Attachment C - PJDQ Parker Staff Quarters (1).pdf

PROGRAM JUSTIFICATION DOCUMENT

for

STAFF QUARTERS (PJDQ)

PARKER INDIAN HEALTH CENTER

(PIHC)

INDIAN HEALTH SERVICE

Parker, Arizona

(PH23CR03Q6)

April 2024

PHOENIX AREA INDIAN HEALTH SERVICE

INDIAN HEALTH SERVICE

PUBLIC HEALTH SERVICE

DEPARTMENT OF HEALTH AND HUMAN SERVICES

PIHC - PJDQ

Page Intentionally Blank

PROGRAM JUSTIFICATION DOCUMENT

for STAFF QUARTERS (PJDQ)

Parker Indian Health Center Parker, Arizona

RECOMMEND APPROVAL:

Charles Ty Reidhead, M.D., M.P.H. Date Area Director Phoenix Area Indian Health Service Indian Health Service

RECOMMEND APPROVAL:

Steven Raynor, P.E. Date Director Division of Facilities Planning and Construction Office of Environmental Health and Engineering Indian Health Service

APPROVAL:

James Ludington, P.E. Date Director Office of Environmental Health and Engineering Indian Health Service

PROGRAM JUSTIFICATION DOCUMENT for STAFF QUARTERS Parker Indian Health Center – Replacement Quarters

Parker, Arizona

TABLE OF CONTENTS

SECTION PAGE

List of Abbreviations

I. INTRODUCTION

II. GENERAL

III. DESCRIPTION of SERVICE UNIT AND SERVICE AREA A. Location B. Access C. Demographics D. Topography and Climate E. Housing and Public Facilities F. Utilities G. Education H. Economy I. Social and Political Profile J. Available Health Care Services

IV. EVALUATION OF STAFF QUARTERS NEEDS

A. Overview B. Staffing Analysis C. Existing Government Quarters Units D. Local Private Sector Housing Market E. Transient Quarters F. Determination of New Government Quarters Required G. Housing Pattern

Parker, Arizona

TABLE OF CONTENTS

SECTION PAGE

V. QUARTERS SUMMARY DATA

A. Proposed Project Site B. Proposed Number of Units and Space C. The Net Area Minimum and Maximum D. The Net Area E. Special Spaces – Space Requests

VI. BATHROOMS

VII. RENTAL RATES

VIII. MAINTENANCE STORAGE

IX. RECREATIONAL IMPROVEMENTS

X. SUSTAINABILITY

XI. PROJECT SCHEDULE

XII. PROJECT BUDGET ESTIMATE

TABS

A. AREA, SERVICE UNIT, and LOCATION MAPS

B. EXISTING PIHC CAMPUS – SITE PLAN

C. EXISTING STAFF QUARTERS & EXISTING PARCELS – SITE PLANS

D. FUTURE STAFF QUARTERS SITE

E. LETTER of SUPPORT for 10 ACRE LAND LEASE for STAFF QUARTERS

FUTURE SITE from CRIT

F. STAFFING ROSTER and HOUSING PATTERN

G. HOUSING VERIFICATION SURVEY REPORT (HVSR)

H. PROJECT BUDGET ESTIMATE (FBES)

Parker, Arizona

LIST OF ABBREVIATIONS

ADA Americans with Disabilities Act AI/AN American Indian & Alaskan Native BIA Bureau of Indian Affairs BR Bedroom CEO Chief Executive Officer CRIT Colorado River Indian Tribes DES Division of Engineering Services

(Dallas or Seattle) ft Feet ft2 Square Feet FTE Full Time Employee FY fiscal year GQ Government quarters GSA General Services Administration GSF Gross Square Feet ha Hectares HC Handicapped Accessibility HFAC Health Facilities Advisory Committee HFCPS Health Facilities Construction Priority HFPM Health Facilities Planning Manual HSP Health Systems Planning HVAC Heating, ventilation, and air conditioning HVSR Housing Verification Survey Report IHS Indian Health Service JCAHO Joint Commission on the Accreditation of Healthcare Organizations

LP Local private sector housing LPG Liquefied petroleum gas mi Miles mi2 Square Miles NFPA National Fire Protection

Association NP non-local private sector housing OMB Office of Management and Budget PAIHS Phoenix Area Indian Health

Service PIH Parker Indian Hospital PHS Public Health Service PJD Program Justification Document PJDQ Program Justification Document for

Staff Quarters POR Program of Requirements PORQ Program of Requirements for Staff

Quarters REM Remote Location, quarters type RRM IHS Resource Requirements

Methodology SSER Site Selection and Evaluation

Report SF Single Family SU Service Unit TQ Transient Quarters UFAS Uniform Federal Accessibility

INDIAN HEALTH SERVICE

Parker, Arizona

I. INTRODUCTION

This Program Justification Document for Staff Quarters (PJDQ) presents data and reasoning to justify the following, at the Indian Health Service (IHS) Parker Indian Health Center (PIHC) existing staff quarters site (west of the PIHC), and a new 10 acre staff quarters site adjacent to the north and east boundaries of the PIHC medical campus offered by the Colorado River Indian Tribe – CRIT (see CRIT Letter of Support, TABs D & E). Both sites are located in Parker, AZ.

Existing Quarters Units (20 Total at PIHC) Continued use of four (4) Existing Government (Govt) Quarters (Qtrs)

Units, comprised of:

Four (4) existing Govt Qtrs, Permanent, Transient Quarters units

(GQ-P-TQ)

Demolition of sixteen (16) Existing Quarters Units, consisting of:

Seven (7) existing Govt Qtrs, Permanent, Single Family units (GQ- P)

Four (4) existing Govt Qtrs, Permanent, Multi-Family units (GQ-P-

MF)

Four (4) existing Govt Qtrs, House Trailer Units, Single Family units (GQ-T) (trailer/mobile home type construction)

One (1) existing Govt Qtrs, Permanent, Transient Quarters units (GQ-P-TQ) (trailer/mobile home type construction)

Proposed New Units (66 Total), to be located at the existing PIHC staff quarters site or the future/new 10 acre site (see TABs D & E):

Eight (8) Govt Qtrs, Permanent, Single Family units (GQ-P) Fifty (50) Govt Qtrs, Permanent, Multi-Family units (GQ-P-MF) Eight (8) Govt, Qtrs, Permanent, Transient Quarters units (GQ-P-TQ)

Proposed Grand Total of HHCC Quarters Units 4 Existing Qtrs Units, for Continued Use (incl. one HC/accessible unit)

+ 66 New Qtrs Units, Additional Required (incl. 11 HC/accessible units)

70 Total Required Units (incl. 12 HC/accessible units)

Proposed Staff Quarters & Facility Maintenance Building New facility to address increased Staff Quarters workload, maintenance, storage and functional requirements (see Section V., E.).

This proposal requesting 66 new staff quarters, based on a total of 269 current staff, was developed using planning processes as per the IHS OEHE Technical Handbook, Volume II, Part 13.

In accordance with the Uniform Federal Accessibility Standards (UFAS), five percent, or at least one unit, whichever is greater, of any new construction is to be designed and constructed so the units can be adapted for use by handicapped occupants.

Title 5, U.S. Code 5911, authorizes Government agencies to provide quarters units and related facilities for use by their employees and authorized transients. Current IHS policy requires, as projects are processed in the Quarters Construction Priority System, all existing house trailers to be replaced. The IHS will provide new staff quarters units 0.1 miles west of the existing PIHC on existing staff quarters parcels, and at a future/new 10 acre staff quarters site adjacent to the north and east boundaries of the PIHC campus. Exact location of the 10 acres to be determined in coordination with CRIT, and through the IHS Site Selection and Evaluation Report (SSER) processes (which will start upon approval of this PJDQ). This project will ensure the availability of safe, suitable housing for personnel essential to the continuity of the health care delivery system.

This PJDQ authorizes:

The existing Real Property Inventory (RPI) for staff quarters of 21,934 GSF (Gross Square Feet) to be decreased by 19,498 GSF from the demolition of:

Seven (7) existing Govt Qtrs, Permanent, Single Family units (GQ-P) Four (4) existing Govt Qtrs, Permanent, Multi-Family units (GQ-P-MF) Four (4) existing Govt Qtrs, House Trailer Units, Single Family units (GQ-

T) (trailer/mobile home type construction) One (1) existing Govt Qtrs, Permanent, Transient Quarters units (GQ-P-

TQ) (trailer/mobile home type construction) Resulting in an RPI of 2,436 GSF (after demolition of said units) Proposed new staff quarters units will then increase the RPI by 129,134 GSF

(“Planned” Total Gross Area), consisting of:

Eight (8) Govt Qtrs, Permanent, Single Family units (GQ-P) Fifty (50) Govt Qtrs, Permanent, Multi-Family units (GQ-P-MF) Eight (8) Govt, Qtrs, Permanent, Transient Quarters units (GQ-P-TQ)

The existing Real Property Inventory (RPI) for Staff Quarters Facilities Maintenance to be decreased by 407 GSF from the demolition of:

One (1) existing 407 GSF Staff Quarters Facilities Maintenance Bldg. #18 Proposed new Staff Qtrs. Facility Maint. Bldg. of 3,995 GSF (see Section V., E.)

This PJDQ proposal results in a change from:

21,934 GSF of Existing Quarters RPI to 131,570 GSF of “Planned Quarters RPI.”

An increase of 109,636 GSF of New Staff Quarters

407 GSF of Exstg. Staff Qtrs. Fac. Maint. RPI to 3,995 GSF of “Planned Staff Qtrs.

Fac. Maint. RPI.”

An increase of 3,588 GSF for a New Staff Qtrs. Fac. Maint. Building

The Grand Total of this PJDQ proposal results in:

135,565 GSF of Proposed Total Staff Quarters Facilities Maintenance Building RPI (Existing – Demo + New), and Proposed Total Staff Quarters RPI (Existing - Demo + New).

Refer to Summary on the following two pages.

PROPOSED PIHC STAFF QUARTERS SUMMARY

*as per Real Property Inventory (RPI)

Qty. Unit #'s Hsg Type

Bedrooms

Baths

Year Built

Bldg Age

(Years)

Area (Square Feet)

EXISTING Govt Qtrs ‐ Permanent Units (GQ‐P)

3 606, 614, 616 GQ‐P 2

1 &

64 ‐ 112 4,770 GSF

615, 618, 619, GQ‐P 3

1 &

1960 64 5,872 GSF

EXISTING Govt Qtrs ‐ Permanent Multi‐Family Structure (GQ‐P‐MF)

2 14621, 14622

GQ‐P‐

MF

1 1

64 1,480 GSF

2 14623, 14624

GQ‐P‐

MF

2 2 1960 64 1,480 GSF

EXISTING Govt Qtrs ‐ Trailer Units (GQ‐T)

626, 627, 628, GQ‐T 3

1 &

1967 57 4,602 GSF

EXISTING Govt Qtrs ‐ Permanent Transient Quarters (GQ‐P‐TQ)

632, 633, 634, GQ‐P‐TQ 1 1 2021 3 2,436 GSF

1 625 GQ‐P‐TQ 4 2 1967 57 1,294 GSF

20 = TOTAL Qty. of EXISTING STAFF QUARTERS UNITS

TOTAL EXISTING RPI for STAFF QUARTERS = 21,934 GSF

‐ TOTAL EXISTING STAFF QUARTERS (RPI) to be DEMOLISHED ‐19,498 GSF

• ALL EXISTING (GQ‐P) UNITS ‐10,642

• ALL EXISTING (GQ‐P‐MF) UNITS ‐2,960

• ALL EXISTING (GQ‐T) UNITS ‐4,602

• EXISTING (GQ‐P‐TQ) UNITS ‐1,294

EXISTING RPI for QUARTERS after Demolition = 2,436 GSF

+ NEW: "Planned Qtrs RPI" Total Gross Area (PJDQ) 129,134 GSF

8 Single Family Units (GQ‐P) 21,196

50 Multi‐Family Units (GQ‐P‐MF) 102,362

8 Transient Quarters Units (GQ‐P‐TQ) 5,576

(does not incl. 2,152 SF of TQ Detached Carport Space)

66 = TOTAL Qty. NEW STAFF QUARTERS

Proposed Total Staff Quarters RPI Area at PIHC (Existing RPI + "Planned Qtrs RPI" Total Gross Area)

131,570 GSF

( Continued on Next Page )

PROPOSED

STAFF QUARTERS FACILITIES MAINTENANCE BUILDING

*as per Real Property Inventory (RPI)

Qty. Building # Hsg Type

Bedrooms

Baths

Year Built

Bldg Age

(Years)

Area (Square Feet)

EXISTING Staff Quarters Facilities Maintenance Buildings

1 18 N/A N/A 0 1926 98 407 GSF

1 = TOTAL Qty. of EXSTG STAFF QTRS FAC. MAINT. BLDGS

TOTAL EXISTING RPI for STAFF QTRS FM BLDGS = 407 GSF

‐ TOTAL EXSTG STAFF QTRS FM BLDGS (RPI) to be DEMOLISHED ‐407 GSF

• EXISTING Staff Qtrs FM Bldg #18 ‐407

EXISTING RPI for STAFF QTRS FM BLDGS after Demolition = 0 GSF

+ NEW: "Planned Staff Qtrs FM Bldg RPI" Total Gross Area (PJDQ) 3,995 GSF

Proposed Total Staff Qtrs FM Bldg RPI Area at PIHC (Existing RPI + "Planned Staff Qtrs FM Bldg RPI" Total Gross Area)

3,995 GSF

‐ Proposed Total Staff Quarters RPI Area at PIHC (Existing RPI + "Planned Qtrs RPI" Total Gross Area)

131,570 GSF

GRAND TOTAL:

Proposed Total Staff Quarters FM Bldg RPI Area at PIHC

+ Proposed Total Staff Quarters RPI Area at PIHC

135,565 GSF

Additional Land for Staff Quarters Development via Land Offer from the

Colorado River Indian Tribes (CRIT):

In addition to existing 8.906 acres (Parcels 2 & 3) currently occupied with

PIHC staff quarters, an additional 10 acres of CRIT land has been offered by the CRIT for staff quarters development as a future lease (refer to TABs C, D & E). Thus, land area for the future PIHC Staff Quarters will be accommodated on the following sites, totaling 18.906 total acres (Refer to TABS B, C, D & E for maps and diagrams), consisting of:

8.906 acres of existing PIHC Staff Quarters Site, comprised of:

Parcel 2: 8.506 acres Parcel 3: 0.400 acres

10 acres of land offered by the CRIT (refer to TABS D & E) A portion of Parcel 2A’s 0.560 acres may also be utilized for future staff quarters.

Refer to PJDQ Section V. A. Proposed Project Site, for additional information.

II. GENERAL

The IHS is the component of the Department of Health and Human Services responsible for the administration of the principal Federal health care programs for American Indian and Alaskan Native (AI/AN) people. The IHS provides a unique health delivery system which is comprehensive for approximately one million AI/AN people, living on or near Federal Indian reservations or in traditional Indian country, such as in the states of Oklahoma and Alaska.

The organization and delivery of health care by the IHS has its basis in treaties and laws enacted by the Congress of the United States of America and judicial rulings. The Snyder Act of 1921 is the authorizing authority for the IHS and links the IHS services to congressional appropriations which provide for the use of “…such monies as the Congress may from time to time appropriate, for the benefit, care and assistance of Indians…” The Congress has authorized services primarily for members of Federally recognized tribes who live on or near reservations, or in traditional Indian country.

The goal of the IHS is to elevate the health of AI/AN people to the highest possible level. Its mission is threefold: (1) to provide and/or assure the availability of high quality comprehensive and accessible health care services; (2) to provide increasing opportunities for Indians to manage and operate their own health programs; and (3) to serve as an advocate for Indian people.

III. DESCRIPTION OF SERVICE UNIT AND SERVICE AREA

A. Location: This planning project for staff quarters will serve the PIHC (located on the Colorado River Indian Tribes Reservation, in Parker, AZ) and the IHS Colorado River Service Unit. The Colorado River Indian Reservation is home to the Colorado River Indian Tribes – CRIT (Mohave, Chemehuevi, Hopi and Navajo) and is located along the state line boundary of Arizona and California (the Colorado River), spanning La Paz County (Arizona) and San Bernardino County (California), and is served by the IHS Phoenix Area as part of the Colorado River Service Unit (CRSU). Under the control of t he CRSU, the PIHC is located in the community of Parker, AZ, which is located 155 road miles west o f the headquarters office of the Phoenix Area IHS in Phoenix, AZ.

The CRSU includes reservations for the following Tribes: Chemehuevi Indian Tribe, Colorado River Indian Tribes, Fort Mojave Indian Tribe, Havasupai Tribe, Hualapai Tribe, and Moapa Band of Paiutes, all of which are located in western Arizona, northwestern Arizona, and southern Nevada. These reservations span approximately 560 road miles. The Colorado River Service Unit is subdivided into six (6) Service Areas: the Parker Service Area, Peach Springs Service Area, Supai Service Area, Chemehuevi Service Area, Ft. Mojave Service Area and Moapa Service Area. Refer to TAB A for maps showing the location of reservations and the service unit.

COLORADO RIVER SERVICE UNIT (CRSU)

(FY 2019 Phx Area Active Users and Census Projections Report)

SERVICE

AREAS

COUNTIES COMMUNITIES

Parker

La Paz County, AZ

Bouse Quartzsite

Ehrenberg Salome

Parker Vicksburg

Poston Wenden

Mohvae County (part), AZ Lake Havasu City

Riverside County (part), CA Blythe

San Bernardino County (part), CA

Big River

Earp

Parker Dam

Vidal

Peach Springs

Mohave County (part), AZ

Chloride Peach Springs

Dolan Springs Truxton

Hackberry Wickieup

Kingman Valentine

Yavapai County, AZ Nelson

Seligman

Coconino County (part), AZ

Williams

Bellemont

Tonalea

Supai Coconino County (part), AZ Supai

Chemehuevi San Bernardino County (part), CA Chem Valley

Ft. Mojave Mohave County (part), AZ

Bullhead City Riviera

Mohave Valley Topock

Oatman Yucca

San Bernardino County (part), CA Needles

Moapa

Lincoln County, NV

Hiko

Panaca

Pioche

Clark County, NV

Longandale

Mesquite

Moapa

Overton

B. Access: The Colorado River Service Unit’ s six (6) Service Areas are designated as a Health Professional Shortage Area (HPSA) by the Health Resources and Services Administration (HRSA) for Primary Care, Mental Health, and Dental Health. Specifically, the Parker Indian Health Center is utilized more by Chemehuevi Service area and La Paz County. Additionally, the Arizona Department of Health Primary Care Area Program designated the

Colorado River Indian Tribe as an Arizona Medically Underserved Area (AzMUA), identifying the region as having inadequate access to health care.1

1Arizona Department of Health Services, March 2020 Arizona Medically Underserved Areas.

https://azdhs.gov/documents/prevention/health-systems-development/data-reports-maps/reports/azmuaannualrpt.pdf

The PIHC is in a remote, rural area of La Paz County. During intense heat weather warnings increased clinic utilization may occur between all La Paz county healthcare centers. Parker Indian Health Center is an identified location that also serves surrounding rural towns of La Paz, Mohave, and California/Arizona border towns. Most of the communities are located along AZ State Route 95, U.S Route 92 AZ/CA and Hwy 62, while others are off the main roadway accessed via dirt roads. Access to PIHC can be difficult for most of the population due to rural community locations, limited public transportation, and summer and monsoon seasons generate hazardous road conditions due to oppressive heat and flash flood warnings.

C. Demographics: Approximately 4,566 Colorado River Indian Tribal (CRIT) members live on and off the CRIT Reservation. The Parker Indian Health Center also assists in servicing La Paz County’s nearby towns of Videl, Parker, Bouse, Quartszite, Blythe, Big River and other smaller rural towns.

Major cities and towns within driving distance of the CRIT Administration Offices on the CRIT Reservation include:

Parker, AZ (population of 3,417, 2020 census): Approximately 2 miles east of CRIT Admin Offices

Lake Havasu City, AZ (population of 57,144, 2020 census):

Approximately 41 miles north of CRIT Admin Offices

Blythe, CA: Approximately 48 miles southwest of CRIT Admin Offices Kingman, AZ: Approximately 122 miles north of CRIT Admin Offices Phoenix, AZ: Approximately 156 miles southeast of CRIT Admin Offices

D. Topography and Climate: The Colorado River Indian Tribes reservation lies on 278,000 of land in the states of Arizona and California within the Mohave and Sonora desert along the Colorado River where rich soil and clay materials are compassed by rugged low desert mountains inhabited by wildlife. The terrain consists of undeveloped areas, low lands near sea level and farmland. The region includes sparse vegetation consisting of perennial plants, salt cedar, native willow, cottonwood, and mesquite trees.

CRIT Reservation Climate: The climate notably experiences extremely hot spring/summer/early fall temperatures ranging from 100 °F degrees to 120 °F + degrees. During late summer season, the region is impacted by monsoon weather of high winds, humidity and scattered rainfall that generate flash floods.

Winters consist of mild and warm temperatures with highs in the upper 70’s °F and lower 80’s °F, with the Colorado River and open desert lands experiencing lows reaching 32 °F degrees.

The year-round sunny weather and extreme heat in Parker will be a factor in determining sustainable planning and design options for the facilities proposed in this PJDQ, as well as selection of building materials to mitigate periods of intense heat and prolonged sun exposure, and implementation of solar powered building options.

E. Housing and Public Facilities: The Tribe (Colorado River Residential Management Corporation, CRRMC) owns and operates a 100 unit and two (2) 50 unit housing developments, which provides housing to CRIT Tribal members.

However, this housing development falls well short of meeting the housing needs of the Tribe, and there is no documented agreement for Parker Indian Health Center to utilize tribal housing for IHS government and contractor professionals. CRIT’s lack of affordable housing has persisted for decades and continues to be problematic as its population has grown, as experienced throughout the COVID pandemic as demand and utilization of health care contract professionals increased for PIHC. Though the Tribe has set goals to increase the quantity of affordable housing on the Reservation, there is no current plan for including housing to address the demand from PIHC employees and contracted professionals.

Refer to TAB G to review the Housing Verification Survey Report (HVSR) for this project, which provides an assessment of current IHS staff quarters housing, Tribal housing, BIA quarters, general information about the CRIT/Parker area, and local private sector housing availability. Overall, the HVSR assessments and analyses indicate a severely limited quantity of IHS staff quarters and suitable/affordable housing options in the local/private sector market for PIHC staff, and recommends the development of this PJDQ document.

Housing Verification Survey Report Summary Chart (Refer to TAB G)

F. Utilities: The following are utilities serving the Colorado River Indian Tribes Reservation and the respective two staff quarters sites:

Parker Indian Health Center Staff Quarters Site (Existing):

Water Service: CRIT Utilities Sewer: CRIT Joint Venture Electric Service: Bureau of Indian Affairs (BIA) Telecommunications: Frontier Communications Solid Waste Management: CRIT Utilities Propane: Xcel Energy Satellite TV: Frontier Communications

G. Education: The CRIT reservation and Parker educational system is served by

Head Start/Pre-Kindergarten, Kindergarten thru 12th grade schools funded by the State of Arizona, Grant Schools, and the Bureau of Indian Education (BIE), including:

Parker High School (public funded) Ombudsman Arizona Charter Schools (State funded) Wallace Junior High School (public funded) Blake Primary School (public funded) Le Pera Elementary School (public funded) Wallace Elementary School (public funded) CRIT Head Start (grant funded)

Statistics of the CRIT’s educational level as per U.S Census Bureau 2017- 2021 American Community Survey for population 25 years and over:

EDUCATIONAL LEVEL CRIT

Tribe La Paz County

State (AZ)

Less than 9th Grade Education:

8.3

9th – 12th, No Diploma:

19.2 14.4

High School Graduate 34.0 33.0 Some College 37.0 College or Professional Degree

9.7 11.8 32.4

H. Economy: The major employment sectors according to the Environmental Systems Research Institute (ESRI) Business Summary 2022 for Colorado River Indian Tribes Reservation:

Agriculture and Mining: 1.9% Construction: 3.3% Manufacturing: 1.7% Transportation: 2.9% Communications: 0.7% Utility: 1.0% Wholesale Trade: 1.9%

Public Administration (incl. CRIT Govt. Services, BIA and IHS): 18.6% Additional sectors include:

Retail Trade Services Finance, Insurance and Real Estate

A majority of the jobs on the Reservation are from the public administration sector (Tribal Government, Indian Health Service, and social services), enterprise, gaming, and farming. Overall, The Tribe estimates an average unemployment rate of 20% based on studies of the Colorado River Indian Tribes, but since many Tribal members do not register as being unemployed, the unemployment rate is considered to be much higher. Poverty rates on the Reservation (31%) are nearly twice as high as the State (18%)

Economically, CRIT has for years heavily relied on its farming, enterprises, gaming, and tribal tax to produce the majority its governmental revenue. With the increase in costs of living, the Tribe is now faced with an even greater economic challenge in developing a sustainable Tribal economy. The Tribe remains diligent in their economic development strategy efforts, with continued and planned/future industries such as:

On-Reservation CRIT Economy:

7 enterprises: Bluewater Resort & Casino, CRIT Sand & Rock, CRIT Farms, Joint Venture, Big River Development, and Colorado River Building Materials located in Parker and Big River.

Off-Reservation CRIT Economy:

Currently there is no off-reservation economic support system

I. Social and Political Profile: The Colorado River Indian Tribes (CRIT) is comprised of four (4) Tribes: the Mohave, Chemehuevi, Hopi and Navajo. An Act of Congress in 1865 established the CRIT Reservation for the “Indians of the Colorado River and its tributaries, originally for the Mohave and neighboring Chemehuevi who resided in this region. In 1945, a portion of the Reservation was established for the colonization by Indians form other Tribes, specifically the Hopis and Navajos.

The Colorado River Indian Tribes Tribal Council was established on March 3, 1865. As such, the Council possesses the authority to represent the Colorado River Indian Tribe in all matters for the welfare of the Tribe, and to negotiate with federal, state and local governments, and with other Tribal Councils or Governments of other Tribes. The Council consists of nine (9) representatives.

The Colorado River Indian Tribes Tribal Government is a unicameral government where all powers are vested in the Tribal Council.

J. Available Health Care Services: The following are IHS health care services available for staff within the IHS Phoenix Area, Colorado River Service Unit:

Parker Indian Health Center – This is a 17-bed Critical Access Hospital that provides general medical services. ED hours are 24 hours/day, 7 days/week.

Outpatient Dept. hours are Monday - Friday, 8am-5pm. Available Services:

Audiology* Behavioral Health Dental Emergency Dept (ED) General Surgery* Immunizations Inpatient Laboratory Medical Imaging Nutrition Services

OB/GYN*

Optometry Pediatrics Pharmacy Physical Therapy Podiatry Primary Care Public Health Education Public Health Nursing Rheumatology* Wound Care

*Specialty Services provided by Phoenix Indian Medical Center

Chemehuevi Clinic (Havasu Lake, CA) – This is an IHS Large Health Station, as per the IHS Small Ambulatory Care Criteria, that is open 3 days/week It is located 66 road miles from the PIHC. Available Services:

Behavioral Health Dental Immunizations Laboratory (limited svcs) Nutrition Services Optometry

Pharmacy Podiatry Primary Care Public Health Education Public Health Nursing

Ft. Mojave Health Center (Mohave Valley, AZ) – This health center is located 70 road miles from the PIHC and provides outpatient direct medical and specialty care. Available Services:

Family Practice Pediatrics Podiatry Optometry Ophthalmology Dental Women’s Health Diabetes Management

Behavioral Health Pharmacy Laboratory Immunizations Nutrition Counseling Pediculosis Eradication

Prenatal Education

Irene Benn Health Clinic (Moapa, NV) – This is an IHS Large Health Station, as per the IHS Small Ambulatory Care Criteria. The Outpatient Dept. hours are Monday - Friday, 8am-5pm. It is located 233 road miles from the PIHC.

Available Services:

Behavioral Health Immunizations Laboratory (limited svcs) Nutrition Services Optometry

Podiatry Primary Care Public Health Nursing Substance Abuse

Counseling

Peach Springs Health Center (Peach Springs, AZ) – This is an IHS Health Center that provides general outpatient services. It is located 150 road miles from the PIHC. Outpatient Dept. hours are Monday - Friday, 8am-5pm.

Available Services:

Audiology* Behavioral Health (Tribal) Dental Gynecology* Laboratory Medical Imaging Nutrition Services Ophthalmology

Podiatry Primary Care Public Health Education

Rheumatology*

*Specialty Services provided by Phoenix Indian Medical Center

Supai Clinic (Supai, AZ) – This is an IHS Large Health Station, as per the IHS Small Ambulatory Care Criteria, located at the bottom of the Grand Canyon. It is extremely remote and only accessible by walking/hiking, helicopter, horse, or mule. It is located 237 road miles, plus an 8 mile hike, from the PIHC.

Outpatient Dept. hours are Monday - Friday, 8am-5pm. Available Services:

Behavioral Health Dental Laboratory (limited svcs) Medical Imaging (limited)

Dispensing (Pharmacy)

Podiatry Primary Care Public Health Education Public Health Nursing Substance Abuse

Counseling

The nearest non-IHS health care facilities that provide ambulatory, emergency and inpatient services are La Paz Regional Medical Center (LPRMC) located in Parker, AZ, 2 road miles from the PIHC, and Havasu Regional Medical Center (HRMC), located in Lake Havasu City, AZ, 40 road miles from the PIHC, a 51-minute drive time depending on traffic. Despite the LPRMC and HRMC being in close proximity, at times there is no availability for emergency transfers or inpatient services, which results in air transfers flown to Phoenix or Las Vegas medical facilities.

IV. EVALUATION OF STAFF QUARTERS NEEDS

A. Overview: With the construction of the Parker Indian Health Center in 2001, in Parker, AZ, Government staff quarters are needed for the Non-Local positions, for which housing is not available. The following are explanations of why new/additional quarters units are required:

PIHC High Vacancy Rate: As of February 2024, the PIHC had seventy-five (75) position vacancies, resulting in a plus 25% staff position vacancy rate, which is directly related to the lack of and need for additional staff quarters.

Unaffordable Housing/Rental Market: PIHC’s high vacancy rate is also indicative of the difficulty of existing and prospective staff finding suitable and affordable housing within the Parker/Colorado River/Lake Havasu region’s housing market. Given that Parker is part of and adjacent to the

‘vacation-type’ housing market in Colorado River and Lake Havasu, private sector ‘for-sale’ homes and rental units are commonly unaffordable to PIHC staff and prospective staff.

Aged and Deteriorated Structures: Of the existing 20 total quarters units, 80% of the units are 57 years old or older, including five (5) units which are trailer/mobile home type units. This consists of: five (5) units that are 57 years old, nine (9) units that are 64 years old, and two (2) units that are 112 years old, and four (4) units are 3 years old. As per the ‘Condition Rating’ in the HVSR (TAB G), sixteen (16) existing units are considered to be of “POOR” Exterior, Interior and Overall Condition. Given the age and “POOR” condition of these units, it is cost prohibitive to perform full renovations of these units, and more cost effective to demolish and replace these units. The condition of these units would not be

Frequent Repairs & Unavailability: Due to maintenance issues related to the age of quarters units, as stated above, units are frequently and/or intermittently unavailable due to constant repairs and renovation.

Recently in 2022-23, the single family unit #618 underwent a complete interior renovation, rendering this unit uninhabitable for an extended period of time.

Aged, Deteriorated and Hazardous Utilities and Infrastructure: In general, the staff quarters are compromised by aged/limited/problematic utility and infrastructure systems, including low water pressure and lead piping.

These typical issues directly impact PIHC‘s mission to adequately house staff, deliver the highest level of outpatient and 24 hour/7 days a week inpatient and emergency healthcare to its patients, and severely impede PIHC’s staff recruitment, hiring and retention efforts.

Without additional and new staff quarters, these problems are certain to continue.

Within 1 mile of PIHC facility is the CRIT housing 100 unit development, though a formal agreement does not exist between the Tribe and IHS for any of these units to be designated for PIHC usage. Also within 1 mile is the CRIT Lazy D Mobile Home Park where those with recreational vehicles (RV) trailers can station, however a formal agreement does not exist for PIHC usage and availability is not guaranteed due to Parker being a recreational and seasonal location.

Towns in the region with housing options, both private non-federal owned, are beyond the one-way 47 road mile radius from the HHCC, and thus not considered “Local” by IHS staff quarters standards. These towns include Blythe, CA (49 miles) south and Lake Havasu City, AZ (39 miles) northwest which have varied and limited housing availability ‘at best’, and are at least 80 roundtrip road miles to/from PIHC, and become problematic during extreme heat, monsoon, and wind weather advisory.

The following are explanations of how existing Government quarters units, including transient units, will be used to meet proposed needs:

The proposed additional staff housing units will address PIHC’s ongoing high staff position vacancy rate, with affordable and modern units that will improve staff recruitment and retention rates. This begins with adjusting to the increased demand for Multi-Family/Multiplex units, with 3 bedrooms or less. Presently, 35% of the existing quarters are Single Family, 2 and 3 bedroom units (refer to Table VI, Housing Pattern Analysis). With the prevalence of staff not requesting nor requiring larger and more expensive single family rental quarters, the Proposed Overall Unit Mix plans for a decrease to 12% Single Family units, and an increase of Multi- Family/Multiplex units from 20% (existing) to 71% (Proposed Overall Unit Mix).

Due to its location along the western border of Arizona, PIHC faces challenges in providing Specialty Care services, with the lack of available staff quarters for permanent specialty care staff and lack of transient quarters for visiting specialty providers. The additional quarters units proposed in this PJDQ intend to address this problem by increasing and improving the quality of Transient Units for visiting specialty providers.

This proposed mix will also allow for the consolidation of Multi- Family/Multiplex Rental units and Transient Units into denser, multi-story apartment-style design options, which has proven to be effective on various levels, in other Phoenix Area Service Units, and other IHS Areas in Arizona. These design decisions will be made in a future A/E design contract in a comprehensive residential and site design approach, utilizing the existing sites and future 10 acre site offered by the CRIT. Densely grouped housing clusters would increase operational energy efficiency with less exposed roofs and exterior walls, advantageous due to the 5-6 months of severe heat in this desert region. Compact housing arrangements, with units sharing party walls would also shorten utility-run distances (pipe, duct, electrical/IT cabling, etc.) and reduce construction costs.

This type of housing approach has been successful with staff recruitment and retention, possessing the housing inventory flexibility needed if certain Multi-Family/Multiplex 1 Bedroom units need to be utilized as Transient Units. This flexibility would be advantageous to accommodate the demand for Visiting/Contract Specialty Care Providers and the varying frequencies and durations of their stays at PIHC.

New/additional staff quarters will also require the much needed replacement of aged utilities and infrastructure serving the existing quarters units, both underground and overhead. The new development of proposed quarters will allow the PIHC to house staff to live in more energy efficient units, with the opportunity to incorporate sustainable/solar energy design elements to help minimize utility costs to renters.

The proposed mix also creates the opportunity for strategies to minimize A/E design and construction costs, as well as operational costs for the life of the new units.

Overall, the proposed housing mix will have the potential to improve PIHC’s staff recruitment, retention and overall job satisfaction among staff and their respective family members, which are all important elements in building sustainable and healthy communities.

Table I (below) shows the number of rental and transient quarters units that will continue to be used and the proposed new quarters units to be provided. IHS Govt. quarters units are designated as either "rental" or "transient" as defined in Chapter 13 - "Quarters Management Program," Part V, Indian Health Manual.

Rental Quarters Units - Quarters intended for other than transient occupancy by an IHS employee or other authorized person. Persons assigned to rental quarters units are always charged for rent and utilities.

Transient Quarters Units - Quarters units intended for short-term occupancy of up to 90 days. Their purpose is to accommodate official visitors, guests, volunteers, short-term employees and contractors, and other transient personnel. Persons assigned to transient quarters units are charged for rent.

TABLE I - STAFF QUARTERS NEEDS

EX

IS

TI

N

G

Q

TR

S.

U

N

IT

S

TO

B

E D

EM

O

'D

NUMBER OF GOVERNMENT QUARTERS UNITS

TOTAL

REQUIRED

EXISTING FOR

CONTINUED

USE

ADDITIONAL

REQUIRED1

Single Family Rental2 (GQ-P & GQ-M)

1 - Bedroom 0 0 0 0 0

2 - Bedroom 3 3 (2) 0 0 0

3 - Bedroom 4 4 (2) 6 0 6 4 - Bedroom 0 0 2 0 2

Multi-Family/Multiplex Rental (GQ-P-MF) Studio 0 0 0 0 0

1 - Bedroom 2 2 (2) 12 0 12

2 - Bedroom 2 2 (2) 24 0 24

3 - Bedroom 0 0 14 0 14 Trailer Units - Single Family

3 - Bedroom 4 4 (3) 0 0 0

Subtotal of Rental Units 15 15 58 0 58

(= Item D on Table V)

(= Item F on Table V)

Transient (Multiplex) (GQ-P-TQ)

1 - Bedroom, 1 - Bath Units 4 0 12 4 8

4 - Bedroom, 2 - Bath Units (Trailer/Mobile Home)

1 1 (3) 0 0 0

Subtotal Transient Units 5 1 12 4 8

(= Item G on

(= Item H on

Table V) (= Item I on

TOTAL QUARTERS UNITS 20 16 70 4 66

(= Items D+ H on Table

V)

(= Item J on Table V)

Notes for TABLE I:

(1) The "ADDITIONAL REQUIRED" Column reflects a deduction for local private sector housing that is projected to be available for "Non-Local" staff. Refer to HVSR in TAB G.

(2) Existing Qtrs Units to be demolished due to being 57-112 yrs old and in "POOR" condition as per HVSR (TAB G).

(3) Current IHS policy requires, as projects are processed in the Quarters Construction Priority System, all existing house trailers to be replaced.

B. Staffing Analysis: Table II in the following pages summarizes the planned staffing at the PIHC, as of December 2021, and the authorized filled housing pattern, as provided in TAB F, which contains a complete listing of planned staffing for the PIHC, and provides information about family sizes, sizes of quarters authorized, and the existing conditions.

As of February 2024 there were six (6) more staff vacancies than when reported in December 2021, indicative of the persistent vacancy and staff recruitment/retention problems at PIHC due to a lack of quarters. Below are the definitions of terms used in Table II, TAB F, and elsewhere in this document:

POSITION TITLE: The position title as used in the Program of Requirements

(POR) for the health care facility.

POSITION STATUS: The position status describes the status of employment, as follows:

► FILLED: A currently authorized existing position for which an employee has been hired and is working at the time the data was collected.

► VACANT: A currently authorized existing position for which an employee has not been hired at the time the data was collected.

► NEW: An additional position that has been authorized in addition to existing positions to support a new or improved health care delivery program at the health care facility. This position is vacant at the time the data was collected.

EMPLOYEE STATUS: The employee status identifies if the position is filled or is expected to be filled with a "NON-LOCAL” or a “LOCAL" employee.

The term “NON-LOCAL” refers to those IHS employees residing greater than 47 miles (75 kilometers) by road from the health care facility at the time of acceptance of their employment. For vacant and new positions, the employee status is a realistic estimate taking into account the type of positions to be filled, the availability of qualified personnel from the local area, and past experience in recruiting and retaining personnel.

Sample Calculation:

Ratio to determine Non‐Local estimate for New and Vacant Positions

Current Non‐

Local Staff

= = 91 = 0.34

Current Total Staff

Estimate for New Non‐Locals = 1 * 0.34 = 0.34

Estimate for Vacant Non‐Locals = 69 * 0.34 = 23.5

The Sample Calculation for “Estimate for Vacant Non-Locals” projects 23.5 Non-Locals to fill vacancies, though this number was projected to 44 staff in Table II, based on PIHC executive staff’s input/review of: staff hiring history for these Vacant positions, past experience in recruiting and retaining personnel, and vetting each Vacant position (refer to TAB F) regarding the availability of qualified personnel from the local area.

OCCUPIED HOUSING TYPE: The occupied housing type is provided only for currently filled positions at the health care facility. It indicates whether that staff member currently resides in Government quarters, in local private sector housing, or in non-local private sector housing.

► GOVERNMENT QUARTERS (GQ): This includes existing IHS quarters units which are IHS owned or leased and located 47 road miles or less from the health care facility. It also includes other Government quarters units owned or leased by other Government agencies located 47 road miles or less from the health care facility, which are available to IHS for occupancy by IHS staff (of which there are none regarding HHCC housing options). This category includes:

GQ-P: GOVERNMENT QUARTERS – PERMANENT, for permanent structures

GQ-P-MF: GOVERNMENT QUARTERS – PERMANENT – MULTI-

FAMILY, for permanent structures

GQ-P-TQ: GOVERNMENT QUARTERS – PERMANENT –

TRANSIENT QUARTERS, for permanent structures GQ-M: GOVERNMENT QUARTERS – MODULAR, for modular structures GQ-T: GOVERNMENT QUARTERS – HOUSE TRAILER, for house trailer units

► LOCAL PRIVATE SECTOR HOUSING (LP): This is all types of housing units, except Government quarters units, located 47 road miles or less from the health care facility, which the employee owns, rents, or otherwise occupies. This category includes:

GTP: GOVERNMENT TRAILER PAD, for Government house trailer pad PTP: PRIVATE TRAILER PAD, for private house trailer pad

► NON-LOCAL PRIVATE SECTOR HOUSING (NP): This is all types of housing units, except Government quarters units, located more than 47 road miles from the health care facility, which the employee owns, rents, or otherwise occupies.

TABLE II:

SUMMARY OF STAFFING AND AUTHORIZED FILLED HOUSING PATTERN

POSITION

STATUS

HOUSING

TYPE

CURRENT AUTHORIZED NON-LOCAL

STAFF HOUSING PROFILE

NUMBER pf

EMPLOYEES

?-BR 3 4-BR 3-BR 2-BR 1-BR Studio GTP TOTAL SUB-

TOTAL

TOTAL

FILLED 205

NON-LOCAL 1 46

GQ-P 0 0 4 3 0 0 0 7

GQ-P-MF 0 0 0 2 2 0 0 4

GQ-P-TQ 0 1 0 0 4 0 0 5

GQ-M 0 0 0 0 0 0 0 0

GQ-T 0 0 4 0 0 0 0 4

LP 23 0 2 0 0 0 0 25

GTP 0 0 0 0 0 0 0 0

PTP 0 0 0 0 0 0 0 0

NP 0 1 0 0 0 0 0 1

LOCAL 2 159

GQ-P 0 0 0 0 0 0 0 0

GQ-P-MF 0 0 0 0 0 0 0 0

GQ-M 0 0 0 0 0 0 0 0

GQ-T 0 0 0 0 0 0 0 0

LP 149 3 4 1 0 0 0 157

PTP 2 0 0 0 0 0 0 2

NP 0 0 0 0 0 0 0 0

NEW 1

NON-LOCAL 1 1

LOCAL 2 0

VACANT 69

NON-LOCAL 1 44

LOCAL 2 25

SUBTOTAL NON-LOCAL EMPLOYEES 1 91

SUBTOTAL LOCAL EMPLOYEES 2 184

TOTAL STAFF per this Table 4 275

TOTAL STAFF per PIHC Staffing Roster 4 269

HOUSING TYPE ABBREVIATIONS:

• GQ-P = Government Quarters Permanent Structure • LP = Local Private Sector Housing

• GQ-P-MF = Government Quarters - Permanent - Multi-Family • GTP = Government Trailer Pad

• GQ-P-TQ = Government Quarters - Permanent - Multi-Family • PTP = Private Trailer Pad

• GQ-M = Government Quarters - Modular • NP = Non-Local Private Sector Housing

• GQ-T = Government Quarters - House Trailer *REFER TO NEXT PAGE for NOTES for TABLE II.

NOTES for TABLE II:

1. The term "NON‐LOCAL" refers to those IHS employees residing greater than 47 miles (75 kilometers) by road from the health care facility at the time of acceptance of their employment.

2. The term "LOCAL" refers to those IHS employees residing less than 47 miles (75 kilometers) by road from the health care facility at the time of acceptance of their employment.

3. This column reflects HHCC staff who participated in the voluntary staff quarters qestionnaire used to develop this table, but chose not to include the # of bedrooms of their residence.

4. 275 ‐ 1 (GQ‐P, Vacant #618) ‐ 4 (GQ‐P‐TQ, Vis Prvdrs in #633, 634, 635, 625) ‐ 1 (GQ‐T, Vacant #628) = 269 This explains the minor variance between 275 vs 269 and matches correct # of staff per the PIHC Staff Roster.

C. Existing Government Quarters Units:

Information concerning the status of these existing Government quarters units is contained in the “Housing Verification Survey Report” (HVSR), prepared by the IHS Phoenix Area OEHE Realty Specialist. The HVSR (TAB G) documents the status of all IHS owned or leased quarters units located 47 road miles or less from the health care facility. This same information, as appropriate, is provided also for other Government quarters units located 47 road miles or less from the health care facility which are available to IHS for occupancy by IHS staff.

The IHS Phoenix Area OEHE Realty Specialist, in preparing the HVSR, verifies the condition of existing IHS Government quarters units which had been classified as “poor” or “obsolete/substandard,” as defined by Chapter 13 – “Quarters Management Program,” Part V, of the Indian Health Manual. “Poor” is defined as needing major repairs, with substantial deferred maintenance being evident. An “obsolete/substandard” condition is one in which the quarters unit is not fit for human habitation, with major health and safety violations being evident. The IHS “Quarters Management Program” requires that any quarters unit designated as being in “poor” condition must be repaired and upgraded to at least “fair” condition within one year from date of such designation. Otherwise, disposal action is to be initiated. Both the internal and external quarters unit condition must be rated at least “fair” in order to be suitable for the intended occupant.

For each existing IHS Government quarters unit designated as “poor” or “obsolete/substandard,” the surveyor or survey team also enumerates the major deficiencies, provides a cost estimate to renovate and correct the major deficiencies, determines the economic feasibility of renovation versus construction of a replacement unit, and recommends the proposed disposition of units determined to be unfeasible to renovate. Factors considered in this evaluation include the cost of renovation versus cost of a new unit, which includes the projected service life of the unit, operation and maintenance requirements, etc.

For existing permanent staff quarters units, when the documented costs of repairs exceeds 50% of the replacement cost for that unit, the existing permanent quarters unit has been identified as not being “Available for Continued Use” and is identified in this project for replacement. Current IHS policy requires, as projects are processed in the Quarters Construction Priority System, that existing house trailer units be identified as not being “Available for Continued Use” as staff quarters.

Accordingly, this project identifies all house trailers for replacement. All structures identified as not being “Available for Continued Use” as staff quarters will be disposed of in accordance with established procedures.

Table III in the following pages, summarizes the mix of existing Government quarters units which are “Available for Continued Use” by non-local IHS employees. In determining the projected supply of Government quarters units which may be reasonably expected for non-local IHS employees at a particular location, all existing IHS Government quarters units were counted that were located 47 road miles or less from the health care facility. This total was reduced by the number that were classified as either "poor" or "obsolete/ substandard," which were determined to be unfeasible to renovate, and were determined, in accordance with the above stated policy, as not being “Available for Continued Use.” Other Government quarters units located 47 road miles or less from the health care facility, which were counted only to the extent they are available to IHS for occupancy by IHS staff, are identified separately in Table

III.

Currently, the PIHC possesses twenty (20) staff quarters units as per the table in PJDQ Section I, Table I, and HVSR Table 1 (TAB G). These units are located in Parker, AZ, on the existing PIHC/IHS staff quarters site west of the PIHC facility, on Parcels 2 and 3 (see TAB C). These units are the only existing IHS Government quarters within 47 road miles of the PIHC facility.

As per the HVSR’s evaluation, sixteen (16) of the existing twenty (20) units were designated with an Overall Condition rating of “POOR,” and are to be demolished as part of this PJDQ proposal. The decision to demolish these units is based on:

The “poor” condition of these units The reported ‘fair/poor/aged/problematic’ condition of the infrastructure and utilities which support these units, as per the PIHC Facilities Management office. These units are continuously in need of repair due to deterioration and age, are in need of mechanical and building system upgrades to function/operate efficiently, with five units 57 years old, nine units 64 years old, and two units 112 years old.

The estimated cost to adequately repair these units and their respective and inter-connected infrastructure and utilities, which would exceed 50% of the replacement cost for these units.

Four existing (4) quarters units have been designated by PIHC to be “Available for Continued Use,” which were recently constructed, in good condition, and are as follows:

Transient (Multiplex) (GQ-P-TQ) (Existing 4 Unit Quarters Building) ► Unit #632: GQ-P-TQ Unit, 1 Bedroom, 1 Bath, built in 2021, 589 ft2 ► Unit #633: GQ-P-TQ Unit, 1 Bedroom, 1 Bath, built in 2021, 589 ft2 ► Unit #634: GQ-P-TQ Unit, 1 Bedroom, 1 Bath, built in 2021, 589 ft2 ► Unit #635: GQ-P-TQ Unit, 1 Bedroom, 1 Bath, built in 2021, 670 ft2, this is an Accessible (ADA) Unit.

TABLE III: EXISTING GOVERNMENT QUARTERS UNITS AVAILABLE

FOR CONTINUED USE

TYPE of

UNIT

NUMBER OF UNITS

PIHC OTHER LOCATIONS TOTAL

RENTAL TRANSIENT RENTAL TRANSIENT RENTAL TRANSIENT

SINGLE FAMILY

2 - Bedroom 0 0 0

3 - Bedroom 0 0 0

4 - Bedroom 0 0 0

MULTIPLEX

Studio 0 0 0

1 - Bedroom 0 0 0

2 - Bedroom 0 0 0

3 - Bedroom 0 0 0

TRAILER (MOBILE HOME)

3 - Bedroom 0 0 0

TRANSIENT UNITS

1 - Bedroom 4 0 4

4 - Bedroom (Mobile

Home)(2) 0 0 0

TOTAL

EXISTING

GOVERNMENT

QUARTERS

UNITS

AVAILABLE

FOR

CONTINUED

USE

0 4 0 0 0 4

NOTES for TABLE III:

1.) Of the existing Qtrs Units, 4 Transient Units are suitable for continued use.

2.) Current IHS policy requires, as projects are processed in the Quarters Construction Priority…