HomeMy WebLinkAboutResolution - 2001-R0323 - Contract To Develop Lubbock Metropolitan Medical Response System - 08/30/2001Resolution No. 2001—RO323
August 30, 2001
Item No. 35
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Contract between the US
Department of Health and Human Services and the City of Lubbock, for the development
of a Lubbock Metropolitan Medical Response System, and all related documents. Said
Contract is attached hereto and incorporated in this resolution as if fully set forth herein
and shall be included in the minutes of the City Council.
Passed by the City Council this 30th day of August , 2001.
WINDY SIT N, MAY R
ATTEST:
Re ecca Garza
City Secretary
APPROVED AS TO CONTENT:
Ken Plson
Emergency Management Coordinator
APPROVED AS TO FORM:
William de Haas
Contract Manager/Attorney
Dh/Cedoes/Metropol itanMedicalResponseSystem.res
August 15, 2001
r e
Resolution No. 2001-RO323
AWARD / CONTRACT
1. THIS
UNDER O PAS (15CT 1S A CFR 350) RATED ORDER ► RATING PAGE OF PAGES
(X)l SEC. I DESCRIPTION PAGES)
1 38
2. CONTRACT (Prow Inst. !dent.) NO.
3. EFFECTIVE DATE 4. REQUISITION / PURCHASE REQUEST PROJECT NO.
233-01-0049
09/17/01 1 000142
5. ISSUED BY CODE
6. ADMINISTERED BY (if other than Item 5) CODE
DHHS/Program Support Center
X D PACKAGING AND MARKING 14
Administrative Operations Service
X E INSPECTION AND ACCEPTANCE 15
Division of Acquisition Management
Parklawn Building, Room 5-101
SMB NO. �� 90.0i
Rockville, MD 20857
15
X G CONTRACT ADMINISTRATION DATA 18-21
7. NAME AND ADDRESS OF CONTRACTOR (No., street, city, county, State and ZIP Code)
8. DELIVERY
City Of Lubbock
XQ FOB ORIGIN ?/OTHER (See below)
1625 13th Street
Lubbock, TX 79401
9. DISCOUNT FOR PROMPT PAYMENT
17. 0 CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is required
N/A
TIN: 75-6000590 DUNS: 05-8213893
10. SUBMIT INVOICES
ITEM
otherwise identified above and on any continuation sheets for the consideration stated
(4 copies unless other-
wise specified) To THE
See Section
CODE FACILITY CODE
governed by the following documents: (a) this award/contract, (b) the solicitation, R any,
(a) the Government's solicitation and your offer, and (b) this award(contract. No further
and (c) such provisions, representations, certifications, and specifications, as are attached
ADDRESS SHOWN IN:
G.2.(d)
11. SHIP TO/MARK FOR CODE
12. PAYMENT WILL BE MADE BY CODE '
N/A
See Section G.2.(e)
13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN
14. ACCOUNTING AND APPROPRIATION DATA
COMPETITION:
❑ 10 U.S.C. 2304(c) ( ) �] 41 U.S.C. 253(c) ( 02)
7510140 1-1994438 25.22
15A. ITEM NO.
15B. SUPPLIESISERVICES
150. QUANTITY
15D. UNIT
15E. UNIT PRICE
15F. AMOUNT
TITLE: DEVELOPMENT
OF A METROPOLITAN MEDICAL
RESPON
E SYSTEM
TYPE: FIRM
FIXED PRICE
PERIOD OFIPERFORMANCE:
September 17, 2001,
through 1
arch 17,
2003
15G. TOTAL AMOUNT OF CONTRACT 10',1$
400,000
10. t AOL.t Ur- L;VN I tN I'
(X) SEC. I DESCRIPTION PAGE(S)
(X)l SEC. I DESCRIPTION PAGES)
PART I - THE SCHEDULE
PART 11 - CONTRACT CLAUSES
X A SOLICITATION / CONTRACT FORM 1
X I CONTRACT CLAUSES 23-37
X B SUPPLIES OR SERVICES & PRICES / COSTS 2-3
PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH
X C DESCRIPTION / SPECS_ / WORK STATEMENT 4-13 _X1
J I LIST OF ATTACHMENTS 1 38
X D PACKAGING AND MARKING 14
PART IV - REPRESENTATIVES AND INSTRUCTIONS
X E INSPECTION AND ACCEPTANCE 15
K 1 REPRESENTATIVES, CERTIFICATIONS AND
X F DELIVERIES OR PERFORMANCE 1C-17
OTHER STATEMENTS OF OFFERORS
X G CONTRACT ADMINISTRATION DATA 18-21
L INSTRS., CONDS., & NOTICES TO OFFERORS
X H SPECIAL CONTRACT REQUIREMENTS 22
M I EVALUATION FACTORS FOR AWARD
CONTRACTING OFFICER WILL COMPLETE ITEM 17 OR 18 AS APPLICABLE
17. 0 CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is required
18. E] AWARD (Contractor is not required to sign this document.) Your
to sign this document and return 003 copies to issuing office.)
Contractor agrees to famish and deliver all item or perform all the services set forth or
offer on Solicitation Number
otherwise identified above and on any continuation sheets for the consideration stated
including the additions or changes made by you which additions or changes are set fo
in full above, is hereby accepted as to the items elisted above and on arth
any
herein. The rights and obligations of the parties to this contract shall be subject to and
continuation
sheets. This award consummates the contract which consists of the following documents:
governed by the following documents: (a) this award/contract, (b) the solicitation, R any,
(a) the Government's solicitation and your offer, and (b) this award(contract. No further
and (c) such provisions, representations, certifications, and specifications, as are attached
contractual document necessary.
or incorporated by reference herein. Attachments are listed herein
19A. NAME AND TITLE OF SIGNER (Type orprint)
20A. NAME OF CONTRACTING OFFICER
T.TTAr V ATri'MnAT MAA7nT)
Michele Trotter
1 dk3 n - of G HA 19C. DATE SIGNED 2Q6. U D STAT S O, AME C 19C. DAT QIG D
B Aug 30,
(Signal of person authorized to sign) 2001 (Signature of Contracting Officer)
NSN 7540 - 01 -152 - 8069
PREVIOUS EDITION UNUSABLE 26-1017 STANDARD FOR 26 (REV.4-B5)
FAR (4B CFR) S3.214(a)
Geared by. PSC Media Arts Branch (301) 443-.454 fEF
e
ATTEST:
It ecca Garza
City Secretary
APPROVED AS TO CONTENT:
Kef Olson
Emergency Management Coordinator
APPROVED AS TO FORM:
William de Haas
Contract Manager/Attorney
x
233-01-0049
Page 2 of 38
SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS
B.1. CONSIDERATION
Amount - $ 400,000
The Contractor shall be reimbursed upon submission of an
invoice and completion and acceptance by the Project
Officer, of the required deliverable items as indicated
below. Invoices shall be submitted in accordance with the
instructions contained in FAR Clause 52.232-25, Prompt
Payment and Section G of this contract.
PAYMENT SCHEDULE
ITEM IAMOUNT OF PAYMENT
Deliverables 1 and 2 $ 20,000
Meeting with Project Officer
MMRS Development
Deliverables 3 and 4 $ _40,000
Basic MMRS Plan
Component MMRS Plan for
Forward Movement of Patients
Deliverable 5 $ 60,000
Component MMRS Plan
for responding to a chemical
radiological, nuclear, or
explosive WMD event
Deliverable 7 $ 120,000
Component Plan for managing
the health consequences of a
biological WMD
SECTION B
233-01-0049
Page 3 of 38
Deliverables 8, 9, 10, and 11 $ 160,000
Component MMRS Plan for Local
Hospitals and Healthcare Systems
MMRS Training Plan (includes
initial and refresher training
requirements)
MMRS Pharmaceutical and
Equipment Plan
Progress Reports (This should be
a brief monthly status report) and
Final Operational Report .
TOTAL $400,000
233-01-0049
Page 4 of 38
SECTION C - DESCRIPTION/SPECIFICATION/WORK STATEMENT
C.1. TITLE
Development of a Metropolitan Medical Response System (MMRS)
C.2. PURPOSE
The Public Health Service, Department of Health and Human
Services, is charged' with assisting local governments in
Colorado Springs, Baton Rouge, Raleigh, Stockton, Richmond
(VA), Shreveport, Jackson, Mobile, Des Moines, Lincoln,
Madison, Grand Rapids, Yonkers, Hialeah, Montgomery,
Lubbock, Greensboro, Dayton, Huntington Beach, Garland,
Glendale (CA), Columbus (GA), Spokane, Tacoma, and Little
Rock to plan, develop, purchase special pharmaceuticals,
initiate the equipping and identify the training
requirements for a MMRS as the principal resource in
responding to the health and medical consequences of a
nuclear, biological, chemical, radiological, and/or
explosive Weapon of Mass Destruction (WMD). The purpose of
this contract is to provide assistance to the local
government in the development of a MMRS. In each location,
core planning may involve surrounding jurisdictions at the
discretion of the government of the city area identified
above. The city area government shall engage appropriate
state officials in the planning process.
C.3. STATEMENT OF WORK
NOTE 1: No vehicles shall be purchase
contract. Equipment available
Federal programs shall not be
Contract.
d under this
under any other
purchased under this
NOTE 2: The deliverables will be compared to the Statement
of Work (SOW) requirements as articulated in the
attached Evaluation Instrument (Appendix B). This
will ensure each element in the SOW is addressed.
Plans shall be required to be in proper format
(Table of Contents, paginated, have proper
margins, etc). Plans that contain language of an
1 National Defense Authorization Act For Fiscal Year 1997, Title XIV, Defense
Against Weapons of Mass Destruction.
SECTION C
233-01-0049
Page 5 of 38
anticipatory nature (words such as "should" and
"Will") towards another organization shall clearly
show proper coordination/detail. For example, if
a plan indicates that, "The Fire Department should
create Standard Operating Procedures for entry and
exit to a hot zone", the plan would be considered
incomplete. Acceptable language would be, "The
Fire Department has Standing Operation Procedures
for entry and exit to a hot zone" or "The Fire
Department has agreed to provide Standard
Operating Procedures for entry and exit to a hot
zone in 60 days." Plans also need to provide
clear timelines for listed activities and not
include language such as "as soon as possible."
The specific activities to be carried out by the
jurisdictions shall include the tasks listed below:
These tasks shall be done in sequence.
1. Meet with Project Officer to discuss the purpose of
this contract and review key aspects of the accepted
proposal. This meeting is to be held not more than one
(1) month after the award of the contract. The Project
Officer will be identified by separate correspondence.
2. Create a MMRS Development Plan to outline the approach
to the creation of an enhanced ability to deal with a
terrorist use of a weapon of mass destruction (WMD).
The plan shall identify how the Public.Safety, Public
Health, and Health Services sector response to a N/B/C
terrorist incident will be coordinated. This MMRS
Development Plan shall detail the proposed leadership
and membership of the development team, the philosophy
underlying the proposed approach, and a description of
the geographic area that the MMRS will cover. The plan
must also include a roster of the Steering Committee
membership, representing the relevant organizations
that will assist in the planning and development of the
MMRS. Consider the following personnel when forming
the Steering Committee: EMS, EMS Project Medical
Directors, public and private hospital representation,
hospital ER representation from major receiving
hospitals, Local and State Emergency Management, Local
SECTION C 233-01-0049
Page 6 of 38
Emergency Planning Committees (LEPCs), National Guard,
Local and State Public Health departments (infectious
disease representation), Mental Health, 911, Poison
Control Centers, Medical Examiner, local laboratory
representation, Police/FBI (including bomb squad),
American Red Cross, and local Federal agency
representatives (i.e. DoD, VA, DOE, EPA, FEMA) where
available. This development plan shall be completed in
consultation with the Project Officer not more than
three (3) months after contract award.
NOTE 3: A jurisdiction may use its existing plan(s) to
address MMRS SOW issues as illustrated in the
following example: The MMRS contract calls for
cities to address command and control in the Basic
MMRS Plan (Deliverable #3). City X's Emergency
Management Plan already contains details
concerning command and control. If the
jurisdiction chooses to enhance existing plans,
upon submission of the Basic MMRS Plan, it shall
provide a detailed reference to the section in the
city's Emergency Management Plan that covers
command and control. The city's Emergency
Management Plan shall be amended (interim change
page can suffice before a complete rewrite of the
Emergency Management Plan occurs) to reflect that
command and control procedures it contains also
addresses command and control for the MMRS Basic
Plan. Therefore, to meet the Deliverable
requirement, City X would turn in_a Basic MMRS
plan with the appropriate reference(s), the
interim change page(s) for their existing
Emergency Management Plan, and how they plan to
address any SOW requirements NOT addressed in any
of their existing plans.
3. Develop a Basic Metropolitan Medical Response System
(MMRS) Plan for managing the human health consequences
of a terrorist incident involving the use of weapons of
mass destruction (WMD), i.e. a nuclear, radiological,
biological and/or chemical device capable of creating
mass casualties. The MMRS is considered to be an
enhanced local capability based _upon existina First
Responder/EMS, Public Health, Medical/Mental Health
SECTION C 233-01-0049
Page 7 of 38
Services, Law Enforcement, and Emergency Management
systems. The MMRS plan shall interface with the State
plan, and shall be coordinated with other appropriate
political jurisdictions (e.g. county government), with
nearby/neighboring emergency response systems, and with
nearby/neighboring MMRS systems (within approximately
25 miles or those with whom mutual aid is anticipated
to be used). This plan shall identify Federal/State
assets, such as the National Pharmaceutical Stockpile
(NPS) and the National Disaster Medical System's (NDMS)
National Medical Response Teams (NMRT), which are
available for a response. Since the NPS will be
delivered to a centralized point near the jurisdiction,
the Basic MMRS Plan shall integrate with the State's
plan for the requesting, receipt, breakdown,
repackaging and distribution of the NPS to a local
jurisdiction. The MMRS plan shall address the receipt
from the state, transportation, storage, further
breakdown, (if applicable) distribution, and dispensing
of the NPS. The Basic MMRS Plan shall also contain
procedures for the following: command and control;
notification/alert procedures; management of public
affairs; provision of accurate and timely information;
centralized communication control; control of
transportation assets; management/augmentation of
medical personnel; management of medical
supplies/equipment; emergency management of legal
issues and credentialing; emergency management of
patient tracking/record keeping; augmentation of
epidemiological services and support; laboratory
support; crowd control; protection of treatment
facilities/personnel; establishing a schedule for
exercises; assigning responsibility for after -action
reports and addressing report findings; considerations
for treatment of response personnel; and provisions for
the proper examination, care and disposition of
fatalities. Mental health services shall be designed
for the care of emergency workers, victims and their
families as well as others in the community who need
special assistance in coping with the consequences of
this type of event. A completed plan shall be
submitted to the Project Officer not more than seven
(7) months after contract award.
SECTION C
233-01-0049
Page 8 of 38
4. To the extent that local resources are insufficient to
provide the definitive health care required for all of
those directly affected by the attack, the jurisdiction
shall develop a component of the MMRS Plan for Forward
Movement of Patients to other areas of the region or
nation. Consider all available modes of transportation
(vehicular, railroad, aircraft, ship). A critical item
to address is who in the jurisdiction will have the
authority to make the decision to move patients.
Where possible, this plan shall be developed in
coordination with the applicable Federal Coordinating
Center (FCC). The Project Officer will provide
assistance in determining the appropriate FCC the
Jurisdiction shall coordinate with. This plan shall be
accomplished in consultation with the Project Officer
not more than eight (8) months after the award of the
contract. ,
NOTE 4: The Federal mechanism for transportation and care
would be provided by the National Disaster Medical
System (NDMS).
5. .Develop a component of the MMRS Plan for responding to
and managing the health consequences of an incident
resulting from the use of a chemical, radiological,
nuclear, and/or explosive WMD. The MMRS shall address
the following: agent detection/identification; human
extraction; antidote administration; victim
decontamination; triage; primary care prior to their
transportation to a definitive medical.care facility;
emergency medical transportation of the patients;
emergency and inpatient services in hospitals that have
the capacity and capability to provide the definitive
medical care required or to pre -designated off-site
treatment facilities; and management of patients
arriving at hospitals without prior field
treatment/screening or decontamination. A completed
plan shall be submitted to the Project Officer not more
than nine(9) months after contract award.
6. If a clearly identifiable Metropolitan Medical Strike
SECTION C 233-01-0049
Page 9 of 38
Team (MMST) is a component of your MMRS plane, develop
a component of the MMRS Plan for MMST capability that
includes its mission statement, organization,
membership, and concept of operations. Included in
this operational plan shall be provisions for its
activation, deployment, N/B/C agent identification,
extraction of victims from the incident site, antidote
administration, human decontamination, triage and
primary care, and preparation of victims for
transportation to definitive care facilities with
sufficient supplies of appropriate antidotes to assure
adequate treatment. This plan shall be submitted to
the Project Officer no later than.twelve(12) months
after the award of the contract.
7. Develop a component of the MMRS Plan to manage the
health consequences of the release of a biological
weapon of mass destruction. This plan shall be
integrated with existing or planned Local and State
health surveillance plans for bioterrorism and
influenza pandemic planning. This portion of the plan
shall address five general areas. _(1) Early
Recognition: the jurisdiction shall identify, describe,
or develop "early warning indicator(s)" which will be
used to alert local officials of a biological terrorist
event to ensure timely notification and activation of
response plans. This plan shall identify who will
receive notification and who will make the decision to
further implement response plans. (2) Mass
Immunization/Prophylaxis: In this section, the
jurisdiction shall highlight, develop, or augment
existing plans for managing and implementing mass
immunization/prophylaxis. In developing this plan, it
shall be assumed that the Federal government would
assure the availability of vaccines and antibiotics
within 24 hours of notification. Key components of
this plan include a description of the decision making
process to initiate a mass immunization campaign and
2 MMRS cities have used three (3) approaches to address the response
requirements for a chemical terrorist event: 1. Augmentation approach - this
is the development of a separate stand-alone team that is not on -duty (i.e.
the response is from home), 2. Integration approach - this is the provision
of training to enhance the on -duty response capability and capacity, 3.
Combination approach - enhanced on -duty response together with technical
assistance through augmentation
SECTION C 233-01-0049
Page 10 of 38
plans for identifying the affected population. (3)
Mass Patient Care: In this section, the jurisdiction
shall develop or augment existing plans for providing
care for a significant portion of the population. It
shall include plans for the expedient expansion of
existing healthcare system capacity and plans for
taking care of people in excess of either existing or
expanded capacity. If existing plans include alternate
care facilities, secondary assessment centers, or
modular emergency medical system components (acute care
facilities, neighborhood emergency health centers, or
off-site triage/treatment/transport centers), the
jurisdiction shall include its plans for staffing,
equipping, and providing transportation to and from
these facilities. (Relevant documentation is located
at www.mmrs.hhs.gov) (4) Mass Fatality Management: In
this section, the jurisdiction shall develop or augment
existing plans for providing respectful care and
disposition for a large percentage of the population.
It shall include: plans for augmenting existing morgue
facilities and staff; and plans for
decontamination/isolation procedures where appropriate.
(5) Environmental Surety: In this section, the
jurisdiction shall describe or develop a plan for
identifying environmental risk; the need for
decontamination or vector intervention; and a process
for safe re-entry into a suspect area (in consultation
with local, state, and Federal environmental agencies).
The size and robustness of any response to the use of a
biological weapon of mass destruction (WMD) will be
determined by the specific biological agent. As a
result, response planning shall be considered at three
(3) levels: 1. Incidents with up to one hundred (100)
victims, 2. Incidents with one hundred (100) to ten
thousand (10,000) victims, 3. Incidents with more than
ten thousand (10,000) victims.
This component plan shall be submitted to the Project
Officer no later than eighteen (18) months after the
award of the contract.
NOTE 5: A detailed list of Biological Response Plannina
Considerations is included as Appendix A. (This
SECTION C 233-01-0049
Page 11 of 38
list is intended for use as a planning tool. It
is not prescriptive.)
NOTE 6: Biological Agents that should be considered for
SOW #7 are: Anthrax, Botulism, Hemorrhagic Fever,
Plague, Smallpox, and Tularemia
8. Develop a component of the MMRS Plan for the local
hospital and healthcare system. Ensure this component
of the MMRS Plan addresses the following eight general
areas: (1) Plans for notification of hospitals,
clinics, HMOs, etc. that an incident has occurred. (2)
Plans and procedures in place for hospitals, clinics,
and HMOs to protect them from contamination from
environmental or patient sources. (3) Plans for
providing triage and initiation of definitive care at
local healthcare facilities. (4) Plans for adequate
security to support these activities. (5) Availability
of adequate personal protective equipment and
pharmaceuticals for hospital and clinic providers. (6)
Adequate pharmaceuticals and equipment (ventilators)
are available locally, or that plans are in place to
obtain them in a timely manner. (7) Ability of medical
staff to recognize and treat casualties caused by WMD
agents. (8) Treatment protocols are readily available.
These plans shall be presented to the Project Officer
no later than eighteen (18) months after award of the
contract.
NOTE 7: Current Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) standards for
emergency preparedness address an emergency
preparedness management plan (EC.1.6), a security
management plan (EC.1.4), a hazardous
materials/waste management plan (EC.1.5), and
emergency preparedness drills (EC.2.9).
9. Develop a Training Plan for the MMRS that identifies
training requirements for the following MMRS personnel:
first responders, EMTs, paramedics, vehicle drivers,
emergency room personnel, and other hospital personnel
who will be providing care to victims of a WMD
incident. This training plan will include initial and
refresher training requirements. In the event that the
SECTION C 233-01-0049
Page 12 of 38
DOD or DOJ Domestic Preparedness training has been
provided to the jurisdiction, it shall indicate how
that training will be integrated into meeting the
initial training requirements as well as continuing
education and other refresher training needs. (Include
FEMA/DOJ training as well) This plan shall be
presented to the Project Officer no later than eighteen
(18) months after the award of the contract.
NOTE 8: For the training of hospital personnel, it is
important to note that -Presidential Decision
Directive 62 (PDD 62) highlights the VA's role in
the training of medical personnel in NDMS
hospitals.
10. Develop a MMRS Pharmaceutical and Equipment Plan.
Submit a list of pharmaceuticals consistent with the
mission of the MMRS. Pharmaceuticals shall be
sufficient to provide care for at least 1,000 victims
for a chemical incident and for the affected population
for the first 24 hours of response for a biological
incident (It should be assumed that the Federal
government would assure the availability of vaccines
and antibiotics within 24 hours of notification).
Equipment may include personal protective equipment,
detection equipment and decontamination equipment (both
field and hospital). A timetable for procurement of
the above items and a plan for equipment maintenance
and pharmaceutical storage shall accompany this. A
property officer responsible for all property received
and purchased under this contract shall be identified.
Submit a spreadsheet detailing equipment and
pharmaceuticals procured from HHS, DoD, DOJ, and FEMA
programs. This plan shall be presented to the Project
Officer no later than eighteen (18) months after the
award of the contract.
NOTE 9: Equipment purchases under this contract must be
harmonized with equipment received from DoD, DOJ,
and FEMA programs.
NOTE 10: No equipment, pharmaceuticals, or antidotes may be
purchased until the lists have been submitted and
approved by the Project Officer.
SECTION C
233-01-0049
Page 13 of 38
11. Provide monthly progress reports that describe
activities undertaken the previous month and the
progress on the contract deliverables. By the
fifteenth (15th) of each month, these reports shall be
sent to the Project Officer, the Program Support Center
(PSC) Contracting Officer, and to the Office of
Emergency Preparedness. These reports shall describe
successful endeavors and barriers encountered. Any
barrier encountered shall be accompanied with a plan to
resolve the issue. Include all meeting minutes that
relate to MMRS development. A final report.is due at
the end of the eighteen (18) month contract period. It
shall constitute an assessment of response capabilities
(enhanced or created) that now exist as a result of the
MMRS planning effort. It also shall include a
statement that the MMRS has achieved operational
status.
233-01-0049
Page 14 of 38
SECTION D - PACKAGING AND MARKING
D.1. MARKING
All information submitted to the Project Office or the
Contracting Officer shall clearly indicate the number of the
contract and the deliverable for which the information is
being submitted.
233-01-0049
Page 15 of 38
SECTION E - INSPECTION AND ACCEPTANCE
E.I. Inspection and acceptance of all services called for by the
contract shall be made by the PSC Contracting Officer in
conjunction with the Project Officer.
E.2. FAR 52.252-2 .CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporated one or more clauses by reference
with the same force and effect as if they were given in full
text. Upon request, the, Contracting Officer will make their
full text available. Also, the full text of a clause may be
accessed electronically at this/these address(es).
http://www.arnet.gov/far/
(End of clause)
52.246-4 Inspection of Services - Fixed Price (AUG 1996)
233-01-0049
Page 16 of 38
SECTION F - DELIVERIES OR PERFORMANCE
F.I. PERIOD OF PERFORMANCE
The period of performance for this contract shall be
September 17, 2001, through March 17, 2003, unless extended
by modification.
F.2. REPORTING REQUIREMENTS AND DELIVERABLES
The items specified for delivery below are subject to the
review and approval of the Project Officer before final
acceptance. The Contractor shall be required to make
revisions deemed necessary by the Project Officer.
The Contractor shall submit the following items in the
quantities and during the period listed below.
Item
Description
Quantity
Due Date
1
Meeting with Project Officer
2
10/17/01
2
MMRS Development Plan
2*
12/17/01
3
Basic MMRS Plan
2*
04/17/02
4
Component MMRS Plan for Forward Movement of
Patients
2*
05/17/02
5
Component MMRS Plan for responding to a
chemical, radiological, nuclear, or explosive
WMD event
2*
06/17/02
6
Component Plan for a MMST (Optional)
NA
NA
7
Component MMRS Plan for managing the health
consequences of a biological WMD
2*
03/17/03
8
Component MMRS Plan for Local Hospitals and
Healthcare systems
2*
03/17/03
SECTION F
233-01-0049
Page 17 of 38
Item
Description
Quantity
Due Date
9
MMRS Training Plan (Include initial and refresher
2*
03/17/03
training requirements)
10
MMRS Pharmaceutical and Equipment Plan
2*
03/17/03
11
Progress Reports (This should be a brief monthly
3*
15' day of
status report) and Final Report
each month
03/17/03
*Provide electronic versions (disk, CD, or e-mail)
NOTE: All deliverables shall contain the number of the
contract.
One copy of all deliverables shall be furnished to the
Project Officer. The Project Officer will be
designated upon contract award.
One copy of all deliverables shall be furnished to
Commander James Sabatinos, Office of Emergency
Preparedness, USPHS/DHHS, 12300 Twinbrook Parkway,
Suite 360, Rockville, MD 20852. Commander Sabatinos
may be reached by e-mail at: jsabatinos@osophs.dhhs.gov
One copy of all progress reports and the final report
shall be furnished to Michele Trotter, Contracting
Officer, AOS/PSC/DHHS, 5600 Fishers Lane, Room 5-101,
Rockville, MD 20857. Ms. Trotter may be reached by e-
mail at: mtrotter@psc.gov
F.3. FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference
with the same force and effect as if they were given in full
text. Upon request, the Contracting Officer will make their
full text available. Also, the full text of a clause may be
accessed electronically at this/these address(es).
http://www.arnet.gov/far.
(End of clause)
52.242-15 Stop -Work Order (AUG 1989)
233-01-0049
Page 18 of 38
SECTION G - CONTRACT ADMINISTRATION DATA
G.1. COMPENSATION
As consideration for full and faithful performance of work
stated in the schedule, the Government shall pay the
Contractor the firm fixed price as shown in Section B.
Payment will be made in accordance with the schedule
provided in Section B, upon presentation of proper vouchers
and upon receipt and acceptance by the Government of the
services specified in the schedule.
G.2. VOUCHER SUBMISSION
1. In accordance with SECTION I FAR Clause 52.232-25,
Prompt Payment, a proper voucher shall include the
following items:
1. Name and address of the Contractor.
2. Date of voucher.
3. Contract number - 233-01-0049
4. Name and address of Contractor official to whom
payment is to be sent.
5. Name, title, phone number, and mailing address of
person to be notified in the event of a defective
voucher.
In addition to the information required by SECTION I,
FAR Clause 52.232-25, Prompt Payment, the following
information is also required for submission of a proper
voucher.
(a) An identification number shall be assigned to each
voucher.
(b) Signature of an authorized official certifying the
voucher to be correct and proper for payment;
(c) Tax identification number (employer's
SECTION G
233-01-0049
Page 19 of 38
identification number) or social security number.
(d) The Contractor shall submit an original and four
(4) copies of its voucher on a monthly basis to:
(Facsimile copies of vouchers will not be
accepted.)
HHS, Program Support Center
Division of Acquisition Management, AOS
Parklawn Building, Room 5-101
5600 Fishers Lane
Rockville, MD 20857
Contract Number: 233-01-0049
(e) Payment shall be made by:
HHS, Program Support Center
Division of Financial Operations, AOS
Operations Branch
Parklawn Building, Room 16-05
5600 Fishers Lane
Rockville, MD 20857
Telephone Number: (301) 443-3016
G.3. TECHNICAL MONITORING
Performance of the work under this contract shall be subject
to the technical monitoring of the Project Officer. The
term "Technical Monitoring" is defined to include, without
limitation, the following:
a. Technical directions to the Contractor which redirect
the contract effort, shift work emphasis between work
areas or tasks, require pursuit of certain lines of
inquiry, fill in details or otherwise serve to
accomplish contractual statement of work.
b. Providing -information to the Contractor for assistance
in the interpretation of drawings, specifications or
technical portions of the work description.
C. Review and, where required by the contract, approval of
SECTION G 233-01-0049
Page 20 of 38
technical reports, drawings, specifications and
technical information to be delivered by the Contractor
to the Government under the contract.
Technical direction must be within the general statement of
work stated in the contract. The Project Officer does not
have the authority to and may not issue any technical
direction which (i) constitutes an assignment of additional
work outside the general scope of the contract; (ii)
constitutes.a change as defined in the contract clause
entitled "Changes"; (iii) in any manner causes an increase
or decrease in the total estimated contract cost, the fixed
fee or the time required for contract performance; or (iv)
changes any of the expressed terms, conditions, or
specifications or the contract.
All technical directions shall be .issued in writing by the
Project Officer or shall be confirmed by him/her in writing
within five (5) working days after issuance.
The Contractor shall proceed promptly with the performance
of technical directions duly issued by the Project Officer
in the manner prescribed within his/her authority under this
provision.
If, in the opinion of the Contractor any instruction or
direction issued by the Project Officer is within one of the
categories as defined in (i) through (iv) above, the
Contractor shall not proceed but shall notify the
Contracting Officer in writing within five (5) working days
after the receipt of any such instruction or direction and
shall request the Contracting Officer to modify the contract
accordingly. Upon receiving such notification from the
Contractor, the Contracting Officer shall issue an
appropriate contract modification or advise the Contractor
in writing that, in his opinion, the technical direction is
within the scope of this article and does not constitute a
change under the Changes Clause of the contract. The
Contractor shall thereupon proceed immediately with the
direction given. A failure of the parties to agree upon the
nature of the instruction or direction or upon the contract
action to be taken with respect thereto shall be subject to
the provisions of the contract clause entitled "Disputes."
233-01-0049
Page 21 of 38
G.4. PROJECT OFFICER
The Project Officer responsible for the technical
requirements covered by this contract, as contemplated by
Section G.3., "Technical Monitoring" will be designated by
separate correspondence.
233-01-0049
Page 22 of 38
SECTION H - SPECIAL CONTRACT REQUIREMENTS
H.1. ADVANCE NOTIFICATION AND APPROVAL OF SUBCONTRACTORS AND
CONSULTANTS
The Contractor shall provide a list of any activities to be
subcontracted by the Contractor and the proposed
subcontractors. Prior to placing any subcontract, the
Contractor shall receive written approval by letter from the
Contracting Officer.- Also, the Contractor shall provide a
list of any activities that it proposes to use a consultant
to accomplish. Prior to engaging any consultant, the
Contractor shall receive written approval by letter from the
Contracting Officer.
233-01-0049
Page 23 of 38
SECTION I - CONTRACT CLAUSES
I.1. 52.232-25 PROMPT PAYMENT (MAR 2001)
Notwithstanding any other payment clause in this contract,
the Government will make invoice payments and contract
financing payments under the terms and conditions specified
in this clause. Payment shall be considered as being made
on the day a check is dated or the date of an electronic
funds transfer. Definitions of pertinent terms are set
forth in sections 2.101 and 32.902 of the Federal
Acquisition Regulation. All days referred to in this clause
are calendar days, unless otherwise specified. (However, see
subparagraph (a)(4) of this clause concerning payments due
on Saturdays, Sundays, and legal holidays.)
(a) Invoice payments
(1) Due date.
(i) Except as indicated in subparagraph (a)(2) and
paragraph (c) of this clause, the due date for making
invoice payments by the designated payment office shall
be the later of the following two events:
(A) The 30th day after the designated billing
office has received a proper invoice from the
Contractor (except as provided in subdivision
(a) (1) (ii) of this clause) .
(B) The 30th day after Government acceptance of
supplies delivered or services performed by the
Contractor. On a final invoice where the payment
amount is subject to contract settlement actions,
acceptance shall be deemed to have occurred on the
effective date of the contract settlement.
(ii) If the designated billing office fails to annotate
the invoice with the actual date of receipt at the time
of receipt, the invoice payment due date shall be the
30th day after the date of the Contractor's invoice;
provided a proper invoice is received and there is no
disagreement over quantity, quality, or Contractor
compliance with contract requirements.
SECTION I 233-01-0049
Page 24 of 38
(2) Certain food products and other payments.
(i) Due dates on Contractor invoices for meat, meat
food products, or fish; perishable agricultural
commodities; and dairy products, edible fats or oils,
and food products prepared from edible fats or oils are
(A) For meat or meat food products, as defined in
section 2(a)(3) of the Packers and Stockyard Act
of 1921_(7 U.S.C. 182(3)), and as further defined
in Pub. L. 98-181, including any edible fresh or
frozen poultry meat, any perishable poultry meat
food product, fresh eggs, and any perishable egg
product, as close as possible to, but not later
than, the 7th day after product delivery.
(B) For fresh or frozen fish, as defined in
section 204(3) of the Fish and Seafood Promotion
Act of 1986 (16 U.S.C. 4003(3)), as close as
possible to, but not later than, the 7th day after
product delivery.
(C) For perishable agricultural commodities, as
defined in section 1(4) of the Perishable
Agricultural Commodities Act of 1930 (7 U.S.C.
499a(4)), as close as possible to, but not later
than, the 10th day after product delivery, unless
another date is specified in the contract.
(D) For dairy products, as defined in section
111(e) of the Dairy Production Stabilization Act
of 1983 (7 U.S.C. 4502(e)), edible fats or oils,
and food products prepared from edible fats or
oils, as close as possible to, but not later than,
the 10th day after the date on which a proper
invoice has been received. Liquid milk, cheese,
certain processed cheese products, butter, yogurt,
ice cream, mayonnaise, salad dressings, and other
similar products, fall within this classification.
Nothing in the Act limits this classification to
refrigerated products. When questions arise
regarding the proper classification of a specific
product, prevailing industry practices will be
followed in specifying a contract payment due
SECTION I 233-01-0049
Page 25 of 38
date. The burden of proof that a classification of
a specific product is, in fact, prevailing
industry practice is upon the Contractor making
the representation.
(ii) If the contract does not require submission of an
invoice for payment (e.g., periodic lease payments),
the due date will be as specified in the contract.
(3) Contractor's invoice. The Contractor shall prepare and
submit invoices to the designated billing office specified
in the contract. A proper invoice must include the items
listed in subdivisions (a)(3)(i) through (a)(3)(viii) of
this clause. If the invoice does not comply with these
requirements, it shall be returned within 7 days after the
date the designated billing office received the invoice (3
days for meat, meat food products, or fish; 5 days for
perishable agricultural commodities, edible fats or oils,
and food products prepared from edible fats or oils), with a
statement of the reasons why it is not a proper invoice.
Untimely notification will be taken into account in
computing any interest penalty owed the Contractor in the
manner described in subparagraph (a)(5) of this clause.
(i) Name and address of the Contractor.
(ii) Invoice date. (The Contractor is encouraged to
date invoices as close as possible to the date of the
mailing or transmission.)
(iii) Contract number or other authorization for
supplies delivered or services performed (including
order number and contract line item number).
(iv) Description, quantity, unit of measure, unit
price, and extended price of supplies delivered or
services performed.
(v) Shipping and payment terms (e.g., shipment number
and date of shipment, prompt payment discount terms).
Bill of lading number and weight of shipment will be
shown for shipments on Government bills of lading.
(vi) Name and address of Contractor official to whom
SECTION I 233-01-0049
Page 26 of 38
payment is to be sent (must be the same as that in the
contract or in a proper notice of assignment).
(vii) Name (where practicable), title, phone number,
and mailing address of person to be notified in'the
event of a defective invoice.
(viii) Any other information or documentation required
by the contract (such as evidence of shipment).
(ix) While not required, the Contractor is strongly
encouraged to assign an identification number to each
invoice.
(4) Interest penalty. An interest penalty shall be paid
automatically by the designated payment office, without
request from the Contractor, if payment is not made by the
due date and the conditions listed in subdivisions (a)(4)(i)
through (a)(4)(iii) of this clause are met, if applicable.
However, when the due date falls on a Saturday, Sunday, or
legal holiday when Federal Government offices are closed and
Government business is not expected to be conducted, payment
may be made on the following business day without incurring
a late payment interest penalty.
(i) A proper invoice was received by the designated
billing office.
(ii) A receiving report or other Government
documentation authorizing payment was processed, and
there was no disagreement over quantity, quality, or
Contractor compliance with any contract term or
condition.
(iii) In the case of a final invoice for any balance of
funds due the Contractor for supplies delivered or
services performed, the amount was not subject to
further contract settlement actions between the
Government and the Contractor.
(5) Computing penalty amount. The interest penalty shall be
at the rate established by the Secretary of the Treasury
under section 12 of the Contract Disputes Act of 1978 (41
U.S.C. 611) that is in effect on the day after the due date,
SECTION I
233-01-0049
Page 27 of 38
except where the interest penalty is prescribed by other
governmental authority (e.g., tariffs). This rate is
referred to as the "Renegotiation Board Interest Rate," and
it is published in the Federal Register semiannually on or
about January 1 and July 1. The interest penalty shall
accrue daily on the invoice principal payment amount
approved by the Government until the payment date of such
approved principal amount; and will be compounded in 30 -day
increments inclusive from the first day after the due date
through the payment date. That is, interest accrued at the
end of any 30 -day period will be added to the approved
invoice principal payment amount and will be subject to
interest penalties if not paid in the succeeding 30 -day
period. If the designated billing office failed to notify
the Contractor of a defective invoice within the periods
prescribed in subparagraph (a)(3) of this clause, the due
date on the corrected invoice will be adjusted by
subtracting from such date the number of days taken beyond
the prescribed notification of defects period. Any interest
penalty owed the Contractor will be based on this adjusted
due date. Adjustments will be made by the designated
payment office for errors in calculating interest penalties.
(i) For the sole purpose of computing an interest
penalty that might be due the Contractor, Government
acceptance shall be deemed to have occurred
constructively on the 7th day (unless otherwise
specified in this contract) after the Contractor
delivered the supplies or performed the services in
accordance with the terms and conditions of the
contract, unless there is a disagreement over quantity,
quality, or Contractor compliance with a contract
provision. In the event that actual acceptance occurs
within the constructive acceptance period, the
determination of an interest penalty shall be based on
the actual date of acceptance. The constructive
acceptance requirement does not, however, compel
Government officials to accept supplies or services,
perform contract administration functions, or make
payment prior to fulfilling their responsibilities.
(ii) The following periods of time will not be included
in the determination of an interest penalty:
SECTION I
233-01-0049
Page 28 of 38
(A) The period taken to notify the Contractor of defects in
invoices submitted to the Government, but this may not
exceed 7 days (3 days for meat, meat food products, or fish;
5 days for perishable agricultural commodities, dairy
products, edible fats or oils, and food products prepared
from edible fats or oils).
(B) The period between the defects notice and resubmission
of the corrected invoice by the Contractor.
(C) For incorrect electronic funds transfer (EFT)
information, in accordance with the EFT clause of this
contract.
(iii) Interest penalties will not continue to accrue
after the filing of a claim for such penalties under
the clause -at 52.233-1, Disputes, or for more than 1
year. Interest penalties of less than $1 need not be
paid.
(iv) Interest penalties are not required on payment
delays due to disagreement between the Government and
the Contractor over the payment amount or other issues
involving contract compliance or on amounts temporarily
withheld or retained in accordance with the terms of
the contract. Claims involving disputes, and any
interest that may be payable, will be resolved in
accordance with the clause at 52.233-1, Disputes.
(6) Prompt payment discounts. An interest penalty also
shall be paid automatically by the designated payment
office, without request from the Contractor, if a discount
for prompt payment is taken improperly. The interest penalty
will be calculated as described in subparagraph (a)(5) of
this clause on the amount of discount taken for the period
beginning with the first day after the end of the discount
period through the date when the Contractor is paid.
(7) Additional interest penalty. (i) A penalty amount,
calculated in accordance with subdivision (a)(7)(iii) of
this clause, shall be paid in addition to the interest
penalty amount if the Contractor -
(A) Is owed an interest penalty of $1 or more;
SECTION I
233-01-0049
Page 29 of 38
(B) Is not paid the interest penalty within 10
days after the date the invoice amount is paid;
and
(C) Makes a written demand to the designated
payment office for additional penalty payment, in
accordance with subdivision (a)(7)(ii) of this
clause, postmarked not later than 40 days after
the invoice amount is paid.
(ii)(A) Contractors shall support written demands for
additional penalty payments with the following data. No
additional data shall be required. Contractors shall -
(1) Specifically assert that late payment interest
is due under a specific invoice, and request
payment of all overdue late payment interest
penalty and such additional penalty as may be
required;
(2) Attach a copy of the invoice on which the
unpaid late payment interest was due; and
(3) State that payment of the principal has been
received, including the date of receipt.
(B) Demands must be postmarked on or before the 40th
day after payment was made, except that -
(1) If the postmark is illegible or nonexistent,
the demand must have been received and annotated
with the date of receipt by the designated payment
office on or before the 40th day after payment was
made; or
(2) If the postmark is illegible or nonexistent
and the designated payment office fails to make
the required annotation, the demand's validity
will be determined by the date the Contractor has
placed on the demand; provided such date is no
later than the 40th day after payment was made.
(iii)(A) The additional penalty shall be equal to 100
percent of any original late payment interest penalty except
SECTION I
233-01-0049
Page 30 of 38
(1) The additionalpenaltyshall not exceed
$5,000;
(2) The additional penalty shall never be less
than $25; and
(3) No additional penalty is owed if the amount of
the underlying interest penalty is less than $1.
(B) If the interest penalty ceases to accrue in
accordance with the limits stated in subdivision
(a)(5)(iii) of this.clause, the amount of the
additional penalty shall be calculated on the amount of
interest penalty that would have accrued in the absence
of these limits, subject to the overall limits on the
additional penalty specified in subdivision
(a) (7) (iii) (A) of this clause.
(C) For determining the maximum and minimum additional
penalties, the test shall be the interest penalty due
on each separate payment made for each separate
contract. The maximum and minimum additional penalty
shall not be based upon individual invoices unless the
invoices are paid separately. Where payments are
consolidated for disbursing purposes, the maximum and
minimum additional penalty determination shall be made
separately for each contract therein.
(D) The additional penalty does not apply to payments
regulated by other Government regulations (e.g.,
payments under utility contracts subject to tariffs and
regulation).
(b) Contract financing payments
(1) Due dates for recurring financing payments. If
this contract provides for contract financing, requests
for payment shall be submitted to the designated
billing office as specified in this contract or as
directed by the Contracting Officer. Contract
financing payments shall be made on the 30th day after
receipt of a proper contract financing request by the
designated billing office. In the event that an audit
or other review of a specific financing request is
required to ensure compliance with the terms and
conditions of the contract, the designated payment
SECTION I
233-01-0049
Page 31 of 38
office is not compelled to make payment by the due date
specified.
(2) Due dates for other contract financing. For
advance payments, loans, or other arrangements that do
not involve recurring submissions of contract financing
requests, payment shall be made in accordance with the
corresponding contract terms or as directed by the
Contracting Officer.
(3) Interest penalty not applicable. Contract
financing payments shall not be assessed an interest
penalty for payment delays.
(c) Fast payment procedure due dates. If this contract
contains the clause at 52.213-1, Fast Payment Procedure,
payments will be made within 15 days after the date of
receipt of the invoice.
(End of clause)
I.2. 52.232-34 Payment by Electronic Funds Transfer - Other than
Central Contractor Registration (MAY 1999)
(a) Method of payment. (1) All payments by the Government
under this contract shall be made by electronic funds
transfer (EFT) except as provided in paragraph (a)(2) of
this clause. As used in this clause, the term "EFT" refers
to the funds transfer and may also include the payment
information transfer.
(2) In the event the Government is unable to release
one or more payments by EFT, the Contractor agrees to
either -
(i) Accept payment by check or some other mutually
agreeable method of payment; or
(ii) Request the Government to extend payment due
dates until such time as the Government makes
payment by EFT (but see paragraph (d) of this
clause).
(b) Mandatory submission of Contractor's EFT information.
SECTION I
233-01-0049
Page 32 of 38
(1) The Contractor is required to provide the Government
with the information required to make payment by EFT (see
paragraph (j) of this clause). The Contractor shall provide
this information directly to the office designated in this
contract to receive that information (hereafter:
"designated office") by [the Contracting Officer shall
insert date, days after award, days before first request,
the date specified for receipt of offers if the provision at
52.232-38 is utilized, or "concurrent with first request" as
prescribed by the head of the agency; if not prescribed,
insert ".no later than 15 days prior to submission of the
first request for payment"]. If not otherwise specified in
this contract, the payment office is the designated office
for receipt of the Contractor's EFT information. If more
than one designated office is named for the contract, the
Contractor shall provide a separate notice to each office.
In the event that the EFT information changes, the
Contractor shall be responsible for providing the updated
information to the designated office(s).
(2) If the Contractor provides EFT information
applicable to multiple contracts, the Contractor shall
specifically state the applicability of this EFT
information in terms acceptable to the designated
office. However, EFT information supplied to a
designated office shall be applicable only to contracts
that identify that designated office as the office to
receive EFT information for that contract.
(c) Mechanisms for EFT payment. The Government may make
payment by EFT through either the Automated Clearing House
(ACH) network, subject to the rules of the National
Automated Clearing House Association, or the Fedwire
Transfer System. The rules governing Federal payments
through the ACH are contained in 31 CFR part 210.
(d) Suspension of payment. (1) The Government is not
required to make any payment under this contract until
after receipt, by the designated office, of the correct EFT
payment information from the Contractor. Until receipt of
the correct EFT information, any invoice or contract
financing request shall be deemed not to be a proper
invoice for the purpose of prompt payment under this
contract. The prompt payment terms of the contract regarding
SECTION I
233-01-0049
Page 33 of 38
notice of an improper invoice and delays in accrual of
interest penalties apply.
(2) If the EFT information changes after submission.of
correct EFT information, the Government shall begin
using the changed EFT information no later than 30 days
after its receipt by the designated office to the
extent payment is made by EFT. However, the Contractor
may request that no further payments be made until the
updated EFT information is implemented by the payment
office. If such suspension would result in a late
payment under the prompt payment terms of this
contract, the Contractor's request for suspension shall
extend the due date for payment by the number of days
of the suspension.
(e) Liability for uncompleted or erroneous transfers. (1) If
an uncompleted or erroneous transfer occurs because the
Government used the Contractor's EFT information
incorrectly, the Government remains responsible for -
(i) Making a correct payment;
(ii) Paying any prompt payment penalty due; and
(iii) Recovering any erroneously directed funds.
(2) If an uncompleted or erroneous transfer occurs
because the Contractor's EFT information was incorrect,
or was revised within 30 days of Government release of
the EFT payment transaction instruction to the Federal
Reserve System, and -
(i) If the funds are no longer under the control
of the payment office, the Government is deemed to
have made payment and the Contractor is
responsible for recovery of any erroneously
directed funds; or
(ii) If the funds remain under the control of the
payment office, the Government shall not make
payment and the provisions of paragraph (d) shall
apply.
(f) EFT and prompt payment. A payment shall be deemed to
have been made in a timely manner in accordance with the
SECTION I
233-01-0049
Page 34 of 38
prompt payment terms of this contract if, in the EFT payment
transaction instruction released to the Federal Reserve
System, the date specified for settlement of the payment is
on or before the prompt payment due date, provided the
specified payment date is a valid date under the rules of
the Federal Reserve System.
(g) EFT and assignment of claims. If the Contractor assigns
the proceeds of this contract as provided for in the
assignment of claims terms of this contract, the Contractor
shall require as a condition of.any such assignment, that
the assignee shall provide the EFT information required by
paragraph (j) of this clause to the designated office, and
shall be paid by EFT in accordance with the terms of this
clause. In all respects, the requirements of this clause.
shall apply to the assignee as if it were the Contractor.
EFT information -that shows the ultimate recipient of the
transfer to be other than the Contractor, in the absence of
a proper assignment of claims acceptable to the Government,
is incorrect EFT information within the meaning of paragraph
(d) of this clause.
(h) Liability for change of EFT information by financial
agent. The Government is not liable for errors resulting
.from changes to EFT information provided by the Contractor's
financial agent.
(i) Payment information. The payment or disbursing office
shall forward to the Contractor available payment
information that is suitable for transmission as of the
date of release of the EFT instruction to the Federal
Reserve System. The Government may request the Contractor to
designate a desired format and method(s) for delivery of
payment information from a list of formats and methods the
payment office is capable of executing. However, the
Government does not guarantee that any particular format or
method of delivery is available at any particular payment
office and retains the latitude to use the format and
delivery method most convenient to the Government. If the
Government makes payment by check in accordance with
paragraph (a) of this clause, the Government shall mail the
payment information to the remittance address in the
contract.
SECTION I
233-01-0049
Page 35 of 38
(j) EFT information. The Contractor shall provide the
following information to the designated office. The
Contractor may supply this data for this or multiple
contracts (see paragraph (b) of this clause). The Contractor
shall designate a single financial agent per contract
capable of receiving and processing the EFT information
using the EFT methods described in paragraph (c) of this
clause.
(1) The. contract number (or other procurement
identification number).
(2) The Contractor's name and remittance address, as
stated in the contract(s).
(3) The signature (manual or electronic, as
appropriate), title, and telephone number of the
Contractor official authorized to provide this
information.
(4) The name, address, and 9 -digit Routing Transit
Number of the Contractor's financial agent.
(5) The Contractor's account number and the type of
account (checking, saving, or lockbox).
(6) If applicable, the Fedwire Transfer System
telegraphic abbreviation of the Contractor's financial
agent.
(7) If applicable, the Contractor shall also provide
the name, address, telegraphic abbreviation, and 9 -
digit Routing Transit Number of the correspondent
financial institution receiving the wire transfer
payment if the Contractor's financial agent is not
directly on-line to the Fedwire Transfer System; and,
therefore, not the receiver of the wire transfer
payment.
(End of clause)
I.3. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference,
SECTION I
233-01-0049
Page 36 of 38
with the same force and effect as if they were given in full
text. Upon request, the Contracting Officer will make their
full text available. Also, the full text of a clause may be
accessed electronically at this/these address(es):
http://www.arnet.gov/far/
(End of clause)
a. Federal Acquisition Regulation (FAR) (48 CFR Chapter 1)
Clauses
FAR
Clause No. Title and Date
52.202-1
Definitions
MAR
2001
52.203-3
Gratuities
APR
1984
52.203-5
Covenant Against Contingent
APR
1984
Fees
52.203-6
Restrictions on Subcontractor
JUL
1995
Sales to the Government
52.203-7
Anti -Kickback Procedures
JUL
1995
52.203-8
Cancellation, Rescission, and
JAN
1997
Recovery of Funds for Illegal
or Improper Activity
52.203-10
Price or Fee Adjustment for
JAN
1997
Illegal or Improper Activity
52.203-12
Limitation on Payments to Influence
JUN
1997
Certain Federal Transactions
52.204-4
Printing/Copying Double -Sided on
AUG
2000
Recycled Paper
52.209-6
Protecting the Government's
JAN
2001
Interest When Subcontracting with
Contractors, Debarred, Suspended,
or Proposed for Debarment
52.215-2
Audit and Records -Negotiation
JUN
1999
52.215-14
Integrity of Unit Prices
OCT
1997
Alternate I
OCT
1997
52.219-8
Utilization of Small Business Concerns
OCT
2000
52.222-3
Convict Labor
AUG
1996
52.222-26
Equal Opportunity
FEB
1999
52.222-35
Affirmative Action for Disabled
APR
1998
Veterans and Veterans of the
Vietnam Era
52.222-36
Affirmative Action for Workers with
JUN
1998
Disabilities
52.222-37
Employment Reports on Disabled
JAN
1991
Veterans and Veterans of the
Vietnam Era
SECTION I
233-01-0049
Page 37 of 38
FAR
Clause No. Title and Date
52.223-6
Drug -Free Workplace
MAR
2001
52.225-13
Restrictions on Certain Foreign
JUL
2000
Purchases
52.227-1
Authorization and Consent.
JUL
1995
52.227-2
Notice and Assistance
AUG
1996
Regarding Patent and Copyright
352-270-4
Infringement
APR
1984
52.229-4
Federal, State, and Local Taxes
JAN
1991
352-270-7
(Noncompetitive Contract)
APR
1984
52.229-5
Taxes -Contracts Performed in
APR
1984
U.S. Possessions or Puerto Rico
52.232-1
Payments
APR
1984
52.232-8
Discounts for Prompt Payment
MAY
1997
52.232-11
Extras
APR
1984
52.232-17
Interest
JUN
1996
52.232-23
Assignments of Claims
JAN
1986
52.233-1
Disputes
DEC
1998
52.233-3
Protest After Award
AUG
1996
52.242-13
Bankruptcy
JUL
1995
52.243-1
Changes - Fixed Price
AUG
1987
Alternate I
APR
1984
52.244-5
Competition in Subcontracting
DEC
1996
52.246-25
Limitation of Liability
FEB
1997
Services
52.249-4
Termination for Convenience
APR
1984
of the Government (Services)
(Short Form)
52.249-8
Default (Fixed Price
APR
1984
Supply and Service)
b. Department of Health and Human Services Acquisition Regulation (HHSAR)
(48 CFR Chapter 3) Clauses
HHSAR
Clause No. Title and Date
352.202-1
Definitions
JAN
1997
352.232-9
Withholding of Contract
APR
1984
Payments
352.270-1
Accessibility of Meetings,
JAN
1997
Conferences, and Seminars to
Persons with Disabilities
352-270-4
Pricing of Adjustments
APR
1984
352-270-6
Publications and Publicity
JUL
1991
352-270-7
Paperwork Reduction Act
APR
1984
233-01-0049
Page 38 of 38
SECTION J - LIST OF ATTACHMENTS
1. Appendix A - Biological Response Planning Considerations
(Pages 1-4)
2. Appendix B - 2001 MMRS Contract Deliverable Evaluation
Instrument (Pages 1-15)
APPENDIX A
APPENDIX A - Biological Response Planning Considerations
(This is a planning tool only — it is not meant to be prescriptive in any way.)
Planning parameters for managing the consequences of the release of a biological weapon of mass
destruction may include a variety of factors at the local, state, and national levels. These are provided
below in four categories - general considerations, mass prophylaxis, mass patient. care, and mass fatality
management.
1.0_ General Planning Considerations
I.I. Command and control.
I.I.1. Utilizing the incident command system.
1.1.2. Utilizing the unified command system.
1.2. Management of Public Affairs.
1.2-1. Identifying a single media point -of -contact -
1.2.2. An information center that will include all department and agency.
Media representatives.
1.2.3. Pre -scripted messages. Consider multi-lingual needs.
1.2.4. Emergency and regular briefing sessions.
1.3. Provision of mental health services.
1.3.1. Mental health services for emergency workers and their. families.
1.3.2. Mental health services for victims and their families.
1.3.3_ Mental health services for others in the community who may be affected.
1.4. Centra -sized patient administration.
1.4.1. Matching patients with medical treatment facilities.
1.4.2. Patient tracking -
1S. Notification of other local, state, and .federal agencies. This may be required because personnel in
the attacked area may have left before symptoms appeared and a BW attack was identified_
I.6. Coordinating and requesting transport of patients.
1.6.1. Patient decontamination prior to transport -
Transport to casualty collection point versus directly to medical treatment facility.
1.6.3. Record keeping.
1.7. Transport of medical personnel and supplies.
1.7.1. Casualty collection points versus medical treatment facilities.
1.7.2. Central cache versus disperse caches.
1.7.3. Includes consideration of emergency responder health and safety. Considerations for
housing, feeding, and clothing emergency workers.
1.8. Centralized control of medical logistics and equipment.
1.8.1. Record keeping. (important for later reimbursement)
1.9. Centralized communications control.
1.10. Centralized control of veterinary support for animal care (wild, domestic and commercial).
1.11. Centralized control of transportation assets.
1.11.1. Consider use of non-traditional (alternate) means of emergency transportation, such as
using public transportation for patient movement.
I.11.2. Consider establishing routine routes versus "on demand" transportation thus assisting in
coordinating patient movement.
1.12. Centralized control of legal issues, claims, insurance, etc. versus having each medical treatment
facility address legal issues.
1.12.1. Disseminating information to public, including where, and when.
1.13. Centralized epidemiological services and support. Includes providing a mechanism for other
local, state and national agencies to report disease incidence rates to the central epidemiology
center.
1.14. Centralized family support plan for medical providers.
1.15. Centralized next of kin notification procedures to assist in keeping medical treatment facility
communications open.
1.15.1. Disseminating information to public, i.e. where, when.
1.16. Centralized method of coordinating with other federal, state and local agencies.
1.16.1. Consider issue of space.
1.16.2. identification of points -of -contact.
1.16.3. Procedures for requesting and integrating medical assets brought in to assist in treating
patients.
1.16.4. Identify who can make requests.
1.17. BW incident alert procedures and sequences, that describe at what point will medical facilities b, -
alerted and how will they be alerted.
1.17.1. Identify point at which outside agencies will be called for help, and who makes the
decision.
1.18. Credeptialing issues that will allow non -local physicians and other care providers to legally
practice.
I . 18. 1. Record keeping.
1.19. Developing and maintaining a current list of capabilities and support requirements for outside
teams that may be brought in to assist in casualty treatment
1.19.1. Frequency of updates and revisions.
I.192. Dissemination of information.
I.20. Exercising the local response system.
.1.20.1. Frequency of table -top exercises.
1.20.2. Frequency of full -field exercises.
1.20.3. After -action reports and addressing their findings.
1.21. Food/water inspection and decontamination
1.22. Integration of military assets.
1.23. Zoonotic disease issues.
2.0. Planning Considerations for Mass Prophylaxis
2.i. Identification of target populations to be immunized (agent dependent).
2.1.1. Pediatric concerns.
2.1.2. Geriatric concerns.
2.1.3. Concerns for immuno -suppressed patients. -
,2. 1
atie-nts.-
,2.1 A. All persons versus contacts only.
2.2. Personnel requirements.
2.2.1. Use of auxiliary personnel (who may be trained on the spot but will require close
professional supervision).
2.2.2. Includes numbers of personnel required by category (physician, nurse, ETM).
2.2.3. Located centrally or disperse.
2.2.4. Welfare and safety of emergency workers.
2.2.4.1. Addresses requirements for personnel protective equipment and in€ection control
measures for workers.
2.3. Ensuring community participation.
2.3.1. Public announcements directed to the public and to the media.
2.3.2. Development of public information which includes all standard warnings for vaccines
and a discussion of the adverse reactions possible.
2.4. Injection equipment: syringes, injectors, bifurcated needles.
2:4.1 Policies and procedures for the use of injection equipment.
2.4.2 Policies and procedures for the management of biological waste.
2.5. The choice of vaccine: Different preparations may be available, and the choice will be determined
by cost, mode of delivery (oral, bifurcated needle, subcutaneous) and thermostability.
- 2.5.1. Policies and procedures for handling, storage, distribution, delivery to patient.
2.6. Availability of vaccines and other drugs. Drugs and BW vaccines are not generally available.
2.6.1. Sourcing vaccines and pharmaceuticals.
2.6.2. Obtaining vaccines and pharmaceuticals from government sources.
2.6.3. Obtaining vaccines and pharmaceuticals from private industry.
2.7. Policies and procedures for use of vaccines in an Investigational New Drug (IND) status. Sever
real
of the BW vaccines are M. Includes procedures for ensuring the IND process is in place as
required.
2.8. Procedures to ensure that all storage, transportation, and handling requirements for drugs and
vaccines are met_
2.8.1. Record keeping.
2.9. Development of standard distribution systems which ensure that all of the standard practices for
administering these vaccines are met or approved emergency procedures are developed.
2.9.1. Centralized or dispersed stock.
2.92. Maintenance and rotation/replacement of shelf -life items.
2.9.3. Accessing stock.if caches are maintained at the state or regional level.
2.10. Gaining access to the target population.
2.10.1 The use of fixed centers and their location.
2.10.2 Door-to-door distribution.
2.10.3 -Combining both methods.
2.11. Definition of priority zones.
2.11.1. Begin immunization starting at -the center of the epidemic focus and proceeding outwards
to the peripheiy or vice versa.
2.11.2. Consider whether populations of nearby cities also need to be immunized.
2.12. Establishing a time schedule for completing the- immunization campaign. logistics should be
planned to complete immunization as rapidly as possible. 24 hours/day vice ghours/day
2.13. Record keeping.
_.13.1. Positive controls of who are authorized to receive the treatment/vaccines-
2-13.2. Positive controls for tracking/documenting who received the treatments will assist in
ensuring that the treatment regiment is completed.
2.13.3. Methods for tracking adverse reactif)ns.
2.13.4. Tracking and documenting the effectiveness of the treatment/vaccine, especially for off
label use.
2.14. Evaluating the efficacy of immunization: percentage coverage, frequency of conversion, and
antibody titers in samples of the population before and after immunization.
3.0. Plarining Considerations for Mass Patient Care
3.1. Personnel requirements
3.1.1. In-hospital providers and first responders.
• 3.1.2. Adequate staffing to provide mass care.
3.1.3. Address need for specialties.
3.1.4. Address responsibility for disease management (infectious disease specialist).
3.1.5. Augmentation of personnel (NDMS).
3.1.6. Adequate staffing to maintain normal medical functions such as labor and delivery,
elective procedures, injuries, etc.
3.1.7. Address medical personnel fleeing from or flooding into medical treatment facilities..
3.1.8. The loss of health care providers due to exposure to the BW agent either initially during
the attack or subsequently.
3.2. Treatment.
3.2.1. Ensure medical staff can recognize and treat BW casualties.
3.2.2. Availability of treatment protocols for all practitioners. Treatment protocols for BW
agents, and for BW agents in combination with other illnesses and injuries.
3.2.3. Adequate staffing.
3.2.4. Staff augmentation (NDMS).
3.2.5. Record keeping.
3.2.6. Unique BW triage requirements that have been reviewed, approved and will withstand
legal assault.
32 .7. The utilization of non-standard and perhaps unapproved diagnostic and treatment
procedures for BW agents. For example, some treatment regimens are only approved for
adults.
3.2.8. The use of telemedicine for consultation.
3.3. Facilities_
3.3.1. Maximal utilization of existing health care facilities.
3.3.2.. Consideration of the use of long-term beds for acute care delivery.
3.3.3. Temporary augmentation.
3.3.3.1. Consider the use of warehouses/schools.
3.3.3.2. Consider the use of neighborhood treatment centers versus centralized
treatment centers.
3.3.3.3. Deployment of NDMS/DOD mets such as field hospitals.
3.3.3.4. Importation of civilian assets.
3.3.4. The forward movement of patients to other locales for care (NDMS).
3.3.5. The availability of isolation beds.
3.3.6. Intra and inter hospital communications.
3.3.7. Ensure adequate monitoring of the food, air and water for medical treatment facilities.
3.4. Providing security for medical treatment facilities and medical personnel, crowd control,
preventing a rush of personnel wanting treatment and vacciriations.
3.5. Medical treatment facilities decontamination capabilities and requirements for mass
decontamination.
3.6. infection control issues: role of environmental contamination/deeon, infection control (isolation,
quarantine; NEPA masks).
3.7. Admission procedures for BW patients.
3.8. Standardized method to report bed requirements.
3.8.1. Expansion capabilities of medical treatment facilities and other non-medical facilities.
(e.g. schools, armories, convention centers, etc.).
3.9. medical treatment of response personnel..
3.10. Family support for the families of medical personnel in the area or sent in to assist in the .espouse.
3.11. Provision of stress control for staff and psychological counseling for patients, families, and
hospital staff.
.3.12. Medical care of the worried well.
3.1.2.1. Provision of psychological counseling for worried well.
3.13. Special quarantine procedures for immuno -compromised patients and personnel.
3.14. Medical care equipment and pharmaceutical needs: includes pharmaceuticals, ventilators,
infection control equipment such as gloves, gowns; and masks.
4.t). Planning- Considerations for Mass Fatality Mana ement.
4.1. Maximal use of existing facilities.
4.1.1. Use of non-traditional facilities to augment existing facilitie.s,'i.e.,
cold storage, reefers: etc.
42. Requesting deployment of NDMS/DOD assets (portable morgue facilities and personnel to
augment local capability).
4.3. Identification of deceased, and plan to augment with NDMS..WD assets.
4.4. DecontaminationlIsolation procedures available to terminal care providers.
4.5. Plans for engaging the religious community.
4.6. • Plans for record keeping.
APPENDIX B-
Metropolitan Medical
Response System (MMRS
2001. MMR S
Contract Deliverable
Evaluation Instrument
Jurisdiction Evaluated:
2001 MMRS Contract Deliverable Evaluation Instrument page 1 of 15
Evaluator Date
01' Deliverable #1: Meeting with Project Officer. (The Julrsdiction's Public Health Service Regional
Emergency Coordinator)
Contract Reference: (2001 Statement of Work 41)
Meet with Project Officer to discuss the purpose of this contract and review key aspects of the accepted
proposal_ This meeting is to be held not more than one (1) month after the award of the contract.
The Project Officer will be identified by separate correspondence. (2001 Statement of Work #1)
Indicators of Fulfillment:
01.01 ❑ Did the contracted jurisdiction meet with the project officer to discuss the purpose of the contract
and review key aspects of the accepted proposal within one (1) month of the award of the
contract?
01.02 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument Page 2 of 15
Evaluator Date
02 Deliverable #2: MMRS Development Plan.
Contract Reference: (2001 Statement of Work #2)
Create a MMRS Development Pian to outline the approach to the creation of an enhanced ability to deal
with a terrorist use of a weapon of mass destruction (WMD). The pian shall identify how the Public Sa
Public Health, and Health Services sector response to a N/B/C terrorist incident will be coordinatfety,
ed. This
MMRS Development Plan should detail the proposed leadership and membership of the development
team and the philosophy underlying the proposed approach, along with a description of the geographic
area that the MMRS wip cover. The plan must also include a roster of the Steering Committee
membership, representing the relevant organizations that will assist in the planning and development of
the MMRS. Consider the following personnel when forming the Steering.Committee: EMS, EMS Project
Medical Directors, public and private hospital representation, hospital ER representation from major
receiving hospitals, Local and State Emergency Management, Local Emergency Planning Committees
(LEPCs), National Guard, Local and State Public Health departments (infectious disease representation),
Mental Health, 911, Poison Control Centers, Medical Examiner, local laboratory representation,
Police/FBI (including bomb squad), American Red Cross, and local federal agency representatives (i.e.
DoD, VA, DOE, EPA, FEMA) where available. This development plan shall be completed in consultation
with the Project Officer not more than three (3) months after contract award. (2001 Statement of Work
#2)
Indicators of Fulfillment:
D2.0.1 ❑ Does the plan indicate that the MMRS represents an enhanced ability to deal with a terrorist use
of a WMD?
02.02 ❑ 'Does the plan identify how the Public Safety, Public Health, and Health Services sector response
to a N/B/C terrorist incident will be coordinated?
02.03 ❑ Does the plan. detail the proposed leadership and membership of the development team?
02.04 ❑ Does the plan detail the philosophy underlying the proposed approach?
02.05 ❑ Does the plan contain a description of the geographic area that the MMRS will cover?
02.07
02.08
02.09
❑ Does the plan include a roster of the Steering Committee membership, representing the relevant
organizations that will assist in the planning and development of the MMRS?
❑ is the steering committee membership inclusive of a broad base of emergency response
disciplines? e.g. EMS, EMS Project Medical Directors, public and private hospital representation,
hospital ER representation from major receiving hospitals, Local and State Emergency
Management, Local Emergency Planning Committees (LEPCs), National Guard, Local and State
Public Health departments (infectious disease representation), Mental Health, 911, Poison
Control Centers, Medical Examiner, local laboratory representation, Police/FBI (including bomb
squad), American Red Cross, and local federal agency representatives (i.e. DoD, VA, DOE, EPA,
FEMA) where available.
❑ Has the MMRS development plan been completed in consultation with the Project Officer not
more than three (3) months after contract award?
Notes:
2001 MMRS Contract Deliverable Evaluation Instrument Page 3 of 15
Evaluator Date
03 Deliverable #3: Basic MMRS Plan.
Contract Reference: (2001 Statement of Work #3)
Develop a Basic Metropolitan Medical Response System (MMRS) Plan for managing the human health
consequences of a terrorist incident involving the use of weapons of mass destruction (WMD), i.e. a
nuclear, radiological, is considered to be an enhanced local cani;N ical aindfor it hn� capable o+ creating mass casualties. The---MMRS
The
MMRS plan shall interface with the State plan, and shall be coordinated with other appropriate political
jurisdictions (e.g. county government), with nearby/neighboring emergency response systems, and with
nearby/neighboring MMRS systems (within approximately 25 miles or those with whom mutual aid is
anticipated to be used). This pian shall identify Federal/State assets, such as the National
Pharmaceutical Stockpile (NPS) and the National Disaster Medical System's (NDMS) National Medical
Response Teams (NMRT), which are available for a response. Since the NPS will be delivered to a
centralized point near the jurisdiction, the Basic MMRS Plan shall integrate with the State's plan for the .
requesting, receipt, breakdown, repackaging and distribution of the NPS to a local jurisdiction. The
MMRS plan shall address the receipt from the state, transportation, storage, further breakdown, (if
applicable) distribution, and dispensing ofAhe NPS. The Basic MMRS Pian shall also contain procedures
for the following: command and control; notification/alert procedures; management
provision of accurate and timely information; centralized communication control;control of transportation
assets; management/augmentation of medical personnel; management of medical supplies/equipment;
emergency management of legal issues and credentiaiing; emergency management of patient
rackingtrecord keeping; augmentation of. epidemiological services and support; laboratory support; crowd
control; protection of treatment facilities/personnel; establishing a schedule for exercises; assigning
responsibility for after -action reports and addressing report findings; considerations for treatment of
response personnel; and provisions for the proper examination,. care and disposition of fatalities. Mental
health services shall be designed for the care of emergency workers, victims and their families as well as
others in the community who need special assistance in coping with the consequences of this type of
event. A completed plan shall be submitted to the Project Officer not more than seven (7) months after
contract award. (2001 Statement of Work #3)
Indicators of Fulfillment:
03.01 ❑ Does the Basic MMRS Plan detail managing the human health consequences of a terrorist
incident involving the use of a Weapons of Mass Destruction?
03.02 ❑ Does the plan identify that the MMRS is considered an enhanced local capability based upon
existing First Responder/EMS, Public Health, Medical/Mental Health Services, Law Enforcement,
and Emergency Management systems?
03.03 ❑ Does the plan interface with the State plan?
03.04 ❑ Has the plan been coordinated with other appropriate political jurisdictions, noarby/neighboring
emergency response systems, and with nearby/neighboring MMRS systems? (within
approximately 25 miles or those with whom mutual aid is anticipated to be used)
03.05 ❑ Does the plan identify Federal/State assets which are available for a response, such as the
National Pharmaceutical Stockpile (NPS) and the National Disaster Medical System's (NDMS)
National Medical Response Teams (NMRT)?
03.06 ❑ Does the plan address the receipt (NPS) from the state, transportation, storage, breakdown,
distribution, and dispensing of the NPS (since the NPS will be delivered to a centralized point
near the jurisdiction)?
03.07 ❑ Does the plan contain command and control procedures?
2001 MMRS Contract Deliverable Evaluation Instrument page 4 of 15
03.08
❑
Does the plan contain notification and alert procedures?
03.09
❑
Does the plan detail the management of public affairs?
03.10
❑
Does the plan contain procedures for the provision of accurate and timely information?
03.11
❑
Does the plan contain procedures for centralized communications control?
03.12
❑
Does the plan contain procedures for control of transportation assets?
03.13
❑
Does the plan contain procedures for managemenvaugmentation of medical personnel?
03.14
❑
Does the plan contain procedures for management of medical supplies andui
eq pment? .
03.15
❑
Does the -plan contain procedures for emergency management of legal issues and credentialing?
.03.16
❑
Does the plan contain procedures for emer gency management of patient traddng/record
keeping? .
. 03.17
❑
Does the plan contain procedures for augmentation of epidemiological services and support?
03.18
❑
Does the plan contain procedures for laboratory support?
03.19
❑
Does the. plan contain procedures for crowd control?
03.20
..E]
Does the plan contain procedures for protection of treatment facilities and personnel?
-0321
❑
Does the plan establish a schedule for exercises?
03.22
❑
Does the plan assign responsibility for after -action reports and addressing report findings?
03.23
❑
Does the plan contain procedures for treatment of response po personnel?
0324
❑
Does the plan contain procedures for the proper examination, care, and disposition of fatalities?
03.25
❑
Does the plan designate mental health services to care for emergency workers, victims and their
families, and others in the community who need special assistance in coping with the
consequences of a WMD event?
0326
❑
Has a Basic MMRS plan been submitted to the Project Officer not more than
seven (7) months
after contract award?
03.27
Notes:
2001 MMRS Contract Deliverable Evaluation Instrument Page 5 or 15
Evaluator Date
04 Deliverable #4: Component MMRS Plan for Forward Movement of Patients
Contract Reference: (2001 Statement of Work #4)
To the extent that local resources are insufficient to provide the definitive health care required for all of
those directly affected by the attack, the jurisdiction shall develop a component of the MMRS Plan for
Forward Movement of Patients to other areas of the region or nation. Consider all available modes of
transportation (vehicular, railroad, aircraft, ship). A critical item to address is who in the jurisdiction will
have the authority to make the decision to move patients. Where possible, this plan shall be developed in
coordination with the applicable Federal Coordinating Center (FCC). The Project Officer'4ll provide
assistance in determining the appropriate FCC the jurisdiction shall coordinate with. This plan shall be
accomplished in consultation with the Project Officer not more than eight (8) months after the award of
the contract. (2001 Statement of Work #4)
NOTE 4: The Federal mechanism for transportation and care would be provided by the National
Disaster Medical System.
Indicators of Fulfillment:
04.01 ❑
Does the Component MMRS Plan detail the jurisdiction's procedures for the Forward Movement
of Patients to other areas of the regioMnation, when local resources are insufficient to provide
definitive health care?
X4.02 ❑
Does.the Component MMRS Plan address all available modes of transportation (vehicular,
railroad, aircraft; ship) for the Forward Movement of Patients?
04.03 ❑
Does the Component MMRS Plan identify who in the jurisdiction has the authority to make the
decision to move patients?
04.04 ❑
Does the Component MMRS Pian indicate that the federal mechanism for transportation and
care would be provided by the National Disaster Medical System?
04.05 ❑
Does the Component MMRS Plan indicate coordination with thea appropriate opriate Federal Coordinating
Center (FCC), if applicable?
04.06 ❑
Has the Component MMRS Plan for Forward Movement of Patients utilizing the National Disaster
Medical System been completed in consultation with the Project Officer not more than eight (8)
.
months after the award of the contract?
04.07
Notes:
2001 MMRS Contract Deliverable Evaluation Instrument Page 6 of 15
Evaluator Date
t
05 Deliverable #5: Component MMRS Pian for responding to a chemical, radiological, nuclear, or
explosive WMD event.
Contract Reference: (2001 Statement of Work ##5)
Develop a component of the MMRS Plan for responding to and managing the health consequences of an
incident resulting from the use of a chemical; radiological, nuclear, and/or explosive WMD. The MMRS
shalt address the following: agent detection/ identification; human extraction; antidote administration;
victim decontamination; triage; primary care prior to their transportation to a definitive medical care facility;
emergency medical transportation of the patients; emergency and inpatient services in hospitals that have
the capacity and capability to provide the definitive medical care required or to pre -designated off-site
treatment facilities; and management of patients arriving at hospitals without prior field
treatment/screening or decontamination. A completed plan shall be submitted to the Project Officer not
more than nine (9) months after contract award. (2001 Statement of Work #5)
Indicators of -Fulfillment:
05.01 ❑
Does the Component MMRS Plan identify procedures for responding to and managing the health
consequences of an incident resulting from the use of a chemical, radiological, nuclear, and/or
explosive WMD?
05.02 ❑
.Does the Component MMRS Plari include detailed procedures for agent detection/identification?
05.03 ❑
Does the Component. MMRS Plan include detailed procedures for human extraction?
05.04 ❑
Does the Component MMRS Plan include detailed procedures for antidote administration?
05.05. ❑
Does the Component MMRS Plan include detailed procedures for victim decontamination?
05.06 ❑
Does the Component MMRS Plan include procedures for victim triage andfor providing primary
care prior to transportation to a definitive medical care facility?
05.0*7 ❑
" Does the Component MMRS Plan include detailed procedures for the emergency medical
transportation of victims?
05.08 ❑.
Does the Component MMRS Plan provide for emergency and impatient services in hospitals that
have the capacity and capability to provide the definitive medical care required, or in -
pre
designated off-site treatment facilities?
05.09 ❑
Does the Component MMRS Plan include procedures for managing patients arriving at hospitals
without prior field treatment/screening or decontamination?
05.10 ❑
Has the Component MMRS Plan for responding toa chemical, radiological, nuclear, or explosive
WMD event been submitted to the Project Officer not more than (9) months after contract award?
05.11
Notes:
2001 MMRS Contract Deliverable Evaluation Instrument page 7 of 15
Evaluator Date
06 Deliverable #6: Component Plan for a MMST (Optional)
Contract Reference: (2001 Statement of Work #6)
If a clearly identifiable Metropolitan Medical Strike Team (MMST) is a component of your MMRS plan',
develop a component of the MMRS Plan for MMST capability that includes its mission statement,
organization, membership, and concept of operations. Included in this operational plan shall be
provisions for its activation, deployment, NB/C agent identification, extraction of victims from the incident
site, antidote administration, human decontamination, triage and primary care, and preparation of victims
for transportation to definitive care facilities with sufficient supplies of appropriate antidotes to assure
adequate treatment. This plan shall be submitted to the Project Officer no later than twelve (12) months
after the award of the contract. (2001 Statement of Work #6)
Indicators of Fulfillment:
06.01 ❑ Does the Component MMRS Plan contain a mission statement and concept of operations for the
MMST?
06.02 ❑ Does the Component MMRS Phan detail the organization and membership of the MMST?
06.03 ❑ Does the Component MMRS Plan detail procedures for the activation and deployment of 1he
MMST?
06.04 ❑ Does the Component MMRS Pian detail procedures for. the. identification of the N/B1C agent?.
06.05 ❑ Does the Component MMRS Plan detail procedures for extraction of victims from the incident
site?
06.06 ❑ Does the Component MMRS Plan detail procedures for administration of the appropriate
antidote? ..
06.07 ❑ Does the Component MMRS Plan detail procedures for human decontamination?
06.08 ❑ Does the Component MMRS Plan detail provisions for triage. and primary care of victims?
06.09 ❑ Does the Component MMRS Pian detail preparation of victims for transportation to definitive care
facilities with sufficient supplies of appropriate antidotes to assure adequate treatment?
06.10 ❑ Has the Component MMRS Plan been submitted to the Project Officer no later than twelve (12)
months after the award of the contract?
06.11 Notes:
MMRS cities have used three (3) approaches to address the response requirements
for a chemical terrorist event. I.' Augmentation approach - this is the development
of a separate stand-alone team that is not on -duty (i.e. the response is from '
home), 2. Integration approach - this is the provision of training to enhance the
on-duty.response capability and capacity, 3. Combination approach - enhanced on -
duty response together with technical assistance through augmentation
2001 MMRS Contract Deffverable Evaluation Instrument page 8 of 15
Evaluator
07 Deliverable #7: Component MMRS Plan for managing the health consequences of a biological WMD.
Contract Reference: (2001 Statement of Work #7 and Contract APPENDIX A)
Develop a component of the MMRS Plan to manage the health consequences of the release of a
biological weapon of mass destruction. This pian shall be integrated with existing or planned Local and
State health surveillance plans for bioterronsm and influenza pandemic planning. This Portion of the pian
shall address five general areas. 11) Early Recognition: the jurisdiction shall identify, describe, or develop
`early warning indicator(s)" which will be used to alert local officials of a biological terrorist event to ensure
timely notification and, activation of response plans. This plan shall identify who will receive notification .
and who will make the decision to further implement response plans. 12) Mass Immunization/Pronhvlaxis:
1n this section, the jurisdiction shall highlight, develop, or augment existing plans for managing and
implementing mass immunization/prophylaxis. In developing this plan, it shall be assumed that the
Federal government would assure the.availability of vaccines and antibiotics within 24 hours of
notification. Key components of this plan include a description of the decision making process to initiate a
mass immunization campaign and plans for identifying the affected population. 19Mass Patient Care: In
this section, the jurisdiction shall develop or augment existing plans for providing care for a significant
portion of the population. It shall include plans for the expedient expansion of existing healthcare system
capacity and plans for taking care of people in excess of either existing or expanded capacity. If existing
plans include alternate care facilities, secondary assessment centers, or modular emergency medical
system components (acute care facilities, neighborhood emergency health centers, or off-site
triageAreatment/transport centers), the jurisdiction shall include its plans for staffing, equipping, and
providing transportation to and from these facilities. (Relevant documentation is located at
www.mmrs.hhs.gov) (4) -Mass Fatality Management: In this section, the jurisdiction shall develop or
augment existing plans for providing respectful care and disposition for a large percentage of the
population. It shall include: plans for augmenting existing morgue. facilities and staff; and plans for
decontamination/isolation procedures where appropriate. f5) Environmental Surely In this section, the
jurisdiction shall describe or develop a plan for identifying environmental risk; the need for
decontamination or vector intervention; and a process for safe re-entry into a suspect area (in
consultation with local, state, and federal environmental agencies).
The size and robustness of any response to the use of a biological weapon of mass destruction (WMD)
will be determined by the specific biological agent. As a result, response planning shall be considered at
three (3) levels: 1. Incidents with up to one hundred (100) victims, 2. Incidents with one hundred (100)
to ten thousand (10,000) victims, 3. Incidents with more than ten thousand (10,000) victims.
This component plan shall be submitted.to the Project Officer no later than eighteen (18) months after the
award of the contract. (2001 Statement of Work #7 and APPENDIX A)
NOTE 5: A detailed list of. Biological Response Planning Considerations is included as Appendix
A. (This list is intended for use as a planning tool. It is not prescriptive)
NOTE 6: Biological Agents that should be considered for SOW #7 are: Anthrax, Botulism,
Hemorrhagic Fever, Plague, Smallpox, and Tularemia
Indicators of Fulfillment:
07.0.1 ❑ Does the Component MMRS Plan detail managing the human health consequences of the
release of a biological weapon of mass destruction?
07.02 ❑ Is the Component MMRS Plan integrated with (existing or planned) Local and State health
surveillance plans for bioterrorism and influenza pandemic planning?
07.03 ❑ Does the Component MMRS Plan identify the following five general areas: Early Recognition,
Mass Immunization/Prophylaxis, Mass Patient Care, Mass Fatality Management, and
Environmental Surety?
2001 MMRS Contract Deliverable Evaluation Instrument Page 9 of 15
07:04 ❑
Early Recognition. Does the Component MMRS Plan identify, describe, or develop early warning
indicators that will be used to alert local officials of a biological terrorist event?
07.05 ❑
Early Recognition. Does the Component MMRS Plan identify who will receive notification 'and
who will make the decision to further implement response plans?
07.06 ❑
Mass Immunization/Prophylaxis. Does the Component MMRS Plan highlight, develop, or
.
augment existing plans for management and implementation of mass immunization/prophylaxis?
07.07 ❑
Mass Immunization/Prophylaxis. Does the Component MMRS Plan include a description of the
decision making process to initiate a mass immunization campaign and accomplish identification
of the affected population?
07.07 ❑
Mass Patient Care. Does the Component MMRS Plan develop or augment existing plans for
providing care for a significant portion of the population?
. 07.08 ❑
Mass Patient Care. Does .the Component MMRS Plan detail procedures for rapid expansion of
.
the existing health care system capacity, and plans for taking care of people in excess of either
existing or expanded capacity?.
07.09 ❑
Mass Patient Care. If existing plans include alternate care facilities, secondary assessment
centers, or modular emergency medical system components (e.g. acute care facilities,
neighborhood emergency health centers, or off-site triage/treatment/transport centers),does the
Component MMRS Plan contain details for staffing, equipping, and providing transportation to
and from these facilities?
07.10 ❑
Mass Fatality Management. Does the Component MMRS Plan develop or augment existing mass
fatality management plans for providing respectful care and disposition for a large percentage of
the population?
07.11. ❑
'Mass Fatality Management. Does the Component MMRS Plan detail procedures for augmenting
existing morgue facilities and staff?
.07.12 ❑
Mass Fatality Management. Does the Component. MMRS Plan detail procedures for
decontamination/isolation of fatalities where appropriate?
07.13 ❑
Environmental Surety. Does the Component MMRS Plan describe or develop for
procedures
identifying environmental risk?
07.14 ❑
Environmental Surety. Does the Component MMRS Plan describe or develop procedures for
determining the need for decontamination or vector intervention?
07.15 ❑
Environmental Surety. Does the Component MMRS Plan establish a process for safe re-entry
into the suspect (affecfeco area in consultation with Local, State, and Federal environmental
agencies?
07.16 ❑
Response Planning. Does the Component MMRS Plan provide for three levels of response: 1) up
to 100 victims, 2) between 100 and 10,000 victims, and 3) more than 10,000 victims?
07.17 ❑
Response Planning. Does the Component MMRS Plan include consideration of the following
biological agents (SOW Appendix B): Smallpox, Anthrax, Plague, Botulism, Tularemia, and
Hemorrhagic Fever?
2001 MMRS Contract Deliverable Evaluation Instrument Page 10 of 15
07.18 ❑ Has the Component MMRS Plan for managing the health consequences of the release of a
biological WMD been submitted to the Project Officer no later than eighteen (18) months after the
award of the contract?
07.19 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument page 11 of 15
Evaluator.
08 Deliverable #8: Component MMRS Plan for focal Hospitals and Healthcare Systems
Contract Reference: (2001 Statement of Work #8)
Develop a component of the MMRS Plan for the local hospital and healthcare system. Ensure that the
component of the MMRS Plan addresses the following eight general areas. (1) Plans for notification of
hospitals, clinics, HMOs, etc. that an incident has occurred. (2) Pians and procedures in place for
hospitals, clinics, and HMOs to protect them from contamination from environmental or patient sources.
(3) Plans for providing triage and initiation of definitive care at local healthcare facilities. (4) Plans for
adequate security to support these activities. (5) Availability of adequate personal protective equipment
and pharmaceuticals for hospital and clinic providers. (6) Adequate pharmaceuticals and equipment
(ventilators) are available locally, or that plans are in place to obtain them in a timely manner. (7) Ability
of medical staff to recognize and treat casualties caused by WMD agents. (8) Treatment protocols are
readily available. These pians shall be presented to the Project Officer no later than eighteen (18)
months after award of the contract. (2001 Statement of Woek #8)
NOTE 7: Current Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
standards for emergency preparedness address an emergency preparedness management pian
(EC.1.6), a security management plan (ECA .4), a hazardous materials/ waste management plan
(EC.1.5), and emergency preparedness drills (EC.2.9)
Indicators of Fulfillment:
08.01 ❑ Does the Component MMRS plan detail procedures for notification of hospitals, clinics, HMOs,
etc. that an incident has occurred?
08.02 ❑ Does the Component MMRS plan identify procedures in place to protect hospitals, clinics, and
HMOs from contamination from environmental or patient sources (e.g. lock -down procedures and
patient decontamination procedures prior to entry)?
08.03 ❑ Does the Component MMRS plan detail procedures for providing triage and initiation of definitive
care at local healthcare facilities?
08.04 ❑ Does the Component MMRS plan detail procedures for providing adequate security to support
these activities?
08.05 ❑
Does the Component MMRS plan identify the availability of adequate personal protective
equipment and pharmaceuticals for hospital and clinic providers?
08.06 ❑
Does the Component MMRS plan specify that adequate pharmaceuticals and equipment
(ventilators) are available locally, or that plans are in place to obtain them in a timely manner?
08.07 ❑
Does the Component MMRS plan specify that medical staff have the ability to recognize and treat
casualties caused by WMD agents?
08.08 ❑
Does the Component MMRS plan detail that treatment protocols are readily available?
08.09 ❑
Has the Component MMRS plan been submitted to the Project Officer no later than eighteen (18)
months after award of the contract?
08.10 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument
Page 12 of 15
.F
Evaluator Date
09 Deliverable #9: MMRS Training Plan (Include initial and refresher training requirements)
Contract Reference: (2001 Statement of Work #9)
Develop a Training Plan for the MMRS that identifies training requirements for MMRS personnel,
including all first responders EMTs, paramedics, vehicle drivers, emergency room and other hospital
personnel who will be providing care to victims of a WMD incident. This training pian will include initial
and refresher training requirements. In the event that the DOD or DOJ Domestic Preparedness training
has been provided to the city, the contractor should indicate how the training received, including
FEMA/DOJ training, will be integrated into meeting the initial training requirements as well as continuing
education and other refresher training needs. This pian shall be presented to the Project Officer no later
than eighteen (18) months after award of the contract.
(2001 Statement of Work #9)
NOTE 8: For the training of hospital personnel, it is important to note that Presidential Decision
Directive 62 (PDD 62) highlights the VA's role in the training of medical personnel in NDMS
hospitals.
Indicators of Fulfillment:
09.01 ❑ Does the MMRS Training Plan identify training requirements for MMRS personnel, including all
first responders EMTs, paramedics, vehicle drivers, emergency room. and other hospital
personnel who will be. providing care to victims of a WMD incident?
09.02 ❑ Does this training plan include initial and refresher training requirements?
09.03 ❑ Does the MMRS Training Plan indicate how previously received training (DOD, DOJ, or FEMA)
will be integrated into meeting the initial training requirements as well as continuing education and
other refresher training needs?
09:04 ❑ For the training of hospital personnel, does the MMRS Training Plan identify the VA's role in the
training of medical personnel in NDMS hospitals?
09.05 ❑ Has the pian for identifying training requirements along with training plan been submitted to the
Project Officer no later than 18 months after award of the contract?
09.06 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument
Page 13 of 15
"
Evaluator
A
10 Deliverable #10: MMRS Pharmaceutical and Equipment Plan
Contract Reference: (2001 Statement of Work #10)
Develop a MMRS Pharmaceutical and Equipment Plan. Submit a list of pharmaceuticals con sisfent with
the mission of the MMRS. Pharmaceuticals should be sufficient to provide care for at least 1,000 victims
for a. chemical incident, and for the affected population forth first 24 hours of response fora biological
incident (it should be assumed that the Federal government would assure the availability of vaccines and
antibiotics within 24 hours of notification). Equipment may include personal protective equipment,
detection equipment and decontamination equipment (both field and hospital). A timetable for
procurement of the above items aril a plan for equipment maintenance and pharmaceutical storage
should accompany this. A property officer responsible for all property received and purchased under this
contract shall be identified Submit a spreadsheet detailing equipment and pharmaceuticals procured
from HHS, DoD, DOJ, and FEMA programs. This plan shall be presented to the Project Officer no later
than eighteen (18) months after the award of the contract. (2001 Statement of Work #10)
NOTE 9: Equipment purchases under this contract shall be harmonized with equipment received
from DoD, DOJ, and FEMA programs.
NOTE 10: No equipment, pharmaceuticals, or antidotes may be purchased until the lists have
been submitted and approved by the Project Officer.
Indicators of Fulfillment:
10.01 ❑ Is the fist of pharmaceuticals consistent with the mission of the MMRS?
10.02 ❑ Are the pharmaceuticals sufficient to provide care for at least 1,000 victims, for a chemical
incident, and for the affected.population for the first 24 hours of response for a biological incident?
10.03 ❑ Does the plan contain a timetable for procurement of pharmaceuticals and equipment?
10.04 ❑ Does the plan detail procedures for equipment maintenance and pharmaceutical storage?
10.05 ❑ Does the plan identify a property officer who is responsible for all property received and
purchased under this contract?
10.06 ❑ Are equipment purchases under this contract harmonized with equipment received from DoD,
DOJ, and FEMA programs?
10.07 ❑ Does the plan include a spreadsheet detailing equipment and pharmaceuticals procured from
HHS, DoD, DOJ, and FEMA programs?
10.08 ❑ Has the plan been. submitted to the Project Officer no later than eighteen (18) months after award
of the contract?
10.09 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument
Page 14 of 15
41
Evaluator Date
11 Deliverable 911: Progress Reports (This should be a brief monthly status report) and a Final
Operational Report
Contract Reference: (2001 Statement of Work #11)
Provide monthly progress reports that describe activities undertaken the previous month and the progress
on the contract deliverables. By the fifteenth (15ih) of each month, these reports shall be sent to the
project officer, the Program Support Center (PSC) Contracting Officer, and to the Office of Emergency
Preparedness (names and addresses will be provided). These reports shall describe successful
endeavors and barriers encountered. Any barrier encountered shall be accompanied with a plan to
resolve the issue. Include all meeting minutes that relate to MMRS development. A final report is due at
the end of the eighteen (18) month contract period. It shall constitute an assessment of response
capabilities (enhanced or created) that now exist as a result of the MMRS planning effort. It also shall
include a statement that the MMRS has achieved operational status. (2001 Statement of Work #11)
Indicators of Fulfillment:
11.01 ❑ Has the contracted city submitted monthly progress reports describing successful endeavors and
barriers encountered to: 1) the project officer (Emergency Coordinator), 2) PSC (HHS Program
Support Center] Contracting Officer, and 3) the Office of Emergency Preparedness?
11.02 ❑ If a barrier was identified in the monthly progress report, was a plan included to resolve the
issue?
11.03 ❑ Does the monthly progress report include all meeting minutes that relate to MMRS development?
11.04 ❑ Has the contracted city submitted a final report at the end of the eighteen (18) month contract
pew?
11.05 ❑ Does the final report constitute an assessment of response capabilities (enhanced or created)
that now exist as a result of the MMRS planning effort?
11.06 ❑ Does the final report include a statement that the MMRS has achieved operational status?
11.07 Notes:
2001 MMRS Contract Deliverable Evaluation Instrument
Page 15 of 15