B08 Questions and Answers W91YTZ25Q0400 12-9-2024.pdf
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- Solicitation number
- W91YTZ25Q400
- Issued by
-
Department of the Army Medical Command
About this file
This is a Questions and Answers document for solicitation W91YTZ25Q0400, which seeks Emergency Medical Services (EMS) and Advanced Life Support Services (ALS) for the 2025 Presidential Inaugural events in Washington, DC.
The Q&A clarifies several key requirements: Medical providers must be licensed/certified in DC and have NREMT certification. JTF-NCR will provide Land Mobile Radios and internet connections at 8 medical aid stations (20' x 20' AirBeam tents equipped with tables, chairs, generators, and heaters). The contractor must provide BLS and ALS equipment/supplies, 2-3 cots per station, vehicles for personnel/equipment transport (no ambulances), and a cloud-based patient tracking dashboard accessible to 42 staff members. The service population is approximately 5,000 healthy service members, with special attention needed for cold weather-related injuries. Personnel clearance documents are due within 5 days of award for security credentials and 10 days for healthcare credentials. DC Fire and EMS protocols may be used but must defer to Army protocols if less restrictive. The contract follows the 2023 Joint Prehospital Emergency Care Protocols Version 3.
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Questions and Answers
Solicitation W91YTZ25Q0400
12-9-2024
Q1: PWS Section 5.3.5 & 5.3.6 Page 23 - Is there a requirement for DC EMS certification/licensure for assigned personnel?
A1: All medical providers must be licensed or certified to provide medical services in Washington DC. See
PWS section 5.3.1 Primary Source Verification. As an agency seeking DC affiliation: Upon acquiring
NREMT certification and becoming affiliated with a DC-approved EMS agency, you become eligible for local certification. https://dchealth.dc.gov/page/ems-certification-and-reciprocity and DHA Procedures
Manual (DHAPM) 6025.13 Volume 4.
Q2: PWS Section 5.3.5 & 5.3.6 Page 23 - It is understood that National Registry is required for
EMT/Paramedic providers; is there an additional requirement for any jurisdictional certification or DC certification?
A2: Yes, all medical providers must be licensed or certified to provide medical services in Washington DC.
See PWS section 5.3.1 Primary Source Verification. As an agency seeking DC affiliation: Upon acquiring
NREMT certification and becoming affiliated with a DC-approved EMS agency, you become eligible for local certification. https://dchealth.dc.gov/page/ems-certification-and-reciprocity and DHA Procedures
Manual (DHAPM) 6025.13 Volume 4.
Q3: To optimize on-the-ground coordination, is there a requirement that the contractor have approved radio communication with DC FEMS?
A3: JTF-NCR will provide Land Mobile Radios (LMR) and hard-line internet connection at each of the medical aid stations. However, the contractor is responsible for providing internal communications and able to facilitate with DC Fire and EMS.
Q4: Is there a standard list of supplies and equipment required for the sites? Please provide a full supply and equipment list.
A4: Must provide all equipment for a Basic Life Support (BLS) mission as well equipment required for
Advanced Life Support (ALS). See list of expected tasks under PWS section 5.2. We rely on the
Contractor’s professional expertise to determine appropriate supplies and equipment. The population at risk is ~5,000 healthy service members. Due to the time of year and expected inclement weather, special attention should be paid to providing supplies to treat cold weather-related injuries.
https://dchealth.dc.gov/page/ems-certification-and-reciprocity https://dchealth.dc.gov/page/ems-certification-and-reciprocity
Q5: Does the list include medications required? If so, does it also include narcotics?
A5: Must provide all medication for a Basic Life Support (BLS) mission as well medication required for
Advanced Life Support (ALS). See list of expected tasks under PWS section 5.2. We rely on the
Contractor’s professional expertise to determine appropriate supplies. The population at risk is ~5,000 healthy service members. Due to the time of year and expected inclement weather, special attention should be paid to providing supplies to treat cold weather-related injuries.
Q6: PWS Section 4.4 Page 19 - The Contractor shall provide all necessary vehicles - Please clarify and describe the intended vehicle requirement.
A6: The Contractor will provide all appropriate vehicles required to transport personnel and equipment to and from the medical aid stations. Due to vehicle placarding restrictions, every effort shall be made to consolidate vehicles. Patient transport is not a requirement of this contract.
Q7: PWS Section 4.4 Page 19 - The Contractor shall provide all necessary vehicles - Please state which type vehicles are required.
A7: The Contractor will provide all appropriate vehicles required to transport personnel and equipment to and from the medical aid stations. Due to vehicle placarding restrictions, every effort shall be made to consolidate vehicles. Patient transport is not a requirement of this contract – ambulances are not authorized for this contract.
Q8: PWS Section 5.2.1 (b) Page 22 - b. Be responsible for providing medical oversight to the nurses and paramedics and regarding aspects of patient care including scope of practice, District of Columbia
Emergency Medical Service (EMS) program standards, US Army EMS protocols, standing orders, quality assurance, and quality improvement - Will the use of US Army EMS protocols be required or will the use of DC Fire and EMS protocols be acceptable?
A8: DC Fire and EMS protocol may be used. However, if less restrictive than Army Regulations, then Army
Protocols take precedence. The Army follows the United States Departments of the Army and Air Force
2023 Joint Prehospital Emergency Care Protocols Version 3 Dated September 2023.
Q9: Factor III: Price Page 8 and 9 - Please provide a defined equipment list of the expected equipment requirements for CLINs 0006 and 0007, ALS Supplies and Equipment Use and BLS Supplies and
Equipment Use.
A9: Must provide all equipment for a Basic Life Support (BLS) mission as well equipment required for
Advanced Life Support (ALS). See list of expected tasks under PWS section 5.2. We rely on the
Contractor’s professional expertise to determine appropriate supplies and equipment. The population at risk is ~5,000 healthy service members. Due to the time of year and expected inclement weather, special attention should be paid to providing supplies to treat cold weather-related injuries.
Q10: Factor III: Price Page 8 and 9 - Does this include ambulances?
A10: The Contractor will not provide ambulances.
Q11: Factor III: Price Page 8 and 9 - Does this include narcotics (ALS equipment)?
A11: Must provide all medications for a Basic Life Support (BLS) mission as well as medications required for Advanced Life Support (ALS). See list of expected tasks under PWS section 5.2. We rely on the
Contractor’s professional expertise to determine appropriate supplies.
Q12: Section 1.12.1 Page 1 & Section 4.4 Page 19 - Please define the specific type of vehicles the
Contractor is required to provide.
A12: The Contractor will provide all appropriate vehicles required to transport personnel and equipment to and from the medical aid stations. Due to vehicle placarding restrictions, every effort shall be made to consolidate vehicles. Patient transport is not a requirement of this contract – ambulances are not authorized for this contract.
Q13: Section 1.12.1 Page 1 & Section 4.4 Page 19 - If the Contractor provides an ambulance, and that ambulance transports a patient (DOD or non-DOD), will the Contractor be permitted to bill the patient or responsible party / insurance for the transport services?
A13: The Contractor will not provide ambulances. The contractor will not bill the patient for EMS services.
Q14: Section 1.12.1 Page 1 & Section 4.4 Page 19 - Are these intended to include ambulances?
A14: The Contractor will not provide ambulances.
Q15: Section 1.12.1 Page 1 & Section 4.4 Page 19 - Are these intended to include ambulances? If so, is the Contractor required to have the authority to operate ambulances within the District of Columbia?
A15: The Contractor will not provide ambulances.
Q16: Section 1.12.1 Page 1 & Section 4.5 Page 19 - What is the deadline for Contractors to provide pertinent documents in order to have personnel cleared prior to commencement of work?
A16: For the security background investigation and USSS security credential requests, the expectation is to provide information within 5 calendar days after the date of the award. For the healthcare provider credentials and requirements, the expectation is to provide information within 10 calendar days after the date of the award. See PWS section 1.6.4.1 Background Criminal Checks and Investigations.
Q17: Will the Contractor be determined to be in breach if the Background / CNACI checks are delayed due to circumstances beyond their control and not available prior to commencement of work?
A17: If the delay is caused by the government investigation, the contractor will not be considered in breach of the contract. If the delay is due to unqualified personnel incapable of passing a background check or insufficient number of candidates, the contractor is responsible for providing the numbers of personnel outlined in the solicitation.
Q18: Technical Exhibit A Page 27 - Please provide a sample dashboard.
A18: A dashboard should be capable of tracking the following minimum information in real time:
Encounters for each aid station, initial triage level, encounters per hour, number of open cases, disposition of patients. The dashboard needs to generate automatic messages when a critical event occurs such as patient evacuation. There should be a sanitized high-level view and a more detailed view that contains patient-specific information.
Q19: Technical Exhibit A Page 27 - Is the Army envisioning a cloud-based / online database?
A19: Yes. The intent is a cloud-based / online database provided by the contractor. There should not be a requirement to install any software on a DoD computer. DoD computers must be able to access the online database / dashboard.
Q20: Technical Exhibit A Page 27 - How many individuals will require access to this database?
A20: Approximately 42 individuals -- members of the Contractor medical teams (36 individuals) plus 6
JTF-NCR Command Surgeon staff.
Q21: Technical Exhibit A Page 27 - As this database will incorporate Protected Health Information, will the Army execute a Business Associate Agreement or similar document to allow disclosure of this information?
A21: The terms of any Business Associate Agreement (BAA) as part of a quote will be considered.
Q22: Section 1.4 (d) - Eight (8) medical first aid stations are to be in service for this event. - Please provide specific details as to number of stretchers, expected patient capacity, dimensions of the station, potential bed counts, etc.
A22: Each medical aid station will be established within a 20' x 20' AirBeam / Airframe soft shelter tent provided by JTF-NCR. The tents will come equipped with three 2' x 6' tables, six chairs, diesel generator, and environmental control unit (heater). The medical aid stations are not intended for extended patient holding. The Contractor shall provide 2-3 cots / stretchers.
Q23: Section 1.6.4.4 Page 12 Section 4.5 - Will the Contracting Officer assist in navigating DOD, USSS, and
USCP processes to expedite the required Background Checks / Criminal History Background Check / Child
Care National Agency Check and Inquiries (CNACI)?
A23: The contracting officer will not directly assist with this function. The Contracting Officer
Representative at the JTF-NCR will assist the Contractor in submitting security credential materials for
USSS and USCP. The expectation is the contractor provides timely information for qualified candidates.
The Child Care National Agency Check and Inquiries (CNACI) requirement will be removed from the amended PWS.
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