1-Statement of Work (Revised).docx

STATEMENT OF WORK

PL 86-121 CONSTRUCTION PROJECT

INDIAN HEALTH SERVICE

PORTLAND AREA

Statement of Work, Project PO-22-D05F Page 3 of 3

Solicitation No: TBD

Project Name: Collin Haupt: Individual Septic System and Water Pressure System

Project Location: 130 Red Hawk Road Sequim WA, 98357

Homeowner Contact: Collin Haupt; (360) 477-6569

Project No: PO-22-D05F

Project Completion Time:

30 calendar days

Project Engineer/COR:

Project Engineer/COR

Madeline Keep Environmental Engineer Division of Sanitation Facilities Construction Indian Health Service, Port Angeles Field Office 1601 E. Front St., Bldg B Suite C Port Angeles, WA 98362 Madeline.Keep@ihs.gov 360-536-3364

A. Project Description

This project is for the installation of an individual septic system, well pump, and water pressure system on Fee land located in Clallam County. The proposed septic system is to consist of 4-inch ASTM D3034 PVC gravity sewage transport pipe, an underground doublesweep cleanout, a 1,000-gallon two-compartment concrete septic tank with effluent filter, a 1,000 gallon pump chamber with effluent pump (Orenco model PF100511 or equivalent, 0.5 HP) and controls, ¾-inch Schedule 40 PVC pressure supply and flush lines, continuous flush headworks, 1-inch air/vacuum release valves, and subsurface Netafilm Bioline dripline with approximately 750 square feet of dispersal area per County-approved design (Attachment: County Approved Septic Design – Haupt) and local, state, and Tribal regulations. The contractor shall remove the temporary well cap and appurtenances currently on the well, install a well pump, drop pipe, submersible cable, pitless adapter, metal well cap, approximately 155 linear feet of 1” SCH 40 PVC water line from the well to the existing home water stub-out, install a variable frequency drive (Aquavar SOLO2 or equivalent) in a standalone structure adjacent to the well head, install a 2-gallon pressure tank (Amtrol Well X-Trol WX-101 or equivalent) inside of an underground valve vault adjacent to the control panel structure, install buried electrical conduit to the home subpanel, and complete well and pressure system disinfection. The existing well log, pump test data, and list of existing well appurtenances for the home are provided (see Attachments). Further investigation of the site before and after bidding is the responsibility of the Contractor. Any permits are the responsibility of the Contractor.

B. Ownership

This project will provide sanitation facilities to a private home owned by a member of the Makah 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.

Rose Jimmicum, TERO Compliance Officer, Makah Tribe rosalee.jimmicum@makah.com 360-645-3101

D. Scope of Work

Work is to be complete on Fee land under the jurisdiction of Clallam County. The Contractor must review site conditions, and report any concerns or discrepancies to the Contracting Officer’s Representative (COR) in writing prior to construction. In accordance with the Design (Attachment: County Approved Septic Design – Haupt; Attachment: Water Pressure System Design—Haupt) and Technical Provisions (Attachment: IHS Technical Provisions – Haupt), the Contractor must:

D.1 Work Requirements:

1. Mobilize and demobilize.

2. Install 4-inch ASTM D3034 PVC gravity sewage transport pipe per Design.

3. Install underground doublesweep cleanout.

4. Install 1,000 gallon 2-compartment concrete septic tank with filter per Design.

5. Install 1,000 gallon pump chamber with effluent pump (Orenco model PF100511 or equivalent, 0.5 HP) and controls per Design.

6. Install ¾-inch Schedule 40 PVC pressure supply and flush lines and manifolds per Design.

7. Install approximately 750 square feet of subsurface drip system drainfield using Netafilm Bioline dripline per Design.

8. Remove temporary well cap and appurtenances.

9. Install 3/4 HP submersible pump (Goulds 10G07 or equivalent) and controls such that the top of the pump is 162 ft below ground surface.

10. Install approximately 162 LF of 1" schedule 120 PVC drop pipe and submersible cable.

11. Install pitless adapter.

12. Install metal well cap.

13. Install approximately 155 feet of 1" SCH 40 PVC water service line to house.

14. Install variable frequency drive (Aquavar SOLO2 or equivalent), standalone structure, and 2-gallon pressure tank inside of an underground valve vault with insulated lid (GreenGuard R-5 or equivalent) adjacent to the control panel structure.

15. Install approximately 200 feet electrical conduit to home subpanel.

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, the Washington Administrative Code (WAC) shall take preference.

1. WAC Chapter 246-272A, On-site Sewage Systems.

2. WAC Chapter 246-272C, On-site Sewage System Tanks.

3. WAC Chapter 51-56, State Building Code Adoption and Amendment of the 2018 Edition of the Uniform Plumbing Code.

4. WAC Chapter 296-46B, WAC Electrical Safety Standards, Administration, and Installation.

5. WAC Chapter 173-160, Minimum Standards for Construction and Maintenance of Wells.

6. Septic Design (Attachment: County Approved Septic Design – Haupt).

7. Water Pressure Sysem Design (Attachment: Water Pressure System Design – Haupt).

8. Indian Health Service Technical Provisions (Attachment: IHS Technical Provisions – Haupt).

E.2 Submittals

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

1. Pre-Construction (submit a minimum of five (5)-days prior to construction)

a. Manufacturer’s product information for septic system components, including septic tank, pump chamber, pump and controls, pipes, headworks, air/vacuum release valves, and drip system drainfield components.

b. Manufacturer’s product information for water pressure system components, including well pump, drop pipe, electrical cable, pitless adapter, well cap, meter box, pressure tank, pressure sensor, pressure gauge, pressure relief valve, drain valve, pressure tank piping, check valve, and variable frequency drive.

c. Equipment or material variations from those specified in the Design (Attachment: County Approved Septic Design – Haupt; Attachment: Water Pressure System Design—Haupt) and Technical Provisions (Attachment: IHS Technical Provisions - Haupt)

2. Post–Construction (submit with payment invoice)

a. Product Warranties – Include the following information on the warranty:

i. Name and address of the dealer

ii. Model and serial number

iii. Date of installation

b. Operation and maintenance information

c. Manufacturer’s product information Any variations between Design and final installation shall be included in the record drawing.

E.3 Material Specifications

i. The Contractor must install materials as specified in sections D & E above and in the Design (Attachment: County Approved Septic Design – Haupt; Attachment: Water Pressure System Design—Haupt) and Technical Provisions (Attachment: IHS Technical Provisions - Haupt).

ii. Materials specified may be substituted with equals with written approval from the COR in accordance with submittal procedure E.2 a) ii above.

E.4 Work Execution Requirements

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

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

iii. The Contractor is responsible for determining the exact location of all utilities.

iv. The Contractor is responsible for protecting utilities from damage during construction.

v. A minimum of five (5)-days of continuous dry weather conditions is required prior to commencing work, unless explicitly waived by the COR.

vi. The Contractor must comply with all instructions and notes on the Design (Attachment: County Approved Septic Design – Haupt) including the status of soil moisture during installation, contacting the COR during wet weather season for approvals, and for notification of required inspections.

vii. All debris generated during construction must be removed from site.

viii. All areas disturbed by construction activities must be finish-graded.

ix. The Contractor must not damage or disturb soils when clearing drainfield.

x. The Contractor must notify and obtain approval from the COR before deviating from the Design (Attachment: County Approved Septic Design – Haupt; Attachment: Water Pressure System Design—Haupt).

xi. The Contractor must obtain approval from the COR prior to installing material quantities in excess of those specified on the bid schedule (Attachment: 2) Bid Schedule – Haupt).

xii. The Contractor must notify and advise the COR on all work to be done or in progress sufficiently in advance so that proper inspection can be performed.

xiii. The Contractor must contact the COR 24 hours prior to final backfill for a final inspection.