Amendment 0002.pdf

W91YTZ23Q0001

0011845285-0001

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

A. The purpose of the amendment is to change the number of students for course from 25 to 24.

B. The closing date has been extended from 16 JAN 2023 to 23 JAN 2023 at 09:00 AM EST.

C. Potential contractors are requested to sign both amendments and submit w ith proposal.

D. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 46

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 12-Jan-2023

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W91YTZ23Q0001

X 9B. DATED (SEE ITEM 11)

08-Dec-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

13-Jan-2023

CODE

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 16-Jan-2023 05:00 PM to 23-Jan-2023 09:00 AM.

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

ADVISOR AUSTERE CARE COURSE (A2C2)

Part 1 General Information

1. GENERAL: This is a non-personnel services contract to provide A2C2 training. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1. Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and any other items or non-personal services necessary to perform Advisor Austere Care Course instruction as defined in this Performance Work Statement, except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2. Background: Security Force Assistance Brigades (SFABs) comprise of small teams capable of decentralized employment to austere environments in areas devoid or denied relevant and developed health service support platforms. Some types of teams lack organic medical assets and mission sets place them squarely in remote locales devoid of the conventional medical assets enjoyed throughout the peak of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) campaigns. Medical Logistics supply lines are absent or severely restricted by distance, terrain, and other factors.

1.2.1. The attendees consist of non-medical personnel selected by the unit and their command’s surgeon and leadership with aptitude and skill set to successfully complete this course. It teaches them the enhanced medical treatment skills exceeding Combat Lifesaver Trauma Combat Casualty Care (TCCC) scope.

Attendees earn national certification as Emergency Medical Technicians (EMT). National Registry of Emergency Medical Technicians (NREMT) certified personnel are qualified to provide EMT-Basic (EMT-B) level care and perform Basic Cardiac Life Support (BLS). Soldiers learn traditional and non-standard casualty evacuation techniques and are also introduced to medical intelligence planning methods for teams operating in austere or denied areas across areas of responsibility.

1.2.2. The course is no more than 7 weeks long and consists of three phases. Phase 1 consists of online asynchronous distance learning computer-based training. Phase 2 is classroom/didactic-driven instruction and certification testing. Phase 3 provides validation exercises to cement Phase 1 and 2 material and progress into more complicated tactical, clinical, and prolonged field care medicine. Phase 3 consists of clinical medicine, austere emergency care, prolonged care instruction, simulated role player clinical scenarios, and multiple prolonged field care exercises that last from 6 hours up to 36 hours in duration.

A2C2 attendees familiarize themselves with private sector and department of defense (DOD) health service support systems in order to (IOT) improve their medical evacuation/causality evacuation (MEDEVAC/CASEVAC) planning capabilities. The contractor shall be prepared to support up to 24 students per class. The minimum students in a class is 15. In addition, the contractor shall be prepared to support up to 20 A2C2 refresher students for one week concurrent with the Initial A2C2 Course.

1.3. Objectives: The basic objective of this training is to ensure that the unit Advisors and all course attendees are certified in compliance with National Registry of Emergency Medical Technicians (NREMT) and meet all certification requirements, which allows them to perform casualty care operations critical for mission success in support of military training and operations.

1.4. Scope: The unit A2C2 course is run through extensive Contractor support with oversight and quality assurance provided by the unit and Government personnel. Training and certification exams for NREMT and non-certification producing training is conducted by civilians nationally accredited to train and certify.

1.4.1. The unit plans on funding up to six (6) courses per contract year. A2C2 training is intended to be conducted near Fort Bragg, NC. The contractor provides the facilities to adequately conduct training. The unit Cadre are not be included into any required student to instructor ratio for didactic or testing support in the vicinity of Fort Bragg, NC.

1.4.2. Phase 1. The contractor shall provide up to 3 weeks of computer-based distance learning instruction to students which counts toward required didactic hours and prepare them for the rigorous classroom instruction and national registry EMT-B testing.

1.4.3. Phase 2. (EMT-B): The Contractor shall coordinate, lead and be responsible in conducting all medical training resulting in credentialing and certification as a NREMT without government assistance.

Training and certification equips non-medical personnel with 1) a working knowledge base of medical risk mitigation; 2) an increased knowledge of disease, medications and treatment modalities; and 3) an enhanced understanding of civilian medical infrastructure development. In addition to the initial test, each student must be allowed one retest.

1.4.4. Phase 3. (Practical Austere Medicine): The Contractor leads and conducts a training support package (TSP), supporting instruction and practical medical exercises that develop and ingrain didactic information without government assistance in prolonged field care and clinical medicine. The Government provides the over-arching parameters, and the Contractor provides and leads training events consisting of disease and non-battle injury centric medical scenarios requiring student return demonstration of assessment and application of treatment modalities consistent with the scopes of practice for NREMT certified personnel. The Contractor provides (1) simulated casualty role player and (1) one instructor per training team per day; along with all facets of moulage and patient scenarios for said simulated casualties.

Contractor provides and uses patient simulator models for all invasive medical procedures not practical or safe for use on role players. For example, Foley catheter, advanced airway management, oral and nasal airway, nasogastric and orogastric tube, venipuncture, and intravenous catheter placement. Students perform fresh whole blood transfusions (FWB) on other students as a team event. Phase 3 (Culmination Exercise (CULEX) portion) plans, coordinates, manages, and executes without government assistance multiple prolonged field care exercises that range in length of 6 to 36 hours. The contractor develops training scenarios.

1.5. Period of Performance: The period of performance shall be an ordering period for one (1) Base Year of 12 months with four (4) 12-month Option Periods.

1.6. General Information

1.6.1. Quality Control: Quality Control is the responsibility of the Contractor. The Contractor is responsible for the delivery of quality services/supplies to the Government.

1.6.1.1. Quality Control Program: The Government is committed to a highly interactive relationship between quality control by the Contractor and quality assurance by the government recipient of services.

This relationship shall be achieved through an effective prevention-based Quality Control Program dedicated to ensuring the best possible products and services to end users. The Contractor shall provide their final written Quality Control Plan (QCP) no later than (NLT) 15 days after award and within five (5) days of any proposed changes.

1.6.1.1.1. The Contractor’s quality program shall demonstrate its prevention-based outlook by meeting the objectives stated in the PWS throughout all areas of performance. The QCP shall be developed to specify the Contractor’s responsibility for management and quality control actions to meet the terms of the contract. The QCP as a minimum shall address continuous process improvement; procedures for scheduling, conducting and documentation of inspection;

discrepancy identification and correction; corrective action procedures to include procedures for addressing Government discovered non-conformances; procedures for root cause analysis to identify the root cause and root cause corrective action to prevent re-occurrence of discrepancies;

procedures for trend analysis; procedures for collecting and addressing customer feedback/complaints.

1.6.1.1.2. Within seven (7) days of completion of each iteration the Contractor shall provide, all reports generated as a result of the Contractor’s quality control efforts. This shall include any summary information used to track quality control, including any charts/graphs.

1.6.1.1.3. The Contractor’s QCP shall be incorporated into and become part of this contract after the plan has been accepted by the contracting officer (KO). Proposed changes made after KO acceptance shall be submitted in writing through the contracting officer representative (COR) to the KO for review and acceptance prior to implementing any revision. The Contractor’s QCP shall be maintained throughout the life of the contract and shall include the Contractor’s procedures to routinely evaluate the effectiveness of the plan to ensure the Contractor is meeting the performance standards and requirements of the contract.

1.6.1.2. Contractor Discrepancy Report (CDR): When the Contractor's performance is unsatisfactory, a CDR is issued. The Contractor shall reply in writing within five (5) workdays from the date of receipt of the CDR, giving the reasons for the unsatisfactory performance, corrective action taken, and procedures to preclude recurrence.

1.6.2. Quality Assurance: The contracting officer representative (COR) evaluates the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the COR must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards are applied, the frequency of surveillance, and the minimum acceptable defect rate(s). When an observation indicates defective performance, the COR requires the Contractor or designated on-site representative to initial the observation to acknowledge the defective performance. The acknowledgement of the observation does not necessarily constitute Contractor concurrence with the observation, only that the Contractor has been made aware of the defective performance.

1.6.3. Recognized Holidays: The contractor shall not be required to perform services on recognized Federal Holidays.

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Christmas Day

Independence Day

1.6.3.1. When a holiday occurs on a Saturday, Federal employees are normally granted the previous Friday as the holiday observance. When a holiday occurs on a Sunday, Federal employees are normally granted the following Monday as the holiday. The contractor shall work on the days the Government is scheduled to work.

1.6.3.2. When an unforeseen installation closure occurs on a regularly scheduled day of work, the Contractor has the following options:

1.6.3.3. Reschedule the work so it is performed the following day unless the following day falls on a weekend.

1.6.3.4. Reschedule the work on any day that is mutually satisfactory

1.6.4. Hours of Operation: The contractor is responsible for establishing a POI and work schedule to conduct training that meets the requirements of this PWS. The contractor is authorized and required to conduct training on Saturdays to maintain course standards and to meet operational requirements in this PWS. In Phase 3, specifically during the CULEX, the hours vary (up to a 36 hour exercise). The Contractor must always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5. Place of Performance: The work to be performed under this contract is performed near Fort Bragg, NC. The contractor is responsible for providing a classroom large enough for 24 students and 20 refresher students.

1.6.6. Type of Contract: The government awards an Indefinite Delivery/Indefinite Quantity (ID/IQ) Firm Fixed price (FFP) contract.

1.6.7. Physical Security Requirements: The contractor shall be responsible for safeguarding all equipment, information, and property.

1.6.8. Special Qualifications: The contractor shall be responsible for providing the appropriate number of instructors that must be certified, qualified, and accredited to provide training, assessment and national certification testing awarding National Registry Emergency Medical Technician-Basic and BLS. The contractor should also make all coordination for any student clinical rotations necessary for testing and certification.

1.6.8.1. The Contractor shall have experience providing teaching and testing National Registry EMT (NREMT Basic) certification practical austere medicine. The Contractor shall be responsible for ensuring all personnel performing work under this contract possess and maintain current certifications as indicated in

PWS.

1.6.8.2 The contractor shall have the capability to conduct onsite National Registry testing for up to 24 students at one time.

1.6.8.3. A2C2 Training Assessment Mechanisms. Contractor conducts periodic quizzes (learning checks) and quiz retesting is decided by the Contractor on a case-by-case basis. Retesting rates, End of Course Evaluations and After-Action Review data sets are collected and reviewed by the Contracting Officer Representative to determine the training value of Contractor training. All data, and associated products derived from the data, is the property of the United States Government.

1.6.8.4. The Contractor provides written acknowledgement of feedback received from the COR or KO and, submit change recommendations aimed at mitigating training deficits prior to the next A2C2 iteration.

Plans of Instruction and individual Lesson Plans evolve to capture identified needs.

1.6.8.5. Contractor personnel performing work under this contract shall be able to read, write, speak, and understand the English language to effectively carry out all contract requirements. They shall have a command of both the written and spoken English language to properly clearly and effectively communicate in person or via electronic devices (telephone or Email) with co-workers, customers, and the general public.

1.6.8.6. Contractor personnel performing work under this contract shall be U.S. citizens unless the provisions of Army Regulation 25-2, Information Assurance have been fully completed and approval has been granted by the Government for the non-U.S. citizen to perform the required support.

1.6.8.7. Reserved

1.6.8.8. Reserved

1.6.8.9. Reserved

1.6.8.10. Reserved

1.6.8.11. Reserved

1.6.8.12. Reserved

1.6.8.13. Reserved

1.6.8.14 Reserved

1.6.9. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the Contracting Officer apprises the contractor of how the government views the contractor's performance and the Contractor apprises the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.10. Contracting Officer Representative (COR): The COR is identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration the COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11. Key Personnel:

1.6.11.1. Program Manager (Resume Required): The Contractor shall provide a Program Manager (PM) separate from the CULEX Director and other named positions who shall be responsible for the performance of the work under this contract, as well as an Alternate PM (APM), who shall act for the Contractor when the PM is absent. The PM or APM shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. This position is expected to forecast course and contractor needs for long, medium, and short-range management. This position is to ensure contractor portion of training is finalized prior to training at least one quarter (three months), or two iterations ahead, whichever is greater.

The PM or APM shall be available between the hours of 8:00 AM to 5:00 PM, Monday through Friday, except federal holidays or when the government facility is closed for administrative reasons. The PM must be a former graduate of the United States Special Operations Command (USSOCOM) 18D, Special Operations Combat Medic (SOCM), Special Amphibious Reconnaissance Corpsman (SARC) or (Special Operations Independent Duty Course) SOIDC programs with more than 4 years operational experience in SOF which must include multiple deployments outside of the Central Command (CENTCOM) area of responsibility (AOR) to include Joint Combined Exchange Training (JCET) and other low visibility operations working in austere environments. The PM must also have multiple combat deployments and at least 4 years instructing USSOCOM medical courses. It is highly desirable that the PM have completed the Basic Army Instructor Course, the Small Group Instructor Course, the training Development Course and/or additional graduate education such as MSc in Austere Critical Care, MSc in Physician’s Assistant studies, Certified Registered Nurse Anesthetist (CRNA), or Medical Doctor (MD) and hold a current Paramedic, Physician Assistant (PA), Registered Nurse (RN) or MD license or certification.

1.6.11.2 Logistical Support Specialist (LSS). The Contractor shall provide a logistical support specialist (LSS) knowledgeable who works the entire A2C2 course to include 1 week prior the start of the course for preparation and one week after each course for maintenance and accountability. The Contractor LSS is responsible for all the organization, cleanliness and readiness of the facilities, equipment and supplies for each day of each class.

1.6.11.3 CULEX Director (CD) or equivalent . The Contractor shall provide a CULEX Director for a period of fourteen (14) days. The CULEX Director, (CD) works closely with the active-duty counterpart in the unit Surgeon shop until total comprehension of the demands of the CULEX are achieved. The CULEX Director (CD) coordinates and prepares all training sites, (including mass casualty (MASCAL) sites), timelines, telemed coordination, student briefs, instructor readiness, moulage patients, vehicles, drivers, role players, scenario development, and maintain a friendly demeanor as a representative of the professional course that is established. The CD must be a stand-alone position and not dual tasked as an instructor, site overseer, driver or role player, The CULEX Director must have experience instructing prolonged field care medical training exercises. It is highly desirable that the PM have completed the Basic Army Instructor Course, the Small Group Instructor Course, the training Development Course and/or additional graduate education such as a MSc in Austere Critical Care, MSc in Physician’s Assistant studies, CRNA, or MD and hold a current Paramedic, PA, MD or RN certification or license. The CULEX Director must have more than 3 years of experience in managing off-post military medical training.

1.6.11.3 Phase 3 Scenario and CULEX Proctor/Instructors or equivalent : The Contractor shall provide one instructor per small team of 4 students throughout phase 3 hands on skills and simulated clinics. Two (2) additional instructors shall be employed by the Contractor as needed during the CULEX to ensure adequate rest is provided to instructors actively proctoring CULEX lanes. Rest and relief of contract instructors shall not be the responsibility of the Government or the unit Cadre. Phase 3 simulated clinic lane and CULEX lane instructors must be a graduate of the United States Special Operations Command (USSOCOM) Joint Special Operations Medical Training Center (JSOMTC) Special Operations Combat Medic Course (SOCM) or Special Forces Medical Sergeant Course (SFMS course) AND possess a valid paramedic certification or higher.

1.6.11.4. Phase 2 Instructors: The Contractor shall provide the proper ratio of instructors to students of 1 qualified instructor onsite to 6 students as required by the National Registry.

These instructors are in addition to the PM and helps teach classes and facilitate hands-on skills practice and testing.

1.6.12. Contractor Personnel: The Contractor shall develop, maintain, and provide to the COR an updated roster which shall include names and positions of all Contractor personnel. The Contractor shall submit initial roster to the COR within ten (10) calendar days after commencement of base period of performance.

1.6.12.1. Contractor Personnel Appearance and Performance: It is essential that all Contractor personnel meet the highest standards of professionalism and personal integrity. The Contractor shall ensure their personnel do not perform work under the influence of alcohol, illegal prescribed drugs, or any other incapacitating agents. Contractor personnel shall be neatly groomed and dressed in business casual attire to always present a professional appearance.

1.6.12.2. Identification of Contractor Employees: All contract personnel attending meetings and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are

Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.6.13. Travel: “Fixed price is inclusive of all labor, supplies, facilities, and contractor travel and per diem required to conduct training at the Fort Bragg North Carolina (FBNC), mobile training teams (MTT), and CULEX locations.

Fixed Price is also inclusive of CULEX lodging for students as described in paragraph 4.2 of the PWS.”

1.6.14. Data Rights: The Government has unlimited rights to all documents/material produced under this contract.

All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights. The Government does not have these rights regarding training material provided by the contractor not produced under this contract.

1.6.15. Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in Federal Acquisition Regulation (FAR) Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential Organizational Conflict of Interest (OCI) and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan is determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DELIVERABLE. Anything that can be physically delivered but may include non-manufactured things such as meeting minutes or reports.

2.1.5. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.6. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.7. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.8. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.9. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.10. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.11. WORKDAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

A2C2 Advisor Austere Care Course ACOR Alternate Contracting Officer's Representative AR Army Regulation BLS Basic Cardiac Life Support (BLS) CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative

COTS Commercial-Off-the-Shelf CULEX Culmination Exercise CD CULEX Director DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense FAR Federal Acquisition Regulation FWB Fresh Whole Blood HIPAA Health Insurance Portability and Accountability Act of 1996 IAW In Accordance With IOT In Order To JSOMTC Joint Special Operations Medical Training Center JTS Joint Trauma System JTWS Joint Threat Warning System KO Contracting Officer MEDEVAC/CASEVAC Medical Evacuation / Casualty Evacuation NREMT National Registry of Emergency Medical Technicians OCI Organizational Conflict of Interest ODC Other Direct Costs OEF/OIF Operation Enduring Freedom/Operation Iraqi Freedom OSW Office of Special Warfare PCC Prolonged Casualty Care PFC Prolonged Field Care PIPO Phase 1n/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program NREMT National Registry of Emergency Medical Technicians SFAB Security Force Assistance Brigade SFMS Special Forces Medical Sergeant SOCM Special Operations Combat Medic Course SOCOM Special Operations Command SOFARS Special Operations Federal Acquisition Regulation Supplement TCCC Tactical Combat Casualty Care TE Technical Exhibit USSOCOM United States Special Operations Command

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: none.

3.2. Facilities/Utilities: none.

3.3. Equipment: none.

3.4. Materials: none.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1. General: The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.1.1. The contractor must produce a program of instruction approved by the unit Surgeon personnel no later than 14 days prior to course start date with the understanding that based on feedback and mission changes could evolve over time to fit identified needs.

4.1.2. All equipment is supplied by Contractor for phase 1. Contractor provides National Registry and practical austere medicine recommended textbooks; new/unopened consumable CLVIII medical supplies, patient assessment and monitoring equipment disposable training aides, and serviceable non-disposable task trainer replicas for students each day In Accordance With (IAW) US medical standards of quality for patient care. See Technical Exhibit (TE) 5 for medical supplies list. The Contractor is responsible for all items, associated costs, transport, procurement, and anything not listed necessary to fulfill phase 2 support requirements (Moulage requirement examples per Technical Exhibit 6).

4.1.3. Labor/Non-Labor Summaries: The Contractor shall provide the COR invoice summaries detailing current courses labor, non-labor and Other Direct Costs ODC data, and cumulative labor, non-labor, and ODC data. The Contractor shall provide the COR invoice summaries (labor, non-labor, ODC data) within thirty days of the last day of each course. All equipment and materials are developed within a “Fixed price inclusive of all labor, supplies, facilities, and contractor travel and per diem required to conduct training at the FBNC, MTT and CULEX locations.

4.2. Facilities: Contractor provides off post facilities for the execution of multiple prolonged field care exercises.

These facilities and the usage of these facilities fluctuate and change every A2C2 course to facilitate varied scenario events and government guidance. The contractor provided facilities must cover extended exercise area. All facilities must be contractor provided and managed facilities

4.3. Materials & Equipment: The Contractor shall provide all equipment listed in below for each training event as well as all further unclassified training materials and supplies necessary to meet the requirements under this PWS.

4.3.1. The Contractor provides all necessary equipment and materials to conduct all training; including, but not limited to all medical supplies, office supplies, and textbooks. The maximum number of students per iteration is 24 individuals.

4.3.2. All consumable medical supplies are expected to be expended during the course; each student has the availability to train using new expendable materials each day. Intent: expose students in training to what is used in a real emergency scenario; including packaging of supplies. This does not imply materials will not be reused, e.g. commercial tourniquets can be reused; the intent is for students to experience employing material from commercial packaging to patient application at least once per item per course.

4.3.3. The Contractor provides all necessary Office Supplies to facilitate the preparation, execution, and recovery of each A2C2.

4.3.4. Medical supplies needed: The Contractor is required to provide all CLVIII expendable medical supplies, training aids and equipment needed for the course.

4.3.5. The Contractor shall provide vehicle support during the CULEX. The contractor shall be responsible for refueling vehicles throughout the exercise. The vehicles are to be fully operational, fueled and ready for training during the CULEX.

4.3.6 The Contractor shall provide all fuel and be responsible for refueling vehicles throughout the A2C Course.

4.3.7 All associated testing cost and supplies.

PART 5

SPECIFIC REQUIREMENTS/TASKS

5. Specific Contractor Requirements/Tasks:

5.1. Contractor personnel shall be able to pass a basic US Government background check to gain access to US Military bases and travel on military vehicles.

5.2. Contractor instructor personnel shall be certified, qualified, and accredited to provide training, assessment and national certification testing awarding National Registry Emergency Medical Technician-Basic, Basic Life Saving (BLS), TCCC, National Registry Paramedic Certification or State Paramedic Certification or higher medical credential.

5.3. The Contractor shall have been licensed and/or certified to direct and instruct NREMT with experience providing and teaching NREMT, BLS, TCCC, austere military medicine, and prolonged casualty care in accordance with federal and national standards of care.

5.4. The Contractor assumes all liability for their personnel, Contractors, and products throughout the life of this contract.

5.5. The Contractor shall be responsible for coordinating and scheduling on-post or off-post testing facility that meets National Registry Emergency Medical Technician-Basic requirements/constraints.

5.6. Contractor shall provide one (1) simulated casualties via role players per training team per day for Phase 3 (hands on scenarios and CULEX). Contractor role players can be locally hired; however, the contractor is liable for providing medical coverage in the event of an adverse outcome. They shall be physically able to endure extended exercise scenarios, as well as endure local outdoor and seasonal weather conditions. They must also be able to provide realistic patient reactions during exercise scenarios. The Contractor assumes all liability and responsibility for role players during medical training scenarios. The Contractor provides simulators and mannequins for use whenever procedures are infeasible on live role players. The contractor is solely responsible for the well-being, medical treatment, and insurance of each role player.

5.7. The Contractor shall provide one (1) CULEX (CD) Director. The CULEX Director, (CD) works closely with the active-duty counterpart in the unit Surgeon shop until total comprehension of the demands of the CULEX are achieved. The CD coordinates and prepares all training sites, (including MASCAL sites), timelines, telemed coordinations, student briefs, instructor readiness, moulage patients, vehicles, drivers, role players, scenario development, and maintain a friendly demeanor as a representative of the professional course that is established. The CD must be a standalone position and not dual tasked as an instructor, site overseer, driver or role player.

5.8. The contractor shall provide a minimum of four (4) CULEX Site Overseers (these are not instructors, drivers or role players) during the entire Phase 3 period: three (3) for a period of two (2) days and one (1) for a period of three

(3) days. The Site Overseers (SO) is assigned by the CD and work directly under the CD. They participate in one day of training prior to each A2C2 course. The SO job consists of, but not limited to, facilitating the coordinating instructions at each training site, to include preparation and clean up.

5.9. The Contractor shall provide a Program Manager (PM) separate from the CULEX Director who shall be responsible for the performance of the work under this contract as well as an Alternate PM (APM) who is similarly qualified. The PM or APM shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. This position is expected to forecast course and contractor needs for long, medium, and short-range management. This position is NOT considered an FTE rather a representative of the contractor for each training event.

5.10. The Contractor shall be capable of providing and/or augmenting Emergency Medical Services assets during training events in support of an actual injury and patient stabilization while awaiting or transporting to the next echelon of medical care.

5.11. The Contractor shall be familiar with client operational focuses in austere military medicine, outdoor industry, research, Military Special Operations, government services, maritime operations, executive and corporate security, and humanitarian operations. This includes all instructors used for Phase 2 of the training.

5.12. The Contractor shall be able to teach the basic principles of a linked telemedicine service. The students is utilizing their phones to contact contractor coordinated tele-med providers or service. This service or contracted providers is available during all training events.

5.13. The Contractor shall have a working knowledge base of medical supply chain management principles inclusive of protocols managing controlled, uncontrolled medications, and medical consumables for multiple countries on each continent.

5.14. During the first two Saturdays of training, the Contractor shall provide an instructor to be available for a six-hour study hall, voluntary to students unless dictated otherwise by the unit Surgeon personnel. This study hall's purpose is to prepare students to pass the National Registry Emergency Medical Technician-Basic exam. This is in addition to previous and subsequent manpower requirements.

5.15. The Contractor shall develop end of day and end of week quizzes designed to prepare the A2C2 student to pass the NREMT-Basic exam. The sum of these preparatory quiz questions shall be no less than 400 simulated NREMT- B based test questions. The Contractor shall monitor student performance during the practical exercise phase, and award appropriate credentials and certifications at the conclusion of phase 1. Both metrics from previous class EMT- B results and class instructor feedback is used to continually tailor these exams/quizzes.

5.16. The Contractor shall incorporate a five (5) day annual refresher course to provide training for up twenty

(20) students. This runs concurrently with the full A2C course but is instructed by (1) one instructor separate from the primary contracted A2C2 instructors, and this is in addition to previous and subsequent manpower requirements for full course cadre and staff. The students are there for recertification and training on required refresher critical tasks. This recertification is to provide previous graduates the training and testing required to maintain compliance.

The Contractor shall utilize the current courses subject matter expertise, instructors, curriculum, and all associated requirements to ensure additional students gain certification knowledge. This requirement may not be utilized for each course. The unit Surgeon Section ensures contractor is aware of the number of students that is attending prior to this 5-day period.

5.17. Environmental and Hazardous Materials Handling: The contractor shall perform the requirements of this PWS in an environmentally acceptable manner consistent with US Army, federal, state, and local environmental laws and regulations.

5.17.1. The contractor shall follow established policies and procedures that minimize the risk of environmental pollution. Along with any programs to safely and properly use, manage, store, control, and dispose of combustible, flammable, and hazardous materials.

5.17.2. The contractor shall comply with Federal, State, local, base, and Army regulations (AR) /instructions providing the correct documentation for the disposition of accumulated wastes.

5.18. Identifying and Reporting Hazards and Mishaps: Investigation and reporting of mishaps involving contractor personnel, equipment, and facilities only shall be the responsibility of the contractor.

5.19. Contractor Manpower Reporting Application (CMRA): The Contractor shall report ALL Contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the unit via a secure data collection site. The Contractor is required to completely fill in all required data fields using the following web address below. Reporting input is for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at http://www.ecmra.mil/.

5.19.1. Reporting inputs is for the labor executed during the period of performance during each Government FY, which runs from October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October of each calendar year, beginning with 2013. Contractors may direct questions to the help desk by clicking on “Send an email” which is located under the Help Resources ribbon on the right side of the login page of the applicable Service/Component’s CMR website at http://www.ecmra.mil. The required data fields include:

(1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative;

(2) Contract number, including task and delivery order number;

(3) Beginning and ending dates covered by reporting period;

(4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data;

(5) Estimated direct labor hours (including sub-contractors);

(6) Estimated direct labor dollars paid this reporting period (including sub- contractors);

(7) Total payments (including sub-contractors);

(8) Predominant Product Service Code (PSC)/Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant PSC/FSC for each sub-contractor if different);

(9) Estimated data collection cost;

(10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity

(the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information);

(11) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website);

(12) Presence of deployment or contingency contract language; and

(13) Number of contractor, and sub-contractor employees deployed in theater this reporting period (by country).

As part of its submission, the contractor also provides the estimated total cost (if any) incurred to comply with this reporting requirement.

5.20. Media Production: Contractor is not authorized to photograph, or video record any portion or activity occurring or relating to the A2C2. The unit Public Affairs Office (PAO) is recognized as the only authority managing all media forms documenting A2C2. Requests for media are routed for action to the PAO.

PART 6

APPLICABLE PUBLICATIONS

6. APPLICABLE PUBLICATIONS

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures as prescribed by civilian accreditation agencies to include the following:

a. National Registry of Emergency Medical Technicians (NREMT)

b. Basic Cardiac Life Support (BLS)

c. Joint Trauma Service Clinical Practice Guidelines and Deployed Medicine Website

d. SOF Medical Handbook

e. College of Offshore and Remote Medicine Field Guide v2 2020

g. Improvised Medicine 2nd Edition by. Kenneth Iserson

h. CoTCCC TCCC guidelines via www.deployedmedicine.com or the Joint Trauma System (JTS) website

i. Prolonged Casualty Care CoPCC Guidelines via www.deployedmedicine.com or the JTS website

PART 7

TECHNICAL EXHIBIT LISTING

7. Technical Exhibit List:

7.1. Technical Exhibit 1 – Performance Requirements Summary

7.2. Technical Exhibit 2 - Quality Assurance Surveillance Plan (QASP)

7.3. Technical Exhibit 3 - Deliverables Schedule

7.4. Technical Exhibit 4 - Site Locations

7.5. Technical Exhibit 5 - Wage Determinations

7.6. Technical Exhibit 6 - Medical Supplies/Equipment List

7.7. Technical Exhibit 7 - Patient Casualty Moulage Examples

7.8. Technical Exhibit 8 – SOFAMT CLINIC EQUIPMENT LIST

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

The contractor service requirements are…