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PART I, SECTION B – PRICING SCHEDULE

REQUEST FOR BID - WATER SERVICE LINE

Okmulgee Field Office Office of Environmental Health & Engineering

PARTICIPANT ID# LOCATION PROJECT

Ethan Been 6953 McIntosh

County

OK25-G08

ESTIMATED UNIT

ITEM DESCRIPTION QUANTITIES UNIT

PRICE

TOTAL

A.

Furnish & Install 2" DR 11 Polyethylene Water Service Line and Fittings 1800 LF.

B. Furnish & Install Isolation Valve and Valve Box

1 EA.

C. Rock Excavation

50 CY.

LINE 1 TOTAL:

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

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

STATEMENT OF WORK

1.01 SUMMARY OF WORK TO BE DONE BY CONTRACTOR

A. Furnish and install a water service line as shown on the drawing.

1.02 SITE LOCATION

A. 404578 East 1080 Road, Henryetta, OK 74437 B. Latitude: 35.4471037 (N) Longitude: -95.8105204 (W) C. Finding Directions: From Tiger Mountain Exit on I40, go north 1 mile on Tiger

Mountain Road. Turn east on 1080 Road and go approximately 1.5 miles to driveway on SSOR. Very steep gravel driveway. House on top of hill.

1.03 CONSTRUCTION SCHEDULE

A. Contact the Project Oversight three business days before the start of any work.

B. Failure to perform work on the date scheduled shall require 24-hour notice for rescheduling the work.

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

D. All work shall be performed Monday – Friday ONLY between the hours of 8:00 a.m. –

5:00 p.m. No work is to be performed on the weekends and/or federal holidays unless other work schedule arrangements are approved by the Project Oversight.

1.04 WARRANTY

A. Provide a minimum one-year warranty for all materials and labor, covering defects in the materials or workmanship.

1.05 WATER SERVICE LINES

A. References (use latest versions)

1. ASTM D2609 Standard Specification for Plastic Insert Fittings for Polyethylene

(PE) Plastic Pipe.

2. ASTM D2737 Standard Specification for Polyethylene (PE) Plastic Tubing.

3. ASTM D2774 Standard Practice for Underground Installation of Thermoplastic

Pressure Piping.

4. AWWA C651 Disinfecting Water Lines

5. AWWA C901 Polyethylene (PE) Pressure Pipe and Tubing, ½ in. Through 3 in.

for Water Service.

6. NSF Standard 014 Plastic Piping System Components and Related Materials.

7. NSF Standard 061 Drinking Water System Components – Health Effects.

B. PE Pipe Material Requirements

1. Ultra-high molecular weight polyethylene pipe.

2. PE 4710 IPS DR 11 (pressure rating 200 psi).

3. Diameter: 2-inch.

4. 500-foot coil.

5. Recommended Manufacturer: Silver-Line Plastics Sil-O-Flex OD DR 11 or approved equal.

C. Fittings:

1. Non-flare compression type fittings with stainless steel pipe stiffeners at each joint, heat (butt) fused, or electro-fused fittings will be accepted.

D. Isolation Valve

1. Ball valve:

a. Brass

b. ¼-turn handle type.

E. Valve Box

1. Polyethylene box and cover.

2. Minimum dimensions:

a. Length: 21 inches.

b. Width: 16 inches.

c. Height: 12 inches.

3. Recommended Manufacturer: NDS or approved equal.

1.06 INSTALLATION

A. Install water service lines and appurtenances in the locations, sizes and materials shown on the drawings or staked in the field.

B. Water and sewer service crossing and parallel installation.

1. Maintain a 30-inch horizontal separation between water and sewer services.

2. Maintain a 12-inch vertical separation for crossing water and sewer services. The water service is to be placed above the sewer service whenever possible.

3. Water service line splices or joints will not be permitted within 10 feet of a sewer line crossing.

C. Thrust blocking is to be provided at all changes in direction.

D. All existing fencing shall be undisturbed by construction activities. Any fencing that is disturbed shall be replaced in kind or exceed existing conditions.

E. Any existing private utilities, such as water service lines or electric service lines, shall be avoided. Any damage shall be corrected by Contractor at their expense.

1.07 TRENCH

A. Depth: Minimum 30 inches to the top of the pipe.

B. Bottom: Free from stones greater than 3 inch, large dirt clods, and any frozen material.

C. Backfill: restore trenches to initial grade.

1. Initial Backfill

a. Work material under and around the pipe to ensure full pipe support.

b. Hand tamp to prevent movement of the pipe during placement of material, avoiding contact between the pipe and compaction equipment.

c. Compact in lifts not to exceed 6 inches in loose measurement until 12 inches of backfill covers the top of the pipe.

2. Final Backfill

a. Compact in lifts not to exceed 12 inches in loose measurement with mechanical compacting equipment.

b. Compact all backfill to a density not less than the density of the surrounding undisturbed soil.

c. Surplus materials shall be disposed of in accordance with federal, state and local regulations.

d. Any excessive settlement, exceeding 3 inches, shall be corrected by the contractor.

D. Rock Excavation

1. Definition:

a. Solid rock: large masses or rock which cannot be excavated without hammering, ripping, or other specialized equipment.

b. Loose rock: boulders and/or detached stone having a volume of one cubic yard or more.

2. Execution:

a. Rock excavation may be accomplished by any or all of the following methods:

excavation with earthmoving equipment specialized for rock removal, ripping with a bull dozer, or jack hammering.

b. Remove excavated rock from site unless otherwise directed by the Project Oversight.

1.08 TESTING

A. Before joints are covered, test pipe for leaks.

B. Visually inspect all connections and fittings for leaks in the presence of the Project

Oversight.

C. Repair all leaks before backfilling.

1.09 CLOSEOUT ACTIVITIES

A. Restore the site as close as is practical to its original condition.

ANDREW F.

BANTA -S

Digitally signed by

ANDREW F. BANTA -S

Date: 2026.03.06 11:04:21 -06'00'

3/6/26

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. 404578 East 1080 Road

Henryetta, McIntosh County, OK 74437

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

52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards

(DEVIATION) (RFO AUG 2025)

Jun 2020

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

52.222-3 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

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 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

52.223-23 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 352.223-70 Safety and Health Dec 2015 352.226-3 Native American Graves Protection and Repatriation Act Dec 2015 352.232-71 Electronic Submission Of Invoice Payment Requests Feb 2022 http://www.hhs.gov/policies/hhsar/

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)

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

OEH-8 1

WD OK20260033Dated 01.02.2026 6

END OF SECTION J

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1 9 5 5

Sanitation Facilities Design & Location

Community On-Site Sewer

Project # OK25-G08 County:

Name:

Cistern Pump Well Depth On -Site Water Community Water Name: McIntosh County RWD #13 Septic Tank Lagoon Drain field

Directions To Site:

Project Description:

Property Description:

Address:

Capacity: Shape: Material:

Make Model Motor Size Casing Depth Diameter Material

Yield S.W.L. Drawdown Drilled By: Date Drilled:

Capacity Shape Material

Total Depth: Length: Width:

Trench Length: Trench Width: Material:

# Of Bedrooms

Name Profile By: Andrew Banta Profile Date: 2/6/26

As-Built Proposed

Drawn By:

Reviewed By:

Approved By:

Name Date

OEH & E Field Office Indian Health Service P.O. Box 67 Okmulgee, Ok 74447 Work#: (918)-586-8420

SR # Latitude: Longitude:

AFB 3/6/26

From Tiger Mtn Exit on I40, go N 1 mile on Tiger Mtn Road. Turn east on 1080 Rd

Ethan Been 918-650-8314 McIntosh N/2 NE/4 & NE/4 NW/4 Sec 10 T11N R14E

6953 35.4471037 (N) -95.8105204 (W)

404578 E 1080 Rd, Henryetta, OK 74437

OEH-8 (8/93)

CW & IS

N/2 NE/4 & NE/4 NW/4 Sec 10 T11N R14E, McIntosh Co.

Aerobic Spray Aerobic Drip

Pump Tank: 700 Gal Pump Tank:

Required Spray Area (ft2): 6,068 Drip Line

Designed (ft2): 7,697

1"=500'

Property Line 3960'

1320' and go approx. 1.5 mile to DWY on SSOR.

Gravel Driveway Very Steep

Proposed 1,800 LF of

2" DR11 HDPE WSL

New Home

Existing Water Meter

Notes:

Elevation Changes Approx. 100' from Meter to Home Path Cleared by Homeowner

Proposed Isolation Valve and Box

1"=100'

Proposed Aerobic Tank

Proposed 35' Radius Sprinkler Heads

110' 110' 35'

House Pad Heavy Slope

AFB 3/6/26

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PART IV, SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER

STATEMENTS OF BIDDERS

K.1 FAR 52.204-19 Incorporation by Reference of Representations and Certifications

(DEVIATION) (RFO AUG 2025)

K.2 FAR 52.219-28 Post-Award Small Business Program Representation (Jan 2025) K.3 FAR 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products

(Feb 2021)

(a) Definition.

Forced or indentured child labor means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

(b) Listed end products. The following end product(s) being acquired under this solicitation is (are) included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, identified by their country of origin. There is a reasonable basis to believe that listed end products from the listed countries of origin may have been mined, produced, or manufactured by forced or indentured child labor.

Listed End Product Listed Countries of Origin

(c) Certification. The Government will not make award to an offeror unless the offeror, by checking the appropriate block, certifies to either paragraph (c)(1) or paragraph (c)(2) of this provision.

☐ (1) The offeror will not supply any end product listed in paragraph (b) of this provision that was mined, produced, or manufactured in a corresponding country as listed for that end product.☐ (2) The offeror may supply an end product listed in paragraph (b) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture such end product. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.

(End of provision)

I.1 FAR 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Certification (Deviation DATE)

I.2 FAR 52.222-52, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Certification (Deviation DATE)

(a) The offeror must check the following certification:

Certification

The offeror □ does □ does not certify that-

(1) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;

(2) The contract services are furnished at prices that are, or are based on, established catalog or market prices. An "established catalog price" is a price included in a catalog, price list, schedule, or other form that is regularly maintained by the manufacturer or the offeror, is either published or otherwise available for inspection by customers, and states prices at which sales currently, or were last, made to a significant number of buyers constituting the general public. An "established market price" is a current price, established in the usual course of ordinary and usual trade between buyers and sellers free to bargain, which can be substantiated from sources independent of the manufacturer or offeror;

(3) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and

(4) The offeror uses the same compensation (wage and fringe benefits) plan for all service employees performing work under the contract as the offeror uses for these employees and for equivalent employees servicing commercial customers.

I.3 FAR 52.223-1, Biobased Product Certification (Deviation Date) I.4 FAR 52.240-90, Security Prohibitions and Exclusions Representations and Certifications

I.5 HHSAR 352.226-7, Indian Economic Enterprise Representation (Mar 2022)

END OF SECTION K

PART IV, SECTION L – INSTRUCTION TO OFFERORS

L.1 FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): Federal Acquisition Regulations -https://www.acquisition.gov/FAR/

(End of provision)

I.1 FAR 52.204-7, System for Award Management (Deviation Date) I.2 FAR 52.212-1, Instructions to Offerors—Commercial Products and Commercial Services

(Deviation Date) I.3 FAR 52.233-2, Service of Protest (Deviation Date) I.4 FAR 52.237-1, Site Visit (Apr 1984) I.5 HHSAR 352.219-70, Mentor-Protégé Program (Dec 2015) I.6 HHSAR 352.226-4, Notice of Indian Small Business Economic Enterprise set-aside (Mar

2022) I.7 HHSAR 352.226-5, Notice of Indian Economic Enterprise set-aside (Mar 2022) I.8 HHSAR 352.239-72, Information Technology Security Plan and Accreditation (Feb 2024

Deviation) I.9 HHSAR 352.239-78, Information and Communication Technology Accessibility Notice

(Feb 2024 Deviation)

CLAUSES INCORPORATED IN FULL TEXT

52.212-2 EVALUATION – COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV

2021) (DEVIATION) (RFO NOV 2025)

(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:

LPTA-Lowest Price Technically Acceptable

Proposals will be first evaluated for technical acceptability, and the award will be offered to the lowest-priced offeror among those found technically acceptable.

A. Furnish and install 1800 LF of 2” DR 11 water service line per the plans and specifications.

B. 50 CY of Rock excavation https://www.acquisition.gov/FAR/

C. Furnish and install Isolation valve and valve box.

L.2 SITE VISIT

A site visit has not been scheduled. Please contact the Contracting Officer for scheduling.

L.3 INQUIRIES (COMMUNICATION WITH THE CONTRACTING OFFICE)

Offerors shall submit all questions concerning this solicitation in writing to the Contracting Specialist at Noleen.Powell@ihs.gov. Questions should be received no later than 5 calendar days prior to the quote receipt date to allow time for a response. Inquiries or questions received after this date will be at the discretion of the Government. Any responses to questions will be writing included in an amendment to the solicitation, without identifying the questioner. Even if provided in other form, only the question responses included in the amendment to the solicitation will govern evaluation of offers and performance of the contract.