1-Statement of Work.docx

STATEMENT OF WORK

PL 86-121 CONSTRUCTION PROJECT

INDIAN HEALTH SERVICE

PORTLAND AREA

Statement of Work, Project PO-20-C74 Page 2 of 2

Lewis County

A. Project Description

This project is for the installation of a residential well on fee land. The contractor shall drill the well, consisting of welded steel casing, PVC liner (as needed), sanitary seal, screen, well development, test pumping, and water sampling. All appurtenances, including a submersible pump and pressure system, will be contracted separately. Existing well logs from the surrounding area are provided (see Attachments). Further investigation of the site and locating other local well logs is the responsibility of the contractor. Any permits, including the Department of Ecology Notice of Intent, are the responsibility of the contractor.

B. Ownership

This project will provide sanitation facilities to a private home owned by a member of the Cowlitz Tribe. Upon completion, the facilities will be transferred to the homeowner. The system will be operated by the homeowner.

C. TERO & Other Fees

TERO fees do not apply.

D. Scope of Work

Work is to be completed on a private home, under the jurisdiction of Lewis County. The contractor must review site conditions, and report any concerns or discrepancies to the Contracting Officer’s Representative (COR) in writing prior to beginning construction. The proposed well location is indicated in the site drawings.

D.1 Work Requirements: The well construction shall include:

D.1.1. Mobilization and Demobilization D.1.2. Well Drilling for 6” Casing D.1.3. Installation of 6” Well Casing D.1.4. Placement of Sanitary Grout (Surface Seal) D.1.5. Placement of Well Screen (as needed) D.1.6. Well Development D.1.7. Test Pumping D.1.8. Disinfection and Water Quality Analysis (see Attachment 3) D.1.9. Installation of 4.5” PVC Well Liner (as needed) D.1.10. Well Abandonment (as needed)

E. Technical Requirements

E.1 Codes, References, and Standards Work under this contract must be performed in compliance with the codes, references, and standards listed below. If conflicts exist between these references, consult the COR for direction.

i. Washington Administrative Code (WAC Chapter 173-160, MINIMUM STANDARDS FOR CONSTRUCTION AND MAINTENANCE OF WELLS)

ii. Indian Health Service Technical Provisions (See Attachments)

E.2 Submittals The Contractor shall provide submittals to the COR on the items listed below. Submittal approval is required for variations from equipment and materials specified.

a) Pre-Construction

i. Well casing

b) Following drilling of the well, if a screen is found to be necessary, the following submittals shall be required. The COR shall make the final determination regarding installation of a screen:

i. Well screen

c) Post-construction:

i. Water analysis results

ii. Pumping test results

iii. Well log

E.3 Material Specifications

i. Install materials as specified in sections D & E above. Materials specified may be substituted with equals upon approval from the COR.

E.4 Work Execution Requirements

i. The Contractor shall contact the COR 48 hours prior to mobilization.

ii. The Contractor must attend a pre-construction meeting before beginning work under this contract, unless otherwise explicitly authorized by the Contracting Officer.

iii. The Contractor is responsible for determining the exact location of any and all utilities. The Contractor is responsible for protecting utilities from damage during construction.

iv. All debris generated during construction shall be removed from site.

v. All areas disturbed by construction activities shall be finish-graded.

vi. The contractor must obtain approval from the Contracting Officer prior to installing material quantities in excess of those specified on the bid schedule. The Contractor shall keep the COR notified and advised of all work to be done or work in progress sufficiently in advance so that proper inspection can be performed.

Project Engineer:

Ashley Martinez, EIT, Ashley.martinez@ihs.gov

Recommended COR:

Michelle Bernard, PE, michelle.bernard@ihs.gov

Project Completion Time:

30 calendar days from the Notice to Proceed (NTP)