SOW .pdf

Department of Health and Human Services Indian Health Service

Clinton Indian Health Center

Statement of Work (SOW) Hydronic Water Treatment

1. PURPOSE OF THE PROJECT

The Clinton Service Unit (CSU) – Clinton/El Ren/Watonga Indian Health Center (C/E/WIHC) Indian Health Services (IHS) has a requirement/need for Hydronic Water Treatment and Monthly testing. The Clinton Indian Health Center utilizes a closed loop hydronic system for building heating water. Due to the high mineral content of the water that is supplied by the city of Clinton, the water must be treated to reduce any formation of calcium and lime that can cause failures of any part of the boiler system and controls.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

The contractor shall provide services to the water treatment program for the closed loop heating water system at the Clinton Indian Health Center. This contract shall include monthly water testing, chemical needed for treatment and reports of water conditions and actions needed for improvement if necessary.

Contractor shall perform monthly testing.

Chemical levels in the closed loop hydronic system will be monitored to provide assurance of the treatment effectiveness.

The contractor shall provide MSDS sheets for all chemicals used.

The effectiveness of treatments will inhibit corrosion, decrease scaling, general deposits and microbiological fouling of HVAC systems.

Contractor shall provide the chemicals for each treatment.

All work shall be executed in accordance with the contract Statement of Work, approved water treatment chemicals, associated documentation and be compliant with all applicable safety, equipment and building codes and standards.

3. PERIOD OF PERFORMANCE

One base year for 12 months with four (4) option years:

BASE YEAR: 9/14/2024-09/13/2025

OPTION YEAR 1: 9/14/2025-09/13/2026

OPTION YEAR 2: 9/14/2026-09/13/2027

OPTION YEAR 3: 9/14/2027-09/13/2028

OPTION YEAR 4: 9/14/2028-09/13/2029

4. LEVEL OF EFFORT

4.1. The contractor shall provide monthly testing and treatment when necessary. Reports, safety data sheets, all permits, licenses, manifests shall be submitted to the project officer monthly as required by law and regulation

4.2. Training: N/A

Clinton Indian Health Center

5. SPECIAL REQUIREMENTS

5.1. The supervising official will determine if the contractor will be subject to PIV credentialing requirements for physical and logical access, in line with the below requirements.

5.1.1. Long-term contractors are defined as working in excess of four months (or 120 days, consecutively) for the purpose of background investigations. All long-term contractors must have, at minimum, a favorably adjudicated Tier 1 background investigation. Some positions may require a higher-tiered investigation, in accordance with the OMB M-05-24 Sections, 7.F “Applying guidance to temporary employees and contractors.”

5.1.2. Short-term contractors are defined as working for less than six months or 1040 hours in a one-year period of service for the purpose of HSPD-12, in accordance with 5 CFR Part 316. Short-term contractors are not issued a PIV card, except when required for routine facility or network access.

Short-term contractors are subject to an investigation conducted in accordance with the risk/sensitivity of the position.

5.1.3. Temporary hires and volunteers are defined as working for 120 days or less. The supervising official will determine whether a temporary hire working 121 days or more will be subject to PIV credentialing requirements based on the need for network and facility access. Temporary hires are subject to all personnel security requirements.

5.2. If onsite service employee does not require 5.1.1 through 5.1.3, then a visitors pass must be requested upon arrival with either the front desk or facilities and worn at all times while on the premises.

5.3. The US PHS Clinton Indian Health Center is a tobacco/smoke free environment (buildings and grounds).

No tobacco/smoking use will be tolerated during service.

5.4. 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 Clinton Indian Health Center official, presenting valid identification, smoking restriction and any safety procedures.

5.5. The contractor shall not disclose or cause to disseminate any information concerning operations of Clinton Indian Health Center. Such action(s) could result in violation of the contract and possible legal actions.

5.5.1. 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 government’s designated representative.

Clinton Indian Health Center

6. DELIVERABLES AND REPORTING REQUIREMENTS

6.1. Delivery: The contractor will coordinate the scheduled testing and treatment dates with the designated government employee. The government will provide the contractor with dock access and building access for this sole purpose. The designated government employee will work with the pertinent government agency(ies) to secure the needed dock access. No deliveries can be made after 4:15pm. Driver needs a valid ID.

6.1.1. Location information as the following:

6.1.1.1. Clinton Indian Health Center: 10321 N. 2274 Rd, Clinton, OK 73601

6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, delivery, and/or maintenance. 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.

6.3. 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.

6.4. Personnel Qualifications:

The contractor is responsible for providing all permits, licenses, manifests, and safety day sheets required by law and regulation. Personnel with the necessary level of expertise to support the task activities and requirements in this SOW. The contractor shall provide a single point of contact that shall serve as the project manager for the life of the contract.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. The Government shall provide area to be tested/treated, free from obstruction.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Contrator shall furnish the required personnel, materials, supplies and equipment needed to provide the inspections and treatments.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

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.

Clinton Indian Health Center

10. DELIVERABLES/PERFORMANCE MATRIX

Measureables to be evaluated at the conclusion of awarded contract:

Performance is acceptable YES NO N/A

Responsibilites of contractor have been fulfilled, including reports submitted on time.

YES NO N/A

Upheld Standards & Guidelines of accrediting organizations, national, state, and local regulating agencies, and CSU Policy and Procedures

YES NO N/A

Quality Control met and provided when required YES NO N/A

Quality Improvement information provided when required. YES NO N/A

Customer Service was provided to CSU Vision “Exceed the Need”.

YES NO N/A

Additional Measureables to be evaluated for awarded contract providing temporary employees (excluding medical staff).

License / BLS were maintained, current at all times and provided to CSU Human Resources prior to expiration

YES NO N/A

Evidence of staff competency provided when requested & required prior to expiration (Q3 years).

YES NO N/A

Staff competency conducted by contractor is acceptable and submitted prior to expiration (Q3 years).

YES NO N/A

Comments:

Department Supervisor Signature:_________________________

Administrative Officer Signature:_________________________

Eric Stoneroad Digitally signed by Eric Stoneroad Date: 2024.07.01 16:04:21 -05'00'

Tina M. Scott -S Digitally signed by Tina M.

Scott -S Date: 2024.06.26 12:21:12 -05'00'