Statement of Work - Pinon Infectious Waste.pdf

STATEMENT OF WORK for Infectious Waste

1.0 General: This Statement of Work describes the requirements of collection and disposal of infectious waste services for Pinon Health Center, Navajo Service Route 41, Pinon, AZ 86510. The Contractor shall provide all necessary labor, equipment, material, red bags for storage barrels, supplies, and transportation, treatment and disposal fees to provide infectious waste storage, pickup and disposal for Pinon Health Center.

1.1 Background: Pinon Health Center is the primary provider of comprehensive ambulatory care, dental care, preventive and community health service and environmental health services for member of the Navajo

Nation (Tribe).

1.2 Objective: To obtain infectious waste disposal services for Pinon Health Center.

2.0 DEFINITIONS:

2.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

2.2 Approval: Acknowledgment by the designated Government employee that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements.

2.3 Area: A defined geographical region for Indian Health Services administrative purposes. Each Area Office may administer several Service Units.

2.4 Clean and dry: referring to reusable waste containers, means free of visible soil, mold and liquid.

2.5 Contracting Officer (CO): A Government employee with the authority to enter into administer, and/or terminate a contract and make related determinations and findings.

2.6 Contracting Officer’s Representative (COR): A government employee responsible for administration of this contract. The COR closely monitors the contract for Contractor compliance and provides feedback to the

Contracting Officer.

2.7 Contractor. The entity awarded legal binding contract to provide supplies and services

2.8 Customer: Patients and visitors of the Pinon Health Center.

2.9 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the

Contractor’s performance. This is one of the criteria used to evaluate the Contractor’s performance.

2.10 Facility Representative: Assists the Contracting Officer’s Representative to monitor the Contractor for performance.

2.11 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.12 Holiday: a day marked by a general suspension of work in commemoration of an event.

2.13 Infectious or bio‐hazardous medical waste: As pertains to this contract, means a solid or liquid waste that is generated in the medical diagnosis, treatment or immunization of human beings or animals which presents a risk of disease transmission, as defined in the appropriate state regulations. Reference the

Arizona Administrative Code Title 18, Chapter 13, Article 14, Section R18‐13‐1401 “Definitions” and the

New Mexico Administrative Code Title 20, Chapter 9, Part 2 Section 7 “Definitions.” Reference the Arizona

Administrative Code at http://apps.azsos.gov/public_gov/public_services/Title_18/18‐13.pdf and the

New Mexico Administrative Code at http://164/64.110.239/nmac/parts/title20/20.009.0002.htm.

2.14 Liner. A plastic bag placed inside a contractor‐provided storage container in order to double‐bag the infectious waste placed into the container and protect the container’s interior surface from contamination.

2.15 Quality Control: Those actions taken by the contractor to control quality of services provided.

2.16 Scheduled Delivery: Scheduled deliveries are those made on specific days of the week. Schedule deliveries shall:

(1) Meet the needs of Pinon Health Center.

(2) Be coordinated and approved by the facility representative.

3.0 GOVERNMENT FURNISHED PROPERTY

3.1 Storage Area. Pinon Health Center shall provide a designated area to store infectious waste storage containers for pickup. The storage room or area shall be secure and not used for any other purpose. The

Storage area shall be easily accessible to the Contractor.

3.2 Waste Collection bags. The Contractor shall provide red disposable plastic bags which will be used by the

Government to collect infectious waste within the healthcare facility. Red bags shall be securely tied or sealed before placement by Government employees into the Contractor‐provide storage containers.

3.2.1 Government Employees shall place protective lids on storage container when full.

4.0 GOVERNMENT FURNISHED PROPERTY

4.1 Storage Containers. Contractor shall provide storage containers with tight‐fitting lids. Containers shall be labeled as infectious waste, including the universal biohazard symbol. Containers intended to be manually lifted by Government employees shall not be greater than 40‐gallon capacity to avoid excessive weight.

Containers that have wheels or intended for mechanical pickup can be larger.

4.1.1 The Contractor shall provide storage containers which shall be clean and dry when delivered to the facilities.

4.1.2 The Contractor shall provide any liners that it requires to be used within its storage containers.

4.2 Scales. Contractor shall maintain certified scales for billable weight of infectious waste.

4.3 Facility Requirements: The Contractor’s facilities, vehicle, and equipment shall meet the requirements of the most current state and federal laws, including OSHA regulations for worker protection.

4.3.1 Facility Inspections: The Government reserves the right to conduct inspections of the contractor’s facilities.

5.0 SCOPE of WORK:

5.1 Overview. Contractor shall provide all necessary labor, equipment, material, red bags for storage barrels, supplies, and transportation, including transport vehicles and storage containers, shall be maintained in good repair. The Contractor’s tasks include:

5.2 Contractor Employee Identification. Contractor employees shall wear easily visible photo identification badges while on government property that identifies the employee by photograph, name and company.

5.3 Pick‐up Delivery. Contractor shall collect and remove infectious waste according to the following schedule except as otherwise negotiated and agreed upon by the COR and facility representative.

Facility Frequency of Collections Treating of Regulated Medical Waste

Pinon Health Center The Contractor shall collect regulated medical waste/infectious waste on a monthly basis.

The Contractor shall provide Autoclave as the means of treating regulated medical waste/infectious waste.

5.3.1 Scheduled Pick‐up and Delivery. Pick‐up shall be done between 8:00 a.m. and 5:00 p.m., generally on the same day of every other month, unless otherwise approved by the facility representative.

5.3.2 Holiday Delivery: The Contractor shall coordinate holiday deliveries with the facility representative for an alternate pickup date.

5.4 Number of Containers. The Contractor shall determine the minimum number of storage containers required at each Pinon Health Center in consultation with the facility representative. The facility representative can revise the minimum number required based on experience by notifying the contractor.

The Contractor shall comply within two weeks of a written notice.

5.5 Container condition. Reusable containers shall be rigid, leak proof, puncture resistant and otherwise meet the requirements of Arizona Administrative Code Sections R18‐13‐1407 and New Mexico

Administrative Code Section 20.9.8.13(c).

5.6 Reporting Requirements.

5.6.1 Collection Manifest. Contractor shall prepare an infectious waste manifest document for each pickup. Manifest shall include the type and number of waste containers removed and the weight or volume of waste picked up for disposal.

5.6.2 Final Manifest. Within 30 days after a manifest is created for removal of infectious waste from a facility, the Contractor shall provide to the facility representative a copy of the manifest signed by the final treatment or disposal facility operator certifying receipt of the infectious waste for appropriate disposal. An electronic copy of the signed manifest is actable. Reference Arizona

Administrative Code Section R18‐13‐1406(B) and R18‐13‐1409(D) and the New Mexico

Administrative Code Section 20.9.8.19

5.6.3 Manifest/Billing Summary Reports. The contractor shall provide the COR with a summary report indicating volume, weight, and cost for Pinon Health Center within 30 days after collection manifest is created. An electronic copy of manifests and billing summaries are acceptable.

5.6.4 Complaint Log. The contractor will maintain a log of all comments and complaints related to the contract, including the name of the medical facility, Pinon Health Center, the name of the facility representative, a summary of the comment/complaint, the date received, corrective action(s) taken, and the date corrective action(s) completed. The COR request to review the complaint log during inspections, or request one at the end of each contract period.

5.7 Scale Certification. Scales used to weigh infectious waste shall be certified annually by an official certifying agency. Contractor shall maintain the certification records and upon request, provide a copy of the certification to the COR.

5.8 Contingency Plan. The Contractor shall submit a Contingency Plan, and has the responsibility of notifying the COR if at any time the plan is changed. The contingency plan shall be submitted within thirty (30) working days after the pre‐performance conference for acceptance by the Government. The contractor shall notify the COR of any event that jeopardizes performances under this contract. The plan shall include contingency operations for the following events, as well as any of which the contractor may also be aware.

5.8.1 Labor Disputes: in the event of a labor dispute, the contractor’s responsibility to provide the service will not be terminated. The contractor shall provide the COR a strike or other employee job action contingency plan to continue performance of service without interruption or degradation in the quality of service. In the event of a strike or other labor dispute interference with timely contract performance, the contractor shall immediately notify the COR and initiate action under the contingency plan.

5.8.2 Utility Failure: In the event of a major, extended (2 days) disruption of utilities essential to the completion of contract services, the contractor shall determine a feasible alternative method of providing services and make recommendations to the COR.

5.8.3 Disaster: In the event of a disaster, to include but not limited to destruction of the facility, sabotage, or an act of God or nature that renders the contractor’s facility unsafe, the contractor shall determine a feasible alternative method of providing services and make recommendation to the COR.

5.9 Environmental Compliance: The contractor shall comply with all applicable local, state, and federal environmental regulations. The contractor shall provide an annual report within 30 days of the end of each contract period to the COR. The Annual report shall include an evaluation of existing work practices, environmental compliance, and opportunities to reduce environmental impact as related to the following topics: potable water consumption, hazardous chemical usage, air emissions, solid waste generation, and energy consumption.

5.10 The Contractor shall provide Department of Transportation On‐Line Training to Pinon Health Center

Housekeeping Department staff. The required HazMat training in accordance with U.S Department of

Transportation, 49 CFR, Part 172.704:

1. General Awareness Training

2. Function Specific Training

3. Safety Training –

a. Blood Borne Pathogen

b. Infectious Diseases Training

4. Security Awareness Training

6.0 QUALIFICATION:

6.1 The Contractor shall comply with all necessary permits, licenses, registrations and other federal, state, tribal or local authorizations required to perform services.