EXH_6 _TO-006 _MED_RFP_draft.pdf

ALiSS – TO-006 Request SAQMMA14R0042

Exhibit 6 Draft RFP Page 1 of 14

Task Order Request Performance Work Statement

TASK ORDER REQUEST

MEDICAL SERVICES

The Department of State requests you submit a proposal in response to the attached Performance Work Statement.

The Contractor may choose to subcontract for personnel support services, which include, but are not limited to food services; operation, maintenance, repair; and housing with associated services; and medical services. The Contractor shall support this effort with the appropriate infrastructure to provide logistics support for its employees and subcontractor employees, including billeting, subsistence and protection of the contractor work force. The management structure used by the Contractor shall ensure efficient and effective accomplishment of all tasks. A key task is to ensure that proper staffing levels are maintained at all times.

The Contractor may also choose to subcontract the functional work for the Task Order in all or in part.

Where the work is subcontracted, the Contractor shall provide past performance and experience information for the subcontractor.

Anticipated Task Order Period of Performance:

This Task Order shall include a base period of one (1) year and four one-year option periods. For pricing purposes, use a start date of January 1, 2015.

Transition Process:

The transition period shall not exceed 120 calendar days and full performance shall commence at the date specified in the Notice-to-Proceed issued by the Contracting Officer (see Section F.2 of the IDIQ).

The transition will be covered under Task Order 001 (TO-001). TO-001 will provide include: advance party trips, licensing, vetting, etc.

Task Order Type

TBD

Proposal Validity Period:

Proposals shall be valid for a period of 150 days.

Task Order Funding:

Task Order will be incrementally funded.

Pricing Information and Instructions:

TBD

Technical Information and Instructions:

• Task Order Management Plan: As required by Section H.23.2 of the IDIQ, the Contractor shall provide a Task Order Management Plan (TOMP) detailing its technical and management

Exhibit 6 Draft RFP Page 2 of 14 approach for accomplishing the task order objectives.

Staffing Plan: The Contractor shall provide, as part of their TOMP, their proposed staffing plan. In an effort to assist the Contractor in the creation of the staffing plan, the Government has provided a sample estimate of staffing below, based on the TO-006 Section 8.1 population figures.

++ Denotes Key Personnel

* Denotes additional medical augmentation personnel, dependent on PAR/site requirements ** Denotes additional surgical augmentation personnel, dependent on PAR/site requirements

Medical Specialty MACC eMACC SMACC General Medical Officer (Family, Emergency or Internal Medical Specialist) ++ * 1 2

General Surgical Officer++ ** 2

Physician Assistant / Nurse Practitioner ++ 1 1 1

Operating Room (OR) Nurse or OR Technician ** 2 Critical Care/Med Surgical Nurse (with recent ER/ICU/CCU Experience) * ** 6

Anesthesiologist ++

Nurse Anesthetist ** 1

Medical Technologist, MLS (ASCP)CM * 1

Medical Lab Technician 1 1

Radiologist

Radiology Technician (competence with general radiology, ultrasound and CT) 1 1

Medical Assistant or EMT-P * * 4

Pharmacy Specialist

* 1

Biomedical Equipment Technician

Social Worker

Admin / Log Support * * 2

Public Health Oversight

Dentist 1

Dental Technician 1

Total < 5 < 16 31

For Ambulance services, the Government provides the following notional model of staffing:

• Program, quality assurance, chart review and administration

Exhibit 6 Draft RFP Page 3 of 14

• 1 EMT-P (provider and/or driver – except as noted in TO-003 section 8.6.1)

• 1 BLS or ILS (provider and/or driver – except as noted in TO-003 section 8.6.1)

Back-up staffing for days off should be included in the staffing pattern.

Past Performance:

The Contractor shall list three past performance references that are recent (performed within the last 12 months) who can provide information on the Contractor’s experience/ability in the handling of project transition, logistics and management under contracts/task order of similar size and scope of the work required under this task order. The Contractor shall provide the names and contact information to include telephone number and email address of the contracting officer and the technical monitor/COR for each reference. Past performance information solicited may include quality of services provided by the Contractor, ability of the Contractor to handle and resolve transition issues, logistical problems, and effectiveness of management.

Note: The Contractor shall provide 3 references for all companies performing under this task order (i.e.

the Contractor and any subcontractors), and shall ensure that it is clear to the Government which area(s) the company shall be providing services (e.g. food procurement, janitorial, etc.) and how the referenced past performance is relevant to that area.

Evaluation Criteria (Technical):

The Government will evaluate the non-price related proposal to ensure that the Contractor can satisfy the non-price-related requirements of the task order.

Evaluation Criteria (Price):

The Government will conduct an evaluation to determine ultimately that the final agreed-to price from Pricing Table TBD is fair and reasonable. In doing so, the Government will examine the completeness, accuracy, and reasonableness of the Contractor’s proposed prices and estimated costs in Pricing Table

TBD.

The Government will use one or more of the proposal analysis techniques stipulated in FAR 15.404 to conduct the evaluation.

Questions and proposals should be submitted to Christina Black via email at blackce@state.gov.

TASK ORDER – PERFORMANCE WORK STATEMENT

MEDICAL SERVICES

1.0 TASK ORDER NUMBER AND TITLE

• Task Order Number: TO-006

• Title: Medical Services mailto:blackce@state.gov

Exhibit 6 Draft RFP Page 4 of 14

2.0 CONTRACTING OFFICERS REPRESENTATIVE

TBD

3.0 PERIOD OF CONTRACT PERFORMANCE

This task order shall include a base period of one (1) year and four (4) 1-year option periods. The performance period will begin after the transition period. Performance start date is anticipated to begin January 1, 2015.

The anticipated performance period is as follows:

Base Year 01/01/2015 – 12/31/2015 Option Year 1 01/01/2016 – 12/31/2016 Option Year 2 01/01/2017 – 12/31/2017 Option Year 3 01/01/2018 – 12/31/2018 Option Year 4 01/01/2019 – 12/31/2019

The Government is not obligated to exercise the option(s).

4.0 LOCATION OF CONTRACT PERFORMANCE

The Contractor shall provide medical services in the following locations:

• Kabul Embassy Compound

• Kabul - Camp Seitz

• Kabul - Camp Eggers

5.0 BACKGROUND

The health care support mission will transition from NATO and the U. S. Department of Defense to the U. S. Department of State over a period of time as denoted in Exhibit (To be provided with the RFP release) (Transition Timeline)(TBP), with the end of the current International Security Assistance Force mission ending on 31 December 2014. After NATO and U.S. military forces withdraw from Afghanistan, the U.S. Embassy and constituent posts and sites will be comprised of approximately 5,000 personnel supporting the U.S. Diplomatic Mission in Afghanistan, which includes U.S. Government civilians, U.S.

military, local national employees, and supporting Contractors (American Nationals (ANs), third country nationals (TCNs) , and Local Nationals (LNs)). The Contractor will provide medical care to all ANs and TCN personnel within this pool as well as critical trauma care for all Chief of Mission (COM) and contractor personnel. LNs will be treated only in emergencies or for work-related injuries.

Extraordinary circumstances may result in treatment of some Afghan nationals at the direction of the COM; however, it is expected that this would be a rare occurrence.

The Contractor will establish and provide primary health care as well as resuscitative surgical and medical care in accordance with U.S. or equivalent medical standards on a 24 hour basis, 365 days of the year a population consisting of approximately 5,000 adult personnel. This is a predominantly male, middle-aged, civilian work force. Specific beneficiary eligibility will be determined by the COM or his or her designee. The Contractor will be allowed to treat non-Chief of Mission personnel (active duty military, NATO personnel, Department of Defense civilians, and contractors) on a case-by-case basis

Exhibit 6 Draft RFP Page 5 of 14 through the final draw down. Local nationals will be treated if injured or ill on the job; otherwise, locals will be treated only on an emergency basis and if authorized by the Chief of Mission.

6.0 LICENSES, PERMITS, AND OTHER OFFICIAL DOCUMENTATION

At the time the Contractor proposes on this effort, the Contractor shall provide copies of all current required medical licenses and certifications, and proof of ACLS and ATLS training (see Section C.4.1.3.2.3 of the IDIQ), and proof of medical malpractice insurance.

Additionally, the Contractor will be responsible for being familiar with Afghan laws and possess demonstrated ability to obtain all licenses, permits and other official requirements required for full performance of this task order. In the Task Order, bidders will identify GIRoA’s requirements and assumptions regarding DOS/Embassy involvement. Assumptions should be in a separately labeled Section and pertain specifically to this Task Order.

The Contractor is responsible for maintaining all contract-required and host country-required licenses and permits throughout the life of this task order.

7.0 SUPPORT SERVICES

The Contractor may choose to subcontract for personnel support services, which include, but are not limited to food services; operation, maintenance, repair; and housing with associated services; and medical services. The Contractor shall support this effort with the appropriate infrastructure to provide logistics support for its employees and subcontractor employees, including billeting, subsistence and protection of the contractor work force. The management structure used by the Contractor shall ensure efficient and effective accomplishment of all tasks. A key task is to ensure that proper staffing levels are maintained at all times.

The Government shall provide basic housing and dining for only those personnel designated as critical (See Section 13.0).

8.0 TYPES OF SERVICE

8.1 ESTABLISHING FACILITIES

The Contractor will be responsible establishing facilities as indicated below:

Location Facility Type Estimated Population at Risk (PAR)* Kabul – Camp Seitz SMACC** TBD Kabul – Camp Eggers MACC TBD Kabul - Embassy Compound MACC TBD

* Location population requiring primary care ** SMACC will also serve as the surgical referral center for an additional population of up to 3,000

The physical structures will to be supplied and/or constructed/renovated by the U.S. Government for use as the Medical & Acute Care Clinics (both MACC & eMACC) and the Surgical, Medical & Acute Care Center (SMACC). The U.S. Government will be responsible for any modifications required, and such

Exhibit 6 Draft RFP Page 6 of 14 modifications may be done before, during, or after arrival of the Contractor. They will be serviceable for initial use.

Health care facilities will be sufficient in size to meet the staffing requirements, but may not have an abundance of space for warehousing more than 60 days of supplies to support the facilities. MACC, eMACC, and SMACC facilities will vary slightly in size and configuration depending on the location.

See Section C.4.1.3.1.2 of the IDIQ for MACC, eMACC, and SMACC capability requirements.

8.1.1 Facility Hours of Operation

See Section C.4.1.3.1.4.2.1 of the IDIQ.

8.1.2 Facility Upkeep Services

8.1.2.1 Housekeeping

Housekeeping services, as described in Section C.4.1.3.1.6 of the IDIQ, are required.

8.2 MEDICAL TREATMENT – RESUSCITATIVE, GENERAL SURGICAL CARE AND MEDICAL CARE

Emergency Response

i. Within Embassy Compounds: When there is a medical emergency within a DOS support area, the Tactical Operations Center (TOC) shall arrange for medical response and transportation to the nearest health care facility which can treat the patient’s condition.

Driver and medical attendants during evacuation will be provided by the Contractor, except as noted in paragraph iii below.

ii. Outside Embassy Compounds: When there is an emergency outside a DOS support area due to injury and/or a medical condition, the Tactical Operations Center (TOC) shall arrange for medical response and transportation to the nearest health care facility. Medical care at the point of injury and initial response is part of another contract and not a requirement of this contract. Additional medical attendants during evacuation may be provided by the Contractor, as required.

iii. Enroute Care for an Emergent Patient: Contractor will provide enroute care for an emergent patient, to include patient movement outside of the Diplomatic Zone. Medical attendants will consist of at least one EMT-P or higher level provider. Additional medical attendants may be necessary based on patient status. Should the transport require movement to another location via Government-provided ground and air (fixed or rotary wing) assets, all medical attendants are required to wear body armor during the patient movement. Ground patient movement outside of the Diplomatic Zone requires the patient and medical attendant to be in an up-armored vehicle with a Government-provided driver and Private Security Detail Escort at all times. Ground patient movement outside of the Diplomatic Zone requires local Regional Security Officer (RSO) and Contractor Program Manager and/or the Deputy Program Manager approval prior to transport. Additionally, notification of movement, times, and arrival to gaining facility is required as early as practically possible.

Exhibit 6 Draft RFP Page 7 of 14

Medical Evacuation

i. Medical Evacuation within Afghanistan (Intratheater Evacuation): When a patient’s medical condition requires a higher level of care than available at the location, the designated medical director will notify the TOC and place a request for evacuation. As the Contractor will coordinate medical evacuations for employees of other USG contractors, said employees will be evacuated in country IAW their employer’s standard operating procedures. Should the requirement be for U.S. government direct hire employees, the medical director will additionally notify and coordinate with the Regional Medical Officer (RMO) in Kabul. The medical director will also inform the TOC if there is a requirement for additional medical equipment or a requirement for en route/on site medical care. The TOC will coordinate with the MEDEVAC team and will provide them the patient’s information and any additional requirements for medical equipment. The transfer will be documented via the Department of Defense (DoD) 9-line evacuation form (see Exhibit 3b for sample), or a similar form containing the same data.

ii. Medical Team Movement: When a patient’s medical condition requires the forward-positioning of a medical and/or surgical team located at the SMACC, the designated medical director will notify the TOC and place a request for team movement.

iii. Medical Evacuation from Afghanistan (Intertheater Evacuation): The medical director at the SMACC will be responsible for making the determination that medical evacuation out of Afghanistan is necessary and ensuring compliance with the Embassy’s MEDEVAC protocol.

The RMO will arrange all out of country MEDEVACs for U.S. direct hire Chief of Mission employees. The medical director will coordinate with the employing company’s local supervisor to arrange out of country MEDEVACs for other USG contractors. All contractors shall hold private medical evacuation insurance.

iv. Mental Health Evacuation from Afghanistan: Government direct hire mental health patients will be evacuated to Washington in accordance with current Department of State guidelines and 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. Mental health evacuations for USG contractors will be in accordance with said contractor’s employer’s policies and insurance plans.

Dental

Dental services will be limited to performance at the designated facility in Kabul for emergency general dentistry for all COM designated personnel in Afghanistan. The Contractor shall provide emergency dental services on a full-time basis within the scope of practice of general dentistry to eligible patients.

Patients will be moved to this location using Embassy resources.

Public Health

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.

Exhibit 6 Draft RFP Page 8 of 14

8.3 EQUIPMENT/MATERIALS/SUPPLIES

See TO-006, Exhibit 6a.

8.4 MEDICAL COMMUNICATIONS AND AUTOMATION SUPPORT

The Contractor will provide computers, peripherals, and automation support required to meet the TO- 006 health care requirements. Internet services for the purposes of conducting work under this contract are the responsibility of the Contractor. Should there be a requirement for a connection to the DoS OpenNet, internet service responsibility will be shared between the Government and the Contractor. Anything that maintains patient data shall become the property of the Government.

The Contractor is responsible for providing a COR approved solution for transmission of CT and other digital images from other locations to the Kabul-based radiologist for “real time” (emergency) readings and non-emergency readings.

Any PC connected to OpenNet (the DoS unclassified secure system) has to be purchased by DoS and remains DoS property. The Contractor shall not connect a personal or corporately owned computer to OpenNet. This restriction also applies to computers with HIPAA (Health Insurance Portability and Accountability Act of 1996) covered data.

8.5 MORTUARY AFFAIRS

The contractor shall provide mortuary affairs services, as described in Section C.4.1.3.5 of the IDIQ, in Kabul.

Required mortuary services include the following:

• Processing of Remains (see Section C.4.1.3.5.1A of the IDIQ)

• Treatment of Remains (see Section C.4.1.3.5.1B of the IDIQ)

• Transportation of Remains (see Section C.4.1.3.5.1C of the IDIQ)

8.6 AMBULANCE SERVICES/ EMERGENCY MEDICAL RESPONSE

The Contractor shall provide Emergency Medical Response on compounds as designated by COM at various locations in Afghanistan. All compounds fall under the Chief of Mission “umbrella” and, as such, represent diplomatic entities constituent to US Embassy Kabul.

Services will include a timely response to medical emergencies with equipment that is appropriate to manage the initial evaluation and treatment of the patient and resuscitation from any life-threatening conditions. Patient transportation will be to the closest MACC, eMACC or SMACC. Transportation may involve movement by ambulance. The ambulance service will be Government provided.

The level of response, equipment and staffing shall take into account the size of the individual compound, population at risk, historical or estimated number of ambulance calls and other data that may be available to inform these requirements. The level of response should include provision of ACLS care and Combat Life Support (or equivalent) to the compound perimeter to include the controlled access entry points. Each site will have base station communications with the Tactical Operations Center (TOC) or Base Defense Operations Center (BDOC).

Exhibit 6 Draft RFP Page 9 of 14

8.6.1 Background and Overview

Activity will be primarily within T-walls or double stacked HESCO barriers, i.e., within the site perimeter.

However, there may be instances where it is required to transport a patient from an incident site to a higher level of medical care on a different compound or to an aerial port of debarkation for evacuation out of theater. In this case, the patient will be transported in an armored vehicle/ambulance which will be operated by a DoS –provided driver (GSO or DS hire), but staffed for patient care by the Contract medical personnel.

As previously detailed in Section 8.2, the Contractor will additionally provide enroute care for an emergent patient and may require movement to another Embassy compound via both Government-provided ground and air (fixed or rotary wing) assets. Medical attendants will consist of at least one EMT-P or higher level provider. Additional medical attendants may be necessary based on patient status. All medical attendants are required to wear body armor during patient movements off secured compounds. Ground patient movement in these areas also requires the patient and medical attendant to be in an up-armored vehicle with Private Security Detail Escort at all times.

8.6.2 Operational Concept

• EMS Dispatch – will come from the Tactical Operations Center (TOC) or equivalent o TOC will log the time of receiving the call, time of the call out to the EMS duty officers, and the time of contact with the EMS duty officer o TOC will notify the on-call Medical Duty Officer of an ambulance dispatch

• EMS duty officers will respond forthwith

• EMS duty officers arrive on scene, perform triage, initial resuscitation, and any advanced services required by medical necessity.

• EMS duty officers will communicate with a Base Station (MACC or SMACC) as needed;

otherwise, operate under established protocols (which will also serve as the communication failure tools)

• EMS duty officers will deliver the patients to the MACC or SMACC

• EMS duty officers will replace unusable equipment, restock expendables with supplies from the

SMACC or MACC, and complete standard EMS run sheet

8.6.3 Scope

• EMS response with capabilities at an EMT-P/ACLS/ PHTLS level

• Develop, review, and update written protocols utilizing existing standards for the most common medical conditions

• Logistics, supply, and resupply

• Documentation, quality assurance

• Participation in Mass Casualty exercises

• Participating in teaching and outreach programs on compound

• Periodically review placement, inventory, and maintain “MASCAL” boxes on compounds

• Inventory and maintain basic EMS supplies on ambulances on site which will be used for CLS

(combat life support)– this will likely include only backboard, collars, dressings).

Exhibit 6 Draft RFP Page 10 of 14

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

The contractor shall provide public health oversight for all Department of State (DoS) food facilities, public facilities, Meals Ready to Eat (MREs), incoming food shipments, foodborne illness outbreaks, food handler medical clearance and training requirements, and vulnerability assessments of food facilities in Afghanistan. The contractor shall also respond to and investigate all foodborne illness outbreaks and provide guidance to DoS and other contractors as necessary.

8.8 MORTUARY AFFAIRS

The contractor shall provide mortuary affairs services, as described in Section C.4.1.3.7 of the IDIQ, in Kabul.

Required services include the following:

• Quality Control and Trending (see Section C.4.1.3.7.1.2A of the IDIQ)

• Facility Inspections (see Section C.4.1.3.7.1.2B of the IDIQ)

• Public Facility Inspections (see Section C.4.1.3.7.1.2C of the IDIQ)

• Foodborne Illness Investigation (see Section C.4.1.3.7.1.2D of the IDIQ)

• Freezer Power Outage (see Section C.4.1.3.7.1.2E of the IDIQ)

• Medical Evaluation of Food Services (see Section C.4.1.3.7.1.2F of the IDIQ)

• Vulnerability Assessments (see Section C.4.1.3.7.1.2G of the IDIQ)

• Meals Ready to Eat (MREs) (see Section C.4.1.3.7.1.2H of the IDIQ)

• Bottled and Potable Water Safety (see Section C.4.1.3.7.1.2I of the IDIQ)

8.9 PATIENT ADMINISTRATION

The contractor shall provide all records and patient administration services as described in Section C.4.1.3.4.1 of the IDIQ.

Required services and records include the following:

• Medical Records (see Section C.4.1.3.4.2A of the IDIQ)

• Patient Tracking (see Section C.4.1.3.4.2B of the IDIQ)

• Patient Reporting (see Section C.4.1.3.4.2C of the IDIQ)

• Morgue/Mortuary Affairs (see Section C.4.1.3.4.2D of the IDIQ)

8.10 REPORTING

8.10.1 Monthly Status Reports

The Contractor shall provide a Monthly Status Report (MSR) to the COR that briefly summarizes 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, Exhibit 6 Draft RFP Page 11 of 14

• Travel costs,

• ODC costs, and

• Defense Base Act Insurance

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

9.0 BLOOD

The Contractor will staff the eMACC and SMACC with at least one Medical Technologist OR Medical Laboratory Scientist who will have oversight responsibility for blood management at that facility and oversight of emergency whole blood collection/transfusion. The eMACC and SMACC facilities will have a lab technician who will be trained to perform emergency cross-matching.

The SMACC will have the ability to receive, inventory, store, thaw and transfuse as needed up to 20 units of a combination of O positive and O negative blood (10 units in the eMACC if a permanent surgical capability is added) and up to 12 bags of a combination of AB and AO Fresh Frozen Plasma (6 at the eMACC if a permanent surgical capability is added). 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 and in conjunction with the RMO.

The 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 SMACC and redistribution to the eMACC as required, to be performed 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 the SMACC reporting the daily blood product inventory to the DoD Blood Service (with each eMACC facility reporting its inventory daily as required) (further 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 eMACC and the SMACC 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.

10.0 PERSONNEL

10.1 RESERVED

10.2 POSITION DESCRIPTION AND QUALIFICATIONS

Exhibit 6 Draft RFP Page 12 of 14

For the following TO-006 required positions, see Attachment 1:

• General Medical Officer o Emergency Medicine Specialist o Family Medicine Specialist o Internal Medicine Specialist

• General Surgical Officer

• Physician Assistants, Adult or Family Nurse Practitioners (Primary Care Providers)

• General Anesthesiologist

• Medical Technologist

• Medical Laboratory Technician

• General Radiologist

• EMT-P (AKA Paramedics), Registered Nurses (RNs)

• Specialty Nursing / Technical Staff

• Biomedical Equipment Technician

• Social Worker

• Dentist

• Dental Technician

• EMT

• Food, Water and Facility Inspections/Assessments, Investigations and Training Personnel o Public Health Officer/Program Director o Public Health Technicians o Food Inspector

10.3 APPROVAL AND ACCEPTANCE OF CONTRACTOR EMPLOYEES

This section will be provided at the time of the release of the RFP.

10.4 CHIEF MEDICAL OFFICER

The Contractor shall designate one of the General Medical Officers as the Chief Medical Officer for the task order. This individual shall hold a SECRET clearance.

11.0 KEY PERSONNEL

The key personnel specified in this contract are considered to be essential to work performance. The Contractor shall assign the following key personnel to this task order:

Position/Function Name General Medical Officer (Family, Emergency or Internal Medical Specialist)

General Surgical Officer Physician Assistant / Nurse Practitioner Anesthesiologist

During the first 180 days of performance, the Contractor shall make no substitutions of key personnel unless the substitution is required due to illness, death, or termination of employment. The Contractor

Exhibit 6 Draft RFP Page 13 of 14 shall notify the Contracting Officer within 5-calendar days after the occurrence of any of these events and provide the information required below to the Contracting Officer at least 5 days before making any permanent substitutions.

After the first 180 days of performance, the Contractor may substitute a key person if the Contractor determines that it is necessary. The Contractor shall provide notice at least 30 days prior to diverting any of the specified individuals to other programs or contracts (or as soon as possible, if an individual must be replaced, for example, as a result of leaving the employ of the Contractor), the Contractor shall notify the Contracting Officer and shall submit comprehensive justification for the diversion or replacement request (including proposed substitutions for key personnel) to permit evaluation by the Government of the impact on performance under this contract. The proposed substitute shall possess qualifications comparable to the original key person and meet the minimum standards set forth in the contract.

The Contractor shall not divert or otherwise replace any key personnel without the written consent of the Contracting Officer. The Government will modify the contract to reflect any changes in key personnel.

12.0 DELIVERABLES

TO or IDIQ

REFERENCE

CONTRACTOR

DELIVERABLES DUE DATE*

8.8.1 Monthly Status Report TBD

8.3 Solution for transmission of CT

and other digital images from other locations to the Kabul-based radiologist.

TBD

8.7 and C.4.1.3.7.1.2 of the IDIQ

SOPs for Quality Control & Trending

TBD

8.7 and C.4.1.3.7.1.2 of the IDIQ

Monthly quality control reports TBD

8.7 and C.4.1.3.7.1.2 of the IDIQ

Monthly QC, trend analysis, inspection findings and notification reports

TBD

Exhibit 3a Contractor Acquired Property The start of task order performance.

H.5 of the IDIQ DBA Insurance Policy Prior to the start of performance.

*All dates are calendar days unless otherwise stated.

13.0 CRITICAL PERSONNEL

Only those individual designated as Critical Personnel shall be provided Government housing and life support services. The following positions have been designated as critical for this task order:

LOCATION LABOR CATEGORY - TITLE

Exhibit 6 Draft RFP Page 14 of 14