signed_Food Service Worker SOW.pdf

Department of Health and Human Services Indian Health Service

Claremore Indian Hospital

Statement of Work (SOW) Food Service Worker

1. PURPOSE OF THE PROJECT

The Claremore Indian Hospital (CIH), Indian Health Services (IHS) has a requirement for four (4) part-time food service worker under a non-personal service contract. Dietary requires these services to assist in covering shifts and time periods assigned by the Dietary Supervisor. This worker will be used on a regular basis.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

This position is to provide food service work with the Dietary department to cook and prepare food for patients in the hospital requiring special diets or general care.

The food service worker will:

• Work in the Dietary kitchen helping in the preparation, presentation and serving of food to patients

• Assist in wrapping food and drink for cleanliness and safe transportation to patient areas.

• Prepare ingredients and follow routine steps to make various foods, including specific diets such as low sodium food preparation.

• Clean counters and trays.

• Wash dishes manually and or machine wash.

• Maintain cleanliness in preparation, work areas, by wiping counters, cleaning floors, proper storage of food, containers, and food handling practices

• Inspect and clean equipment

• Receive and unload trucks

• Take stock

• Meet special orders or unusual food requests

This need will be fulfilled by four (4) part-time food service workers:

• 4 – part-time Food Service Workers

The Dietary Department is open 7 days a week including nights and federal holidays. The hours of work will be assigned by the Dietary Supervisor with mutual assent of the food service worker. Flexibility in scheduling is required.

3. PERIOD OF PERFORMANCE

The Period of Performance from date of award to 09/30/2025

4. LEVEL OF EFFORT

4.1. The contractor may be required to adjust processes based on screening service recommendations from the CDC or other relevant government agency.

4.2. The contractor will follow PPE requirements of CIH which are subject to change but are currently as follows:

4.2.1. Mask or respirator

4.2.2. Gloves

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.

5.5. 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 Contracting Officer Representative (COR).

6. DELIVERABLES AND REPORTING REQUIREMENTS

6.1. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of services. 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.

6.2. 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.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. The Government shall provide the facilities, equipment and PPE of the CIH for the use by the contractor for the provision of the services required under this contract.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel to perform work under the contract.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

9.1. 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 MATRIX

10.1. Food service worker was on-time and completed tasks as assigned: Yes No

10.2. Food service worker followed the rules and regulations set by CIH: Yes No

10.3. The contractor supplied a monthly time-sheet: Yes No

10.4. The contractor addressed any complaints or concerns: Yes No

Department Supervisor Signature:_________________________

Administrative Officer Signature:_________________________