PERFORMANCE WORK STATEMENT

1. GENERAL

1.1. PURPOSE

The purpose of this contract is to obtain 24 hours per day, 7 days a week, 365 days per year, air ambulance standby medical air transportation services and non-medical air transportation services for the Marine Air Ground Task Force Training Command (MAGTFTC) and Marine Corps Air Ground Combat Center (MCAGCC) in Twentynine Palms, California. All Operations must remain compliant with all applicable Federal Aviation Administration (FAA) and Air Mobility Command Commercial Airlift Review Board (CARB) regulatory requirements as well as aircraft safety limitations.

The requirement includes maintaining a standby rotary-wing air asset with a flight crew capable and certified to provide on-call aero-medical ambulance services and in-flight treatment of military, training staff and any personnel aboard MCAGCC. Coverage extends across MCAGCC/MAGTFTC, including all ranges, training areas and Camp Wilson. The requirement encompasses both Medical Evacuation (MEDEVAC) air ambulance services and Category IV non-medical air transportation services.

The outcome to be achieved is for the rotary-wing air asset and associated crew, including certified MEDEVAC personnel, to be ready to embark on emergency rescue missions within the thirty (30) minute launch window specified in this Performance Work Statement (PWS). Transport frequency will vary based upon training density on the ranges, number of medical evacuations needed, and other air transportation services required.

1.2. PROGRAM MANAGEMENT SUPPORT

The contractor will provide program management support in accordance with (IAW) Sections 5.1.1 and 6.3 of the PWS. This includes the management, coordination, and oversight of all activities performed by contractor personnel, including subcontractors. The contractor will prepare and provide a Monthly Status report (MSR) outlining progress at the PWS task level as required. The report shall include information pertaining to financial status (such as funding burn rates, billing, and invoicing), schedule, and performance (including risk identification, operational impediments, and mitigation plans). The Contractor shall furnish all services in accordance with the requirements specified in this PWS when authorized by designated Ordering Officials.

1.3. LEVELS OF SERVICE

MAGTFTC, MCAGCC, Twentynine Palms requires Level I, II, and III air ambulance services, on a 24/7 basis. The Contractor shall provide Level I, II, III exclusively to MAGTFTC, MCAGCC, Twentynine Palms unless released by the Contracting Officer or Contracting Officer’s Representative (COR). At no time shall the Contractor use the dedicated aircraft or space provided as a base of operations to support other functions outside the scope of this contract without prior written authorization from the Contracting Officer. Level IV services (as detailed in PWS Section. 3.2) will be ordered on an as-needed basis.

1.4. COMPLIANCE

The Contractor shall comply with all applicable Federal, State, and Local Statutes and Regulations.

1.5. MINIMUM/MAXIMUM QUANTITY

The Government does not guarantee or imply that any quantity of Level IV services will be ordered under this contract beyond the minimum guarantee specifically noted within the contract. The maximum quantity is an estimate only.

2. DEFINITIONS

2.1. BENEFICIARY. A member of the population eligible for care in military treatment facilities.

2.2. CONTRACTING OFFICER. A person with the authority to enter into, administer, and/or terminate contracts and make findings and determinations on behalf of the Government.

2.3. CONTRACTING OFFICER’S REPRESENTATIVE (COR). The individual designated by the Contracting Officer to monitor the contractor’s performance against the contract terms and conditions.

2.4. CONTRACTOR. The prime service provider, including any subcontractors, responsible for performing all services and delivering all requirements specified under this Performance Work Statement

(PWS)

2.5. MEDICAL TREATMENT FACILITY (MTF). Hospital or clinic, including all activities providing outpatient and/or inpatient health care.

2.6. ORDERING OFFICIAL

For Level I-III services, the contractor will be dispatched to the appropriate location by the MCAGCC Range Control Floor Supervisor.

For Level IV services, the Director Range Management and Development Division (RMDD), or designated representative will direct the contractor when and where to perform the services.

NOTE: Only the Contracting Officer may direct the diversion of the contractor from tasks assigned in the contract in accordance with Section 6.1 of the PWS. In case of an emergency, the Contracting Officer may issue verbal directions to the contractor to be followed up by written direction as soon as reasonably feasible. Names of ordering officials will be provided to the awardee at the time of award.

2.7. PROGRAM MANAGER (PM). Person(s) designated by the Contractor to be his/her authorized representative, having authority to speak and act for the Contractor. One such person shall serve as the Government's principal point of contact.

2.8. STANDBY STATUS. To be available and ready to act if needed or called upon, and airborne within thirty (30) minutes of notification by the authorized government-designated representative.

2.9. READY AND CAPABLE. Have aircraft flight worthy, materially prepared, equipped, and able to provide Levels I-IV emergency medical services.

2.10. ACRONYMS AND ABBREVIATIONS.

• ACLS- Advanced Cardiac Life Support

• ALS- Advanced Life Support

• ATLS- Advanced Trauma Life Support

• BLS- Basic Life Support

• BTLS- Basic Trauma Life Support

• CAMTS- Commission on Accreditation of Medical Transport Systems

• CCLS- Critical Care Life Support

• CCRN- Certified Critical Care Nurse

• CEN- Certified Emergency nurse

• CFRN- Certified Flight Nurse

• CFP- Certified Flight Paramedic

• COR - Contracting Officer's Representative

• CVIC- Combat Visual Information Center

• DOD - Department of Defense

• EMT- Emergency Medical Technician

• EMT-P- Emergency Medical Technician/Paramedic

• FAA- Federal Aviation Administration

• GPS- Global Positioning System

• ICEMA- Inland County Emergency Medical Agency

• IFR- Instrument Flight Rules

• IV- Intravenous

• LLL- Low Light Level

• LZ- Landing Zone

• MEDEVAC- Medical Evacuation Flight

• MICN- Mobile Intensive Care Nurse

• NALS- Neonatal Advanced Life Support

• NREMT-P- Nationally Registered EMT-Paramedic

• NRP- Neonatal Resuscitation Program

• NVG- Night Vision Goggles

• OOD - Officer of the Day

• PALS- Pediatric Advanced Life Support

• PIC- Pilot in Command

• PM- Program Manager

• PRS- Performance Requirements Summary

• QA- Quality Assurance

• QAE- Quality Assurance Evaluator

• QASP- Quality Assurance Surveillance Plan

• QC- Quality Control

• QCP- Quality Control Plan

• RCO- Regional Contracting Office

• SELF- Strategic Expeditionary Landing Field

• TNATC Trauma Nurse Advanced Trauma Course

3. SCOPE OF WORK

3.1. LEVEL I, II, AND III SERVICES

The Contractor shall furnish all labor, tools, materials, transportation, equipment, supplies, testing, certification, supervision, management, and quality control required to provide on-call aero-medical ambulance service and in-flight treatment of military and training staff at MCAGCC, Twentynine Palms, California, including all ranges and Camp Wilson.

3.1.1. Emergency Medical Airlift

The Contractor shall provide emergency medical airlift of patients between the ranges and Robert E. Bush, U.S. Naval Hospital (located at Bldg. 1145, aboard MCAGCC, Twentynine Palms, CA 92278) or other designated medical treatment facility within a 200-mile radius of MCAGCC/MAGTFTC, 24 hours per day, 7 days a week to include holidays.

3.1.2. Aircrew Minimums

At a minimum, the crew shall consist of one (1) pilot, one (1) flight nurse and one (1) EMT-P.

Performance shall be in accordance with this PWS, and professional standards as specified in the Commission on Accreditation of Medical Transport Systems (CAMTS) and the credentials as detailed in Section 5.1.5 of the PWS. The Contractor shall ensure the availability of medical specialists sufficient to meet the needs of the patients transported under this agreement.

3.2. LEVEL IV SERVICES

The Contractor shall provide Level IV transportation as ordered up to the maximum hours specified in the schedule. The Director of Range Management and Development Division (RMDD or designated COR will direct the contractor when and where to perform the services. Only the Contracting Officer, or their designated representative, may direct the diversion of the contractor from Level I, II, III standby service.

The Contracting Officer may issue verbal directions to the contractor to be followed up by written direction as soon as reasonably feasible. If Contractor is directed to perform Level IV flight hours, the billing for CLIN 0001 should be adjusted downward, unless the Contractor provides a dedicated, operational back-up aircraft to maintain continuous Level I-III MCAGCC evacuation standby.

3.3. PRIMARY AND BACKUP AIRCRAFT

The contractor will provide a primary aircraft and a backup aircraft for Level I-III standby. The backup aircraft exists as a spare aircraft to be utilized if a mechanical or other issue renders the primary aircraft unsafe pr incapable of flight, as well as to ensure continuous coverage during scheduled maintenance of either aircraft.

In some circumstances, one (1) additional helicopter may be required to conduct medical evacuations.

Historically, this has occurred six (6) times over the last two years. If this occurs, the Contractor shall have thirty (30) minutes to dispatch an additional aircraft to meet the terms and conditions of this contract. If the Contractor also provides stand-by medical evacuation support for the private sector and has dispatched simultaneous (MCAGCC and private sector) medical evacuations, the Contractor will not be considered in breach of this contract if unable to dispatch an aircraft in thirty (30) minutes. Under such conditions, the Contractor shall provide support as expeditiously and advise the Government of the estimated time of dispatch and arrival.

3.4. RANGE TRAINING CONSTRAINTS AND OFF-BASE EVACUTAIONS

The Government cannot conduct training on the ranges unless the Contractor’s helicopter is within thirty

(30) minutes of MCAGCC. In emergency situations when civilian helicopters are unavailable, the Contracting Officer, or his designated representative, may release the Contractor to assist in off-base evacuations. This is a unilateral Government decision. Release of the Contractor is not a command direction to perform the work, and the cost of any such flight hours shall not be paid through this contract.

The Government shall not be billed for standby hours on CLIN 0001 during any corresponding off-base flight hours, unless the Contractor provides a dedicated back-up aircraft for Level I-III MCAGCC evacuations.

4. GOVERNMENT PROPERTY, MATERIALS, AND SERVICES

The Government will provide on-base access to temporary parking. The Government will also provide a fuel truck staging area, a helicopter fueling area; handheld radios for ground communication; and utilities to include electricity, phone lines, and an area for Contractor furnished living and office spaces.

• Internet: high speed internet access is the responsibility of the contractor.

• Fuel Procurement: Fuel is not provided under this contract; however, the government will assist the contractor in obtaining a fuel card through Defense Logistics Agency (DLA). The cost of fuel is to be paid directly by the contractor to DLA and is not to be billed against this contract.

• Operational Maps and Parking: The Government will also provide maps, Landing Zone (LZ) locations/coordinates, and ground transportation for patients to and from the LZ. The Government will provide parking for the helicopter at LZ 10 and alternate sites as mutually agreed upon.

4.1. MAINTENANCE RESTRICTIONS

ONLY minor maintenance NOT involving hazardous materials/waste is authorized at LZ10. All other aircraft maintenance must be performed must be off station.

4.2. MONTHLY FLIGHT LOGS

Flight Logs shall be submitted monthly to the COR with a detailed breakdown of flight hours/ fuel consumption for MEDEVAC flights, Level IV flights (e.g., range sweeps (visual confirmation that a range is clear), cherry picker (i.e., picking up uninjured personnel equipment), etc., and times of no Support (e.g., weather hold).

4.3. FUEL COMPATIBILITY

If the Government provided fuel hoses are not compatible/available, the air ambulance is authorized to fuel from outside sources or sponsor civilian fuel truck aboard MAGTFTC.

5. CONTRACTOR PROPERTY, MATERIALS, SERVICES

Except for those items specifically listed in GOVERNMENT PROPERTY, MATERIALS AND SERVICES, the Contractor shall provide all equipment, materials, supplies, tools and services necessary to fulfil the requirements of this contract to include aviation fuel and fuel truck inspection/testing. The Contractor shall utilize billeting and office spaces for its aircrew and staff in the Government designated area.

5.1 PERSONNEL

5.1.1. Point Of Contact (Program Manager)

The Contractor shall provide a PM who shall be responsible for the performance of the work. The PM shall have full authority to act for the Contractor on all matters relating to the daily operations of this contract.

The PM may be a certified paramedic, pilot or flight nurse providing care under this PWS. The Contractor shall designate this individual, in writing, to the Contracting Officer prior to the contract start date. An alternate PM may be designated, but the Contractor shall identify those times when the alternate shall be the acting PM.

5.1.2. Workforce

5.1.2.1. The Contractor shall provide adequately trained, certified, licensed and experienced personnel to complete the work requirements within the specified time limits and in conformance with the quality standards established herein.

The Contractor shall provide evidence prior to beginning performance under this contract, and whenever requested by the Contracting Officer, that the air ambulance medical aircrew members, pilots, and medical control physicians meet or exceed Commission on Accreditation of Medical Transport Services (CAMTS) standards for education, training, and experience in delivering air medical transport. Additionally, all medical crew members shall hold active clinical certification in San Bernardino County issued by the Inland Counties Emergency Medical Agency (ICEMA).

5.1.2.2 The aircrews shall be trained to fly unaided at night.

5.1.3. English Language Requirement.

All Contractor personnel involved in the performance of this contract shall be able to read, write, speak and understand English. Contractor personnel shall possess adequate communication skills sufficient to ensure free-flowing exchange of information between themselves and with hospital staff, local public safety agencies, military range safety units, incident units, and military ground guides. The Contracting Officer retains the discretion to require the immediate replacement of any Contractor personnel who fail to meet this standard, and such replacement does not excuse the Contractor from performance requirements.

5.1.4. Conflict Of Interest.

The Contractor shall not employ any person who is an employee of the United States Government if such employment would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of War, either military or civilian, unless such person seeks and receives final approval in accordance with DoD Directive 5500.07 and applicable command policies.

5.1.5. Mandatory Personnel Credentials

The Contractor shall comply with all specific personnel credentials and certifications defined below. These constitute mandatory minimum workforce requirements for contract performance and will be utilized during Government technical evaluations.

Pilots

• Must maintain active Federal Aviation Administration (FAA) Commercial Pilot Currency and complete annual Flight Safety training

• Must possess a minimum of 3,000 flight hours as Pilot in Command (PIC)

• Must be certified for Instrument Flight Rules (IFR) operations

• Must operate on maximum 12-hour shifts to remain in compliance with FAA duty day limits.

• Must be certified in San Bernardino County by the Inland Counties Emergency Medical Agency

(ICEMA)

• Must be certified and trained to fly unaided at night, in Low Light Level (LLL) environments, and in severe dust/brown-out landing conditions

• Must be Night Vision Goggle (NVG) qualified

• Must possess a valid FAA Air Carrier Operating Certification

Senior Flight Nurses

• Must possess a minimum of five (5) years of active Emergency Room (ER) or Intensive Care Unit (ICU) clinical experience

• Must hold active Mobile Intensive Care Nurse (MICN) certification

• Must hold current ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life

Support), and NALS (Neonatal Advanced Life Support) certifications

• Must maintain active CEN (Certified Emergency Nurse), CCRN (Certified Critical Care Nurse), or CFRN (Certified Flight Registered Nurse) credentials

• Must hold active TNATC (Trauma Nurse Advanced Trauma Course), BTLS (Basic Trauma Life

Support), or ATLS (Advanced Trauma Life Support) certifications

• Must have completed specialized aeromedical transport training

• Must hold active clinical certification by ICEMA

• Must be certified to fly unaided at night, in Low Light Level (LLL) conditions, and be NVG capable

Flight Paramedics

• Must possess a minimum of three (3) years of active field paramedic experience

• Must hold current ACLS, PALS, and NRP (Neonatal Resuscitation Program) certifications

• Must hold active BTLS certification

• Must maintain active NREMT-P (Nationally Registered EMT-Paramedic), EMT-P, or CFP

(Certified Flight Paramedic) credentials

• Must have completed specialized aeromedical transport training

• Must hold active clinical certification by ICEMA

• Must be certified to fly unaided at night, in Low Light Level (LLL) conditions, and be NVG capable

5.2. AVAILABILITY

The Contractor will be required to perform services 24 hours a day, 7 days per week, including Federal holidays. The Program Manager or their designated alternate designee shall be available twenty-four (24) hours per day, seven (7) days a week and three hundred sixty-five (365) days per year.

5.3. STAFFING COVERAGE

The Contractor shall ensure that fully qualified back-up personnel are available to provide immediate coverage during all crewmember absences, whether scheduled or unscheduled. Absence of any crew members without backup crew coverage may result in termination of the contract for cause.

5.4. NON-PERSONAL SERVICES CONTRACT

This contract is a non-personal service contract. The Government will not subject the Contractor Personnel to direct supervision, direction, or control. The professional services rendered under this contract are solely in its capacity as an independent contractor. Accordingly, Contractor personnel shall not be subject to the relatively continuous supervision, oversight, and control usually prevailing in employer-employee relationships between the Federal Government and its employees.

5.5. PATIENT NON-DICRIMINATION

The Contractor shall provide patients referred by the MCAGCC with access to service on terms no less favorable than those afforded to any other patient of the Contractor and shall not discriminate against MAGTFTC-referred patients. Health care providers must remain sensitive to cultural differences affecting patient care.

5.6. AIRCRAFT REQUIREMENTS AND SPECIFICATIONS

The Contractor shall provide aircraft that meet all baseline operational capabilities, capacities, and specifications.

5.6.1. Mandatory Aircraft Specifications

The Contractor shall comply with all specific helicopter equipment parameters defined below. These constitute mandatory minimum hardware requirements for contract performance and will be utilized during Government technical evaluations.

• The rotary wing aircraft must be twin engine, no older than 30 years, and capable of sustained speeds of 138 mph or greater with an operation range of 200 miles.

• Communications: The aircraft must be equipped with multiple UHF/VHF capable radios operating on DoW bands to simultaneously monitor Range Control (“BEARMAT”), LZ Control, and the Robert E. Bush Naval Hospital.

• Capacity: The aircraft must be capable of transporting up to two (2) critical patients and the assigned medical crew, or up to four (4) non-medical personnel during Level IV missions.

• Landing Capabilities: The aircraft must be capable of landing and taking off from a 100’ X 100’ LZ. Flight crews must be capable of landing in dusty environments with the potential for “brown out” conditions.

• Night Operations: The crew must be able to fly in Low Light Level (LLL) environments and operate Night Vision Goggles (NVG). The aircraft cockpit and cabin must feature NVG-compatible tactical lighting.

• Fuel Reserve: The Contractor shall maintain enough fuel on board to reach the most distant appropriate medical facility within the 200-mile radius and land with FAA mandated minimum fuel reserve requirements intact.

5.7. LICENSES AND CERTIFICATIONS

The Contractor shall maintain all required federal, state, and local licenses and certifications. Proof of all required documentation shall be provided to the Contracting Officer prior to award of the contract, and upon request at any time during performance. The Contracting Officer, COR, or QA inspectors may conduct random audits to verify credentials.

5.7.1. General Compliance Specifications

• State Air Ambulance and/or Air Charter licensure and/or certification, as required for company operations.

• Active accreditation by the Commission on Accreditation of Medical Transport Services

(CAMTS).

• FAA Air Carrier Operating Certification. Each pilot shall hold a valid commercial operating certificate with the appropriate ratings for the flight conditions undertaken and operate under the FAA rules for that certificate. One hundred percent (100%) compliance is required at all times.

• 32 CFR Part 861 and the Additional Standards for DOW Contract Aircraft Operations Under CARB FAA Part 135

5.8. HIPAA COMPLIANCE

The Contractor shall comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191 and its implementing requalification’s under 45 Code of Federal Regulations, Parts 160, 162, and 164. Additional compliance guidance information is available at http://www.hhs.gov/ocr/hipaa. One hundred percent (100%) compliance is required at all times.

5.9. INDEMNIFICATION AND INSURANCE

The Contractor shall indemnify and hold harmless the Government from any and all liability arising out of contract operations. The Contractor shall meet and maintain all minimum federal, state, and local aviation and clinical liability insurance requirements and shall provide physical proof of continuous active coverage to the Contracting Officer prior to contract award and annually upon renewal.

6. SPECIFIC TASKS.

6.1. GENERAL PERFORMANCE.

6.1.1. Air Medical Transport Services (MEDEVAC)

The Contractor shall provide professional air medical transport services to the Government. The clinical acuity levels and types of air medical transport services are defined as follows:

LEVEL I. High Acuity Air Ambulance to Destination Facilities:

1. Critical Care Life Support (CCLS): Acute, life-threatening patient conditions

2. Advanced Life Support (ALS): Acute or non-acute conditions where the patient presents with any of the following clinical factors singly or in combination:

• Need for invasive procedures or equipment including IV therapy, chest tube, endotracheal intubation, cricothyrotomy, pacemaker, and nasogastric tube

• Supplemental oxygen dependency

• Continuous cardiac monitoring

• Mechanical ventilator dependency

• Pulse oximetry monitoring

• Any active trauma complaint involving the head, neck, chest or abdomen except for superficial involvement.

3. Specialty Care Missions: Neonatal, Obstetric, and pediatric transport. Neonatal transport is arranged primarily in conjunction with the specialized Pediatric / Neonatal transport team from Loma Linda, California. The Government is not responsible for providing medical staff and clinicians for these air evacuation services.

LEVEL II: Moderate Acuity (Minimum Basic Life Support Required)

Air Ambulance transport to destination facilities and/or return to MCAGCC/MAGTFTC facilities for clinical readmission. This applies to stable, non-acute patients requiring Basic Life Support (BLS) monitoring defined as a patient having any of the following clinical factors singly or in combination:

• Need for oxygen for flight supplementation only

• Capped IV device

• Foley-type catheter to gravity drainage

• Stabilized single fracture

• Capped nasogastric tube

• Need for monitoring of vital signs

• Superficial wounds and/or infections

• Stable overall patient condition

LEVEL III: Low Acuity

Any patient requiring air transport who does not meet the clinical criteria for BLS monitoring or medical intervention.

6.1.2. Other Air Transport Services (Level IV)

As ordered by the Government, in its sole discretion, when emergency services exceed those provided under other military contracts or via Government aircraft, the Contractor shall provide scene response helicopter transport. These missions include performing search and assist flights, transporting maintenance personnel to repeater/camera sites for emergency repairs, executing visual range sweeps, transporting military police (PMO) emergency reaction forces, delivering emergency tactical re-supply to exercise forces (food, water, small arms, communication gear, or personnel), and participating is simulated MEDEVAC training.

6.2. CONTRACTOR RESPONSIBILITES.

6.2.1. Clinical Compatibility: The Contractor shall perform clinical procedures and provide medical services compatible with the Rober E. Bush Naval Hospital’s operating capacity and medical equipment.

New medical protocols or medical procedures or services shall not be introduced without the prior written approval of the Contracting Officer, who will coordinate with the Naval Hospital Commander.

6.2.2. Air Ambulance Response

6.2.2.1. Launch Time: The Contractor shall provide air ambulance response for patient transfer from MCAGCC/MAGTFTC training sites or accident scenes to a designated destination as ordered by the ICEMA Emergency Management System (EMS) Policies and Procedures. The Contractor shall provide all clinical supplies, services, medications and equipment necessary to maintain the patient's stability in-flight.

The Contractor shall provide aircraft access to qualified MCGACC/MAGTFTC EMT/Medical personnel assisting with patient care. Once cleared for flight operations, the Contractor shall be airborne within thirty minutes of notification by Authorized Range Control (BEARMAT) personnel to include the Range Control Floor Supervisor; the Director RMDD, COR or designated representative.

6.2.2.2. Weather and Flight Interruptions: The only authorized exceptions to the 30-minute response timeline are those described in in PWS Section 3.4, or instances where local weather conditions make flight unsafe. In the event of a weather hold, the Contractor shall immediately notify Range Control (BEARMAT) (760) 830-6535/6623 provide the clinical caller with an estimated time of dispatch and provide the Government with an anticipated time of return to full mission capabilities. The Ordering Official may then determine if ground or alternative transport is required.

6.2.2.3 Patient Routing Determination: Patients will be transported to the most clinically appropriate treatment facility as determined by the senior medical authority on scene under the direction of their governing medical base station. Medical base stations and the air ambulance provider are to operate under the protocols and controls of the ICEMA.

6.3. PROGRAM MANAGEMENT DELIVERABLES

6.3.1. Monthly Status Report (MSR)

The Contractor shall prepare and submit a Monthly Status Report (MSR) to the COR no later than the 10th calendar day of each month.

• Reporting Level: The report must outline progress at the individual PWS task level.

• Report Contents: The MSR shall include:

1. Financial Status: Current contract billing status, monthly invoice figures, and funding burn rates (ensuring clear financial tracking without introducing audited cost-accounting standards on this commercial contract).

2. Schedule and Operations: Operational readiness rates of the primary and backup aircraft, flight crew staffing schedules, and a summary of scheduled maintenance.

3. Performance metrics: Total flight hours logged, standby hours, number of missions completed (by Acuity Level I–IV), and total personnel or patients transported.

4. Risk and Incident Tracking: Identification of any active technical or operational risks, landing zone impediments, or equipment issues, alongside clear mitigation plans.

6.3.2. Subcontractor Management

The Contractor shall be solely responsible for the management, coordination, quality control, and performance of all subcontractors. The Contractor shall ensure that all subcontractors adhere to the identical medical credentialing, training, and FAA certification standards mandated throughout this PWS.