Amendments for Solicitation Ground ambulance services and support staff for Fort Leavenworth, Kansas Garrison Emergency Medical Services, 66027.

Amendment / Modification

This amendment modifies the solicitation W81K0026RA027, originally dated 04 May 2026. The primary change is the revision of the delivery schedule for CLINs 1001 through 4001 to align with the solicitation's period of performance.

• Delivery Schedule: The delivery periods for Option Line Items 1001, 2001, 3001, and 4001 have been adjusted.
  • Option Line Item 1001: Delivery period extended from 01 Jun 2026 - 31 May 2027 to 01 Jun 2027 - 31 May 2028.
  • Option Line Item 2001: Delivery period extended from 01 Jun 2026 - 31 May 2027 to 01 Jun 2028 - 31 May 2029.
  • Option Line Item 3001: Delivery period extended from 01 Jun 2026 - 31 May 2027 to 01 Jun 2029 - 31 May 2030.
  • Option Line Item 4001: Delivery period extended from 01 Jun 2026 - 31 May 2027 to 01 Jun 2030 - 31 May 2031.

This amendment does not appear to change the proposal submission deadline or evaluation criteria. However, bidders should ensure their proposals reflect the revised delivery periods for the specified CLINs.

Amendment / Modification

This amendment to Solicitation W81K0026RA027 provides answers to industry questions and extends the solicitation response deadline.

Key changes include:

• Answers to specific questions regarding:

  • Minimum hours for Senior Level Paramedic (non-personal services, 24/7 coverage required).
  • EMS request procedures via 911 and regional dispatch.
  • Estimated call volume (~263-300 calls per year).
  • Billing procedures (invoice government monthly, not per run).
  • Contract effective date (June 1, 2026) and coordination with Leavenworth personnel.
  • Medical Director time requirements (None beyond RFP).
  • Housing and amenities for ambulance and staff (provided by Fort, including bay space, sleeping quarters, office space, kitchen, and fitness equipment).
  • Dispatcher location (on-site preferred, but primary concern is no service delay and documentation).
  • Clarification on wage determination (use the provided "Wage Determination" document, not solicitation examples).

• Response Due Time: Extended from 10:00 AM to 11:00 AM.

• Response Due Date: Extended from May 13, 2026 to May 15, 2026.

• The proposal submission deadline has been extended to May 15, 2026.

Solicitation / RFP / RFQ

This solicitation is for Ground Ambulance Services for Munson Army Health Center and Garrison Fort Leavenworth, including Army Corrections Command. The services are non-personal and will be provided by an independent contractor.

• Provide ground ambulance emergency response and transport services 24 hours a day, 7 days a week, 365/366 days a year.

• Services include advanced life support, transport to/from aero-medical evacuation sites, and field ambulance services.

• Staffing includes a Physician Medical Director, Emergency Medical Technicians (EMT), a medical emergency dispatcher, Paramedics, and a Senior Level Paramedic to serve as an On-Site Program Manager.

• Contractor must develop and maintain a Quality Control Plan (QCP).

• Personnel must meet specific security, background check, and training requirements (e.g., AT Level I, OPSEC, IA/IT).

• Adherence to all applicable Federal, State, and Army regulations, including OSHA.

• Specific medical procedures and emergency response protocols must be followed.

• Personnel must maintain current certifications and licenses.

• Solicitation Number: W81K0026RA027

• Solicitation Issue Date: 04 May 2026

• Offer Due Date: 13 May 2026, 10:00 AM

• NAICS Code: 621910

• Size Standard: $22,500,000.00

• Contract Type: Firm Fixed Price (for base and option periods)

• Period of Performance: FY26 (June 1, 2026 - May 31, 2027) with option periods extending through FY30 (June 1, 2030 - May 31, 2031).

• Proposals must be submitted electronically in PDF format, organized into five volumes: Administrative, Past Performance, Technical Capability, Compensation Plan, and Pricing.

• Questions regarding the solicitation are due by 8 May 2026.

• Offers are due by 13 May 2026.

• Evaluation will be based on a Best-Value Tradeoff process, with Past Performance being slightly more important than Price. Technical Capabilities and Compensation Plan are also key factors.

• This acquisition is set aside for Small Business.

• The Performance Work Statement (PWS) is attached and provides detailed requirements.

• Specific clauses and provisions are incorporated by reference and in full text.

Other / Unclassified

This document is a U.S. Department of Labor Wage Determination (No. 2015-5105, Revision No. 27) applicable to contracts in Kansas and Missouri. It lists prevailing wage rates and fringe benefits for various occupations required under the Service Contract Act (SCA).

• Wage Rates: Provides the minimum hourly wage rates for numerous job classifications (e.g., administrative, technical, maintenance, health occupations).
• Fringe Benefits: Details required health and welfare benefits, vacation time, and paid holidays.
• Executive Orders: Notes applicability of Executive Order 13706 (Paid Sick Leave) and Executive Order 13658 (Minimum Wage), including specific requirements and rates for 2025.
• Hazardous Pay: Outlines differential pay for working with ordnance, explosives, and incendiary materials.
• Uniform Allowance: Specifies requirements for providing and maintaining uniforms.
• Conformance Process: Explains the procedure (using Standard Form 1444) for establishing wage rates for occupations not listed in this determination.

Bidders must use this information to accurately price labor costs in their proposals to ensure compliance with federal regulations.

Form / Attachment / Pricing Sheet

This document, "Attachment 1 Total Compensation Plan EMT.xlsx", provides a template for detailing employee total compensation, specifically for the Registered Nurse labor category at Garrison Emergency Medical Services, Fort Leavenworth, Kansas. It is intended to outline the structure for base labor rates and fringe benefits over a defined period of performance.

• Location: Garrison Emergency Medical Services, Fort Leavenworth, Kansas
• Labor Category: Registered Nurse
• Period of Performance: Base Period (1 June 2026 - 31 May 2027) with four (2) twelve-month option periods.
• Compensation Breakdown: Includes fields for Base Labor Rate, various Fringe Benefits (CME, Health Insurance, Social Security Tax, Medicare, FUTA, SUTA, Workman's Comp, Holidays, Vacation, Health & Welfare, 401K), Total Employee Fringe Benefits (Hourly), Total Employee Hourly Compensation (Base + Fringe), G&A (Overhead) %, Profit Rate %, and Billable Rate.
• Note: The listed fringe benefits are examples and not exhaustive or mandatory.

Bidders are expected to use this template to detail their proposed total compensation for the Registered Nurse labor category. The structure provided will guide the breakdown of costs, including base pay and fringe benefits, which will likely be a component of the overall proposal evaluation and pricing strategy. The provided example shows all rates as 0.0, indicating that bidders must fill in their specific proposed figures.

Form / Attachment / Pricing Sheet

This document is a "Past Performance Summary Sheet" intended for bidders to provide detailed information about each past performance reference submitted in response to Solicitation W81K0026RA027. Bidders should use one sheet per project, with a limit of three pages per project.

• Company Name and CAGE: To identify the bidding company.
• Sub or Prime: To indicate the bidder's role on the referenced project.
• Contract Number or Task Order number and contract period of performance: Specifics of the contract, excluding IDIQ basic contract numbers; Task Order numbers are required for IDIQ projects.
• Current point of contact (POC): Contact information (email and phone) for two POCs if possible (contracting office and end user/customer).
• Description of effort: Details on labor categories, location of services, and number of Full-Time Equivalents (FTEs) performed.
• Contract or Task Order Award Amount (Base and Options): Breakdown of award amounts for the base year and each option year.
• Status of the project: Information on performance reporting, years completed, and any terminations or modifications for scope change.

This form is crucial for bidders to document their relevant past performance. Completing this accurately and thoroughly will be essential for the government's evaluation of the bidder's experience and capability to perform the work described in the solicitation.

Form / Attachment / Pricing Sheet

This document, "Total Compensation Plan Dispatcher.xlsx," appears to be a template or a guide for bidders to outline their proposed total compensation for specific labor categories. It details the components of employee compensation, including base labor rates, fringe benefits, and overhead/profit rates, across different periods of performance.

• Location: Garrison Emergency Medical Services, Fort Leavenworth, Kansas.
• Labor Category: Registered Nurse.
• Period of Performance: Base Period (June 1, 2026 - May 31, 2027) with four (2) twelve-month option periods.
• Compensation Components: Includes fields for Base Labor Rate, various Fringe Benefits (CME, Health Insurance, Taxes, etc.), Total Employee Fringe Benefits (Hourly), Total Employee Hourly Compensation (Base + Fringe), G&A (Overhead) %, Profit Rate %, and Billable Rate.
• Note: The listed fringe benefits are examples and not mandatory or all-inclusive.

Bidders are expected to use this template to detail their proposed compensation structure for the Registered Nurse labor category. The blank fields (currently showing 0.0) need to be populated with specific rates and percentages to form the basis of their pricing proposal. This document is crucial for understanding the expected breakdown of costs and for submitting a compliant pricing proposal.

Form / Attachment / Pricing Sheet

This document is a memorandum from the Department of the Army, United States Army Medical Command (MEDCOM), Health Care Acquisition Activity, dated November 18, 2009. It directs Commanders of MEDCOM Major Subordinate Commands to apply Department of Defense (DoD) Instruction 3020.37, "Continuation of Essential Contractor Services During Crises," to MEDCOM contracts.

• Determination of Essential Services: The memorandum identifies specific contractor-provided services deemed essential to maintain critical MEDCOM operations during emergencies, such as the 2009 H1N1 influenza pandemic.
• List of Essential Services: The following services are explicitly listed as essential:
  • Emergency Room Staffing
  • Operating Room Staffing
  • In-Patient and Support Staffing
  • Laboratory Support Staffing
  • Hospital Housekeeping
  • Linen/Laundry
  • Nutrition Care
• Action Required: MEDCOM contracting officers are directed to identify these essential contractor services in solicitations and contracts that support MEDCOM mission-essential functions during emergency situations.

Potential bidders should note that for this opportunity, any contracts awarded may be required to include provisions for the continuation of essential contractor services during crises. The listed services are considered critical for MEDCOM operations and may be a factor in contract requirements or performance expectations, particularly in emergency scenarios.

Form / Attachment / Pricing Sheet

This document, "Attachment 1 Total Compensation Plan Paramedic.xlsx", appears to be a template or form for detailing employee total compensation, specifically for a "Registered Nurse" labor category at "Garrison Emergency Medical Services Fort Leavenworth Kansas". It is intended to outline the compensation structure over a base period and four option periods.

• Location: Garrison Emergency Medical Services Fort Leavenworth Kansas
• Labor Category: Registered Nurse
• Period of Performance: Base Period (1 June 2026 - 31 May 2027) with four 12-month option periods.
• Compensation Breakdown: Includes fields for Base Labor Rate, various Fringe Benefits (CME, Health Insurance, Social Security Tax, Medicare, FUTA, SUTA, Workman's Comp, Holidays, Vacation, Health & Welfare, 401K), Total Employee Fringe Benefits (Hourly), Total Employee Hourly Compensation (Base + Fringe), G&A (Overhead) %, Profit Rate %, and Billable Rate.
• Note on Fringe Benefits: The listed fringe benefits are examples and not exhaustive or mandatory.
• Data: All compensation and rate fields are currently populated with '0.0' for the base and option periods.

Bidders are expected to use this form to detail their proposed total compensation plan for the Registered Nurse labor category. The structure provided outlines the required components of the compensation package, including base pay, fringe benefits, overhead, and profit. Bidders must complete this form to provide their pricing structure as part of their proposal. The current '0.0' values indicate that this is a template requiring bidder input.

Form / Attachment / Pricing Sheet

This document is an Excel spreadsheet titled 'Total Compensation Plan Lead Paramedic' (Attachment 1). It appears to be a template or form for detailing employee compensation, specifically for the "Registered Nurse" labor category at Garrison Emergency Medical Services, Fort Leavenworth, Kansas.

• Location: Garrison Emergency Medical Services, Fort Leavenworth, Kansas.
• Labor Category: Registered Nurse.
• Period of Performance: Base Period (June 1, 2026 - May 31, 2027) with four (2) twelve-month option periods.
• Compensation Breakdown: Includes fields for Base Labor Rate, Fringe Benefits (CME, Health Insurance, Social Security Tax, Medicare, FUTA, SUTA, Workman's Comp, Holidays, Vacation, Health & Welfare, 401K), Total Employee Fringe Benefits (Hourly), Total Employee Hourly Compensation (Base + Fringe), G&A (Overhead) %, Profit Rate %, and Billable Rate.
• Note on Fringe Benefits: The listed fringe benefits are examples and not mandatory or all-inclusive.

Bidders are expected to use this form to detail their proposed total compensation plan for the Registered Nurse labor category. The structure provided outlines the expected components of employee compensation, including base pay, various fringe benefits, and overhead/profit. This will likely be a required component for proposal submission to demonstrate how the bidder will compensate personnel and calculate their overall pricing.

Form / Attachment / Pricing Sheet

This document, "Total Compensation Plan Medical Director," is an Excel spreadsheet attachment (Attachment 1) that outlines the structure for a total compensation plan. It appears to be a template or a guide for bidders to use when developing their compensation proposals for the Registered Nurse labor category at Garrison Emergency Medical Services, Fort Leavenworth, Kansas.

• Location: Garrison Emergency Medical Services, Fort Leavenworth, Kansas.
• Labor Category: Registered Nurse.
• Period of Performance: Base Period (June 1, 2026 - May 31, 2027) with four (2) twelve-month option periods extending to May 31, 2031.
• Compensation Breakdown: The sheet includes fields for Base Labor Rate, various Fringe Benefits (CME, Health Insurance, Social Security Tax, Medicare, FUTA, SUTA, Workman's Comp, Holidays, Vacation, Health & Welfare, 401K), Total Employee Fringe Benefits (Hourly), Total Employee Hourly Compensation (Base + Fringe), G&A (Overhead) %, Profit Rate %, and Billable Rate.
• Note on Fringe Benefits: The listed fringe benefits are examples and not exhaustive or mandatory.
• Data: All rate and benefit fields are currently populated with '0.0', indicating that specific figures need to be filled in by the bidder.

Bidders must use this template to detail their proposed total compensation package for Registered Nurses, including base pay, fringe benefits, overhead, and profit. The structure provided will guide the development of pricing for the solicitation. The absence of pre-filled values signifies that bidders are expected to input their own competitive rates and benefit structures according to the solicitation's requirements.

Solicitation / RFP / RFQ

This is a pre-solicitation notice for a firm-fixed-price contract to provide ground ambulance services and support staff for Fort Leavenworth, Kansas Garrison Emergency Medical Services. The services must be deliverable to Fort Leavenworth, Kansas Garrison Emergency Medical Services, 66027.

All requirements outlined in the Performance Work Statement (PWS) must be met for vendor consideration.

• Contract Type: Firm Fixed Price

• The solicitation is expected to be posted on or about May 4, 2026.

• Vendors must meet all requirements in the PWS.

This is a pre-solicitation notice; the full solicitation will be posted at a later date.