SOW.pdf

IHS PROJECT 0K21-W75

PRIAIRIE BAND HOME CLUSTER 4 SEWER MAIN CCTV

JACKSON COUNTY, KANSAS

STATEMENT OF WORK

1.01 SUMMARY

A. The intent and objective of the Statement of Work is to acquire service to evaluate and improve the wastewater system serving twenty-four (24) Native American homes in the

Cluster 4 Addition belonging to the Prairie Band Potawatomi Nation.

1. Visually inspect and assess the condition of all 6” sewer mains, manholes, main cleanouts, and septic tanks.

2. Provide video recording of deficient manholes, mains, and septic tanks requiring repair of replacement.

3. Pump septic tanks and install risers on all tank inlet and outlet ports.

1.02 LOCATION & CONTACT INFORMATION

A. Location:

1. Prairie Band Home Cluster 4

14163 N1 Ln; Mayetta, KS 66509

B. Contact Information:

* To be provided to the contractor upon award.

1.03 STATEMENT OF WORK

A. General

1. Contactor shall inform project engineer and Prairie Band Potawatomi Nation (the

Nation) at least 7 days prior to beginning evaluation. Failure to perform work on the date scheduled will require rescheduling the work 24-hours in advance.

2. All work is to follow the attached specifications.

3. All work is to adhere to applicable regulations and standards listed in the attached specifications.

B. Evaluation Development

1. Contractor shall locate and visually inspect all manholes, main cleanouts, and septic tanks in Home Cluster 4.

2. Contractor shall determine the condition of the sewer main through closed circuit televising and visual inspection.

3. Contractor shall install risers on all septic tank inlet and outlet ports.

C. Video Recording of Sewer Main Pipe

1. Contractor shall visually inspect sewer main pipe according to specifications.

2. Contractor shall submit recordings and a written report for the video recordings of the sewer main pipe.

3. CCTV outputs report consistent with NASSCO report format.

1.04 INDIAN HEALTH SERVICE RESPONSIBILITIES

A. The Indian Health Service provide drawings showing the locations (including elevations) of the manholes, main cleanouts and septic tanks.

1.05 FORMAT REQUIREMENTS

A. Contractor shall submit closed circuit televising results on flash drive.

1.06 DELIVERABLES

A. Contractor shall deliver closed circuit televised recordings on a flash drive.

B. Contractor shall deliver a written evaluation report noting all pertinent information regarding the condition of the sewer system and needed repairs and replacements.