Statement of Work Hospital.pdf

Statement of Work

“WASTE/RECYLING DISPOSAL”

GLOSSARY:

COR – Contracting Officers Representative

SPOC – Supervisory Point of Contact

HSA – Health System Administrator

CO – Contracting Officers

PHC – Pinon Health Center

1. DESCRIPTION:

The Pinon Health Center generates large volumes of waste which must be managed responsibly and in an environmentally friendly manner so as to ensure the health and safety of all patients and employees. Contractor will provide services when

Facility Management department request for an exchange, 80 yard disposal, or 8-yard recycle bin. Services will be “as needed basis” throughout the terms of the contract. The contractor’s personnel will have ID badge for identification purposes.

Any changes in the contractors schedule for service and deliveries, SPOC will be notified.

2. PERIOD OF PERFORMANCE:

• January 1, 2025 to December 31, 2025

3. LIST OF SERVICES TO BE PROVIDED:

1.1 Contractor shall furnish all necessary labor, tools, supplies/materials, equipment, and transportation.

2.1 Exchange 40 yard bin and 8 yard recycle bin waste containers.

3.1 Contractor will provide service report on day of exchange.

4.1 Contractor shall provide service ticket when deliverables and services are complete.

5.1 Contractor shall sign-in at Security Department and have ID badge visible for identification purpose.

6.1 Contractor shall conduct their operations at all times to ensure the least inconvenience to the Public, Patient Care and IHS staff.

7.1 Contractor shall provide reliability, implement best possible service, and practice good customer care. The Pinon Health Center maintains the environment of care by keeping waste and infection control to a minimum.

8.1 Contractor shall furnish all necessary labor, tools, supplies/materials, equipment, and transportation.

9.1 Contractor will provide services (work days) Monday through Friday 8:00am to 5:00pm exchanging 40 yard bin and 8 yard recycle bin. Services will be scheduled on “as needed basis”. If there is a need for a schedule change, the contractor shall furnish schedule of the date agreed upon to the (SPOC)

Maintenance Mechanic Supervisor in advance.

10.1 Contractor shall provide service ticket when deliverables and services are complete.

11.1 Contractor shall sign-in at Security Department and have ID badge visible for identification purpose.

4. QUALITY ASSURANCE:

The government shall evaluate the contractor’s performance under this contract in accordance with the quality assurance surveillance plan. This plan is primarily focused on what the government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum requirements.

Performance – Based Matrix

Performance-based task Indicator Standard Quality Assurance Incentives

State the end results or outputs that you, the customer will formally accept or reject.

For the requirement, state the feature(s) of end result that will be surveilled.

For each

“indicator,” state a performance level that, when met, means the task has been performed satisfactorily.

This Standard describes “What

Success Looks

Like.”

For each

“Standard”, state the method use to check performance (i.e.

random sampling, 100% inspection, periodic inspection, customer complaints).

List Positive and

Negative incentives. Address method of linking payment to quality of service.

Contractor shall

Produces work that is accurate, Quality workmanship and

Professionalism.

Maintains a safe workplace and environment for self and others.

Adheres and complies with Pinon

Health Center policies and procedures, all applicable federal, state and local regulations and requirements.

Competency

Compliance

Empowerment

Professionalism

Community

Awareness

Service Quality

Perform 100% required tasks at

100% of the required competencies.

100% compliance with Pinon Health

Center-- Facility

Management protocols.

Conduct in a professional manner at all time, 100% adherence to the

Behavioral Health

Code of Ethics and

Federal Code of

Conduct.

100% On Time

Delivery of Supplies and Services

100% Satisfaction with quality of supplies and services is evidenced by valid input from the

Community

COR: Surveillance systems will include periodic inspections and customer complaints.

Payment of contract price for satisfactory service.

Contractor performance will be evaluated using the

National Institutes of Health (NIH)

Contractor

Performance Report.

The evaluation will be considered when future IHS contract selections are made.

No payment for incomplete work.

5. SCHEDULED STATUS PLAN:

• REPORT: Service Ticket and invoice

• PURPOSE: Use for payment

• Frequency: After each on-site visit and monthly billing

6. LOCATION:

• Pinon Health Center

2175 State Road 4

Pinon, AZ 86510

7. CONTACT INFORMATION:

• Whitney Shorty – Contracting officer – Whitney.Shorty@ihs.gov: 928-725-9806

• Phillip Antonio-- Maintenance Mechanic Supervisor – /phillip.antonio@ihs.gov

PH: 928-725-9810

8. PROJECT DELIVERABLES WILL BE APPROVED/ACCEPTED BY:

Contracting officer: Whitney Shorty, Contracting officer

COR: Phillip Antonio, Maintenance Mechanic Supervisor

Receiving: Rena Tsosie, General Service Supervisor

Accounts Payable: Lavennia Deswood, Accounts