EXH 4a TO-004 MED RFP Equipment

ALiSS – TO-004 Equipment SAQMMA14R0042

Exhibit 4a (A001) Page 1 of 4

Contractor Acquired Equipment Government Provided Equipment

The below equipment is broken down by function.

Contractor Acquired Equipment

GENERAL FACILITY EQUIPMENT

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.1, Facilities and Capabilities for Medical Services C.4.1.3.1.6, Housekeeping C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies

8.1, Establishing Facilities 8.1.2.1, Housekeeping

The Contractor shall provide the following:

General 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. Contractor will additionally be responsible for the replacement and disposal of both Contractor-supplied and Government-supplied equipment deemed to be non-mission capable.

For TO-004, the Government will provide the physical structures for the MACC, eMACC, and SMACC facilities. The Government may provide some medical equipment as part of the Government-provided physical structures; however the Contractor shall provide all additional necessary equipment and supplies needed to provide the required services (i.e., facility upkeep, medical treatment, dental, mortuary, etc.).

Communications systems and equipment requirements are provided in section 8.3 of TO-003.

Housekeeping The contractor shall provide all necessary housekeeping supplies and equipment.

MEDICAL TREATMENT AND DENTAL

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3, Medical Treatment – Resuscitative, General Surgical Care, an Medical Care C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies

8.2, Medical Treatment – Resuscitative, General Surgical Care, an Medical Care

Biomedical Equipment Maintenance and Repair:

Exhibit 4a (A001) Page 2 of 4

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 may be requested to assist with providing limited maintenance and services for DOS Health Unit biomedical equipment as needed.

Medical Gases The Contractor will provide medical gases, including but not limited to tank refill and/or replacement (multiple bottle sizes) in support of Contractor medical, dental and surgical facilities, emergency medical response services/ambulances, Intratheater air transport of med/surgical patients, and DOS Health Unit(s) requirements. The Contractor is responsible for storage, safety and quality control in accordance with, but not limited to the International Organization for Standardization (ISO)/TC 121/SC 6 (Medical gas systems) and the U.S. Food and Drug Administration Compressed Medical Gases Guideline.

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 are required to sustain patient care operations. Patients will be responsible for obtaining maintenance medications. The Contractor shall find their own suppliers and shall only utilize U.S. FDA or European Medicines Agency (EMA) approved products in the delivery of health care. The Department of Defense supply chain is to be used as a back-up only. The Contractor is responsible for any import fees, tariffs, and /or taxes imposed by Afghanistan as well as completion of all the cross border documentation required as part of this contract.

Inpatient Meals The SMACC overnight beds are not supported by a catering service. The SMACC 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 to the SMACC inpatient ward and return trays or dispose of trash accordingly.

MEDICAL COMMUNICATIONS AND AUTOMATION SUPPORT

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies

8.4, Medical Communications and Automation Support

The Contractor will provide computers, peripherals, and automation support required to meet the TO- 003 health care requirements.

MORTUARY AFFAIRS

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies C.4.1.3.5, Mortuary Affairs

8.5, Mortuary Affairs

Exhibit 4a (A001) Page 3 of 4

The Contractor shall provide the following:

The Contractor shall provide all necessary supplies to conduct the contract required mortuary affairs services. Supplies include, but are not limited to shipping containers (“caskets”), ice packs, mortuary bags/pouches, etc.

All supplies and applicable technical procedures shall conform to the standards and professional guidance as outlined in Joint Publication 4-06, Mortuary Affairs in Joint Operations.

AMBULANCE SERVICES/EMERGENCY MEDICAL RESPONSE

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies C.4.1.3.6, Ambulance Services/Emergency Medical Response

8.6, Ambulance Services/Emergency Medical Response

• All appropriate medical emergency equipment necessary to manage the initial evaluation and treatment of the patient and resuscitation from any life-threatening conditions.

• Durable equipment, including bandages, splints, stretchers, etc., to be stocked in each ambulance.

Supply and re-supply may be coordinated with the SMACC or MACC.

• “Fly away kits” – a self-contained unit of medications, tank oxygen and/or other medical gases, IV supplies and medications, and a monitor/defibrillator/pacemaker. This could be accomplished with a small Lifepak or other unit, and a StatKit.

• Body armor for medical attendants.

FOOD, WATER, AND FACILITY INSPECTIONS/ASSESSMENTS, INVESTIGATIONS AND TRAINING

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies C.4.1.3.7, Food, Water, and Facility Inspections/ Assessments, Investigations and Training

8.7, Food, Water, and Facility Inspections/ Assessments, Investigations and Training

The contractor shall provide all resources to perform receipt food inspections, food handler training, public and food facility inspections, foodborne illness outbreak investigations, freezer outage inspections, vulnerability assessments and quality assurance (QA)/quality control (QC) monthly reports for all DOS facilities.

Government Provided Equipment

MEDICAL TREATMENT

Reference:

IDIQ Sections TO-004 Sections

Exhibit 4a (A001) Page 4 of 4

C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies

9.0, Blood

The Government will provide the following:

Blood and Blood Products:

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

AMBULANCE SERVICES/EMERGENCY MEDICAL RESPONSE

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies C.4.1.3.6, Ambulance Services/Emergency Medical Response

8.6, Ambulance Services/Emergency Medical Response

The Government will provide the following:

• Up armored and soft-skinned ambulances

• Communications Equipment - Each site will have base station communications with the Tactical

Operations Center (TOC) or Base Defense Operations Center (BDOC).

MORTUARY AFFAIRS

Reference:

IDIQ Sections TO-004 Sections C.4.1.3.3.3, Logistics and Equipment/ Materials/ Supplies C.4.1.3.5, Mortuary Affairs

8.5, Mortuary Affairs

The Government shall provide the following:

• Refrigerated containers for storing remains