Attachment J01 - Statement of Work and Drawings.pdf

STATEMENT OF WORK

Parking Lot Maintenance

INDIAN HEALTH SERVICE

DES ‐ Eagle Butte

CHEYENNE RIVER HEALTH CENTER

EAGLE BUTTE, SD

February 2023

Statement of Work Page 2

Table of Contents

1. Project Description

2. Scope of Work (SOW)

3. Period of Performance

4. Submittals

Appendix A – Parking Lot SF

Appendix B – Traffic Control Study

Appendix C – Existing Curbs

Statement of Work Page 3

STATEMENT OF WORK

Cheyenne River Health Center

Eagle Butte, SD

1. Project Description

A. Title: CRHC Parking Lot Maintenance

B. Location: This project is at the Cheyenne River Health Center, Eagle Butte, SD

C. Period of Performance: 180 calendar days from Notice to Proceed.

D. Description: The project defined within this Statement of Work is the proper maintenance for the Cheyenne River Health Center parking lots. This project will include:

1. Contractor shall demolish and replace curbs marked for new ADA accommodation ramps.

2. Contractor shall demolish and replace curbs that are damaged marked in Appendix C.

3. Contractor shall demolish asphalt to narrow the road.

4. Contractor shall provide and install concrete sidewalks for pedestrian travel.

5. Contractor shall prepare the facility parking lot for chip sealing.

6. Contractor shall router all the cracked areas and fill those affected areas with a rubberized asphalt sealant.

7. Contractor shall chip seal the Cheyenne River Health Center parking lot and loop road.

8. Contractor shall provide temporary signage and road markers for keeping traffic flow consistent for the hospital.

9. Contractor shall paint on thermoplastic road striping. This includes crosswalk striping, stop bar striping, painted median islands, center lines, & new edge lines.

10. Contractor shall paint on epoxy striping for the parking lines.

11. Contractor shall provide permanent signage and road markers.

12. Contractor shall provide and install 2 removable speed bumps.

13. Contractor shall provide and install 3 removable speed tables or raised crosswalks.

14. Contractor shall provide and install new fencing for marked areas.

15. Contractor shall ensure road shoulder is graded properly for safety and proper drainage.

Contractor shall install products following all manufacturer’s specifications.

E. Background: Cheyenne River Health Center recently had a traffic control study done to better evaluate their parking facilities. The result of this study has concluded and CRHC would like to move forward with their recommendations. The Cheyenne River Health Center parking lot also has some major cracking and fraying throughout the facility. To fix the cracking in the parking lot the entire lot will be repaired and chip sealed. The existing signage is also weathered and should be replaced. Due to the accumulation of snow the existing fencing for the staff parking lot has been damaged and needs repaired.

Statement of Work Page 4

F. Related Documents

1. NFPA 101 Life Safety Code, 2012

2. NFPA 70 National Electric Code (NEC), 2011

3. ASHRAE 170

4. ASHRAE Fundamentals Handbook, 2021

5. NFPA 99 Healthcare Facilities Codebook, 2012

G. Common Acronyms or Definitions

1. IHS – Indian Health Service

2. CMS – Centers for Medicare & Medicaid Services

3. EB – Eagle Butte

4. CO – Contracting Officer

5. COR – Contracting Officer’s Representative

6. PM – Project Manager

7. ICRA – Infection Control Risk Assessment

8. PCRA – Pre‐Construction Risk Assessment

9. CRSU – Cheyenne River Service Unit

2. Scope of Work (SOW). The scope of this project includes all demo, new installation, and clean up for installation of the products described below.

The contractor shall provide all engineering, material, labor, equipment and supervision required to accomplish the following:

A. Demolition: Contractor shall remove all materials according to Appendix C: All demolished materials will be property of the Contractor.

a. Contractor shall demolish all curbs marked for new ADA accommodation ramps in Appendix C.

Approximately 8 in total.

b. Contractor shall demolish all curbs marked for replacement. Approximately 7 in total. These can be found in Appendix C.

c. Contractor shall demolish all the marked remove asphalt in Appendix C. Approximately 1700 SF area or 380 LF perimeter in total.

d. Contractor shall remove 1 chain link fence line post set in concrete, 2 top rails, 3 tension bars, 2 middle rails, & 1 20 ft section of chain link mesh.

B. Concrete: Contractor shall provide and install concrete sidewalks marked out in Appendix C. Contractor shall ensure that the new sidewalks all meet ADA for ease of use. Contractor shall ensure the proper drainage and slope for the new sidewalks. Also, the replacement of existing curbs throughout the facility. Contractor shall provide an install:

Statement of Work Page 5

a. One 152’ (ft) by 11’ (ft) sidewalk with 6’ (ft) by 5’ (ft) 6” (in) symmetrical rectangular sections.

Each one of these sections should be flush to the curb and 4 inches in depth. This section shall match flush to the raised crosswalk beside it.

b. One 142’ (ft) by 6’ (ft) sidewalk with typical 6’ (ft) by 6’ (ft) symmetrical rectangular sections.

This also has a section of 26’ (ft) by 6’ (ft) curved to match the curb. Each one of these sections should be flush to the curb and 4 inches in depth. Contractor shall provide and install 2 ADA ramps in line with crosswalks.

c. One 142’ (ft) by 6’ (ft) sidewalk with typical 6’ (ft) by 6’ (ft) symmetrical rectangular sections.

Each one of these sections should be flush to the curb and 4 inches in depth. Contractor shall install 1 ADA ramp in line with crosswalks.

d. Two 152’ (ft) by 6’ (ft) sidewalk with 6’ (ft) by 6’ (ft) symmetrical rectangular sections. Each one of these sections should be flush to the curb and 4 inches in depth. These sections will be connected at the end of one run next to the raised crosswalk with a 5’ (ft) section of sidewalk.

e. One 152’ (ft) by 6’ (ft) sidewalk with 6’ (ft) by 6’ (ft) symmetrical rectangular sections. Each one of these sections should be flush to the curb and 4 inches in depth. Contractor shall provide and install 1 ADA ramp in line with the crosswalk. This also has a section of 20’ (ft) by 6’ (ft) attached in Appendix C. This section shall be flush to the raised crosswalk.

f. One 17.5’ (ft) by 6’ (ft) sidewalk with 6’ (ft) by 6’ (ft) symmetrical rectangular sections. Each one of these sections should be flush to the curb and 4 inches in depth.

g. One 21.5’ (ft) semi‐circular section of concrete flush to the curb and 4 inches in depth.

Contractor shall provide and install ADA ramps on either side in line with both crosswalks.

h. One 86’ (ft) by 8.33’ (ft) rounded median off the entrance from Airport Rd. This is to have a Type B Curb and Gutter. This is marked out in Appendix C.

i. One 21.5’ (ft) semi‐circular section of concrete flush to the curb and 4 inches in depth.

Contractor shall provide and install ADA ramps on either side in line with both crosswalks.

j. Contractor shall replace existing curbs throughout the facility grounds. There are approximately 7 curbs and are marked out in Appendix C.

C. Finishes: Contractor shall provide and install chip sealing throughout the facility parking lot and all paint markings and signs. Contractor shall adhere to all South Dakota Dept of Transportation (DOT) standards and practices.

a. Contractor shall router all the cracked areas and fill those affected areas with a rubberized asphalt sealant within Cheyenne River Health Center parking lots. This process should be as all‐ inclusive as possible for a complete project.

i. Routing and sealing shall only be done when the roadways are completely dry.

ii. The sealant handling, mixing, and application temperature restrictions shall strictly adhere to the manufacturer recommendations.

iii. Contractor, at their own expense, shall repair or refill any part of the new sealed areas damaged by traffic during the lifetime of this contract.

iv. Contractor, at their own expense, shall be responsible for cleaning any sealant from surfaces other than roadways or as directed by the COR.

Statement of Work Page 6

b. Contractor shall prepare the entirety of the CRHC main parking lot, approximately 348,616 SF for chip sealing.

i. This is to include, but not limited to:

1. Removal of weeds surrounding the parking lot.

2. Removal of all trash and debris from the parking lot.

3. Shall provide a power broom to sweep all areas to remove foreign material from all roadways and parking areas prior to application of the sealant and sand.

4. Properly sectioning off areas of work with proper signage and warning materials that still allows for full use of the hospital facilities.

c. Contractor shall chip seal the Cheyenne River Health Center parking lot (approximately 348,616 SF). Contractor shall follow the required phasing of the project attached in Appendix B.

Contractor shall install all materials to manufacturer’s recommendations.

i. Contractor shall provide a sand aggregate specific for sealing. Sand aggregate shall not be unclean. Chosen sand must be applicable & compatible with the chosen emulsion.

Sand sizing shall be in desirable range for sealing.

ii. Contractor shall spray an emulsified mixture of water and asphalt to manufacturer’s recommended amount throughout the entirety of the parking lot at CRHC.

1. Adjacent appurtenances, such as painted curbs, shall be protected from the splatter of asphalt.

2. Asphalt shall be applied by means of a pressure distributor in a uniform and continuous manner at the manufacturer’s specified rates. The angle of the spray nozzles and the height of the spray bar shall be set to obtain uniform distribution. The distributor shall be traveling at the manufacturer’s recommended speed when the spray bar is opened. The edges of the spread shall not appreciably overlap. Areas inaccessible to the distributor shall be covered by hand‐spray methods. When the distributor is not in operation, it shall be parked off the roadbed or drip pans shall be placed under the spray bar.

iii. Contractor shall spread approved aggregate along the entirety of the parking lot at

CRHC.

1. The fresh application of asphalt for flush seal shall be covered with a uniform spread of aggregate immediately behind the distributor at an application rate approved by manufacturer.

2. The aggregate shall be placed by a self‐powered aggregate spreader with positive controls or similar equipment.

3. The sand shall be placed uniformly on the asphalt application.

4. Rolling may be required based on the aggregate approved.

a. Contractor shall compact and embed the spread aggregate into the sprayed asphalt.

Statement of Work Page 7

5. The finished surface shall be smooth riding without transverse or longitudinal ridges and shall present a uniform satisfactory appearance. Bleeding areas shall be resanded. Rough and nonuniform areas shall be corrected to the satisfaction of the COR.

6. The loose sand material remaining on the surface shall be lightly broomed off after a waiting period of twenty‐four hours from the time of application or as otherwise directed by the COR. Excess material in curb and gutter sections shall be broomed towards the gutter and shall be picked up and disposed of by the Contractor.

iv. Contractor shall compact and embed the spread aggregate into the sprayed asphalt.

v. Contractor shall allow for proper curing and drying of the chip sealed surface.

vi. Contractor shall sweep all loose gravel and dust off the newly sealed area.

vii. The application of the seal coat will be permitted only:

1. When the ambient air and surface temperatures on the project are both at least 50 degrees Fahrenheit in the shade.

2. When the surface is dry or slightly damp.

3. When the wind does not adversely affect the spraying operations.

4. During daylight hours.

viii. Contractor shall sweep periodically after the sealing treatment once weekly for the first 30 days after application. This shall be done after hours to minimize traffic for a more thorough cleaning.

d. Contractor shall provide temporary signage and road markers for keeping traffic flow consistent for the hospital.

e. Contractor shall paint on thermoplastic road striping. Contractor shall follow Appendix C for locations.

i. Contractor shall provide crosswalk striping where indicated in Appendix C.

1. Approximately 10 Solid White crosswalk striping shall be 2’ (ft) by 10’ (ft) in direct path between two marked ADA ramps.

ii. Contractor shall provide stop bar striping where indicated in Appendix C.

1. Approximately 20 Solid White Stop bar striping shall be 2’ (ft) by 12’ (ft).

iii. Contractor shall provide stop bar striping where indicated in Appendix C.

1. Approximately 2 Solid White Stop bar striping shall be 2’ (ft) by 28’ (ft).

iv. Contractor shall provide thermoplastic painted median islands where indicated in Appendix C.

1. Approximately 4 40’ (ft) by 18’(ft)

2. Approximately 1 40’ (ft) by 8’(ft)

v. Contractor shall provide new center lines marked in Appendix C.

Statement of Work Page 8

1. Center line shall be double lined, Solid Yellow spaced 4” (in) from each other.

Centerlines shall be 4” (in) wide. This is to separate each lane on the road into two 11‐foot lanes.

vi. Contractor shall provide new edge lines marked in Appendix C.

1. Edge lines shall be 4” (in) wide, Solid White and create a 4 ft shoulder on either side.

f. Contractor shall provide new epoxy paint for new parking lines over existing lines.

i. Approximately 474 parking spots. The parking facilities are oriented perpendicular to the building with two‐way aisles and straight parking spaces.

1. Main lot has 158 parking spots

2. The secondary lot has 159 parking spots

3. The south side lot has 79 parking spots

4. The west lot has 78 parking spots

5. 44 of those spots designated as handicap.

g. Contractor shall provide and install permanent signage and road markers marked in Appendix C.

i. Six W11‐2

ii. Six W16‐7P

iii. Seven R1‐2 (10)

iv. Two R4‐7 for entrance median

v. Four Entrance signs to replace the weathered signage. These signs shall be replaced with matching inserts of same design and phrase.

1. Visitor Parking

2. Emergency Vehicle Exit

3. Health Center Staff “& Government Parking”

4. Health Center Dock Entrance

h. Contractor shall provide and install 2 speed bumps marked in Appendix C. These speed bumps shall be removable.

i. Contractor shall provide and install 3 removable raised crosswalks marked in Appendix C; this is to include the concrete mounting & thermoplastic markings.

j. Contractor shall provide and install approximately 20 feet of fencing that matches existing height and style.

i. The existing brand is Steelock Chain Link Fencing. Contractor shall provide and install 1 chain link fence line post set in concrete, 2 top rails, 3 tension bars, 2 middle rails, & 1 (approximately 20 ft) section of chain link mesh. This shall be located in the staff only parking at the South of the Health Center. The fencing shall be re‐anchored into the ground and allow for proper access control. Contractor shall ensure correct tension on

Statement of Work Page 9 fencing sections. Contractor shall ensure all materials are installed according to manufacturer’s recommendations.

D. Earthwork: Contractor shall remove all dirt and debris to allow for the successful installation of the new sidewalks. Contractor shall ensure road shoulder grading is proper after removing of the asphalt.

E. Site Restoration: Contractor shall take photos before construction begins for documenting the site’s original condition.

F. Addition Facility Requirements: Contractor shall comply with the requirements of the hospital’s Facility Manager, Infection Control Officer and Safety Officer. These requirements will be laid out during the pre‐construction meeting. Other permits and requirements will be given after the pre‐construction meeting and the PRCA assessments are completed.

G. Warranty: Provide a 1‐year labor and material warranty at no additional cost to the government which provides for the repair of all work and equipment that was provided under this scope of work.

3. Period of Performance.

A. The Work will be substantially completed within one hundred and eighty (180) calendar days after the Notice to Proceed.

4. Submittals

A. Submittals or shop drawings shall be submitted for the following items and shall be delivered electronically to the COR for final approval before ordering any new material or equipment.

1. Project Schedule

2. Asphalt Sealant

3. Chip Seal Materials

4. Chip Seal Process

5. Removable Raised Crosswalks

6. Thermoplastic Paint

7. Epoxy Paint

8. Removable Speedbumps

9. Signage

End Statement of Work

Appendix A – Parking Lot SF

Approximate Area

209033.04 SF

Approximate Area

139582.86 SF

Total Approximate Area 348616 SF tallam Sticky Note

242764.37 SF

tallam Sticky Note Total of all the areas in concrete within green area is =33731.33 SF tallam Area Measurement

53272.35 sq ft tallam Area Measurement

8529.01 sq ft tallam Area Measurement

17589.79 sq ft tallam Area Measurement

137473.74 sq ft tallam Area Measurement

958.51 sq ft� tallam Area Measurement

958.51 sq ft tallam Area Measurement

3067.63 sq ft tallam Oval tallam Oval tallam Oval

Page 13 Statement of Work

Appendix B – Traffic Control Study

Page 20 Statement of Work Parking Lot Maintenance

Appendix D – Existing Curbs

CHEYENNE RIVER

Drawn By:

OFSHEET

Checked By:

S h e e t T i t l e

S h e e t N o .

1 2 . 2 0 . 2 0 0 7Date:

D

N

1S

I

P H

C E

II

EH

A N

TAL H

S V

R E

CAD Drawing File:

Weller Project No:

REV

1 0 0 % C O N S T R U C T I O N D O C U M E N T S

0 6 1 1

Issue:

DATE DESCRIPTION

INDIAN HEALTH SERVICE

U.S. DEPARTMENT

OF HEALTH AND

HUMAN SERVICES

SEATTLE / DALLAS

ENGINEERING SERVICES

SIOUX TRIBE

E A G L E B U T T E , S O U T H D A K O T A

P R O J E C T N O. A B 4 - C R - 1 3 9 - C 7 - I H S

E A G L E B U T T E H E A L T H C E N T E R

Albuquerque, New Mexico 87108 fax 505 255 8830

A r c h i t e c t sW e l l e r tel 505 255 8270

401 Alvarado Drive SE, Suite D

A r c h i t e c t

C o n s u l t a n t s faxtel faxtel

STRUCT / MECH / ELEC / PLUMB / INT

minneapolis, mn 55404

(612) 344 1282

505 east grant street

HORTY ELVING

(612) 332 4422

(605) 224 4381

CIVIL

pierre, sd 57501408 south coteau

INTERSTATE ENGINEERING, INC.

(605) 224 4380 faxtel (612) 455 2204

LANDSCAPE ARCHITECTURE

minneapolis, mn 55401400 first avenue north suite 528

CLOSE LANDSCAPE ARCHITECTURE

(612) 455 2990 faxtel (952) 939 0553

MEDICAL EQUIPMENT

minneapolis, mn 554268700 west 36th street suite 219

KORBEL ASSOCIATES INC.

(952) 939 0655 faxtel (763) 554 7949

FOOD SERVICE

minneapolis, mn 554287120 northland terrace

PREMIER RESTAURANT EQUIPMENT

(763) 544 8800

STAFF

DT_parking count.dwg 04-10-2007 12:00:00 am MST

PARKING COUNT

VISITORS

GOVERNMENT

VEHICLES

BUS

PARKING

TOTAL

POR REQUIRED ACTUAL

24 24

1 2

459 486

A .d w g

:0

:0 a m M

S T

C008

SIGNAGE AND STRIPING PLAN

C008.dwg

JRF

DLP

NOTE: BASED ON TOPOGRAPHIC SURVEY DATED JUNE 2006.

A

B

C

D

E

4 3 2 1

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" EDGE

WHITE STRIP

4" WHITE

PARKING STRIP

(TYP.)

4" WHITE

PARKING STRIP

4" WHITE

PARKING STRIP

4" DOUBLE YELLOW

CENTERLINE STRIP

SPEED

LIMI T

SPEED

LIMI T

STOP

STOP

STOP

STOP

SPEED

LIMI T

DO NOT

ENTER

STOP

NO

PARKING

FIRE

LANE

NO

PARKING

FIRE

LANE

NO

PARKING

LOADING

ZONE

NO

PARKING

FIRE

LANE

NO

PARKING

FIRE

LANE

NO

PARKING

LOADING

ZONE

STOP

SPEED

LIMI T

STOP

STOP

DO NOT

ENTER

SPEED

LIMI T

STOP

INSTALL BACK TO BACK

BOTH LOCATIONS

INSTALL BACK TO BACK

BOTH LOCATIONS

R2-1

24"X30"

R4-7

24"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R1-1

30"X30"

R4-8

24"X30"

R4-7

24"X30"

R1-1

30"X30"

R5-1

30"X30"

R5-1

30"X30"

R2-1

24"X30"

R2-1

24"X30"

R2-1

24"X30"

R2-1

24"X30"

R4-7

24"X30"

24" STOP BAR

24" STOP BAR

4" WHITE STRIP

12"X18"

12"X18"

12"X18"

12"X18"

R7-6

12"X18"

R7-6

12"X18"

PAVEMENT MARKING

SEE DETAILS

PAVEMENT MARKING

SEE DETAILS

PARKING

NO

18"X24"

INSTALL HANDICAP

PARKING SIGN (TYP.)

SEE DETAIL.

PAVEMENT MARKING

SEE DETAILS

PAVEMENT CROSSWALK DETAIL

STRIPED ISLAND

1A

1A

1A

1A

1A

1A

4 4

6" WHITE LINE

2 2

1A

1A

1A

1A

1A

1A

1A

1A

1A

1A

24" STOP BAR

16 167

LEGEND:

FIRE

LANE

PARKING

NO

18"X24"

FIRE

LANE

PARKING

NO

18"X24"

FIRE

LANE

PARKING

NO

18"X24"

FIRE

LANE

PARKING

NO

18"X24"

FIRE

LANE

FIRE LANE

FIRE LANE

FIRE LANE

FIRE LANE

INSTALL HANDICAP

PARKING SIGN (TYP.)

WITH VAN ACCESSIBLE

PLACARD. SEE DETAIL.

1A

PARKING

NO

18"X24"

PARKING

NO

18"X24" tallam Oval tallam Oval tallam Oval tallam Oval tallam Oval tallam Oval tallam Text Box Curbs to be Replaced tallam Oval tallam Oval tallam Text Box Signs to be Replaced tallam Text Box Fencing to be Replaced tallam Oval tallam Oval tallam Oval tallam Oval tallam Oval tallam Oval tallam Oval