Statement of Work - Facility Management.pdf

STATEMENT OF WORK

FOR

PROPANE DELIVERY SERVICES

AT

KAYENTA HEALTH CARE CENTER

KAYENTA, ARIZONA

December 16, 2021

KAYENTA SERVICE UNIT

1. Introduction:

1.1. The Kayenta Service Unit (KSU) serves a population of ~20,000 people spread across a remote and sparsely populated area. Services are requested for the old and new, Kayenta Health Center (KHC). The clinic operates year round, 24 hours a day. Kayenta Health Center has crucial role providing medical health care services to the community and propane and fuel services are vital to its operation. KSU requires professional services and expertise to perform the following work:

a. Provide reliable propane delivery services, as needed for operation at KHC’s old and new health facilities.

2. PROJECT BACKGROUND

2.1. Kayenta Service Unit, Kayenta Health Center requires propane delivery services to keep its old health facilities, old facility management shop and Dennehotso Clinic functional.

2.2. Propane delivery services are requested on an as needed basis only.

2.3. KSU requires the services from an exceptional provider.

3. PROJECT DESCRIPTION:

3.1. The contractor shall prepare a proposal, and upon award, shall provide details on services for KSU needs.

Contractor/vendor shall provide the following services under regulations required to operate in the community Kayenta and Dennehosto, AZ. Provider/contractor shall include and provide the following services:

a. Provide reliable propane delivery services.

b. Provide accurate meter reading of delivery and notify facility of any leakage failure.

c. The services supplied/provided shall be billed to the Ordering Agency at the address specified in each

Authorization.

d. The ordering Agency shall take into effect payment of all bills in accordance with the applicable rate schedule, the Contractor’s terms and conditions and the time normally allowed for payment of bills.

a. All work needs to be safe and adhere to applicable codes.

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

c. Service work needs to function properly, be reliable and completed in a timely fashion to meet KSU needs.

4. CRITERIA:

4.1. Codes and Standards: the contractor shall perform work in accordance with best common practices and standards;

a. Safety and Hazard Awareness (PPE, jobs specific hazards, Electrical isolation and ETC).

b. NFPA criteria

c. The Joint Commission standards and regulations

5. GENERAL REQUIREMENTS:

5.1. Contractor is responsible for furnishing tools, materials and equipment to complete services.

5.2. Work area should be well kept and free of trash and debris after work days.

5.3. Work hours need to be discussed and agreed upon with facility (contract officer, facility manager, security and

ETC.).

5.4. The contractor shall furnish a schedule of the dates agreed upon with the project officer and the facility manager at least one weeks in advance.

5.5. Any foreseen or unplanned costs, workhours or changes that will effect or incur extra costs to KSU, needs to be brought to the attention of the KHC project representative before proceeding with this matter.

5.6. The Contractor must be mindful of keeping normal business and patient care activities uninterrupted.

5.7. Contractor is expected to be professional and efficient with his work.

6. SPECIAL REQUIREMENTS

6.1. Services will be provided on an as-needed-basis. A date and time will be arranged with the contractor to deliver propane gas.

6.2. After each service supplied by contractor, they shall provide a copy of service tickets provided to the

Contracting Office to confirm services were provided.

6.3. Contractor shall wear ID badge on KSU premises and check in with security every day.

6.4. Billing must be accurate and in a timely manner sent to Kayenta Health Center’s Accounts Payable:

a. Address: Kayenta Service Unit, Accounts Payable Department, PO Box 1276, Kayenta, AZ 86033.

7. Period of Performance:

7.1. The period of performance shall be Date of Award through December 31, 2022.

8. Place of Performance:

a. Address: Kayenta Service Unit – Old Clinic

North HWY 163, Comb Ridge Road Kayenta, Arizona 86033

b. Address: Kayenta Service Unit – Old Facility Management Shop North HWY 163, Comb Ridge Road Kayenta, Arizona 86033

c. Address: Dennehotso Health Station Highway 160 MP 417.5 in BIA Campus Tonalea, Arizona 86535

9. Contact information:

9.1. Desmond Jones, Facility Manager, (928) 697-4375

9.2. Leo Thinn, Maintenance Supervisor, (928) 697-4374

9.3. Vernon Begay, USRO Supervisor, (928) 697-5194