SOW_GP23AW802Z06_Winnebago_Phase 1 ESA.pdf

STATEMENT OF WORK

PHASE 1 ENVIRONMENTAL SITE

ASSESSMENT AND HAZARDOUS

MATERIAL AND ASBESTOS SURVEY

REPORTS

GP23AW802Z06

WINNEBAGO, NE

NOVEMBER 2023

Table of Contents

1. COORDINATION, LOCATION, AND TIMELINE

2. INTRODUCTION & PURPOSE

3. SCOPE

4. REQUIREMENTS

5. CONSTRUCTION ITEMS

6. RESPONSIBILITIES

7. COORDINATION

8. SUPERINTENDENT

9. PERFORMANCE PERIOD

10. INFECTION CONTROL & INTERIM LIFE SAFETY MEASURES

11. SAFETY AND SECURITY

12. RESTORATION

13. WARRANTY

14. DELIVERABLES

15. TRIBAL EMPLOYMENT RIGHTS OFFICE (TERO) REQUIREMENTS

BID SCHEDULE

APPENDIX A – WINNEBAGO, NE

STATMENT OF WORK

PHASE 1 ESA & HMAS

WINNEBAGO, NE

1. COORDINATION, LOCATION, AND TIMELINE

Contract Officer Representative (COR):

Stottin Newbrough

Project Engineer

Stottin.Newbrough@ihs.gov

Telephone: 605-719-4054

Location:

Winnebago, NE

Timeline:

60 Calendar Days

2. INTRODUCTION & PURPOSE

This project shall produce Phase 1 Environmental Site Assessment (ESA) and Hazardous

Materials and Asbestos Survey (HMAS) reports for the Winnebago Campus. Hazardous materials shall include asbestos, lead based paint (LBP), mold, mercury-containing materials, polychlorinated biphenyls (PCBs), chlorofluorocarbons (CFCs), hydrochlorofluorocarbons

(HCFCs), oil and oil products (including treated timbers), household hazardous-waste

(paints, varnishes, solvents, and cleaning chemicals), fuel oil tanks, miscellaneous hazardous materials, solid waste, and radon. Locations are shown in Appendix A.

The purpose of these assessments and surveys are to gather sufficient information to develop an independent professional opinion about the environmental condition of the property and to identify actual or potential environmental contamination.

3. SCOPE

The project defined within this Statement of Work is the Phase 1 Environmental Site

Assessment and Hazardous Material and Asbestos Survey Report for various Winnebago

IHS buildings and campus. A cost estimate for remediation shall be provided for each finding during the survey. The project includes all labor, transportation, and supplies to complete the survey and report.

The contractor shall provide certified inspector/s to perform the Phase 1 ESA per ASTM

E1527-21. A hazardous material and asbestos building and site survey shall also be provided for the buildings.

The contractor shall review the building and conduct a site investigation to determine the site mailto:Stottin.Newbrough@ihs.gov conditions. The building and site may be disturbed only as necessary to inspect and understand the environmental hazards that may be present.

Bulk samples from suspected hazardous materials shall be collected to be further tested at a certified laboratory using appropriate standard testing methods as necessary.

The contractor shall ensure all personnel is using appropriate personal protective equipment while on site.

1. Winnebago

1) Hospital. Installation 11506, Building 00304

a) Approximate age: 2004

b) Size: 8,808 square meters

c) Located: Winnebago, NE

d) Local contact: Paul McCarty 402-922-0076 or 402-872-2231 x2004

2) Heating Plant. Installation 11506, Building 00306

a) Approximate age: 2004

b) Size: 443 square meters

3) Ambulance. Installation 11506, Building 00307

a) Approximate age: 2009

b) Size: 235 square meters

4) Storage. Installation 11506, Building 00N15

a) Approximate age: 1968

b) Size: 297 square meters

5) Garage. Installation 11506, Building 00N16

a) Approximate age: 1968

b) Size: 111 square meters

6) Land. Installations 11506 & 03321

a) Approximate age: N/A

b) Size: 14.74 Acres (4.54 acres Federally owned, 10.2 acres leased)

7) Tunnel.

a) Approximate age: 1955

b) Size: Unknown

c) Located: Winnebago, NE

4. REQUIREMENTS

The contractor shall perform the following.

1. The contractor shall obtain all required permits, insurance, and fees, federal and tribal, required of a general contractor working in Nebraska.

2. The contractor shall provide a complete report within thirty (30) days after competition of assessment and survey for each building. Each report shall include, but is not limited to, the following:

a. Phase 1 ESA and Hazardous Material, LBP, and Asbestos Report

b. Methods of testing

c. Findings, opinions, and recommendations

d. Site overview

e. Historical and environmental information

f. Records review

g. The site and adjoining property reconnaissance

h. Interviews

i. References

j. Test results and locations of hazards

k. Rough cost estimates for required remediation or potential demolition and disposal activities

l. Site diagram, site photographs, figures, property information, qualifications of environmental professionals, certificate of insurance, etc.

5. CONSTRUCTION ITEMS

N/A

6. RESPONSIBILITIES

The Contractor shall be responsible for the professional quality, technical accuracy, and coordination of all surveys, reports, and other services furnished under this contract. The

Contractor shall, without additional compensation, correct or revise any errors or deficiencies in its reports.

7. COORDINATION

Upon receiving an executed contract, the Contractor will schedule a scoping visit with the

COR to coordinate the project. Meetings at the locations will be with an IHS project team consisting of the COR, Service Unit facility manager, and other Service Unit IHS staff.

Site visits shall be coordinated with the COR and/or Facility Manager. Preliminary site visits during the proposal stage shall be allowed.

8. SUPERINTENDENT

The contractor shall at all times during the project have a designated and qualified

Superintendent on the project. The Superintendent shall be disclosed in writing with the name, office location, office number, and cell phone number. The Superintendent shall be the designated person by the contractor who will represent the contractor on-site during all times when work on-site is taking place.

9. PERFORMANCE PERIOD

The period of performance of this contract shall be 120 calendar days from the Notice to

Proceed (NTP).

10. INFECTION CONTROL & INTERIM LIFE SAFETY MEASURES

The contractor shall be required to follow the requirements of the Interim Life Safety

Measures, Infection Control Risk Assessment, and Pre-Construction Risk Assessment, if applicable. The permits and life safety measures assessment will be provided to the

Contractor following the award of the task order.

All work shall be performed in a manner to limit the disruption to the clinical activities.

11. SAFETY AND SECURITY

The contractor shall be responsible for the safe progress of the work to assure that patients, hospital staff, visitors, children, and tenants are not allowed access to unsafe areas or conditions during the progress of the work. The contractor and staff shall afford all staff, patients, and visitors’ professional courtesy during the project. Interim life safety measures will be strictly enforced during the project. For details, contact the Safety Officer.

The health center and the Indian Health Service staff shall not be responsible for the security of the contractor’s tools, equipment, or material during the project.

12. RESTORATION

The contractor shall restore all areas disturbed by the project to a condition at least equal to that existing before the project, and shall minimize interference to the function of the Service

Unit during the project.

13. WARRANTY

N/A

14. DELIVERABLES

Following contract award, the contractor shall provide the Indian Health Service submittals of proposed methods, materials, and new equipment to be utilized during the project. At a minimum, submittals are required for the following items:

1. Phase 1 Environmental Site Assessment Report – Each building per location

2. Hazardous Material, Lead-Based Paint, and Asbestos Survey Report – Each building per location

3. Cost Estimates

4. Project schedule

5. Resumes of qualified individuals performing the services

15. TRIBAL EMPLOYMENT RIGHTS OFFICE (TERO)

REQUIREMENTS

Contractors engaging in work on any Indian Reservation will be required to comply with the

Indian preference and Indian preference program requirements administered by the Tribal

Employment Rights Office (TERO).

Typical requirements of TERO include a percentage fee on the total contract price.

Contractors are strongly encouraged to contact the TERO office for an explanation of tribal requirements, required fees, and permits.

BID SCHEDULE

PHASE 1 ESA AND HMAS

GP23AW802Z06

Est. Unit Total

Item Description Qty. Unit Cost Cost

Phase 1 ESA and HMAS – Winnebago, NE

Multiple Building and Land Campus 1 Job $ $

Total $

APPENDIX A – WINNEBAGO, NE