Specifications.pdf

ADVANCED LIFE SUPPORT CARE (ALS) SERVICES

(2) PARAMEDICS

SPECIFICATIONS

1. DESCRIPTION OF SERVICES

The Mat Sinking Unit is involved in erosion control work on the Mississippi and Atchafalaya Rivers. The unit employs approximately 310 men and 10 women who stay in dormitories aboard floating barges during the three-month work season. They move from one job site to another ranging from Cairo, Illinois to Venice, Louisiana, often in remote locations along the river, and have limited communications facilities. Most times transport of an injured employee to the closest hospital can take up to 30-90 minutes. Most of the crew works ten-hour shifts, 12 days per two-week period. There are shift personnel working 24/7 for the entire season. The contractor is required to provide services 24/7.

The purpose of this contract is to provide Advanced Life Support (ALS) & Basic Life Support (BLS) services, treatment protocols, medical direction, equipment and personnel of (2) Paramedics. This includes all supplies, equipment, drugs, treatment protocols and medical direction needed to provide BLS and ALS treatment. The contractor will be required to provide health care services for the employees of the U.S. Army, Corps of Engineers, Mat Sinking Unit. The services of this contract will be for a period of performance of about 4 months, based upon the length of the work season.

The Mat Sinking Unit at this time is requiring that the paramedics be present at the Mat Sinking Unit at 10:00 a.m. on or about August 21st, 2015. The Mat Sinking season is currently scheduled to last until mid-to-late December. These dates are not guaranteed and may fluctuate over time. The Mat Sinking Unit reserves the right to use the paramedics for more or less days as needed until the Mat Sinking Unit returns to Vicksburg, MS. The paramedics shall provide services for every day of the season from the time required until the Mat Sinking Unit returns to Vicksburg and releases the paramedics.

30-day option: The Mat Sinking Unit will be utilizing an extra 30-day option along with the base contract that will be put into effect should the Mat Sinking Unit determine that the paramedics will be needed past December 20th.

2. SCOPE OF WORK

The contractor shall provide full Advanced Life Support services to the Mat Sinking Unit and all associated areas including the Mooring Barge, Matboat, Quarterboats, M/V Benyaurd, M/V William James, M/V Harrison, all other Corps vessels, and any support or contract boats. The contract paramedics will participate in Mat Sinking Unit exercises, special events, and specialized training.

Paramedics shall furnish all labor, supervision, supplies, online & offline treatment protocols, medical direction, equipment and reports, except as provided in Section 6, Government-Furnished Property and Services. Three meals a day will be provided as well as lodging on the MSU quarter boats while the services are being provided.

2.1 EMERGENCY MEDICAL RESPONSE AND PATIENT TRANSPORT

The Contractor shall provide Emergency Medical Response to all emergencies and other events as requested by management. Patients will be transferred to nearest appropriate medical facility using Government furnished ambulance or other vehicles provided. These hospitals will be referred to as “local hospitals” hereafter. In areas where hospitals do not offer trauma services, landing zones will be established to get injured employee to Level 1 trauma center. Actual work involved in performance of this contract shall include:

2.1.1 Providing EMS services 24 hours per day every day of the season to include all applicable holidays.

2.1.2 Providing full Basic & Advanced Life Support paramedic care and treatment to patients and providing supplies, services and equipment necessary to maintain the patient’s medical status as directed by offline contractor medical control.

2.1.3 Transporting patients to local hospitals from the Mat Sinking Unit’s location; or transporting patients to landing zones (for air ambulance) and intercept locations (for ground ambulance).

2.1.4 Ensuring the EMT-P remains with patients until a qualified member of the receiving hospital properly accepts patients.

2.1.5 Notifying management and government Paramedic ASAP of acceptance to emergency room.

2.1.6 Document utilizing the USACE-MSU Run Report all pertinent patient and emergency facility information. Upon completion of the run report, provide to the government Paramedic for QA/QI filing.

2.1.7 The contractor will respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

2.1.8 Providing reports to the Contracting Officer Representative (COR) concerning number of responses, transports, and summaries of care for individuals associated with Mat Sinking Unit.

2.2 FIRST AID OFFICE STAFFING

When not providing emergency medical care, the contractor will staff one (1) first aid office on the Mooring Barge and one (1) first aid office on the Quarter Boats. Actual work involved in performance of this contract shall include:

2.2.1 Providing general sick call and dispensing over the counter medications (Government provided) to employees for minor illnesses to include basic and advanced life support as needed. The OTC medications will include; analgesics, throat lozenges, anti-bacterial ointments and creams, cough suppressants, decongestants, anti-fungal ointments, antacids, diarrhea medications, etc.

2.2.2 Recommend to the government Paramedic employees that may need to seek a higher level of medical care.

3.0. REQUIREMENTS

• Provide health related services, first aid, and Basic and Advanced life support to a work force of approximately 320 employees engaged in work of above average hazards.

• Upon completion of administering all Tuberculosis (TB) tests, the contract Paramedics will read the TB screenings administered and document as required.

• The Paramedics will assist in identifying all who test positive for the PPD and report the results to the Government Paramedic on board. Appropriate actions will be taken.

• Required to treat injuries on the Mat Sinking Unit to include; lacerations, contusions, sprains, strains, abrasions, fractures, amputations, heat injuries, eye injuries, contact dermatitis, chemical poisonings, etc.

• Will assist the Government Paramedic in proper disposition of injured employee(s), and will assist in transporting the injured employee to an appropriate medical care facility by ground or air transport as deemed appropriate by the government Paramedic.

• Paramedics will provide BLS and ALS treatment to injured employee when necessary under contractor treatment protocols.

• Paramedics will monitor and document employee’s blood pressure and /or blood sugar, as directed by the employee’s physician or Mat Sinking Unit management.

3.1. OTHER DUTIES

• Will advise employees of the need to see a physician, and where necessary, drive a government vehicle to transport the employee to an appropriate medical care facility if needed.

• Will notify the Government Paramedic or in his absence, Safety Specialist of physician’s diagnosis and opinion, and supply own opinion as to recommend action.

• The contract Paramedics will assist with moving ambulance and locating the nearest Hospital, with an Emergency Room, from each new job site, and complete a Hospital Route from the Quarterboats to the Hospital.

• Contract Paramedics will set-up pre-determined landing zones for air transports and relaying those G.P.S. coordinates to proper officials.

• Paramedics will assist with administering Annual Flu shots to employees that wish to receive one.

• Paramedics will be responsible for doing safety checks on various equipment, supplies & activities.

• Paramedics will be responsible for daily checks of the ambulance and first aid stations. Documentation will be maintained by the Government Paramedic.

3.2 WORKING HOURS

Normal work schedule will be approximately 10 hours per day (0700-1730). However, due to safety and operational concerns, additional use of the Contract Paramedic may be required before or after normal working hours as set by Contract Office Representative (COR). Paramedics will be required to provide services each day (including holidays during the season) for the entire season. Contract personnel must be relieved by another licensed Paramedic in order to leave, though exceptions can be made in emergencies if agreed to by the COR or Mat Sinking Unit Chief. Additional hours will be required when deemed necessary for safety.

The Paramedics will rotate being on call for overnight work while aboard the MSU. The contract Paramedics will coordinate with the COR, Mat Sinking Unit Chief, or Government Paramedic onboard the MSU anytime he/she has a need to leave the MSU for any reason. When a contract Paramedic leaves the MSU, the contractor will provide a qualified replacement. If the replacement has not previously been oriented to the MSU, they must be on site one day prior to the departing Paramedic’s departure to allow for appropriate orientation.

Contract Paramedics will staff (1) First Aid Office on working plant and (1) First Aid Office on Quarter Boats. This will be assigned based on a rotating plan.

In accordance in Federal Labor Laws, any time worked over 40 hours in a given week will result in Contract Paramedics being paid overtime hours.

Transportation to local airports will be provided for the purpose of swapping contract personnel and must be coordinated with the COR to ensure availability of driver and transport. It is requested that contractors stay on the unit a minimum of two week intervals between swaps for logistical purposes, though exceptions can be made for special circumstances.

4. MEDICAL SURVEILLANCE

All Medical Records and information contained therein are considered Protected Health Information (PHI) and covered under the H.I.P.A.A. Privacy Rule. All medical records will be kept secured and stored in accordance with applicable laws. All other information is covered under the Privacy of Information Act and shall be kept confidential.

5. CONTRACTOR RESOURCES

Documentation must demonstrate the contractor has adequate medical license, medical direction and insurance to perform the work or the ability to secure them.

5.1 MEDICAL REQUIREMENTS

Documentation must show that the contractor has a current unrestricted Emergency Medical Services Advanced Life Support Provider license and the ability to provide medical direction requirements.

1. Provide verifiable license/certificate, in any US State, as an EMS Advanced Life Support Provider

2. Provide verifiable license of Medical Doctor working as Medical Director (Nurse Practitioners & Physician Assistants will not meet the requirements of this contract). If contractor uses an EMS system, a letter stating that the contractor is in good standing with the system and covered by their primary Medical Director, is required from the system.

3. Provide copies of Online/Offline Basic and Advanced Life Support Treatment protocols

4. Provide copies of Advanced Practice procedures & protocols for remote/extended care treatment of patients. (Required if contractor’s primary ALS protocols do not include all of the required procedures).

5.2 INSURABILITY

Documentation must demonstrate the contractor’s insurability for medical malpractice.

1. Provide verifiable insurance certificates or statement from insurance institution, or equivalent.

2. Provide representations and certifications statement identifying any and all malpractice assertions and lawsuits within the past 10 years including a statement of facts and outcome.

Negative statement is required, if none

6. PERSONNEL REQUIREMENTS

Documentation must demonstrate the contractor has adequate human resources with satisfactory performance records to perform the work or the ability to secure them.

6.1 EMPLOYEE CRIMINAL BACKGROUND CHECK. The contractor assumes responsibility for conducting criminal background investigations on employees who will likely have access to DEA regulated controlled substances. The contractor shall produce the results of these checks upon request by the Vicksburg District Security Office.

6.2 FORMAL EDUCATION / CERTIFICATION. Paramedics performing services under this contract must be high school graduates or have a General Education equivalency certificate and be United States State certified/licensed as a paramedic.

6.3 DRIVING RECORD. Paramedics must not have any reckless or dangerous driving citations within the previous 24 month period and have no Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) convictions in the previous five years.

6.4 EXPERIENCE. Paramedics performing services under this contract must have at least one year experience as a paramedic.

6.5 TRAINING DOCUMENTATION. The contractor shall maintain files to assure that all paramedics performing work under this contract shall have current certifications and/or documents listed below. Before award of contract, contractor shall provide copies of all requested documents. Upon request the contractor shall provide copies of these documents for all paramedic to the designated government representative or Vicksburg District Contracting Office.

Provide the following information for credential review on each proposed assigned and contingency personnel:

1. Proof of successful completion of a Paramedic Program;

2. A valid, current, unrestricted Paramedic license/certificate;

3. A current certification in Basic Life Support (BLS);

4. A current certification in Advanced Cardiac Life Support (ACLS);

5. A current certification in Pre Hospital Trauma Life Support (PHTLS or ITLS);

6. Evidence of immunity to Hepatitis "A" and "B" and evidence of freedom from chronic communicable disease(s) i.e., HIV, and TB;

7. Valid State Driver’s License;

8. Have completed a CEVO 3 (or equivalent) emergency vehicle driver training program

6.6 HEALTH REQUIREMENTS.

6.6.1 Contract personnel are required to have a medical examination within the 12 months prior to providing services under this contract. The examination shall not be at the Government’s expense. Additionally, all personnel performing duties under this contract must be able to lift 100 pounds, unassisted.

6.6.2 Not Later than five (5) working days prior to commencement of work, Contractor shall obtain proof of certification that health care providers have completed medical evaluation required above. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and the following statement: “(name of contract employee) is suffering from no contagious disease to include but not limited to Tuberculosis, Hepatitis, and HIV.” Contractor shall provide information to the designated government representative or Vicksburg District Contracting Office upon completion.

7. REQUIRED ALS PROCEDURES

The contractor and contract personnel shall be licensed and have supporting protocols/equipment to provide the following ALS procedures:

Diagnostic Procedures

• Blood Pressure

• Pulse

• Blood glucose measurement

• Measurement of O2 saturation by pulse oximetry

• Measurement of Carbon Monoxide by CO-oximetry

• Measurement of Partial Pressure CO2 by Capnography

Cardiac Procedures

• ECG monitoring/interpretation

• 12 Lead Cardiac interpretation

• Defibrillation

• Synchronized cardioversion

• Transcutaneous pacing

• Drug Assisted Rapid Sequence Intubation

• Direction of patient in Valsalva maneuver

Airway Procedures

• Endotracheal intubation

• EOA or ETC (Combitube or King Airway) insertion

• Cricothyrotomy

• Needle thoracostomy for tension pneumothorax

• Drug Assisted Rapid Sequence Intubation

• Measurement of O2 saturation by pulse oximetry

• Measurement of Partial Pressure CO2 by Capnography

IV Procedures

• Peripheral IV insertion (including external jugular)

• IV Saline lock

• IV fluids & lines

• Intraosseous insertion devices (IO)

• Blood drawing

Drug Administration

• Administration of specified drugs by:

IV push technique IM and SC injection Oral and sublingual administration Inhalation (includes nebulization)

• Administration of specified drugs via endotracheal tube

8. REQUIRED EQUIPMENT

The contractor shall maintain at a minimum the required equipment for each of the specified locations:

8.1 Quarterboat First Aid Office

Equipment shall be kept in a jump bag or bags for easy deployment to scene.

Diagnostic Equipment

(1) Stethoscope

(1) Large Adult Blood Pressure Cuff

(1) Oxygen Pulse Ox monitor

(1) Blood glucose testing meter

(15) Blood glucose test strips

(15) Blood glucose testing lancets

(15) Alcohol prep pads

Cardiac Equipment

(1) Portable 12 lead ECG monitor/defibrillator/pacer with strip writer, synchronization capabilities, patient cable / Capnography capable (or handheld monitor)

(10) Packs of Disposable electrodes

(2) Sets of Hands free defibrillation pads

(3) Rolls of printing paper

(2) Spare charged batteries (not required if unit has built-in charger)

Airway Equipment

(1) Set of Endotracheal blades (MAC & Miller) with handles

(2) Of each size Endotracheal tubes – sizes 5.0 to 8.5

(1) End-tidal Co2 detector

(1) Combi-tube or King airway kit

(1) Capnography monitor (if not included in cardiac monitor)

(3) Packs of water soluble lubricant

(1) Pair of Magill forceps

(2) Roll of tape to secure tube (or tube securing device)

(1) Cricothyrotomy device and ventilation equipment

(1) Carbon Monoxide monitor (CO-oximetry)

(1) Adult size Ambu ventilation bag

(2) Adult Nasal Canula oxygen delivery device

(2) Adult Non-Rebreather oxygen mask

(2) Adult Nebulization device (mask or tube style)

IV Equipment

(5) Each size, IV needles, safety needle 16-24 ga

(6) IV lock devices

(10) Saline flushes

(2) IV fluid- Normal Saline 500 ml bags

(2) IV fluid- Lactated Ringers 500 ml bags

(2) IV fluid- D5W 500 ml bags

(2) 10 or 15 drop IV fluid administration sets

(2) 60 drop IV fluid administration sets

(1) IV infusion pump

(2) Sets of IV infusion pump tubing

(10) Alcohol prep pads

(4) Tourniquets

(4) IV securing device

(2) Sets of Blood draw tubes and adapter

(3) Drug Box Drugs will be kept in a drug box or drug bag that can be sealed for easy evidence of tampering.

(2) Adenosine (Adenocard) 12mg

(4) Albuterol - premixed for nebulization - 2.5 mg

(1) Amiodarone (Cordarone)

(10) Aspirin, children’s chewable – 81 mg tablets

(2) Atropine Sulfate *Pre-filled syringe*

(1) Calcium chloride 10%

(1) Cardizem (Dilitiazem)

(4) Dextrose 50% * Pre-filled syringe*

(4) Diphenhydramine HCL (Benadryl)

(2) Dopamine

(3) Epinephrine 1:1000

(3) Epinephrine 1:10,000 * Pre-filled syringe*

(4) Furosemide (Lasix)

(1) Glucagon

(3) Ipratropium bromide (Atrovent)

(2) Lidocaine *Pre-filled syringe*

(1) 4 mg/ML, 250 ML Pre-filled bag

(2) Magnesium sulfate

(3) Naloxone (Narcan)

(10) Nitroglycerin tablets or spray - 0.4 mg (grains 1/150)

(2) Ondansetron (Zofran)

(2) Promethazine (Phenergan)

(1) Sodium bicarbonate

(1) Terbutaline sulfate (Brethine)

(1) Thiamine

(1) Verapamil

DEA Regulated Medications (Controlled Substances) DEA Regulated Medications will be kept in hard mounted drug cabinet provided in the facility. Daily inventory and tracking procedures must be put into place and documented by contract personnel. If found to be missing, contract Paramedic(s) will contact the COR.

(4) 100 Mg, Morphine Sulfate **Must be kept double locked*

(4) 100 Mg, Valium (Diazepam) **Must be kept double locked**

(4) 100 Mg, Versed (Midazolam) ** Must be kept double locked**

(2) Sets, RSI medications (Sedation, Paralytics) based on protocols

8.2 Mooring Barge First Aid Office

Equipment shall be kept in a jump bag or bags for easy deployment to scene. Cardiac monitor shall be self contained.

Diagnostic Equipment

(1) Stethoscope

(1) Large Adult Blood Pressure Cuff

(1) Oxygen Pulse Ox monitor

(1) Blood glucose testing meter

(15) Blood glucose test strips

(1) Portable 12 Lead cardiac ECG monitor/defibrillator/pacer with strip writer, synchronization capabilities, patient cable, fully charged batteries.

(10) Packs of Disposable electrodes

(2) Sets of Hands free defibrillation pads

(2) Rolls of printing paper

(2) Spare charged batteries (not required if unit has built-in charger)

Airway Equipment

(1) Set of Endotracheal blades with handles

(2) Of each size Endotracheal tubes – sizes 5.0 to 8.5

(1) End-tidal Co2 detector

(1) Combi-tube or King airway kit

(4) Packs of water soluble lubricant

(3) Pair of Magill forceps

(4) Roll of tape to secure tube (or tube securing device)

(2) Cricothyrotomy device and ventilation equipment

(2) Carbon Monoxide monitor (CO-oximetry)

(3) Adult size Ambu ventilation bag

(4) Adult Nasal Canula oxygen delivery device

(3) Adult Non-Rebreather oxygen mask

(7) Adult Nebulization device (mask or tube style)

(3) Each size, IV needles, safety needle 16-24 ga

(4) IV lock devices

(4) Saline flushes

(2) IV fluid- Normal Saline 1000 ml bags (or 4- 500ml bags)

(2) IV fluid- Lactated Ringers 1000 ml bags (or 4- 500ml bags)

(2) IV fluid- D5W 500 ml bags

(2) 10 or 15 drop IV fluid administration sets

(2) 60 drop IV fluid administration sets

(10) Alcohol prep pads

(4) Tourniquets

(2) Sets of Blood draw tubes and adapters

Drug Box

(1) Adenosine (Adenocard) 6mg

(2) Adenosine (Adenocard) 12mg

(4) Albuterol - premixed for nebulization - 2.5 mg

(1) Amiodarone (Cordarone)

(10) Aspirin, children’s chewable – 81 mg tablets

(1) Atropine Sulfate *Pre-filled syringe*

(1) Calcium chloride 10%

(1) Cardizem (Dilitiazem)

(2) Dextrose 50% * Pre-filled syringe*

(4) Diphenhydramine HCL (Benadryl)

(1) Dopamine

(3) Epinephrine 1:1000

(3) Epinephrine 1:10,000 * Pre-filled syringe*

(4) Furosemide (Lasix)

(1) Glucagon

(3) Ipratropium bromide (Atrovent)

(2) Lidocaine *Pre-filled syringe*

(1) 4 mg/ML, 250 ML Pre-filled bag

(2) Magnesium sulfate

(3) Naloxone (Narcan)

(10) Nitroglycerin tablets or spray - 0.4 mg (grains 1/150)

(2) Ondansetron (Zofran)

(2) Promethazine (Phenergan)

(1) Sodium bicarbonate

(1) Terbutaline sulfate (Brethine)

DEA Regulated Medications DEA Regulated Medications will be kept on the person of Paramedic working on the Mooring Barge (Physical Custody). Daily inventory and tracking procedures must be put into place by contract personnel. At the end of shift, DEA Regulated Medications will be returned to safe in Quarterboat First Aid Office.

(2) Morphine Sulfate **Must be kept double locked**

(2) Valium (Diazepam) **Must be kept double locked**

(2) Versed (Midazolam) ** Must be kept double locked**

8.3 US Army Corps of Engineers Ambulance

Equipment shall be limited to 1 jump bag due to limited space in the van type ambulance. Cardiac monitor, drug bag and IV infusion pump will be placed separately in the ambulance.

Diagnostic Equipment

(1) Stethoscope

(1) Large Adult Blood Pressure Cuff

(1) Oxygen Pulse Ox monitor

(1) Blood glucose testing meter

(15) Blood glucose test strips

(1) Portable 12 lead ECG monitor/defibrillator/pacer with strip writer, synchronization capabilities, patient cable / Capnography capable (or handheld monitor)

(6) Packs of Disposable chest electrodes

(2) Sets of Hands free defibrillation pads

(2) Rolls of printing paper

(2) Spare charged batteries (Inverter is installed in the ambulance, however is not powered by a shoreline)

Airway Equipment

(1) Set of Endotracheal blades with handles

(1) Of each size Endotracheal tubes – sizes 5.0 to 8.5

(1) End-tidal Co2 detector

(1) Combi-tube or King airway kit

(1) Capnography monitor (if not included in cardiac monitor)

(3) Packs of water soluble lubricant

(1) Pair of Magill forceps

(1) Roll of tape to secure tube (or tube securing device)

(1) Cricothyrotomy device and ventilation equipment

(1) Adult size Ambu ventilation bag

(3) Adult Nasal Canula oxygen delivery device

(3) Adult Non-Rebreather oxygen mask

(2) Adult Nebulization device (mask or tube style)

(3) Each size, IV needles, safety needle 16-24 ga

(4) IV lock devices

(4) Saline flushes

(2) IV fluid- Normal Saline 500 ml bags

(2) IV fluid- Lactated Ringers 500 ml bags

(2) IV fluid- D5W 500 ml bags

(3) 10 or 15 drop IV fluid administration sets

(3) 60 drop IV fluid administration sets

(1) IV infusion pump

(2) Sets of IV infusion pump tubing

(10) Alcohol prep pads

(4) Tourniquets

(2) Sets of Blood draw tubes and adapters

Drug Box

(1) Adenosine (Adenocard) 6mg

(2) Adenosine (Adenocard) 12mg

(4) Albuterol - premixed for nebulization - 2.5 mg

(1) Amiodarone (Cordarone)

(10) Aspirin, children’s chewable – 81 mg tablets

(1) Atropine Sulfate *Pre-filled syringe*

(1) Calcium chloride 10%

(1) Cardizem (Dilitiazem)

(4) Dextrose 50% * Pre-filled syringe*

(2) Diphenhydramine HCL (Benadryl)

(1) Dopamine

(3) Epinephrine 1:1000

(3) Epinephrine 1:10,000 * Pre-filled syringe*

(4) Furosemide (Lasix)

(1) Glucagon

(3) Ipratropium bromide (Atrovent)

(1) Lidocaine *Pre-filled syringe*

(1) 4 mg/ML, 250 ML Pre-filled bag

(2) Magnesium sulfate

(3) Naloxone (Narcan)

(10) Nitroglycerin tablets or spray - 0.4 mg (grains 1/150)

(2) Ondansetron (Zofran)

(2) Promethazine (Phenergan)

(1) Sodium bicarbonate

(1) Terbutaline sulfate (Brethine)

DEA Regulated Medications DEA Regulated Medications will be kept in small lockable container in narcotics safe. When ambulance transportation is needed, narcotics will be transported with paramedic. Daily inventory and tracking procedures must be put into place by contract personnel.

(2) Morphine Sulfate **Must be kept double locked**

(2) Valium (Diazepam) **Must be kept double locked**

(2) Versed (Midazolam) ** Must be kept double locked**

(1) RSI medications (Sedation, Paralytics) based on protocols

8.4 Communication Equipment

(2) Cellular telephones for communication between treatment facilities, MSU management and government Paramedic. Internet “Hot Spot” provided to allow for email correspondence with contact supervisor and government officials as needed.

9. PAYMENTS

Payments will be made semi-monthly after receipts of a proper invoice. Invoices shall be sent to CEFC.CEFC- Payments@usace.army.mil and Nathan Jabour, nathanael.j.jabour@usace.army.mil, 601-631-7450. Payment will be made by the Disbursing Officer, U.S. Army, Corps of Engineers Finance Center, 7800 3rd Avenue, Millington, TN, 38054-5005. Payment will be made for the number of hours of actual duty worked during the time the Contract Paramedics are retained in the custody of the government. Payment will be made at the applicable hourly rate in the contract, calculated to the nearest half-hour.

10. PARAMEDIC/CONTRACTOR PERFORMANCE THRESHOLDS:

Table 8.1

Performance Objectives SOW Paragraph Performance Threshold Requirements 3.0 No more than 2 valid customer complaints* Other duties 3.1 No more than 2 valid customer complaints* Medical Surveillance 4 No deficiencies allowed mailto:CEFC.CEFC-Payments@usace.army.mil mailto:CEFC.CEFC-Payments@usace.army.mil mailto:nathanael.j.jabour@usace.army.mil

*All complaints will be evaluated by the contract COR and Mat Sinking Unit management. If any one complaint is deemed worthy to have the paramedic removed, the contractor shall replace with another paramedic immediately, no matter how many valid complaints have accrued against that paramedic. For any third valid complaint throughout the season, the paramedic shall also be replaced.

11. QUALITY CONTROL

The contractor shall utilize their own internal quality control processes to ensure services are performed in accordance with commonly accepted commercial practices and this Scope of Work.

12. QUALITY ASSURANCE

The Government will monitor the Contractor’s performance to ascertain Contractor compliance with this contract. Changes to surveillance methods and/or procedures are solely within the Contracting Officer’s discretion and control. COR will provide report of any deficiencies to the KO (contracting officer) for resolution (if applicable).

13. SECURITY REQUIREMENTS

1. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 5 calendar days after completion of training by all employees and subcontractor personnel. AT Level I awareness training is available at the following website: https://atlevel1.dtic.mil/at. Contract Paramedics will complete a defensive driving course prior to operating a government provided vehicle (including the ambulance). A certificate will be provided to the COR as proof of training.

2. All contractor and all associated sub‐contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3. All new contractor employees will complete Level I OPSEC training within 30 calendar days of their reporting for duty.

Additionally, all contractor employees must complete annual OPSEC awareness training. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the COR or to the contracting officer (if a COR is not assigned), within 5 calendar days after completion of training. OPSEC awareness training is available at the following websites:

https://www.iad.gov/ioss/ or http://www.cdse.edu/catalog/operations-security.html; or it can be provided by the RA OPSEC Officer in presentation form which will be documented via memorandum.

4. The Contractor must pre‐screen Candidates using the E‐verify Program (http://www.dhs.gov/E‐Verify) website to meet the established employment eligibility requirements. The Vendor must ensure that the Candidate has two valid forms of Government issued identification prior to ensure the correct information is entered into the E‐verify system. An initial list of verified/eligible Candidates must be provided to the COR no later than 3 business days after the initial contract award.

https://atlevel1.dtic.mil/at