**EXHIBIT \"D\"**

SCOPE OF WORK AND TECHNICAL SPECIFICATIONS

**First Aid, CPR, and AED Training**

**Central Training (CT) Division**

**Institutional Training Services (ITS) Group**

**June 30, 2007**

> SUBCONTRACTOR shall furnish qualified personnel and materials to
> perform, as detailed in this Exhibit "D", all services necessary for
> First Aid, CPR, and AED Training classes asPN: Briefly identify the
> work to be performed by subcontractor. required by or reasonably
> inferable from the Subcontract Documents. SUBCONTRACTOR shall not be
> relieved of performing the details of any work manifestly or
> customarily performed to carry out the intent of this subcontract. All
> work shall be performed as if fully and correctly set forth and
> described in the subcontract.
>
> **Section 1: Introduction**

The Los Alamos National Laboratory (LANL) wishes to purchase first aid
training, cardiopulmonary resuscitation (CPR) training, and automated
external defibrillator (AED) training. This training is for employees
and SUBCONTRACTOR employee's who are required to successfully complete
such training as a qualification requirement for their job, and for
personnel whose management requires the training, or who wish, on their
own initiative, to provide an additional measure of safety for their
organization. LANL wishes to provide only training that meets the
highest nationally recognized standards. The LANL Central Training
Division's Institutional Training Services Group (CT-ITS), which
provides environment, safety, and health training, would manage the
contract for the training. The training would be conducted at the CT-ITS
White Rock Training Center.

# Section 2: Scope 

The training requested is for two courses:

-   first aid

-   CPR/AED

The audience and requirements for this training are as follows:

-   First aid has typically been provided to about 500 people who either
    are required to be trained in accordance with OSHA workplace
    requirements or do so voluntarily. Refresher training is required
    for some of these people on a three-year cycle. The refresher will
    be the same course as the initial course.

-   CPR/AED and refresher (the same course as the initial training) will
    be provided to about 1600--2300 workers who are required to take the
    course, and to other interested workers taking the course
    voluntarily. About 1500 of these people must requalify annually
    while the rest have the option of requalifying biennially. People
    taking the combined CPR/AED course may also be the people taking the
    first aid course because the CPR/AED course is required in addition
    to first aid to meet 29 CFR 1910.151 requirements.

The SUBCONTRACTOR will schedule a mix of these classes every week that
the Laboratory is open, as long as students are available.

# Section 3: General Background 

In the United States, injuries of all types may represent the single
most important public health problem. Moreover, estimated
work-related-injury fatalities exceed 10,000 workers a year, while
work-related disabling injuries number approximately 1.8 million.
Approximately 35 million lost workdays occur each year because of
nonfatal injuries. The estimated annual direct and indirect cost of
occupational injuries is \$47 billion.

The outcome of occupational injuries depends not only on the severity of
the injury but also on the rendering of first aid. Prompt, properly
administered first aid can mean the difference between life and death,
rapid or prolonged recovery, and/or temporary or permanent disability.

Given the potential positive impact first aid can provide, several
Occupational Safety and Health Administration (OSHA) standards have
included first aid provisions. These standards include General Industry
(29 Code of Federal Regulations \[CFR\] 1910.151), Construction (CFR
1926.50), Shipyard (CFR 1915.98), Longshoring (CFR 1918.96), Diving (CFR
1910.410), Hazardous Waste and Emergency Response (CFR 1910.120),
Temporary Labor Camps (CFR 1910.142), and First Aid and Lifesaving
Facilities (CFR 1917.26). Additionally, several other standards require
CPR training, notably standards related to electrical workers. Although
these standards require first aid training and/or CPR training, they do
not specify what constitutes \"adequate training.\"

In the United States, the American Red Cross, the National Safety
Council, the American Heart Association (AHA), and private institutions
such as First Medic are the primary SUBCONTRACTORS of first aid
training. LANL has selected the AHA program for first aid training at
LANL. The AHA Heartsaver First Aid Course provides training in basic
first aid procedures, with the opportunity for training in adult CPR and
the use of AEDs. The AHA offers standard and advanced first aid courses
throughout the United States at their training centers staffed by
certified instructors. After successful completion of the course and its
written and practical tests, trainees receive a certification card in
first aid, first aid with CPR, or first aid with CPR and AED. Private
institutions also teach courses in basic first aid but they do not
certify their trainees.

The LANL Electrical Safety Committee has decided to require CPR/AED
training for about 2000 electrical workers at LANL. The designation
"electrical workers" includes all employees who may be in contact with
live electrical wires during the normal course of their activities. This
category includes researchers, students, environmental restoration
workers, decommissioning and decontamination workers, and other types of
workers at risk. The committee further requires that these workers
receive refresher training at least annually. These training
requirements will be in the next revision to the LANL electrical safety
requirements documents. The training requested in this statement of work
would satisfy the LANL Electrical Safety Committee requirement.

Other OSHA requirements include 29 CFR 1910.151, which requires first
aid training for personnel in the field who are not near medical
response personnel, and 29 CFR 1910.266, which requires similar training
for loggers. OSHA has stated in interpretive letters that readily
available means within four minutes and that first aid was intended to
include CPR. LANL has many workers, including loggers, who are often in
remote locations where medical assistance is more the four minutes away.
These workers are required to complete first aid training. Additionally
some confined space workers are also required to complete first aid and
CPR training. CPR is also required for permitted confined space entry
and forestry operations, which are also performed at LANL.

# Section 4: Tasks/Technical Requirements

## Training

The training will consist of two courses, the AHA first aid course and
the AHA combined CPR/AED course.

## Curriculum

The curriculum for the first aid course will be the AHA Heartsaver First
Aid course intended for occupational settings using AHA Heartsaver first
aid training materials.

The curriculum for the CPR/AED course will be the most current AHA
Heartsaver CPR/AED course intended for occupational settings using AHA
Heartsaver training materials.

The SUBCONTRACTOR will not deviate from the AHA standard curriculum and
will provide only the standard AHA training materials. Proprietary
materials developed by the SUBCONTRACTOR may not be used.

Exception: The LANL AED program director may direct the SUBCONTRACTOR to
include site-specific information that is not part of the AHA
curriculum. In that case, the LANL AED program director will provide the
necessary materials and instructor briefings.

## Instructor Qualifications

Instructors shall meet the AHA instructor certification requirements.

The instructors must meet the following minimum education and experience
requirements:

-   At least three years' experience in a medical or emergency response
    profession, where they routinely administered first aid and/or CPR.
    Examples might include: nurse, paramedic, EMT, fireman, police
    officer, or similar profession (including military equivalents);

-   At least one year instructor experience teaching CPR and First Aid;
    and

-   A high school diploma or equivalent.

    Additional instructor requirements; Instructors shall have
    demonstrated the following:

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-   Consistent record of professional behavior

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-   Strict compliance with AHA curriculum

-   Excellent instructional skills

-   Mannequin disinfection and cleaning skills

-   Excellent communication skills

-   Excellent absentee and tardiness record.

At least one person from the SUBCONTRACTOR organization must be
qualified to repair Resusci®Anne mannequins. If no such person is
available, a person with previous mannequin-repair experience may become
qualified by studying the technical manuals and demonstrate competency
to the LANL Course Manager. The proposal shall include information
concerning this person's previous mannequin-repair experience.

At least one person from the SUBCONTRACTOR'S organization must be
qualified to reprogram the Philips Heart Start training and operational
defibrillators. If no such person is available, a person with previous
defibrillator reprogramming experience may become qualified by studying
the technical manuals and demonstrate competency to the LANL Course
Manager. The proposal shall include information concerning this person's
previous defibrillator re-programming experience. NOTE: Defibrillators
may be re-programmed only with the Course Manager's
[written]{.underline} approval.

The SUBCONTRACTOR must submit documentation to support the above
qualifications. Minimum documentation requirements include:

-   The results of background checks, if performed.

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-   Resumes for instructors and key SUBCONTRACTOR personnel;

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-   For each instructor, a list of the locations where they have taught
    First Aid/CPR for the past one year; and

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-   A list of names and phone numbers at those locations to call for
    confirmation of teaching history, instructor preparedness,
    timeliness, adherence to the curriculum, and instructional skills
    for the past one year.

-   

***Business Experience and Capability***

The SUBCONTRACTOR shall have had 4 years experience providing First
Aid/CPR/AED training as of the end of 2007. Providing training shall
have been a regularly offered service and part of the core mission of
the company during that period.

> The SUBCONTRACTOR shall provide company references, for whom First
> Aid/CPR/AED training was provided for the most recent four (4) years
> of operation.
>
> The SUBCONTRACTOR shall describe the method used to confirm the
> education, experience and qualification of instructors, whether a
> background check was performed or some other means was employed, and
> provide documentation that this method was performed for the
> instructors being proposed.
>
> The SUBCONTRACTOR must have demonstrated the following:

-   Reliable on-time and on-schedule delivery of services;

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-   Adequate classroom preparation and clean-up

-   Correct cleaning and maintenance of equipment

-   Compliance with client's rules and requirements and those laws and
    regulations applicable to the SUBCONTRACTOR'S operations

-   Compliance with all legal and regulatory requirements with respect
    to employee safety, compensation and other aspects of employee
    management.

The SUBCONTRACTOR must have a documented stable operating history and
have the following capabilities:

-   Ability to provide a turnkey operation that will not require
    involvement or use of the client's resources.

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-   Be able to respond to sudden increases in training demand. For
    example recently it was necessary to schedule 35 additional first
    aid classes over a three-month period. The contactor must have the
    size and flexibility to absorb such increases in peak demand.

-   Maintain records of training operations in a formal, auditable
    manner; and

-   Maintain equipment maintenance records in a formal, auditable
    manner.

## Consumables

Both the first aid course and the CPR/AED course require the use of
consumables. The trainees might use consumables; such as gloves, CPR
masks, disinfectants, and bandages; while other consumables are used for
post-class disinfection and cleaning of the mannequins.

The SUBCONTRACTOR will provide a complete list of the consumables to be
used and their manufacturer or distributor source, and will identify
which consumables are to be used by the student and which are to be used
by the instructor. The materials will be of good quality. For example,
the gloves, if used, shall be made of nitrile or a similar
low-allergen-type material rather than latex.

## Mannequin and Equipment Maintenance

The SUBCONTRACTOR will maintain the LANL-provided equipment in
accordance with manufacturers' and the LANL course manager's
instructions. This will include:

-   Periodic maintenance and repair of CPR mannequins

-   Reprogramming of defibrillators to meet new AHA emergency
    cardiovascular care (ECC) requirements when needed

-   Periodic maintenance and repair of other similar first aid and
    CPR/AED training equipment that may be purchased during the term of
    the contract, excluding audiovisual and computer equipment

-   Providing the old replaced parts to the LANL course manager

-   Maintaining an auditable and orderly maintenance log or file for
    each piece of equipment to include:

    -   Copies of the invoice received with the replacement part

    -   Maintenance performed, the date of the maintenance, and the list
        of the parts replaced

    -   A copy of the approval to purchase parts

    -   A timesheet for the time required to perform repairs and
        maintenance

## Disease Prevention

The SUBCONTRACTOR shall submit a detailed disease prevention procedure
describing the exact method of performing disinfection and other methods
for disease prevention, along with the technical basis for the
procedure. Vague references to following "Centers for Disease Control
(CDC) guidelines," "manufacturer's recommendations," or "AHA guidelines"
are unacceptable. The technical basis must include the source material
or a citation for the specific source material papers and documents.

## Scheduling

The SUBCONTRACTOR will prepare and submit a schedule of classes for
CONTRACTOR'S approval for the entire one year and two one year option
periods (a total of 3 years) within 90 days of signature of the
subcontract for all proposed class dates, with the understanding that a
dedicated classroom that can accommodate ten (10) people comfortably is
available. The scheduling must ensure that the training will service

-   2000 personnel for CPR/AED, with 1500 of those requiring annual
    refresher

-   500 people from the group of CPR/AED trainees who will also need to
    complete the first aid course and requalify every three years.

To accommodate the personnel listed above and based upon historical
records, there will be approximately 50 first aid class sessions and 375
CPR/AED sessions per year. The CONTRACTOR makes no guarantee on how many
classes will be held during this subcontract.

The SUBCONTRACTOR must have the capability and willingness to be
flexible and must be able to increase or decrease the number of
sessions. The SUBCONTRACTOR must also be able to change the format of
the courses, and change the class duration based on the changing needs
of LANL and at the request of the LANL course manager and through a
formal modification to the subcontract.

## Laws, Regulations and Procedures

> The SUBCONTRACTOR will provide in Exhibit C, Form F, Project
> Organization And Work Plan, one or more written procedures for the
> conduct of training, the disinfection of the mannequins, the
> maintenance of the equipment, and the implementation of the other
> operations requirements of this statement of work. The procedures need
> not be elaborate but should be of sufficient detail to ensure that the
> proposed implementation can be objectively evaluated. The procedures
> shall be submitted as part of the proposal. This requirement may be
> met with a single or multiple procedures.

The SUBCONTRACTOR will list which State and federal laws and regulations
apply to the implementation of the training (if any), and describe how
the SUBCONTRACTOR meets those requirements.

# Section 5: Deliverables

The SUBCONTRACTOR will provide the following courses and approximate
number of sessions, taught by qualified instructors who have been
approved by the LANL. The number of sessions is a good faith estimate
based on present needs, forecasts, and past information. The actual
number of sessions may vary, based on actual needs, unusual situations
and requests from LANL client organizations. Previously, about
1500--2200 people completed CPR/AED training and about 500 of these
people also complete first aid training. In Exhibit C proposals should
provide a per student price and a not to exceed total contract price
based on the following deliverables.

1.  First aid initial training class:

-   Course curriculum and training materials from the AHA

-   LANL-approved instructors certified by the AHA to teach the course

-   Session duration no greater than four hours (including breaks)

-   Trainees issued a LANL-provided AHA certificate by the instructor

-   Enrollment between 4--12 people

-   Scheduling of sessions performed by the SUBCONTRACTOR and approved
    by the LANL course manager

-   LANL to manage registration

-   Original AHA and LANL rosters completed correctly and submitted at
    end of each day to the LANL registrar with one copy sent to the AED
    program director

-   Original LANL evaluation sheets submitted to the LANL course manager

2.  CPR/AED training class:

-   Course curriculum and training materials from the AHA

-   LANL-approved Instructors certified by the AHA to teach the course

-   Session duration will be no greater than three hours (including
    breaks)

-   Trainees issued a LANL-provided AHA certificate

-   Enrollment between 4--10 people

-   •Scheduling of sessions performed by the SUBCONTRACTOR and approved
    by the LANL course manager

-   LANL to manage registration

-   Original AHA and LANL rosters completed correctly and submitted by
    interoffice mail at end of each day to the LANL registrar with one
    copy sent to the AED program director

-   Original LANL evaluation sheets submitted to the LANL course manager

3.  The SUBCONTRACTOR will furnish each student with a set of the
    original, complete AHA course materials and will provide CT-ITS with
    three sets of instructor materials (two sets for instruction and one
    for records) appropriate for each course.

4.  The SUBCONTRACTOR will furnish each student with a set of
    consumables to use during the training (e.g., gloves, mask, etc)
    appropriate for the class in accordance with AHA instructions.

5.  The SUBCONTRACTOR will provide each student who successfully
    completes a session with a certificate. The blank certificate forms
    will be furnished by LANL but will be completed and signed by the
    SUBCONTRACTOR instructor.

6.  The SUBCONTRACTOR will provide adequate disinfection chemicals and
    supplies in accordance with the SUBCONTRACTOR'S LANL-approved
    disease prevention procedure. The LANL course manager must approve
    the chemicals before they are brought into the White Rock Training
    Center. The SUBCONTRACTOR must provide a material safety data sheet
    (MSDS) for each chemical.

7.  LANL-specific requirements and lessons learned information: The
    SUBCONTRACTOR will present these materials, furnished by
    Occupational Medicine as an adjunct to the curriculum, as well as
    materials available from the national organization, if available.

8.  Classroom scheduling: The SUBCONTRACTOR will schedule the classroom
    by completing the appropriate CT-ITS forms and working with CT-ITS
    registration personnel in accordance with CT-2-PRO-026, Scheduling
    Classrooms. The SUBCONTRACTOR shall schedule the dedicated classroom
    for the entire initial duration of the contract within 120 days
    after the award. The scheduling deliverable is not met until
    approved by the LANL course manager.

9.  Original roster and evaluation sheets and copies: At the end of each
    day, the SUBCONTRACTOR will furnish CT-ITS personnel with the
    original completed class rosters and evaluation sheets and shall
    send a copy of each completed CPR/AED class roster to the LANL AED
    program director.

10. The SUBCONTRACTOR will provide instructor qualification
    documentation to include, as a minimum, the AHA certification and a
    resume.

11. The SUBCONTRACTOR will provide written procedures for the conduct of
    the training, the disinfection of the mannequins (and any other
    equipment requiring disinfection), the maintenance of the equipment,
    and the implementation of the other operations requirements of this
    statement of work.

# Section 6: Special Considerations and Operational Requirements 

## Special Considerations

CT-ITS expects the first aid and CPR/AED courses to be conducted and
administered as a turnkey operation in accordance with applicable LANL
requirements, DOE orders, laws and regulations, with minimal to no
involvement of LANL personnel except for registration, oversight,
approvals, and performance monitoring. The SUBCONTRACTOR will not
receive logistical support from LANL, except for receiving materials and
supplies shipments on behalf of the SUBCONTRACTOR. Shipments will be
left in a secure receiving area for the SUBCONTRACTOR to manage. The
SUBCONTRACTOR instructors may use the facility telephones, fax machines,
and copiers for course-related administrative needs but not to create
course materials. All requests for assistance from the LANL registrars
shall be made to the LANL course manager, and not to the registrars
directly. The CT-ITS group administrator and course manager will assist
with LANL personnel requirements such as computer forms, badges, Z
numbers, and similar needs.

Instructors shall not bring their personal computers, or computing
devices, or any network capable device to the Laboratory except as
authorized in writing by the CT-ITS group leader using the appropriate
LANL forms.

Occupational Medicine personnel reserve the right to provide first aid
and CPR/AED training to their own personnel and as they deem necessary,
to other Laboratory organizations. Occupational Medicine may also
authorize qualified personnel to provide first aid and CPR training for
specific organizations.

If personnel injuries occur, either to the instructor or to a trainee,
the class will be stopped and the injury will be reported without delay
to the CT-ITS group leader or designee.

## Instructors

LANL recognizes that instructors may change from time to time. Before
the SUBCONTRACTOR applies for a Z number for the new instructor, the
SUBCONTRACTOR shall provide the LANL course manager with the new
instructor's resume and qualification documentation as required for the
original instructors. The LANL course manager will approve, request more
information or reject the prospective instructor. If accepted, copies of
the qualification credentials of each new prospective instructor must be
on file before the instructor's first class. Instructors without
credentials on file may not teach. There will be no exceptions.

The SUBCONTRACTOR'S instructors will have their AHA affiliation with the
Laboratory if the Laboratory is an AHA Training Center, or with the AHA
National Headquarters if the Laboratory is an AHA Training Site, in
accordance with AHA rules. (The SUBCONTRACTOR'S instructors may also
stay affiliated with their current AHA training center for non-LANL
classes.) In either case, the certificates will be issued in the
classroom by the instructor under the authority of LANL in accordance
with the LANL agreement with the AHA. Certificates will be purchased and
issued by LANL.

The SUBCONTRACTOR is responsible for initiating the process for
obtaining DOE badges and LANL Z numbers for instructors. Instructors may
not teach until they have a Z number (a DOE badge will be required but
is not a prerequisite to teaching). Vendor instructors shall complete
General Employee Training (GET), security training, computer
registration, and any additional training requirements imposed on all
LANL SUBCONTRACTORS, as applicable to their tasks. Instructors shall
complete GET before their 10th visit to LANL (they may test out). The
SUBCONTRACTOR should plan to have each instructor spend about 10--16
hours performing LANL-required training initially and about 4--8 hours
of training annually.

The SUBCONTRACTOR'S instructors will be required to be familiar with and
remain current on changes (with the help of the LANL course manager) to
the following CT-ITS procedures and forms:

-   Classroom Procedures, CT-2-PRO-021

-   Classroom Scheduling, CT-2-PRO-026

-   Building Emergency Plan, CT-2-PLAN-004

-   Shelter-in-Place, CT-2-PLAN-006

-   Conduct of Operations, CT-2-PLAN-005

-   Security Plan, CT-2-PLAN-002, available to read at LANL only after
    award of subcontract.

-   AED Use and Maintenance, CT-2-PRO-029

-   Listening Assistance, CT-2-PRO-007

-   Single-Day Attendance Roster, CT-2-FORM-029

-   Attendance Roster, CT-2-PRO-019

The LANL course manager or the SUBCONTRACTOR'S supervisor shall brief
the instructors. This briefing shall include the White Rock Training
Center emergency plan, security plan, conduct of operations,
shelter-in-place plan, LANL documentation requirements, and classroom
maintenance requirements. In addition, SUBCONTRACTOR instructors must
receive a briefing on the LANL-specific training they will be required
to present in class if and when that becomes available. That briefing
will be documented and entered into the LANL Employee Development System
(EDS).

## Site-Specific Additions to Curriculum

Occupational Medicine personnel may draft a set of institutional polices
and rules related to the administration of first aid and CPR, lessons
learned, procedures for local response to injuries, and other
medical-related controls. The SUBCONTRACTOR will incorporate information
about these institutional requirements into the first aid/CPR training
when the information becomes available. Occupational Medicine will
create the training materials, and the training SUBCONTRACTOR will be
required to present the material in class. The material will not require
more than 10 minutes to present. A longer period is permitted but will
require an increase in overall class length, which requires approval of
the CT-ITS group leader.

Student questions concerning LANL requirements will NOT be answered by
the instructor but will be directed to the LANL AED program director or
the LANL course manager.

## Classrooms

The SUBCONTRACTOR shall comply with CT-2-PRO-021, Classrooms Procedures,
unless waived or exempted in writing by the CT-ITS group leader. These
requirements apply to any LANL classroom used anywhere in the
Laboratory.

The SUBCONTRACTOR will set up classrooms and make all other necessary
session preparations. The SUBCONTRACTOR will be responsible for the
housekeeping (not cleaning) of assigned rooms provided by the
Laboratory.

The SUBCONTRACTOR will place the classroom back in its normal
configuration at the end of the class. These responsibilities include
ensuring that white boards are cleaned, tables and chairs are returned
to their correct configuration, materials are removed and returned to
their designated storage locations, broken or worn out parts and
equipment are reported to the LANL course manager. This also includes
cleaning up post-session trash, shutting down audio-visual equipment,
and submitting the session records.

The SUBCONTRACTOR will comply with any other requirements listed for
instructors in CT-2-PRO-021, *Classroom Procedures*. Equipment and
supplies will be stored in a neat and orderly manner in cabinets or in a
storage location provided by LANL; the lockers will be labeled with an
inventory of the contents. When using a classroom that is not dedicated
exclusively to first aid/CPR/AED classes, the SUBCONTRACTOR will remove
all training equipment and materials immediately after the class, unless
the SUBCONTRACTOR has scheduled the classroom back-to-back for multiple
days.

The SUBCONTRACTOR is responsible for providing the training and leaving
the training location as it was found without any assistance from any
LANL personnel or other subcontract personnel. All materials and
equipment shall be returned to Room 114 or White Rock Training Center
storage before the end of each day unless the class will be in the same
location for multiple days or with advance [written]{.underline}
permission. In no case will any of the materials or equipment leave LANL
property.

## Class Size

Class size will be a minimum of 4 trainees and a maximum of 10 trainees
for each CPR/AED class. Class size will be a minimum of 4 trainees and a
maximum of 12 trainees for each First Aid class.

## Scheduling

The SUBCONTRACTOR is responsible for establishing the training schedule,
which must be approved by the LANL course manager. The SUBCONTRACTOR
shall submit schedules and room reservations, and make changes as needed
in accordance with CT-2-PRO-026, Scheduling Classrooms. The LANL course
manager must approve any changes to schedules.

If a session has fewer than four (4) people registered twenty-four (24)
hours (or one workday) before the session date, the SUBCONTRACTOR shall
cancel the session. It is the responsibility of the SUBCONTRACTOR to
cancel the class by notifying the LANL registrar.

The SUBCONTRACTOR may be asked to make changes to the schedule
periodically to meet the needs of the Laboratory. LANL reserves the
right to cancel any scheduled session without penalty with 24-hour
notification to the SUBCONTRACTOR.

Los Alamos National Laboratory's closure due to snow or inclement
weather will also cancel all classes scheduled during the day (s) of the
closure or during the hours closed due to the delayed opening. The
SUBCONTRACTOR'S instructors shall call the Laboratory's closure hot
line, 505-667-6622 or 1-877-723-4101, to determine the open, delayed
opening, or closure status of LANL before reporting to teach a class.

Students who do not cancel 48 hours in advance and do not attend the
training will still be charged as if they had attended.

LANL will provide registration for the class sessions. Registration
information will be available to SUBCONTRACTOR instructors whenever
requested.

## Documentation

Instructors will comply with the following LANL rules related to session
documentation:

-   Instructors shall use LANL rosters. Instructors shall ensure that
    the signature and Z number of each trainee is on a roster before
    releasing the class. Two rosters may be necessary under AHA rules.
    Social security numbers and private information shall NOT be
    collected by the SUBCONTRACTOR even on AHA rosters (per an agreement
    with AHA headquarters).

-   Instructors shall complete the instructor portion of the LANL roster
    and the AHA roster (if needed) completely and accurately for each
    roster and then ensure that they have signatures and Z numbers for
    all trainees before releasing the trainees from class.

-   Instructors shall request LANL evaluation sheets from all trainees
    (to the extent practical).

-   Instructors shall submit the completed original LANL rosters and AHA
    rosters (if needed) to CT-ITS registration and the evaluations to
    the LANL course manager at the end of each class date.

-   The instructor may keep copies of the rosters and evaluation sheets
    for the SUBCONTRACTOR'S own records as long as they are not made
    publicly available and are maintained as CONTRACTOR'S proprietary
    and confidential information.

-   Two copies of all training materials, including videos, slides,
    viewgraphs, handouts, worksheets, exams, and instructor lesson plans
    shall be provided to CT-ITS records personnel for each course. These
    materials are required for defense in litigation and record-keeping
    purposes. The materials will be controlled documents and may not be
    changed without written permission from the LANL course manager and
    subject matter expert (SME) using LANL approval forms. LANL will
    maintain very strict security on any examinations.

## Equipment

LANL will provide the following equipment at the White Rock Training
Center:

-   \~15 "ResuciAnne" mannequins

-   8 Philips training defibrillators

-   1 Philips HeartStart defibrillator

-   1 dedicated classroom and other classrooms as needed based on
    availability

-   Personal computer and audio-video projection equipment if needed

All equipment will be jointly inventoried at the start of the contract.

The SUBCONTRACTOR shall use the mannequin and defibrillator equipment to
provide the training and shall maintain the equipment functional by
conducting on-site maintenance and repairs and purchasing replacement
parts as required, with the approval of the LANL course manager.

The SUBCONTRACTOR shall inspect the mannequins on a regular schedule and
replace parts as needed after receiving approval from the LANL course
manager. The LANL course manager may require additional maintenance and
the purchase of additional parts or parts not requested by the
SUBCONTRACTOR, for stocking purposes.

The SUBCONTRACTOR shall not modify LANL-owned equipment without written
permission. Parts will be like for like, manufacturer and part number,
unless alternatives are authorized in writing in advance. The
SUBCONTRACTOR is accountable for all equipment, and will replace any
items that cannot be located or accounted for during inventory. The
SUBCONTRACTOR may not dispose, cannibalize, or salvage any LANL
equipment. Replaced parts are to be retained for examination and
inventory by the LANL course manager. All maintenance and repairs will
be performed at the White Rock Training Center unless performed by the
manufacturer.

LANL will reimburse the SUBCONTRACTOR for actual costs of equipment and
parts for LANL-owned equipment, and for expenses related to the
administration, upkeep, and maintenance of the equipment based on
approved labor rates.

LANL will maintain the audio-visual equipment and physical training
space with respect to replacement and repair. Instructors are required
to notify the LANL course manager of any equipment malfunction or
physical space problems as soon as they become aware of them.

If approved to provide training at other locations within the
Laboratory, SUBCONTRACTOR personnel will be responsible for the
transporting of equipment to and from the training site. The
SUBCONTRACTOR is responsible for the condition of the equipment. Damage
sustained during transport is the responsibility of the SUBCONTRACTOR.
The equipment shall be returned to the White Rock Training Center in
good, operable condition.

The SUBCONTRACTOR is responsible for maintaining the AEDs in Room 114
and in the hallway outside the classroom. The SUBCONTRACTOR is
responsible for maintaining the AEDs in accordance with the Philips
HeartStart technical manual, CT-PRO-029, AED Use and Maintenance, and
the LANL AED program.

The SUBCONTRACTOR is responsible for maintaining an up-to-date inventory
of the equipment including serial numbers and a maintenance log or file
in an orderly, auditable manner. The log or file will include original
purchased parts invoices, timesheets for maintenance, a description of
the maintenance or repair, the date performed, who performed it, the
part numbers involved, cost of the part(s), and a copy of the approval
to purchase the parts from the LANL course manager. The maintenance
records shall be kept in Room 114 of the WRTC.

The SUBCONTRACTOR shall not use any Laboratory-owned equipment for
performing training off LANL property or providing training to non-LANL
personnel (personnel not affiliated with LANL). LANL equipment shall not
be removed from LANL property (except as previously authorized in
writing for the purpose of transportation).

## Training Materials

Instructor guides, videos, DVDs, and other training materials used by
the instructor to provide instruction (this does not include student
materials such as handouts) and similar items shall be provided by the
SUBCONTRACTOR and will belong to the Laboratory.

The SUBCONTRACTOR will provide at least four complete sets of instructor
training materials and provide updates if the materials change. At least
one set will be maintained in the classroom, one set will be maintained
by the LANL course manager, and two sets will be maintained in the
library by CT-ITS records (but may be signed out if needed). Instructors
shall use the LANL-maintained training materials provided by the
SUBCONTRACTOR and may not supply or use their own materials. The
SUBCONTRACTOR shall not change or update the training materials or
training delivery without [written]{.underline} permission from the LANL
Course Manager. Once delivered, the materials shall not be removed from
the Laboratory property.

Instructors shall not be required to provide any items or training
materials themselves. Instructors may not introduce non-AHA approved
training materials to the training without the written permission of the
LANL course manager.

Trainee training material shall be provided by the SUBCONTRACTOR and at
least two sets of trainee training materials for each course shall be
provided for the course file maintained by CT-ITS records. These will be
updated whenever the LANL course manager approves of changes.

## Quality Assurance/Configuration Management

The LANL course manager will monitor the SUBCONTRACTOR periodically for
contract compliance, the housekeeping and orderliness of the room, and
to inventory and check the condition of the LANL-owned property.

The LANL course manager or the LANL SME reserve the right to reject an
instructor as unsuitable based on:

-   Review of the resume

-   Inadequacies identified by references

-   Complaints from trainees

-   Failure to strictly adhere to the AHA curriculum

-   Insufficient experience

-   Insufficient credentials

-   Habitual tardiness or absenteeism

-   Inadequate performance

-   Inaccurate, incorrect or unsupportable responses to questions

The LANL course manager, the AED program director, and AHA faculty-level
personnel may monitor instructors periodically. LANL and the AHA reserve
the right to remove an instructor from eligibility to teach based on
instructional skills, level of knowledge, and strict adherence to the
AHA curriculum.

LANL reserves the right to change the curriculum, change the class
format, change the provided equipment, change the scheduling, or make
any other changes to the first aid and CPR/AED courses as deemed
necessary for improvements of quality, to meet special needs, or to
improve efficiency. LANL will provide the SUBCONTRACTOR with at least 60
days' notice when such changes are needed and will work with the
SUBCONTRACTOR to develop a transition plan. Any changes made shall be
approved through a bi-lateral modification to the subcontract.

SUBCONTRACTOR - or AHA-driven curriculum and procedure changes must be
proposed in writing, approved by the LANL course manager in writing, and
will be made in a controlled and formal manner (i.e., based on a
transition plan). Changes by AHA to its national curriculum **SHALL
NOT** automatically be implemented by the SUBCONTRACTOR without a formal
review and written approval by the LANL course manager and the AED
program director.

> Instructors shall answer technical questions based on known, confirmed
> information from the AHA, from a peer-reviewed journal, or based on
> their professional experience.  Answering questions based on something
> read in the newspaper, a magazine, from the Internet, or based on
> opinion, will be grounds for disqualification to teach at LANL.  The
> LANL course manager may require that an instructor produce the
> reputable and authoritative source for the answer provided to a
> trainee question.  The SUBCONTRACTOR is responsible for briefing the
> instructors that LANL will not tolerate off-the-cuff answers to
> questions that cannot be substantiated with a reputable and
> authoritative source. The only correct answer to questions the
> instructor is uncertain of is \"I don\'t know\" with the possible
> additional promise of getting back to the trainee(s) with an
> appropriately researched and documented answer.

## Communication

The preferred method of formal and written communication is email.
Requests for information to the SUBCONTRACTOR using email shall be
responded to using email or a letter, [not telephone calls]{.underline}.
Where notifications or approvals are required in writing, emails may be
used. The SUBCONTRACTOR may also be required to submit information using
email or a letter (SUBCONTRACTOR'S preference) for the purpose of
establishing a written record.

The SUBCONTRACTOR shall provide the names and phone numbers (such as
home or cell phone numbers) of key personnel that can be contacted
between 7:00 AM and 6:00PM for emergency notification of problems.

## Courses Delivered outside the White Rock Training Center

Groups besides CT-ITS may occasionally ask the SUBCONTRACTOR to provide
dedicated training for a specific organization at a location somewhere
within LANL. The SUBCONTRACTOR will notify the LANL course manager of
such requests in writing, and the CT-ITS group leader must approve each
request. The SUBCONTRACTOR may provide such training if approved. While
the preferred training location is the White Rock Training Center, the
requesting group may provide a suitable training space, audio-visual
equipment, and additional logistical support, as well as escorts if
needed. The LANL course manager shall be notified in writing (e.g.,
email) in advance whenever training is to be conducted at a location
other than the White Rock Training Center. The general rule is that all
training will be performed at White Rock but exceptions may be made.

The mannequins and other equipment may be used anywhere within LANL
(again only with the written permission of the LANL course manager). The
SUBCONTRACTOR is responsible for transporting the mannequins to the
training location and for damage owing to negligent handling. The
equipment shall be signed out and accounted for with the LANL course
manager. Rosters shall be submitted as soon as practical after the
session.

## Emergencies and Drills

The SUBCONTRACTOR'S instructors and classes will participate in
emergency drills and emergency evacuations. SUBCONTRACTOR instructors
will brief each class at the start of the class on the emergency
evacuation and accountability procedures. During a real emergency or
drill, SUBCONTRACTOR instructors will be expected to perform in the same
manner as LANL instructors (get their trainees to a safe area, account
for personnel, and otherwise assist in managing the emergency).

## Equivalency

The LANL AED program director and the trainee's line management will
adjudicate questions of equivalency for trainees. The SUBCONTRACTOR will
not be involved in the decision-making nor issue a certificate. The
instructor will refer personnel who request equivalency to the LANL
course manager who will provide the correct form and instructions to the
requestor.

**Waste**

Wastes generated at the White Rock Training Center are the
responsibility of the SUBCONTRACTOR. The SUBCONTRACTOR is responsible
for evaluating their waste, determining its legal classification and
disposing of it in accordance with New Mexico and Federal laws. In the
past, the use of disinfection chemicals have been deemed "household use"
and the waste for these classes have not been classified as medical or
biological waste If the SUBCONTRACTOR determines the wastes are not
hazardous, medical (infectious), or special New Mexico wastes, the
dumpsters outside the building may be used for waste disposal.
Responsibility for wastes generated while providing training elsewhere
in the Laboratory may be negotiated with the requesting organization.