IHS1490253 - SOW.pdf

Scope of Work Bulk Liquid Oxygen (Medical)

Fiscal Year 2024

1.0 Introduction:

This Statement of work describes the requirements for bulk oxygen for the Crownpoint Healthcare Facility. Oxygen is used daily for direct patient care.

1.1 Background: Navajo Area Indian Health Service (NAIHS) Building, Crownpoint Healthcare Facilities (CHCF) provides health care in the Eastern Navajo Agency area. The facility is Crownpoint Healthcare Facility.

Period of Performance: Date of Award to December 31, 2024

Option 1: January 1, 2025 to December 31, 2025 Option 2: January 1, 2026 to December 31, 2026 Option 3: January 1, 2027 to December 31, 2027 Option 4: January 1, 2028 to December 31, 2028

2.0 Scope: Bulk oxygen will be provided as requested by the maintenance supervisor. See paragraph 5 for additional details.

2.1 The contractor shall provide all labor, tools, materials, supplies, transportation, equipment, supervision and all other necessary items for delivery of bulk oxygen and conduct on annual inspection on the oxygen tank. Performing all work in a skillful and workman like manner.

2.2 Place of performance: Crownpoint Healthcare Facility, state road 371 and

Navajo Route 9.

3.0 Applicable Documents:

3.1 Environmental Protection Act (EPA). All hazards debris or materials requiring disposal and must have proper notification to required entities and to follow applicable regulations and laws.

4.0 Definitions:

4.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

4.2 Approval: Acknowledgement by the designed government employee that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation scheduled, planned utility interruptions, etc.)

conform to the contractual requirements. Government approval does not relieve the contractor from responsibility for compliance with contract requirements.

4.3 Contracting Officer (CO): Government employee with the authority to enter into, administer and/or terminate contracts and make related determinations and findings.

4.4 Contractor: The individual or company awarded a legal binding contract to provide supplies and services.

4.5 Contracting Officer's Technical Representative (COTR) or Project Officer (PO): A federal employee who assists the ordering/issuing activity contracting office in the administration of task orders issued under this contract. The COTR is primarily responsible for the technical assistance and day-to-day program management of the ordering activity's task orders.

Ordering activities may have different designators for this employee (e.g.

GTR - Government Technical Representative, PO - Project Officer.

4.6 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriate funds.

4.7 NESHAP: National Emission Standard for Hazardous Air Pollutants - EPA

Rules under the Clean Air Act.

4.8 OSHA: Occupational Health & Safety Administration.

5.0 Government Furnish Property:

5.1 Government will not provide any labor, tools, materials, supplies, transportation, equipment, supervision or other items to perform required services.

5.2 The contractor shall provide all tools, material, supplies, transportation, equipment, personnel and all other necessary items for bulk oxygen.

6.0 Performance Requirements: The contractor shall furnish all materials, tools, labor and equipment necessary to fully provide bulk oxygen.

6.1 Contractor will receive key from Lathan Brown, Maintenance Supervisor.

Keys shall be returned to Facility Management department of to project officer.

6.2 The contractor shall coordinate with Mr. Lathan Brown, Maintenance

Supervisor. Site shall be maintained in a clean and orderly condition.

7.0 Contractor Certification Requirements:

7.1 Permits:

7.2 The Contractor shall be responsible for obtaining necessary permits if necessary.

7.3 The contractor shall possess a current valid state contractor's license in any state.

7.4 Safety Program:

7.4.1 The Contractor shall develop and maintain a comprehensive safety program. Program shall detail policies, procedures and plan that the contractor will implement to ensure the safety and health of the workers and visitors to the project site. All constructor's personnel on site must use personal protective equipment that meets OSHA requirements.

7.4.2 Contractor shall prepare a list of major hazards associated with the work, and shall identify in the Safety Program means to minimize the hazards. Contractor shall comply with Safety and Interim Life Safety Measure (ILSM) while doing business on IHS property. Construction site shall be cleared of any unused materials daily. No piling of demolished materials or debris is allowed. Demolished material and construction debris should be temporarily stored away from building.

7.4.3 Contractor shall maintain two copies of the Safety Program at the project site, and to make available for review to workers upon request.

7.4.4 Insurance Requirements:

The contractor shall have in force during the period of this contract, insurance as listed below:

8.0 Contracting Officer Responsibility:

8.1 Lathan Brown, Maintenance Mech Supervisor, has been designated as The person who will be responsible for:

• Monitoring the contractor's progress to include the surveillance and assessment of performance.

• Interpreting Scope of Work.

• Requests for change orders coordination.

• Technical inspections and acceptances required by this contract.

• Assisting the contractor in resolution of technical problems encountered during performance of this contract.

• No changes shall be made on the specifications and statement of work without approval of the project officer.

9.0 Identification:

9.1 HIGHLIGHTS OF SPECIAL CONCERNS:

FAR: 52.204-9 PERSONAL ACTIVITY VERIFICATION OF

CONTRACTOR, PERSONNEL. (JAN 2006)

a) The contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD), Office of the Management and Budget (0MB) guidance M-05-24, and Federal Information Processing standards Publication (FIPS PUB) number 201.

b) The contractor shall insert this clause in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

10.0 CONTRACTOR SECURITY REQUIREMENTS:

Prior to beginning work on this project, the contractor shall provide a list of all on-site personnel, including sub-contractors (including second and third subcontractors) to the contracting officer. The contractor shall update this list when changes occur. Contractor personnel not listed may be denied access to the project site and the facility. Contractor personnel will be restricted to designated working areas. Any personnel violating this policy may lose access to the housing sites. Contractor personnel shall have photo identification at all times on their person while working on this project.

11. CLEARANCE OF SUBCONTRACTORS:- The contractor shall submit a list of all subcontractors to the contracting officer. The contracting officer will review the list to ensure that the contractor does not employee nay subcontractor who has been disqualified under the existing federal laws and regulations from participating in federal or federally assisted projects (FAR 52.219-14 and 52.222-11).