SOW_Clinton Mobile MRI PAD 2021R.pdf

Clinton Indian Health Center

Indian Health Service

10321 N. 2274 Rd.

Clinton, Oklahoma 73601

Phone: (580) 331-5000 Fax: (580) 323-2579

SCOPE OF WORK

Clinton Indian Health Center Mobile MRI Pad

Objective

The intent and objective is to provide a concrete slab and electric service in accordance with this statement of work and the site prep planning guide. Plumbing is not required as the unit will only be on site one or two days a week as required.

Scope of Work:

Vendor shall:

Be responsible for all aspects of verifying the layout and site conditions of the proposed building installation site. Any maps/drawings/aerial photos are for reference only.

Provide site assistance, pre-planning and set-up of site pad.

Provide 480 volt, 200 amp electrical service plug (Russellstoll 200 Amp plug #DS 2504 MP000/DF3032 or approved equal) from the Main Distribution Panel at the Clinton Indian Health Center to the MRI Pad location. (See Site map/aerial photos/drawings.).

Provide 480 volt A/C , 3 phase, 125 KVA, fused at 150 amps, 3 phase, 5 wire, wye connection with ground and neutral (not less than AWG #1/).

Phase balance is + 2% maximum phase-to-phase line voltage difference lowest phase.

Frequency 60Hz + or - 3Hz.

Maximum voltage variation is + or - 10% from normal state. Data above provided from the Site Planning Guide P. 8.

Provide conduit from IT closet/room 31-10 for data cables to mobile pad site.

Remove existing asphalt at new pad location. (See attachment).

Provide 60’ X 18’ concrete support pad capable of supporting approximately 60,000 lbs.

38,160 lbs. at the rear axle and 21,840 at the King Pin.

o Pad depth to be determined by the contractor. (Recommend site visit).

o Non-Ferrous reinforcement materials used for pad construction.

o The pad levelness must not exceed .125” deviation in 10’0”

Safety compliance The contractor shall abide by all Safety, Security and Infection Control Policies and

Procedures of the IHS facility.

Before any services are performed within the facility, the contractor will be advised of all Safety and Infection Control Measures during the performance of their contract. The Service Unit Safety Officer and the Infection Prevention Nurse will provide.

Any life safety or infection control deficiencies shall be immediately corrected by the contractor.

The contractor shall supply a daily list of all employees working on the site to the Safety Officer.

All work shall conform to, and comply with, the latest edition and version of ALL applicable codes including , but not limited to, NEC (National Electric Code) OSHA (Occupational Safety and Health Administration) FGI Guidelines for Design and Construction of Health Care Facilities 2014 edition Standards and Guidelines for Hospitals( CAMH) and all Joint Commission Codes.

Work Schedule

Work to be performed Monday-Friday 7am-6pm

Vendor shall report to Facility Management upon arrival and upon completion of work daily.

Contractor shall remove and dispose of all debris and material in accordance to state, local, and federal regulations. Contractor shall clean up all work areas daily and to the satisfaction of Facility Management.

After award, contractor shall complete the Pre-Employment Clearance and Background Investigation Requirement for all individuals that will be working on this project.

Contractor shall be responsible for furnishing to the Government an access roster with the names off all employees performing work on the project and shall be responsible for ensuring the access roster is current throughout the contract performance period.

Vendor shall sign in, obtain a contractor ID badge before beginning work at the facility, and sign out and return badge at the end of each day.