On a contingency basis, the Contractor shall provide Helicopter Medical Services to the Louisiana Department of Health (LDH) Emergency Medical Services – Tactical Operations Center (EMS-TOC), utilizing the incident management team concept during a declared state of emergency and upon activation by the State Health Officer or designee. For purposes of the contract, the EMS-TOC will serve as Incident Command to the Contractor providing the services herein. During a declared state of emergency, the State of Louisiana anticipates the utilization of air ambulances to assist in the following: Hospital evacuations; Nursing Home evacuations; Augmentation of 911 services in evacuating regions, and evacuation of homebound patients; Support search and rescue efforts in affected areas Contracted emergency transportation resources may assist the State via state contracted resources, Emergency Medical Assistance Compact (EMAC), or federal contract. The State Health Officer or designee will have sole discretion to review the scope and scale of an event to determine from all of the available resources which activations will best serve the State’s needs. Use of out-of-state resources by the Contractor requires written authorization by the State Health Officer or designee.