SOW.pdf

STATEMENT OF WORK

1.0 Vendor

1.1 Project Title: Delivery of Laboratory Supplies, Service Contract.

This Statement of Work (SOW) is made and entered by Indian Health Service (IHS), Northern Navajo Medical Center in Shiprock, NM.

1.3 Objectives of Project: to provide laboratory supplies, reagents and etc. on an “AS

NEEDED BASES”,

2.0 Staffing Roles and Responsibilities: The laboratory staff will inventory incoming supplies and reagents, sign with a full signature and date the packing slips and submit to supervisor.

2.1 Staffing

Contractor: TBD Address:

Phone #:

Project POC: Manager: Marilyn Joe, Laboratory Supervisor Name: Northern Navajo Medical Center Address: US Hwy 491 N. Shiprock, NM 87420 Phone: 505-368-7223 Fax: 505-368-7221 Email: Marilyn.joe@ihs.gov

2.2 Roles and Responsibilities:

• Contractor staff, Roles and Responsibilities: Will make sure that prices are correct and invoices match the list provided (if list is provided), supplies and reagent are to be properly packaged and stored packaged in appropriate temperatures.

• Agency, Staff, Roles and Responsibilities: NAIHS Acquisitions has decision-making authority, including approval of changes, report, documentation and deliverables. The service unit will provide no items. Marilyn Joe will represent IHS and will monitor the work and approve invoices. Badge and Mask requirement: Contractors shall receive a temporary badge from the security office located by the ED department and a mask. If contractor has not mask, one will be made available.

mailto:Marilyn.joe@ihs.gov

3.0 ORDERING: The following individuals are hereby authorized to place Call Orders, within their dollar limitation, under this purchase order via telephone or on-line through Contractor’s website:

AUTHORIZED INDIVIDUALS NOT TO EXCEED ORDER LIMITATION

Pierrette Montanez, CLS $3000.00 Theresa Platero, CLS $3000.00 Kristin Johnson, CLS $3000.00 Marilyn Joe, Laboratory Manager $3000.00

Any Call Order issued during the effective period of this purchase order and not completed within that period shall be completed by the Contractor within the time specified in the Call Order.

All deliveries under this purchase order shall be accompanied by packing slip that contains the following information as a minimum:

(a) Name of Contractor;

(b) Purchase Order Number;

(c) Catalog and National Drug Code (NDC) Number;

(d) Delivery Order Number;

(e) Date of Purchase/Call;

(f) Itemized list of supplies, Quantity, Unit Price, and Total Amount for each item;

and

(g) Date of Shipment.

Packing slips shall contain the Purchase Order Number for immediate identification by the NNMC warehouse/receiving personnel.

Scope of Work:

• Contractor shall provide service to until the expiration of the PO in place.

3.1 Inclusions: Online ordering, phone orders and returns.

3.2 Exclusions: Customer error, neglect or abuse in the operation or handling of reagents and supplies, customers inability to provide suitable environment for the reagents and supplies

3.3 Deliverables: All laboratory supplies, reagents and etc. Reagents and supplies that require refrigeration to be delivered during business hours and at recommended temperature. Supplies, reagents and etc. are to be labeled and packaged properly

4.0 Completions Criteria and Final Acceptance Criteria:

Completions criteria – Items ordered received at the lab, appropriately labeled and packaged. Invoice is sent for payment.

4.1 Final Acceptance: Upon inspection of IHS project manager.

5.0 Project Management: Supervisor to keep track of all invoices and make sure the invoices are paid on time.

6.0 Policy Standards: N/A

7.0 Timeline and Period of Performance. The contractor shall perform work thru the end of the Purchase order period.

8.0 Omitted

13.0 Miscellaneous: N/A