MedicalWaste_SOW_3_5_2018.pdf

Medical Waste Disposal Services San Carlos Apache Healthcare Corporation

March 5, 2018

STATEMENT OF WORK

I. General San Carlos Apache Healthcare Corporation is an approximately 180,000 square feet hospital and several out-buildings. We have an inpatient unit with 8 beds, an emergency department, pharmacy, dental, and outpatient departments. Contractor shall provide regulated medical waste (RMW) pickup and disposal services, and shall provide transportation, treatment, and disposal of pharmaceutical waste, including narcotics. Regulated medical waste, pharmaceutical, and narcotic waste shall be picked up at the following location:

103 Medicine Way Road Peridot, AZ 85542

II. Requirements

1. Contractor shall provide all supervision, labor, materials, equipment, and travel for the pickup and disposal of medical waste in accordance with all applicable local, state, and federal regulations, codes, and laws; and comply with The Joint Commission (TJC) Environment of Care standards.

2. Indemnity and Insurance: The Contractor shall indemnify and hold the government harmless for any and all losses, damages, or liability on account of personal injury, death, or property damage, or claims for personal injury, death, or property damage of any nature whatsoever and by whomsoever made, arising out of the activities of the Contractor, his employees, subcontractors, or agents under the contract. For the purpose of fulfilling his obligations under this paragraph, the Contractor shall procure and maintain during the term of this contract and any extension thereof liability insurance in form satisfactory to the Contracting Officer. The named insured parties under the policy shall be the Contractor, the United States of America, their agents, and their employees.

The amount of the insurance shall be not less than $100,000 each person, $300,000 each occurrence and $100,000 property damage. The Contractor shall furnish to the Contracting Officer prior to commencement of contract performance and when the option to extend the term of the contract is exercised, evidence of insurance coverage described herein.

3. TERO and Tribal: The Contractor shall be responsible for acquiring necessary Tribal work permits, Tribal business license (annual renewal and fee required) and meeting Tribal Employment Rights Office (TERO) requirements. Any costs associated with Tribal work permits, business licenses, and/TERO shall be borne by the Contractor. The

Contractor must receive have a Tribal business license and any required permits prior to beginning work. A copy of permits and/or business license shall be submitted to the Facilities Engineer prior to work commencement.

3.1. Apache Nation Business Center information: Refer to their website for business requirements, http://www.sancarlosapache.com/business center/ANCC business Center.htm . The annual cost of a business license is $100.

3.2. Tribal Employment Rights Office (TERO): Point of Contact (POC), Hutch Noline, TERO director at 928-475-2803. No website. The TERO fee is 4% of awarded contract amount.

3.3. Tribal Tax: The Tribal Tax is 4% of the awarded contract amount.

4. Medical Waste: Currently there are three types of medical waste:

4.1.Red bag waste (which includes plastic 3 gallon sharps containers and the red bag waste). The red bag waste currently is collected daily and placed into plastic tubs.

Average quantity: 3,800 lbs. per month. Collection and disposal of this waste shall occur every 2 weeks.

4.2.Pharmaceutical waste (expired medications, not picked up medications, etc.) is collected in the pharmacy. Estimated quantity is 4 gallons, or 10 pounds per month (NOT including narcotic waste). Collection and disposal of this waste shall occur every 3 months.

4.3.Narcotic waste (collected in black plastic 2-gallon containers). Estimated quantity is

0.5 gallons per month and request that they be collected for disposal as needed.

Collection and disposal of this waste shall occur every 4 months.

5. Contractor shall provide, when required, adequate barricades around the work area to prevent any unnecessary personnel from entering the work area. Barricades shall be of sturdy construction and shall be plainly visible.

6. Contractor shall provide invoicing cost expressed in pounds of waste, with the exception of the narcotic waste which shall be expressed in gallons. Invoiced amount shall reflect actual quantities.

*Quantities listed shall be used for bidding purposes. Offers shall include price per unit of measurement.

7. Contractor shall provide 44-gallon plastic Containers, Rubbermaid, or equal, with lids suitable for Biohazard waste. Contractor shall provide thirty (30) containers.

Item Monthly Quantity*

Unit of Measurement

Collection/Disposal Pick-up Frequency

Red Bag Waste 3,800 lbs Every two (2) weeks Pharmaceutical Waste 10 lbs Every three (3 ) months Narcotic Waste 1 gallon Every four (4) months http://www.sancarlosapache.com/business%20center/ANCC%20business%20Center.htm http://www.sancarlosapache.com/business%20center/ANCC%20business%20Center.htm

8. Collection containers shall meet or exceed the following standards:

8.1. Shall be "red" in color.

8.2. Must meet the minimum requirements of ASTM Standard No. D 1709. Shall be 165 gram dart as a minimum

8.3. The containers shall have infection waste warnings printed thereon as follows:

Outer containers shall be conspicuously marked with a warning legend that must appear in English and Spanish along with the international symbol for medical waste/biohazardous material. The warning shall appear on the sides of the container, twice in English and twice in Spanish. The wording shall read "Caution, contains medical waste which may be biohazardous" and "Caucion, contiene desechos medicos que penden ser biopeligroso".

9. Contractor shall provide pick-up service at the location listed below and frequency detailed in SOW Section II.6.

9.1. San Carlos Apache Healthcare Corporation

103 Medicine Way Road Peridot, AZ 85542

9.2. Hours of Operation: 7:00 am to 5:00pm, Monday – Friday (excluding Federal

Holidays)

9.3. Frequency: Pickup frequencies are detailed in SOW Section 7.

10. Contractor shall provide copies of manifests covering transportation of medical waste from its pick-up point at the San Carlos Apache Healthcare Corporation to its final destination.

11. Contractor shall provide a signed receipt for each shipment of RMW.

12. Contractor shall destroy pathological waste using incineration at regulatory temperatures; or, rendered unrecognizable though grinding, shredding, or other process. Other medical waste may be disposed of by special waste technologies approved treatment methods such as:

12.1. Chemical disinfection

12.2. Encapsulation only for sharp items.

12.3. Steam disinfection

12.4. Thermal inactivation

12.5. Chlorine disinfection

12.6. Moist heat disinfection.

13. Contractor shall provide a copy of destruction certificates certifying waste was disposed of in accordance with approved methods detailed in SOW section II.10.

14. Spills by the contractor shall be cleaned up immediately by the contractor.

14.1. Spills by the contractor shall be reported to the COR at the time of the occurrence.

15. Contractor shall coordinate all activities with the COR that require prior approval of the COR.

16. Personnel Security Requirements: Contractor shall comply with SCAHC visitation policy which may require obtaining a Contractor badge prior to beginning services.

17. Travel Expenses: Travel expenses shall comply with the GSA Federal Travel Regulation (FTR) https://gsa.gov/portal/category/21222.

III. Submittals: Submittals are due not later than (NLT) seven (7) calendar days after notice of contract award.

1. Collection Container MSDS/Specifications as identified in SOW section II.7.

2. Proof of insurance

IV. Deliverables: Deliverables are due NLT fourteen (14) calendar days from performance date on each item below:

1. Manifests as detailed in SOW section II.10.

2. Receipts as detailed in SOW section II.11.

3. Destruction certificates as detailed in SOW section II.13.

https://gsa.gov/portal/category/21222