A1 SOW Rosebud Lift Station Construction.docx

STATEMENT OF WORK

ROSEBUD NEW HOSPITAL LIFT STATION

INDIAN HEALTH SERVICE

ROSEBUD, SD

ROSEBUD HOSPITAL

DECEMBER 2025

Table of Contents

1. Project Description

2. Scope of Work

3. Submittals

4. Schedule / Meetings

5. Miscellaneous

6. Payments to the Contractor

7. HIS Personnel

8. Closeout Documents

STATEMENT OF WORK

Rosebud New Hospital Lift Station Rosebud Service Unit Rosebud, SD

1. Project Description A. Title:

B. Location: This project is at the Rosebud Hospital, in Rosebud, SD.

C. Period of Performance: 120 calendar days from Notice to Proceed.

D. Description: This project will include the full removal and replacement of the lift station for the Rosebud complex. The existing lift station provides wastewater service to the hospital quarters units, and several tribal program buildings. Once installation is complete the new lift station will take the full sanitary load for the area currently being serviced by the existing lift station and be sized to handle expansion in the future. Then the existing lift station consisting of the wet well, dry well, pumps and piping will be demolished. The new lift station will consist of a wet well, a dry well, installation of chopper pumps, and force main connection. This project will also include a new control system to allow the facility to monitor flow into the lift station and the status of the equipment.

E. Background: The Rosebud Comprehensive Health Care Facility needs to replace the existing sewer lift station due to deterioration and sizing limitations. The existing lift station provides wastewater service to the hospital, hospital quarters units, and several tribal program buildings. Currently the lift station pumps are replaced every other year due to excess wear and overuse. Additionally, the manholes upstream of the lift station have been observed to fill between 25-85% full, which indicates that the current system isn’t keeping up and that there is possible infiltration and inflow (I&I) occurring. A recent field visit showed that the existing dry well had standing water in it and the existing fittings and valves that connect to the force main showed signs of deterioration. The lift station project will incorporate the demolition of the existing wet well, dry well, piping, and pumps, along with the construction of a new lift station, installation of chopper pumps and connection to upstream manholes and gravity sewer.

F. Related Documents

1. This SOW and any other standard government or IHS documents are included and considered a part of this contract.

2. IHS Architecture and Engineering Design Manual – 2019 G. Common Acronyms or Definitions

1. IHS – Indian Health Service

2. CMS – Centers for Medicare & Medicaid Services

3. PR – Pine Ridge

4. BAS – Building Automation System

5. Metasys – Name of the existing BAS

6. CO – Contracting Officer

7. COR – Contracting Officer’s Representative

8. PM – Project Manager

9. IGCE – Independent Government Cost Estimate

10. BIM – Building Information Model

11. LOD – Level of Design

12. CAD – Computer Aided Design

13. RFI – Request For Information

2. Scope of Work (SOW)

The contractor shall conduct all work in accordance to the Plans (Appendix C) and Technical Specifications (Appendix D).

3. Submittals A. Contractor to refer to the technical specifications for all required submittal procedures, and submittal items.

4. Schedule/Meetings A. Contractor to refer to technical specifications for all schedule and meeting information.

5. Miscellaneous A. Occupancy of Government Facilities. The contractor shall be responsible for properly informing the COR of any condition which would jeopardize the building or its contents, such as loss of heat, air conditioning, danger of pipes freezing, loss of electrical power, water, sewer or loss of building security.

B. Correspondence. All correspondence shall be addressed to the COR. Each letter, document, etc., shall contain the following information:

1. Date

2. Project Numbers, Contract Number, Delivery Order Number and Service Unit Name/Location.

3. Name of those who were sent copies.

C. Superintendent. The prime contractor shall have an onsite superintendent for this project while any and all work is being performed unless prior approval is granted from the COR.

D. Tribal Requirements.

1. The Contractor and all subcontractors engaging in work on the Rosebud Indian Reservation will be required to comply with the Indian preference and Indian preference program requirements administered by the Oglala Sioux Tribe Tribal Employment Rights Office (TERO).

2. Before commencing work, contractors and sub-contractors are required to submit an acceptable “Compliance Agreement” to the TERO office. Copies of this form can be obtained from the TERO office. Typical requirements of TERO include a fee of 4% on the total contract price, and submission of weekly certified payroll reports to TERO.

3. Additionally, the rules and regulations of the TERO Ordinance require that no person who is not a local Indian shall be employed by a covered employer until a work permit has been obtained for them from TERO. The annual work permit fee for each employee is $250.00.

4. Contractors are strongly encouraged to contact the TERO office at (605) 867-5167 for an explanation of tribal requirements. Other fees may apply.

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E. Hours Of Operation

1. Contractor to refer to Technical Specification 01310 – Project Management and Coordination.

6. Payments to the Contractor

1. The Government will pay the Contractor a fixed price, as indicated below, which will constitute full compensation for all Contractor professional and incidental services, travel expenses, and materials necessary to furnish complete project as required and specified in this SOW.

2. Progress payments will be paid following acceptance by the Government of that particular schedule item and a properly submitted and approved invoice.

3. Contractor to refer to Section 01270 for Price and Payment information.

7. IHS Personnel Contracting Officer’s Representative (COR) To be designated at time of award.

8. Closeout Documents The contractor shall refer to the Technical Specificaitons for all Closeout Documents, Procedures, and Record Documents.

Statement of Work Page 9

ROSEBUD NEW HOSPITAL LIFT STATION

DECEMBER 2025