TO: Ana Harvey, Director Department of Small and Local Business Development (dslbd) Cc



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TO: Ana Harvey, Director Department of Small and Local Business Development

(DSLBD)
Cc: Ronnie Edwards, Deputy Director (DSLBD)


FROM: Tyranny A. Hunter, Contracting Officer

Office of Contracting and Procurement/Fire and Emergency Medical Services


DATE: June 14, 2016
SUBJECT: Sub-contracting Waiver Request – CW44175: Procurement of Supplemental Pre-

Hospital Medical Care and Transportation for Basic Life Support Calls for Service

within the District with American Medical Response Mid-Atlantic, on an Emergency

Basis.


_____________________________________________________________________________
The D.C. Fire and Emergency Medical Services Department (FEMS) has a continuing urgent and immediate need to contract with a third-party ambulance company to provide pre-hospital medical care and transportation for Basic Life Support (BLS) calls for service, when requested to perform such services by FEMS and/or OUC.
On February 12, 2016, American Medical Response Mid-Atlantic (AMR) was awarded an emergency (letter) contract to provide these services. This letter contract expired on June 11, 2016. In an effort to secure a long-term contract for third party ambulance services, FEMS is advertising a Request For Proposals, which closes June 25, 2016. In order to allow the work to continue through the procurement process (advertising – evaluation/negotiations – award), a second letter contract has been awarded to AMR; even though the work is the same with the same vendor, the second letter contract is independent of the first, with a different contract number. The second letter contract, when definitized, will be valid through October 10, 2016.
As during the first emergency contract, FEMS will continue to perform the initial triage and interrogation of all patients, as well as provide ambulance transport for higher priority patients. If FEMS’ first responding unit determines a patient only requires lower priority BLS ambulance transport, an AMR unit will be dispatched to the incident and transport the patient to an area hospital, as directed by FEMS or the OUC.
The District’s current emergency medical services call volume is at a historic high, and FEMS’ current fleet of forty-nine (49) ambulances is insufficient to respond to an increased volume of calls for emergency medical services. This increasing call volume has affected FEMS’ ability to timely respond to all emergency calls. Additionally, emergency response units are required to remain out-of-service while transporting and transferring low acuity patients to a hospital’s care. At times, while FEMS’ patient transports are being used for lower priority, BLS transports, there are no ambulances available to respond to the more critical, time-sensitive calls for emergency services. That lost time creates an immediate threat to the public health, welfare and safety of District residents and visitors. As a result, on October 6, 2015, the Council of the District of Columbia approved emergency legislation allowing FEMS to contract with third party, private ambulance companies to provide supplemental pre-hospital medical care and BLS ambulance transport service.
Based upon a market analysis of rates for the required services, the estimated reasonable

cost of this procurement is three million dollars ($3,000,000.00). During September of last year, the Contracting Officer conducted a search of the DSLBD database to determine the availability of any qualified Certified Business Enterprises (CBE) capable of performing the requirements. There were no Ambulance Transport CBEs listed in DSLBD’s database.


The subject contract requires a waiver of the subcontracting requirements contained in D.C. Official Code 2-218.46(a) (2), which requires at least 35% of the dollar value of all non-construction contracts to be subcontracted to Certified Small Business Enterprises to completely fulfill the requirement. It is the purpose of this request to seek approval of a subcontracting waiver of the mandatory 35% Certified Business Enterprise (CBE) subcontracting requirement for the period of performance June 13, 2016 through October 10, 2016.

CERTIFICATION OF FINDINGS
Based on the above findings, and in accordance with the 27 DCMR, Chapter 1702, I hereby certify that the above findings are correct and complete.
__________________________________________ ___________________

Tyranny Hunter Date

Contracting Officer

DETERMINATON
Based upon the authorities, findings and in accordance with D.C. Official Code § 2-354.05; 27 DCMR § 1702 (Emergency Procurements), I hereby determine that the proposed emergency procurement is in the best interest of the District of Columbia.

__________________________________________ ___________________

George A. Schutter III Date

Chief Procurement Officer





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