Attachment 2 - Statement of Work.pdf

STATEMENT OF WORK (SOW)

Medical, Biohazardous, and Pharmaceutical Waste Pick-Up & Disposal Services Colorado River Service Unit (CRSU) Indian Health Service (IHS) 5 December 2025

The purpose of this contract is to obtain safe, compliant, and timely collection, transportation, treatment, and disposal of regulated medical waste (RMW) and pharmaceutical waste generated by the Colorado River Service Unit (CRSU) at Parker Indian Hospital. The Contractor shall provide all personnel, equipment, containers, vehicles, permits, and supervision necessary to perform waste pick-up and disposal services in accordance with federal, state, tribal, and IHS regulations.

BACKGROUND

Parker Indian Hospital is the primary healthcare facility within the Colorado River Service Unit, serving the Colorado River Indian Tribes (CRIT) community. CRSU generates regulated medical waste and pharmaceutical hazardous waste as part of routine patient care operations.

CRSU staff at outlying facilities (e.g., Chemehuevi, Peach Springs, Irene Benn, Supai, etc.) may transport regulated waste internally to Parker for consolidation and disposal. Due to the regulatory nature of hazardous materials handling, the Contractor must provide required DOT/OSHA training for CRSU personnel involved in this process.

SCOPE OF WORK

The Contractor shall provide scheduled pick-up, transportation, treatment, and disposal of all regulated medical waste and pharmaceutical waste generated at Parker Indian Hospital. Services include:

• Supplying compliant waste containers

• Removing filled containers and returning replacement containers

• Transporting waste to an authorized treatment and disposal facility

• Providing manifests, certificates of destruction, and required regulatory documents

• Providing annual DOT/HazMat training to CRSU staff

• Maintaining compliance with all applicable regulations

The Contractor shall not subcontract disposal services without Contracting Officer approval.

APPLICABLE REGULATIONS

The Contractor shall comply with, at minimum:

• 49 CFR Parts 171–180 – DOT Hazardous Materials

• 29 CFR 1910.1030 – OSHA Bloodborne Pathogens

• 40 CFR Parts 260–273 – EPA RCRA Requirements

• Arizona Administrative Code – Biohazardous Medical Waste

• California Health & Safety Code – Medical Waste Management Act (if applicable)

• IHS Environmental Health & Safety Guidelines

• CRSU Waste Management Requirements (from original SOW attachment)

REQUIREMENTS

Facility Waste Removal Requirements (Single Pickup Location)

Waste removal services under this contract apply to:

Parker Indian Hospital – Parker, Arizona

The Contractor shall perform weekly medical waste pickup and annual pharmaceutical waste mail-back disposal at Parker Indian Hospital.

Medical Waste

• Pickup Frequency: Weekly

• Estimated Quantity: 5–6 containers per pickup (avg. 5.5)

• Container Size: 44–45 gallons

Pharmaceutical Waste

• Annual mail-back disposal

• Quantities: Four (4) 5-gallon mail-back containers (one per quarter)

• Waste Type: Flammable/Toxic Hazardous Pharmaceutical Waste

Waste shall be transported to a properly permitted and compliant disposal facility. All manifests must be provided at the time of pickup and upon final disposal.

Container Requirements

The Contractor shall:

• Provide all necessary biohazard and pharmaceutical waste containers

• Ensure all containers meet DOT, OSHA, EPA, and applicable state standards

• Replace damaged containers at no additional cost

• Return clean, empty containers to the designated storage area at Parker

Manifesting and Documentation

The Contractor shall:

• Provide a compliant manifest for each pickup

• Provide a certificate of destruction after final disposal

• Retain records for at least three (3) years

• Provide electronic copies to CRSU’s Infection Prevention Officer and COR

Training Requirements

The Contractor shall provide annual DOT and hazardous materials training for CRSU personnel who handle, prepare, or transport regulated waste.

Training must include:

• DOT HazMat training (49 CFR 172, Subpart H)

• OSHA Bloodborne Pathogens

• Waste packaging, segregation, and labeling

• Spill response awareness

• Proper completion of manifests

The Contractor shall issue certificates of completion to all participants.

Minimum annual participation: 20 staff.

Invoicing Requirements

The Contractor shall submit invoices through the Invoice Processing Platform (IPP).

Invoices must include:

1. Invoice Date & Number

2. Contract Number

3. Line-item breakdown of services

4. Pickup dates

5. Quantities and unit costs

6. Supporting documentation (manifests, certificates of destruction)

Invoices shall be emailed to:

1. Acquisitions: (Contract Specialist)

2. Service Unit Representative: Susan.Welsh@ihs.gov & Carol.Becker@ihs.gov a copy of the invoice should be sent electronically to the Service Unit Representative(s) at the address listed above.

CONTRACTOR RESPONSIBILITIES

The Contractor shall:

• Provide all labor, transportation, PPE, equipment, and supervision

• Maintain all required federal, state, and tribal permits

• Respond to spills, incidents, or nonconformities immediately

• Ensure drivers hold HazMat endorsements

• Comply with all site access/security procedures

• Coordinate all pickups with the TPOC

DELIVERABLES

Deliverable Frequency Responsibility Medical Waste Pickup Weekly Contractor Pharmaceutical Mail-back Quarterly/Annual Contractor Manifests Each pickup Contractor Certificates of Destruction Each disposal Contractor Training for CRSU Staff Annual Contractor Incident Reports Within 24 hours Contractor Invoices via IPP Monthly Contractor mailto:Susan.Welsh@ihs.gov mailto:Carol.Becker@ihs.gov

SECURITY & SAFETY REQUIREMENTS

Contractor personnel must:

• Follow CRSU access procedures

• Wear identification badges

• Adhere to OSHA, DOT, and IHS safety requirements

• Report incidents within 24 hours

PERIOD OF PERFORMANCE

Base Year: 12 months Option Years: Up to four (4) one-year option periods, exercised at the Government’s discretion.

PERFORMANCE STANDARDS

Requirement Standard AQL Timely pickups Per weekly schedule 100% Manifest accuracy Fully compliant 100% Proper disposal Valid certificates of destruction 100% Training delivery Annual, 20 staff minimum 100% Safety & compliance Zero regulatory violations 100%

POINT OF CONTACT

Government TPOC:

Carol Becker Director, Infection Prevention Parker Indian Hospital

(928) 669-3361 carol.becker@ihs.gov