2023 - SOW.docx

STATEMENT OF WORK

FOR

PROPANE GAS SERVICES

AT

INSCRIPTION HOUSE HEALTH CENTER

CLINIC AND QUARTERS

SHONTO, ARIZONA

December 13, 2022

KAYENTA SERVICE UNIT

1. Introduction:

Inscription House Health Center (IHHC) is located one-mile north of Junction Highway 98 and Navajo Route 16, Tonalea, AZ 86044. The Inscription House health facility provides 40 hours per week ambulatory care for approximately 7,000 nearby residents. The facility is closed after 5 p.m. on weekdays and is closed on weekends. IHHC is located in a remote location; the nearest town is a one-hour drive.

1.2. Inscription House Health Center needs to purchase propane for the clinic and employee living quarters at the Inscription House and Shonto locations. Propane is used for heating space and utilizing the hot water heater that is utilized in the facility/quarters on a daily basis.

1.3. Provide reliable propane services, as needed for operation at IHHC facility and quarters.

1.4. Contractor shall also be prepared to deliver during emergency situations and shall furnish all necessary supplies and transportation to complete the order.

2. PROJECT BACKGROUND

2.1. Inscription House Health Center requires propane services to keep the health facility and housing facility functional.

2.2. Propane gas services are requested on an as needed basis only. NO HAZMAT OR DELIVERY FEES WILL BE CHARGED.

2.3. IHHC requires the services from an exceptional provider.

3. PROJECT DESCRIPTION:

3.1. The contractor shall prepare a proposal, and upon award, shall provide details on services for IHHC needs. Contractor/vendor shall provide the following services under regulations required to operate in the community of Inscription House Health Center will require services. Provider/contractor shall include and provide the following services:

a. Provide reliable propane fuel services.

b. Provide accurate meter reading and notify facility of any utility failure.

c. The services supplied/provided shall be billed to the Ordering Agency at the address specified in each Authorization.

d. The ordering Agency shall take into effect payment of all bills in accordance with the applicable rate schedule, the Contractor’s terms and conditions and the time normally allowed for payment of bills.

e. The ordering Agency shall provide, free of charge to the Contractor, mutually agreeable locations on its premises for the installation of meters and such other equipment furnished and owned by the contractor and necessary to supply service.

a. All work needs to be safe and adhere to applicable codes.

b. Contractor is to dispose of debris at approved EPA disposal location.

c. Service work needs to function properly, be reliable and completed in a timely fashion to meet KSU needs.

4. CRITERIA:

4.1. Codes and Standards: the contractor shall perform work in accordance with best common practices and standards;

a. Safety and Hazard Awareness (PPE, jobs specific hazards, Electrical isolation and ETC).

b. NFPA criteria

c. The Joint Commission standards and regulations

5. GENERAL REQUIREMENTS:

5.1. Contractor shall develop a set plan and accurate timeline to present to IHHC project representative prior to utility services and projects’ start date.

5.2. Contractor is responsible for furnishing tools, materials and equipment to complete services and/or projects.

5.3. A report and walk through of the work area will be necessary after completion of services and/or projects.

5.4. Work area should be well kept and free of trash and debris after work days.

5.5. Work hours need to be discussed and agreed upon with facility (contract officer, facility manager, security and ETC.).

5.6. The contractor shall furnish a schedule of the dates agreed upon with the project officer and the facility manager at least two weeks in advance.

5.7. Any foreseen or unplanned costs, workhours or changes that will effect or incur extra costs to IHHC, needs to be brought to the attention of the IHHC project representative before proceeding with this matter.

5.8. The Contractor must be mindful of keeping normal business and patient care activities uninterrupted.

5.9. Contractor is expected to be professional and efficient with his work.

6. SPECIAL REQUIREMENTS

6.1. Services will be provided on an as-needed-basis. A date and time will be arranged with the contractor to deliver propane gas.

6.2. After each service supplied by contractor, they shall provide a copy of services provided to the Contracting Office to confirm services were provided.

6.3. Contractor shall wear ID badge on IHHC premises and check in with security every day.

6.4. Billing must be accurate and in a timely manner sent to Kayenta Health Center’s Accounts Payable: Address: Kayenta Service Unit, Accounts Payable Department, PO Box 1276, Kayenta, AZ 86033.

7. Period of Performance:

7.1. The period of performance shall be Fiscal Year from Date of Award through January 01, 2023 to December 31, 2023.

8. Place of Performance:

a. Address: Inscription House Health Center P.O. Box 7397 Shonto, Arizona 86054

b. Physical Address: Junction Highway 98 & Navajo Route 16 Tonalea, Arizona 86044

9. Contact information:

9.1. Billy Elliott, Acting Maintenance Supervisor, (928) 672-3117

9.2. Lee Austin Jr., Maintenance Mechanic, (928) 672-3008

9.3. Darwin James, Maintenance Mechanic, (928) 672-3008

9.4 Rosita Franklyn, Maintenance Secretary (928) 672-3075

10. Warranty

10.1 N/A