Statement of Work.pdf

STATEMENT OF WORK

FOR

Proposed Concrete Installation

AT

KAYENTA HEALTH CENTER

KAYENTA, ARIZONA

JUNE 30, 2021

KAYENTA SERVICE UNIT

1. Introduction:

1.1. Kayenta Health Center (KHC) is located south of Arizona State Highway 160 at milepost 364.3. The nearest town is a two hour drive. The Kayenta Service Unit serves a population of ~20,000 people spread across a remote and sparsely populated area. Services are provided to ~200 patients each day. KHC provides walk-in clinics and a 24 hour, 7 days per week emergency room. KHC to perform the following work :

a. Installation of new concrete strip footers for the support of four connex container that are 8’ x 40’ in dimension. Four containers will be arranged side by side in a series on the northeast side of the security storage area. This will also allow the expansion more container in the future. Chain link fence will need to be removed in location of the containers.

b. Installation of new concrete driveway and parking near existing facility management shop. One part of cement installation is under 20’ x 20’ canopy. Chain link fence will need to be removed in location if needed.

c. Installation of new concrete sidewalk between access roads and up to Hogan landing entrance. Also replace two curbs with ADA access ramp into new sidewalk.

2. Scope:

2.1. Contractor must be knowledgeable, experience preparing, and installation of concrete driveway, footing and sidewalks at the hospital. Existing projects are on dirt ground. Contractor must insure a safety installation and quality workmanship. Project also require concrete channel for water run off around three sides of building.

Contractor must provide all tools and material needed to complete project. Attached drawing dimensions of concrete.

3. PROJECT BACKGROUND

3.1. The current security area is a gravel yard with crush stone piles, two concrete pads and existing storage shed that security uses. We need to established concrete strip footers for the connex containers on the Northeast side of the existing yard. The project requires the construction and installation of concrete strip footers 3- 72’x18”x4” 3- 35.5’ x18”x4” for support. The project will require 6.0 cu. yds. Of reinforced fibers concrete.

4. PROJECT DESCRIPTION:

4.1. The project includes the following work:

a. Task will involve work with forms, concrete, a/b material, machinery, stakes and tools of the trade.

b. Furnish forms needed where concrete to be poured.

a. All work needs to be safe and meet all applicable codes.

b. KHC is to dispose of debris at approved EPA disposal location.

c. System and Service Review: Contractor will hold and review with KHC Maintenance staff to discuss concrete installation submittal, timeline, safety measures and if there are any changes.

d. Contractor to prepare ground for concrete installation, compaction of ground.

e. Contractor to furnish and install base gravel for 3 inches.

f. Contractor to compact gravel base.

g. Contactor to furnish and install 6 inches concrete for Connex storage unit foundation.

• Contractor to install two rows of ½ inches rebar that is standard installation.

h. Contactor to furnish and install 6 inches concrete for driveway/parking and concrete water runoff.

• Contractor to furnish and install wire mesh and rebar that is standard installation.

i. Contactor to furnish and install 4 inches concrete for sidewalk.

• Contractor to furnish and install wire mesh that is standard installation.

• Contractor to remove curbs and replace with ramp concrete level with asphalt pavements at two locations.

j. The price includes the labor, material cost, equipment cost, freight, and the taxes to install concrete driveway and concrete water runoff.

4.2. Finished work/product needs to function as intended, properly, be pristine and professional.

4.3. Kayenta Health Center allow use of heavy equipment:

a. Backhoe/front end loader equipment

b. Flat compactor

5. CRITERIA:

5.1. Codes and Standards: the KSU employees shall perform work in accordance with best common practices and standards of concrete installation.

6. GENERAL REQUIREMENTS:

6.1. An on-site Pre-Construction meeting with KSU staff to be held prior to start of project.

6.2. The Pre-Construction meeting will highlight special aspects of this project, establish lines of

Communication, establish coordination, develop a clear understanding of duties and Responsibilities for this project.

6.3. Work is to be done during normal business hours M-F.

6.4. Any changes of work/materials shall be approved by Project Manager before changes are enacted.

6.5. Take all necessary precautions to protect the building and its occupants during this time.

6.6. Good housekeeping practices on a frequent basis is mandatory to prevent slip, trips and falls.

6.7. The work area, including storage areas, shall be free from accumulations of waste materials.

6.8. Upon completing the work, the workers shall leave the work area clean, neat, and in orderly conditions satisfactory to Safety Officer.

7. SPECIAL REQUIREMENTS

7.1. Watering down the area for dust suppression

7.2. Compaction of the work area

7.3. PPE required

7.4. Abide OSHA safety regulations

7.5. Operator certificate to operate heavy equipment

8. Period of Performance

8.1. The period of performance shall be Date of Award through December 31, 2021.

9. Contact information:

9.1. Desmond Jones at 928-697-4375

9.2. Leo Thinn at 928-697-4377

10. Warranty

9.1 One year warranty of concrete and workmanship.

11. Photos

10.1 Connex Storage Unit Foundation Dimensions

10.2 Maintenance Yard Driveway/Parking Dimensions

10.3 Hogan Sidewalk Dimensions.

10.4 Hogan Location Photo

10.5 Maintenance Location Photo

10.6 Connex Storage Location Photo.

10.1 Connex Storage Unit Foundation Dimensions

10.2 Maintenance Yard Driveway/Parking Dimensions

10.3 Hogan Sidewalk Dimensions.

10.4 Hogan Location Photo

10.5 Maintenance Location Photo

10.6 Connex Storage Location Photo.