75H71126Q00006 SB.pdf

INDIAN HEALTH SERVICE

OFFICE OF ENVIRONMENTAL HEALTH & ENGINEERING

Solicitation Number: 75H71126Q00006 Water service line and Septic Tank Lagoon for D. Rupnicki SR #574 in Mayetta, KS (Jackson Co.)

SITE VISIT: None scheduled

QUOTE DUE DATE: April 17, 2026, at 5:00PM CST, unless changed by Amendment Proposals must set forth full, accurate, and complete information as required by this request for proposal (including Gres). The penalty for making false statements in proposals is prescribed in 18 U.S.C. 1001.

Proposals must set forth full, accurate, and complete information as required by this request for proposal (including Gres). The penalty for making false statements in proposals is prescribed in 18 U.S.C. 1001…………………………………………………………………………………………………………………….1

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS……………………………………………………………………………………………………………………………………….5

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK……………………………………………………………………………………………………………………..7

SECTION D- -PACKING AND MARKING…………………………………………………………………………………………………………………………………………………………………………………………15

SECTION E – INSPECTION AND ACCEPTANCE……………………………………………………………………………………………………………………………………………………….16

SECTION F – DELIVERIES OR PERFORMANCE………………………………………………………………………………………………………………………………………………………..17

SECTION G – CONTRACT ADMINISTRATION DATA

SECTION H – SPECIAL CONTRACT REQUIREMENTS

SECTION I – CONTRACT CLAUSES

SECTION J – LIST OF ATTACHMENTS

SECTION K – REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS

SECTION L – INSTRUCTIONS, CONDITIONS, & NOTICES TO OFFERORS

SECTION M – EVALUATION FACTORS FOR AWARD

Table of Contents

SOLICITATION, OFFER,

AND AWARD

2. TYPE OF SOLICITATION

6. PROJECT NO. 4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

PAGE OF PAGES

7. ISSUED BY CODE 8. ADDRESS OFFER TO

SOLICITATION

(Construction, Alteration, or Repair)

1. SOLICITATION NO. 3. DATE ISSUED

IMPORTANT -- The "offer" section on the reverse must be fully completed by offeror.

9.

INFORMATION

a. NAME b. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

CALL:

FOR

SEALED BID (IFB)

NEGOTIATED (RFP)

IHS1524511

Oklahoma City Area IHS

701 Market Drive

Oklahoma City OK 73114

Indian Health Services

Attn: Noleen Powell 701 Market Drive Oklahoma City, OK 73114

NOLEEN POWELL 405-951-3975

104/09/2026

75H71126Q00006

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date)

Contractor shall furnish and install a water service line and septic tank lagoon for D. Rupnicki SR#574 in Mayetta, KS (Jackson Co.) in accordance with the attached Statement of Work and drawing provided.

See Section L for Quotation submittal instructions.

This is a 100% Small Business set aside.

This project is set-aside under North American Industry Classification System

(NAICS) Code 237110, Water and Sewer Line and Related Structures Construction. The associated side standard for this procurement is $45.0 million.

11. The Contractor shall begin performance

12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

award, notice to proceed. The performance period is mandatory negotiable. (See ________________________________________________.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and is not required.is, b. An offer guarantee

c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

d. Offers providing less than

12b. CALENDAR DAYSYES NO

(If "YES", indicate within how many calendar days after award in Item 12b.)

10 60 calendar days and complete it within ________________ ________________ calendar days after receiving

Section F

04/17/2026

NSN 7540-01-155-3212

x x x x copies to perform the work required are due at the place specified in Item 8 by _____________ ___________________ (hour) local time calendar days for Government acceptance after the date offers are due will not be considered and will be rejected . _________________

STANDARD FORM 1442 (Rev. 4-85)

Prescribed by GSA

FAR(48 CFR) 53.236-1(d)

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within ____________________ calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in item 13d. Failure to insert any number means the offeror accepts the minimum in item 13d.)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than item 14.)

CODE FACILITY CODE

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGEMENT OF AMENDMENTS

OFFER (Must be fully completed by offeror)

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)

AMENDMENT NO.

DATE.

20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20b. SIGNATURE 20c. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM 25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

26. ADMINISTERED BY CODE 27. PAYMENT WILL BE MADE BY

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

(Contractor is required to sign this document and return (Contractor is not required to sign this document.)

Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print) 31a. NAME OF CONTRACTING OFFICER (Type or print)

30b. SIGNATURE 30c. DATE 31b. UNITED STATES OF AMERICA 31c. DATE

BY

2PAGE OF

Oklahoma City Area IHS 701 Market Drive

Oklahoma City OK 73114

SHELTON BRUCE

28. NEGOTIATED AGREEMENT 29. AWARD

Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, copies to issuing office.)

10 U.S.C. 2304(c) 41 U.S.C. 253(c)

STANDARD FORM 1442 (REV. 4-85) BACK

Continued...

ITEM NO.

(A)

SUPPLIES/SERVICES

(B)

QUANTITY

(C)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

75H71126Q00006

Delivery: 60 Days After Award

Delivery Location Code: IHSOKLAHOMACITY

OKLAHOMA CITY AREA OFFICE

701 MARKET DRIVE

OKLAHOMA CITY OK 73114 US

1 Contractor shall furnish and install a water J3 service line and septic tank lagoon for

D.Rupnicki SR#574 in Mayetta, KS (Jackson Co.) in accordance with the attached Statement of Work and drawing.-See Section B, PRICING.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

PART I, SECTION B – PRICING SCHEDULE

REQUEST FOR BID - WATER SERVICE LINE AND SEPTIC TANK AND LAGOON

HOLTON OEHE FIELD OFFICE

PARTICIPANT ID# LOCATION PROJECT

Doran Rupnicki 574 Jackson OK25-G05

ESTIMATED UNIT

ITEM DESCRIPTION QUANTITIES UNIT PRICE TOTAL

2" DR 11 Polyethylene Water Service Line and

C. Septic Tank including inlet and outlet baffles, risers

G Furnish & Install Wire Fencing, Gate, Chain and

Keyed Padlock 280 LF

IMPORTED BACKFILL - gravel bedding for septic tank and backfill. 5 CY

LAGOON PREPARATION - Clearing of trees, tree

I stumps and brush in area of proposed lagoon site.

Disposal area as directed by homeowner or homeowner representative 1 LS

LINE 1 TOTAL $________________

H

SITE WATER UTILITY DISTRIBUTION PIPING.

A.. Furnish & Install by trenching/open cut excavation, a

Fittings

LF.

SITE WATER UTILITY DISTRIBUTION PIPING

B. Furnish & Install by directional bore 2" DR11

HDPE water service line.

LF

UTILITY SEPTIC TANKS

Furnish & Install 1,000 Gallon Concrete Utility and lids

EA

SANITARY UTILITY SEWERAGE PIPING

D. Furnish & Install 4" schedule 40 PVC Sewer

Service Pipe

LF

SANITARY UTILITY SEWERAGE CLEANOUTS

E Furnish & Install one-way, 4" Schedule 40 PVC

Sewer Cleanout

EA

RESIDENTIAL SEWERAGE LAGOONS

F Construct a 40' x 40' Sewage Lagoon (inside top of berm 52'x52')

LS

WIRE FENCES AND GATES

All work shall be performed in accordance with contract specifications and drawings.

Payment is to be made based on actual quantities installed.

B.2 Wage Determination: Construction wages shall be paid for all applicable labor categories for each price schedule line item and shall be included in all pricing in accordance with FAR 52.222-6, Construction Wage Rate Requirements. The applicable Wage Determination is included in Section J, Attachment J02.

END OF SECTION B

Department of Health and Human Services Indian Health Service

PART I, SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

Statement of Work

Construction of a New On-Site Wastewater System and Installation of Water Service Line for SR# 574 Doran Rupnicki

1.01 PURPOSE OF THE PROJECT

A. The Oklahoma City Area Office (OCA), Indian Health Services has a requirement for furnishing and installing a wastewater system and water service as shown on the drawings.

1.02 SITE LOCATION

10533 150th Road Mayetta, Jackson County, KS 66509

1.03 CONSTRUCTION SCHEDULE

A. Contact the Engineering Technician three business days before the start of any work.

B. Failure to perform work on the date scheduled shall require rescheduling the work 24-hours in advance.

C. Leave all work exposed until it is inspected and approved. Work not inspected before it is covered shall be re-exposed at the Contractor’s expense.

1.04 GOVERNMENT CONTACT INFORMATION

A. Contracting Office’s Representative

1. Ted Schlueter, Senior Field Engineer, Indian Health Service Holton OEH&E 324 New York Ave, Holton, KS 66436 Office Phone: 7855.364.4164 Ted.schlueter@ihs.gov

B. Construction Inspector

1. Jim Shane, Engineering Technician

Indian Health Service Holton OEH&E 324 New York Ave.

Holton, KS 66436 Office Phone: 785.364.4164 Cell Phone: 785.224.7626 Email:

Donald.shane@ihs.gov

1.05 PRAIRIE BAND POTAWATOMI NATION CONTACT INFORMATION

mailto:Ted.schlueter@ihs.gov mailto:Donald.shane@ihs.gov

A. Planning and Environmental Protection

1. Virginia LeClere

15498 K-Road Mayetta, KS 66509 Office: 785-966-2946 VaLeClere@pbpnation.org

1.06 QUALITY ASSURANCE

A. Perform work under the direction of personnel licensed in the state including plumbing.

B. Perform work under the direction of licensed wastewater installers through Northeast

Kansas Environmental Services.

1.07 PERIOD OF PERFORMANCE / WARRANTY

A. 30 days from date of contract award to complete the work.

B. Provide a minimum one-year (12 months) warranty for all materials and labor, covering defects in the materials or workmanship.

1.08 MATERIALS AND DELIVERABLES

A. Water Service line and Appurtenances.

1. All water service line piping and appurtenances must meet the requirements of NSF/ANSI-61 and NSF/ANSI-14.

B. 2” Polyethylene Pipe.

1. AWWA C901 and ASTM D2239.

2. IPS size pipe: 200 psi pressure rating.

3. High density, ultrahigh molecular weight polyethylene pipe compound PE-3408 or

PE 4710.

4. Non-flare fittings: Compression type equal to Ford Pack Joint, C66-44-NL or C66-

55-NL, or McDonald MAC-PAK with rigid stainless-steel stiffeners.

5. Pipe equal to Cresline HD 200.

C. Wastewater Septic Tank and Lagoon.

1. Pipe, fittings and cleanouts:

a. Polyvinyl Chloride (PVC) pipe, fittings and cleanouts shall be PVC schedule 40 as specified in the bid schedule.

b. Solvent weld, bell ended joints, pipe and fittings, conforming to ASTM D

c. Four (4) inch nominal diameter and longest pipe length available.

mailto:VaLeClere@pbpnation.org

2. Septic tank:

a. 1,000-gallon septic tank.

b. Access holes in tank lid shall be cast-in-place with a minimum diameter of 20 inches.

c. Inlet and outlet sanitary Tees, 4-inch schedule SDR35 PVC.

3. Adapter ring, access risers and covers – If adapter ring is not incorporated into septic tank lid.

a. Concrete tank adapter ring shall be of solid design and prevent movement of soil around the riser. Arc3009 Polylok, 24-inch, or approved equal.

4. Riser shall be a solid, double-walled polyethylene pipe. 24-inch N-12 by ADS

Pipe or approved equal.

5. Riser Lid:

a. Polylok 3008-West, 24-inch HDPE flat septic tank lid or approved equal.

6. Joint sealant:

a. Bitumous plastic joint sealant. Ram-Nek RN 103 or approved equal.

7. Lagoon Fencing:

a. Corner and Brace Posts:

1) Pressure treated wood.

2) 6-inch by 6-inch square.

3) Free of defects and unsound knots.

8. Line Posts:

a. Steel, drive type, structural tee section with anchor plates.

b. Length: 7.0 feet.

c. Dimensions: 1.25” x 7’

d. High strength hot rolled steel.

9. Fence Fabric:

a. Non-climbable (Horse Fence), 2-inch horizontal by 4-inch vertical spaces, woven galvanized steel.

b. Height: 48 inches.

c. Mesh wire to be No. 12.5 gauged wire.

d. Top and bottom wire to be No. 10 gauged wire.

10. Gate:

a. 5 feet high by 10 feet wide gate (for use with horses).

b. 1 ½ inch nominal diameter, wall thickness of 0.065-inch, hot galvanized tubing.

1) Welded wire mesh: No. 6 gauged rods with a 2-inch horizontal by 4-inch vertical grid pattern.

c. Hinges: bolt type.

d. Securing gate: chain and padlock.

11. Wire:

a. Barbed wire:

1) No. 12.5 gauged.

2) Two strands.

3) Galvanized steel wire.

4) Galvanized steel barbs: 2 or 4 points.

b. Tensioning wire:

1) No. 9 gauged galvanized soft wire.

12. Appurtenances:

a. Tee Post Clips:

1) 0.115 galvanized wire for 1.33 Tee posts.

b. Staples:

1) 1 ¾ inch galvanized.

c. Ardox Spikes:

1) 8-inch galvanized.

13. Concrete:

a. For Wood posts and Splash pad:

1) Ready-to-Use concrete mix.

a) Compressive strength of 4000 psi.

D. Turf and Grasses (Fertilizer, Seed and Mulch):

1. Fertilizer: 20-10-10 mixture of 20% nitrogen, 10% Phosphorous, and 10% Pot

Ash.

2. Seed Mixture: Blend of Kentucky 31, Fescue, and annual rye grass.

3. Mulch: Prairie (native) hay, not more than 2 years old and free of noxious weeds.

1.09 LEVEL OF EFFORT

A. General.

1. Construct the water service line and sewer system in accordance with the IHS

Project Oversight’s drawings/design and authorization permits.

2. Variations from the drawing/design or authorization permit are not permitted.

3. All work required to bring the sewer system into compliance with the drawing/design and authorization permit shall be at the Contractor’s expense.

B. Water Service Line Installation

1. Install water service line of the size, material and methods as indicated on the Bid

Schedule.

2. Install at the locations shown on the plans.

3. Provide sufficient slack in the water service line to prevent pulling joints apart and to allow for contraction due to temperature changes.

C. Install service line

1. From location of water meter into or near home.

a. Connect to the home existing water stub out if provided outside the home.

b. If sleeve provided, run water line though the sleeve and leave a minimum of

12-inches of piping in the home. Seal space between the piping and sleeve to prevent groundwater from entering the home.

c. If no stub out is provided, cap service line and mark with steel post.

d. Connect to water meter stub out if provided.

e. If water meter stub out is not provided, cap service line and mark with steel

T—post.

2. Water Service line bore.

a. From location of water meter to a distance indicated on the Bid Schedule.

b. Minimal dept from bottom of drainage ditch shall be a minimum of 36-inches.

3. Trench / Open Cut Excavation

a. Depth: Minimum 32 inches.

b. Bottom: Free from stones greater than 1-inch, large dirt clods, any frozen material.

c. Bedding: If the trench bottom is hardpan, rock, or has stones larger than 1-inch in diameter in the largest direction:

d. Over excavate 6 inches.

e. Place 6 inches of mechanically compacted imported bedding

f. Place pipe in trench.

g. Place 6 inches of mechanically compacted river sand over the pipe.

h. Backfill: restore trenches to initial grade.

D. Testing

1. Turn on each corporation stop and apply main pressure to the service line in the presence of the IHS representative before backfilling.

a. Option: If a new water main is pressure tested, test the water service lines at the same time and pressure as the water main.

2. Repair all visible leaks and retest the line until test is successfully completed at no cost to the contract.

E. Disinfection

1. If water service facilities are connected to an existing water main by live tap:

2. Disinfect the new water service facilities prior to connecting to the corporation stop and the home. Near the home, at a location approved by the project engineer, the water service line will be extended to the surface and capped with a lead free brass ball valve.

3. Introduce sufficient chlorine solution into the corporation stop end to the water service line to produce a minimum chlorine residual of 200 ppm when filled.

4. After connection to corporation stop and pressurizing, flush the service line at the ball valve after three hours.

5. After service line is sufficiently flushed, obtain a water sample for bacteriological testing. Repeat process until a negative bacteriological report is received.

6. Connect the water service line to the home upon receiving a negative bacteriological report.

7. Flushing chlorinated water in accordance with AWWA C651.

8. Waste flushed disinfection water in an environmentally safe manner. The method used is subject to the approval of the Owner.

9. No additional payment will be made for any equipment, material, testing or labor required to disinfect the service line. Include all costs associated with disinfection in the contract bid prices for water service lines.

F. Tank Installation:

1. Place tank in excavations at locations on the drawings or by Engineering Technician.

2. Excavation for tanks shall be 24 inches larger than the dimensions of the tank and 4 inches deeper to compensate for 4 inches of bedding.

3. Remove any water from excavation and check grade before setting tank.

4. Place 4 inches of crushed rock or sand for bedding of septic tank.

5. Place tank level.

6. Install inlet sanitary Tees in septic tank.

a. Extend inlet Tee to a depth of 6 inches below liquid level.

b. The bottom of the outlet opening shall be at least 3 inches lower than the bottom of the inlet opening.

7. Connect riser adapter ring to top of septic tank with corrosion resistant fasteners and seal to tank with RN 103 Ram-Nek joint sealant.

8. Connect riser to adapter ring with stainless steel screws and seal with RN 103

Ram-Nek joint sealant.

a. Rise and cover shall terminate at approximately 2 inches above finish grade.

G. Sewer Lines Installation; 4” PVC Schedule 40 pipe:

1. Furnish and install sewer lines at locations on the drawings.

2. Connection to existing sewers: 3” or 4” PVC pipe at locations on the drawing.

3. No pipe joints shall be made within 2 feet of inlet or outlet of septic tank or edge of tank excavation.

4. Minimum slope for sewer lines is 1/8 inch per foot (1%).

5. Ninety-degree bends not allowed between home and septic tank.

H. Sewer Line Cleanout Installation: 4” PVC Schedule 40 Cleanouts.

1. Install cleanout risers at an angle equal to or less than 90 degrees measured from horizontal.

2. Bed the bottom of cleanouts with crushed rock or sand.

3. Two-Way Clean outs:

a. Install two-way clean outs at a spacing not to exceed 200 feet.

b. Install two-way clean outs so that the service can be rodded or snaked in either direction.

4. One-Way Clean outs:

a. Install one-way clean outs at a spacing not to exceed 100 feet.

b. Install one-way clean outs so that the service can be rodded or snaked in the direction of flow.

5. Solid Sewer Pipe

a. Install 4-inch schedule 40 PVC solid sewer pipe from septic tank outlet to the dispersal field header pipe or distribution box or retention structure.

b. Minimum cover over the 4-inch solid pipe is 18-inches.

c. Minimum distance from septic tank to the dispersal field header pipe or distribution box is 5 feet.

d. Solid sewer PVC pipe from septic tank to the dispersal field header pipe or distribution box shall have a minimum drop of 2 inches or a minimum slope of 1/8 inch per foot of 4-inch pipe, whichever is greater.

e. Solvent weld all joint connections.

6. Wastewater Lagoon:

a. Dimensions- 40ft by 40ft at 5ft operating depth.

b. Berm slopes – 3.0:1 slope.

c. Bottom dimension – 10ft by 10ft.

d. Overall dept no deeper than 7ft.

e. 24”x24” concrete splash pad in center of lagoon bottom.

f. Extend 4” pipe to center of lagoon terminating 18” above center of splash pad.

1) Support pipe with steel T-posts and nylon strapping.

I. Turf and Grasses (Fertilizer, Seed and Mulch):

1. Fertilizing:

a. Apply using mechanical equipment.

b. Uniformly distribute.

c. Incorporate into soil using harrow or other suitable equipment.

d. Conform to recommendations of local county extension agent.

e. Fertilize the area at an application rate of 200 pounds per acre.

2. Seeding:

a. Sow seed using either equipment suited to that purpose or scatter seed uniformly over area with hand seeders when the weather is sufficiently quiet to prevent seeds from blowing away.

b. Plant when soil temperature is 60° F or greater.

c. Application rate

1) 200 pounds per acre of the Kentucky 31, fescue, and rye grass.

d. Lightly rake soil to cover the seed with approximately ¼ inch of soil.

3. Mulching:

a. Place hay mulching on seeded area loose enough to allow some sunlight to penetrate and air to circulate but thick enough to shade the ground, conserve soil moisture, and prevent/reduce erosion.

b. Do not perform mulching activities during periods of excessively high winds, which would preclude the proper placing of the mulch.

c. Apply straw or hay uniformly over the disturbed area to a loose depth of ½ to 1½ inches using 2 to 2 ½ tons of mulch per acre.

d. Immediately after spreading, anchor mulch using a mulch tiller consisting of a series of dull flat discs with notched edges or other approved equipment.

4. Watering

a. Follow seed supplier’s recommendations.

1.10 TESTING

1. Visually inspect each pipe joint for leakage.

2. Repair all leaks before backfilling.

1.11 CLOSEOUT ACTIVITIES

1. Restore site to as close to the original condition.

2. Provide Record Drawings to the Project Engineer.

DONALD J.

Creator’s Signature: SHANE -S

Digitally signed by

DONALD J. SHANE -S

Date: 2026.02.06 15:36:14 -06'00'

PART I, SECTION D – PACKAGING AND MARKING

NOT APPLICABLE - BLANK

PART I, SECTION E – INSPECTION AND ACCEPTANCE

NNOTNOTNOT NOT APPLICABLE/BLANKTI

PART I, SECTION F – DELIVERIES OR PERFORMANCE

F.01 PERIOD OF PERFORMANCE

The contract base performance period will be 60 days after receipt of award.

F.02 PRINCIPAL PLACE OF PERFORMANCE

Delivery address on Statement of Work and OEH-8:

A. 10533 150th Road Mayetta, Jackson County, KS 66509

END OF SECTION F

PART I, SECTION G – CONTRACT ADMINISTRATION DATA

G.01 INVOICING INSTRUCTIONS AND PAYMENT INFORMATION

(a)The Contractor shall submit a proper invoice for payment on a monthly basis as the work proceeds in accordance with the prices specified in Section B, Price Schedule.

(b)Payment will be made in accordance with Contract Clause FAR 52.212-4(i), Payment (Deviation Date)

(c) A proper invoice shall reflect the following information:

• Contractor Name, Address, Phone Number, billing contact name and e-mail address

• Invoice Date

• Unique invoice number

• Tax Identification Number (TIN)

• Contract Number as shown on the award document

• Modification Number (if applicable)

• Discount Terms, if applicable

• Banking information: Bank Routing Transit Number (nine digits) and last 4 digits of bank account number (for verification)

• Specific description of Work relating to invoice, including service period dates (if applicable)

• Invoice Amount

(d)In accordance with HHSAR 352.232-71, Electronic Submission of Payment Requests, Invoice will only be accepted if received in the following manner Submitted electronically to: OKCAPinvoices@ihs.gov

(e)Prompt payment clock will begin on the date finance receives a proper invoice.

G.02 CONTRACT PAYMENT METHOD

Payments will be made by electronic funds transfer using the Automated Clearing House (ACH) in accordance with Contract Clause FAR 52.232-33 Payment by Electronic Funds Transfer – System for Award Management (OCT 2018).

G.03 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

(a)The Contracting Officers Representative is as follows:

Technical POC: As listed on Statement of Work, Part 1, Section C

The COR appointment letter will be provided at the time of award of the contract.

(b)The Contractor shall use the COR as the point of contact on technical matters, subject to the restrictions in Clause G.05, Technical Direction, of this section of the contract.

G.04 GOVERNMENT CONTACT FOR POST AWARD ADMINISTRATION

To promote timely and effective contract administration, correspondence shall include the contract number and title, and shall be subject to the following procedures:

(a)Technical Correspondence. Technical correspondence (as used herein, this term excludes technical correspondence where patent or technical data issues are involved and correspondence which proposes or otherwise involves waivers, deviations, or modifications to the requirements, terms, or conditions of this contract) shall be addressed to the Contracting Officer's Representative (COR).

(b)Other Correspondence. All correspondence, other than technical correspondence, shall be addressed to the Contract Specialist/ Contracting Officer (CO) as shown in paragraph (c). The Contract Specialist/CO is the focal point for all matters regarding this contract except for technical matters.

(c)The Contract Specialist/CO is as follows:

Ms. Noleen Powell – Contract Specialist Indian Health Services Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114 Email: Noleen.Powell@ihs.gov 405-951-3975

G.05 TECHNICAL DIRECTION

(a)Performance of the work is subject to the technical direction of the COR.

(1) The term "technical direction" includes:

(i) Directions to the Contractor which redirect the contract effort, shift work emphasis between work areas or tasks, require pursuit of certain lines of inquiry, fill in details, or otherwise serve to accomplish items in the Statement of Work (Section C of the contract)

(ii)Written information to the Contractor which assists in the interpretation of drawings, specifications, or technical portions of the statement of work.

(iii)Review and, where required by the contract, approval of technical reports, drawings, specifications, and technical information delivered by the Contractor.

(b)Technical direction must be within the Contract's performance work statement. The COR may not issue any technical direction which:

(1) Constitutes an assignment of additional work outside the Performance Work Statement;

(2) Constitutes a change as defined in the Contract Clause FAR 52.212-4(d), Changes (Deviation Date)

(3) Causes an increase or decrease in the Contract price or the time of contract performance;

(4) Changes any of the terms, conditions, or specifications of the Contract; or

(5) Interferes with the Contractor's right to perform the terms and conditions of the Contract.

(c)All technical directions will be issued in writing by the COR.

(d)The Contractor shall proceed promptly with the performance of technical directions issued by the COR. If, in the opinion of the Contractor, any instruction or direction by the COR falls within one of the categories defined in (b)(1) through (5) above, the Contractor shall not proceed but shall notify the Contracting Officer in writing within five (5) calendar days after receipt of any such instruction or direction. Upon receiving the notification from the Contractor, the Contracting Officer shall:

(1) Advise the Contractor in writing within thirty (30) days after receipt of the Contractor's letter whether the technical direction is within the scope of the contract effort and whether it constitutes a change under Contract Clause, FAR 52.212-4(d), Changes and

(2) Advise the Contractor within a reasonable time that the Government will issue a written change order, if applicable.

(e)A failure of the Contractor and Contracting Officer to agree whether the technical direction is within the scope of the contract, or a failure to agree upon the contract action to be taken shall be subject to Contract Clause, FAR 52.212-4(e), Disputes (Deviation Date) located in Section I, Contract Clauses

END OF SECTION G

PART I, SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.01 FEDERAL HOLIDAYS

(a) The Government only recognizes the following legal holidays established by federal statue:

New Year's Day January 1 Birthday of Martin Luther King, Jr. Third Monday in January Washington’s Birthday Third Monday in February Memorial Day Last Monday in May Juneteenth June 19 Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25

(b) Any of the legal holidays falling on Saturday will be observed on the preceding Friday; legal holidays falling on Sunday will be observed on the following Monday.

(c) The contractor should not perform work on observed legal holidays unless authorized by the

Contracting Officer. In the event work is authorized on observed legal holidays, the contractor shall pay all applicable overtime and/or holiday pay rates required by law.

H.02 SUBCONTRACTS

(a) Nothing contained in the contract shall be construed as creating any contractual relationship between any subcontractor and the Government. The divisions or sections of the specifications are not intended to control the contractor in dividing the work among subcontractors, or to limit the work performed by any trade.

(b) The contractor shall be responsible to the Government for acts and omissions of his own employees, and of subcontractors and their employees. He shall also be responsible for the coordination of the work of the trades, subcontractors, and suppliers.

(c) The Government will not undertake to settle any differences between or among the contractor and his subcontractors or suppliers.

(d) The contractor shall, without additional expense to the Government employ specialty subcontractors where required by the specifications. "Specialty Subcontractors," when specified as a requirement, means a subcontractor regularly engaged in the manufacture or installation of the contract items. The specialty subcontractor shall select and combine the materials involved, maintain and have available for the purpose, workmen skilled in the specified work. The specialty subcontractor shall be the manufacturer, be licensed by the manufacturer as an installer, or work under direct supervision of the manufacturer.

(e) In accordance with FAR 52.222-11 Subcontracts (Labor Standards) within 14 days after award of the contract, the Contractor shall deliver to the Contracting Officer a completed Standard Form

(SF) 1413, Statement and Acknowledgment, for each subcontract for construction within the United States, including the subcontractor’s signed and dated acknowledgment that the clauses set forth in paragraph (b) of this clause have been included in the subcontract.

(f) Within 14 days after the award of any subsequently awarded subcontract the Contractor shall deliver to the Contracting Officer an updated completed SF 1413 for such additional subcontract.

H.3 SUBCONTRACTING

(a) The contractor shall be responsible for the management and performance of all subcontracts.

The contractor shall ensure subcontractors are competent and capable of handling all assigned work. The contractor shall ensure contract is completed within the stated requirements.

(b) In connection with the performance of work under this contract, the contractor shall not subcontract with any subcontractor who, at the time of subcontract award, is listed on the current GSA's Lists of Parties Excluded from Procurement and Non-procurement Programs, unless otherwise authorized by the Government in accordance with Subpart 9.4 of the Federal Acquisition Regulations. Reference FAR 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment.

(c) The List of Parties Excluded from Procurement and Non-procurement Programs is available at https://www.sam.gov.

(d) In the event of the contractor's noncompliance with the foregoing requirements, the Government may terminate this contract for default or take other appropriate action, including, but not limited to, requiring the contractor to terminate any such subcontract and substitute an eligible subcontractor in lieu thereof, at no increase in the contract price or time for performance.

(e) The term "subcontractor," as used in this clause, shall mean the individual or firm with whom the contractor proposes to enter into a subcontract for manufacturing, fabricating, installing, or otherwise performing work under this contract.

(f) The contractor shall include the provisions of paragraphs a., b., and d. of this clause in every subcontract hereunder.

END OF SECTION H

https://www.sam.gov./

Part II, Section I – Contract Clauses I.1 FAR 52.252-2 - Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the contracting officer will make their full text available.

Also, the full text of a clause may be accessed electronically at this/these address (es):

Federal Acquisition Regulation (FAR): https://www.acquisition.gov/browse/index/far (Clauses are located at FAR part 52 and begin with 52)

Department of Health and Human Services Acquisition Regulation (HHSAR) (48 CFR Chapter 3) Clauses:

http://www.hhs.gov/policies/hhsar/

Revolutionary FAR Overhaul Clauses (RFO): https://www.acquisition.gov/far-overhaul

Deviations to clauses may be viewed at: https://www.acquisition.gov/caac-letters

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1)

Number Title Date 52.203-17 Contractor Employee Whistleblower Rights Nov 2023 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or

Statements (DEVIATION) (RFO AUG 2025) Jan 2017

52.204-7 System for Award Management- Nov 2024 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards

(DEVIATION) (RFO AUG 2025)

Jun 2020

52.204-13 System for Award Management Maintenance (DEVIATION) (RFO AUG 2025)

Oct 2018

52.204-19 Incorporation by Reference of Representations and Certifications

(DEVIATION) (RFO AUG 2025)

Dec 2014

52.209-6 Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment

(DEVIATION) (RFO AUG 2025)

Jan 2025

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

(DEVIATION) (RFO AUG 2025)

Nov 2015

52.212-4 Terms and Conditions – Commercial Products and Commercial Services

(DEVIATION) (RFO NOV 2025)

Nov 2023

52.219-28 Post-Award Small Business Program Representation Jan 2025

52.222-3 Convict Labor Jun 2003

52.222-6 Construction Wage Rate Requirements (DEVIATION) (RFO NOV 2025) Aug 2018

52.222-7 Withholding of Funds May 2014

52.222-8 Payrolls And Basic Records Jul 2021

52.222-9 Apprentices and Trainees (DEVIATION FEB 2025) Jul 2005

52.222-10 Compliance With Copeland Act Requirements Feb 1988 https://www.acquisition.gov/browse/index/far http://www.hhs.gov/policies/hhsar/ https://www.acquisition.gov/far-overhaul https://www.acquisition.gov/caac-letters

52.222-11 Subcontracts (Labor Standards) (DEVIATION) (RFO NOV 2025) May 2014

52.222-12 Contract Termination – Debarment May 2014

52.222-13 Compliance with Construction Wage Rate Requirements and Related Regulations.

May 2014

52.222-14 Disputes Concerning Labor Standards Feb 1988 52.222-15 Certification Of Eligibility May 2014 52.222-40 Notification of Employee Rights Under the National Labor Relations Dec 2010 52.222-50 Combating Trafficking In Persons Nov 2021 52.222-55 Minimum Wages for Contractor Workers Under Executive Order 14026 Jan 2022 52.222-62 Paid Sick Leave Under Executive Order 13706 Jan 2022 52.223-11 Ozone-Depleting Substances and High Global Warming Potential

Hydrofluorocarbons (DEVIATION) (RFO NOV 2025) May 2024

52.223-23 Sustainable Products and Services (DEVIATION FEB 2025) May 2024 52.225-9 Buy American-Construction Materials

(b)(2) NONE (DEVIATION) (RFO NOV 2025) Oct 2022

52.226-1 Utilization of Indian Organizations and Indian-Owned Economic Enterprises (DEVIATION) (RFO AUG 2025)

Jun 2000

52.226-7 Drug-Free Workplace (DEVIATION) (RFO AUG 2025) May 2024 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving

(DEVIATION) (RFO AUG 2025)

May 2024

52.227-1 Authorization and Consent (DEVIATION) (RFO SEP 2025) Jun 2020 52.227-2 Notice and Assistance Regarding Patent and Copyright Infringement

(DEVIATION) (RFO SEP 2025)

Jun 2020

52.227-4 Patent Indemnity-Construction Contracts (DEVIATION) (RFO SEP 2025) Dec 2007 52.232-5 Payments Under Fixed-Price Construction Contracts May 2014 52.232-33 Payment By Electronic Funds Transfer—System for Award Management Oct 2018 52.232-39 Unenforceability of Unauthorized Obligations Jun 2013 52.232-40 Providing Accelerated Payments To Small Business Subcontractors Mar 2023 52.233-4 Applicable Law For Breach Of Contract Claim (DEVIATION) (RFO AUG

2025) Oct 2004

52.236-5 Material And Workmanship (DEVIATION) (RFO JUL 2025) Apr 1984

52.236-7 Permits And Responsibilities (DEVIATION) (RFO JUL 2025) Nov 1991

52.236-17 Layout of Work (DEVIATION) (RFO JUL 2025) Apr 1984

52.240-91 Security Prohibitions and Exclusions (DEVIATION) (RFO Aug 2025) Aug 2025

52.240-93 Basic Safeguarding of Covered Contractor Information (DEVIATION) (RFO Aug 2025)

Aug 2025

52.253-1 Computer Generated Forms Jan 1991

I.1. HEALTH AND HUMAN SERVICES ACQUISITION REGULATION (HHSAR) CLAUSES INCORPORATED BY

REFERENCE

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION (HHSAR) (48 CFR

CHAPTER 3) CLAUSES: http://www.hhs.gov/policies/hhsar/

Number Title Date 352.203-70 Anti-Lobbying Dec 2015 352-208-70 Printing and Duplication Dec 2015 352.223-70 Safety and Health Dec 2015 352.224-71 Confidential Information Dec 2015 352.226-1 Indian Preference (DEVIATION MAR 2025) Dec 2015 352.226-2 Indian Preference Program Dec 2015 352.226-3 Native American Graves Protection and Repatriation Act Dec 2015 352.227-70 Publications And Publicity Dec 2015 352.232-71 Electronic Submission Of Invoice Payment Requests Feb 2022 352.237-75 Key Personnel Dec 2015 352.239-74 Electronic and Information Technology Accessibility Dec 2015

CLAUSES INCORPORATED IN FULL TEXT

I.2. FAR 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020) (DEVIATION) (RFO OCT 2025)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any HHSAR (48 CFR Chapter 3) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause) http://www.hhs.gov/policies/hhsar/

I.3. HHSAR 352.226-6 INDIAN ECONOMIC ENTERPRISE SUBCONTRACTING LIMITATIONS

(MAR 2022)

(a) Definitions as used in this clause.

(1) Indian Economic Enterprise means any business activity owned by one or more Indians or Indian Tribes that is established for the purpose of profit provided that: The combined Indian or Indian Tribe ownership must constitute not less than 51 percent of the enterprise; the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract; and the management and daily business operations of an enterprise must be controlled by one or more individuals who are Indians. To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods:

(i) At the time an offer is made in response to a written solicitation;

(ii) At the time of the contract award; and

(iii) During the full term of the contract.

(2) Subcontract means any contract, as defined in FAR subpart 2.1, entered into by a subcontractor to furnish supplies or services for performance of the prime contractor or subcontractor. It includes, but is not limited to, purchase orders, and changes and modifications to purchase orders.

(3) Subcontractor means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

(b) Required Percentages of work by the concern. The contractor must comply with FAR 52.219-14, Limitations on Subcontracting clause in allocating what percentage of work to subcontract. The contractor shall not subcontract work exceeding the subcontract limitations in FAR 52.219-14 to a concern other than a responsible Indian Economic Enterprise.

(c) Any work that an IEE subcontractor does not perform with its own employee shall be considered subcontracted work for the purpose of calculating percentages of subcontract work in accordance with FAR 52.219-14 Limitations on Subcontracting.

(d) Cooperation. The contractor must:

(1) Carry out the requirements of this clause to the fullest extent; and

(2) Cooperate in any study or survey that the CO, Indian Health Service or its agents may conduct to verify the contractor's compliance with this clause.

(e) Incorporation in Subcontracts. The contractor must incorporate the substance of this clause, including this paragraph (e), in all subcontracts for general services, A&E services and construction awarded under this contract.

END OF SECTION I

SECTION J – LIST OF ATTACHMENTS

No. TITLE PAGES

1 OEH-8 5

2 WD KS20260152 Dated 01.02.2026 6

END OF SECTION J

M

FURNISH AND INSTALL

10FT OF 4" SCH. 40 PVC

PIPE BETWEEN

EXISTING CLEANOUT

AND SEPTIC TANK

STORAGE

TRAILERSCRAP

METAL

TRAILER

HOUSE

GARAGE

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1 BDRM HOME

150 GPD FLOW

RATE

W

SL

W

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FURNISH AND INSTALL

940FT. OF 2"

WATER SERVICE PIPE

BY TRENCHING OR OPEN CUT

FURNISH AND INSTALL

165FT OF 4" SCH. 40 PVC

PIPE.

FURNISH AND INSTALL

A 1,000 GALLON

SEPTIC TANK

160 FT. 2" WATER PIPE

DIRECTIONALLY BORED

UNDER CREEK AND TREES

EXISTING

CLEANOUT

PROPOSED WATER METER

LOCATION TO BE INSTALLED

BY JACKSON COUNTY RWD #3

SCOPE OF WORK:

1. FURNISH AND INSTALL 1,100 FT OF 2- INCH

PE DR11 WATER SERVICE LINE INCLUDING 160

FEET OF DIRECTIONAL BORED PIPE.

2. FURNISH AND INSTALL 165FT OF 4" SCH. 40 PVC

PIPE.

3. FURNISH AND INSTALL ONE-WAY CLEANOUT

WHERE INDICATED IN THIS DRAWING.

4. FURNISH AND INSTALL A 1,000 GALLON SEPTIC

TANK, TANK RISERS WITH LIDS. LIDS TO

TERMINATE 2 INCHES ABOVE FINISH GRADE.

5. CONSTRUCT AN M-40 LAGOON

6. FURNISH AND INSTALL 280FT OF 48INCH WOVEN

WIRE FENCE, 3 STRANDS OF BARB WIRE, 10FT

GATE WITH CHAIN AND KEY PADLOCK.

7. FERTILIZE, SEED AND MULCH ALL AREAS

DISTURBED BY CONSTRUCTION AND

INSTALLATION ACTIVITIES.

NOTE: PRE-BID SITE VISIT IS

RECOMMENDED.

EXISTING WATER

METER AND SERVICE

LINE TO NEIGHBOR'S

HOME. WATER LINE IS

APPROXIMATELY 5 FT

FROM EDGE OF DRIVEWAY.

150TH ROAD

FURNISH AND INSTALL

2 ONE-WAY CLEANOUTS

(ONE CLEANOUT NO LESS THAT

3 FT FROM OUTLET OF SEPTIC

TANK AND ONE CLEANOUT 100FT

DOWN STREAM).

W

SL

SSL

CONSTRUCT A LAGOON

52FT X 52FT (INSIDE TOP

OF BERMS), 7FT TOP OF

BERM TO BOTTOM. BOTTOM

SHALL BE NO LARGER THAN \

A 10FT X 10FT DIMENSIONS.

INSIDE BERM SLOPE NO GREATER

THAN A 3:1 SLOPE.

FURNISH AND INSTALL

280 FEET OF WOVEN WIRE

FENCING, 3 STRANDS OF BARBED

WIRE, A 10FT GATE, CHAIN AND

KEYED PADLOCK.

IN

D

I A N

HEA LTH SER

V

ICE

1 9 5 5

NOT TO SCALE

AutoCAD SHX Text

INDIAN HEALTH SERVICE

AutoCAD SHX Text

OFFICE OF ENVIRONMENTAL

AutoCAD SHX Text

SANITATION FACILITIES CONSTRUCTION

AutoCAD SHX Text

HEALTH & ENGINEERING

AutoCAD SHX Text

LAYOUT NAME:

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SCALE:

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FILE NAME:

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DRAWN BY:

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DATE:

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PROJ ENG:

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CHECKED BY:

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324 NEW YORK AVE HOLTON, KS 66436 (785) 364-4164

AutoCAD SHX Text

HOLTON FIELD OFFICE

AutoCAD SHX Text Installation of a Water Service Line and Septic Tank and Lagoon for SR#574 D Rupnicki

AutoCAD SHX Text Project # OK 25-G05

AutoCAD SHX Text 2/5/2026

AutoCAD SHX Text

NTS

AutoCAD SHX Text Jim Shane

AutoCAD SHX Text Ted Schlueter

AutoCAD SHX Text Ted Schlueter

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