TAB 3 - STATEMENT OF WORK.docx

STATEMENT OF WORK

FOR

KAYENTA HEALTH CENTER DOOR VISION PANEL

INSTALLATION

AT

KAYENTA HEALTH CARE CENTER

KAYENTA, ARIZONA

October 12, 2023

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 requires professional services and expertise to perform the following work:

a. Installation of nine door vision panels on wooden doors.

2. PROJECT BACKGROUND

2.1. Kayenta Health Center currently have wooden doors within its facility without vision panels which are needed to monitor patients from the hallway and to enclose medical gas usage.

2.2. This health facility project requires the expertise of a responsible contractor.

3. PROJECT DESCRIPTION:

3.1. The contractor shall prepare a proposal, and upon award, shall provide an accurate timeline to complete project and following will perform the work to completion.

3.2. The project includes the following door vision window installation:

a. Modification of door to accommodate vision window installation.

b. Modifications need to maintain and not degrade integrity of door.

c. All hardware need to be tested and certified (Ex. UL certified)

d. Contractor to refinishing work will be necessary if any walls, ceilings and etc. is disturbed for work.

e. Prepare existing door to place new vision panel

f. Remove door to cut out box for vision panel.

g. Contractor to furnish and install nine new door vison panel

h. Test and certify vison panel secured and sealed

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).

b. NFPA Criteria

c. OSHA Regulations

d. FGI: Federal Guideline Institute

5. GENERAL REQUIREMENTS:

5.1. Contractor shall develop a set plan and accurate timeline to present to KHC project representative prior to the project start date.

5.2. Contractor is responsible for furnishing tools, materials and equipment to complete the project.

5.3. A report and walk through of the work area will be necessary after completion of project.

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

5.5. Finished work/product needs to function properly, be pristine and professional.

5.6. The contractor shall perform work between the hours of 8:00am and 5:00pm Monday through Friday excluding Federal Holidays, weekend work and afterhours work may be necessary.

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

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

5.9. 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.

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

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

6. SPECIAL REQUIREMENTS

6.1. Proper demolition, and construction work methods in a health facility environment is needed to minimize construction and demolition material contamination to the department and facility.

6.2. HVAC vents, exhaust hoods, and openings need to be covered and sealed to prevent fumes, dust, odors and other construction related activity contamination from escaping.

6.3. Fire safety systems such as sprinklers and smoke alarms need to be blocked, covered and/or protected to prevent damage and activation.

6.4. Contractor is required to obtain an identification badge (ID) before starting work at KSU. *This process can take up to 3 hours depending on the number of workers.

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

6.6. Contractor to abide any latest COVID-19 requirements.

7. ATTACHEMENTS

7.1. Door Improvement List

7.2. Typical Doors

7.3. Typical Vision Window Door

8. Period of Performance

8. The period of performance shall commence immediately upon award.

9. Contact information:

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

9.2. Vernon Begay, Maintenance Supervisor, (928) 697-5194

10. Warranty

10.1 Workmanship warranty one years.

10.2 Equipment warranty by manufacture, finish certificates.

7.1 Door Improvement List

Room #

Door Tag

Lock Open P-Panic H-Handle C-Closure M-Mag Lock R-Remote Open Door Work Request

Vision Panel

Vision Panel

Vision Panel

Vision Panel

Vision Panel

Vision Panel

Vision Panel

Vision Panel

Vision Panel

7.2 Typical Door

7.3 Typical Vision Window Door

Floor Plans:

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