2 Equipment. The Contractor shall be responsible for identifying the necessary equipment and outfitting each of the health care facilities with the equipment and supplies required to provide health care support and maintain basic operations. Specific requirements will be contained on the individual task orders.

C.4.4.3 Biomedical Equipment Maintenance and Repair. The Contractor is responsible for maintenance and services to include calibration and repair of all medical equipment including CT scanners utilized under this contract. Contractor

C.4.4.4 Mortuary Affairs. The Contractor shall notify American Embassy - Baghdad Human Resources and the RSO upon the death of a patient. The Contractor shall have custody of remains until other arrangements can be made. Another contract will provide mortuary services.

C.4.4.5 Housekeeping. The Contractor shall perform cleaning and sanitization requirements above the standard housekeeping cleaning that meet the Center for Disease Control and Prevention (CDC) guidelines for environmental infection control in health care facilities. Any specialized housekeeping requirements for operating rooms will be the Contractor's responsibility.

C.4.4.6 Blood and Blood Products. The Contractor will staff the large DSH at Sather with at least one Medical Technologist or Medical Laboratory Scientist who will have oversight responsibility for blood management at the large and small DSH facilities. The small DSH facilities will have a lab technician who will be trained to perform emergency cross-matching. Each DSH will have the ability to receive, inventory, store, thaw and transfuse as needed up to 10 units of a combination of O positive and O negative blood (20 units in the large DSH) and up to 6 bags of a combination of AB and AO Fresh Frozen Plasma (12 at the large DSH). The Contractor will maintain an inventory of supplies needed to provide transfusion services. Transfusion of blood products will be done in accordance with common nursing practice standards at the direction of one of the General Medical or Surgical Officers.

The US Government will make blood products available at no cost through Al Udeid Air Force Base, Qatar.

The Contractor will be responsible for periodic (monthly or more often as needed) retrieval of these products, transportation to the DSH and redistribution to the smaller DSHs, all in accordance with standards prescribed by the American Association of Blood Banks and the FDA for transport and storage of blood products. The provision of this supply by the Department of Defense is contingent upon each small DSH reporting to the large

DSH daily blood product inventory; the large DSH will then report that information daily to the DoD Blood Service (details to be provided at a later date).

A Mass Casualty Incident could result in an immediate need for Blood and Blood Products in excess of the supply at hand. In case of an emergency immediately requiring blood and blood products beyond what is available as noted in the preceding paragraphs, each DSH will have the capacity to perform fresh whole blood collection and transfusion. This capacity, often referred to as a "walking blood bank", should include the solicitation of potential volunteers well in advance of an emergency, appropriate screening at the time of solicitation, rapid HIV, HBV and HCV donor screening at the time of collection, necessary collection bags and filters and adherence to a well-defined protocol. It is understood that such a program would constitute an extraordinary measure to be used only under extraordinary circumstances. Contractor should provide in detail the plan to establish, implement and follow-up such a program.

C.4.4.7 Inpatient Meals. The DSH overnight beds are not supported by a catering service. The DSH medical or administrative staff, at the direction of the responsible General Medical Officer, will hand carry each meal (breakfast, lunch, dinner, snack) from the dining facility operated by another Contractor to the DSH inpatient ward and return trays or dispose of trash accordingly.

C.5 Medical Communications and Automation Support.

The Contractor will provide computers, peripherals, and automation support required to meet the health care requirements described in this PWS. Internet connectivity for the purposes of conducting work under this contract will be the responsibility of the Embassy. Anything that maintains patient data becomes the property of the US government.

C.5.1 Patient Administration.

Department of State will provide a proof of eligibility for access to health care.

C.5.2 Medical Records.

The Contractor will establish a medical record for all personnel for whom it provides health care. The Contractor shall provide either a paper or electronic medical record that must at a minimum contain personal patient information (name, age, date of birth, sex) assigned organization or company, chief complaint, date of complaint, applicable prior health care screening information such as allergies, and recent physician provided health care. Health care forms used shall be Health Insurance Portability & Accountability Act (HIPAA) compliant. HCPs will document care delivered and follow up care required.

C.5.3 Patient Tracking.

For all patients requiring over-night care or medical evacuation, the Contractor will establish patient tracking processes and procedures that will account for the patients' location within the health care delivery network.

C.5.4 Patient Reporting.

The Contractor will provide periodic status reports as determined by the RMO in Baghdad. RMO will be advised of any patients with life threatening illness, loss of life, potential threat to the Embassy community.

Additional reporting requirements may be provided with each task order.

C.6 Staffing C.6.1 Staffing Plan.

The Contractor shall submit a staffing plan that is in concert with their technical approach with the individual task order(s).

C.6.2 Reserved.

C.6.3 Staff Medical Fitness.

The Contractor shall provide technically competent Health Care Providers (HCPs) that are "medically and dentally fit" in the time frame stated in the task order award notice. A qualified candidate may not have a medical condition that would constitute a direct threat to the health or safety of the individual or others, or that, with or without a reasonable accommodation, would prevent the individual from performing the duties of the job. The Contractor's assessment of a candidate's medical fitness to perform the duties of the job should include consideration of available information regarding:

(1) The candidate's medical condition, including the likelihood of contagion, and the effect of that condition on the candidate's ability to perform the duties of the job in a safe, efficient and effective manner;

(2) The likelihood that the candidate may require access to medical facilities or treatment, medication or supplies on an emergent or frequent basis overseas, and, if so, whether such facilities, treatment, medication and supplies are available and safely accessible at the overseas location(s) where the job will be performed;

(3) The likelihood that working in such overseas locations may result in adverse effects upon the candidate's medical condition or treatment;

(4) Any applicable host-nation requirements or restrictions relating to the candidate's medical condition that may prevent, impede or interfere with the candidate's ability to perform the duties of the job in such overseas locations; and

(5) Any other relevant factors.

All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations. Contract HCPs shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association's Bill of Rights for patients.

C.6.4 Credentialing.

The Contractor is responsible for confirming that all licenses, certifications and registry requirements are current and valid, as well as exercising due diligence to confirm recommendations, prior administrative action against a licensee and criminal history.

The Contractor will ensure that for all HCPs:

• Licenses must be in good standing and kept current through the period of employment and be without restrictions.

• ACLS and ATLS will be current through the period of employment; a 90-day window is permitted for recertification.

• Physicians and Primary Care Providers licensed outside the United States will be considered on a case-by-case basis.

• All health care providers and medical support staff shall be proficient in the ability to speak, write and communicate in English.

• All health care providers and medical support staff shall demonstrate proficiency in use of basic word processing programs

• All health care providers and medical support staff shall have recent clinical experience in patient care for at least 6 months out of the past year.

The Contractor shall:

• Be responsible for ensuring each HCP or HU employee is screened and credentialed prior to hiring of the individual, including confirmation of licenses, certifications, license restrictions, malpractice claims, prior loss of privileges, and any criminal history. References shall be contacted for each individual proposed. The DoS Office of Medical Services will conduct a review of the credentialing process periodically.

• Notify the COR of any unplanned staff turnover

• For Primary Health Providers and other Physicians, including the General Medical Officer, General Surgical Officer, Nurse Practitioner and Physician Assistant, present their credential files to the RMO for confirmation of credentials and final hiring approval

• Ensure that the HCPs are properly trained and certified prior to arrival in theater and that they stay proficient while providing health care.

C.6.5 Training and Certifications.

The Contractor will provide staff for the health care facilities that meet the training, including HIPAA training, and certifications stipulated in the descriptive paragraphs that follow for each type of position. The Contractor is responsible for maintaining a database of credential qualifications and ensuring that staff members are trained and certified before they deploy. The government will periodically inspect the Contractor's credentialing system to ensure that only qualified personnel provide health care or support to health care under this contract.

C.6.6 Position Descriptions C.6.6.1 General Medical Officer

Please be advised that all health care providers shall be US licensed or hold equivalent licensure in their country of practice and shall be evaluated on a case by case basis.

? Emergency Medicine Specialist (defined by current US or equivalent board certification) with a broad interest and experience in providing primary care across the range of office-based specialties including, but not limited to, GYN, dermatology, ENT, pulmonary, cardiovascular, ophthalmology, orthopedics and gastroenterology. Current ATLS and ACLS are required; recent completion of Tactical Combat Casualty Care or comparable advanced trauma course featuring "live tissue" or exceptional simulation training is desirable.

Or

? Family Medicine Specialist (defined by current US or equivalent board certification) with interests as defined above and with an interest, additional training and practice experience to include the broad range of gynecologic, medical, surgical, orthopedic, psychiatric and trauma emergencies. Current ATLS and ACLS are required; recent completion of Tactical Combat Casualty Care or comparable advanced trauma course featuring "live tissue" or exceptional simulation training is desirable.

Or

? Internal Medicine Specialist (defined by current US or equivalent board certification) with interests as defined above and with an interest, additional training and practice experience to include the broad range of gynecologic, medical, surgical, orthopedic, psychiatric and trauma emergencies. Current ATLS and ACLS are required; recent completion of Tactical Combat Casualty Care or comparable advanced trauma course featuring "live tissue" or exceptional simulation training is desirable.

C.6.6.2 General Surgical Officer. Board Certified or recently ABS qualified General Surgeon with interest, training and experience managing the full range of emergency surgical cases including vascular, neurologic, orthopedic and soft-tissue, as well as the full-range of general surgical cases including abdominal, urologic, vascular and soft-tissue. Current ATLS is required; recent completion of Tactical Combat Casualty Care or comparable advanced trauma course featuring "live tissue" or exceptional simulation training is desirable. Completion of a trauma fellowship will merit particular consideration.

C.6.6.3 Physician Assistants, Adult or Family Nurse Practitioners (Primary Care Providers). Nurse Practitioners will hold current national certification by the AANP or ANCC and hold and maintain a current unrestricted licensure from any state during the period of employment. Physician Assistants will hold national certification by the NCCPA and hold and maintain a current unrestricted license from any state during the period of employment.

C.6.6.4 General Anesthesiologist. Certification by the American Board of Anesthesiology or equivalent certifying body is required. Management of critical patients (medical and surgical) in a medically austere environment is expected, including - but not limited to - ventilator and respiratory care, pain management, general and regional anesthesia and sedation, consultative services for CRNAs and other services within the scope of practice as requested by the General Surgical Officer, General Medical Officer, Nurse Practitioner and Physician Assistant.

C.6.6.5 General Radiologist. Certification by the American Board of Radiology or equivalent certifying body is required. The radiologist will assist with all procedures within his or her scope of practice including, but not limited to, contrast injections, sonography, and abscess drainage. In addition, the radiologist will serve as consultant for all other locations in Iraq.

C.6.6.6 Emergency Medical Technicians, Registered Nurses, Vocational Nurses. The Contractor shall utilize additional care providers in all medical facilities to assist with patient administration; vital signs;

post operative, intravenous, and intramuscular medications; cardiopulmonary resuscitation and resuscitative trauma care; along with other duties as determined by the primary medical providers (physicians, nurse practitioners and Physician Assistants) that do not exceed the scope of practice.

• All EMTs shall be listed in the National Registry.

• RNs and VNs shall hold current and unrestricted licenses, in good standing, in any U.S. state and without restrictions.

• All EMTs, RNs and VNs must hold current BLS certification; advanced certification (e.g. ATLS, ACLS), where applicable to the position, is desirable.

C.6.6.7 Specialty Nursing / Technical Staff.

The Contractor shall use specialty service providers where required, including Operating Room RNs (with or without operating room certification) and Certified Surgical Technologists. All specialty and technical staff shall hold current and unrestricted licenses, in good standing, and, where required, current certification(s).

Anesthetists must hold current certification as a CRNA and maintain an unrestricted license in good standing from any state.

C.6.6.8 Biomedical Equipment Technician. - The Contractor shall provide biomedical equipment technicians (BMET) that will provide maintenance and services to include calibration of all medical equipment including CT scanners (both government furnished equipment and Contractor medical equipment) within their assigned region. The Contractor proposed BMET qualifications shall include a high school degree, associate's degree (preferred), and a trade school program (i.e.