Pharmaceutical Waste_Statement of Work_01.04.2022.pdf

Department of Health and Human Services

Indian Health Service

Claremore Indian Hospital

Statement of Work (SOW)

Pharmaceutical & Universal Waste Removal

1. PURPOSE OF THE PROJECT

The Claremore Indian Hospital has a requirement for standard service of pharmacy waste program, non-standard pharmaceutical and hazardous waste disposal compliance services. That includes characterizing the

Claremore Indian Hospitals pharmaceutical formulary, tracking/manifest method of labeling of each container for transport, disposal and incineration of waste with copies of manifest and evidence of proper disposal to the

Claremore Indian Hospital.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

1. The contractor shall characterize the Claremore Indian Hospital’s pharmaceutical formulary, tracking

/manifest method of labeling of each container for transport and disposal/incineration of waste with copies of manifest/evidence of proper disposal to the Claremore Indian Hospital.

STANDARD SERVICE

Rates Description Units Process Code A Minimum?

Mobilization Transportation (Box truck or van) Stop

Labor

Technician (Portal to Portal) Hour $

Consulting Services (Portal to Portal)

Hour $

Disposal Pharmaceutical Items

Lab Pack Wastes, Non-Regulated

5 Gal $

55 Gal LF06 $

Lab Pack Wastes, Non-Reactive

15 Gal $

30 Gal INC14 $

55 Gal

Lab Pack Wastes, Reactive, P- Listed (not PIH)

Min: 25 lbs/5 gal, 50 lbs/15 gal, 110 lbs/30

LB INC15 $ gal

Lab Pack Wastes, Corrosive acidic & alkaline

15 Gal $

30 Gal WAT16 $

55 Gal

NOTE: Lab Pack waste prices shown do not include inhalation hazards, reactive metals, isocyanates, dioxins, or other high haz materials.

Fluorescent Lamps / Bulbs

4 ft and 8 ft Fluorescent Bulbs

Compacts and U- Shaped/circular fluorescent

LB REC06 $ Min: $

High Intensity Discharge (HID)

Halogen LB REC42 $ Min: $

Incandescent

Broken tubes 5 Gal $

Crushed fluorescent lamps 55 Gal REC15 $

Batteries (Must meet DOT packaging requirements)

Alkaline LB REC24 $ Min: $

Lead Acid LB REC05 $ Min: $

Nickel Cadmium LB REC11 $ Min: $

Lithium LB REC09 $ Min: $

Nickel Metal Hydride LB REC11-1 $ Min: $

Mercury Waste

Waste Containing Mercury 5 Gal $ Min: $

Lead Waste

Lead Aprons LB $ Min: $

Oil Drum

Waste Containing Oil, Grease, Lubricant 55 Gal $ Min: $

1. Characterize the pharmaceutical formulary

2. Ongoing waste characterization

3. Annual training via WebEx for all staff for review and regulatory updates.

4. Pickup and dispose of Pharmacy waste at least 5 times per year.

5. Provide and Dispose of 8 (18 gallon) for each pharmaceutical and hazardous waste containers per year.

6. Additional Services if exceed the 8 (18 gallon) hazardous waste containers.

7. Additional Container $_____

8. Additional Stop Charge $ the first 3 pickups each year.

9. Additional 18 gallon hazardous waste disposal $_____ each, beyond the first 8 each year.

10. Additional 18 gallon hazardous waste disposal $_____.

3. PERIOD OF PERFORMANCE

Select One:

Base + 4 option years

4. LEVEL OF EFFORT

4.1. The contractor shall pickup and dispose of pharmacy waste, hazardous waste, universal waste, radioactive waste and E-waste for the Claremore Indian Hospital (CIH) upon request.

4.2. The contractor shall provide a manifest and labeling for all waste picked up from CIH.

4.3. The contractor shall provide Department of Transportation compliant disposable waste containers.

4.4. Training: Annual training via WebEx for all staff for review and regulatory updates.

5. SPECIAL REQUIREMENTS

5.1. In accordance with HHSAR 304.1300(b) non-routine contractor employees shall comply with OPDIV

DHHS/SE Region – Human Resources, Security Clearance Guidance – Visitors (3/29/12) policy for contract performance period. Contractor employees will be required to obtain a visitor’s pass upon arrival for services from Facilities Management.- (Security Clearance for on-site human services)

5.2. The US PHS Claremore Indian Hospital is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

5.3. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival when reporting for service calls or delivery supplies. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by Claremore Indian Hospital official, presenting valid identification, smoking restriction and any safety procedures.

5.4. The contractor shall not disclose or cause to disseminate any information concerning operations of

Claremore Indian Hospital. Such action(s) could result in violation of the contract and possible legal actions.

5.4.1. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

5.5. Termination Amortization Schedule: A termination amortization schedule shall be included as an attachment of the awarded contract. If the Government does not exercise any of the options listed in the price / cost schedule, the Government’s not exercising the options will have the same effect as if the

Government terminated for convenience. All remedies afforded to contractor in regards to a termination for convenience shall be available to the contractor.

6. DELIVERABLES AND REPORTING REQUIREMENTS

6.1. Delivery: The contractor will coordinate the delivery, installation and training date with the designated government employee. The government will provide the contractor with dock access and building access for this sole purpose. The designated government employee will work with the pertinent government agency(ies) to secure the needed dock access. No deliveries can be made after 4:15pm. Driver needs a valid ID.

6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, delivery, and/or maintenance. The

POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract.

6.3. Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service calls, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

6.4. Personnel Qualifications:

List as applicable to your contract

GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

6.5. N/A

7. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract, to include but not limited to

9. CHANGES TO THE STATEMENT OF WORK (SOW)

Any changes to this SOW shall be authorized and approved only through written correspondence from the

Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting

Officer shall be borne by the contractor.

10. DELIVERABLES/PERFORMANCE METRIX

10.1. The contractor shall pickup and dispose of pharmacy waste, hazardous waste, universal waste, radioactive waste and E-waste for the Claremore Indian Hospital (CIH) upon request. This will be reported with every scheduled pick up requested from CIH Safety Office.

10.2. The contractor shall provide a manifest and labeling for all waste picked up from CIH. A manifest will be sent with receiving after every scheduled pickup.

10.3. The contractor shall provide the facility with 8 (18 gallon) disposable waste containers that are compliant with the Department of Transportation. This will be monitored and recorded when a request for pickup is scheduled and turned in with the invoice for receiving.

10.4. The contractor shall provide the facility with characterizing of our pharmaceutical formulary. Changes will be reported to the contractor after our monthly P&T meeting when necessary. The contractor shall provide a response no later than 2 weeks from the date the email was sent.

Department Supervisor Signature:_________________________

Administrative Officer Signature:_________________________