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HomeMy WebLinkAboutItem #04 Award of Bid #B13-01 Liquid Sodium Hypochlorite Term ContractLen;er of Good Ltp, co � AGENDA ITEM COVER SHEET Meeting Date: October 16, 2012 Item # Contact Name: Joyce Tolbert Contact Number: 1516 Reviewed By: Department Director: City Manager: Subject: Award of Bid #B13-01 Liquid Sodium Hypochlorite Term Contract Background Summary: In conformance with the policies and procedures of the City of Ocoee (City), bids were solicited from qualified contractors to furnish and deliver liquid sodium hypochlorite (minimum of 12.0 Trade Percent Available Chlorine) to meet the water production demands of the City. Hypochlorite supplied under this contract shall be tested and certified as meeting the Specification, the AWWA Standard 13300-10 and those of the American National Standards Institute/National Sanitation Foundation Standard 60 (ANSI/NSF Standard 60), Drinking Water Treatment Chemicals Health Effects. This term contract shall consist of one (1) three (3)-year initial term, and two (2) separate one (1)-year renewal terms, each of which shall automatically commence on the anniversary of the Effective Date unless the City or Contractor exercises its option not to proceed with the renewal term. The City or Contractor may refuse to exercise the renewal options by providing written notice of same not later than six (6) months before the expiration of a term. The effective date of service under this term contract shall be approximately November 1, 2012. The bid was publicly advertised on September 2, 2012 and opened on October 2, 2012. There were a total of two (2) bids received, and one letter of no bid from Thatcher Chemical of Florida. All bids are available in the Finance Department for review. Bidder Unit Price/Gallon Total Base Bid (estimated 160,000 al) 1. Odyssey Manufacturing Company $0.61 $97,600.00 2. Allied Universal Corporation $0.613 $98,080.00 The Utilities Department and Finance Department reviewed all bids received. It is staffs recommendation that Odyssey Manufacturing Company offered the lowest responsive and responsible bid in terms of qualifications and price. Odyssey has provided the City high quality chlorine and impeccable service for several years. The pricing will be fixed for the initial three (3) year term of the contract. The City is currently piggybacking Sarasota County's contract with Odyssey Manufacturing at $0.70 per gallon. The City's bid price is $.61 per gallon, or a savings of approximately $14,400 annually. Issue: Award the term contract for Liquid Sodium Hypochlorite to Odyssey Manufacturing Company. Recommendations: Staff recommends that the City Commission award Bid #1313-01 Liquid Sodium Hypochlorite Term Contract to Odyssey Manufacturing Company in the amount of $.061 per gallon, and authorize the Mayor, City Clerk, and Staff to execute the required contract documents once the required insurance is received. Attachments: 1. Bid Tabulation 2. Odyssey Manufacturing Bid 3. Allied Universal Bid 4. Invitation to Bid 41313-01 5. Addendum 41 Financial Impact: The City purchases approximately $100,000 of liquid sodium hypochlorite annually. Funding is available in the Utilities Department's chemical expense account in the FY 2012/2013 budget. The City's bid price is $.61 per gallon, or a savings to the City of approximately $14,400 annually. Type of Item: (please mark with an 'k') Public Hearing For Clerk's Dept Use: Ordinance First Reading Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda X Commission Approval Discussion & Direction Original Document/Contract Attached for Execution by City Clerk X Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. -� -� N/A Reviewed by ( ) N/A 2 BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT BID TABULATION 10/02/12 2:00 P.M. ID TABULATION Allied Universal Corp. Odyssey Manufacturing Co. Thatcher Chemical of Florida -knowledged Addendum #1 Yes Yes NO BID id Security or (3) Yrs. Active Business Verification Cashier's Check 1998 - Requirement Waived SF Report Yes Yes egistered with Secretary of State Active Active equired Forms Yes Yes ID ITEM EST'D QTY. UNIT PRICE ITOTAL PRICE UNIT PRICE ITOTAL PRICE UNIT PRICE ITOTAL PRICE i uid Sodium Hypochlorite 1 160,000 $0.6131 $98,080.001 $0.611 $97,600.00 1 $0.00 ODYSSEY MANUFACTURING CO. September 12, 2012 Ms. Joyce Tolbert, CPPB Purchasing Agent City of Ocoee Finance Department 150 North Lakeshore Drive Ocoee, FL 34761 Re: CITY OF OCOEE LIQUID SODIUM HYPOCHLORITE TERM CONTRACT Eric]: (1) State of Florida Department of State Corporation Status (2) Bid Forms: Proposal Pages (16, 17, 27 - 35) and Specification Pages (25, 26) (3) Authority to Sign Bid Letter (4) Copy of NSF-60 Certification (5) Affidavit of Compliance with AWWA B300-10 and NSF-60 (6) Third Party Laboratory Analysis of Sodium Hypochlorite (7) Last Five Years of NSF Sample Results (8) List of References (9) Copy of OSHA Form 300A/300 Logs (11) Material Safety Data Sheet (MSDS) (11) Odyssey Manufacturing Co. Brochure (12) Odyssey Manufacturing Co. Process Flow Chart (13) EPA Settlement Letter dated August 6, 2008 (14) General and Plumbing Contractor's Licenses Dear Ms, Tolbert, Odyssey Manufacturing Company ("Odyssey") is pleased to submit our proposal for the above referenced Request for Proposal (RFP) for the supply of sodium hypochlorite in "tanker" or "bulk" loads only. Our proposal is based on delivery to the delivery locations specified in the RFP documents which are tanker accessible sites. In accordance with your instructions, we have enclosed one original of the "Proposal" and one copy. Bid Security In accordance with Paragraph 1 of the Instructions to Bidders, in lieu of submitting a Bid Bond, Odyssey instead has provided documentation that its business has been active with the Secretary of the State of Florida for a rninimum of three (3) years (see Enclosure (1)). Odyssey has in fact been active since June 30, 1998 per Enclosure (1). Officers In accordance with Item A of the Instructions to Bidders, Odyssey is a Delaware Corporation registered to do business in the State of Florida. Stephen Sidelko is listed as the Secretary of the Corporation and he (or his family) owns 50% of the stock of the corporation. Duane Powell (or his family) owns the remaining 50% of the stock of the corporation. Both can be reached at 1484 Massaro Blvd., Tampa, Florida 33619. The only other listed officer is Marvin T. Rakes who is the President. Pricing Odyssey Manufacturing is pleased to offer City of Ocoee a delivered price of $.61 per gallon for its Ultraehlor 12.5 Trade Percent sodium hypochlorite (NET 30). This price is fixed and there are no fuel surcharges, delivery fees or any other hidden charges. Odyssey aPrees to ix 111is price for 111ree years as required. Thus, regardless of the economy and inflation, we are guaranteeing this price for three (3) years. Odyssey Manufacturing Co. will not use any subcontractors or affiliates in the performance of any work under this proposal. We are the only chemical manufacturer in Florida who always uses company drivers and does not use a subcontractor or separate company to make the deliveries. Enclosures (1) through (14) are provided to assist in City of Ocoee's Bid Evaluation. RFP Checklist Items Additionally, Odyssey makes the following claims or warrants • Enclosure (2) are required Bid Forms submittals as outlined in the solicitation • Enclosure (3) is an Authority to Sign Letter for Mr. Allman • Enclosure (4) is the NSF-60 certification for Odyssey Ultraehlor sodium hypochlorite • Enclosure (5) is an Affidavit of Compliance for Odyssey Ultraehlor in accordance with AWWA B300-10 and NSF-60 • Enclosure (6) is the last third party laboratory results for Odyssey Ultraehlor sodium hypochlorite as manufactured by Odyssey Manufacturing at its Tampa facility which will be serving the City of Ocoee. • Enclosure (7) is the last five NSF third party laboratory results for Odyssey Ultraehlor sodium hypochlorite as manufactured at our Tampa facility which will be serving the City of Ocoee. • Enclosure (8) is a list of References is Attached to aid in the Proposal Evaluation • Emergency Response and Technical Support and also emergency points of contact would be our Patrick 11. Allman, General Manager (cellular 813-335-3444) who has a B.S. in Nuclear Engineering 1983 from the University of Virginia, Marvin Rakes, President (cellular 813- 340-3675) who has a B.S, in Chemical Engineering 1985 from the University of North Carolina State or the on -duty Plant Supervisor (800-ODYSSEY or cellular 813-340-9093). Mr. Allman has over twenty five years of industrial plant experience and is an acknowledged expert in chemical systems having designed over 1,000 systems in Florida including two for tine City of Ocoee. Mr. Rakes has over twenty five years of experience managing the operational side of chemical distributors and manufacturers including ten years as the Operations Branch Manager of the largest chemical distributor branch on the East Coast. Odyssey has provided a list of emergency service calls to demonstrate its expertise in this area later in this proposal. b Odyssey will use no subcontractors or affiliates in the performance of the work under this RFP. 0 Safety is extremely important and should be a major consideration in the City of Ocoee' "informed decision process". Odyssey Manufacturing has one "Safety Incident" in the past Page 2 of 12 ten years for any chemical that it sells (defined as all chemical accidents, incidents, releases, spills, and National Response Center Notifications ("safety incidents"). Additionally, we would direct the City of Ocoee to the National Response Center website (www.nrc.useg,mil/download.html) where you can download all of the safety incidents of the various bidders. You will see that Odyssey does not have any but our competitors have over thirty. Additionally, please do a website search and call our reference list to ascertain not only our record but those of other suppliers. Our single incident occurred in September 2008 where 700 gallons spilled from a pressurized line during a delivery when a fitting snapped on the tanker before the tanker could be depressurized. Odyssey's General Manager was on -site within two and half hours and directed cleanup/dechlorination/follow-up sampling efforts. • Odyssey Manufacturing has no "Terminations" as defined in your Solicitation in the past five years for any chemical that it sells. This is in sharp contrast to other chemical suppliers. Please do a website search or call our reference list to ascertain not only our record but those of other suppliers. • We have also attached a copy of ALL of our OSHA 300/300A Logs to more fully demonstrate our low accident rate and commitment to safety (enclosure (9)). The RFP requires the logs be submitted for the entire company to include all of our facilities, locations, affiliates and subcontractors which we have done. • Enclosure (10) is a Material Safety Data Sheet (MSDS) • Company Brochure is Attached (see enclosure (11)) • Company Manufacturing Process Flow Chart is Attached demonstrating the superiority of Odyssey's manufacturing process with regard to quality and reliability (see enclosure (12)) • The City of Ocoee currently uses Odyssey Manufacturing Co. and can pull samples at any of its water treatment or wastewater treatment plants to ascertain the quality of its sodium hypochlorite. • Odyssey has one incident with regard to fines, regulatory actions and consent orders relating to the operation of ALL of its manufacturing and distribution facilities since it began operations in March of 2000. This incident was a disagreement with the EPA on whether Odyssey had to file a "Manufacturer's Form R" for the production of chlorine gas under the public's Right to Know laws. Even though we don't manufacture chlorine gas as an end product, Odyssey agreed to pay a fine and file an "EPA Form A" going forward listing zero chlorine releases and emissions from manufacturing sodium hypochlorite from a brine solution. Enclosure (13) is a copy of the final settlement letter from the EPA dated August 6, 2008 is attached. This is a minor administrative matter relating to not filling out a form admitting that we don't have any chlorine gas releases or emissions. Note that the RFP did not require reporting of any FDOT fines (i.e., overweight tickets) since this has nothing to do with operation of its manufacturing and distribution facilities. This is in sharp contrast to other suppliers who have had significant numbers of fines, regulatory actions and consent orders relating to the operation of all of their facilities caused by actual pollution, chemical releases and spills, serious injuries and other significant safety violations. 0 Odyssey takes no exceptions to the RFP solicitation 0 Odyssey Manufacturing Co. is a Drug Free Workplace and has an active program in -place to randomly test its employees as documented by the fact our Worker's Compensation carrier provides us a 5% discount for our program on our rates, Added Value and Service Support Over the past eight years, Odyssey Manufacturing Co. has provided superior service to City of Ocoee including never missing a delivery, providing emergency support on several occasions and providing a significant amount of technical assistance including several training classes, several technical Page 3 of 12 support visits, FDEP permitting assistance, engineering design and chemical system installation. As you know, we are the only chemical manufacturer/distributor that is accessible to our customers and open for manufacturing and deliveries 24 hours per day and 7 days per week (including holidays) and can be reached @800-ODYSSEY or facsimile (813) 630-2589. We don't have an answering service but instead your after-hours phone call will be personally handled by a trained chemical plant supervisor. Additionally, Odyssey Manufacturing also agrees to continue to continue to provide unlimited technical assistance to the City of Ocoee to assist it with its operations at no charge as part of the sodium hypochlorite supply. Such assistance includes, but is not limited to, operator training sessions, startup services, site inspections on behalf of the owner, drawing review, engineering and design. As a licensed plumbing and general contractor (see Enclosure (14)), Odyssey has performed over two thousand chemical system installations in the State of Florida and provided extensive service support to its customers including Ocoee to help maintain their chemical systems. Reliabili . — including Numerous Emergency Response Calls Odyssey sets the standard for reliability in the marketplace. Odyssey has consistently provided the City of Ocoee a superior service and a superior product. As you know, we have never missed a delivery in over thirteen years of service to the water and wastewater treatment industry. Our service is legendary. Contrast this with the track record of our competitors. We done numerous emergency deliveries including most notably on Saturday, April 6, 2002, St. Johns County was run out of bleach by their then sodium hypochlorite supplier at the main water plant. St. Johns County contacted Jones Chemical, Allied Chemical and PB&S [now Brenntag] all of which declined to come. Only Odyssey Manufacturing Co. said they would come and we delivered a tanker of sodium hypochlorite on Saturday night within four hours of being called. This is un-paralleled service and was not matched by any of the other suppliers in the marketplace. Missing chemical deliveries would be a serious problem for water and wastewater treatment plants who must chlorinate for public health reasons. Odyssey has never missed a chemical delivery to any customer in over thirteen years of its existence. This sharply contrasts with the delivery record of Allied Universal which has failed to make timely deliveries to its customers in the past. Specifically, these are just a few of the instances we had to make deliveries to their- customers in the past few years alone. This list is remarkable when you consider that we serve 80% of the plants in Florida that use sodium hypochlorite (which is about 67% of all plants). Odyssey had to make an emergency delivery to the Town of Lantana Water Plant on Sunday, 10/18/09 to keep the customer from having to issue a boiled water notice (Reference: Clyde Ali, WTP Superintendent, 561-540-5751). Odyssey had to make an emergency delivery to the Village of Wellington on Friday, 12/5/08 to keep them from running out of hypochlorite (Reference: Sean McFarland, WTP Superintendent, 561-753-2465). Odyssey had to make an emergency delivery to the City of Ormond Beach WWT plant on 8/1/09 when I was told Allied refused to come and the customer ran out of bleach and called me on Sunday morning from their contact chamber as they were shoveling in HTH and we had bleach there in three hours (Reference: Sam Butler, City of Ormond Beach Chief Operator, 386-676-3592). Odyssey had to make an emergency delivery one weekend on 8/23/09 to the City of Port Orange WTP because I was told Allied was unable to come and previously we had to do the same thing in the past for this customer for the same reason back on 7/22/06. In both instances, had we not come the City of Port Orange would have run out of bleach and had to issue a boiled water notice (Reference: Steve Miller, City of Port Orange WT Chief Operator, 386-756-5380). Another emergency Sunday delivery we made on 5/1 1/08 to the Econ WTP for Orange County because Allied was unable to come according the operator and they were going to have to issue boiled water notices (Reference: Carlos Torres, Orange County, Production Section Water Superintendent, 407-254-9500/5505). Even more disturbing were the two emergency Saturday deliveries were made the day before Hurricane Charlie hit to Collier County because Allied had supposedly refused to make deliveries for over a week Page 4 of 12 (Reference: Steve Waller, Collier County, WWT Superintendent, 239-774-6886). Recently, Allied has refused to make a delivery to the JEA Nassau Regional WWTF on two occasions and the customer would have run out of sodium hypocllorite and had an FDEP violation had Dumont Chemical not bailed out JEA on 7/17/12 and 9/10/12 (Reference: Ken Snyder, Chief Operator, 904- 476-0928). Also recently, Allied refused to make a caustic delivery to the City of Marathon on 9/6/12 and this has been a repeated pattern the past two plus years down there (Reference: Ted Yarborough, Area Manager, 305-797-6004). Also as you know, Odyssey pro -actively topped off our customer's tanks before each hurricane over the past thirteen years! ualit Odyssey Manufacturing Co. represents the newest trend in the water treatment business — Chloralkali bleach superplants as a disinfection alternative. Odyssey Manufacturing is a relatively new venture that manufactures bulk sodium hypochlorite utilizing a Kvaerner Chemetics chlor-alkali plant integrated with a Powell Continuous Bleach Plant. We are focused primarily on municipal and private water and wastewater treatment along with industrial customers. As you know, this business was created primarily to serve many the Customers who are switching from chlorine gas to bulk sodium hypochlorite and need a competitively priced, reliable, high quality supply of sodium hypochlorite. As the only proven chlor-alkali manufacturing facility in Florida, we can offer a unique combination of high quality combined with a very competitive cost structure. We make our raw materials (chlorine and caustic) on -site out of purified salt and demineralized water utilizing a membrane cell electrolysis process. Not only does this process result in a high quality bleach, but also makes our product cost very competitive as we do not have to pay out of state third parties to make the raw materials for us and have them shipped down by railcar. As you know, chlorine gas railcar shipments to Florida have been suspended on twelve occasions over the past couple of years for up to four days due to terrorist threats and hurricanes. Thus, we are able to offer reliable service and guaranteed pricing which is a major benefit to our customers as they consider alternative suppliers. Additionally, this provides us a significantly higher level of reliability than any other Florida sodium hypochlorite manufacturer as we are not dependent on railcar shipments of chlorine gas into Florida. Odyssey combines great service with the best quality bleach in Florida. Our sodium hypochlorite is a high strength product (12.5 Trade Percent Available Chlorine) with superior ratio control and without all the impurities that most bleach contains. What this means to you the Customer is: • Low or zero metal contaminants resulting in significantly slower Product degradation leading to overall cost savings clue to reduced sodium hypochlorite consumption • Lower Maintenance Costs caused by pluggages and wear because of impurities in the bleach • Improved Drinking and Effluent Water Quality • Longer Warranties from your equipment suppliers • Superior control of excess alkalinity of Product resulting in less overall chemical additional requirements and more stable chemical feed rates • Less oxygen formation during storage and handling (e.g., which form bubbles in tank and lines) resulting in reduced downtime and more accurate Cl feed rates • Lower levels of sodium chlorite formation resulting in improved water quality and reduced health concerns • Significantly lower levels of bromate formation resulting in reduced public health concerns • Lower suspended solids resulting in improved water quality and less feeder maintenance • Minimal insoluble buildup on the inside of pipes and feeders resulting in better operations of the Customer's system Page 5 of 12 The City of Edgewater, City of Stuart and Port Orange threw out their previous supplier because of quality issues and are using a lot less bleach. Port Orange and Edgewater documented a 30% to 35% reduction in hypochlorite usa a during FY 2009 when adjusted for flows after switching to Odyssey Manufacturing Co. (Reference: Steve Miller, City of Port Orange, WT Chief Operator, 386-756-5380 and Bob Polizzi, City of Edgewater, WT Chief Operator, 386-424-2490). Another data industry reference point would be Manatee County who tested Odyssey's bleach three times per week for three years and more recently tested Allied's bleach three times per week for the past eight years. They will tell you that Odyssey never once failed to meet their Specification and that Allied has failed to meet it on numerous occasions despite the fact they know the bleach is being, tested (Reference: Bill Kuederle, Manatee County, WT Chief Operator, 941-746-3020). Technical Support Odyssey is a licensed plumbing and general contractor who specializes in chemical system design, permitting, installation and repair. Odyssey has installed over 2,000 hundred "turn -key" chemical system installations, provided emergency and non -emergency service work on customer's chemical systems, provided equipment for chemical systems and provided significant engineering, training and technical assistance to our customers. As part of our chemical supply, we would provide unlimited technical, training and permitting assistance to our customers at no charge and service and maintenance work per the terms quoted. Much of this work has been done for the City of Ocoee over the past eight years! Please call our References to validate our customer support! Additionally, Odyssey more stocks tanks and chemical feed equipment than all the chemical equipment and chemical distributors in Florida put together. Typical Week Last week was a typical week for Odyssey Manufacturing Co. and the following maintenance and emergency services work was performed for its customers: • Fixed sodium hypochlorite storage tank leak and several piping leaks at Working Man Pool in Jacksonville. • Replaced bad Chlorine Analyzer for Mid -Florida Lakes Utilities WTP in Leesburg. • Setup temporary sodium hypochlorite tank and removed bad storage tanks at TOHO Water Authority Peabody WTP. • Same day immediate response to 50 - 100 gph sodium hypochlorite leak into containment at Crystal River Nuclear Power Plant. Setup temporary tanks for remaining hypochloritc, pumped out hypochlorite and filtered spilled hypochlorite for re -use. Removed and disposed of old tank and decontaminated area and installed new 7,000-gallon tank (Odyssey is the only entity in Florida that has a 7,000-gallon tank in stock). Reference: Nick Maltese, Maintenance Manager, Crystal River Power Plant Complex, 352-464-7511, n ick.malteseimai l.com. • Installed new ultrasonic level sensors and tank tie -downs for sodium hypochlorite tanks for Polk County Mann Road WTP. • Replaced all of the plumbing on and around the sodium hypochlorite storage tanks to the pump skids at the Pasco County Land O Lakes WWTP due to leaks on system. • Completed installation of new hydrogen peroxide tank and relocated chemical feed equipment at the Bonita Springs East WWTP. Previously, Odyssey had poured housekeeping pads and a containment wall on existing concrete foundation. • Completed ammonium hydroxide system commissioning activities for the City of West Palm Beach IBIS Booster Station and placed the system into service. Page 6 of 12 • Redid the electrical power supply to the City of West Palm Beach feed pumps on their HFS system to comply with Health Department Inspection deficiency. • Installed new chemical injection piping at the NEFCO Bio-Solids facility in West Palm Beach on their sulfuric acid system for Unit "A". • Installed replacement 4,500-gallon sodium hypochlorite tank at the Aqua Utilities Fruitville Road WWTP. • Installed new sodium hypochlorite injection piping at the Aqua Utilities Sebring Leisure Lakes WTP. • Did service call to the City of Titusville to repair leaking tank fitting on ODOPHOS bulk storage tank at the D.B. Lee WWTP. • Redid design and chemical injection piping for the City of Starke WTP sodium hypochlorite system. • Added a second ammonium hydroxide injection line at the City of West Palm Beach WTP. Technical and Emergency Support Capabilities What separate Odyssey from other companies are both its technical expertise and its ability to provide emergency support. The following emergency and technical support along with technical assistance we have provided to Bay County over the past three years (note that Bay County is our furthest customer approximately a 7-hour- drive from Tampa). This should clearly demonstrate Odyssey's commitment to the customer! 1) 08/17/11 - Stopped by and inspected sulfuric acid system at WTP request. Sent recommendations but made immediate recommendation to add quill at injection point on raw water line. This was a critical item that had Ieft unchecked would have resulted in repairs that would have taken away the raw water supply to Bay County's water plant for a significant period of time. (Reference: Don Hamm, WTP Superintendent, 850-747-5703) 2) 04/06/11 - Sent service technician up on an emergency basis the same day of the call to the North Bay WWTP with 1,100-gallon Snyder captor loaner tank. The existing 4,400-gallon Poly Processing SAFE Tank began leaking alum out the bottom fitting after being filled. Odyssey pumped out the alum to our loaner tank and hooked it up. The tank and gasket were fine but the interior of the tank was all wavy. We installed second gasket. We filled the alum tank with water and bleach (it was filled with alga) and it passed this test(Reference: Larry Moyer, WWTP Superintendent, 850-286-3509) 3) 02/22/1 1 — Provided training at no charge to the operators for the North Bay WWTP on the sodium hypochlorite and bisulfite systems during the initial plant startup period(Reference: Larry Moyer, WWTP Superintendent, 850-286-3509) 4) 10/27/10 — Engineered permitted and installed sodium bisulfite and sodium hypochlorite systems at the new North Bay WWTF. (Reference: Larry Moyer, WWTP Superintendent, 850-286-3509) 5) 04/01/10 - Provided no cost engineering analysis with pricing to Paul Lackemacher with regard to bulk sodium hypochlorite vs. on -site generation of sodium hypochlorite. (Reference: Don Hamm, WTP Superintendent, 850-747-5703) 6) 08/13/10 — Completely rebuilt and redesigned the sodium hypochlorite system at the main WWTF resulting in significant savings because it allowed bulk deliveries of sodium hypochlorite in lieu of the more expensive drum deliveries. Additionally, the redesign Page 7 of 12 significantly improved operator safety as well. (Reference: Larry Moyer, WWTP Superintendent, 850-286-3509) Odyssey has had a maintenance services agreement with Pasco County over the past six years. To provide additional information on the types of technical and emergency support Odyssey can provide, we have summarized some of the technical and emergency support we have provided to Pasco County over this timeframe: 1) 8/4/11 — Provided no charge technical assist visit to assess condition and design of hypochlorite system at the Shady Hills WWTP. (Mike Pierson, Chief Operator, 727-856- 5251) 2) 7/22/11 - Got a phone call from Lead Operator at Wesley Center WWTP on Friday night that their clarifier hypochlorite tank was frill and leaking bleach out the bottom. Had tanker and crew out early on the following Saturday morning and pumped out tank and took hypochlorite to another plant. Replaced the tank the following Wednesday (Cathy Borden, Chief Operator, 727-991-5613) 3) 7/21/11 — Got a phone call in late afternoon from Lead Operator at Sunburst WTP that the hypochlorite tank was leaking out the bottom fitting. Dispatched crew early next morning and pumped out and repaired tank and returned it to service. (David Flynn, Chief Water Operator, 727-992-0388) 4) 9/3/10 — Got a phone call from my driver on Friday night that one of the main hypochlorite tanks at Wesley Center WWTP split upon being filled and was leaking hypochlorite outside containment. Dispatched engineer (myself] and crew immediately and pumped out tank thereby preventing a reportable spill. Later, changed out both tanks and redid piping at this location. (Gerald Runge, Chief Operator, 813-991-5613) 5) 1/20/10 — At Pasco County's request, did analysis and sent notification letter with supporting design and technical information to Tampa FDEP Office to allow Pasco County to switch from aqueous ammonia to a much safer form of ammonia in ammonium sulfate. Subsequently, did a follow-up call with Gwen Shofner of the FDEP to secure approval for this change. This was done at no charge and saved Pasco County over $10,000 in engineering fees (Jim Kaplan, WTP Manager, 727-834-3255) 6) 8/8/2007 — Redesigned the hypochlorite system at the Little Road WTP at no charge to allow the system to be able to properly function as the plant was changed from a WTP to a Booster Station. (Marvin Kaden, former WTP Manager, 813-415-5051) 7) 7/6/2006 —Redesigned caustic system at Little Road WTP to make significant safety and reliability improvements at no charge. (Marvin Kaden, former WTP Manager, 813-415- 5051) 8) 12/7/2005 — Provided immediate site assessment of major hypochlorite spill at SE WWTP and provided detailed recommendations with regard to clean-up and corrective actions at no charge saving Pasco County significant sums of money and allowing Pasco County to provide immediate feedback to regulatory agencies. Subsequently, ran new piping and completely redid the hypochlorite system to prevent recurrence. (Scott Berge, Maintenance Manager, 727-847-8145) Page 8 of 12 9) 12/21/2005 — Installed new 850-gallon tank and containment at no charge at the Cypress Manor WWTP to replace existing 500-gallon tank that had no containment. (Scott Berge, Maintenance Manager, 727-847-8145) 10) H /29/2005 — Got a phone call that the hypochlorite was leaking out into the containment. Sent crew out same day and pumped out tank and made repairs (John Fogg, Chief Operator, 813-783-8163) 11) 6/27/2005 -- Got a phone call on Sunday morning that the 7,000-gallon hypochlorite tank burst and was spilling out hypochlorite on the ground at the Little Road WTP. Immediately dispatched tanker and service crew and pumped out tank and made repairs and had system back in service by noon and avoided a reportable spill. (Jim Kaplan, WTP Manager, 727-834- 3255) 12) 6/25/2005 — Provided engineering design for temporary hypochlorite system at Lake Bernadette Well at no charge to support emergency contingency planning. (Marvin Kaden, former WTP Manager, 813-415-5051) 13) 10/24/2004 — Provided training tape from Chlorine Institute to Pasco County WWTP for their use at no charge. (John Fogg, Chief Operator, 813-783-8163) Odyssey Manufacturing Co. routinely provides emer enc su ort to its customers as demonstrated by the below instances which are only a small portion of the emergency response we have provided to our customers: 1) 8/10/11 —Hillsborough County (Glenn Yaney, Operations Manager, 813-448-4090). Customer called at 1400 and stated that the River Oaks WWTP surge tank was within two feet of overflowing and that the plant was at its maximum capacity and flows continued to rim into plant from the excessive rains. They stated they had contacted the FDEP about the situation and the FDEP gave them permission to discharge to the creek if the wastewater was chlorinated and de -chlorinated. Setup emergency hypochlorite and bisulfite systems including delivery of the chemicals to a 3,000-gallon tank and was pumping hypochlorite by midnight. 2) 7/22/11 - Got a phone call from Lead Operator at Wesley Center WWTP on Friday night that their clarifier hypochlorite tank was full and leaking bleach out the bottom. Had tanker and crew out early on the following Saturday morning and pumped out tank and took hypochlorite to another plant. Replaced the tank the following Wednesday (Cathy Borden, Chief Operator, 727-991-5613) 3) 9/3/10 — Got a phone call from my driver on Friday night that one of the main hypochlorite tanks at Wesley Center WWTP split upon being filled and was leaking hypochlorite outside containment. Dispatched engineer (myself) and crew immediately and pumped out tank thereby preventing a reportable spill. Later, changed out both tanks and redid piping at this location. (Gerald Runge, Chief Operator, 813-991-5613) 4) 04/06/11 - Sent service technician up on an emergency basis the same day of the call to the North,St. Johns WWTP with 1,100-gallon Snyder captor loaner tank. The existing 4,400- gallon Poly Processing SAFE Tank began leaking alum out the bottom fitting after being filled. Odyssey pumped out the alum to our loaner tank and hooked it up. The tank and Page 9 of 12 gasket were fine but the interior of the tank was all wavy. We installed second gasket. We filled the alum tank with water and bleach (it was filled with alga) and it passed this test. 5) 3/6/10 - City of Inverness (Gerry Lebeau, Utility Manager, 352-474-9051), Customer called Odyssey on Friday evening 3/5/10 and stated that their tank was leaking badly on the ground. Odyssey had a crew up there on Saturday morning 3/6/10 which pumped out the sodium hypochlorite to a temporary tank and kept the water plant on service. 6) 1/8/10 — JEA (Mike Richardson, Utility Supervisor, 904-665-6815) Customer called Odyssey on Friday morning that their sodium hypochlorite tank at the Norwood WTP was leaking badly into the containment. Odyssey dispatched a tanker and crew with temporary tank and pumped out the hypochlorite from the bad tank to the tanker. Additionally, Odyssey setup the temporary tank to allow the water plant to maintain continuous disinfection and remain in service. 7) 12/24/09 — Sarasota County Carlton WTP (Jim Conley, Water Production Manager, 352-861- 1510) Got a phone call in the morning that their Peace River chlorination line installed several years earlier had broken and they had no way to disinfect the water they were sending out to their system from Peace River. Odyssey immediately dispatched a crew and had located and repaired the leak by that evening. 8) 10/18/09 — Town of Lantana (Clyde Ali, WTP Superintendent, 561-540-5751) Odyssey received a phone call on Sunday morning requesting an immediate emergency delivery to the Town of Lantana Water Plant to keep them from issuing a boiled water notice because their regular supplier had failed to make a delivery for over a week. Odyssey provided a delivery to the plant on three hours' notice. 9) 1/23/09 — City of Eustis WWTP (Rick Hoeben, W WTP Superintendent, 352-357-3777) Got a phone call that new sodium hypochlorite tank installed by Contractor was filled and leaking badly. Immediately dispatched tanker and crew with temporary tank and pumped out their tank to a temporary tank thereby avoiding a reportable spill. Came back and troubleshot problem and found that the contractor had cross -threaded the bolts on the bottom flange fitting and made confined space entry and did repair for the City of Eustis. 10) 5/11/08 — Orange County } con WTP (Carlos Torres, Orange County, Production Section Water Superintendent, 407-254-9500/5505) Odyssey received a phone call on Sunday morning that they would have to issue a boiled water notice if they could not get a sodium hypochlorite deliver because their regular supplier had failed to make a delivery for a week and they were unable to get them to come despite repeated phone calls. Added Value Odyssey Manufacturing Co. believes its proposal offers the following "Added Value" Items that differentiate it from its competitors and all other- chemical suppliers in the marketplace: 1) Odyssey offers fixed pricing for three years and accepts all risks of increased fuel costs, raw material costs and all other potential increases. 2) Odyssey offers "same -day" emergency deliveries at no additional charge. 3) Odyssey offers weekend and night deliveries at no additional charge. 4) Odyssey offers a 24/7 delivery ordering service so orders can be placed at night or on weekends when the order set -point is reached or if there is an after-hours emergency requiring a delivery. Page 10 of 12 5) After "business hours" phone calls are routed to a 24/7 manned Control Room where an experienced Chemical Plant Supervisor takes orders and dispatches tankers and other added value services. 6) Odyssey is the only contractor or chemical distributor in Florida who is a licensed general, underground and plumbing contractor who specializes in chemical system permitting, design, installation and maintenance services. 7) Odyssey is the only entity in Florida who stocks chemical feed pumps, chemical storage tanks and other associated chemical system parts and equipment. 8) Odyssey offers an assigned Account Manager, Patrick H. Allman, who is uniquely qualified to understand Ocoee' needs and is considered one of the leading experts on chemical systems and water and wastewater treatment issues. 9) Odyssey offers a free quarterly inspection of the sodium hypochlorite system at each site it delivers to by an experienced technician with a list of recommendations for service and repairs. This service includes cleaning out hypochlorite tanks at no charge if required. 10) Odyssey agrees to provide unlimited chemical systems training at no charge at each site it delivers to by experienced personnel who has taught over 100 classes to Utility personnel. Summary Sodium hypochlorite is the most important chemical you purchase. Its use is mandated by an assortment of regulatory agencies and its failure can lead to severe consequences for the utility including systemwide boiled water notices and hefty FDEP and EPA fines. Hypoehlorite is very unique because of its essential use in water treatment, short shelf life, "just in time" delivery requirements and rapid degradation if fouled by impurities in the manufacturing process. Sodium hypochlorite is the only chemical the City of Ocoee purchases that if you leave it in a drum for one year will be completely gone. For example, a drum of 50% caustic will still be a drum of 50% caustic after one year. A drum of 12.5% sodium hypochlorite will be salt water after one year with no disinfection capability. A drum of 50% caustic laden with 2 ppm iron and other metals will still be a drum of 50% caustic after one week (or even after one year). A drum of 12.5% sodium hypochlorite containing 2 ppm iron and other metal impurities will be a drum of 5% — 6% sodium hypochlorite after one week and thus have half the disinfection power and require twice as much to be fed. As you know, Odyssey provides a superior product for two reasons: (1) We have a superior process; and (2) We care about quality (we just don't pay lip service to it and tell you we are "improved" or just as good as Odyssey). Frankly, if 95% of our business was pool stores to which we delivered 8% - 9% bleach laden with iron, metals, sludge and other impurities to them because they don't care about quality why would we bother to spend an extra $.20 per gallon to make the correct strength bleach and another $.05 per gallon to properly filter the bleach? Instead, I would probably target the 4% of the municipal market which buys on "price per gallon" and not the total cost when usage and maintenance is factored in and sell them the same slop. This same group doesn't care when their bleach comes late or doesn't come at all either because they continue to put up with it as long as they perceive they are paying less per gallon. It is not what a company says they will do it is what thcy have consistently done in the past is what You will get! The City of Ocoee should have a reputable supplier with a strong safety, reliability and quality record to serve their sodium hypochlorite needs for their Utility Department. Odyssey has been that supplier for the past five years. Integrity should matter in the water and wastewater treatment business and especially in public purchasing! Please call our customers to compare Odyssey Ultrachlor with other suppliers! Because of its short shelf life, buying a superior quality sodium hypochlorite will result in significant savings. We have Page 11 of 12 examined your specifications and can comply with all the requirements. Additionally, we hereby provide written assurance of compliance with OSHA, EPA, NSF, and AWWA regulations and consent to provide samples to City of Ocoee for testing if requested. We also agree to provide a safe handling training course and "refresher courses" for all of your chemicals for the duration of the contract. We have never- failed to or refused to make a chemical delivery for any product we have been awarded a purchase order. This is in stark contrast to other ch_e_mica] manufacturers! We take no exceptions to the bid documents. You may take a sample of our sodium hypochlorite at any time from any one of your facilities or off of a truck at time of delivery. Please call me if you have any questions at 1-800-ODYSSEY or cellular (813) 335-3444 or visit our website @www.odysseymanufacturing.com. Thank you for your consideration. Sincerely, atrick H. Allman General Manager Page 12 of 12 State of'Florida Department of State I certify from the records of this office that ODYSSEY MANUFACTURING CO. is a corporation organized under the laws of Delaware, authorized to transact business in the State of Florida, qualified on June 30, 1998. The document number of this corporation is F98000003732. I further certify that said corporation has paid all fees due this office through December 31, 2012, that its most recent annual report was filed on January 17, 2012, and its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Eighteenth day of January, 20I2 94`9� Secretary of State Authentication ID: 700218657317-011812-F98000003732 To auflxenticate this certificate,visit the following site, enter this Ill, and then follow the instructions displayed. https://efile.sunbiz.org/certauthver.htmi 20. LIST OF SUBCONTRACTORS: 21. 22. DI3-01 Liquid Sodium Hypochlorite SUBCONTRACTOR and/or TEMPORARY WORKER AGENCY NAME/ADDRESS/FEDERAL I.D. NO./CONTACT PERSON/PHONE #: (If none, please so state, and attach additional sheets if necessary) The Bidder certifies that the Bidder has investigated each subcontractor/temporary worker agency listed and has received and has in the Bidder's files evidence that each subcontractor/temporary worker agency maintains a fully -equipped organization capable, technically and financially, of performing the pertinent work and that the subcontractor/temporary agency has done similar work in a satisfactory manner, It is further acknowledged by the contractor that any CHANGE or OMISSIONS in the subcontractors listed above shall require the City of Ocoee's approval before any work shall commence by the additional subcontractor on this project. EQUIPMENT LISTING: Please list year, make & model of all equipment that will be used on City of Ocoee properties, including whether owned or leased. If leased pl ase provide name of lessor. 2 3 �� — / i a 2.,L, ~Th�G _ A;a t 1, REFERENCES/EXPERIENCE OF RESPONDENT WITH SIMILAR WORK The Bidder shall complete the following blanks regarding experience with similar type of work for the past five (5) years. Bidder must demonstrate ability to perform services of similar complexity, nature, and size of this project within past five (5) years. (See Scope of Work/Specifications Section for requirements). DATE OF CONTRACT/AMOUNT OF PROJECT/CLIENT'S NAME AND ADDRESS/ TELPHONE NUMBER/E�MA,IL Y/ DJSS/NAME OF CONTACT Q� Am - Have you any similar work in progress at this time? Yes'/ No Length of time in business-4y/5 (;�Ec 0 16 REFERENCES #1 RE]rERENCE Com an /Enti Name: E e" GZ ' QM - Address 4LIOD I E. ?'fC .-1) 2- 047 ) City pk j tanng � State j j- ZipCode Contact Name: Sifte fK,/- Title; PhnneNo:( 366 ) �75&-5S-Saax-.(366)756- mail: Delivery Date: ,V W,6 Location v- Type of Product Siipplied4 Qt4,,m overnmenta Private f%jDollar Value of Contract $ ,� - �?►"J '' #Z EREF�RENCES Company/Entity Name; C141 Jat,41014 3 Address 10 Z 1S�✓nan tj Ci a q , State TL Zip Code 22��~ Contact Name: Mild., kvJ6�*4 Title: D VGJ24,v!& Phone No: )- 6,�ll Fax: q Wa-"Email: ►mil c•�irn,24 Delive Date: 'bc,,Iv Location 911t44 r),ur�— T e of Product Supplied 54ynn 415 c CoYI 0iaAlfbi ernmental or Private Dollar Value of Contract $ C 00' >,/I LW W #3` < < RENCES Company/Entity Name: b � r I f r Address rl�a arm 1 }1kc�- City l')e State Fj- Zip Code 33'414 Contact Name: iu 4--Fv Title: C of re A r Phone No: Pax: Delive Date: j t&n Locatioi Type of Product Sijpplied rnmen or Private ��`✓✓i dd __ Dollar Value of Contract $ y�i?D ��� r>3"JT?� /J % � -� Company Name Q( S 5,Ainu G `t7 I >5 REFERENCES #1 REFERENCE Company/Entity Name: 014E Address city^/�tE� State t L Zip Code �� /r 3�.-- 7� r ' a11IA(i�v- 6 -v ContactName: Db . _ .� ��' Title; Phone No:(�%r:(3 c` (�Zi Delivery Date: wevW61 Location 1' ��vY T(nT T e of Product Supplied QJ"M overnmenta Private Dollar Value of Contract$ #z R NCEs Company/Entity Name: nOkZfl er Address qq f� t ��� er cityfV State Fi-- Zip Code Contact Name: Allbe f,r71,n Title: Ytcre4�5 �US� Phone No:(ILL-) —7�, LS ail: i W� Delivery Date: Location 99 Type of Product Supplied J�PJwIn X^l ]�Jr� (FYI 0hovl1fcr b emmental or Private 4., Dollar Value of Contract !� #3TMTER'ENCES __j Company/Entity Name: UILaf Address 1/06 wfitl6 t City �je//f , State Zip Code 3341 Contact Name: goun A4c-Fdrn4Title: Phone No: _7q=8037 Fax: 56 � _ 3/Email: 301 iaWtE AJ Delivery Date: Afpn A L Location V��c��� w� rA L, qi G�Avrlc v ' _2 Type ofPro_d_u_c_t Supplied ii SETT✓ yz,ti a rnmen or Private IIJ Dollar Value of Contract $ 104) k;Nib / Company Name QJjS5&Aj%�I1W 064 60. Bank or other financial references:W (Attach additional sheets if necessary) 23. SUMMARY OF LITIGATION. Provide a summary of any litigation, claim(s), bid or contract dispute(s) filed by or against the Bidder in the past five (5) years which is related to the services that the Bidder provides in the regular course of business. The summary shall state the nature of the litigation, claim, or contact dispute, a brief description of the case, the outcome or projected outcome, and the monetary amounts involved. If none, please so state, attach additional sheets if necessary. 24. ACKNOWLEDGEMENT OF ADDENDA: Bidder acknowledges receipt of the following addenda: No. L Dated 9 / 19 / 12 No. Dated No. Dated _ No. Dated No, Dated (Remainder of page left blank intentionally) SummaU of Litigation Odyssey Manufacturing Co, ("Odyssey") has had no claims or contract disputes with any of its customers or suppliers since its inception in 1999. The only litigation and claims against us in this period has been by Allied Universal ("Allied" - a competitor) which has repeatedly sued us -and filed actions against us in court since 1999 with numerous false claims in an attempt to put us out of business, tortuously interfere with our business operations and to create excuses for their financial performance with respect to their investors and debtors. All of the lawsuits and claims arc frivolous in nature and have no merit but are related to the services we provide in the regular course of business. The claims by Allied Universal are constantly being changed and amended over the years so it is difficult to put a dollar figure on them at any given point but are over seven figures in nature. Allied continually postpones the current cases and actions and so they are never expected to end. B13-01 Liquid Sodium Hypochlorite 17 EXHIBIT B BID FORM B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT Estimated.. ->.- Item. Annctal " Number ' Quanti ".':.Unit Item Description w=` : Unit Price ' Total Bid Quanti rUnit Price Liquid Sodium, �$9 �, 6,,, 1 160,000 1 Gallons gypochlorite The quantities shown are for estimating purposes only and do not reflect the actual order quantity. 10/1/12 Date Odyssey Manufacturing Company Company Name CGC1516698/CFC057182 FL License Number Patrick Allman Authorize (print) Signature B13-01 Liquid Sodium Hypochlorite 27 EXHIBIT C BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, as Principal, and as Surety, are hereby held and firmly bound unto the City of Ocoee, Florida, as Owner, in the penal sum of, ($1,000) $ (written amount in dollars and cents) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors and assigns, Signed, this day of , 20_. The Condition of the above obligation is such that whereas the Principal has submitted to the City of Ocoee, Florida a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for the B13-01 Liquid Sodium Hypochlorite Term Contract (Project). NOW THEREFORE Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to pay to Owner upon default of Bidder any damages, costs, or expenses, including attorney's fees, incurred by Owner that are proximately caused by such default. In no event shall Bidder's and Surety's obligation hereunder exceed the penal sum set forth on the face of this Bond. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents. B13-01 Liquid Sodium Hypochlorite 28 This obligation shall be null and void if: 3.1 Owner accepts Bidder's bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents, or 3.2 All bids are rejected by Owner, or 3.3 Owner fails to issue a Notice of Intent to Award to Bidder within ninety (90) days from the time and date fixed for the opening of Bids (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default by Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. Surety waives notice of and any and all defenses based on or arising out of any time extension to issue notice of award agreed to in writing by Owner and Bidder, provided that the total time for issuing notice of award including extensions shall not in the aggregate exceed 120 days from Bid Due Date without Surety's written consent. No suit or action shall be commenced under this bond prior to 30 calendar days after the notice of default required in paragraph 4 above is received by Bidder and Surety and in no case later than one year after Bid Due Date. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond, a current and effective Power of Attorney evidencing the authority of the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length. If any provision of this Bond conflicts with any applicable provision of any applicable statute, then the provision B13-01 Liquid Sodium Hypochlorite 29 of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term "bid" as used herein includes a bid, offer, or Bid as applicable. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. BIDDER: Strike out (X) non -applicable signature blocks and complete applicable block. All si atures must have their names printed or t e below their signature. If Bidder is SOLE PROPRIETORSHIP, complete this signature block. (1) (Individual's Signature) (Witness) (2) (Individual's Signature) (Witness) doing business as (SEAL) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochlorite 30 If Bidder is PARTNERSHIP, complete this signature block. (Partnership Name) (Witness) (2) (General Partner's Signature) (Witness) (SEAL) (General Partner's Name) (Business Address) (Telephone No.) (Florida License No.) B 13-01 Liquid Sodium Hypochlorite 31 If Bidder is CORPORATION, complete this signature block. Odyssey Manufacturing Compan (1) (Corporation Name) (Witness) Delaware (2) (Witness) (State of Incorporation) By; Patrick Allman (Name of Person Authorized to Sign - See Note 1) (SEAL) � General Manager (Title) (Authorized Signature) Marvin Rakes (Corporation President) 1484 Massaro Blvd., Tampa, Florida 33619 (Business Address) CGC1516698/ 813/635-0339 CFC057182 (Telephone No.) (Florida License No. Ise- e - �� B 13-01 Liquid Sodium Hypochlorite 32 SURETY (Surety Business Name) (Principal Place of Business) By: (Surety Agent's Signature - See Note 2) (Surety Agent's Name) (Surety Agent's Title) (Business Name of Local Agent for Surety) (Business Address) (Telephone No.) (Bond No.) Witness: (If agency is not a Corporation) (1) (2) (Witness) (Witness) Attest: (If Agency is a Corporation) (Corporate Secretary Signature) (Corporate Secretary Name) (Corporate Seal) NOTES: (1) Complete and attach "Corporate Authority to Execute Documents" if executed by any corporate employee other than president or vice-president. (2) Complete and attach a certified copy of "Power -of -Attorney" prepared by Surety appointing individual "Attorney -in -Fact" for execution of Bid Bond on behalf of Surety and corresponding notarized "Attorney -in -Fact". (3) Above addresses are to be used for giving required notice. (4) Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. (5) Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the state where the project is located. B13-01 Liquid Sodium Hypochlorite 33 ATTORNEY -IN -FACT AFFIDAVIT STATE OR COMMONWEALTH OF. COUNTY OR CITY OF Before me, a Notary Public, personally came known to be the Attorney -in -Fact of Corporation, which (Surety Company) a known to me, and (State) executed the attached bond as surety, who deposed and said that his signature and the corporate seat of said were affixed by order and authority of said Company's Board of Directors, (Surety Company) and that the execution of the attached bond is the free act and deed of Given under my hand and seal this My Commission Expires day of END OF SECTION (Surety Company) (Notary Public) 20 B 13-01 Liquid Sodium Hypochlorite 34 BID #B13-01 COMPANY INFORMATION/SIGNATURE SHEET FAILURE TO COMPLY WITH THESE BID INSTRUCTIONS WILL RESULT IN DISQUALIFICATION OF YOUR BID. PLEASF SIGN BELOW ATTESTING THAT YOU HAVE READ AND UNDERSTAND ALL BID INSTRUCTIONS AND THAT THE PRICES REFLECTED ON THE "SCOPE OF WORK/BID FORM" ARE ACCURATE AND WITHOUT COLLUSION. THE PERSON SIGNING THIS BID SHOULD HAVE THE LEGAL AUTHORITY TO BIND THE COMPANY INTO A LEGAL CONTRACT. Odyssey Manufacturing Company COMPANY NAME AUTHORIZED SIGNATURE (manual) Patrick Allman Genera 1 Manager NAME/TITLE (PLEASE PRINT) 1484 Massaro Blvd_ STREET ADDRESS Tampa, FL. 3361.9 CITY STATE ZIP FEDERAL ID # 65-0846345 (813) 635-0339 TELEPHONE (INCLUDE AREA CODE) (813) 630-2589 FAX (INCLUDE AREA CODE) Dili RM11-- IF REMITTANCE ADDRESS IS DIFFERENT FROM PURCHASE ORDER ADDRESS, PLEASE INDICATE BELOW: __Individual - XXCorporation Partnership _Other (Specify) Sworn to and subscribed before me this OI day of OC�,bcf _, 20M?-. Personally Known or Produced Identification (Type of Identification) Notary Public - State of Florida Countyof Hillsborough MARJORIE O'DONNELL Signature of Notary Public (vNOTARY PUBLIC STATE OF FLORIDA Cetnmll EE164394 P-xP1r*§ MW I` 'tir prk 6 a-", {� L ( Print , typed or stamped Commissioned name of Notary Public B13-01 Liquid Sodium Hypochlorite 35 8.3 Technical Assistance and Safety Training 8.3.1 Safe Handling and Equipment Operation Training. The Contractor shall provide an appropriate safe handling and equipment operation training course for liquid sodium hypochlorite within the first month of the contract, to all current City of Ocoee operations personnel and shall be available to conduct "refresher" courses or new employee training at six (b) month intervals during the contract period. The Contractor shall provide this assistance at no charge to City of Ocoee. 8.3.2 Technical Assistance. The Contractor shall provide engineering and technical assistance, as needed, regarding the application of its product and disposal and handling of residues and sludge's produced by the application of liquid sodium hypochlorite in the water and wastewater treatment process. This expertise shall extend to the application of all other chemicals used by City of Ocoee in its water treatment and wastewater treatment plants. The Contractor shall provide this assistance at no charge to City of Ocoee. 9. TERMINATION In addition to the various statements in this Specification stating the grounds for automatic termination of the Contractor's contract to supply liquid sodium hypochlorite to City of Ocoee, and in addition to any other remedies, including the right to obtain cover and charge Contractor for the costs of cover, Contractor's failure to comply with this Specification three (3) times over the duration of this contract shall constitute sufficient grounds for termination of the contract by City of Ocoee. These failures any three of which can result in termination of the contract, include, but are not limited to, failure to deliver in a timely manner, failure to deliver with proper equipment, failure of the liquid sodium hypochlorite to meet the Specification at anytime, failure to provide a certificate of analysis, failure to comply with the safety and OSHA requirements of the Specification, failure to provide drivers with company cell phones, failure to provide requested technical assistance and/or training and failure to respond in a timely manner to any City of Ocoee emergency. 10. BIDDER'S CHECKLIST The Bidder shall ensure the following information is included in their Bids: Pricing for the Sodium Hypochlorite �1 List of Subcontractors, Subsidiaries and Affiliates ;/Third Party Laboratory Analysis of Sodium Hypochlorite Sample /, Last Three NSF Sample Results for Proposed Manufacturing Location VTerminations/Debarmentsist of References (Five) ist of (Last Five Years) V of Safety Incidents (Last Five Years) �List Engineering and Emergency Response Support Emergency Service Calls (Five Documented Instances) Regulatory Actions for ALL manufacturing and distribution facilities opy of OSHA Form 300A/300 logs (Last Five Years) Other Information on Company B 13-01 Liquid Sodium Hypochlorite 25 Copies of any fines, correspondence and consent orders relating to the operation of ALL of its / anuf, turfing and distribution facilities (Last Five Years) V Pocurnentation of Ownership AND list of Officers Pr Any Exceptions Taken to the Specification (Any of which may result in Bidder's disqualification) (Remainder of page left blank intentionally) B 13-01 Liquid Sodium Hypochlorite 26 ODYSSEY MANUFACTURING CO. February 16, 2012 Mr. Marvin Rakes Odyssey Manufacturing Co. 1484 Massaro Boulevard Tampa, Florida 33619 Re: CORPORATE RESOLUTION FOR AUTHORITY TO SIGN BIDS AND CONTRACTS ON BEHALF OF ODYSSEY MANUFACTURING CO. To Whom It May Concern, Odyssey Manufacturing Co. is a Delaware corporation licensed to do business in the State of Florida. Patrick H. Allman, Odyssey Manufacturing Co.'s General Manager, has the authority to sign all bid documents and contracts on behalf of Odyssey Manufacturing Company. Sincerely, Marvin T. akes President CORPORATE SEAL MANUFACTURERS Q, U i L ,H r' YQ (g 0 0) ODYSSEY ..a•«. +%,.„, - t.os l.Y9o-lPYpy`. lid °,.°�.' T -�.. e ,m.,,..._r_. ___ ia'aysr�--m.s.. ._r^"a_",tiD'n'wq�»-p�ww+xia---"..]lYft�}S:Anz3no.�.a�::y:�;... ::�t••• • •%.sa..a;,s �. :._._. _. .awa„ ODYSSEY MANUFACTURING CO. AFFIDAVIT OF COMPLIANCE FOR 41el0 xP Sc iyo If Y,&WZ iz X—(fWvWC, r_' This is to certify that as required, all sodium hypochiorite to be furnished under this Bid/Proposal will comply with AWWA Standard B300-10 (the most recent standard available at the time of this Bid/Proposal) as such may be amended and also the Specification for this bid. Further, this is to certify that all sodium hypochiorite to be furnished under this Bid/Proposal will comply with NSF Standard 60 and is certified by NSF as such. Attest Secretary Patrick H. Allman General Manager s MANUFACTURERS TB OF�u �f I Q O, ODYSSEY S E Y r q+Y ��u �...... NovaC'hem Date: 12 July 2012 Parameter Wt%NaOCI GPL Available Chlorine Trade % wt% NaOH Calculated pH Wt% Na2CO-, Specific Gravity, ewl- Bromate ion, mg/L Chlorate ion, mgll, Perchlorate ion, mg/L Iron, mg/L Copper, mg'I Nickel, mg/L Chloride ion, ntg,L Sodium, g/L (estimate) Wt% Suspended Solids Total Dissolved Solids, g/mL Filter Test (1,000 mL) Sample Analysis Results Received 10 July 2012 Bleach Rec'd 7/10/2012 11.15 123 12.3 0.306 13.0 0,137 1,1619 13 1,236 <10 0.07 <0.02 <0.02 77,183 54 0.003 0.94 Call for results over the phone 513-523.3605 DL=5mg/L DL =100 mg/L DL = 10 mgiL DL = 0.02 mpiZ DL = 0.02 mglL DL = 0.02 nig./L, 0 min 50 sec (Millipore 0.8 uM, type, AW'WP) 5172 College Corner Pike, P.O. Box 638, Oxford, Ohio 45056 Tel: 513-523-3605, FAY: 513-523-4025 www.novacbemiabs.com B-Mail: bbubnis@hovachemlabs.com i -d 07nt7s7C�o1G c::��-tn i K)�ngv-i iA17�unHAnN d77.:i7n 7.L 7.L 6 0 NSF International 789 N. Dixboro Rd. Ann Arbor, MI 48105, USA TEST REPORT 1-800.NSF.MARK 1 +1-734.769.8010 1 www.nsf.org TM Live Safer Send To: 25070 Mr. Patrick Allman Odyssey Manufacturing Company 1484 Massaro Boulevard Tampa, FL 33619 Facility: 25071 Odyssey Manufacturing Company 1484 Massaro Boulevard Tampa FL 33619 United States Result PASS Report Date 28-MAR-2012 Customer Name Odyssey Manufacturing Company Tested To NSF/ANSI 60 Description Ultrachlor I Clear liquid Trade Designation Ultrachlor Test Type Annual Collection Job Number A-00116230 Project Number 9120157 (CLA, TEA) Project Manager Lena Hope This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Thank you for having your product tested by NSF International. Please contact your Project Manager if you have any questions or concerns pertaining to this report, Report Authorization �.� . ��� G Date 28-MAR-2012 Clifton Mclellan - Director, Toxicology Services F120120328151807 A-00116230 Page 1 of 7 This report shall not be reproduced, except in its entirely, wlthout the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those Items tested, in the condition received at the laboratory. 0 General Information Standard: NSF/ANSI 60 Chemical Name: Sodium Hypochlorite DCC Number: DA02366 Date of Manufacture: 2/24/2012 Lot Number/Product Identifier: 2/24/2012 Maximum Use Level: 94 mg/L Monitor Code: A Physical Description of Sample: Clear liquid Trade Designation/Model Number: Ultrachlor Sample Id: S-0000882116 Description: Sodium Hypochlorite Sampled Date: 07-Mar-2012 Recelved Date; 28-Feb-2012 Tax Normalization Information: Lab Normalization Information: Calculated NF 0.0929 Date exposure completed 07-MAR-2012 Preparation method used B Final volume of solution 0.5 L MUI_ 94 mg/L Mass of material used 506 mg Compound Reference Key: SPAC Normalization Calculation: Final Volume Of Solution (L) Normalized Result = Test Result (ug/L) ' NF Whare NF = MUL (mglL) Mass of Material Used (mg) MUL = Maximum Use Level; Mass of Material Used = The mass of sample analyzed in the laboratory; Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is included in the information above, UnlEs Sample Control ! Result Norm. Acceptance Evaluation Testing Parameter Result Criterla(1) Status Chemistry Lab Arsenic ug/L ND(1) ND(1) ND(1) ND(0.09) 1 Pass Barium ug/L ND(1) ND(1) ND(1) ND(0.09) 200 Pass Beryllium ug1L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.4 Pass Cadmium ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.5 Pass Chromium ug/L ND(1) ND(1) ND(1) ND(0.09) 10 Pass Copper ug/L ND(1) ND(1) ND(1) ND(0.09) 130 Pass Mercury ug/L ND(0.2) ND(0.2) ND(0,2) ND(0.02) 0.2 Pass Lead ugiL ND(1) ND(1) ND(1) ND(0.09) 1.5 Pass Antimony ugiL ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.6 Pass Selenium ug/L ND(2) ND(2) ND(2) ND(0.2) 5 Pass Thallium ugiL ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass Volatile Organic Compounds (Ref EPA 524.2) DI chic rodifluoromelhane ug/L ND(1) ND(0.5) ND(1) ND(0.09) Chloromethano ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass Vinyl Chloride ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass Bromomethane ugiL ND(1) ND(0.5) ND(1) ND(0,09) Chloroelhane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.04 Pass F120120328151807 A-00116230 Page 2 of 7 This report shall not be reproduced, except In Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. ENS Sample Ids S-0000882116 Testing Parameter Chemistry Lab ( Continued ) Units Sample Control Result Norm. Result Acceptance Criteria(l) Evaluation Status Trichlorofluoromethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 50 Pass Trichlorotrifuoroethane ug/L ND(1) ND(0.5) ND(i) ND(0-09) 0.3 Pass Methylene Chloride 1,1-Dichloroethylene trans-1,2-Dichloroethylene ug/L ug/L ug/L ND(1) ND(1) ND(1) ND(D.5) ND(0.5) ND(D.5) ND(1) ND(i) ND(1) ND(0.09) ND(0.09) ND(0-09) 0.5 0.7 10 Pass Pass Pass 1,1-Dichloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 2,2-Dichloropropane ug/L ND(1) ND(0,5) ND(1) ND(0.09) cis-1,2-Dichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 7 Pass Chloroform uglL ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] Bromochloromethane 1,1,1-Trichioroethane ug/L ug/L ND(1) ND(1) ND(0.5) ND(0.5) ND(1) ND(1) ND(0.09) ND(0.09) 0.3 20 Pass Pass 1,1-Dichloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Carbon Tetrachloride 1,2-Dichloroethane ug/L ug/L ND(1) ND(1) ND(0.5) ND(0-5) ND(1) ND(1) ND(0.09) ND(0.09) 0.5 0.5 Pass Pass Trichloroethyiene uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,2-Dichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Bromodichloromethane Dibromomethane uglL ug/L ND(1) ND(1) ND(0:5) ND(0.5) ND(1) ND(1) ND(0.09) ND(0.09) [fTHMj cis- 1,3-Dichloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass trans-1,3-Dichloropropene ug/L ND(1) ND(0 5) ND(1) ND(0.09) 0.2 Pass 1,1,2-Trichloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1,3-Dichicropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) Tetrachloroethylene ugll- ND(i) ND(D.5) ND(i) ND(0.09) 0.5 Pass Chlorodibromomethane Chlorobenzene ug/L ug/L ND(1) ND(1) ND(0.5) ND(0.5) ND(1) ND(1) ND(0.09) ND(0.09) [TTHM] 10 Pass 1.1,1,2-Tetrachloroethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 1 Pass Bromoform 1,1,2,2-Tetrachloroe4hane 1,2,3-Trichicropropane ug/L ug1L ug/L ND(1) ND(1) ND(1) ND(0.5) ND(0.5) ND(0.5) ND(1) ND(1) ND(f) ND(0,09) ND(0.09) ND(0.09) [TTHM] 0.2 5 Pass Pass 1,3-Dichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 6o Pass 1,4-Dichlorobenzene 1,2-Dichlorobenzene Carbon Disulfide ug1L ug/L ug/L ND(1) ND(1) ND(2) ND(0.5) ND(0.5) ND(1) NO(1) ND(1) ND(2) ND(0.09) ND(0.09) ND(0.2) 7.5 60 70 Pass Pass Pass Methyl-terl-ButylEther (MT13E) ug1L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass tart-Bulyl ethyl ether ug/L ND(1) ND(0.5) ND(1) ND(0.09) Methyl Ethyl Ketone Methyl lsobutyl Ketone Toluene ug/L ug/L ug/L ND(10) ND(10) ND(1) ND(5) ND(5) ND(0.5) ND(10) ND(10) ND(1) ND(0.9) ND(0.9) ND(0.09) 400 700 100 Pass Pass Pass F120120328151807 A-00116230 Page 3 of 7 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. Sample I& 5-0000882116 Units Sample Control Result Norm. Acceptance Evaluation Testing Parameter Result Criteria(1) I Status Chemistry Lab ( Continued ) Ethyl Benzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 70 Pass m+p-Xylenes ug/L ND(2) ND(1) ND(2) ND(0.2) [Xylenes] o-Xylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) [Xylenes) Styrene ug/L ND(i) ND(D.5) ND(1) ND(0.09) 10 Pass fsopropylbenzene (Cumene) ug1L ND(1) ND(0.5) ND(1) ND(0.09) 400 Pass n-Propylbenzene ug/L ND(1) ND(0.5) ND(i) ND(0.09) 0.3 Pass Brornobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 2-Chlorotoluene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 4-Chlorotoluene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1,3,5-Trimethylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass tert-Butylbenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,2,4-Trimethylbenzene ug/L ND(i) ND(0.5) ND(1) ND(0.09) sec-Butylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass p-Isopropyttoluene (Cymene) ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1,2,3-Trimethylbenzene uglL ND(1) ND(0.5) ND(1) ND(D.09) 0.3 Pass n-Butylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass 1,2,4-Trichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Hexachlorobutadiene ug/L ND(1) ND(0.5) ND(1) ND(0.09) DA Pass 1,2,3-Trichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Naphthalene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass Benzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Total Trihalomethanes ug/l ND(0.5) ND(0.5) ND(0.5) ND(0.05) 8 Pass Total Xylenes ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 1D00 Pass 1 - If the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used will be noted on the teller accompanying these results, THM - Acceptance based on Total Trihalomethane_ s [Xy1enesl- Acceptance based on Total Xylenes _ Sample Id: S-0000882118 Description: Sodium Hypochlorite Sampled Date: 24-Feb-2012 Received Date. 28-Feb-2012 Tox Normalization Information: Calculated NF MUL Compound Reference Key: Miscellaneous Factor: Normalization Calculation: Testing Parameter Lab Lab Normalization Information: 0.0000842 Dale exposure completed 94 mglL SPAC .000000896 29-FEB-2012 Semple, Control Result Norm: Acceptance Evaluation ; ' Result rrlt4r!a(i) _ Status . F120120328151807 A-00116230 Page 4 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, In the condition received at the laboratory. HSF Sample Id: S-0000882118 Testing Parameter g Units Sample ` Control Result Norm. Resulf Acceptance Crlteria(1) Evaluation Status Chemistry Lab ( Continued ) Oxyhalides in Bleach by LCMS Perchlorate Bromate mg/L ND(1) ND(t) ND(0.08) mg1L ND(1) ND(1) ND(0.08) 5 Pass 1 - If the acceptance criteria is blank and the evaluation status is "Fail', then the criteria used will be noted on the letter accompanying these results. F120120328151807 A-00116230 Page 5 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items te$ted, in the condition received at the laboratory. Common Terms and Acronyms Used: Sample .................... Test result on the submitted product sample after prepared or exposed in accordance with the standard. Control .................... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control test result. Normalized Result... Result normalized In accordance with the test standard to reflect potential at -the -lap concentrations NDO)........................ Result is below the detection level of the analytical procedure as identified In the parenthesis. DCC Number........... NSF document control code of the registered formulation of the product tested u91L........................ Microgram per liter = 0.001 milligram per liter (mgiL) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter I Test Description C0931 Oxyhalldes In Bleach by LCMS C3035 Total Arsenic in Drinking Water by ICPMS (Ref: EPA 200.8) C3038 Barium In Drinking Water by ICPMS (Rof: EPA 200.8) C3041 Beryllium in Drinking Water by ICPMS (Ref: EPA 200.8) C3045 Cadmium in Drinking Water by ICPMS (Ref: EPA 200.8) C3052 Chromium in Drinking Water by ICPMS (Ref; EPA 200.8) C3058 Copper in Drinking Water by ICPMS (Ref: EPA 200.8) C3071 Mercury In Drinking Water by ICPMS (Ref: EPA 200.8) C3100 Lead In Drinking Water by ICPMS (Ref: EPA 200.8) C3113 Antimony in Drinking Water by ICPMS (Ref: EPA 200.8) C3115 Selenium In Drinking Water by ICPMS (Ref: EPA 200.8) C3127 Thallium in Drinking Water by ICPMS (Ref: EPA 200.8) C4662 Volatile Organic Compounds (Ref: EPA 524.2) Test descriptions preceded by an asterisk "" indicate that testing has been performed per NSF International requirements but is not within its scope of accreditation, Testing Laboratories: Id Address -------------------------- All work performed at: NSF —AA NSF International 789 N. Dixboro Road Ann Arbor MI 48105 F120120328151807 A-00116230 Page 6 of 7 This report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. NSF About the Standard. NSF/ANSI Standard 60: Drinking Water Treatment Chemicals - Health Effects NSF/ANSI 60 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the impurities that are directly added to drinking water From drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are Intended to be present In the finished water as well as other chemical products that are added to water but are not intended to be present in the finished water. Chemicals covered by this Standard include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corrosion/scale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard Is done to estimate the level of contaminants or Impurities added to drinking water when the chemical is used at the "Maximum Use Level' under attestment. Prior to testing, information is obtained on the formulation and sources of supply used to manufacture the chemical- This information is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concern. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established In the standard based on the type of chemical and then Is analyzed for potential contaminants determined during the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the "single product allowable concentration" (SPAC) established by the standard. The product is found in compliance with the standard if the normalized value is less than or equal to the allowable concentration. F120120328151807 A-00116230 Page 7 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf_org). The results relate only to those items tested, in the condition received at the laboratory. NSF International Ann Arbor, MI 0 June 15, 2012 Mr. Patrick Allman Odyssey Manufacturing Company 1484 Massaro Boulevard Tampa, Florida 33619 Dear Mr. Allman: I have attached the October 2011. test results for the NSF/ANSI Standard 60 evaluation of the Odyssey Ultrachlor 125vo, sodium hypochlorite solution which resulted in a Pass, meeting all requirements of NSF/ANSI Standard 60: Drinking Water Treatment Chemicals -health effects. Please contact me at your convenience with any questions. Sincerely, Dave Purkiss General Manager Water Treatment and Distribution Systems NSF International Phone: +1-734-827-6855 Email: Purkiss@nsf.org 789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA 1-800-NSF-MARK 734-769-8010 www.nsf.org NSF International 789 N. Dixboro Rd. Ann Arbor, MI 48105, USA 1-800.NSF.MARK 1 +1-734.769.8010 I www.nsf.org TM 1 Live Safer ii NOV 0 ! 2011 Send To: 25070 Mr. Patrick Allman Odyssey Manufacturing Company 1484 Massaro Boulevard Tampa, FL 33619 TEST REPORT Facility: 25071 Odyssey Manufacturing Company 1484 Massaro Boulevard Tampa, FL 33619 Result COMPLETE Report Date 31-OCT-2011 Customer Name Odyssey Manufacturing Company Tested To NSF/ANSI 60 Description Ultrachlor 12% j Sodium Hypochlorite Trade Designation Ultrachlor 12% Test Type Test Only Job Number J-00106044 Project Number 9098913 Project Manager Lena Hope This report documents the testing of the referenced product to the requirements of NSF/ANS1 Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Thank you for having your product tested by NSF International. Please contact your Project Manager if you have any questions or concerns pertaining to this report. Date 31-OCT-2011 Report Authorization c C�". Clifton.Mclelian - Director, Toxicology Services F120111031114437 J-00106044 Page 1 of 7 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those Items tested, in the condition received at the laboratory. 0- General information Standard: NSF/ANSI60 Chemical Name: SODIUM HYPOCHLORITE DCC Number: DA02366 Lot NumbadProduct Identifier: 512412011 Maximum Use Level: 94 mg1L Monitor Code: A Physical Description of Sample: Sodium Hypochlorite Test Description: Additional evaluation per customer's request Trade Designation/Model Number: Ultrachlor 12% Sample Id: S-0000859981 Description: Sodium Hypochlorite Sampled Date: 19-Oct-2011 Received Date: 13-Oct-2011 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.0923 Date exposure completed 19-OCT-2011 Preparation method used B Final volume of solution 0.5 L MUL 94 mg/L Mass of material used 509 mg Compound Reference Key: SPAC Normalization Calculation: Normalized Result = Test Result (ug/L) NF Where NF = MUL Final Volume Of Solution (L) (mg/L) Mass of Material Used {mg) MUL = Maximum Use Level; - Mass of Material Used = The mass of sample analyzed in the laboratory,• Final Volume of Solution = The volume of water used to dilute the sample; - An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is included in the information above. Testing Parameter f Units Sample Control Result Norm. Acceptance Evaluation Result I Criterla(1) Status Chemistry Lab Arsenic ug/L ND(1) ND(1) N0(1) ND(0,09) 1 Pass Barium ugIL ll ll ND(1) ND(0.09) 200 Pass Beryllium ug1L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.4 Pass Cadmium ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.5 Pass Chromium ug/L ND(1) ND(1) ll ND(0.09) 10 Pass Copper uglL NQ{1) ND(1) ll ND(0.09) 130 Pass Mercury uglL ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass Lead uglL ND(1) ND(i) ll ND(0.09) 1.5 Pass Antimony ug1L ND(0.5) ND(0.5} ND(0.5) ND(0.05) 0.6 Pass Selenium uglL ND(2) ND(2) ll ND(O.2) 5 Pass Thallium uglL ND(0.2) ND(0.2) 1I ND(0.02) 0.2 Pass Volatile Organic Compounds (Ref: EPA 524.2) Dichlorodifluoromethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) Chloromethane uglL ND(1) ND(0.5) ll ND(0.09) 0.3 Pass Vinyl Chloride ug/L ND(1) ND(0.5} Il ND(O.09) 0.2 Pass Bromomethane ug/L ll ND(O.S) ND(1) ND(0.09) Chloroethane ul ll ND(0.5) ND(1) ND(0.09) 0.04 Pass F120111031114437 S 00106044 Page 2 of 7 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization i use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate on' to those items tested, in the condition received at the laboratory. NSF, Sample Id: S-0000859981 Units Sample Control Result Norm. Acceptance Evaluation Testis Parameter 9 I �� Result Criteria(1) Status Chemistry Lab ( Continued) Trichlorofluoromethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 50 Pass Trichlorotrifluoroethane ug/L HD(1) ND(0.5) ND(1) ND(D.09) 0.3 Pass Methylene Chloride ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,1-Dichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.7 Pass trans-1,2-Dichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,1-Dichloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 2,2-Dichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) cis-1,2-Dichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 7 Pass Chloroform ug/L ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] Bromochlo rom ethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass 1,1,1-Trichloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 20 Pass 1,1-Dictiloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Carbon Tetrachloride ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,2-Dirhloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Trichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,2-Dichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Bromodichloromethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) [TTHM) Dibromomethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) cis- 1,3-Dichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass trans-1,3-Dichloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass 1,1,2-Trichtcroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1,3-Dichloropropane uglL ND(1) ND(0.5) ND(1) ND(0.09) Tetrachloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Chlorodibromomethane ug/L ND(1) ND(D.5) ND(1) ND(0.09) [TTHM) J Chlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,1,1,2-Tetrachloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1 Pass Bromoform ugJL ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] 1,1,2,2-Tetrachloroethane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass 1,2,3-Trichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) 5 Pass 1,3-Dichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 60 Pass 1,4-Dichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 7.5 Pass 1,2-Dichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 60 Pass Carbon Disulfide ug/L ND(2) ND(1) ND(2) ND(0.2) 70 Pass Methyl -tort -Butyl Ether (MTBE) ug/L ND(1) ND(0.5) ND(1) ND(0.09) 50 Pass tert-Butyl ethyl ether ug/L ND(1) ND(0.5) ND(1) ND(0.09) Methyl Ethyl Ketone ug/L ND(10) ND(5) ND(10) ND(0.9) 400 Pass Methyl isobutyi Ketone ug/L ND(10) ND(5) ND(10) ND(0.9) 700 Pass Toluene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 100 Pass F120111031114437 J-00106044 Page 3 of 7 this report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization tc use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, In the condition received at the laboratory. 0 Sample Id: S-0000859981 Testing Parameter Units Sample Control Result Norm. Acceptance Evaluation Result Crlterla(1) Status Chemistry Lab ( Continued } Ethyl Benzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 70 Pass m+p-Xylenes �ug/L ND(2) ND(1) ND(2) ND(0.2) [Xylenes] o-Xylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) [Xylenes) Styrene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass lsopropylbenzene (Cumene) ug/L ND(1) ND(0.5) ND(1) ND(0.09) 400 Pass n-Propylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass Bromobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 2-Chlorotoluene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 4-Chlorotoluene ug/L ND(1) ND(0.5) N1)(1) ND(0.09) 1,3,5-Trimethylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass tert-Butylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,2,4-Trimethylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) sec-Butylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass p-Isopropyltoluene (Cymene) ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1,2,3-Trimethylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass n-Butylbenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass 1,2,4-Trichlorobenzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Hexachlorobutadlene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.1 Pass 1,2,3-Trichlorobenzene ugfL ND(1) ND(0.5) ND(1) ND(0.09) J` Naphthalene ugJL ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass Benzene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Total Trihalomethanes ug/L ND(1) ND(0.5) ND(1) ND(0.09) 8 Pass Total Xylenes ug/L ND(1) ND(0.5) ND(1) ND(0.09) 1000 Pass 1 - if the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used will be noted on the letter accompanying these results. [TTHMj - Acceptance based on Total Trihalomethanes_ _ �lenes] -Acceptance based on Total Xylenes Sample Id: S-0000859982 Description: Sodium Hypochlorite Sampled Date: 12-Oct-2011 Received Date: 13-Oct-2011 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.094 Date exposure completed 14-OCT-2011 MUL 94 mg/L Compound Reference Key: SPAC Normalization Calculation: Normalized Result =Test Result (mglkg) NF Where NF = MUL(mg/L) 1-kg 10'ug — 101ng 1 mg MUL = Maximum Use Level, Unit conversion: 1 kg = 10 trig, 10,ug = 1 mg, An additional factormaybe used to adjust the analytical result to freid use conditions to account forproduct carryover, flushing, or other assumptions stipulated with the use of the product, If an additional factor is used, it is included in the information above. F120111031114437 J-00106044 Page 4 of 7 This report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization t use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate on' to those items tested, In the condition received at the laboratory. NSF. Sample Id: S-0000859982 Testing Parameter Units Sam le Result Norm. Norm. Acceptance Evaluation A p Units Result Criteria(1) Status Chemistry Lab Bromate, in bleach by Titration (NSF) Bromate mg/Kg 12 12 ug/L 1.1 5 Pass Date Analyzed 20-OCT-2011 1 - If the acceptance criteria is blank and the evaluation status Is "Fail", then the criteria used will be noted on the letter accompanying these results. F120111031114437 J-00106044 Page 5 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization i use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate on to those items tested, in the condition received at the laboratory_ NSF. Common Terms and Acronyms Used: Sample .................... Test result on the submitted product sample after prepared or exposed in accordance with the standard. Control .................... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control test result. Normalized Result... Result normalized in accordance with the test standard to reflect potential at -the -tap concentrations ND() ........................ Result Is below the detection level of the analytical procedure as identified in the parenthesis. DCC Number........... NSF document control code of the registered formulation of the product tested ug/L........................ Microgram per liter = 0.001 milligram per liter (mglL) SPAG...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter f Test Description C3022 ' Brornate, in bleach by Titration (NSF) C3035 Total Arsenic in Drinking Water by ICPMS (Ref; EPA 200.8) C3038 Barium In Drinking Water by ICPMS (Ref: EPA 200.8) C3041 Beryllium in Drinking Water by ICPMS (Ref: EPA 200.8) C3046 Cadmium in Drinking Water by ICPMS (Ref: EPA 200.8) C3052 Chromium in Drinking Water by ICPMS (Ref: EPA 200.8) C3058 Copper in Drinking Water by ICPMS (Ref: EPA 200.8) C3071 Mercury in Drinking Water by ICPMS (Ref: EPA 200.8) C3100 Lead in Drinking Water by ICPMS (Ref; EPA 200.8) C3113 Antimony in Drinking Water by ICPMS (Ref: EPA 200.8) 03115 Selenium in Drinking Water by ICPMS (Ref: EPA 200.8) C3127 Thallium in Drinking Water by ICPMS (Ref: EPA 200.8) C4662 Volatile Organic Compounds (Ref: EPA 524.2) Test descriptions preceded by an asterisk —" indicate that testing has been performed per NSF International requirements but is not within its scope of accreditation. Testing Laboratories: Id Address -------------- ------- -------------- All work performed at: ---- 0 NSF —AA NSF International 789 N. Dixboro Road Ann Arbor MI 48105 - ------ - - ----- - ----- - ---- --- - - --- FI20111031114437 J-00106044 Page 6 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsLorg). The results relate only to those items tested, in the condition received at the laboratory. NSF. About the Standard. NSFIANSI Standard 60: Drinking Water Treatment Chemicals • Health Effects NSFIANSI 60 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present In the finished water. Chemicals covered by this Standard include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corrosion/scale control chemicals, disinfection and oxidation chernicalS, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or impurities added to drinking water when the chemical is used at the "Maximum Use Level" under altestment. Prior to testing, Information Is obtained on the formulation and sources of supply used to manufacture the chemical. This Information is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concern. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established in the standard based on the type of chemical and then is analyzed for potential contaminants determined during the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the "single product allowable concentration" (SPAC) established by the standard. The product is found in compliance with the standard if the normalized value is less than or equal to the allowable concentration. F120111031114437 J-00106044 Page 7 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. Odyssey Manufacturing Company Customer: CLIENT Attention: Mr. Patrick H. Allman = Sample Description: Sodium Hypochlorite " Trade Designation: Ultachlor Evaluation Standard: NSF/ANSI Standard 60 SERV ICE l.. REQUESTED Status: Pass 27 _ = Report: 11-AUG-2010 I - u Project Manager: Soncea Braden-Mccann 3 T 0045 - DWA Std. 60 (Health Effects I NSF Program: k Testing) Report ID: 25071_A-00044937 - NSF INFO 9077685 (CLA, TEA) 3 NSF PA: F120100811063846 Report Issue: �_jS �.;{.fir:; 0 NSF International Test Report This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Sample Description:. Sodium Hypochlorite Trade Designation: Test Type: Result: Ultachior AA - Annual Collection Pass Thank you for having your product tested by NSF. This report details the results of testing performed on your product. Please do not hesitate to contact Soncea Braden-Mccann at 734-827-3811 if you have any questions about your product test results. Authorized by: J Mclellan, Clif - Director, Toxicology Services Date: 11-AUG-2010 FI20100811083846 A-00044937 Page 2 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0. NSF International General Information Standard: 060 = DRINKING WATER TREATMENT CHEMICALS - HEALTH EFFECTS Collected Retain Samples YES DCC Number / Tracking ID DA02366 Date Collected - 22-JUN-10 Lot Number .- 6/22/2010 Maximum Use Level - 94 mg/L Monitor Code - A Primary DCC Number - DA02356 Sample Code - ACEVAL Sample Description Sodium Hypochlorite Sample Taken From - INVENTORY Trade Designation Ultachlor Sample Id: S-0000761486 Description: Ultachlor Sampled Date: 14-Jul-2010 Received Date: 09-Jul-2010 Tax Normalization Information: Lab Normalization Information: Calculated NF 0.0913 Date exposure completed Preparation method used B Final volume of solution MUL 94 mg/L Mass of material used r K,,,-­4 V.- SPAT. Normalization Calculation: Final Volume Of Solution (L) Normalized Result = Test Result (ug/L) * NF Where NF = MUL (mWL) Mass of Material Used (mg) MUL = Maximum Use Level; Mass of Material Used = The mass of sample analyzed In the laboratory; Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of (he product. If an additional factor is used, It is included in the information above. Testing Parameter = _ < Units Sample Control ,1 Result: NaKm Result Chemistry Lab Arsenic Barium Beryllium Cadmlum Chromium Copper Mercury Lead Antimony Selenium Thallium Volatile Organic Compounds (Ref: EPA 524.2) uglL ND(1) ND(1) ug/L ND(1) ND(1)` ugiL ND(0.5) ND(0.5) ug/L ND(0.2) ND(0.2) ug/L ug/L ND(1) ND(1) ND(1) ND(1) ug/L ug/L ug/L ND(0.2) ND(1) ND(0.5) ND(0.2) ND(1) ND(0.5) ug/L ND(2) ND(2) ug/L ND(0.2) ND(0.2) Dichlorodifluoromethane ug/L ND(5) ND(0.5) Chloromethane ug/L ND(5) ND(0.5) Vinyl Chloride ug/L ND(5) ND(0.5) ND(1) ND(0.09) 1 ND(1) ND(0.09) 200 ND(0.5) ND(0.05) 0.4 ND(0.2) ND(0.02) ND(1) ND(1) ND(0.09) ND(0.09) ND(0.2) ND(0.02) ND(1) ND(0.09) ND(0.5) ND(0.05) ND(2) ND(0.2) ND(0.2) ND(0.02) ND(5) ND(0.5) ND(5) ND(0.5) ND(5) ND(0.5) 0.5 130 02 1.5 0.6 5 0.2 0.3 0.2 14-JUL-2010 0.5 L 515 mg status.-, Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass F120100811083846 A-00044937 Page 3 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International Sample Id: 5-0000761486 Testing Parameter Units' Sample Control i Result Norm.. Acceptance: Evaluatfor Result Crifer}a(1) Statbs: Chemistry Lab ( Cont'd ) Bromomethane Chloroethane Trichiorofluorom ethane Trichlorotriiluoroethane Methylene Chloride 1,1-Dichloroethylene trans- l,2-Dichloroethylene 1,1-Dich(oroethane 2,2-Dichloropropane cis-1,2-Dichloroethylene Chloroform Bromochlorometharie 1,1,1-Trichloroethane 1,1-Dichloropropene Carbon Tetrachloride 1,2-Dichtoroethane Trcchloroethylene 1,2-Dichloropropane Bromodichloromethane Dibromomethane cis•1,3-Dichloropropene trans- l,3-Df chloropropene 1,1,2-Trichloroethane 1,3-Dichloropropane Tetrachloroethylene Chlorodibromomethane Chlorobenzene 1,1,1,2-Tetrachloroethane Bromoform 1,1,2,2-Tetrachloroethane 1, 2,3-Ticchloropropane 1,3-Dichlorobenzene 1,4-Dichlorobenzene 1,2-Dichlorobenzene Carbon Disulfide Methyl -tart -Butyl Ether (MTBE) tert-Butt'( ethyl ether Methyl Ethyl Ketone ugiL ND(5) ND(0.5) ND(5) ND(0.5) ug/L -ND(5) ND(0.5) ND(5) ND(0.5) 0.04 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 50 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 0.3 Mass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 0.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.7 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ugiL ND(5) ND(0.5) ND(5) ND(0.5) 7 Pass ug/L ND(5) 0.6 ND(5) ND(O.5) (TTHM} ug/L ND(5) ND(0.5) ND(5) ND(O.5) 0.3 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 20 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass ug/L ND(5) ND(O.5) ND(5) ND(0.5) 0.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) (TTHM) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(O.5) 0.2 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.2 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) [TTHM) ug/L ND(5) 1.0 ND(5) ND(0.5) 10 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) t Pass ug/L ND(5) ND(0.5) ND(5) - ND(0.5) [TTHMI ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0-2 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 5 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 6D Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 7.5 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 60 Pass ug/L ND(10) ND(1) ND(10) ND(O.9) 70 Pass ug/L ND(5) ND(0.5) ND(5) ND(O.5) 50 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(50) ND(5) ND(50) ND(5) 400 Pass F120100811083846 A-00044937 Page 4 of 9 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International Sample Id: "000751486 Units. Sarripfe Control Result Norm'. Acceptance Evaluation Testing 'Parameter i Result Criteria(f) ;I Status.; Chemistry Lab ( Cont'd ) Methyl Isobutyl Ketone Toluene Ethyl Benzene m+p-Xylenes o-Xylene Styrene isopropylbenzene (Cumene) n-Propylbenzene Bromobanzene 2-Chlorotoluene 4-Chlorotoiuene 1,3, 5-Trimethyibenzene tert-Butylbenzene 1,2,4-Trimethylbenzene sec-Butylbenzene p-isopropyltoluene (Cymene) 1,2,3-Trimethylbonzene ug/L ND(50) ND(5) ND(50) ND(5) 700 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 100 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 70 Pass ug/L ND(10) ND(1) ND(10) ND(0.9) J[Xylenes) ug/L ND(5) ND(0.5) ND(5) ND(0.5) [Xylenes] ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 400 Pass ug/Lf ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.3 Pass ND(0.5) ND(5) ND(0.5) 10 Pass ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.3 Pass ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.3 Pass n-Butylbenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass 1,2,4-Trichlorobenzene Hexachlorobutadiene 1,2,3-Trichlorobenzene Naphthalene Benzene Total Trihalomethanes Total Xylenes ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(S) ug/L ND(5) ug!L ND(5) ND(0.5) ND(5) ND(0.5) 0.1 Pass ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 10 Pass ug/L ug/L ND(5) ND(5) ND(0.5) 0,6 ND(5) ND(5) ND(0.5) 0.5 Pass ND(0.5) 8 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 1000 Pass F120100811083846 A-00044937 Page 5 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization I use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nst.org). The results relate to those items tested. NSF International Sample ld: 5-0000761486 Testm Parameter flmis Sample control _ I Result Norm: Acceptance Evaluation g Result Crfterla0) Status;: 1 - If the acceptance criteria is blank [TTHM] -Acceptance based on T _[X Ames - Acceptance based on is "Fall", then the criteria used will be noted on the letter accompanying these results. Sample Id: S-0000761487 Description: Ultachlor Sampled Date: 22-Jun-2010 Received Date: 09-Jut-2010 Tox Normalization Information: Calculated NF 0.094 MUL 94 mg/L Compound Reference Key: SPAG Normalization Calculation: Lab Normalization Information: Date exposure compieted 12-JUL-2010 1 kg . 103ug Normalized Result = Test Result (mg/kg) ' NF Where NF = MUL(mg/L) 10`mg 1 mg MUL = Maximum Use Level,• Unit conversion: 1 kg = 10 tng, 10�ug = i mg, - An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is included in the information above. Units _' Sample Result l Norm: Norm Testing Parameter �. Units - yesult Chemistry Lab ' Bromate, in bleach by Titration (NSF) Bromate mg/Kg 19 19 ug/L 1.8 5 Pass F120100811083846 A-00044937 Page 6 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nst.org). The results relate to those Items tested. NSF International Sample Id: S-0000761487 %sting Aara'meter _ - Units Sample Result j Norm. Norm, Acceptance Eva{uatior . -... I- Uni#s Result.' Crite(la(1) - Strifus, 1 - If the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used will be noted on the fetter accompanying these results. F120100B11083846 A-00044937 Page 7 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. NSF International Common Terms and Acronyms Used: Sample .................... Test result on the submitted product sample after prepared or exposed in accordance with the standard. Control .................... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control test result. Normalized Result... Result normalized in accordance with the test standard to reflect potential at -the -tap concentrations ND() ........................ Result is below the detection level of the analytical procedure as identified in the parenthesis. DCC Number........... NSF document control code of the registered formulation of the product tested ug/L........................ Microgram per liter = 0.001 milligram per liter (mg/L) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference parameter / Test Description C3022 ` Bromato, in bleach by Titration (NSF) C3035 Total Arsenic in Drinking Water by ICPMS (Ref: EPA 200.8) C3038 Barium in Drinking Water by ICPMS (Ref: EPA 200.8) C3041 Beryllium in Drinking Water by ICPMS (Ref: EPA 200.8) C3046 Cadmium in Drinking Water by ICPMS (Ref: EPA 200.8) C3052 Chromium in Drinking Water by ICPMS (Ref: EPA 200.8) C3058 Copper in Drinking Water by ICPMS (Ref: EPA 200.8) C3071 Mercury in Drinking Water by ICPMS (Ref: EPA 200.8) C3100 Lead in Drinking Water by ICPMS (Ref: EPA 200.8) C3113 Antimony in Drinking Water by ICPMS (Ref: EPA 200.8) C3115 Selenium in Drinking Water by ICPMS (Ref: EPA 200.8) C3127 Thallium in Drinking Water by ICPMS (Ref: EPA 200.8) C4662 Volatile Organic Compounds (Ref: EPA 524.2) Test descriptions preceded by an asterisk -" indicate that testing has been performed per NSF International requirements but Is not within its scope of accreditation. Testing Laboratories: Id Address All work performed at: — y NSF —AA NSF International W 789 N. Dfxboro Road Ann Arbor MI 48105 F120100311083846 A-00044937 Page 8 of 9 Final_Std_60Norm This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International About the Standard, NSF/ANSI Standard 60: Drinking Water Treatment Chemicals - Health Effects NSF/ANSI 60 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present in the finished water. Chemicals covered by this Standard include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corrosion/scale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or impurities added to drinking water when the chemical is used at the "Maximum Use Level" under attestment. Prior to testing, Information is obtained on the formulation and sources of supply used to manufacture the chemical. This information is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concern. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established in the standard based on the type of chemical and then is analyzed for potential contaminants determined during the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the "single product allowable concentration" (SPAC) established by the standard. The product is found in compliance with the standard if the normalized value is less than or equal to the allowable concentration. F120100Bf1083846 Final Std 60Norm A-00044937 Page 9 of 9 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. ODYSSEY MANUFACTURING Customer: COMPANY CLIENT MR. PATRICK H. ALLMAN Attention: Sample Description: Sodium Hypochlorite Trade Designation: Sodium Hypochlorite 12.5°J° !' NSF/ANSI Standard 60 ! Evaluation Standard: - SERVICE REaUESTED I Status: Pass r 25-JUN`2009 CL Report: rz Soncea Braden i Project Manag-Mccann er: I 0045 - DWA Std. 60 (Health Effects r NSF Program: Testing) Job Name: A-00036450 Program Manager: Soncea Braden-Mccann Program ID: 0045 Status: Pass Collection Type: AA - Annual Collection Send To: 25070 ODYSSEY MANUFACTURING COMPANY 1484 MASSARO BOULEVARD TAMPA FL 33619 Attn: MR. PATRICK H. ALLMAN Customer: 25070 ODYSSEY MANUFACTURING COMPANY 1484 MASSARO BOULEVARD TAMPA FL 33619 Attn: MR. PATRICK H. ALLMAN. RLC.EIVFh .''. _.. CJ u _ r, Plant: 25071 ODYSSEY MANUFACTURING COMPANY 1484 MASSARO BOULEVARD TAMPA FL 33619 Attn: MR_ PATRICK H. ALLMAN 0 NSF International Test Report This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals.. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Sample Description: Sodium Hypochlorite TradeDesi g nation: Sodium Hypochlorite 12.5% Test Type: AA - Annual Collection Result: Pass Thank you for having your product tested by NSF. This report details the results of testing performed on your product. Please do not hesitate to contact Soncea Braden-Mccann at 734-827-3811 if you have any questions about your product test results. Authorized by:%�1 � Clifton Mclellan - Director, Toxicology Services Date: 25-JUN-2009 F120090625131843 A-00036450 Page 2 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Marc. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International General Information Standard: 060 - DRINKING WATER TREATMENT CHEMICALS -HEALTH EFFECTS Cell Class - NA Collected Retain Samples YES DCC Material Code - NA DCC Number / Tracking ID DA02366 Date Collected - 07-MAY-D9 Lot Number - 107504 Material / Resin - NA Material Type - NA Maximum Use Level - 94 mg/I Monitor Code - A Performance Standard NA Primary DCC Number - DA02366 Sample Code - ACEVAL Sample Description Sodium Hypochlorite Sample Taken From Production Schedule Series - NA Stabilizer - NA Trade Designation Sodium Hypochlorite 12.5% Sample Id: S-0000662767 Description: Sodium Hypochlorite 12.5% Sampled Date: 10-Jun-2009 Received Date: 10-Jun-2009 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.0959 Date exposure completed 10-JUN-2009 Preparation method used B Final volume of solution 0.5 L MUL 94 mg/L Mass of material used 490 mg Compound Reference Key: SPAC Normalization Calculation: Final Volume Of Solution (L) Normalized Result = Test Result (ug/L) NF Where NF = MUL (mg/L) Mass of Material Used (mg) - MUL = Maximum Use Level; - Mass of Material Used = The mass of sample analyzed in the laboratory; - Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. ff an additional factor is used, it is included in the information above. Umts Testing ister ` $ n San tple ControF _ Result - Norm Result„-.= Acceptance -Crlteria(1)_': Evaluatiori :Status= _ Chemistry Lab Arsenic ug/L ND(1) ND(1) ND(1) ND(0.1) iT Pass J Barium ug/L ND(1) ND(1) ND(1) ND(0.1) 200 Pass — Beryllium uglL ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.4 Pass Cadmium ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.5 Pass Chromium ug/L ND(1) ND(1) ND(1) ND(0.1) 10 Pass Copper ug/L ND(1) ND(1) ND(1) ND(0.1) 130 Pass Mercury ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass Lead ug/L ND(1) ND(1) ND(1) ND(GA) 1.5 Pass Antimony ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.6 Pass Selenium ugA_ ND(2) ND(2) ND(2) ND(0.2) 5 Pass F120090625131843 A-00036450 Page 3 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International Sample Id: S-0000662767 Testin "Parat»ete� Units Sample Gontrol Result Norm, _- _ Acceptance ` Evaluation 9 Result. Criteria(1j Status _ I Chemistry Lab (Cont'd ) Thallium atiles: Unregulated VOC's by EPA 502.2 Dichlorodifiuoromethane Chloromethane Vinyl Chloride Bromomethane Chloroethane Trichlorofl uoromethane T►ichlorotrifiuoroethane Melhylene Chloride trans-1, 2-Dichloroethylone 1,1-Dichloroethane 2,2-Dichloropropane cis-1, 2-Dichloroethylene Chloroform Bromochloromethane M,i-Trichloroethane ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass ug/L ND(5) ugJL ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) uglt. ND(5) ND(0.5) ND(5) ND(0.5) 50 ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.3 ND(0.5) ND(5) ND(0.5) 0.2 ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.04 Pass Pass Pass Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass ugJL ND(5) ND(0.5) ND(5) ND(0,5) 0.7 Pass ug1L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 7 Pass ug/i- ND(5) ug/L ND(5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) ND(0.5) ND(5) ND(0.5) 0.5 Pass 10 Pass 0.8 ND(5) ND(0.5) [TTHM] ND(0.5) ND(0.5) ND(5) ND(5) ND(0 5) ND(0.5) 0.3 Pass 20 Pass 1,1-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0.5) Carbon Tetrachloride ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass 1,2-Dichloroethane ugrL ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Trichloroethyleno ug/L i ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass 1,2-Dichloropropane ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Bromodichloromethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM) Dibromomethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) y cis-1,3-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.2 Pass trans-1,3-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.2 Pass 1,1,2-Trichloroethane ug/L J ND(5) ND(0.5) ND(5) ND(0,5) 0.5 Pass 1,3-Dichloropropane ug/L ND(5) ND(0.5) ND(5) ND(0.5) Tetrachloroethytene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Chlorodibromomethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM) Chlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass 1,1,1,2-Tetrachloroelhane ugJL ND(5) ND(0.5) ND(5) ND(0.5) 1 Pass Bromotorm ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM) 1,1,2,2-Tetrachloroethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.2 Pass 1,2,3-Trcchloropropane ug/L ND(5) i ND(0.5) ND(5) ND(0.5) 5 Pass 1,3-Dichlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 60 Pass 1,4-Dichlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 7.5 Pass F120090625131843 A-00036450 Page 4 of 6 This report shall not be reproduced, except in its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization t use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. NSF International Sample Id: S-DD00662767 Testing Parameter Units Sample Control Result , Norm. -.. Result-_ Acceptance Criteria(1) . Evaluation Status" Chemistry Lab ( Cont'd ) 1,2-Dlchlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 60 Pass Carbon Disulfide ug/L ND(10) ND(1) ND(10) ND(1) 70 Pass Methyl-tert-Butyl Ether (MTBE) tert-Butyl ethyl ether ug/L ug/L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 50 Pass Methyl Ethyl Ketone ug/L ND(50) ND(5) ND(50) ND(5) 400 Pass Methyl Isobutyl Ketone Toluene ug/L ug/L ND(50) ND(5) ND(5) ND(0.5) ND(50) ND(5) ND(5) ND(0.5) 700 100 Pass Pass Ethyl Benzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 70 Pass m+p-Xylones ug/L ND(10) ND(1) ND(10) ND(1) (Xylenes] o-Xylene ug/L ND(5) ND(0.5) ND(5) ND(0.5) [Xylenes] Styrene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass Isopropylbenzene (Cumene) n-Propylbenzene ug/L ug/L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 400 0.3 Pass Pass Bromobenzene ug/1 ND(5) ND(0.5) ND(5) ND(0.5) 2-Chlorotoluene 4-Chlorotoluene ug/L ug/L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 10 Pass 1,3,5-Trim ethyl benzene tort-Butylbenzene ug/L ug1L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 0.3 10 Pass Pass 1,2,4-Trimethyibenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) sec-Butylbenzene ug/L ND(5) ND(D.5) ND(5) ND(0.5) 0.3 Pass p-Isopropyltoluene (Cymene) 1,2,3-Trim ethyl benzene ug/L T ug/L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 0.3 Pass _ n-Butylbenzene 1,2,4-Thchlorobenzene uglL ug/L ND(5) ND(5) ND(0.5) ND(0.5) ND(5) ND(5) ND(0.5) ND(0.5) 0.3 Pass Hexachlorobutadiene ug/L ND(S) ND(0.5) ND(5) ND(0.5) 0.1 Pass 1,2,3-Trichlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) Naphthalene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass Benzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Total Trihalomethanes ug/L ND(5) 0.8 ND(5) ND(0.5) 8 Pass Total Xylenes ug/L ND(5) ND(0.5) ND(5) ND(0-5) 1000 Pass 1 If the acceptance criteria is blank and the evaluation status is "Fail", then the critoria usod will be noted on the letter accompanying these results. TTHM - Acceptance based on Total Trihalomethanes [Xylenes] - Acceptance based on Total Xylenes Sample Id: S-0000662768 Description: Sodium Hypochlorite 12.5% Sampled Date: 07-May-2009 Received Date: 10-Jun-2009 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.094 Date exposure completed 10-JUN-2009 FI20090625131843 A-00036450 Page 5 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. NSF International Sample Id: S-0000662768 Tox Normalization Information: Lab Normalization Information: MUL 94 mg/L Compound Reference Key: SPAC Normalization Calculation: i kg 10 ug Normalized Result = Test Result (mglkg) NF Where NF = MUL(mg/L) 101ng 1 mg MUL = Maximum Use Level; Unit conversion: i kg= 10rng, 10,ug= 1 mg; An additional factormay be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is Included in the information above. Testing Parameter: Units Sample Result :l Norm. i _ Norma Acceptance' Evaluation Units Result , - Crlteria(1) Chemistry Lab ` Bromate, in bleach by Titration (NSF) Bromate mg/Kg 19 19 ug/L 1.8 5 Pass Date Analyzed 16-JUN-2009 i - It the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used will be noted on the letter accompanying these results. F120090625131843 A-00036450 Page 6 of 8 This report shall not be reproduced, except In Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International Test Report This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard.. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Sample Description: Sodium Hypochlorite TradeDesignation: Test Type: Result: Ultrachior AA - Annual Collection Pass Thank you for having your product tested by NSF. This report details the results of testing performed on your product. Please do not hesitate to contact Soncea Braden-Mccann at 734-827-3811 if you have any questions about your product test results. Authorized by: Clifton Mclellan - Director, Toxicology Services Date: 21-APR-2008 F120080421110811 A-00029599 Page 2 of 8 The use of the results of evaluations and the reports thereof (if the name of NSF is in any way used, implied or mentioned), for product(s) not NSF certified, and for other than internal purposes, e.g., internal research, product development, quality assurance, etc., is prohibited unless specifically authorized by NSF. If so authorized a date of expiration and conditions relating to the use of the report may be established by NSF and will be indicated in the report.` 0 NSF International General Information Standard: 060 -DRINKING WATER TREATMENT CHEMICALS -HEALTH EFFECTS Cell Class - NA Collected Retain Samples YES DCC Material Code - NA ,DCC Number/Tracking ID - DA02366 Date Collected - 14-MAR-08 Lot Number - 3/14/08 Material / Resin - NA Material Type - NA Maximum Use Level 94mgll Monitor Code - A Performance Standard - NA PrimaryDCC Number DA02366 Sample Code - ACEVAL Sample Description Sodium Hypochlorite Sample Taken From PRODUCTION Schedule Series NA Stabilizer - NA Trade Designation Ultrachlor Sample Id: S-0000518415 Description: Ultrachlor Sampled Date: 10-Apr-2008 Received Date: 04-Apr-200B Tox Normalization Information: Lab Normalization Information: Calculated NF 0.0965 Date exposure completed 10-APR-2008 Preparation method used B Final volume of solution 0,5 L MUL 94 mg/L Mass of material used 467 mg Compound Reference Key: SPAC Normalization Calculation: 1 Final Volume Of Solution (L) Normalized Result = Test Result (ug/L) ' NF Where NF = MUL (mg/L) `-Mass of Material Used (mg) MUL = Maximum Use Level; Mass of Material Used = The mass of sample analyzed in the laboratory; Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. if an additional factor is used, it is included in the information above. Units Sample Control - Result - No_rm Acceptance , , Evaluatlan Tes#ing Parameter - = < , - ' Result `, Cnteria(1) >,..: . � - t r �., i ,_,'Status•_, Chemistry Lab �^ Arsenic ug/L ND(1) ND(1) ND(1) 11 1 Pass Barium ug/L NII 2 ND(1) ND(0.1) 200 Pass Beryllium ug/L ND(0.5) f ND(0.5) ND(0.5) ND(0.05) 0.4 Pass Cadmium ug/L ND(02) ND(0.2) ND(02) ND(0.02) 0.5 Pass Chromium ug/L ND(1) II ND(1) ND(O.1) 10 Pass Copper ug/L ND(1)� ND(1) ND(1) ND(0.1) 130 Pass Mercury ug/L ND(0.2) ND(02) ND(0.2) ND(0.02,) 0.2 Pass Lead J ug/L ND(1) ND(1) II ND(0.1) 1.5 Pass Antimony ug/L ND(0.5) ND(0.5) ND(0.5) ND(0,05) 0.6 Pass Selenium ug/L ND(2) ND(2) II 11 5 Pass F120DS0421110B11 A-00029599 Page 9 of 8 The use of the results of evaluations and the reports thereof (if the name of NSF is in any way used, implied or mentioned), for product(s) not NSF certified, and for other than internal purposes, e.g., internal research, product development, quality assurance, etc., is prohibited unless specifically authorized by NSF. If so authorized a date of expiration and conditions relating to the use of the report may be established by NSF and will be indicated in the report." NSF international Sample Id: S-000051B415 Units " Sample- Control ; Result Norm. Acceptance' Evaluation Testing Parameter Result ' Criteria(1) Status -- - I. Chemistry Lab (Cont'd ) Thallium ug/L ND(0.2) ND(0.2) ND(0.2) ND(0.02) VolatilUnregulated VOC's by EPA 502.2 es: - Dichlorodifluoromethane ug/L ND(5) - ND(0.5) - ND(5) ND(0-5) Chloromethane ug/L ND(5) ND(0.5) ND(5) ND(O.5) Vinyl Chloride - ug/L ND(5) ` ND(0.5) ND(5) ND(M) Bromomethane ug/L ND(5) ND(0.5) - ND(5) ND(0.5) �ND(0.5) Chloroethane ug/L ND(5) ND(0.5) ND(5) Trichlorofluaromethane ~^ - ug/L ND(5) ND(0.5) ND(5) ND(0.5) Trichlorotrifluoroelhane ug/L ^ug/L ND(5) ND(0,5) ND(5) ND(0.5) 1, 1 -Dichloroethylene - "Methylene - ND(5) ND(0.5)`ND(5) ND(0,5) Chloride ug/L ND(5) ND(0.5) ND(5) ND(0.5) trans-1,2-Dichloroethylene V ug/L ND(5) ND(0.5) ND(5)- NO(0.5) 1,1-Dichloroethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) 2,2-Dichloropropane ug/L ND(5) ND(0.5) ND(5) ND(0.5) cis-1,2-Dichloroethylene ' ug/L NO(5) ND(0,5) ND(5) ND(0,5) Chloroform ug/L ND(5) ND(0,5) ND(5) ND(0.5) Bromochloromethane ug/L ND(5) ND(0,5) ND(5) ND(0-5) 1,1,1-Trichtaroethane ug/L ND(5) NO(0,5) ND(5) ND(0.5) 1,1-Dichloropropeno V ug/L ND(5) J ND(0.5) ND(5) ND(0.5) Carbon Tetrachloride ug/L ND(5) ND(0-5) ND(5) ND(0.5) 1,2-Dichloroetharie J. ug/L ND(5) ND(0.5) ND(5) ND(0.5) Trichloroethylene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 1,2-Dichloropropane - ug/L - ND(5) ND(0.5) ND(5) ND(0.5) Bromodlchloromethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) Dibromomethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) cis-1,3-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0.5) trans-1,3-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0 5) 1,1,2-Trichloroethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) 1,3-Dichloropropane ug/L^ ND(5) ND(0.5) ND(5)` ND(0.5) Tetrachloroethylene ug/L ND(5) ND(0,5) ND(5) ND(0.5) Chlorodibromomethane uglL ~ ND(5) ND(0.5) ND(5) ND(0.5) Chlorobenzene ugA ND(5) 0.5 ND(5) ` ND(0.5) 1,1,1,2-Tetrachioroethane �aug/L J ND(5) ND(0.5) ND(5) ND(0.5) Bromoform ug/L ND(5) ND(0.5) ND(5) ND(0.5) 1,1,2,2-Tetrachloroethane �1,2,3-Tdchioropropane ug/L ND(5) ND(0.5) ND(5) ND(0.5) ug/L ND(5) ND(0.5) ND(5) NO(0.5) 1,3-Dichlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 1,4-Dichlorebenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 02 3 0.2 - - 0.04 50 0.3 0.7 0.5 10 Pass Pass Pass Pass Pass Pass Pass Pass Pass 7 Pass [TTtiM} 0.3 Pass 20 Pass- 0.5 Pass 0.5 Pass 0.5 Pass 0.5 - Pass [TTHM} -�- 0.2 Pass 0.2 Pass 0.5 Pass 0.5 Pass - 10 Pass 1 Pass i- [TTHM) ---'- 0.2 Pass 5 Pass &0 Pass 7.5 - Pass F120080421110811 A-00029599 Page 4 of 8 The use of the results of evaluations and the reports thereof (it the name of NSF is in any way used, implied or mentioned), for product(s) not NSF certified, and for other than internal purposes, e.g., internal research, product development, quality assurance, etc,, is prohibited unless specifically authorized by NSF, If so authorized a date of expiration and conditions relating to the use of the report may be established by NSF and will be indicated in the report." 0 NSF International Sample Id: S-0000518415 Testing Parameter Units S_ ample Control i Result Norm. Acceptance Evatuat Result Criteria(1) Status Chemistry Lab ( Cont'd ) 1,2-Dichlorobenzene ug/L ND(5) Carbon Disulfide ug/L - ND(10) - - "�- - Methyl-tert-Butyl Ether (MTBE) M ug/L ND(5) Methyl Ethyl Ketone - ug/L ND(50) Methyl Isobutyl Ketone ug/L ND(50) - ----- Toluene ---- ---i ug/L ND(5) - Ethyl Benzene - J ---- ug/L -- ND(5) -----m+p-Xylenes�----- ug/L ND(10) J o-Xylene - ------ ug/L ND(5) ---ND(5)-- -- Styrene --- u9/L Isopropylbenzene (Cumene)� ug/L ND(5) n-Propylbenzene - ug/L ND(5) 9romoben7ene� ug/L ND(5) -2-Chlorotoluene ug/L ND(6)� 4-Chlorotoluene V i ug/L ND(5)~ 1,3,5-Trimethylbenzene VV ug/L ND(5) tert-Butylbenzene r JT - ug/L ND(5) - 1,2,4-Trimethylbenzene ug/L ND(5) sec-Butylbenzene v-' ug/L ND(5) p-Isopropyltoluene (Cymene) ug/L ND(5) �1,2,3-Trimethylbenzene J ug/L l ND(5) - n-Butylbenzene ug/L ND(5)- 1,2,4-Trichlorobenzone J T-- ug/L ND(5) Hexachlorobutadiene ug/L ND(5) J 1,2,3-Trichlorobenzene 'ug/L ND(5) Naphthalene - ug/L --- ND(5) Benzene ----____----- ug/L ND(5) Total Trihalomethanes ug/L ND(5)` Total Xylenes ug/L- ND(5) L1 - If the acceptance criteria is blank and the evaluation status is "Fall", then the crited Acceptance based on iota! Trihalomethanes - rXvienesl - Acceotance based on Total Xvlenes ND(0.5) ND(0.5) - ND(5) - ND(5) ND(0.5) ND(0.5) ND(1) ' NQ(Q 5) - ND(0.5) ND(0.5) - ND(D,5) ND(0.5) - ND(0.5) - - ND(0.5) ND(0.5) - ND(0.5) --- ND(0.5) - ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0.5) v ND(0.5) ND(5) ND(0.5) ND(110) ND(1) ND(5) - ND(0.5) ND(50) ND(5) ND(50) ND(5) ND(5) ND(0.5) ND(5) ND(0.5) ND(10) ND(1) ND(5) i ND(0.5) ND(5) ND(0.5) ND(5) ND(0.5) 60 Pass 70 � --- Pass -- 50 - Pass - 400 Pass 700 Pass 100 Pass 70 Pass [Xylenes] [Xylenes] 10 400 ND(5) ND(0.5) 0.3 ` ND(5) ND(0.5) ND(5) ND(0.5) 10 - ND(5) ND(0.5) - ND(5) ND(0.5) 0.3 ` ND(5) ND(0.5) 10 ND(5) ND(0.5) ~ u ND(5) ND(0.5) 0.3 ND(5) ND(0.5) ND(5) ND(5) ND(5) ND(5) nonf�� ND(0.5) +vut�1 ND(0.5) J ND(5) ND(0.5) ND(5) ND(0.5) ND(5) used will be noted on Or ND(0.5) 0.3 ND(0.5) 0.3 ND(0.5) J - ND(0.5) - 0.1 �- ND(0.5) - ND(0.5) - 10^ ND(0.5) 0.5 ND(0.5) 8 ~ ND(0.5) 1000 etter accompanying these rays Pass Pass Pass Pass Pass - Pass - , Pass Pass Pass Pass Pass Pass Pass Sample Id: S-0000510416 Description: Ultrachlor Sampled Date: 14-Mar-2008 neceived Date: 04-Apr-2008 Tox Normalization Information: Lab Normalization Information: Calculated W - 0.084 Date exposure completed 09-APR-2008 -' MUL 94 mg/L - Final volume of solution F120080421110811 A-00029599 Page 5 of 8 The use of the results of evaluations and the reports thereof (if the name of NSF is in any way used, implied or mentioned), for product(s) not NSF certified, and to other than internal purposes, e.g., internal research, product development, quality assurance, etc., is prohibited unless specifically authorized by NSF. If so aulhorizbd a date of expiration and conditions relating to the use of the report may be established by NSF and will be indicated in the report," 0 NSF International Sample Id: S-0000518416 Tox Normalization Information: Compound Reference Key: SPAC Normalization Calculation: Normalized Result = Test Result (mg/kg) ' NF Lab Normalization Information: t kg i 10,ug Where NF = MUL(mg/L) ' 10°mg 1 mg - MUL = Maximum Use Level; - Unit conversion: i kg = 10 mg, 10 ug = i mg; - An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. if an additional factor is used, it is included in the information above Urwits Sample-1 Result Norm Norm-- Acceptance` Evaivatior sting Parameter - I Units Result Crlterfa{1) Status Chemistry Lab Bromate, in bleach by Titration (NSF) Bromate mg/Kg 13 13 Date Analyzed 15- APR- 2008 1 If the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used ug/L 1.2 5 Pass be noted on thetter e laccompanying these results, F120080421110811 A-00029599 Page 6 of 8 The use of the results of evaluations and the reports thereof (if the name of NSF is in any way used, implied or mentioned), for product(s) not NSF certified, and for other than internal purposes, e.g., internal research, product development, quality assurance, etc., is prohibited unless specifically authorized by NSF. If so authorized a date of expiration and conditions relating to the use of the report may be established by NSF and will be indicated In the report." NSF International Common Terms and Acronyms Used: Sample .................... Test result on the submitted product sample after prepared or exposed in accordance with the standard. Control .................... 1 est result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control test result. Normalized Result... Result normalized in accordance with the test standard to reflect potential at -the -tap concentrations ND() ........................ Result is below the detection level of the analytical procedure as identified in the parenthisis. DCC Number........... NSF document control code of the registered formulation of the product tested ug/L........................ Microgram per liter = 0.001 milligram per liter (mg/L) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter f Test Description C3022 * Bromate, in bleach by Titration (NSF) C3035 Total Arsenic in Drinking Water by ICPMS ( Ref: EPA-200.8) C3038 Barium in Drinking Water by ICPMS ( Ref: EPA-200.8) C3041 Beryllium in Drinking Water by ICPMS ( Ref: EPA-200.0 C3046 Cadmium in Drinking Water by ICPMS ( Ref: EPA-200.8) C3052 Chromium in Drinking Water by ICPMS ( Ref: EPA-200.6) C3058 Copper in Drinking Water by ICPMS { Ref: EPA-200.8) C3071 Mercury in Drinking Water by ICPMS ( Ref: EPA-200.8) C3100 Lead in Drinking Water by ICPMS ( Ret: EPA-200,8) C3113 Antimony in Drinking Water by ICPMS ( Ref: EPA-200.6) 03115 Selenium in Drinking Water by ICPMS ( Ref: EPA-200.8) C3127 Thallium in Drinking Water by ICPMS ( Ref: EPA-200.8) C4416 Volatiles: Unregulated VOC's by EPA 502.2 Test descriptions preceded by an asterisk "" indicate that testing has been performed per NSF International requirements but is not within its scope of accreditation. Testing Laboratories: Id Address ------------------------------ ---------- ------ All work performed at: 10 NSF AA NSF INTERNATIONAL 789 N. DIXBORO ROAD ANN ARBOR MI 48105 F120080421110811 A-00029599 Page 7 of 8. Final_Std_60Norm This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International About the Standard: NSF/ANSI Standard 60: Drinking Water Treatment Chemicals - Health Fffects NSF/ANSI 60 establishes minimum health effects requirements for the chemicals, [fie chemical contaminants, and the impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present in the finished water. Chemicals covered by this Standard Include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corrosion/scale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or impurities added to drinking water when the chemical is used at the "Maximum Use Level" under attestment. Prior to testing, information is obtained on the formulation and sources of supply used to manufacture the chemical. This Information is then reviewed along with the minimum requirements of the, standard to establish the potential contaminants of concern. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established in the standard based on the type of chemical and then is analyzed for potential contarinants determined during the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the "single product allowable concentration" (SPAC) established by the standard. The product is found in compliance with the standard if the normalized value is less than or equal to the allowable concentration. F120080421110811 A-00029599 Page 8 of 8 Final Std SONorm This report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. -, - ODYSSEY MANUFACTURING CO. Odyssey Manufacturing Co. Sodium Hypochlorite Reference List - Bob Polizzi, City of Edgewater, WTP Superintendent, 386-424-2490 - Cliff Morris, Bonita Springs Utilities, East WRF Superintendent, 239-495-4247 Tom Milazzo, Bonita Springs Utilities, RO Chief Operator, 239-390-4823 - Gerald Runge, Pasco County, WWTP Supervisor, 727-847-8145 Jim Kaplan, Pasco County, WTP Supervisor, 727-834-3255 - Mike Richardson, JEA, WTP Superintendent, 904-665-6819 - Robbie Parks, JEA Utility Supervisor, 904-665-4793 Mike Richardson, JEA Water Plant Superintendent, 904-665-6819 - Jim Smith, City of Deltona, Operations Manager, 386-575-6800 Scott Ruland, City of Deltona, Utility Superintendent, 386-574-2181 - Pat Henderson, City of Palm Coast, WWT Chief Operator, 386-986-2343 Pete Roussell, City of Palm Coast, RO Plant Chief Operator, 386-931-8014 Jim Hogan, City of Palm Coast, WT Manager, 386-986-2374 - Bill Kuederle, Manatee County, WTP Superintendent, 941-746-3020 - Chad Denny, Lee County, WT Superintendent, 239-694-4038 Dennis Lang, Lee County, Utility Operations Manager, 239-481-1953 - Mike Missoff, Sarasota County, WT Superintendent, 941-316-1371 Jim Conley, Sarasota County, WT Manager, 941-861-1510 - Sam Butler, City of Ormond Beach, WWT Superintendent, 386-676-3592 Steve Petrosky, City of Venice, Chief WWTP Superintendent, 941-486-2788 - Chris Wetz, Operations Manager, Tampa Bay Water, 813-929-4552 - Marvin Drake, Plant Chemist, lndiantown Co -generation plant, 561-597-6500 - Kay McCormick, Hillsborough County, Water Manager, 813-264-3815 Mark Lehigh, Hillsborough County, Water Manager, 813-744-5544 - Dale Waller, Collier County, South WWT Plant Chief Operator, 239-597-5355 Jon Pratt, Collier County, North WWT Plant Chief Operator, 239-597-5355 - Steve Miller, City of Port Orange, WT Chief Operator, 386-756-5380 - Jim Parks, City of Stuart,.WTP Superintendent, 772-288-5343 - David Parker, St. Johns County, WWTP Superintendent, 904-209-2642 - Steve Bozman, Charlotte County, East WRF Superintedent, 941-764-4595 Stephen Kipfinger, Charlotte County, Water Superintendent, 941-764-4555 - Bob Dick, ST Environmental, South Area Manager, 239-707-4275 - Bill Johnston, City of Eustis, WWTP Manager, 352-357-3777 - Greg Turman, City of Clearwater, RO Plant Superintendent, 727-462-6236 - Craig Dough, City of Tallahassee, WWTP Superintendent, 850-891-1335 Al Purvis, City of Leesburg, WTP Superintendent, 352-728-9843 - Bob Bogosta, City of Ocala, WTP Manager, 352-351-6682 - Sean McFarland, Village of Wellington, WTP Superintendent, 561-753-2465 - Carlos Torres, Orange County, WTP Supervisor, 407-254-5405 - Richard Anderson, Peace River Manasota, Operations Mgr., 863-993-4565 - Mike Vernon, Indian River County, SO RO Plant Supervisor, 772-770-5069 c.• + � . y�.}F.ACTURE S,Qp U � }pIO Q� Q D ,i E Y .:,.. OSHA's Form 300A Year-20 ! _ Summary of ar -e.lated Injuries and Illnesses U.S. DepaAment of Labor - 0o oesfonai Sa racy and Health AdmM armnon Form spprov,d OMB — 121a-0126 Alt eslatiishments covered by Part 1904 must complete this Summary page, even if no wort -related injuries or illnesses occurred during the year, Remember to review the Log to verify that the entries are complete and accurale before completing thissummary. Using the Log, count the indi✓idusl entr,'es you made for each category. Then write the totals below, making sure you've added the entries from every page of the Log. if you had no cases, write T, Employees, former employees, and theirrepresentatrves have the right to review the OSHA Farm 300 m its entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR Part 1904 35, 0 OVA's recordkeepiag rule, for Further defaits on the access provisions for'these forms. r Total riumber,Qf days of Total number of days job transfer or restriction away from work ►.J Total number of .. . (M) 0(1) Injuries 0 (4) Respiratory conditions o (5) Poisonings 0 (2) MusaJoskeletal disorders (6) Hearing loss cases 0 (3) Skin disorders QAll other illnesses U �22 - Post this Summary page from February t to April 30 of the year following the year covered by the form, It Public rep ortiag burden for this collection of infomaaon is estimale'd to average 50 minutes per response, mcicd'cng acne to review the instructiem, search and bar the daG ceeded, and wmplete and review the eallecaoa of id —me — Persons are not required to rerpood to the collection of information unless it displays a cusready valid OMa' trot number. Ifyou have any wmmmta shout dsue estimates ar any other upects of Bair data collection, coat cn US Dcpamnwt aCLabm, OSE3A Ogee oC S atia lioosn N�6:4, 2l1Q Co sgtution Avenue NW, W=bingten, DC MIC7. Do not send the completed forms to L office. te'sfapnlbsianeerct 6rrfrprspp ggey y�,1Yttf_F3Ye.Y.a to r ing Coo Vnvr.seadits»merit n.me 1-484 Ma.S'[�S`arn nlT1PVard Street Tampa, FL 33619 City State _ ZIP a Industry deecriptiaa (e g-, lrI¢rzuf ctuz ofmolar!"'l,, trailers) Standard Industnal Clmlfsrsticn (SIC), if known (e.g., SX 3715) Employment information (Iflou don't have these figures, lee the Workthaet on the back of thispage to eseimatt.) Annual average number of employees' TKO Total hour worked by ill employees Last year Sign hare Knowingly falsi£ping this doccamezai mazy result in a fine. I certcy that I have ed this do nt and that to the best of my kaovdedge thee are cctuate, complete. mpvry --H ne�es Phone Dare - - OSHA's Form 300 Lag of Wank- elated Injuries and affnesses Attertflon, This form contains information relating to employee health and must be used in a manner that I protects the confidentiality of employees to the extent Year 20 L possible while the information is being used for U.S. E?epatrfrnent of L,ab,:,e occupational safety and healt`1 pur uses. oeeupcern w sa�rr:�d rte> ee, ad,rdnlst a7fnn You must record information about every work -related death and about every work -related iniury cr illness that involves loss of conscrousness, restdcled work activity or job transfer, days away from work, crniedical treatment beyond Arst aid. You must also record significant work -related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work -related infuries and illnesses that meet any of the specific recording cr ieria fisted in 29 CFP. Pe. 1904.8 through 1904 18. Feel free to use two lines for a single case d you need to. You must complete an Injury and Illness incident Report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. if }route not sure whether a case is recordable, calf your local OSHA office for help. c— Eaniepc,:': same ..oh title Detc ofitit 7 Where na a t.—d Des¢ib•- iajary ar lamss, parts ofbody z6ected, u' no. - , (q-, 117.tder) or owet (e g., Load hg dce� n&rth cod) and. object,`=bsfance Cam± directdy iarsed >� or a74aesa or =.de person III (,.g., Sawrid degree buns on ght fore¢ mJ`° n ¢cctytme Lvrr J NyN51 r mon•Nd — montr day monthlday , mwL monWday mamveay mony monwd ay • —ttAay mcnwdey many n»n� Fenn .pp ray.d OMg no. I�Ia-ti l7fi EsrabOshrerd namev�y �� 0 Ciry Statd,�,-/�., ants Eh- numbe oer ""i' dayer the r,,j.r.d r CttecK'rhs 11) ..ork.r w .' choe.;_ Oajoh Away n-easfer from or retmicdoa wodc (K) (L) —days ,_days ,_days —days —days —days days —days days _da}z —days _days days' days —days _days ." i1 � ,. �.'•.yr, �aJ 'r" _ V.i _:�'s�tl�L,.�,#•Tit��r �v .�L'''4'-.4�":n`„r�� days —days ,.ti_. ;�r;•_:; rr• .r,c zsa? {—'�.ti�l . �1 —days _dz m �L — monlhrday ' Paga f!%2alsA Q '_S._L � . ..;� � � �"•��::0. � � l For lids epBe surd to transls these totals to the Summate page (Farm 300A) before you post rt. a -2 _ ' 3 i Public rorting 6rsrden mC�on ¢finforenadon u utimand be 1 avra�4,miouas per c-cpoose, including time to review a the tmrnsmona, search eed pther the dam needed, and complete and txview the etsllec(ion orinFomtadoa Persons am not rcgvirzd _ 3 �- 5' z � a LC respood to the collet ion dinfosmadon unless it displays a i—idy valid OMB cmtrnl number. Uyon kuve any wmmeoss T, . S about throe mdrnua or tmyether aspeecs of dsls daraco0eedon. ceonce US Dep—ew ofLhor, OSHA Office Roam N-3844. 2rM Coasri¢.don Ayem,r, NW, We4d.S—DC 20210. Do eat send the templet-d r.— t¢ this ofice. Aae. / sd (7) (2) (3) (4)r (5) (e) M SHA's Form 300A oummary"of Work -Related Injuries,•and, 1 All establishments covered byPart 1904 must complete this Summary page, even if no work -related Injuries or Illnesses occurred during tha year, pemembef to review the Log to vn0y that the entrias am complete and accurate before completing Usrs summary. Using the Log, count the indwlduai arlWas you made for each category. Then wrls Use Totals below, making sure you've added the anMes Bail every page a the Log. If you had no cases, write 110.' Errieloyses, former employeas, and their mpresentaU•ves have the right to review the OSHA Form SO0 in its entirely. They also have limited access to iho OSHA Form 301 or Its equivalent Sao 29 CFR Part 1904.35, in OSHA's mcordkeeping rite, for Nrther details on the access provisions for these forms. Total number of Total number of Total number of .- Total number of deaths cases with days cases with job other recordable away fromwork transfer or restriction . cases M Ail Tot�l;putrYbetdays of Total mmmber of days ' • . job hanefer or restricion away from wort (K) (L) injury and fitness Types Total number of.. . (M) 1 Injuries d (4) Respiratory conditions 0 (M Poisonings } Musculoskeletal cisorders (6) Hearing loss cases Skin disorders U (7) All other illnesses Post this Summarypage from February 1 to April 30 of the year following the year covered by the form. Public reporting burden for thi, mUeciea eriaformadoa Se eedmated to avenge SC advoto per respome, including lime to review LSe instructions, e h and er the datineeded, end eonopte:,! and re'vkw the collec6en of iorormnUi Persons are netre4eired to respond to the mllecdm cf i>af r tJ= wiry St dWxy, a cnaeody vslld 01a onto', numbu.lf you heve eny corna,eae aheatrhe>«tim.te, or eay e+ber e.,pertr of thir date mlleceo>S coaece LfS pepsstmentofl�har, OSHA O®ee eE5rae6tln Anom N�6ii, 4CC Ca 'lotion Avmue, l�'11; Wutington, YearJ20.1: D®gartment,of1, o� `. ..... rorA ,ppr,ved OH.S. ee..11U b176' Establishment infosrltib2iR%ey Ma'hl]factZ ring Co. . .�..t.ar,,...t.. , 1484 -Massaro ulevard Street Tampa, FL 33619._ ... City Slate _ zip-.. Indn,try desaipGea (cg., llfan nofmofor [rook rrsrs) Standard lardu�atdal Laassificatloa ,srq, inmown (c g., SIC 3715) Employment information Wfyou ifors't have thare figures, see Li': WorFslteet on the back of thin page M eseimat&) `` ,, `'Y l0 _ Arvoval avesage number of mpigyfes, Total bone w rked by all employers',art yea 1 U 0 5 .* Sign here - Knowiregly falsifying this doclrment'n yrasrzt in a fine. - I certify that I bave exam!ned this do anti that to the best of my Zd efive; an complete.eaewe - s. .. tbwe one Attention: This form contains information relating to CSHA's.'Form 300 employee heal and must be used in amanner :hat Ye and 'Log.. of Work�Rdlat6d hijunes-'a '111nes4es., protects the zcnMentiality of employe?s to the extent poss<�!e �vhlle the-jnfbnatiq�,Is being used.for...., UPS a e der S -aria,`h? 8ig' cccupaf64 �fet� aif !.d Hem! You mustreccrd Wormstion about eve ry vvork�ilaledf death andabout eve work -related ZnfLmycf illness Mar inivtirgs loss ofconscicusness, rastjcted 'wwkFncm 3-vJ2 17 days away from work. ormedicarILrestrrmrprboyond first aid. You must sin record signirwat work -feinted injuries and Anessas that are diagr!ps by a Oysholanor Alcansed hedth care professional. You must also record work -related onfunas aid illnesses thatmeat any of the specific recording ci*larfarisfed irr'29 CFR.Pant 1904.9 119MIgh 1904.72 Feel Free to usepwo finas for a single cam 17you naed to. You Mutt COMphOtO an irfty Report (OSHA Farr� -V 1) or dquMLLnt b1h lcr'each pjury or 6hoss raccread on Mis 7. Tom. Ifyou'r e trot sure whethera caw is recordable. calf your focal OSHA offics forhaip. Id6nfify the Person Describe the case CMss.Tk the case (A) (B) (F) row. ip. -d.y. I./ ... d job tide yn_ the p%,b'ofbc;dj C2ft F—playees ibe =— w ­k" W,&,r) w=ct rag, LvadiV dad wra m4 andabdi mbsthn"d:*WkecfbFinjwred Or a%we r —,k n� NO V) (K) 777 W.. _d-y� dp �,y. Y 7— M .7 —d pag. of 1, admwd t—wag, i4.Lbuet q na—.d— .I— Lt,5,pUy. .--dyv.Ud O?a—bl —6—Ify" have -y-- S ab-m,he,e odxwcs¢r any other apeca vfti.4ss wens US Dtprmme oflaba¢ OSHA Ogee of5mfi3da 12) (1 (3) (4)(5) ?SHA's Form 300A Year-201 9 summary ®f Work -Related Injuries and Illnesses U.S.DeparbnentofLabor t Occopallonal Safety au! Neaflh Admtnfs_tretron All esrablishments covered by Part 1904 must compfale this Summary page, even 1f no worlr-refaced !njuries or illnesses eccuned during the year. Remember tD review the Log fc verffythal the mines are cnmpfels andaccurate bafore completing This summary. Using the Log, count the Indfv:dual anlriesyOU made for each cafegD.y Then write the Weis below, making sure yoube added the eritnes from every page of the Log. ff you hao ro cases, write "0." Employees, farmer employees; and their represema6ves have the right to review the OSHA Porn 3110 in its enlifery- They also have tWed access to the OSHA Form 301 or Ps equivalent. See 29 CFR Part 1904.35, to OSHA's rscordlteeping rule, for further delahs on the access prcvisi❑ms for these farms. Total number of Total number of Total number of Total number of deaths eases wit]: days cases with job other recordable away from work transfer or restriction cases t- Total number oPdays of Total utunher of days job transfer cr t'estricticn awvajy from work o —1 I (lq Q Total number of ... M D Injuries (d) Respiratory conditions (5) PD15D➢1RgS �-- Q Musculoslteletal disorders D (s) Hearing loss cases 0 Skin disorders O M All other illnesses O Y4. Past fbis Summary paga from February I to Aprir 20 of the year foftoWlgg the year covered by the fort. Pubfrt repmtingbuMm for 0ds telleedan of lnfomu lion 3 esdmnled to average 511 minutes par resporue, inrJ.ding Lime m revi— the instractions, search and�+ t1+er the dau needtc; and complete and acvi— the .portion of information. persons art not required to respond to tha collection or infattnadon urdeu it etTlays a esrm0y va11d Olvjg Wool nomba. If you have any to—'ZI, Whom thm estirtw. or arty A- riper orthls data oaRndan, contact US Department of Labor, asliA Once or stiti ti. Room N-3644, 200 ��sr s on Avmu� NW, zh'ashiagton, Form approved OMB "o.:t19-a179 PStablishmenf informafion Odyssey Maxlufaetv--:7-g Co. Yovresttb7lshment name aa T Street ��na�7��. • ti` City State ZIP Industry destripCon (eg., Manvfaratre afmo[ar hark [rmlerrJ �I EAG!-i f�'11afV C.l 4=Ct G�' ll�r`� - Standard Industrial Classification (SIC), iflcnown re.g., =3775) Employment information (lfyoa don[ have Lhere frgures, roe the Worfahed on the back of fdtpage fo estimak.) A=wl nvntage number of employees Y(o Total �oursworkecbyall erap!oyees!astyeaz 67-! a- Sign here Saowingly falsifying this document may result in a fine. I certify tha•,I have examined ibis d wit and that to the best of my ;32,1 atbls are arCn to and complete. Cmnpury a' ve ]tile ['hone Dme - OSHA's Form 300 Log of Work -Related Injuries and Illnesses Attention: This form contains information relating t employee health and must be used in a manner that protects the ccnfidentiality of employees to the extent possible while the information is being used for occupational safetv and health ur oses. You must record infolmatioa about every work -slated death and about every work -related injury or illness that involves loss of consciousness, astrfcted work scfivlry or job.transfer, days away from work or medical treatment beyond first aid. You must also record signilirant work -related 'injuries and illnesses that are d+agnosed by a physician or licensed health care professional. You must also record work{elated injuries and i➢nesses that meet any of the specific recording criteria listed in 29 CM Part 1904.6 thrcugh 1904. iZ- Feel free to use two lines for a single rase if you need to. You must complete an Injury and illness Incident Report r0SHA Form 301) or equivalent form for each injury or ifness recorded on this form. If you're not sure whether a Case is recordable, call your local OSHA office for help. (A) (6) (c) (o) (a) V) Cue Emp1o7-1, name job title Date ofiajmy Where the eveat ocommed Describe injm7 or Mnes:s, parts of body affected, ao. - (e.g,, Wilda) or onset (e.g., Loading dock oarth cad) . and object/substance, that direcEy ingtred of mne ss or made person 0l (e-g., Second degree burru'ori right forearm from acctylene torch) IMEN& "DRIy,R f in� si0.-E'lDn 14'q• DJa DRltft;•R-• wear f23 0..1. 1-he. 8l ereh THn KS marweay ' mortrVday —. momweay , . manwdey - �1_ agwaay f. -monweey M-Vdey. . . mommeay" monwdey �L manRldey " �y. manweey. . �1J2S kShOv.IC1F.12-.rii41i7Zr•riln fen H2oK� t i'VtST PIC" do C�'BbcI4 5P��5Frci � 6(z n 0 Year 200 9 US.'Department of Labor Occep.110 l Safety and Fifth Adretnlsrneen' Fenn rppreved OMB'•re. t'!IB•0I>fi F.afebristvhenrname Go I �.L' Xis t r I�% 11(! F71:��f ��M Entnr the numb ar of days Na 7nfared or Ili worker w Onjob A y q fv fmm or restricnoo work (Iq . (L) i _days 5 days _days �t �yS r� I —.dare 6`{ �p • _days _days •,•--days .—days _days _days days —den , days ___,_days' ____daYs -days _days ,days days _days days days days _days Page totals . �, ee aura Iv baashrNrvsa 1ntals b the Sauey page f "300A) betae you pmr R Publk ret ling burden for dill milmtioc of mConsadou isesdmued'n avtr p 14 m es per cesptlme indu&ng rare to review - _ . 9 the lnstrur 6,m4 search and galhec the due needed and complete and review tye wDecdeo eC�formadoa. Penoa+ are nor r r — _ g a' ZE to rerpond Co the mllecdon orinrarmadon unless it dtplays a cunendy+ lid OMS eontrol number. ifyab save my eo zee Z' about these wainaxs or myna= aspectsof the due mllecd—.m t US Deparanmt of Lbm 05HA Office of Starisde oom dN-56.41.200 Consdmdon A.mue,NW,Washingttt DC 20210. D'ono —tithemmpleud farms to this office. 1'aa• er_I (1) (2) (3) (4) (5) (6) (7) HA's Form 300A j immaary "of Work -Related Injuries and III l establishments covered by Part 1904 must complete this Summsry Raga, even It no Mrk-related rnjufies or 111resses occurred during the year. Remember to review the Log verity that the `entries are camplate,and accwate before oo npte& g this summary. lsfng the Log, count me Inc dtail enfies you made far each category. Tian w ice the touts bebu; making sure you've added the entries from every page of the Log, If you I no cases, write '0.' _mptoyaes, tomler employees, and their representatives have She right io review the 05HA Form 3C0 in its enitroty. They also have limited access to the MHA Form W i or equivalent• See 29 CFR Part 1904.35, to OSHA's recordkeeaing rule, for further details an the access provisrons fa these forms. )tal number of Total number of Total number of Total number of laths cases with days cases K1t11 joj�— 1 other recordable away from work transfer or stricti cases fG} (H) a. 'otd xi' er -q: f Total number of days lb transfer or " t ch away from work Injury and Illness Types 'atal number of. (M} njuries � (d) Respiratory conditions (5) Poisonings Qusculoskeletal disorders © (6) Healingloss cases b skin disorders pl AB other illnesses gust this Summary page from February f to April 30 of the year following the year covered by the form, ublic reporting burden far the eotlecrom of informi6on is estimated to average 50 minutes pn nspensa iii6sdtngtime to review the snstsstedons, aearcit and lather the data nesdad, and omplete and review the ctl enta e ealleoo otiniormstim. pentim are rat required to ratpond to the coliccdon o[mformatlon unlen it dispGya a evmntly vabd OMBTjf�,�trot numher.ltpnu have any ammabout these asdmatn or any other aspect+ orrhi. du eor.ecdon, eontact: Us Department or iAbor, OSHA OHrce of ShWa Room N•3644, 2W Ga Utadan Avenue, NW, Washington, Yeer•20,0 U.S. Department pf l abor aecut atlona! Sall , hod N.alth Admin(atrs n Perin .pp —lid OMB — Establishment In ation Mussey Maxaufar—tux n-aCo. Yaur+atsbaahment narnr LL Street Tampa FL 33619 City Sbte _ _28 Indmtry description feg"Manujoambfmaoruvekiraikrr) ' Stt�aa a lnanstral caas,ir uo:s {SIC), if known (kg., SIC 3715) Employment information (7fyou don't have Chad figurts, see the Work6eet on flit bark of thispaga to utiraale.) ? ' Amtial averge mitriber of employees C7 Total hoses worked by all employees last year sign here, Knowingly falsilyuag this dom=eat may result in a fine - I cerfify that I have exa—ed tills d9ware—nm that to the best of t:ry ' lmos�thta d mplpet�e-.- vlG pny mcmrs ) Tide c+ thane �3 Attentipn, This form contains information relating to )SHA rS FOrm 300 employee health and must be used in a manner that protects the confidentiality of employees to the extent Year 20Q Log of Work -Related Injuries and lllnesses possible while the information is being used for U.S.-De artment of Labddr Occupational safeand health ou oses. nett,�tlours�t.gpdnl.�w,aanla>i, vIn oumust recordln(wmationabout every rwrh-reiateddeath and about eve bait -related in' or Fom,pym.eaonse,atiia•nga every ryry (vas loss of consc ousness rzstr cted work acBvTly or, job;hansfar, Pays away from work, or mescal treatment beyond first ad You must also record significant work -related iniuries and illnesses tha f are da0psed by a physician or licensed health i are professional. Yc& must also record work -related injuries and !finesses that meet anyof the sped c recordng rimer @ fisted in 29 CFR Part 1904.8 thrc j h 1904. M Feel free to EsratJs7 me a uvne— - se two lines for a single case y you need la You must complete an Injury and filnes5 Incident Report (OSHA Form 30!) or aoukNent foim for each injury or Kress recorded on this ry~ �"� � you're - call yyfy local OSRA bf!!ce for help Drrn. If u're not sure whttfher a ease is reeadatrle, tte • Identify the a :A) (a) person cc) (D) . ' ..(� . • �' ! ' : cat.1 th. nttmb.e I �,a. aucv�e8prra CA 1 C daYs th. ('1—.d or. ;_a Fanploy-ee'aname ,rob title Dsteofinjtal .When theve—toe=—.d Destri lri��assp�OriIIACSS,pertlOSbOdrR$etbed� i'�U'�11!1osr�+.sriov"sdfssufeybif;•iacWX _41 ,.ttlzrerk.rr.ar eNo�oiea•!y'.'r.- .• -_•pss r. ,-' to. ',fag. Wddrr7 oe oneet - (r.g-, Laadmg dock north aid) and o�jeet/ralc'taaa +kat directly ntjttred - 7 * ®®� ' of illness .. or.maIIe pe=n >n . ; , . - t , On job . Aw�Y a• ' 5 .. (e_g., Second degree btanr 'm r{& forearm from aetyLme tarde) ? - . •ei�lkDtb' tntader from DRiveQ Q = 0 or tesnicdoa work Cl ins (C' Icy, a3 rkir, `5 4 ' days d,y, — _ any] memavday _days _drys <` npM Noy K rnmtNday -it � � sere —days maDwd.y', a ._._L...r 'i � f'. •+,.. Jaya _days :.' �F • - days days monwttay ,�- ,y• Y' ,,.y .., � :.ky.:trj;;,,�;� - .. a montYtley jlif. ,:.y _Pn.__—_"----- .ti:5.�.1'Je, ��s.;l^•r �'"`)digr 'L.tN te�1-r'•z my�t,vodmy Page totals' —� - 4y .� ► o �.��o.:.� .� 'ublic reporting burdenfor this colleedon of lnformzeon is es imared to average 14 minus per tm"nm includ-irg time ta'rrvl w er sun to trrnafaf erase tomes to the Summery page (F— 300A! hekrs yov past it Z T. a c 5 �� $ &9 $. he inztruafdrn, rearrh and gather the data Deeded, and complete and teWew tht collection of infortnadoa. Persona an not requvad � � � � y •`5 ta o tapond to the ee➢ecden of ielomta6on calm ie displays a eDrtatdy t•did 0 0 control mtmber. f you have my wmmeao _ . S rbmtthemesdm oranyorb—pert,oftblsdaucollecdon.cooaceUSDgwonentorLbor,OSHA Office 0MVIstim", Loom N-36K 200 Comdmtinn Aveou , NW, Wohfngmn. DC 2D210. Do not smd the completed forms to thu of6m r.y.1 er� (1) (2) (3) (4) (5) .(g). (7) OSHA's Form 300A cRev:0112004) Summary. o .. f elafe &.Injuries and Illnesses AR establishments covered by Part 1904 must complete this Summary page, even dno work -related injuries or illnesses occurred during the year. Remember to review the Lag to vemy that the entries are complete and accurate before complertrlg this summary. Using the Log, count the Individual entries you made for each category. Then write the totals below, making sure you've added the entries from every page of the Log. If you had no rases, write "0." Employees, former employees, and their representatives have the right to review the OSHA Forth SOO in rIs entirety. They also have limited access to the OSHA Form 301 or its equivalent See 29 CFR Part 1904.35, in OSHA's recordkeeping ruie, for further details on the access provisions for these forms. Total number of Total number of 'Ibtal number of Total number of deaths cases with days cases with'job other recordable away from work transfer or restriction cases C �n Q (G) (H) (1) . . . (d) Number of Days Total number of days away Total number of days of job from work transfef or restriction O (K) l (L) injury and Itiness; Types Total number of... y {1) Injuries (4) Poisonings .. d, (5) NearIrrgloss, ". (2) Skin disorders (6) All other illnesses (3) Respiratory conditions _0— Post this Summary page from February t to April 30 of the year following the year covered by the form. Public reptnring burdC for L1,4 eoaetti.. 44,11e- don'i, estimated ro avenge 50 mtn per ons respe, iPchuding Lime td'-A— the itmn-iti n and d gadie, the data needed, and eompleie ind review the Collection orinrii mation- Pewees ere now mq,dr d to respond to the mlleetion orinfwmadon unles it d4l p a currently valid OMB mot-F—ber. Try.. have any oomm hoes th th is rth' dao II i e —es. US D arunent of tabor OSHA Offia ofSndsdtal Anal is Reem N-MM 200 Con davit n Avenue NW Year 200 U.S. Departinent'ol ooettpatfonat saf y and Monlih adrrrf Farm approved OMB na. Establishment information M your a.:aanshmenf n.m.�f• /y / v I >� Mu sezrv�l u� thdust-y dexripdon(eg., Manuf rr of marnr took Ira i } - � rr = or n Smndard In Classifiadori(SIC), ifimown (e.g., 3715) a OR - Nortli Amerihn•lndustnal Cl—' ifimtion (NAILS), ifkncwn (e.g., 336212): - Ehiployment information (Ifyau den hen. ilt�ejgn e, sre the 'Tf6r*ritect'on tlu Gerk ofthiipagc la_utimare-)', - ' =ual merage aprnber ofcmpleyecs' Top] hours worked by al[ employees, last year Sign hemp I{nawinglyfalsifying this clocuniene may result in a fine. I cerdfy.tb iel have earn ned tivs document and, that m the; besto F iry Imowledge the rntncs arc true, ac c complete. war ram �7�pv 3 `s / fro Ica enoa t ere eamaworanya eratpx a n eo ee, N ep ys . Washington, DC 20210. Do not send the mmpleted Forms to this otfim YI ODYSSEY MANUFACTURING CO. MATERIAL SAFETY DATA SHEET REVISED 4/12/12 SECTION I CHEMICAL PRODUCT AND COMPANY IDENTIFICATION ODYSSEY MANUFACTURING CO. EMERGENCY RESPONSE NUMBER: 1484 Massaro Boulevard 1-900-ODYSSEY (FLORIDA) Tampa, Florida 33619 1-813-635-0339 (OUTSIDE FLORIDA) 1-813-635-0339 (24 hours) 1-813-340-9093 (Control Room Cell Phone) SUBSTANCE: SODIUM HYPOCHLORITE TRADE NAME: Ultra-CHLOR CHEMICAL NAME/SYNONYMS: Sodium Hypochlorite Solution, Bleach Solution, Bleach liquor, Hypo - solution, Bleach, and Liquid Bleach. CAS NUMBER: 7681-52-9 CHEMICAL FAMILY: Alkali FORMULA: NaOCI DOT PROPER SHIPPING NAME: Hypochlorite Solution DOT HAZARD CLASS: 8 (Corrosive) PG III; PG 1I (For solutions greater than 16% available chlorine) DOT IDENTIFICATION NO: UN 1791 RQ: 100 pounds (Approximately 100 gallons of Odyssey Ultrachlor 12.5 Trade Percent Sodium Hypochlorite) DOT EMERGENCY GUIDE NO: 154 SECTION 11 COMPOSITION INFORMATION ON INGREDIENTS INGREDIENT(S): Sodium Hypochlorite (NaOCI) 10.0 - 15.0% wt Salt (NaOCI) 6.0 — 8.0% wt Sodium Hydroxide (NaOH) 0.2 - 0.4% wt Water (H20) 76.6 - 83.8% wt SECTION III HAZARDS IDENTIFICATION NFPA CLASSIFICATION (SCALE 0-4): Health-2 Fire=0 Reactivity—] EC CLASSIFICATION (ASSIGNED): C (Corrosive) EMERGENCY OVER VIEW COLOR: Yellow PHYSICAL FORM: Liquid ODOR: Chlorine Odor MAJOR HEALTH HAZARDS: Respiratory Tract Burns, Skin Bums, Mucous Membrane Burns, and Eye Irritation HAZARDOUS MIXTURES WITH OTHER LIQUIDS, SOLIDS, OR GASES: Reacts violently with acids liberating chlorine gas. Also reacts with organic substances. Reaction with water is not exothermic. POTEN77AL HEALTH EFFECTS Page 1 of 6 INHALATION: • SHORT TERM EXPOSURE: Irritation to respiratory tract. May have same as effects reported in other routes of exposure, burns, blisters, nausea, difficulty breathing, and lung congestion. • LONG TERM EXPOSURE: Same as effects reported in short term exposure. SKIN CONTACT: • SHORT TERM EXPOSURE: Irritant, reddening of the skin. May have burns, blisters, and itching • LONG TERM EXPOSURE: Same as effects reported in short term exposure. EYE CONTACT: • SHORT TERM EXPOSURE: Irritation (possibly severe), possible eye damage • LONG TERM EXPOSURE: Same as effects reported in short term exposure. INGESTION: • SHORT TERM EXPOSURE: Burns, vomiting stomach pain, disorientation, bluish skin color, convulsions, coma • LONG TERM EXPOSURE: Same as effects reported in short term exposure. CARCINOGENSTATUS OSHA: N NTP: N IARC: N SECTION IV FIRST AID MEASURES INHALATION: Remove from exposure and get fresh air. Use a bag valve mask or similar device to perform artificial respiration (rescue breathing) if needed. Keep warm and at rest. Get medical attention immediately if artificial respiration is required. SKIN CONTACT: Remove contaminated clothing, jewelry, and shoes immediately. Flush affected area with large amounts of water, preferably a safety shower. Use soap or mild detergent and large amounts of water until no evidence of chemical remains (at least 15-20 minutes), For bums, cover affected area securely with sterile, dry, loose fitting dressing. If skin is burned, get medical attention immediately. EYE CONTACT: Wash eyes immediately with large amounts of water, occasionally lifting upper and lower lids, until no evidence of chemical remains (at least 15 minutes). Continue irrigating with a normal saline solution until ready to transport to physician. Cover with sterile bandages. Get medical attention immediately. INGESTION: Rinse mouth with water. Drink large quantities of milk (water if no milk is available). Milk of magnesia may be helpful. DO NOT USE ACIDIC ANTIDOTES SUCH AS SODIUM BICARBONATE. When vomiting occurs, keep head lower than hips to help prevent aspiration. If person is unconscious, do not induce vomiting and turn their head to the side. Never make an unconscious person vomit or drink fluids. Get medical attention. NOTE TO PHYSICIAN: For inhalation, consider oxygen. For ingestion, avoid gastric lavage, emesis, sodium bicarbonate and acid solutions. Consider the use of antacids. SECTION V FIRE FIGHTING MEASURES FLASH POINT: Non-flammable FLAMMABLE LIMITS: Non-flammable FIRE AND EXPLOSION HAZARDS: Negligible fire hazard. Toxic fumes can be liberated by contact with acid or heat. EXTINGUISHING MEDIA: Regular dry chemical, carbon dioxide, water, or foam suitable for surrounding fire. For large foes, use regular foam or flood with fine water spray. FIRE FIGHTING: Wear sell -contained breathing apparatus and full protective clothing. Move container from fire area if it can be done without risk. Cool containers with water spray until well alter the fire is out. Stay away from the ends of tanks. Use extinguishing agents appropriate for surrounding fie. Do not get water directly on material. For large fires, flood with fine water spray. Reduce vapors with water spray. Apply water from a protected location or from a safe distance. Avoid body contact or inhalation of material or combustion by- products. Stay upwind and keep out of low areas. SECTION VI ACCIDENTAL RELEASE MEASURES Page 2 of 6 OCCUPATIONAL RELEASE: Do not touch spilled material. Stop leak if possible without personal risk. For small spills, collect spilled material in appropriate container for disposal and consider absorbing with sand or other non-combustible material (e.g., do not use sawdust or other combustible material). Be advised, however, that the use of absorbing material is creating hazardous waste and this absorbing material must now be disposed of properly. Collect spilled material in appropriate container for disposal. For small dry spills, move containers away from spill to a safe area. For large spills, dike for later disposal. If possible, do not allow material to enter sewers, streams, ponds or storm conduits as concentrated solutions will seriously injure aquatic life. Keep unnecessary people away, isolate hazard area and deny entry. Contain in as small an area as possible, such as a holding area -for dilution and neutralization. Contain spill in plastic drums when available. Dispose of in accordance with Federal, State, and local regulations. Personnel engaged in cleanup operations must be equipped with NIOSH approved respirator protection, rubber boots, gloves, and clothing to avoid body contact. Reportable Quantity (RQ): 100 pounds (approximately 100 gallons of Odyssey Ultrachlor 12.5 Trade Percent sodium hypochlorite). In the event of a spill (e.g., defined as any release to the environment), call Odyssey Manufacturing and/or the emergency contact numbers as soon as possible for assistance. For releases higher than the Reportable Quantity (RQ), you must notify the State Emergency Response Commission (U.S. SARA Section 304) at (800) 320-0519AND the National Response Center at (800) 424-8802 or (202) 426-2675 (CERCLA Section103) witiiiit 15 niintites. Sometimes they will communicate with each other BUT DO NOT DEPEND ON THIS! ADVANCE PLANNING: Plan in advance for an occupational release and have necessary equipment and neutralization agents on -site, Contact Odyssey Manufacturing for assistance. SECTION VII HANDLING AND STORAGE Store in vented, closed containers that provide protection from direct sunlight. Keep separated from incompatible substances and do not store near acids, ammonia, heat, or oxidizable materials or organics. When handling, do not mix with other cleaning agents that may liberate chlorine gas vapors (e.g., acidic agents). Store and handle in accordance with all current regulations and standards. SECTION VIII EXPOSURE CONTROLS AND PERSONNEL PROTECTION EXPOSURE LIMITS: 2 mgfm3 A1HA recommended STEL 15 minute(s) for Sodium Hypochlorite VENTILATION: Provide local exhaust ventilation system. Ensure compliance with applicable exposure limits. EYE PROTECTION: Splash goggles are preferred to a faceshield. Another option is to wear splash resistant safety goggles with a faceshield. Provide an emergency eye wash fountain and quick drench shower in the immediate work area. CLOTHING: It is recommended to wear appropriate chemical resistant clothing to avoid body contact such as a rubber apron or rain suit. Boots are preferred for footwear. GLOVES: Wear appropriate chemical resistant gloves. RESPIRATOR: Under conditions of frequent use or heavy exposure, respiratory protection may be needed. Respiratory protection is ranked in order from minimum to maximum. Consider warning properties before use. • Any chemical cartridge respirator with organic vapor cartridge(s). • Any chemical cartridge respirator with a fall facepiece and organic vapor cartridge(s) • Any air -purifying respirator with a full facepiece and an organic vapor canister • Any supplied -air respirator with full facepiece and operated in a pressure -demand or other positive -pressure mode in combination with a separate escape supply (Use for Unknown Concentrations or those that may be Immediately Dangerous to Life or Health) • Any self-contained breathing apparatus with a full facepiece (Use for High Concentrations or those which are immediately Dangerous to Life or Health) SECTION IX PHYSICAL AND CHEMICAL PROPERTIES PHYSICAL APPEARANCE: Liquid APPEARANCE AND ODOR: Clear - Chlorine odor like household bleach. COLOR: Greenish —Yellowish cast MOLECULAR WEIGHT: 74.44 MOLECULAR FORMULA: Na-O-CI BOILING POINT: Degrades at 230 Degrees Fahrenheit FREEZING POINT: 7 Degrees Fahrenheit SPECIFIC GRAVITY: 1.15 - 1.I7 at 60 Degrees Fahrenheit Page 3 of 6 PH: Approximately 11 - 13 VAPOR PRESSURE (mm HG): Vapor Pressure of water + decomposition product Vapor Pressure VAPOR DENSITY: Not Available SOLUBILITY IN WATER: Complete VOLATILITY: Not Available EVAPORATION RATE: >1 COEFFICIENT OF WATER /011, DISTRIBUTION: Not Available SECTION X STABILITY AND REACTIVITY REACTIVITY: Stable at normal temperatures and pressure. CONDITIONS TO AVOID: Avoid heat, flames, sparks and other sources of ignition. Dangerous gases may accumulate in confined spaces. May ignite or explode on contact with combustible materials. INCOMPATIBLES: Acids, metals, amines, combustible materials, reducing agents. Specific reactions with sodium hypochlorite include the following: ACIDS: Violent reaction. ALUMINUM: Corrosive action. AMINES: Form explosive chloramines. AMMONIA: Form explosive chloramines. AMMONIUM SALTS: May form explosive product. BENZYL CYANIDE (ACIDIFIED): Explosive reaction. CELLOLOSE: Violent reaction ETHYLENEIMINE: Forms explosive 1-chloroethyleneimine. FORMIC ACID: Explosive mixture. METHANOL: May form explosive compound. NITROGEN COMPOUNDS: Forms explosive N-chloro compounds. ORGANIC AND COMBUSTIBLE MATERIALS: Fire and explosion hazard. OXALIC ACID: Intense reaction REDUCING AGENTS: Fire and explosion hazard ZINC: Corrosive HAZARDOUS DECOMPOSITION: Thermal decomposition products - Chlorine and Hydrochloric Acid Vapors Decomposition Products - Hypochlorous Acid Vapors POLYMERIZATION: Will not polymerize. SECTION XI SODIUM HYPOCHLORITE TOXILOGICAL INFORMATION IRRITATION DATA: 10 mg eyes - rabbit moderate TOXICITY DATA: I gm/ kg oral -woman; TDLo; 45mg/kg intravenous -man TDLo; 5800 mg/ kg oral -mouse LD50; 140 mg/ kq/9 week(s) continuous oral -rat TDLo CARCINOGEN STATUS: According to the IARC, animal inadequate evidence, human no adequate data, Group 3 (Hypochlorite salts) LOCAL EFFECTS: Corrosive: inhalation, skin contact, eye, ingestion hazards ACUTE TOXICITYLEVEL: Slightly Toxic if ingested MUTAGENIC DATA: Mutation in [micro organisms - Salmonella typhimurium Img / plate (-S9); DNA repair - Escherichiacoli 20ug/ disc; DNA damage - Esoherichiacoli 420 umol/L; phage inhibition capacity - Esoherichiacoli 103 ug/ well; micronucleus test - non -mammalian species multiple 200 ppb; cytogenetic analysis - non -mammalian species multiple 120 ug/ L; cytogenetic analysis -- human lymphocyte 100 ppm 24hour(s); sister chromatid exchange - human embryo 149 mg/ L; cytogenctic analysis - hamster lung 100 mg/ L HEALTH EFFECTS: INHALATION ACUTE EXPOSURE: May cause severe bronchial irritation, sore throat with possible blistering, coughing, stomatitis, nausea, labored breathing, shortness of breath and pulmonary epedema. 10-20 mg/m3 causes burning of the nose and throat; 40-60 mg/m3 may be fatal. If sufficient amounts are absorbed, may cause effects as detailed in acute ingestion. CHRONIC EXPOSURE: No data available. Page 4 of 6 SKIN CONTACT ACUTE EXPOSURE: Extent of damage depends on concentration, pH, volume of solution and duration of contact. May cause redness, pain, blistering, itchy eczema and chemical burns. Sensitization reactions are possible in previously exposed persons. CHRONIC EXPOSURE: Effects depend on concentration and duration of exposure. Repeated or prolonged contact with corrosive substances may result in dermatitis or effects similar to acute exposure. Allergic dermatitis has also been reported. EYE CONTACT ACUTE EXPOSURE: May cause redness, pain, and blurred vision. Solutions of 5% splashed in human eyes have caused a burning sensation and later only slight superficial disturbance of the corneal epithelium which cleared completely in the next day or two without special treatment. However, one animal study reports a 5% solution causing only moderate irritation with clearing within 7 days. A higher concentration of 15% tested on rabbit eyes caused immediate severe pain, hemorrhages, rapid onset of ground -glass appearance of the corneal epithelium, moderate bluish edema of the whole cornea, chemosis and discharge for several days. Such eyes have sometimes healed in 2-3 weeks with slight or no residual corneal damage but they had neovascularization of the conjunctiva and distortion of the nictitating membrane by scarring. CHRONIC EXPOSURE: Depending on concentration and duration of exposure, symptoms may be as those of acute exposure. INGESTION ACUTE EXPOSURE: May cause irritation and erosion of the mucous membranes, vomiting (possibly bloody) and abdominal pain and spasms. A drop in blood pressure, shallow respiration, edema (possibly severe) of pharynx, larynx, and glottis, confusion, convulsions, delirium and coma may occur. Cyanosis and circulatory collapse are possible. Esophageal or gastric perforation and strictures are rare. Death may occur, usually due to complications of severe local injury such as toxemia, shock, perforations, hemorrhage, infection and obstruction. Massive ingestions may produce fatal hyperchloremic metabolic acidosis or aspiration pneumonitis. CHRONIC EXPOSURE: Sensitization reactions are reported in individuals who are exposed in small amounts through their water supply. High closes have caused sperm abnormality in mice. SECTION XII ECOLOGICAL INFORMATION ECOTOXICITY DATA: FISH TOXICITY: 94.0 ug/L 96h hour(s) LC50 (Mortality) Cutthroat trout (Oncorhynchus clarki) INVERTEBRATE TOXICITY: 31.6 ug/L 7 hour(s) 1050 (Species Diversity) Protozoan phylum (Protozoa) ALGAL TOXICITY: 90 ug/L 96 hour(s) LC50 (Mortality) Algae, phytoplankton, algai mat (Algae) PHYTOTOXICITY: 230 ug/L 35 hour(s) (Biomass) Curled pondweed (Potamogeton crispus) OTHER TOXICITY: 2.1 ug/L 28 day(s) (Chlorophyll) Aquatic community (Aquatic community) ENVIRONMENTAL SUMMARY: Highly toxic to aquatic life. SECTION X1H DISPOSAL CONSIDERATIONS Subject to disposal regulations: U.S. EPA 40 CFR 262. Hazardous Waste Number(s); D001. Dispose in accordance with all applicable regulations. SECTION XIV TRANSPORT INFORMATION U.S. DOT 49 CFR 172.101 SHIPPING NAME -UN NUMBER: Sodium Hypochlorite) - UN1791 U.S. DOT 49 CER 172.101 HAZARD CLASS OR DIVISION: 8 U.S. DOT 49 CFR 172 .101 PACKING GROUP: IIl (less than 16% available chlorine) / II (16% or more available chlorine) U.S. DOT 49 CFR 172,101 AND SUBPART E LABELING REQUIREMENTS: Corrosive U.S. DOT 49 CFR 172,101 PACKAGING AUTHORIZATIONS: EXCEPTIONS: 49 CFR 173.154 NON- BULK PACKAGING: 49 CFR 173.203 (less than 16% available chlorine) / 49 CFR 173.202 (16% or more available chlorine) BULK PACKAGING: 49 CFR 173.241 (less than 16% available chlorine) / 49 CFR 173.242 (16% or more available chlorine) U.S. DOT 49 CFR 172.101 QUANTITY LIMITATIONS: PASSENGER AIRCRAFT OR RAILCAR: 5 LITERS / (less than 16% available chlorine) / 1 LITERS (16% or Page 5 of 6 more available chlorine) CARGO AIRCRAFT ONLY: 60 LITERS / (less than 16% available chlorine) / 30 LITERS (16% or more available chlorine) SECTION XV REGULATORY INFORMATION U.S. REGULATIONS TSCA INVENTORY STATUS: Y TSCA 12(b) EXPORT NOTIFICATION: Not listed. CERCLA SECTION 103 (40CFR302.4): Y SODIUM HYPOCHLORITE: 100 LBS RQ SARA SECTION 302 (40CFR355.30): N SARA SECTION 304 (40CFR355.40): N SARA SECTION 313 (40CFR372.65): N SARA HAZARD CATEGORIES, SARA SECTIONS 311/312 (40CFR370.21): ACUTE: Y CHRONIC: N FIRE: N REACTIVE: N SUDDEN RELEASE: N OSHA PROCESS SAFETY (29CFR1SIO.119): N STATE REGULATIONS: California Proposition 65: N EUROPEAN REGULATIONS: EC NUMBER (BINECS): 231-668-3 EC RISK AND SAFETY PHRASES: R 31 Contact with acids liberates toxic gas. R 34 Causes burns. S %a Keep locked -up and out of reach of children. S 28b After contact with skin, wash immediately with plenty of soap and water. S 45 In case of accident or if you feel unwell, seek medical advice immediately (show the label where possible) S 50 Do not mix with incompatible materials. CONCENTRATION LIMITS: C>10% C R 31-34 5 % < = C <=10 % Xi R 31-36/38 GERMAN REGULATIONS: WATER HAZARD CLASS (WGK): 2 (Official German Classification) SECTION XVI OTHER INFORMATION For additional information, contact our technical service department. Infornation contained in this MSDS refers only to the specific material designated and does not relate to any process or use involving other materials. This information is based on data believed to be reliable, and the Product is intended to be used in a manner that is customary and reasonably foreseeable. Since actual use and handling are beyond our control, no warranty, express or implied, is made and no liability is assumed by Odyssey Manufacturing in connection with the use of this information. Page 6 of 6 C, .h _...... ..•..•_.k...•:. i�' •"' U(SSf,ICUbiHIGZ0IC1dVIM V1-4[u1GlVIraI-rnv1rctv"tlravrcevarI 1 RECKON 4 ATLA�t TA EEM'eFIAL• CE1ViEFt _ F'oljsrnH STRGE r 1614 AAo G ATLANJTA, QEOROK aaaa3-Bsao August 6, 2008. i 1*.I;faxviuRAes RECEIVED AUG � 3 �Dt�B OdysseyMamfart'n'ng Company - 1484 Massaro Doevard Tampa, Florida 3619 Com an SUBJECT: OdyssoyMan4acttm g P y Cla 6� Letter i Dear Mr, loses: This is a l tter of aclmowle gment that Odyssey Manufacturing Company has fulfilled tho conditions gf the Cons tit Agreement and Finial Order, Docket No. EPCRA- 04-2008-2037(b)� filed on July 3, 008. The U.S. Environmentdl Protection Agency, Region 4, Bmerg ` cy Planning and Community Right -to -Know Act Enforcement Sectigu. considers this wa ter olo=i Zfyo u have any gaesfions, please contact -Ms. Brika White: at (404) 562-9195... , Sincerely, ' Caron B. Falconer Chief, EPCRA Enforcement Section IntametAj, rsss(URL•)•.•ht1P:!/www.epagov RacycladlRocyrtablo .pdnlod WM VeOola is 04 [InAd Inks on Flecyclad Paper (MInknum A%Postaoammoj A C # -.-:1 'Y,2 1 / - . - -2-1.4 9 Go.-:lOB4-2 0 :.� .0 5 , -!2'0,b9 10,88,2 TATEOFfLORID A--, 7,,s�, F� BUS MNE9,t�'AND P;RO-F-tBSr ?luaTllIOW. INDU TRY-- ONAL REGULATION SEQ#L09052100875 jbe bw.-IS-QUALIFIED -titide A, -`p�.'b,0vf0ibns dfi-,-;Chabr 489 FS.- Expiration date: AUG 311 2011 (TRXS .-13- NO-T.--.k-LTCENSlE, TO PERFORM PERFORM WORK. THIS ALLOWS-., CQ -NES�S:., ONLY IF IT HAS:A QT-tAtIFIER,;-, PAftY V. b, - - Z-)i' co° , 7' FL'-31,919 'QHARLES;-,.w-.l DRAGO-- -SECRETAR y 'by Lk��l REQUIRED RE LA W' AC 620141-2,"'..", STIATEQF FLORIDA - DEPARTMENT 13 9ES- AND ROF8b T REGULATION :S-P USI S;TRU TTON, INDTTSTRY LICENSING N-G. BOARD{ SEQ#L12071300849 4- -X 0 57 The,,, P LU2Mt-INa, '60 TRAcT6 A . .. .... ct tlgb A CERTIFIED: under th6l-Pf'ovisi' s f-Ch Per 4a9 F S Expiration date: AUG. 31, 2014 -As vyY WING A -i"'D 71 D" ALbERT ODYS SEx--',mANUVA-,CT-tjAI d CO .9500 134 TH ` WAY NORTH: • SEMINOLE FL 33776 RICK . SCOTT GOVERNOR DISPLAY AS RLCjUIRED:BYL'A DETACH HERE KEN LAWSON SECRETARY DBPR - COGDILL, MICHAEL J; Doing Business As: ODYSSEY MANUFACTURING... Page 1 of I 9:21:58 AM 101412012 Licensee Details Licensee Information Name: COGDILL, MICHAEL I (Primary Name) ODYSSEY MANUFACTURING CO (D9A Name) Main Address: 3008 SAMARA DRIVE TAMPA Florida 33618 County: HILLSBOROUGH License Mailing: License Location: County: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business 1484 MASSARO BLVD TAMPA FL 33619 HILLSBOROUGH Certified General Contractor Cert General CGC1516698 Current,Active 01/23/2009 08/31/2014 Qualification Effective 01/23/2009 View Related License Information View License Complaint 1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida Is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your emall address released In response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. `Pursuant to Section 455.275(t), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Depar tment with an emall address If they have one. The emalls provided may be used for official communication with the licensee. However emall addresses aie public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chaster 455 page to determine if you are affected by this change. https://www.myfloridalicense.cone/LicenseDetail.asp?SID=&id=D4D 1 CA798C430AACE... 10/4/2012 Page 1 of 1 Licensing Portal - View Public Complaints Complaint Details 9:22:08 AM 10/4/2012 Below is a listing of public complaints regarding the person or entity selected. This may not reflect all public complaints filed with the Department; for example, all complaints against Community Association Managers (CAMS) are available to the public, regardless of whether any appear below, and may be requested directly from the Department. The Department is also precluded from disclosing any complaints which are confidential pursuant to Florida Statutes. If you would like a full list of public complaints against an Individual or entity or to make a public records request for complaints listed please visit our Public Records nape, You can search for public records pertaining to unlicensed activity complaints through an additional database by visiting our Search Unlicensed Activity Complaints page. For more information about CAM complaints, please visit the CAMS page. Name: Number Class Incident Date Status Disposition Disposition Date Discipiine Discipline Date No Complaint Information found. 1940 North Monroe Street, Tallahassee FL 32399 :: Finail: Customer Contact Center :: Customer Contact Center: 850AV,1395 The State of Florida is an AA/FFD employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records If you do not want your email address released In response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 1350.487.1395. "Pursuant to Section 455.27S(i), f lorida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S_ must provide the Department with an email address if they have one. The emaits provided may be used for official communication with the licensee. However email addi esses are public i ecord. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our chapter 455 page to determine If you are affected by this change. https://www.myfloridaticense.com/viewcomplaint.asp?SID=&Iicid=3918394 10/4/2012 www.stmbiz.org - Department of State Page 1 of 2 Home Contact Us E-Filing Services Previous on List Next on List Return To List No Events No Name History Detail by FEI/EIN Number Foreign Profit Corporation ODYSSEY MANUFACTURING CO. Filing Information Document Number F98000003732 FEI/EIN Number 650846345 Date Filed 06/30/1998 State DE Status ACTIVE Principal Address 1484 MASSARO BLVD TAMPA FL 33619 Changed 01/20/2000 Mailing Address 1484 MASSARO BLVD TAMPA FL 33619 Changed 01/20/2000 Registered Agent Name & Address SIDELKO, STEPHEN W 2910 LUCKIE ROAD WESTON FL 33331 US Officer/Director Detail Name & Address Title V/S SiDELKO, STEPHEN W 2910 LUCKIE ROAD WESTON FL 33331 Title P RAKES, MARVIN T 4515 BLUE MARLIN DRIVE BRADENTON FL 34208 Annual Reports Report Year Filed Date 2010 02/05/2010 2011 01/31/2011 Document Searches Forms Help http://www.sunbiz.org/scripts/cordct.exe?action=DErrFIL&incLdoe number=F980000037... 10/4/2012 www.stinbiz.org - Department of State Page 2 of 2 02/04/2005 -- ANNUAL REPORT f 02/02/2004 --ANNUAL REPORT 02/05/2003 -- ANNUAL REPORT r 03/05/2002 -- ANNUAL REPORT 01 /23/2001 --ANNUAL REPORT r 01/20/2000 -- ANNUAL REPORT 02/17/1999 ANNUAL REPORT 06/30/1998 -- Foreign Profit r 2012 01/17/2012 Document Images 01117/2012 — ANNUAL REPORT r View image in PPF format j 01/31/2011 -- ANNUAL REPORT p__. View image in PDF_format j 02/05/2010 --ANNUAL REPORT _ View image in PDF format _ I 01/21/2009 --ANNUAL REPORT View image in PDF format_ 01/14/2008 --ANNUAL REPORT r View image in PDF format A 01/0412007 -- ANNUAL REPORT View image in PDF format J 02/02/2006 -- ANNUAL REPORT r View image in PDF format __ } View image in PDF format .I View image in PDF format 'I View image in PDF format View image in_ PDF format j View image in PD_F_format .► View image in PDF format .I View image in PDF format View image in PDF format J Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List No Events No Name History 1 Home 1 Contact us I Document Searches I E-Filing Services I Forms I H6P 1 CouvrightCi and Privacy Policies State of Florida, Department of State http://www. sunbiz. org/scripts/cordet.exe?action—DETFII,&inq_doc_number=F9 80000O3 7... 10/4/2012 � 0RlGINAL 3901 NW 11514venue Miami, Flot-ida 33178 AALLIED 305-888-2623 office305-463-8369 fax VERSAL CORPORATION Established 19S4 RESOLVED that Catherine Guillarmod, Executive Administrator for Allied Universal Corporation, be authorized to sign and submit the Contract of this corporation for the following project: Supply of Liquid Sodium Hypochlorite to the City of Ocoee This bid or proposal shall include any other certificate of certification, which may be required by general municipal, state, or federal law(s). Such inclusion shall be the act and deed of this corporation, and for any inaccuracies or misstatements in such certificates or certifications this corporate bidder shall be liable under the penalties of perjury. The foregoing is a true and correct copy of the resolution adopted by Allied Universal Corporation at the meeting of its Board of Directors held on the 261h day of June 2012. (Seal of Corporation) 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 WWV� IlPalmer, President - CEO 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W. Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Rom Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 Mayor S. Scott Vandergrift City Manager Robert Frank September 19, 2012 -rn_ . Commissioners Gary Hood, District 1 Rosemary Wilsen,District2 Busty Johnson, District 3 Joel Ii`eller, District 4 ADDENDUM NO: ONE (1) CITY OF OCOEE BID #B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT This addendum shall modify and become a part of the original bid documents for the liquid sodium hypochlorite term contract. This addendum consists of one 1 page. Bidders shall acknowledge receipt of Addendum One (1) in the space provided on page 17 of the bid documents. Failure to do so may subject the bidder to disqualification. The bid date remains the same. Answers to questions received and/or amendments to the bid documents are as follows: uestions: Q1. Are there previous bid tabulations available for this project? Al. There are no previous bid tabulations as this is the first time the City has bid out liquid sodium hypochlorite. The City has always "piggybacked" other agencies' contracts that have been bid out. In the past, the City has piggybacked the City of Oviedo's contract; and is currently piggybacking Sarasota County's contract # t 11333HR; Sarasota's contact number is 941.650,9162. The amount the City is currently paying is $.70 per gallon. Q2. On page 4, under INTENT, and on page 18, under GENERAL REQUIREMENT, you specify liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine. On page 22, item 6.3, you specify 12.0 Trade Percent Available Chlorine. Please note that 12.0 % equates to 120 grams per liter and 12.5% equates to 125 grams per liter. We are not clear as to what your exact spec should be. A2. The specification is for a minimum of 12.0 Trade Percent Available Chlorine. Revise all references of 12.5% to a minimum of 12.0%. c z ,e�i y e T b rt, CPPB Purchasing Agent cc: Tom King, Utilities Facility Manager Charles Smith, RE, Utilities Director City of Ocoee - 150 N Lakeshore Drive ■ Ocoee, Florida 34761 phone: (407) 905-3100 • fax; (407) 905-3194 - www.ococe.org Mayor S. Scott Vandergrift City Manager Robert Frank r. V Commissioners Gary Hood, District 1 Rosemary Wilson, District 2 Rusty Johnson, District 3 Joel Keller, District 4 CITY OF OCOEE INVITATION TO BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT City of Ocoee - 150 N Lakeshore Drive - Ocoee, Florida 34761 phone: (407) 905-3100 ■ fax: (407) 905-3194• www.ocoee.org BID DOCUMENTS Section Pam Legal Advertisement 3 Bid Instructions General Terms & Conditions List of Subcontractors*, p. 16 Equipment Listing*, p. 16 References/Experience*, p. 16 Summary of Litigation *, p. 17 Acknowledgement ofAddenda*, p.17 "Bidder's Checklist"* pp. 25-26 SCOPE OF WORKISPECIFICATIONS, BID FORM 4-6 7-17 Section Palze Exhibit A — Scope of Work/Specifications 18-26 Exhibit B — Bid Form* Exhibit C — Bid Bond Form* Company Information and Signature Sheet*, p. 35 *Submit with Bid End Table of Contents 27 28-34 B13-01 Liquid Sodium Hypochlorite 2 Invitation to Bid The City of Ocoee, Florida, (the "City") is soliciting sealed bids for the following project: Bid #EB13-01 Liquid Sodium Hypochlorite Term Contract. Bids will be received at the office of Joyce Tolbert, CPPB Purchasing Agent, Finance/Purchasing Department, Second Floor, 150 North Lakeshore Drive, Ocoee, Florida 34761 until 2:00 pm, local time, on October 2, 2012. Bids received after that time will not be accepted under any circumstances. Sealed Bids that have been timely received will be publicly opened and read aloud at that time. No Pre -bid conference is scheduled at this time. Prospective bidders may secure a copy of the documents required for submitting a bid through Onvia/Demandstar by accessing the City's website at http://www.ococe.org under Finance/Purchasing. Partial sets of the documents required for submitting a bid will not be issued. By using Onvia/Demandstar, prospective bidders will be provided with all addendums and changes to the project requirements. Membership with Onvia/Demandstar is not required to submit a bid; fees may apply for non-members. Persons other than prospective bidders may inspect the documents required for submitting a bid at the Ocoee City Hall City Clerk's Office, 150 N. Lakeshore Drive, Ocoee, FL 34761. Persons inspecting the documents at the City Clerk's office that request copies will be required to pay a fee as prescribed by statute. Beth Eikenberry, City Clerk, September 2, 2012. B13-01 Liquid Sodium Hypochlorite 3 CITY OF OCOEE INVITATION TO BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT INTENT: Sealed bids for Bid 4B13-01 will be received by the City of Ocoee, hereinafter called "City" or "Owner," by any person, firm, corporation or agency submitting a bid for the work proposed, hereinafter called "Bidder" or "Respondent". The proposed Contract will be for furnishing and delivering liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine) to meet the water production demands of the City, in accordance to the "Scope of Work/SpecificationsBid Form" sections of this Invitation to Bid. BIDDING INSTRUCTIONS: A. Each Bidder shall furnish the information required on the bid form supplied and each accompanying sheet thereof on which an entry is made. Bids submitted on any other format shall be disqualified. Please check your prices before submission of bid, as no changes will be allowed after bid opening. Bids must be typewritten or handwritten using ink. Do not use pencil. No erasures are permitted. Mistakes may be crossed out and the correction typed adjacent and must be initialed and dated by the person signing the bid. Bid documents must be signed by a legally responsible representative, officer, or employee and should be properly witnessed and attested. All bids should also include the name and business address of any person, firm, or corporation interested in the bid, either as a principal, member of a firm, or general partner. If the Bidder is a corporation, the bid should include the name and business address of each officer, director, and holder of 10% or more of the stock of such corporation. B. Any questions or concerns regarding this bid should be addressed in writing to the Finance Department, City of Ocoee, FL, Attention: Joyce Tolbert, CPPB, Purchasing Agent (407) 905-3100, extension 1516, fax (407)905-3194, or email preferred itolbertci.ocoee.fl.us , and must be received not later than 2:00 P.M. on September 25, 2012. Any clarifications/changes will be made by way of written addenda only, issued by the Finance Department. Bidders should not contact other City staff or other City consultants for information before the bid award date. Any contact with any other member of the City Staff, City Commission, or its agents during this time period may be grounds for disqualification. C. This bid must be received as one (1) original and one (1) copy, of the required submittals only, by the Finance Department not later than 2:00 P.M., local time, on October 2, 2012. Bids received by the Finance Department after the time and date specified will not be considered, but will be returned unopened. "Postage Due" items will not be accepted. Bids transmitted by fax or e-mail will not be accepted. Bids shall be delivered in a sealed envelope, clearly marked with the bid number, title, and opening date and time to: City of Ocoee Finance Department Attention: Joyce Tolbert, CPPB, Purchasing Agent 150 N Lakeshore Drive Ocoee, FL 34761-2258 D. Bids will be publicly opened and read aloud in the Ocoee City Hall Conference Room, 150 N. Lakeshore Drive, Ocoee, Florida 34761-2258 at 2:01 P.M., or as soon thereafter as possible, on the above -appointed date. Bidders or their authorized agents are invited to be present. The actual contract award will be made by the Ocoee City Commission at a later date. Please be aware that all City Commission meetings are duly noticed public meetings and all documents submitted to the City as a part of a bid constitute public records under Florida law. B13-01 Liquid Sodium Hypochlorite 4 E. All Bidders shall thoroughly examine and become familiar with the bid package and carefully note the items which must be submitted with the bid, such as: a) Bid Security in the form of a Cashier's or Certified check or Bid Bond; b) List of References/Experience; c) List of Subcontractors/Temporary Worker Agencies; d) Equipment Listing; e) Summary of Litigation; f) Bid Form g) Items listed under the "Bidder Checklist" in the Scope of Work/Specifications Section. h) Any other information specifically called for in these Bid Documents. F. Submission of a bid shall constitute an acknowledgment that the Bidder has complied with Paragraph E. The failure or neglect of a Bidder to receive or examine a bid document shall in no way relieve it from any obligations under its bid or the contract. No claim for additional compensation that is based upon a lack of knowledge or understanding of any of the Contract Documents or the scope of work will be allowed. All items quoted shall be in compliance with the bid documents/scope of work. G. No Pre -Bid Conference has been scheduled for this project. H. Any response by the City to a request by a prospective Bidder for clarification or correction will be made in the form of a written addendum communicated through Onvia/Demandstar issued not later than twenty-four (24) hours before bid opening. It shall be the responsibility of each prospective Bidder to obtain a copy of all issued Addenda. The City reserves the right to issue Addenda concerning date and time of bid opening, at any time up to the date and time set for bid opening. In this case, bids that have been received by the City prior to such an addendum being issued will be returned to the Bidder unopened. In case any Bidder fails to acknowledge receipt of any such Addendum in the space provided in the bid documents, its bid will nevertheless be construed as though the Addendum had been received and acknowledged. Submission of a bid will constitute acknowledgment of the receipt of the Bid Documents and all Addenda. Only interpretations or corrections provided by written Addenda shall be binding on the City. Bidders are cautioned that any other source by which a Bidder receives information concerning, explaining, or interpreting the Bid Documents shall not bind the City. I. Any of the following causes may be considered as sufficient for the disqualification of a Bidder and the rejection of its bid: a) Submission of more than one (1) bid for the same work by an individual, firm, partnership or corporation under the same or different name. For purposes of this subparagraph, firms, partnerships or corporations under common control may be considered to be the same entity; b) Evidence of collusion between or among Bidders; c) Being in arrears on any of its existing contracts with the City or in litigation with the City or having defaulted on a previous contract with the City; d) Poor, defective, or otherwise unsatisfactory performance of work for the City or any other party on prior projects that, in the City's judgment and sole discretion, raises doubts as to Bidder's ability to properly perform the work; or e) Any other cause which, in the City's judgment and sole discretion, is sufficient to justify disqualification of Bidder or the rejection of its bid. J. CONVICTED VENDOR LIST (PUBLIC ENTITY CRIME). A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on an award to provide any goods or services to a public entity, may not submit a bid on an award with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of B 13-01 Liquid Sodium Hypochlorite real property to a public entity, may not be awarded or perform work as a Contractor, Supplier, Subcontractor, or Consultant under a award with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in section 287.017 for Category Two for a period of 36 months from the date of being placed on the convicted vendor list. [See s. 287.133(2)(a), Florida Statutes.] K. FLORIDA PUBLIC RECORDS LAW. In accordance with Chapter 119, Florida Statutes, and, except as may be provided by Chapter 119, Florida Statutes, and other applicable State and Federal Laws, all Bidders should be aware that the Bid and the responses thereto are in the public domain and are available for public inspection. Bidders are requested, however, to identify specifically any information contained in their bids that they consider confidential and/or proprietary and that they believe to be exempt from disclosure, citing specifically the applicable exempting law. All bids received in response to this Invitation to Bid become the property of the City and will not be returned. In the event of an award, all documentation produced as part of the contract will become the exclusive property of the City. L. No bid may be withdrawn for a period of ninety (90) days after the time and date scheduled for the bid opening. A request for withdrawal or a modification of a bid may be submitted to the Purchasing Agent, in writing, at any time prior to the deadline for submitting bids. After expiration of the deadline for receiving bids, no bid may be withdrawn or modified. M. The City reserves the right to accept or reject any or all bids, to waive formalities, technicalities or irregularities, to request clarification of information submitted in any bid, or to re -advertise for new bids. The City may accept any item or group of items of any bid, unless the Bidder qualifies its bid by specific limitations. The City may accept one or more bids if, in the City's discretion, the City determines that it is in the City's best interest to do so. The City reserves the right to award the contract to the Bidder which, in the City's sole discretion, is the most responsive and responsible Bidder. The City reserves the right, as an aid in determining which bid is responsible, to require a bidder to submit such additional evidence of Bidder's qualifications as the City may deem necessary, and may consider any evidence available to the City of the financial, technical, and other qualifications and abilities of a Bidder, including past performance (experience) with the City and others. The City Commission shall be the final authority in the selection of any and all bids. (Remainder of page left blank intentionally). B13-01 Liquid Sodium Hypochlorite 6 GENERAL TERMS & CONDITIONS: BID SECURITY: a) Each Bid must be accompanied by a Cashier's/Certified Check upon an incorporated bank or trust company or a Bid Bond in an amount equal to ONE THOUSAND DOLLARS ($1,000.00) (see paragraph f. below). A combination of any of the former is not acceptable. Cash or company check will not be accepted as Bid Security. The cashier's check or Bid Bond is submitted as a guarantee that the respondent, if awarded the Contract, will after written notice of such award, enter into a written Contract with the City and as a guarantee that the respondent will not withdraw its bid for a period of ninety (90) days after the scheduled closing time for the receipt of bids, in accordance with the accepted bid and bid documents. Please note that Cashier's/Certified Checks will be deposited. b) In the event of withdrawal of said bid within ninety (90) days following the opening of bids, or respondent's failure to enter into said contract with the City or failure to provide the City with other requirements of the contract documents or the bid invitation after issuance of Notice of Intent to Award by the City, then such respondent shall be liable to the City in the full amount of the check or bid bond and the City shall be entitled to retain the full amount of the check or to demand from the Surety the penal sum of the bid bond as liquidated damages and not a penalty. c) Surety companies executing bonds shall be duly insured by an insurer or corporate surety and signed by a licensed agent who holds a current Power of Attorney from the surety company issuing the bond. d) The cost of the required bond and required insurance coverage is to be included in the respondent's overhead and is not eligible for reimbursement as a separate cost by the City. e) The checks of the three (3) most favorable respondents will be returned within three (3) days after the City and the successful respondent have executed the contract for work or until the 9 1 " day after bid opening, whichever is earlier. The remaining checks will be returned within thirty (30) days after the opening of bids. Bid Bonds will be returned upon request following the same criteria as a check. f) In lieu of providing a bid security, the Respondent may provide documentation that their business has been active with the Secretary of the State of Florida for a minimum of three (3) years. Respondent warrants by virtue of bidding the prices in his bid response will be good for an evaluation period of ninety (90) days from the date of bid opening. 2. PERFORMANCE AND PAYMENT BONDS Not Required. 3. DEFAULT: As a result of bids received under this Invitation, the award of the contract may be based, in whole or in part, on delivery and specification factors. Accordingly, should the Contractor not meet the delivery deadline(s) set forth in the specifications or should the Contractor fail to perform any of the other provisions of the specifications and/or other contract documents, the City may declare the Contractor in default and terminate the whole or any part of the contract. Upon declaring the Contractor in default and the contract in whole or in part, the City may procure and/or cause to be delivered the equipment, supplies, or materials specified, or any substitutions thereof and the Contractor shall be liable to the City for any excess costs resulting therefrom. In the event the Contractor has been declared in default of a portion of the contract, the Contractor shall continue the performance of the contract to the extent not terminated under the provisions of this paragraph. Where the Contractor fails to comply with any of the specifications, except for delivery deadline(s), the City may, in its discretion, provide the Contractor with written notification of its intention to terminate for default unless prescribed deficiencies are B 13-01 Liquid Sodium Hypochlorite 7 corrected within a specified period of time. Such notification shall not constitute a waiver of any of the City's rights and remedies hereunder. 4. PATENT INDEMNITY: Except as otherwise provided, the successful Bidder agrees to indemnify the City and its officers, agents, and employees against liability, including costs and expenses for infringement upon any letters patent of the United States arising out of the performance of this Contract or out of the use or disposal by or for the account of the City or supplies furnished or construction work performed hereunder. PRICING: Pricing should be provided as indicated on the Scope of Work/Bid Sheet attached. Please note that alternate bids will not be accepted unless specifically called for on the Scope of Work/Bid Sheet. In case of a discrepancy between the unit price and extended price, the unit price will be presumed to be correct. Cost of preparation of a response to this bid is solely that of the bidder and the City assumes no responsibility for such costs incurred by the bidder. The minimum and maximum quantity of annual purchases is unknown. The numbers shown on the Bid Form are approximate for estimating purposes only and are not a guarantee of quantities that will be purchased by the City. The Bid form may not be completed in pencil. All entries on the Bid form shall be legible. The City reserves the right, but does not assume the obligation, to ask a Bidder to clarify an illegible entry on the Bid form. If the Bid form requires that the Bid price, or constituent portions of the Bid price, be stated in unit prices and total price; the unit prices and the total price for the stated number of units identified on the Bid form should be provided by the Bidder and be correctly computed. If there is an arithmetical conflict, between the unit price stated by the Bidder on the Bid form and the total price stated by the Bidder on the Bid form, the unit price stated by the Bidder on the Bid form shall take precedence. The City may unilaterally correct such arithmetical conflict on the Bid form to calculate the total price, utilizing the unit prices that have been identified by the Bidder. The taking of such action by the City shall not constitute grounds for the Bidder to withdraw its bid nor shall it provide a defense constituting discharge of the bid bond. The City reserves the right, but does not assume the obligation, to waive any mistake, omission, error or other irregularity that may appear on the Bid form. However, the City reserves the right to reject as non -responsive Bid forms that are incomplete or contain information that is not required. a) The Bidder represents that the article(s) to be furnished under this Invitation to Bid is (are) new and unused (unless specifically so stated) and that the quality has not deteriorated so as to impair its usefulness. b) The prices in this bid have been arrived at independently, without consultation, communication, or agreement for the purpose of restriction competition, as to any matter relating to such prices with any other Bidder or with any competitor; c) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the Bidder and will not knowingly be disclosed by the Bidder prior to opening, directly or indirectly to any other Bidder or to any competitor; d) No attempt has been made or will be made by the Bidder to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition. Every contract, combination or conspiracy in restraint of trade or commerce in this State is unlawful (s. 542.18, Florida Statutes, and all applicable federal regulations); e) Bidder warrants the prices set forth herein do not exceed the prices charged by the Bidder under a contract with the State of Florida Purchasing Division; and B 13-01 Liquid Sodium Hypochlorite 6 7. 0 10 f) Bidder agrees that supplies/services furnished under this quotation, if awarded, shall be covered by the most favorable commercial warranties the Bidder gives to any customer for such supplies/services and that rights and remedies provided herein are in addition to and do not limit any rights offered to the City by any other provision of the bid award. DISCOUNTS: a) Trade and time payment discounts will be considered in arriving at new prices and in making awards, except that discounts for payments within less than 30 days will not be considered in evaluation of bids. However, offered discounts will be taken for less than 30 days if payment is made within discount period. b) In connections with any discount offered, time will be computed from date of delivery and acceptance at destination, or from the date correct invoice is received in the office of Finance, whichever is later. Payment is deemed to be made, for the purpose of earning the discount, on the date of City Check. SAMPLES: See Scope of Work/Specifications section of this Invitation to Bid. Samples of items, when required, must be furnished free of expense to the City and, if not called for within fifteen days from date of bid opening, same will be disposed of in the best interest of the City. AWARD CRITERIA/USE BY OTHER GOVERNMENTAL AGENCIES: Award will be made to the lowest responsible and responsive Bidder meeting the Specification; with price, product quality, safety record, previous performance, reliability, and a successful reference check, among the factors to be considered. City of Ocoee invites other utilities in the State of Florida to "piggyback" this Bid; however, City of Ocoee will not be responsible for any transactions between the successful Bidder(s) and any public entity that may elect to utilize this Bid. LITERATURE: If required by the scope of work, or the specifications, descriptive literature/brochures shall be included with this bid in order to properly evaluate make/model offered. Bids submitted without same may be considered non -responsive and disqualified. BID PROTESTS: All Bid Protests shall be submitted to the Purchasing Agent in the following manner: 1. A Bidder shall file a written bid protest under this Article or be barred any relief; oral protests shall not be acknowledged. 2. A bid protest shall be limited to the following grounds: (a) issues arising from the procurement provisions of the Project Manual, its addenda, and other bidding documents; and/or (b) applicable federal, state, or local law. No bid protest may be based upon questions concerning the design documents (drawings and specifications). The Bidder shall clarify all questions concerning the design documents of the project prior to submitting its bid. 3. The content of the bid protest shall fully state the factual and legal grounds for the protest and the legal basis for the relief requested. B13-01 Liquid Sodium Hypochlorite 9 4. The bid protest shall be filed with the Purchasing Agent not later than three (3) calendar days after the posting of the notice of intent to award or recommendation of award by staff, whichever is earlier. 5. The Purchasing Agent, on behalf of the Owner, shall make a determination of the merits of the protest not later than five (5) business days after receipt of the protest. If Owner denies the protest, Owner may proceed with award of the contract unless enjoined by order of a court of competent jurisdiction. 11. PAYMENT TERMS: The City shall issue an official City Purchase Order for products based on the terms of the contract. Upon delivery and acceptance by the City, vendor shall submit an official invoice for payment. Payment for work completed will be made within (30) days of approved invoice. No payment will be made for products ordered without proper purchase order authorization. Payment cannot be made until materials, goods or services, have been received and accepted by the City in the quality and quantity ordered. The City of Ocoee, Florida has Florida Sales & Use Tax Exemption Certificate No. 85-8013779974C-0; and, pursuant to Chapter 212, Florida Statutes, is exempt from federal excise, state, and local sales taxes. 12. CONTRACT: a) The successful Bidder, hereinafter referred to as "Contractor," will be required to enter into a contract with the City. Any contract resulting from this solicitation is deemed effective only to the extent of appropriations available. This Agreement shall consist of one (1) three (3)-year initial term, and two (2) separate one (1)-year renewal terms, each of which shall automatically commence on the anniversary of the Effective Date unless the City or Contractor exercises its option not to proceed with the renewal term. The City or Contractor may refuse to exercise the renewal options by providing written notice of same not later than six (6) months before the expiration of a term. The effective date of service under this supply agreement shall be approximately November 1, 2012. b) The City may in its sole discretion award any additional work, whether in the existing area, or in any additional area, to any third party, or such work may be performed by the City's employees. Contractor will be expected to cooperate with any or all other Contractors who may be performing work for the City. 13. SAFETY REQUIREMENTS: The Bidder guarantees that the services to be performed and the goods to be provided herein, shall comply with all applicable federal, state and local laws, ordinances, regulations, orders and decrees, including without limitation such of the following acts as may be applicable: Federal Consumer Product Safety Act, Federal Fair Labor Standards Act, Occupational Safety and Health Act, Federal Hazardous Substances Labeling Act, Federal Flammable Fabrics Act, and any applicable environmental regulations. a) All contractors are required to comply with the Congressional Federal Register (CFR) of the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) Construction Industry, Part 1926, and CFR 1910, General Industry Standards, that are applicable in construction work. B13-01 Liquid Sodium Hypochlorite 10 b) The prime contractor is not only responsible for the safety aspects of his operation and employees, but also that of all subcontractors on the job site. c) Assure that a certified first aid person is designated, phone numbers of physicians, hospital and ambulance services are posted (copy to Personnel Director, City of Ocoee) and that a first aid kit is available. d) All individuals are required to wear hard hats on all construction sites. c) Provide personal protective equipment that may be required for jobs in progress (e.g.: hard hats, safety glasses, respirators, ear protection, long pants and shirts, etc.). f) Observe the speed limit on City property. g) Construction areas cleaned daily; excavations must be barricaded or flagged until backfilled. In some cases, bracing, shoring and sloping may be required. h) Scaffolds shall have guard rails on all open sides and secured to prevent displacement. i) Powder actuated stud guns or low velocity and/or similar powder actuated tools require eye and ear protection as well as to ensure that all unauthorized personnel are well clear. j) Welding and cutting - a fire watch and appropriate fire extinguisher shall be provided and combustible materials cleaned up. k) All heavy equipment must have, where applicable, (a) back-up alarms, (b) boom angle indicator, ( c ) load chart, (d) reeving, (3) fire extinguisher, (f) condition of hook and other items in accordance with OSHA 1926.550 and ANSI B30.5. 1) Construction material shall not be stored so as to block exits. m) Ground fault circuit interrupters are required on all electrical circuits not part of the permanent wiring of the building. n) Personal fall protection must be provided at elevations exceeding ten (10) feet. o) Per City Ordinance, any Contractor using construction dumpsters within the City of Ocoee must obtain these services through Superior Waste Services of Florida, Inc. 14. DRUG -FREE WORKPLACE: If applicable, provide a statement concerning the Bidder's status as a Drug -Free Work Place or evidence of an implemented drug -free workplace program. 15. CERTIFICATION OF NON -SEGREGATED FACILITIES The Bidder certifies that the Bidder does not and will not maintain or provide for the Bidder's employees any segregated facilities at any of the Bidder's establishments and that the Bidder does not permit the Bidder's employees to perform their services at any location, under the Bidder's control, where segregated facilities are maintained. The Bidder agrees that a breach of this certification will be a violation of the Equal Opportunity clause in any contract resulting from acceptance of this Bid. As used in this certification, the term "segregated facilities" means any waiting room, work areas, time clocks, locker rooms and other storage and dressing areas, parking lots, drinking facilities provided for employees which are segregated on the basis of race, color, religion, national origin, habit, local custom, or otherwise. The Bidder agrees that (except where the Bidder has obtained identical certification from proposed contractors for specific time periods) the Bidder will obtain identical certifications from proposed subcontractors prior to the award of such contracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that the Bidder will retain such certifications in the Bidder's files. The non-discriminatory guidelines as promulgated in Section 202, Executive Order 11246, and as amended by Executive Order 11375 and as amended, relative to Equal Opportunity for all persons and implementations of rules and regulations prescribed by the U.S. Secretary of labor, are incorporated herein. B 13-01 Liquid Sodium Hypochlorite 11 16. STATEMENT OF AFFIRMATION AND INTENT: The Bidder declares that the only persons, or parties interested in their bid are those named herein, that this bid is, in all respects, fair and without fraud and that it is made without collusion with any other vendor or official of the City of Ocoee. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in connection with the entity's submittal for the above project. This statement restricts the discussion of pricing data until the completion of negotiations and execution of the Agreement for this project. The Bidder certifies that no City Commissioner, other City Official or City employee directly or indirectly owns assets or capital stock of the bidding entity, nor will directly or indirectly benefit by the profits or emoluments of this Bid. (For purposes of this paragraph, indirect ownership or benefit does not include ownership or benefit by a spouse or minor child.) The Bidder certifies that no member of the entity's ownership or management is presently applying for an employee position or actively seeking an elected position with the City. In the event that a conflict of interest is identified in the provision of services, the Bidder agrees to immediately notify the City in writing. The Bidder further declares that a careful examination of the scope of services, instructions, and terms and conditions of this bid has occurred, and that the bid is made according to the provisions of the bid documents, and will meet or exceed the scope of services, requirements, and standards contained in the Bid documents. Bidder agrees to abide by all conditions of the negotiation process. In conducting negotiations with the City, Bidder offers and agrees that if this negotiation is accepted, the Bidder will convey, sell, assign, or transfer to the City all rights, title, and interest in and to all causes of action it may now or hereafter acquire under the Anti-trust laws of the United States and the State of Florida for price fixing relating to the particular commodities or services purchased or acquired by the City. At the City's discretion, such assignment shall be made and become effective at the time the City tenders final payment to the Bidder. The bid constitutes a firm and binding offer by the Bidder to perform the services as stated. 17. PUBLIC ENTITY CRIME STATEMENT: All invitations to bid as defined by Section 287.012(l 1), Florida Statutes, requests for Bids as defined by Section 287.012(16), Florida Statutes, and any contract document described by Section 287.058, Florida Statutes, shall contain a statement informing persons of the provisions of paragraph (2)(a) of Section 287.133, Florida Statutes, which reads as follows: "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." B 13-01 Liquid Sodium Hypochlorite 12 All Bidders who submit a Bid or Request for Bid to the City of Ocoee are guaranteeing that they have read the previous statement and by signing the bid documents are qualified to submit a bid under Section 287.133, (2)(a), Florida Statutes. 18. PERMITS/LICENSES/FEES: a) Any permits, licenses or fees required will be the responsibility of the contractor; no separate payments will be made. Permit fees are waived for any City of Ocoee permits required. b) The City requires a City of Ocoee registration if permitting is required. Please contact the City's Building Department at (407)905-3100 extension 1000, directly for information concerning this requirement. c) Adherence to all applicable code regulations (Federal, State, County, and City) is the responsibility of the contractor. 19. INSURANCE REQUIREMENTS: The Contractor shall not commence any work in connection with an Agreement until all of the following types of insurance have been obtained and such insurance has been approved by the City, nor shall the Contractor allow any Subcontractor to commence work on a subcontract until all similar insurance required of the subcontractor has been so obtained and approved. Policies other than Workers' Compensation shall be issued only by companies authorized by subsisting certificates of authority issued to the companies by the Department of Insurance of Florida which maintain a Best's Rating of "A" or better and a Financial Size Category of "VII" or better according to the A.M. Best Company. Policies for Workers' Compensation may be issued by companies authorized as a group self -insurer by F.S. 440.57, Florida Statutes. a) Loss Deductible Clause: The City shall be exempt from, and in no way liable for, any sums of money which may represent a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the General Contractor and/or subcontractor providing such insurance. b) Workers' Compensation Insurance. The Contractor shall obtain during the life of this Agreement, Worker's Compensation Insurance with Employer's Liability Limits of $500,000/$500,000/$500,000 for all the Contractor's employees connected with the work of this project and, in the event any work is sublet, the Contractor shall require the subcontractor similarly to provide Workers' Compensation Insurance for all of the latter's employees unless such employees are covered by the protection afforded by the Contractor. Such insurance shall comply fully with the Florida Workers' Compensation Law. In case any class of employees engaged in hazardous work under this contract for the City is not protected under the Workers' Compensation statute, the Contractor shall provide, and cause each subcontractor to provide adequate insurance, satisfactory to the City, for the protection of the Contractor's employees not otherwise protected. ■ Include Waiver of Subrogation in favor of the City of Ocoee c) Contractor's Public Liability and Property Damage Insurance: The Contractor shall obtain during the life of this Agreement COMMERCIAL AUTOMOBILE COVERAGE, this policy should name the City of Ocoee as an additional insured, and shall protect the Contractor and the City from claims for damage for personal injury, including accidental death, as well as claims for property damages which may arise from operations under this Agreement whether such operations be by the Contractor or by anyone directly or indirectly employed by the Contractor, and the amounts of such insurance shall be the minimum limits as follows: 1) Automobile Bodily Injury Liability & Property Damage Liability ■ $1,000,000 Combined single limit per occurrence (each person, each accident) ■ All covered automobile will be covered via symbol 1 ■ Liability coverage will include hired & non -owned automobile liability ■ Include Waiver of Subrogation in favor of The City of Ocoee 2) Comprehensive General Liability (Occurrence Form) - this policy should name the City of Ocoee as an additional insured and should indicate that the insurance of the Contractor is primary and non-contributory. B13-01 Liquid Sodium Hypoeblorite 13 ■ $2,000,000 GENERAL AGGREGATE ■ $2,000,000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE ■ $1,000,000 PER OCCURRENCE ■ $1,000,000 PERSONAL & ADVERTISING INJURY ■ Include Waiver of Subrogation in favor of the City of Ocoee 3) Subcontractor's Comprehensive General Liability, Automobile Liability and Worker's Compensation Insurance: The Contractor shall require each subcontractor to procure and maintain during the life of this subcontract, insurance of the type specified above or insure the activities of these subcontractors in the Contractor's policy, as specified above. 4) Owner's Protective Liability Insurance: n/a for this project. 5) Contractual Liability- If the project is not bonded, the Contractor's insurance shall also include contractual liability coverage to insure the fulfillment of the contract. NOTE: PUBLIC LIABILITY INSURANCE AND AUTOMOBILE LIABILITY INSURANCE, THE CITY SHALL BE NAMED AS ADDITIONAL INSURED. ■ $1,000,000 PER OCCURRENCE ■ $2,000,000 AGGREGATE 6) Commercial Umbrella: ■ $1,000,000 PER OCCURRENCE ■ $2,000,000 Aggregate ■ Including Employer's Liability and Contractual Liability 7) Builders Risk: nla for this project 8) Certificates of Insurance: Certificate of Insurance Form (see sample attached), naming the City of Ocoee as an additional insured will be furnished by the Contractor upon notice of award. These shall be completed by the authorized Resident Agent and returned to the Office of the Purchasing Agent. This certificate shall be dated and show: 9) The name of the Insured contractor, the specific job by name and job number, the name of the insurer, the number of the policy, its effective date, its termination date. 10) Statement that the Insurer shall mail notice to the Owner at least thirty (30) days prior to any material changes in provisions or cancellation of the policy, except ten (10) days written notice of cancellation for non-payment of premium. (remainder of page left blank intentionally) B13-01 Liquid Sodium Hypochlorite 14 Acog4k CERTIFICATE OF UA81LITY INSURANCE r _� n.c. - � nm�nmrr.,wweoneAwurr df ui+iYl�ro ¢dxre�guWu rua►+m UPCN"e ce NOtn�mn �lIITI'�+aTF ooaswdr rYYBI! ` u.��11e94ruToe®kY 1>1F� R9W�IAlrMPPIMOMTAkcE .. ■■arl� _ min riLr■ 7iti:,M r{Afe. Tau K x Zpeyq.um■Mi u■ur� f S�[A [■� � �.I uLY-.n M)" I■ +ur rJi6 ,utttin��.�f6I 9RScr. rt.uNai rfA�TLrUI v'.WYPfA�4mk i N:�-wlu i ■¢.3'�ii6l7.IiWLTr T�}tum�■sIr aw�ah.[r Lur33�rr S,rl■VMVJ[ euildest Risk OR KAE x �si��ha�uaa- I�� .36.b13 �- ;>A■vl"+vrx+i ELK bbd w-'M1�i7VrY��-_ � 1,G6br'7ad r.+pr,�•�+��+� +�,uuG,DpG, _. m[sr]'J fLWT .3, G09,CUO [r�urppgg..�ua■i � ,+■jvi-�rx 9 ilr■nyi &-aff A rmwhaW l+ =IY Oxw�r. ■�rnn6iYi °F�� .3.flG�,UGQ See., 1300 ■y_5ty7(-ry�rr•.s!r'.S99rAGG _ inyr i nae 11i5rptll uY 1 Ur C X,bdbd6d6 p7Jra■Rn1a. WSR�+F�a..taaa..e,......, ..s.� i� :kmus'ar,dd wid-- by thia r__tLEi�ata nhksa ■■Yi[ khA ar:rilirorru 2a14,, ■.■ sn -=%Ia l ioaur>dd 9P ib■ pvmekdl X,yandiity G Dbz%milm Li■6illt� L'la ilt-r- W-d—i ■■y6LJAi' papicrni 6�LIAtr L WFA TAX PWal o®ruiu ; I*!W ee eafarb�!khias in dardi Of■ ��rti[4aPt■ hclds�, ILa ulFtiiic■ry M14- iz fdd++J #u ■ IliuYliltiA Ni }Ll ChIcEd SFk7lT+■s�,M dy�pr■[srvw�■■LtY�k�sr+ +Q i`Y►tion �Grri�7oTw�.:uflllR e.. um �onLtbT,■ur rxaR'i0 W n■ay.i City a[ 03060.�i.;wnmar�,■•wnbrrrrA+r�nr+a■��+crymw LOI�■bCW+ nrlW 1■Yrmrtv/Ai per n +117 dl- ZZ50 �„� Er■rrrrrh y B13-01 Liquid Sodium Hypochlorite 15 20. LIST OF SUBCONTRACTORS: SUBCONTRACTOR and/or TEMPORARY WORKER AGENCY NAME/ADDRESS/FEDERAL I.D. NO./CONTACT PERSON/PHONE #: WE DO NOT USE SUBCONTRACTORS (If none, please so state, and attach additional sheets if necessary) The Bidder certifies that the Bidder has investigated each subcontractor/temporary worker agency listed and has received and has in the Bidder's files evidence that each subcontractor/temporary worker agency maintains a fully -equipped organization capable, technically and financially, of performing the pertinent work and that the subcontractor/temporary agency has done similar work in a satisfactory manner. It is further acknowledged by the contractor that any CHANGE or OMISSIONS in the subcontractors listed above shall require the City of Ocoee's approval before any work shall commence by the additional subcontractor on this project. 21. EQUIPMENT LISTING: Please list year, make & model of all equipment that will be used on City of Ocoee properties, including whether owned or leased. If leased please provide name of lessor. Allied owns its own fleet of fiberglass tankers and flatbed trailer 22. REFERENCES/EXPERIENCE OF RESPONDENT WITH SIMILAR WORK The Bidder shall complete the following blanks regarding experience with similar type of work for the past five (5) years. Bidder must demonstrate ability to perform services of similar complexity, nature, and size of this project within past five (5) years. (See Scope of Work/Specifications Section for requirements). DATE OF CONTRACT/AMOUNT OF PROJECT/CLIENT'S NAME AND ADDRESS/ TELPHONE NUMBER/EMAIL ADDRESS/NAME OF CONTACT SEE ATTACHED LIST Have you any similar work in progress at this time? Yes X No T Length of time in business 57 years B13-01 Liquid Sodium Hypochlorite 16 ��� 3901 NW 115,4venue Miami, Florida 33178 AALLIED 305-888-2623 office 305-463-8369 fax VERSAL CORPORATION Established 1954 September 2012 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 REFERENCES Miami Dade Water & Sewer Virginia Key- Miami, FL Tom Segars, Superintendent 786-229-0701 aseoars(@.miamidade.00v Contract Amount: $827,328.00 Contract Expires June 30, 2013 Orange County Utilities Water Division 9100 E. Curry Ford Rd. Orlando, FL 32825 Gary Framo 407-836-5515 gary.franco@ocfl.net Contract Amount: $1,161,000.00 Contract Expires May 31, 2013 City of Ft. Lauderdale 4321 N.W. 9t" Avenue Ft. Lauderdale, FL 33309 Rick Johnson, Chief Operator 954-828-7865 riohnson(cbfortlauderdale.00v Contract Amount: $116,000.00 Contract Expires December 31, 2012 Manatee County WTP 17915 Waterline Road Bradenton, FL 34212 Bruce MacLeod 941-746-3020 bruce.macleod@co.manatee.fl.us Contract Amount: $1,442,100.00 Contract Expires December 18, 2012 City of North Miami 12098 NW 11th Avenue North Miami, FL 33168 Pavel Vida 305-953-2854 pvida@northmiamifl.gov Contract Amount: $113,485.00 Contract Expires October 31, 2013 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W. Tyson Avenue Tampa, Florida 33611 813-932-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 Bank or other financial references: City National Bank, 2855 LeJuene Road, Coral Gables, FL 33134 (Attach additional sheets if necessary) 23. SUMMARY OF LITIGATION: Provide a summary of any Litigation, claim(s), bid or contract dispute(s) filed by or against the Bidder in the past five (5) years which is related to the services that the Bidder provides in the regular course of business. The summary shall state the nature of the litigation, claim, or contact dispute, a brief description of the case, the outcome or projected outcome, and the monetary amounts involved. If none, please so state, attach additional sheets if necessary. SEE ATTACHED LIST 24. ACKNOWLEDGEMENT OF ADDENDA: Bidder acknowledges receipt of the following addenda: No. 1 Dated No. Dated No. Dated No. Dated No. Dated 09-19-12 (Remainder of page left blank intentionally) B13-01 Liquid Sodium Hypochlorite 17 CVO C_�55 s�R4y' 3901 NW 115,4venue Miami, Florida 33178 305-888-2623 office AALLIED 305-4b3-83b9 fax IVERSAL CORPORATION fstabbshed 1954 September 2012 2007 Hillsborough County 2009 City of Oviedo 2010 Charlotte County City of Clearwater 2012 City of Tallahassee City of Port Orange Catherine Guillarmod Executive Administrator Icg 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 Bid Protest List 9501 Rangeline Road FL Pierce, Florida 34987 772A64-6195 30 Neil Gunn Diive Ellisville, MS 39437 601-477-2550 5215 W.Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 12301 870-732-3107 CITY OF OCOEE BID 4B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT EXHIBIT A SCOPE OF WORK/SPECIFICATIONS Liquid Sodium Hypochlorite Specification GENERAL REQUIREMENT 1.1 General: The intent and purpose of this specification document (the "Specification") is for the Contractor to furnish and deliver liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine) FOB destination in accordance with the American Water Works Association's (AWWA's) Standard B300-10 for hypochlorite, except as modified or supplemented herein, to the City of Ocoee Utility Department. 1.2 Award: Award will be made to the lowest responsible and responsive Bidder meeting the Specification; with price, product quality, safety record, previous performance, reliability, and a successful reference check, among the factors to be considered. City of Ocoee invites other utilities in the State of Florida to "piggyback" this Bid; however, City of Ocoee will not be responsible for any transactions between the successful Bidder(s) and any public entity that may elect to utilize this Bid. 2. BIDDER QUALIFICATION / SUBMITTALS 2.1 Definition: For purposes of this Bid, the term "Bidder" shall be defined as the company submitting a Bid to City of Ocoee and shall include all subsidiaries, affiliates, and subcontractors. As such, any requested documentation shall apply to all subsidiaries and affiliated companies as well as any subcontractors. In the event that the Bidder is using a subcontractor (a subsidiary or affiliated company would be considered a subcontractor) to either manufacture or deliver the product, the requested items (e.g., samples results, references, terminations, emergency response, regulatory actions, OSHA 300 Iogs and safety incidents) shall apply to these entities as well. 2.2 Bid Sample: Each prospective Bidder shall submit a 1500 ml "chilled" sample of their product representative of their manufacturing process from Bidder's manufacturing facility which would serve the customer to one of the approved testing laboratories listed in this Specification for analysis within the past ninety (90) days. The laboratory shall ascertain whether the Bidder's product is in compliance with this Specification for available chlorine, % sodium hypochlorite, excess caustic, iron, copper, nickel, lead, arsenic, eblorate, bromate, perchlorate and suspended solids (based on Filter Test time). The manufacturer's location shall be annotated on the sample results. The cost of the analysis shall be borne by Bidder. The results of the analysis shall be submitted with the Bidder's Bid. 2.3 NSF Sample Results: Each prospective Bidder shall submit a copy of the three most recent years of complete NSF sample results of their product from the manufacturing facility supplying their product which would serve the customer. City of Ocoee shall use these results to ensure compliance with the Specification. The results of the NSF sample analysis shall be submitted with the Bidder's Bid. Failure to submit this information or meet the requirements of the Specification may result in Bidder being disqualified. B 13-01 Liquid Sodium Hypochlorite 18 2.4 Other Samples: Further, City of Ocoee reserves the right to take samples from Bidder's other customers to ensure that the Bidder's sample and delivery equipment is in compliance with all the requirements of this Specification and such a sample shall be judged representative of the Bidder's quality. City of Ocoee may choose to obtain a sample from any of Bidder's customers to ensure compliance with the Specification. In such event, City of Ocoee shall bear the cost of any analysis. Based on this compliance check, failure to meet the requirements of this Specification may result in Bidder being disqualified. 2.5 References and Past Performance: Each prospective Bidder shall submit a list of at least five (5) references to include phone numbers that use or have used its sodium hypochlorite at both water and wastewater treatment plants in the past five (5) years. The Reference List shall list actual users at the water and wastewater plants and not purchasing agents. Additionally, each Bidder shall provide the names of any customers where its contract was terminated early (e.g., debarred) for safety, quality, or service issues for any product it supplies over the past five (5) years. Failure to supply these lists may result in Bidder being disqualified. 2.6 Emergency Response: As part of its Emergency Preparedness Planning and Spill Response Plan, each prospective Bidder shall submit a list with 24-hour access phone numbers of at least two degreed engineers (preferably Chemical Engineers) listing their degree, college or university and year of graduation, experienced in sodium hypochlorite operations to provide emergency support services on a 24/7 basis in the event of a spill, equipment failure or other emergency. In addition, each Bidder shall furnish a list of five (5) emergency service calls they made to a customer outlining the details of the emergency and the Bidder's emergency response with a point of contact and phone number to verify the details. Failure to submit either list including its specific requirements may result in Bidder being disqualified. 2.7 Safety and Reliabili : As part of assessing the Bidder's reliability and safety record, the prospective Bidder shall include all regulatory actions including but not limited to, copies of any fines, correspondence and consent orders relating to the operation of ALL of its manufacturing and distribution facilities that serve the Florida market (this does not pertain to FDOT fines or fees) for the past five (5) years. Additionally, the Bidder shall submit a copy of its OSHA Form 300A/300 logs for the past five (5) years (if the Bidder utilizes a third party driving company or affiliated company, then they shall submit the OSHA 300 logs for that company as well). Logs shall be submitted for the entire company in addition to any subsidiaries or subcontractors who will serve the Contractor. The Bidder shall also provide a detailed listing of all accidents, incidents, releases, spills, vehicle accidents involving death or injury and National Response Center Notifications ("Safety Incidents") for all chemicals it delivers or manufacturers for the past five (5) years. Failure to disclose the Regulatory Actions, OSHA 300 logs or Safety Incidents may result in Bidder being disqualified from bidding on this product. 2.8 Company Ownership: As part of assessing the Bidder's ability to serve, Bidder shall provide a listing of all its officers AND owners. Failure to list all owners and their percentage of ownership may result in Bidder being disqualified from bidding on this product. COMMERCIAL CONDITIONS 3.1 Term: This Agreement shall consist of one (1) three (3)-year initial term, and two (2) separate one (I) -year renewal terms, each of which shall automatically commence on the anniversary of the Effective Date unless the City or Contractor exercises its option not to proceed with the renewal term. The City or Contractor may refuse to exercise the renewal options by providing written notice of same B 13-01 Liquid Sodium Hypochlorite 19 not later than six (6) months before the expiration of a term. The effective date of service under this supply agreement shall be approximately November 1, 2012. 3.2 Pricing: All pricing shall be in terms of a price per gallon (freight prepaid FOB Destination to each City of Ocoee facility). The price of the sodium hypochlorite shall be fixed for the Initial Term of this agreement and shall not be subject to any price escalation or fuel surcharges (the "Base Price"). City of Ocoee agrees to consider price increases for each renewal year. 3.3 Payment Terms: NET 30 days. 4. DELIVERY REQUIREMENTS 4.1 Contractor shall make "normal" deliveries within two (2) calendar (i.e., not "working" days) days after receipt of order and must make "emergency" deliveries within 24 hours. An emergency delivery is defined as a delivery which is necessary in order to prevent City of Ocoee from running out of sodium hypochlorite in less than 24 hours. City of Ocoee shall endeavor to minimize the number of "emergency" deliveries. 4.2 All deliveries of liquid sodium hypoehlorite shall be freight prepaid, F.O.B. Destination to each City of Ocoee facility. 4.3 Delivery time of day shall be arranged upon placement of order. Deliveries made to unmanned facilities must be coordinated with City of Ocoee so the driver can gain access to the facility. 4.4 All deliveries of liquid sodium hypochlorite shall be made by properly cleaned carrier tank truck to the locations specified in paragraph 5 below. 4.5 Packaging and shipment of liquid sodium hypochlorite shall conform to all current regulations of the State of Florida, the United States Department of Transportation and all other applicable regulatory agencies. 4.6 All delivery personnel must have company cell phones to facilitate deliveries to unmanned and manned facilities. Experience has shown this to be critical to effective coordination of deliveries to the various City of Ocoee facilities. 4.7 City of Ocoee reserves the right to change quantities and delivery dates at its discretion with a 24-hour notice. 4.8 The Contractor shall be responsible for pumping liquid sodium hypochlorite into the storage tanks at the delivery sites and shall provide all necessary hoses, fittings, air -padding, pumps, etc. required to safely and efficiently "offload" the liquid sodium hypochlorite into designated storage tanks. Contractor shall be responsible for ascertaining the correct storage tanks and fill point locations to prevent accidental discharge of the product into the wrong storage tank(s). 4.9 The Contractor shall be responsible for any spills resulting from the failure of its or its subcontractor's delivery equipment or from failure of attendant delivery personnel in the proper performance of their duties. Proper performance shall require attendant delivery personnel's constant inspection and observation of unloading operations and knowledgeable response to problems or emergencies, which would most commonly be expected to occur. City of Ocoee reserves the right to refuse any and all deliveries made with equipment that is poorly maintained and/or leaking sodium hypochlorite. B13-01 Liquid Sodium Hypochlorite 20 4.10 The tanks or trailers shall be clean and free of residue that may contaminate the Contractor's product or impede the unloading process. It is the Contractor's responsibility to verify the cleanliness of the transporting equipment before loading. All appurtenant valves, pumps, and discharge hoses used for the delivery of sodium hypochlorite shall be supplied by the Contractor and shall be clean and free from contaminating material. City of Ocoee may reject a load if the equipment is not properly cleaned. Contractor shall furnish City of Ocoee an approved, leak -free connection device between the trailer and its intake receptacle. The Contractor shall observe the entire filling operation at each delivery site and shall immediately report any spills caused during the filling operations. The Contractor shall take immediate and appropriate actions to clean up any spilled liquid sodium hypochlorite. If the spill is not cleaned up, City of Ocoee will hire a certified hazardous material handling company to clean up the spill, and the cost of such service will be charge to the Contractor and deducted from the amount due to the Contractor. If City of Ocoee's unloading equipment such as pipe, valves or level indication and alarms should fail and the spillage is not the fault of the Contractor or its subcontractor, the Contractor shall be relieved of cleanup of the spill. 4.11 Delivery Shipments shall be rejected which fail to meet any of the requirements of the Specification. In the event a delivery shipment is rejected, upon notification to the Contractor that the shipment is rejected, Contractor shall be required to ship a replacement delivery to the affected location within four (4) hours from time of notification. Failure to provide replacement product that meets the Specification within the specified time period will constitute failure to comply with the delivery requirements set forth in this document. 5. DELIVERY LOCATIONS 5.1 Delivery sites and quantities are subject to deletions or additions as necessary to meet the water production demands of City of Ocoee. 5.2 Split deliveries to multiple locationsmill be coordinated and accepted by City of Ocoee to encourage economical delivery of product via bulk tankers dependent on storage capacities at time of delivery. 5.3 Liquid Sodium Hypochlorite consumption at each location is an estimate only and City of Ocoee shall not be bound by these amounts in its contract with Contractor. 5.4 Delivery Locations: LOCATION STORAGE CAPACITY ESTIMATED ANNUAL QUANTITY City of Ocoee WWTP 3 - 1,100 GALLONS 80,000 GALLONS (-1,500 gallon Weekly Delivery) 1800 A.D. Mims Road Ocoee, FL 34761 Forrest Oaks WTP 2 — 5,000 GALLONS 40,000 GALLONS 8590 Hackney Prairie Road ( 1,000 gallon 10-11 Day Ocoee, FL 34761 Delivery) South WTP 2 — 5,000 GALLONS 40,000 GALLONS 581 S. Maquire Road H,000 gallon 10-11 Day Ocoee, FL 34761 Delivery) B 13-01 Liquid Sodium Hypochlorite 21 6. PRODUCT MATERIAL REQUIREMENTS 6.1 Hypochlorite supplied under this contract shall be tested and certified as meeting the Specification, the AWWA Standard 13300-10 and those of the American National Standards Institute/National Sanitation Foundation Standard 60 (ANSI/NSF Standard 60), Drinking Water Treatment Chemicals Health Effects. 6.2 It is the responsibility of the Contractor to inform City of Ocoee that its NSF or UL certification has been revoked or lapsed within 24 hours of the time the supplier receives verbal or written notification. Loss of certification shall constitute sufficient grounds for immediate termination of the contract between City of Ocoee and Contractor. 6.3 Liquid sodium hypochlorite delivered under this Specification shall have a minimum of 120 Grams per Liter (GPL) available chlorine equivalent (a.k.a., 12.0 Trade Percent Available Chlorine) and shall be consistent as determined by chemical analysis. 6.4 Product shall be a clear straw colored liquid with no visible cloudiness, impurities, or sediment. It shall contain no soluble materials or organic substances in quantities capable of producing deleterious or injurious effects on the health of those consuming water treated with the liquid sodium hypochlorite. 6.5 Liquid sodium hypochlorite delivered under this Specification shall have a minimum of 0.20 percent by weight sodium hydroxide and a maximum of 0.40 weight percent sodium hydroxide. 6.6 Liquid sodium hypochlorite delivered under this contract shall meet the following containment concentration limits: Iron < 0.3 mg/L Copper < 0.03 mg/L Nickel < 0.03 mg/L Lead < 0.2 mg/L Arsenic < 0.2 mg/L Chlorate < 2,000 mg/L Bromate < 20 mg/L Perchlorate < 20 mg/L 6.7 The delivery time of the shipment shall not exceed 72 hours from the time of manufacture of the liquid sodium hypochlorite. 6.8 The suspended solids in the sodium hypochlorite delivered under this contract shall be minimized and the shipments delivered shall achieve a filtration time of less than 3 minutes for 1000 ml when applying the "Suspended Solids Quality Test for Bleach Using the Vacuum Filtration " Method co -developed by Dr. Bernard Bubnis of NovaChem and previously referenced in this Specification. 7. QUALITY ASSURANCE, SAFETY AND TRAINING 7.1 Sampling and Testing 7.1.1 All Sampling and Testing shall be in accordance with EPA and AWWA B300-10 standards and in accordance with the documents titled: "The Weight Percent Determination of Sodium Hypochlorite, Sodium Hydroxide, And Sodium Chlorate in B 13-01 Liquid Sodium Hypochlorite 22 Liquid Bleach" and "Suspended Solids Quality Test for Bleach Using Vacuum Filtration ", distributed by Powell Fabrication and Manufacturing, Inc. and available at http://www.powellfab.com. 7.1.2 The approved laboratories are listed below for all sampling and testing whether during the Bid period or after award. No other Laboratory shall be used unless expressly authorized as an Addendum to the Bid issued by City of Ocoee amending the Specification or an amendment to the contract between City of Ocoee and Contractor. NovaChem Laboratories (formerly Novatek) Thornton Laboratories 5172 College Corner Pike 1145 East Cass Street PO Box 608 Tampa, Florida 33602 Oxford, Ohio 45056 Ph: 813-223-9702 Ph: 513-523-3605 Fax: 813-223-9332 Fax: 513-523-4025 Attn: Steve Thickett 7.1.3 Sampling and Testing Prior to Unloading: The Contractor's delivery trailer shall have a sample port to provide a sample for analysis. At the sole discretion of City of Ocoee, the Contractor's delivery personnel (driver) may be asked to provide a sample of liquid sodium hypochlorite before the shipment is unloaded. City of Ocoee will supply the sample container and the driver shall collect the sample from the tank truck and turn it over to City of Ocoee. The sample shall be considered representative of the lot. City of Ocoee reserves the right to subject samples of the liquid sodium hypochlorite to quick analyses to ensure that it meets basic conditions of the specification with respect to specific gravity, weight percent of sodium hypochlorite, sodium hydroxide, and suspended solids. Any Iot tested by City of Ocoee that fails to comply with the Specification shall constitute grounds for rejection of that lot. No payment shall be made for hypochlorite that is rejected. The Contractor or its subcontractors shall allow 60 minutes for this testing to be completed. If testing can not be completed within the 60- minute period, City of Ocoee shall allow the Contractor to unload the shipment. In the event that the load is rejected, the Contractor shall have four (4) hours to supply another shipment. In the event that the Contractor is unable or unwilling to supply another shipment within this time period, City of Ocoee has the right to procure a shipment from another source and this will failure to deliver shall constitute a second rejection. Three rejections of a lot or shipment during any period of this contract shall constitute automatic termination of the Contractor's supply contract with City of Ocoee. 7.1.4 Sampling and Test of Shipment After_ Unloading. City of Ocoee reserves the right to subject samples of the liquid sodium hypochlorite to complete analyses to ensure that it meets EPA specifications, AWWA B300-10 specifications, and the Specification. Three failures during any period of this contract shall constitute automatic termination of the Contractor's supply contract with City of Ocoee. 7.1.5 Certified Analysis. Contractor shall supply an affidavit, signed by a corporate designated official, certifying that the liquid sodium hypochlorite furnished by the Contractor, complies with all applicable requirements of this Specification and AWWA Standard B300-10, latest revision. The affidavit shall also indicate compliance with Water Chemicals Codex directives, latest revision, for impurity limits. 7.2 Manufacturer's Laboratory Delivery Reports B13-01 Liquid Sodium Hypochlorite 23 7.2.1 A certified report from the manufacturer shall be submitted for each liquid sodium hypochlorite delivery to City of Ocoee. 7.2.2 The report shall contain the following data: ❑ Date and Time of Manufacture ❑ Percent by Weight Sodium Hypochlorite ❑ Percent by Weight Excess Sodium Hydroxide ❑ Specific Gravity (Referenced to a temperature) ❑ Suspended Solids Test Time 7.2.3 No deliveries will be accepted by City of Ocoee unless accompanied by said certified laboratory report for the specific batch of liquid sodium hypochlorite delivered showing the above data and that it conforms to the Specification. Regardless of whether at different delivery sites, failure to comply with this provision three (3) times during the contract period shall constitute sufficient grounds for termination of the contract between City of Ocoee and Contractor. 7.3 Tank Cleanings 7.3.1 At any time during the performance of this Agreement, if City of Ocoee has any sort of sludge or other impurity buildup in any of its sodium hypochlorite tank, the Contractor shall cleanout the tank at no charge to City of Ocoee within seven (7) days, unless such timeframe is extended by City of Ocoee. The cleanout should be done in such a manner so that it is done safely with no loss of disinfection to the affected plant. The Contractor shall submit a procedure to City of Ocoee for approval prior to this work being completed. The determination of whether there is any such sludge or impurity buildup in the tanks will be at the sole discretion of City of Ocoee. Failure of the Contractor to cleanout the tank within seven (7) days after being served notice (or within any extension of this timeframe specified by City of Ocoee) shall be cause for immediate termination of the sodium hypochlorite supply between City of Ocoee and the Contractor. 8. OCCUPATIONAL HEALTH AND SAFETY 8.1 Contractor Safety Requirements 8.1.1 Contractor must ensure delivery personnel's compliance with all OSHA requirements, including personal protective equipment for Contractor delivery personnel, including without limitation chemical goggles, transparent face shield and hard hat, rubber gloves, rubber boots, and rubber or plastic -coated fabric apron or slicker suit. Contractor delivery personnel must wear at minimum, chemical goggles and rubber gloves when handling hoses and valves. 8.1.2 Contractor delivery personnel must remain within a safe proximity while the transfer is in progress and continuously monitor for leaking hoses, connections, or other problems. It is the responsibility of Contractor delivery personnel to contain leaks and to report any and all spills. Material Safety Data Sheets. In compliance with Chapter 442 Florida Statutes, any chemical delivered from a Contractor, must be accompanied by a Material Safety Data Sheet (MSDS). B 13-01 Liquid Sodium Hypochlorite 24 8.3 Technical Assistance and Safety Training 8.3.1 Safe Handling and Equipment Operation Training. The Contractor shall provide an appropriate safe handling and equipment operation training course for liquid sodium hypochlorite within the first month of the contract, to all current City of Ocoee operations personnel and shall be available to conduct "refresher" courses or new employee training at six (6) month intervals during the contract period. The Contractor shall provide this assistance at no charge to City of Ocoee. 8.3.2 Technical Assistance. The Contractor shall provide engineering and technical assistance, as needed, regarding the application of its product and disposal and handling of residues and sludge's produced by the application of liquid sodium hypochlorite in the water and wastewater treatment process. This expertise shall extend to the application of all other chemicals used by City of Ocoee in its water treatment and wastewater treatment plants. The Contractor shall provide this assistance at no charge to City of Ocoee. 9. TERMINATION In addition to the various statements in this Specification stating the grounds for automatic termination of the Contractor's contract to supply liquid sodium hypochlorite to City of Ocoee, and in addition to any other remedies, including the right to obtain cover and charge Contractor for the costs of cover, Contractor's failure to comply with this Specification three (3) times over the duration of this contract shall constitute sufficient grounds for termination of the contract by City of Ocoee. These failures any three of which can result in termination of the contract, include, but are not limited to, failure to deliver in a timely manner, failure to deliver with proper equipment, failure of the liquid sodium hypochlorite to meet the Specification at anytime, failure to provide a certificate of analysis, failure to comply with the safety and OSHA requirements of the Specification, failure to provide drivers with company cell phones, failure to provide requested technical assistance and/or training and failure to respond in a timely manner to any City of Ocoee emergency. 10. BIDDER'S CHECKLIST The Bidder shall ensure the following information is included in their Bids: Y. Pricing for the Sodium Hypochlorite N" List of Subcontractors, Subsidiaries and Affiliates C/ Third Party Laboratory Analysis of Sodium Hypochlorite Sample V Last Three NSF Sample Results for Proposed Manufacturing Location C( List of References (Five) G/ List of Terminations/Debarments (Last Five Years) [/ List of Safety Incidents (Last Five Years) W//Engineering and Emergency Response Support C Emergency Service Calls (Five Documented Instances) C9 ` Regulatory Actions for ALL manufacturing and distribution facilities 9'/ Copy of OSHA Form 300A/300 logs (Last Five Years) V/ Other Information on Company B13-01 Liquid Sodium Hypochlorite 25 Copies of any fines, correspondence and consent orders relating to the operation of ALL of its manufacturing and distribution facilities (Last Five Years) 2( Documentation of Ownership AND list of Officers ❑ Any Exceptions Taken to the Specification (Any of which may result in Bidder's disqualification) (Remainder of page left blank intentionally) B 13-01 Liquid Sodium Hypochlorite 26 EXHIBIT B BID FORM B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT The quantities shown are for estimating purposes only and do not reflect the actual order quantity. September 28, 2012 Date Allied Universal Corporation Company Name 5000-00980030 FL License Number Catherine Guillarmod Authorized Officer (print) d Signature B13-01 Liquid Sodium Hypochlorite 27 EXHIBIT C BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, as Principal, and as Surety, are hereby held and firmly bound unto the City of Ocoee, Florida, as Owner, in the penal sum of, ($1,000) $ (written amount in dollars and cents) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors and assigns. Signed, this day of , 20_. The Condition of the above obligation is such that whereas the Principal has submitted to the City of Ocoee, Florida a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for the B13-01 Liquid Sodium Hypochlorite Term Contract (Project). NOW THEREFORE 1. Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to pay to Owner upon default of Bidder any damages, costs, or expenses, including attorney's fees, incurred by Owner that are proximately caused by such default. In no event shall Bidder's and Surety's obligation hereunder exceed the penal sum set forth on the face of this Bond. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents. B13-01 Liquid Sodium Hypochlorite 28 This obligation shall be null and void if: 3.1 Owner accepts Bidder's bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents, or 3.2 All bids are rejected by Owner, or 3.3 Owner fails to issue a Notice of Intent to Award to Bidder within ninety (90) days from the time and date fixed for the opening of Bids (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default by Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of and any and all defenses based on or arising out of any time extension to issue notice of award agreed to in writing by Owner and Bidder, provided that the total time for issuing notice of award including extensions shall not in the aggregate exceed 120 days from Bid Due Date without Surety's written consent. 6. No suit or action shall be commenced under this bond prior to 30 calendar days after the notice of default required in paragraph 4 above is received by Bidder and Surety and in no case Iaer than one year after Bid Due Date. 7. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond, a current and effective Power of Attorney evidencing the authority of the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length. If any provision of this Bond conflicts with any applicable provision of any applicable statute, then the provision B13-01 Liquid Sodium Hypochlorite 29 of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term "bid" as used herein includes a bid, offer, or Bid as applicable. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. BIDDER: Strike out (X) non -applicable signature blocks and complete applicable block. All signatures ;rust have their names printed or type below their signature. If Bidder is SOLE PROPRIETORSHIP, complete this signature block. (1) (Individual's Signature) (Witness) (2) (Individual's Signature) (Witness) doing business as (SEAL) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochlorite 30 If Bidder is PARTNERSHIP, complete this signature block. (1) (Partnership Name) (Witness) (2) (General Partner's Signature) (Witness) (SEAL) (General Partner's Name) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochloritc 31 If Bidder is CORPORATION, complete this signature block. (1) (Corporation Name) (Witness) (2) (State of Incorporation) By: (Witness) (SEAL) (Name of Person Authorized to Sign - See Note 1) (Title) (Authorized Signature) (Corporation President) (Business Address) (Telephone No.) (Florida License No.) B 13-01 Liquid Sodium Hypochlorite 32 SURETY Witness: (If agency is not a Corporation) (Surety Business Name) I (1) (Principal Place of Business) 1 (2) By: (Surety Agent's Signature - See Note 2) (Witness) (Witness) Attest: (If Agency is a Corporation) (Surety Agent's Name) I (Corporate Secretary Signature) (Surety Agent's Title) I (Corporate Secretary Name) (Business Name of Local Agent for Surety) (Business Address) No.) (Bond No NOTES: (Corporate Seal) (1) Complete and attach "Corporate Authority to Execute Documents" if executed by any corporate employee other than president or vice-president. (2) Complete and attach a certified copy of "Power -of -Attorney" prepared by Surety appointing individual "Attorney -in -Fact" for execution of Bid Bond on behalf of Surety and corresponding notarized "Attorney -in -Fact". (3) Above addresses are to be used for giving required notice. (4) Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. (5) Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the state where the project is located. B 13-01 Liquid Sodium Hypochlorite 33 ATTORNEY -IN -FACT AFFIDAVIT STATE OR COMMONWEALTH OF COUNTY OR CITY OF Before me, a Notary Public, personally came known to be the Attorney -in -Fact of , a Corporation, which (Surety Company) known to me, and (State) executed the attached bond as surety, who deposed and said that his signature and the corporate seal of said Directors, were affixed by order and authority of said Company's Board of (Surety Company) and that the execution of the attacbed bond is the free act and deed of Given under my hand and seal this My Commission Expires (Surety Company) day of , 20_ END OF SECTION (Notary Public) B13-01 Liquid Sodium Hypochlorite 34 BID ##1113-01 COMPANY INFORMATION/SIGNATURE SHEET FAILURE TO COMPLY WITH THESE BID INSTRUCTIONS WILL RESULT IN DISQUALIFICATION OF YOUR BID. PLEASE SIGN BELOW ATTESTING THAT YOU HAVE READ AND UNDERSTAND ALL BID INSTRUCTIONS AND THAT THE PRICES REFLECTED ON THE "SCOPE OF WORK/BID FORM" ARE ACCURATE AND WITHOUT COLLUSION. THE PERSON SIGNING THIS BID SHOULD HAVE THE LEGAL AUTHORITY TO BIND THE COMPANY INTO A LEGAL CONTRACT. Allied Universal Corporation 305-888-2623 COMPANY NAME TELEPHONE (INCLUDE AREA CODE) 305-463-8369 FAX (INCLUDE AREA CODE) cathieg@allieduniversal.com E-MAIL ADDRESS ` IF REMITTANCE ADDRESS IS DIFFERENT AUTHORIZED SIG 1 URE {{manual) FROM PURCHASE ORDER ADDRESS, Catherine Gl armod PLEASE INDICATE BELOW: Executive A nistrator NAME/TITLE (PLEASE PRINT) 3901 NW 115 Avenue STREET ADDRESS Miami, FL 33178 CITY STATE ZIP FEDERALID# 59 0776285 Individual X Corporation Partnership Other (Specify) Sworn to and subscribed before me this 28 day of September , 20 12 Personally Known yes or Produced Identification (Type of Identification) B13-01 Liquid Sodium Hypochlorite Notary Public - State of County of Signature of Notary Public Printed, typed or stamped Commissioned name of Notary Public TAWANA ti0U5TOt4 J"'w- AVBlI•`, : Notary Publkc • State of Florida • My Comm. Expires Jun 12, 2015 commission # EE 94462 Bonded Through National Notary Assn, 35 AALLIED VERpSAL CORPORATION Established 1954 September 20, 2012 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 office 305-463-8369 fax Allied Universal Corporation is a privately owned company, which has been in business since 1954. Our Corporate Headquarters is located at 3901 N.W. 115 Avenue, Miami, FL 33178. There are presently 7 delivery locations; Miami, FL; Ft. Pierce, FL; CFI -Tampa, FL; Jacksonville, FL Terminal; Brunswick and Ranger, GA; and Ellisville, MS. We package Gas Chlorine, in all locations, except Ft. Pierce and Jacksonville and manufacture Sodium Hypochlorite, in all of our locations, except our Jacksonville Terminal and have serviced Utilities and Municipalities, in 22 states, for over 57 years. We also distribute other water treatment chemicals, swimming pool chemicals, and some chemicals for industrial use. All deliveries will be made by our affiliate company, Transportation Services Unlimited, with a dedicated fleet of over 100 tractors and tankers, with an employee complement of approximately 275 people. Deliveries for the City of Ocoee will be made from our facility located at 9501 Rangeline Road, Ft. Pierce, FL 34987; phone number: 772-464-6195; FAX: 772-462-0716. Contact name for all deliveries is Tommy Strickland, phone number 772-464-61951Ext. 202, e-mail address is tommys@allieduniversal.com. He is available from 6:30 a.m. until 3:30 p.m. The Area Sales Rep is Jorge Henriquez, cell phone number: 305-721-6637. If you have any questions or concerns on any of this information, please contact Catherine Guillarmod, Executive Administrator, Allied Universal Corporation, 3901 N.W. 116 Avenue, Miami, FL 33178, phone number (305) 888-26231Ext. 104; Fax, (305) 463-8369; E-Mail, cathieg@allieduniversal.com Icg 3901 NW 115 Avenue Miami, Flodda 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W. Tyson Avenue Tainpa, Florida 33611 813-832-4868 8350 NW 93 Street 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 .NovaChem Laboratarres. Inc Date: 24 September 2012 Sample Analysis Results Sid Sample Received 18 September 2012 Call for results over the phone 513-523-3605 Bleach Rec'd Parameter 9/18/2012 W/O NaOCI I IA9 WtVo Available Chlorine 10.94 GPL Available Chlorine 128 Trade °I 12.8 W/o NaOH a.286 Calculated pH 12.9 Wt°/a Na2CO3 0.150 Specific Gravity, g/mL 1.1667 Filter Test (1,000 mL) 0 min 57 sec (Millipore 0.8 W, type AW6irP) Bromate ion, mg/L <5 DL = 5 mg/L Chlorate ion, mg/L 940 DL. = 100 mg/L Perchlorate ion, mgAL <10 DL =10 mg/L Iron, mg/L 0.17 DL = 0.02 meL Copper, MOX <0.02 DL = 0.02 mg/L Nickel, mg/L <0.02 DL = 0.02 tng/L Lead, mgJL Not Detected DL = 0.20 mgfL Arsenic, rng/L Not Detected DL = 0.08 mg/L 5I72 College Comer Pike, P.O. Box 638, Oxford, Olio 45056 Tel: 513-523-3605, FAX: 513-523-4025 www.novachemlabs.com E-Mail: bbubnis@novachemlabs.com rd 97-Dt7C7.9('1.9 q�IWOIVLJC1WI WAHOVAON iam.-Pa Z6 9Z. deq NSF International 1-8 N. SF.Mo Rd. Ann Arbor, MI 0105, uns TEST REPORT 1-800.NSF.MARK I +1-734.769.8010 I www.nsf.org TM Live Safer Send To: 01240 Ms. Robin J.E. Bolte Allied Universal Corporation 210 Alumni Avenue Durham, NC 27713-6023 Facility: 01245 Allied Universal Corporation 9549 Rangeline Road Fort Pierce, FL 34987 Result PASS Report Date 09-NOV-2011 Customer Name Allied Universal Corporation Tested To NSF/ANSI 60 Description AquaGuard Chlorinating Sanitizer 10.5% 1 liquid Trade Designation AquaGuard Chlorinating Sanitizer 10.5% Test Type Annual Collection Job Number J-00097636 Project Number 9099375 (CLC, TEC) Project Manager Soncea Braden-Mccann This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Thank you for having your product tested by NSF International. Please contact your Project Manager if you have any questions or concerns pertaining to this report. Report Authorization Clifton Mclellan - Director, Toxicology Services Date 09-NOV-2011 F120111109164407 J-00097636 Page 1 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. NSF General Information Standard: NSFIANSI60 Chemical Name: Sodium Hypochlorite DCC Number: DA03347 Dale of Manufacture: 9129111 and 9/30111 Lot Number/Product Identifier: 6201 and 6205 Maximum Use Level: 100 mg/L mglL Physical Description of Sample: liquid Trade Designation/Model Number: AquaGuard Chlorinating Sanitizer 10.5% Sample Id: 5-0000858736 Description: Sodium Hypochlorite Sampled Date: 10-Oct-2011 Received Date: 04-Oct-2011 Tox Normalization Information: Calculated NF Preparation method used MUL Compound Reference Key: 0.0943 B 100 mg1L SPAC Lab Normalization Information: Date exposure completed Final volume of solution Mass of material used 10-OCT-2011 0.5 L 530 mg Normalization Calculation: Final Volume Of Solution (L) Normalized Result = Test Result (ugiL) * NF Where NF = MUL (mg1L) ' Mass of Material Used (mg) MUL = Maximum Use Level; Mass of Material Used = The mass of sample analyzed in the laboratory; Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. if an additional factor is used, it is included in the information above. Testin Parameter 9 Units Sample Conte6l Result .. worm• Result Acceptance . Criterla.(1) Evaluation Status Chemistry Lab Arsenic ug11- ND(1) ND(1) ND(1) ND(0-09) 1 Pass Barium ugiL ND(1) ND(1) ND(1) ND(0.09) 200 Pass Beryllium ug1L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.4 Pass Cadmium ug1L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.5 Pass Chromium ug1L ND(1) ND(1) N❑(1) ND(0.09) 10 Pass Copper ug1L ND(1) ND(1) ND(1) ND(0.09) 130 Pass Mercury ug1L ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass Lead ugiL ND(1) ND(1) ND(1) ND(0.09) 1.5 Pass Antimony ugiL ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.6 Pass Selenium ugiL ND(2) ND(2) ND(2) ND(0.2) 5 Pass Thallium ugiL ND(0.2) ND(0.2) ND(0.2) ND(0.02) 0.2 Pass Volatile Organic Compounds (Ref: EPA 524.2) Dichlorodifluoromethane ug11- ND(1) ND(0.5) ND(1) ND(0.09) Chloromethane ugiL ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass Vinyl Chloride ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass Bromomelhane ugiL ND(1) ND(0.5) ND(1) ND(0,09) Chloroethane ugiL ND(1) ND(0.5) ND(1) ND(0.09) 0.04 Pass Trichlorofluoromethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 50 Pass F120111109164407 J-00097636 Page 2 of 7 This report shall not be reproduced, except in its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. NSF Sample Id: S-0000858736 Testing Parameter Units Sample Control Result Norm. Result Acceptance Criterla(1) Evaluation Status Chemistry Lab ( Continued ) Trichlorolrifluoroethane uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass Methylene Chloride. uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,1-Dichloroethylene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.7 Pass trans- 1,2-Dichloroelhyiene uglL ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,1-Dichloroethane uglL ND(1) ND(0.5) ND(1) ND(0.09) 2,2-Dichloropropane uglL ND(1) ND(0.5) ND(1) ND(0.09) cis-1,2-Dichloroethylene uglL ND(1) ND(0.5) ND(1) ND(0,09) 7 Pass Chloroform uglL ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] Bromochloromethane uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass 1,1,1-Trichloroethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 20 Pass 1,1-Dichloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) Carbon Tetrachloride ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,2-Dichloroethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Trichloroelhylene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass 1,2-Dichloropropane uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Bromodichloromethane uglL ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] Dibromomethane uglL ND(1) ND(0.5) ND(1) ND(0.09) cis-1,3-Dichloropropene uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass trans- l,3-Dichloropropene ug/L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass 1,1,2-Trichloroethane uglL ND(1) ND(0.5) ND(1) ND(0.09) 1,3-Dichloropropane ug/L ND(1) ND(0.5) ND(1) ND(0.09) Tetrachloroethylene uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.5 Pass Chiorodibromom ethane uglL ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] Chlorobenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1.1,1,2-Tetrachloroethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 1 Pass Bromoform ug1L ND(1) ND(0.5) ND(1) ND(0.09) [TTHM] 1,1,2,2-Tetrachlomethane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.2 Pass 1,2,3-Trichloropropane ug1L ND(1) ND(0.5) ND(1) ND(0.09) 5 Pass 1,3-Dichlorobenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) 60 Pass 1,4-Dichlorobenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) 7.5 Pass 1,2-Dichlorobenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) 60 Pass Carbon Disullide uglL ND(2) ND(1) ND(2) ND(0.2) 70 Pass Methyl-tert-Butyl Ether (MTBE) uglL ND(1) ND(0.5) ND(1) ND(0.09) 50 Pass tert-Butyl ethyl ether ug/L ND(1) ND(0.5) ND(1) ND(0.09) Methyl Ethyl Ketone uglL ND(10) ND(5) ND(10) ND(0.9) 400 Pass Molhyl Isobutyl Ketone ug/L ND(10) ND(5) ND(10) ND(0.9) 700 Pass Toluene uglL ND(1) ND(0.5) ND(1) ND(0.09) 100 Pass Ethyl Benzene uglL ND(1) ND(0.5) ND(1) ND(0.09) 70 Pass F12011111109 164407 J-00097636 Page 3 of 7 This report shall not be reproduced, except in its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to [hose items tested, in the condition received at the laboratory. NSF Sample Id: S-0000858736 Testing Parameter Units Sample Control Result Norm. Result Acceptance Criteria(l) Evaluation Status Chemistry Lab ( Continued } mtp-Xylenes uglL ND(2) ND(1) ND(2) ND(0.2) [Xylenes] o-Xylene uglL ND(1) ND(0.5) ND(1) ND(0.09) [Xylenes] Styrene uglL ND(1) ND(0-5) ND(1) ND(0.09) 10 Pass Isopropylbenzene (Cumene) uglL ND(1) ND(0.5) ND(1) ND(0.09) 400 Pass n-Propylbenzene uglL ND(1) ND(0.5) ND(1) ND(O.09) 0.3 Pass Bromobenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 2-Chlorotoluene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 4-Chlorototuene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 1,3,5-Trimethylbenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass lert-Butylbenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass 1,2,4-Trimethylbenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) sec-Butylbenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass p-Isopropyltoluene(Cymene) uglL ND(1) ND(0.5) ND(1) ND(0.09) 1,2,3-Trimethylbenzene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass n-Butylbenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) 0.3 Pass 1,2,4-Trichlorobenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) Hexachlorobuladiene ug1L ND(1) ND(0.5) ND(1) ND(0.09) 0.1 Pass 1,2,3-Trichlorobenzene uglL ND(1) ND(0.5) ND(1) ND(0.09) Naphthalene uglL ND(1) ND(0.5) ND(1) ND(0.09) 10 Pass Benzene uglL ND(1) ND(0.5) ND(1) ND(O.d9) 0.5 Pass Total Trihalomethanes ug1L ND(1) ND(0.5) ND(1) ND(0.09) 8 Pass Total Xylenes uglL ND(1) ND(0.5) ND(1) ND(0.09) 1000 Pass 1 - If the acceptance criteria is blank and the evaluation status is "Fail', then the criteria used will be noted on the letter accompanying these results. [Xylenes] - Acceptance based on Total Xylenes [TTHM] - Acceptance based on Total Trihalomelhanes Sample Id: 5-0000858737 Description: Sodium Hypochlorite Sampled Date: 30-Sep-2011 Received Date: 04-Oct-2011 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.1 Dale exposure completed 07-OCT-2011 MUL 100 mglL Compound Reference Key: SPAC Normalization Calculation: g � 10 ug k Normalized Result = Test Result (mg/kg) " NF Where NF = MUL(mg1L) " 1 10 g 1 mg MUL = Maximum Use Level; Unit conversion: 1 kg = fOdng, 10vg = 1 mg; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is included in the information above. Fl20111109164407 J-00097636 Page 4 of 7 This report shall not be reproduced, except in its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to [hose items tested, in the condition received at the laboratory. NSF Sample Id: S-0000858737 Testing Parameter Units Sample Result Norm. Units Norm. Result Acceptance . Criteria(1) Evaluation IStatus Chemistry Lab ` Bromate, in bleach by Titration (NSF) Bromate mg/Kg ND(4) ND(d) uglL ND(0.4) 5 Pass Date Analyzed 10-OCT-2011 1 - If the acceptance criteria is blank and the evaluation status is "Fail", then the criteria used will be noted on the letter accompanying these results. F120111109164407 J-00097636 Page 5 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf,org). The results relate only to those items tested, in the condition received at the laboratory. NSF Common Terms and Acronyms Used: Sample...... .............. Test result on the submitted product sample after prepared or exposed in accordance with the standard. Control .................... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control lest result. Normalized Result... Result normalized in accordance with the test standard to reflect potential al -the -tap concentrations ND() ........................ Result is below the detection level of the analytical procedure as identified in the parenthesis. DCC Number........... NSF document control code or the registered formulation of the product tested ug1L........................ Microgram per liter = 0.001 milligram per liter (mg1L) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter ! Test Description ^.. .....................----------------------.....................................-------------------------------------------- C3022 ' Bromale, in bleach by Titralion (NSF) C3035 Total Arsenic in Drinking Water by ICPMS (Ref: EPA 200.8) C3038 Barium in Drinking Water by ICPMS (Ref: EPA 200.8) C3041 Beryllium in Drinking Water by ICPMS (Ref: EPA 200.8) C3046 Cadmium in Drinking Water by ICPMS (Ref: EPA 200.8) C3052 Chromium in Drinking Water by ICPMS (Ref: EPA 200.8) C3058 Copper in Drinking Water by ICPMS (Ref: EPA 200.8) C3071 Mercury in Drinking Water by ICPMS (Ref: EPA 200.8) C3100 Lead in Drinking Water by ICPMS (Rof: EPA 200.8) C3113 Antimony in Drinking Water by ICPMS (Ref: EPA 200.8) C3115 Selenium in Drinking Water by ICPMS (Ref: EPA 200.8) C3127 Thallium in Drinking Water by ICPMS (Ref: EPA 200.8) C4662 Volatile Organic Compounds (Ref: EPA 524.2) Test descriptions preceded by an asterisk —" indicate that testing has been performed per NSF International requirements but is not within its scope of accreditation. Testing Laboratories: Id Address -------------- -------------------------- All work performed at: NSF —AA NSF International 789 N. Dixboro Road Ann Arbor MI 48105 F120111109164407 J-00097636 Page 6 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. NSF About the Standard: NSF/ANSI Standard 60: Drinking Water Treatment Chemicals - Health Effects NSF/ANSI 60 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or laste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present in the finished water. Chemicals covered by this Standard include, but are not limited to; coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corrosiontscale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or impurities added to drinking water when the chemical is used at the "Maximum Use Level' under attestment. Prior to testing, information is obtained on the formulation and sources of supply used to manufacture the chemical. This information is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concern. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established in the standard based on the type of chemical and then is analyzed for potential contaminants determined during the formulation review. The laboratory results are normalized to represent potential at -the -lap values and then compared to the "single product allowable concentration" (SPAC) established by the standard. The product is found in compliance with the standard if the normalized value is less than or equal to the allowable concentration. F120111109164407 J-00097636 Page 7 of 7 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing in the Company's Official NSF Listing (www.nsf.org). The results relate only to those items tested, in the condition received at the laboratory. NSF International Test Report This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Sample Description: Sodium Hypochlorite TradeDesignation: Aqua Guard Chiorinating Sanitizer Test Type: AA - Annual Collection Result: Pass Thank you for having your product tested by NSF. This report details the results of testing performed on your product. Please do not hesitate to contact Soncea Braden-Mccann at 734-827-3811 if you have any questions about your product test results. Authorized by: �'- Date: 08-NOV-2010 Mclellan, Clif - Director, Toxicology Services 1`120101 10816123E A-00044519 Page 2 of 9 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certl(Icatlon or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing In the Company's Official NSF Listing (www.nsf-org). The resuits relate to those items tested. NSF International General information Standard: 060 - DRINKING WATER TREATMENT CHEMICALS - HEALTH EFFECTS i Collected Retain Samples - YES DCC Number i Tracking ID -. DA03347 . bate Collected - 15-OCT-10 Lot Number - 1018, 10114, 1016, 1015 Maximum Use Level 100 mg/L Monitor Code - A Primary DCC Number - DA03347 Sample Code - ACEVAL Semple Description - Sodium Hypochlorite Sample Taken From - RETAIN Trade Designation - Aqua Guard Chlorinating Sanitizer Sample Id: S-0000787070 Desorlptlon: Aqua Guard Chlorinating Sanitizer Sampled Date: 15-Oct-2010 Received Date: 20-0ct-2010 Tox Normalization Information: Lab Normalization Information: Calculated NF 0.1 MUL Date exposure completed 21-SEP-2010 100 mgiL Compound Reference Key: SPAC Normalization Calculation: Normalized Result = Test Result (mpg) ` NF Where NF = MUL(mg/L) ' 1 kg 14 ug 101mg 1 mg - MUL = Maximum Use Level, Unit conversion: i kg = 10mg, 10,ug = f mg; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is included in the information above. i Chemistry Lab _ Bromate, In bleach by Titration (NSF) Bromete Dale Analyzed mg/Kg 24 24 28-OCT-2010 ugiL 2.4 6 Pass F120101108161238 A-00044519 Page 3 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appealing in the Company's Official NSF Listing (www.nsf,org). The results relate to those Items lasted. NSF International Sample Id: S-0000787070 Sample ld: 5-0000787072 Description: Aqua Guard Chlorinating Sanitlzer Sampled Date: 27-Oct-2010 Recelved Date: 2o-Oc1-2010 i ox normalization Information: Lab Normalization Information: Calculated NF . 0.0963 Dale exposure completed Preparation method used B Final volume of solution MUL 100 mg/L Mass of material used Compound Reference Key: SPAC Normalization Calculation: Normalized Result = Test Result u Final Volume Of Solution (L) (ug/L) NF Where NF =MUL {mglL) `Mass of Material Used (mg) MUL = Maximum Use Level,' Mass of Material Used = The mass of sample analyzed In the laboratory; - Final Volume of Solution = The volume of wafer used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, Of other assumptions stipulated with the use of the product. If an additional factor Is used, it is Included In the information above. wow- - 27-OCT-2010 0.5 L 5f9mg '-� -.. r� ti➢R Chemistry Lab - -- Arsenic ug/L ND(1) ND(1) ND(1) ND(0.1) 1 Pess Barium ug/L ND(1) ND(1} ND(1) ND(0.1) 200 Pass Beryllium - ug/L ND(0.5) ND(0.5) . ND(0.5) ND(0.05) 0.4 Pass Cadmium ug/L ND(Q.2) ND(O.2) ND(O.2) ND.(0.02) 0.5 Pass Chromium ug/L ND(1) ND(1) ND(1) ND(O.i) Copper. ugfL ND(1) ND(1) ND(1) ND(0.1) 130. Pass Mercury_ ug/L ND(0.2) ND(O.2). ND(O.2) ND(0.02) 0.2 Pass Lead ug/L ND(i) ND(1) ND(1) ND(0.1) 1.5 Pass Antimon Y ug1L - ND(0.5) ND(0.6) ND(0.5) ND(0.05) 0.6 Pass Selenium ug/L ND(2) ND(2) ND(2) ND(O.2) 5 Pass Thallium ug/L ND(O.2) ND(O.2) ND(0.2) ND(0.02) 0.2 Pass Volatile Organic Compounds. (Ref: EPA 524.2) - Dlghlorodifluoromethane u L gi ND(0.5) ND(o.5) ND(0.5) ND(0.05) - Chloromethane ugfL ND(0.5) ND(0.5) ND(0.5) ND(p,05) 0.3 Pass Vinyl Chloride ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.2 Pass 13 momethane ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) Chluroethane ` ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.04 Pass Trichlorofluoromethane ug1L ND(0.5) ND(0.5) ND(0.5) . ND(0.05) 5o Pass TrichlorolriHuoroelhane' ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.3 Pass Methylene Chloride ug/L ND(0.5) ND(0.5) ND(0.5) ND(O.05) 0.5 Pass F620101108161238 A-00044519 Page 4 of 9 This report shall not be reproduced, except in Its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited io products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. NSF International Sample Id: S-6000787072 Chemistry Lab ( Cont'd ) 1,1-Dichioroethylene ug/L ND(0.5) ND(05) ND(0.5) ND(0.05) 0.7 trans-1,2 D]chloroe{hylene 10-Dlchloroethpne i 2,2•Dlchloropropane ug1L ug/L ug/L ND(0.5) ND(0.5) ND(0.5). ND(0.5) ND(0.5) ND(0.5) ND(0-5) ND(0,5) ND(0.5). ND(0.05) ND(0.05) ND(0.05) 10 cis-1,2-Dlchloroethylene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0,05) 7 Chloroform Bromochloromethene 1;1,1-Trichloroethane 1,1-Dichloropropane Carbon Tetrachloride ug/L ug/L ug/L uglL ug/L ND(0.5) ND(0.5) ND(0,5) ND(0.5) ND(0.5) ND(0.5) ND(0,S) ND(0.5) ND(0.5) . ND(0.5) ND(0.5) ND(0.5) 191)(0.5) ND(0.5) ND(0.5) ND(0.05) ND(0.05) ND(0.05) ND(0.05) ND(0.05) [TTHM] 0.3 20 0.5 1,2•Dlchloroethane Tdchloroethylene ug/L ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0.05) ND(0.05) 0.5 0.5 1,2-Dlchloropropane Bromodichloromothane ug/L ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0,5) ND(b.5) ND(0,05) ND(0.05) 0.5 rTTHM) Dibromomethane cis-1,3•Dichloropropene ug/L ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND(0.5) ND((),5) ND(0.05) ND(0.05) 0.2 trans-1,3-Dichloropropane ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 012 1,1.,2-Trichloroethane ug/L ND(0,5) ND(0.5) ND(0.5). ND(0.05) 1,3-Dichloropropane ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) Tetrachloroethylene ug/L_ ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.5 Chlorodibromomethane Chlorobenzene ug/L ug/L ND(0.5) ND(0.5) ND(0.5) _ 1.6. ND(0,5) ND(0.5) ND(6.05) ND(0.05) [TTHM]� 10. 1,1,1,2-Tetrachloroethane ug/L ND(0.5) _._ ND(0.5) ND(4.5) ND(0.05) 1 f3romofatm ug/L ND(0,5) ND(0.5) ND(0.5) ND(0.05) ITTHM] 1,1,2,2-Tetrachloroethane ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.2 1,2,3-Tdchloropropane ug1L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 5 1,3-Dlchlorobenzene uglL ND(0.5) ND(0.5) ND(0-5) ND(0,05) - 60 1,4-Dichlorobenzene ug/L ND(0.5) ND(0.5) ND(0:5) ND(0.05) 7.5. 1,2-Dichlorobenzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 60 Carbon Disulfide ug/L ND(1) ND(1) ND(1) ND(0.1) 70 Methyl-tert-Butyl Ether (MTBE) ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 50 tent -Butyl ethyl ether ug/L ND(0,5) ND(0,5) ND(0.5) ND(0.05) Methyl Ethyl Ketone ug/L ND(5) ND(5) ND(5) ND(0.5) 400 Melhyl isobutyl Ketone ug/L ND(5) ND(5) ND(5) ND(0.5) 700 Toluene ug/L ND(0.5) ND(0.5) . ND(0,5) ND(0.05) 100 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass . Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Ethyl Benzene ug/L ND(0.5) ND(0,5) ND(0,5) ND(0.05) 70 Pass m+p-Xylenes ug/L ND(1) ND(1) ND(1) ND(0.1) [Xylenes) o-Xylene ug/L ND(0.5) ND(0,5) ND(0.5) ND(0.05) [Xylenes] FI20101108ifi1238 A-00044519 Page 5 of 8 This report shall not be reproduced, except in Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www:nsf.org). The results relate to those items tested. hSF.'International Sample Id: S-ODD0787072 Chemlelry Lab ( Cont'd ) Styrene U.WL ND(0.5) ND(0.5) ND(0.5) ND(0.05) 10 Pass Isopropylbenzene (Cumene) ug/L ND(0,5) ND(0.5) ND(0.5) ND(0.05) 400 Pass n-Propylbenzene ug/L ND(U) ND(0.5) ND(0.5) ND(0.05) 0.3 Pass Bromobenzene uglL ND(0.5) ND(0.5) ND(0,5) ND(0.05) 2-Chlorotoluene ug/L ND(0.5) ND(0.5) ND(0,5). ND(0.05). 4-Chlorotoluene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 1,35-Trirriethylbenzene ug/L ND(0.5) ND(0,5) ND(0.5) ND(0.05) 0.3 Pass tert-Butylbenzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 10 Pass 1;2,4-Tdmethylbenzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) sec-Butylbenzene ug/L ND(0,5) ND(0.5) ND(0.5) ND(0.05) 0.3 Pass p-Jropropylloluene (Cymene) ug/L ND(0.5) ND(0.5) ND(0.5) ND(0,05) 1,2,3-Trimethylbenzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.3 Pass n-Butylbenzene ug/L ND(Q5) ND(0,5) ND(0.5) ND(0.05) 0.3 Pass 1,2,4-Tdchlorobenzene 11911- ND(0.5) ND(0.5) ND(0,5) ND(O.05) Hexachlorobutadiene ug/L ND(0.5) ND(0.5) ND(0,5) ND.(0.05) 0.1 Pass 1,2,34 ichlorobenzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) Naphthalene ug/L ND(0,5) _ ND(0.5) ND(0.5) ND(0.05) 10 Pass `Benzene ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 0.5: Pass Total Trihalomethanes ug/L ND(0.5) ND(0.5) ND(0.5) ND(0.05) 8 Pass Total Xylenes _ u91L ND(0.5) ND(0.5) ND(0.5) ND(0,05) 1000 Pass F120101108161238 A-00044519 Page 6 of 9 This report shall not be reproduced, except in Its entirety, without the wrltten approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those Items tested. ASF International Sample Id: S-0000787072 i - F120101108161238 A-00044519 Page 7 of 9 This report shall not be reproduced, except In Its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing in the Company's Official NSF Listing (www.nsf.org), The results relate to those Hems.tested. NSF International Common Terms and Acronyms Used: Sample ... ................. Test result on the submitted product sample after prepared or exposed In accordance with the standard. Control ........:........... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample test result minus the Control test result. Normalized Result... Result normalized In accordance Wlh the test standard to. reflect potential at -the -tap concentrations NDO........................ Resull is below the detection lavel of the analytical procedure as.identifled In the parenthesis. DCC Number........... NSF document control code of the registered formulation of the product tested ug1L........................ Microgram per liter = 0.001 milligram per liter (mglL) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter / Test Description C3022 ` Bromate, in bleach by Tllration (NSF) C3035 Total Arsenic in Drinking Water by ICPMS (Ref: EPA 200.8) C3036 Barium In Drinking Water by ICPMS (Rat: EPA 200.8) C3041 Beryllium In Drinking Water by ICPMS (Ref: EPA 200.8) C3046 Cadmium in Drinking Water by ICPMS (Re1: EPA 200.8) C3052 Chromium in Drinking Water by ICPMS (Rol: EPA 200.8) C305a Copper in Drinking Water by ICPMS (Rel: EPA 200.8) C3071 Mercury in Drinking Water by ICPMS (Ref:. EPA 200.8) C3100 Lead In Drinking Water by ICPMS (Ref: EPA 200.8) C3113 Antimony in Drinking Water by ICPMS (Rat: EPA 200.8) C3115 Selenium In Drinking Water by ICPMS (Ref: EPA 200.8) C3127 Thallium In Drnking Water by ICPMS (Ref: EPA 200.8) C4662 Volatile Organic Compounds (Ref: EPA 524.2) Test descriptions preceded by an asterisk "`" indicate that testing has been performed par NSF International requirements but Is not within Its scope of accreditation: Testing Laboratories: Id Address All work performed at: 0 NSF_AA NSF International 789 N. Dixboro Road i I Ann Arbor MI 46105 i F120101108161238 /4-00044519 Page 8 of 9 FInaLStd &ONorrn This report shall not be reproduc ad, except in its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those Items tested. NSF International About the Standard: NSFIANSI Standard 60: drinking Water Treatment Chemlcals - health Effects NSFIANS160 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the Impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for.chemicals that are directly added to water and are Intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present in the finished water. Chemicals covered by this Standard Include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corroslon/scale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or Impurities added to drinking water when the chemical Is used at the 'Maximum Use Level' under attoslment. Prior to testing, information Is obtained on the formulation and sources of supply used to manufacture the chemical. This Information Is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concam. A representative sample of chemical is obtained for testing. The chemical sample is prepared for analysis through specific methods established in the standard based on the type of chemical and then Is analyzed for potential contaminants determined during the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the 'single product allowable concentration' (SPAC) established by the standard. The product Is found In compliance with the standard if the normalized value is less than or equal to the allowable concentration. f _ - FI20101108161238 A-00044519 Page 9 of 9 Final Sfcf_60Norm This report shall not be reproduced, except in Its entirely, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark, Authorization to use the NSF Mark Is limited to products.appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those Items tested. NSF MILIve safer. I k ALLIED UNIVERSAL �3Customer: CORPORATION CLIENT ;II P Attention: MS. ROBIN J.E. BOLTS Sample Description: Sodium Hypochlorite ' Trade Designation: L Aqua Guard Chlorinating Sanitizer SERVICE Evaluation Standard: NSF/ANSI Standard 60 REQUESTED i Status: Pass Report: 22-APR-2009 Project Manager: Soncea Braden-Mccann NSF Program: 0.045 - DWA Std. 60 (Health Effects Testing) N 5 F INFO Report ID: 01245_A-00036884 NSF PA: 9057953 (CLA, TEA) �- E Report issue: F120090422142052 - NSF-Intemational / The_Publlc-Health and Safety GompanyT"' 70W.N PxOro.Rd-_Ann kbo-.r, MI 48105 _(8110) NSF -MARK (734)-769-801 D intoOnef.erg www.nef,org Pagel of 8 _ NSF International Test Report This report documents the testing of the referenced product to the requirements of NSF/ANSI Standard 60 (Drinking Water Treatment Chemicals - Health Effects). This standard establishes minimum requirements for chemicals, the chemical contaminants, and impurities that are added to drinking water from drinking water treatment chemicals. Contaminants produced as by-products through reaction of the treatment chemical with a constituent of the drinking water are not covered by this Standard. Reference the "About the Standard" section at the end of this report for additional information about NSF/ANSI Standard 60 and the products covered under this Standard. Sample Description: Sodium Hypochlorite TradeDesignation: Aqua Guard Chlorinating Sanitizer Test Type: AA - Annual Collection Result: Pass Thank you for having your product tested by NSF. This report details the results 'of testing performed on your product. Please do not hesitate to contact Soncea Braden-Mccann at 734-827-3811 if you have any questions about your product test results. Authorized by: Date: 22-APR-2009 Clifton Mclellan - Director, Toxicology Services FI20090422142052 A-00036884 Page 2 of B This report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorizelion to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. NSF International General Information Standard: 060 - DRINKING WATER TREATMENT CHEMICALS -HEALTH EFFECTS Collected Retain Samples YES DCC Number/ Tracking ID. DA03347 Dale Collected - 17-MAR-00 Lot Number - 031709-OB Maximum Use Level - 100 mglL Monitor Code - A PrimaryDCC Number - DA03347 Sample Code - ACEVAL Sample Description - Sodium Hypochlodle Sample Taken From Production Trade Designation - Aqua Guard Chlorinating Sanitizer Sample Id: S-0000631701 Description; Aqua Guard Chlorinating Sanitizer - Sample 1 Product Sampled Date: 17-Mar-2009 Received Date: 20-Mar-2009 Tox Normatizatlon Information: Lab Normalization Information: Calculated NF 0.1 Date exposure completed MUL 100 mglL Compound Reference Key: SPAC Normalization Calculation Normalized Result =Test Result (mglkg) 1 kg . 1O'ug NF Where NF = MUL(mg/L) *-10ing 1 mg MUL = Maximum Use Level,• Unit conversion: 1 kg = 10 mg, 10 ug = 1 mg; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover, flushing, or other assumptions stipulated with the use of the product. If an additional factor is used, it is Included In the information above. Chemistry Lab — - — - ' Bromate, in bleach by Tftratlon (NSF) Bromate Date Analyzed mg/Kg 17 17 MAR- 26-MAR-2009 ugiL 1.7 5 Pass 1 • If the acceptance criteria Is blank and the evaluation status Is 'Fall% then the criteria used will be noted on the letter accompanying these results. Sample Id: S-0000631793 Description; Aqua Guard Chlorinating Sanitizer - Sample 2 Product Sampled Dale: 31-Mar-2009 Received Date: 20-Mar-2009 Tox Normalization Information: I Lab Normalization Information: Calculated NF 0.0973 Dale exposure completed 31-MAR-2009 Preparation method used B Final volume of solution 0.5 L MUL 100 mg1L Mass of material used 514 mg Compound Reference Key: SPAC I Normalization Calculation: Normalized Result =Test Result (ug/L) ' NF Where NF =MUL (mFinal Volume Of Solution (L)glL) ' MASS of Mittarial Usad (mg) F120090422142052 A-00036884 Page 3 of 6 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or autho6zelion to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nst.org), The results relate to those items tested. NSF International Sample Id: 5-0000831793 4ormalizatlon Calculation- MUL = Maximum Use Level; Mass of Material Used = The mass of sample analyzed in the laboratory; Final Volume of Solution = The volume of water used to dilute the sample; An additional factor may be used to adjust the analytical result to field use conditions to account for product carryover,, flushing, or other assumptions stipulated with the use of the product. If an additionaf factor Is used, it is included in the information above Chemistry Lab Arsenic -- - Barium Beryllium Cadmium Chromium Copper Mercury Lead Antimony Selenium ug/L ND(1) ug/L ND(1) ug/L ug/L ND(O.5) ND(0.2) ug/L ND(1) ug/L ND(1) ug/L ug/L ND(0.2) ND(1) ug/L ND(05) ug/L Thalllum ug/L Volatile& Unregulated VOC's by EPA 502.2 Dichlorodifluoromethane ug/L Chloromethane Vinyl Chloride ug1L ug/L Bromomelhane Chloroethane Tdchlorolluoromethane ugfL ug/L ug/L ND(2) ND(0,2) ND(5) ND(5) ND(5) ND(5) ND(5) ND(5) TrlchlorotriNuoroethane ug/L ND(5) 11-1131ch(oroethylane Methylene Chloride ug/L ug/L ND(5) ND(5) trans- 1,2-Dlchloroethyiens 1,1-Dichloroolhane 2,2-Dichloropropane cis- 1,2-Dichloroelhylene Chloroform Bromochloromethane 1,1,1-Trichloroethane 1,1-Dichloropropane Carbon Tetrachloride 1,2-Dichloroethans Ar _ air it tTI ND(1) ND(1) ND(1) ND(1) ND(0.1) ND(0.1) 1 200 Pass Pass ND(O.5) ND(0,2) ND(O.5) NO(D.2) ND(0.05) ND(0,02) 0.4 0.5 Pass Pass ND(1) ND(1) ND(1) ND(1) ND(0,1) ND(0.1) 10 130 Pass Pass ND(0.2) ND(1) ND(0.2) ND(1) ND(0.02) ND(I1.1) 0.2 1.5 Pass Pass ND(O.5) ND(O.5) ND(0.05) 0.6 Pass ND(2) ND(2) ND(O.2) 5 Pass ND(0.2) ND(0.2)--ND(0.02) 0.2 Pass ND(O.5) ND(5) ND(0,5) ND(O.5) ND(O.5) ND(0.5) ND(O.5) _ NO(5) ND(5) ND(5) ND(5) ND(O.5) ND(O.5) ND(O.5) ND(O.5) 3 0.2 0.04 ND(O.5) ND(5) ND(O.5) 50 ND(O.5) ND(5) ND(O.5) 0.3 ND(O.5) ND(5) ND(O.5) 0.7 1.6 ND(5) ND(O.5) 0.5 Pass Pass Pass Pass Pass Pass Pass ug/L ND(5) ND(O.5) ND(5) ND(O.5) 10 Pass ug/L ND(5) ND(O.5) ND(5) ND(O.5) ug/L ND(5) ND(O.5) ND(5) _ ND(O.5) ug1L ND(5) ND(0.5) ND(5) ND(O.5) 7 Pass ug/L ND(5) 0.6 ND(5) ND(O.5) [TTHMi ug/L ND(5) ND(0.5) ND(5) ND(O.5) 0.3 Pess ug/L ND(5) ND(O.5) ND(5) ND(O.5) 20 Pass ug/L ND(5) ND(O.5) ND(5) ND(O.5) ug/L ND(5) ND(O.5) ND(5) ND(O.5) 0.5 - Pass ug/L ND(5) ND(O.5) ND(5) ND(O.5) 0.5 Pass F120090422142052 A-00036884 Page 4 of 8 This report shall not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those items lasted. NSF International Sample Id: S-0000631793 -_.._ W, T"fi Et II Unlls l� �or�rai I, F1�tflt Chemistry Lab (Cont'd ) Tdchloroethylene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass 1,2-Dichloropropane ug/L ND(5) ND(0,5) ND(5) ND(0.5) 0.5 Pass Bromodichloromethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM] Dlbromomethane ug/L ND(5) ND(0,5) ND(5) ND(0.5) cls-1,3-Dlchloropropene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.2 Pass trans-1,3-Dichloropropene ug/L ND(5) ND(0.5) ND(5) ND(0,5) 0.2 Pass 1, 1,2-Trichloroelhane ug/L ND(5) ND(0.5) ND(5) ND(0,5) 0.5 Pass 1,3-01chloropropane ug/L ND(5) ND(0.5) ND(5) ND(0.5) Tatrachloroethylene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Chlorodibromomethane ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM] Chlorobenzene uglL ND(5) ND(0.5) ND(5) ND(0.6) 10 Pass 1,1.1,2-Tetrachloroethane ug/L ND(5) ND(0.5) ND(6) ND(0.5) 1 Pass Bromoform ug/L ND(5) ND(0.5) ND(5) ND(0.5) [TTHM] 1,1,2,2-Tatrachloroethane ug/L ND(5) ND(0,5) ND(5) ND(0.5) 0'2 Pass 1,2,3-Trichloropropane ug/L ND(5) ND(0,5) ND(5) ND(0.5) 6 Pass 1,3-Dichlorobenzene ug/L ND(5) ND(0,6) ND(5) ND(0.5) 60 Pass 1,4-Dichlorobenzene ug/L ND(5) ND(0.5) ND(5) ND(0-5) 7.5 Pass 1,2-Dichlorobenzene ug/L ND(5) ND(0-5) ND(5) ND(O.5) 60 Pass Carbon Disulfide ug/L ND(10) ND(1) ND(10) ND(1) 70 Pass Methyl-tert-Butyl Ether (MTBE) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 50 Pass tort -Butyl ethyl ether ug/L ND(5) ND(0.5) ND(5) ND(0.5) Methyl Ethyl Ketone ug/L ND(50) ND(5) ND(50) ND(5) 400 Pass J Methyl Isobutyl Ketone ug/L ND(50) ND(5) ND(60) ND(5) 700 Pass �. Toluene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 100 Pass Ethyl Benzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 70 Pass m+p-Xylenes ug/L ND(10) ND(1) ND(10) ND(1) [Xylenes] o-Xylene ug/L ND(5) ND(0.5) ND(5) ND(0,5) [Xylenes] Styrene T ug/L ND(5) ND(0.5) ND(5) ND(0,5) 10 Pass Isopropylbenzene (Cumene) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 400 Pass n-Propylbenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass Bromobenzene ug/L ND(5) ND(0-5) ND(5) ND(0.5) 2-Chloratoluene 4-Chlorotoluene 1,3,5-Tdmethylbenzene tert-Butylbenzene 1,2,4-Trimethylbenzene sec-Butylbenzene p-Isopropyltcluene (Cymene) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass ug/L ND(5) ND(0.5) ND(6) ND(0.5) ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass u91L ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass ug/L ND(5) ND(0.6) ND(5) ND(0.5) - ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass ug/L ND(5) ND(0.5) ND(5) ND(0.5) F120090422142052 A-00036884 Page 5 of 8 This report shall not be reproduced, except In Its entirety, without the written approval of NSF. This report does not represent NSF Certification or aulhorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nsf,org). The results relate to those items tested. NSF International Sample Id: S-0000631793 �" z tlh� Si;�t�fl�t ' 1�11 ii_�181�it 1VOtY11- Ip Chemistry Lab (Conl'd ) 1,2,3-Trimethylbenzene ug/L ND(5) ND(6,5) ND(5) ND(0.5) 0.3 Pass n-Butylbenzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.3 Pass 1,2,4-Trichlorobenzene ug/L ND(S) ND(0.5) ND(5) ND(0.5) v Hexachlorobutadlene ug/L ND(5) ND(0.5) ND(5) ND(0,5) 0.1 Pass 1,2,3-Trichlorobanzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) Naphthalene -- ug/L. ND(5) ND(0.5) ND(5) ND(0.5) 10 Pass Benzene ug/L ND(5) ND(0.5) ND(5) ND(0.5) 0.5 Pass Total Trihalomelhanes ug/L ND(5) 0.6 ND(5) ND(0.5) 6 Pass Total Xylenes ugA- ND(5) ND(0.5) ND(5) ND(0.5) 1000 Pass 1 - If the acceptance criteria Is blank and the evaluation stalus is 'Fell', then the criteria used will be noted on the letter accompanying these results. [TTHn_ Acceptance based on Total Trihalomethanes IXylenesj RcceNance based on Total Xylenes F120090422142052 A-00036884 Page 6 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark Is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those items tested. 0 NSF International Common Terms and Acronyms Used: Sample .................... Test result on the submitted product sample after prepared or exposed In accordance with the standard. Control .................... Test result on a laboratory blank sample analyzed in parallel with the sample. Result ..................... Sample lest result minus the Control test result. Normalized Result... Result normalized in accordance with the test standard to reflect potential at -the -tap concentrations NDO...... ............. Result Is below the detection level of the analytical procedure as identified In the parenthesis, DCC Number.....,..... NSF document control code of the registered formulation of the product tested ug/L........................ Microgram per liter = 0.001 milligram per liter (mg1L) SPAC...................... Acceptance criteria of the standard (Single Product Allowable Concentration) References to Testing Procedures: NSF Reference Parameter I Test Description C3022 " Bromate, In bleach by Titration (NSF) C3035 Total Arsenic In Drinking Water by ICPMS (Ref: EPA 200,B) C3038 Barium in Drinking Water by ICPMS (Ref: EPA 200.8) C3041 Beryllium.in Drinking Water by ICPMS (Ref: EPA 200.8) 03046 Cadmium In Drinking Water by ICPMS (fief: EPA 200,8) C3052 Chromium In Drinking Water by ICPMS (Ref: EPA 200,8) C3058 Copper in Drinking Water by ICPMS (Ref: EPA 200.8) C3071 Mercury in Drinking Water by ICPMS (Ref: EPA 200,8) C3100 Lead In Drinking Water by ICPMS (Ref: EPA 200.8) C3113 Antimony In Drinking Water by fCPMS (Ref: EPA 200,8) C3115 Selenium In Drinking Water by ICPMS. (Ref: EPA 200,8) C3127 Thallium In Drinking Water by ICPMS (Ref: EPA 200.B) C4416 Volaliles: Unregulated VOC's by EPA 502.2 Test descriptions preceded by an asterisk'— Indicate that testing has been performed per NSF International requirements but Is not within its scope of accreditation. Testing Laboratories: Id All work performed at:. ♦ NSF —AA F120090422142052 Address NSF INTERNATIONAL 789 N. DIX60R0 ROAD ANN ARBOR MI 48105 A-00036884 Page 7 of 8 Final Sid_60Norm This report shell not be reproduced, except In its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to ties the NSF Mark. Authorization to use the NSF Mark is Ilmited to products appearing In the Company's Official NSF Listing (www.nsf.org). The results relate to those Items tested, NSF International About the Standard. NSF/ANSI Standard 60; Drinking Water Treatment Chemicals - Health Effects NSF/ANSI 60 establishes minimum health effects requirements for the chemicals, the chemical contaminants, and the impurities that are directly added to drinking water from drinking water treatment chemicals. It does not establish performance or taste and odor requirements. The standard contains requirements for chemicals that are directly added to water and are Intended to be present in the finished water as well as other chemical products that are added to water but are not intended to be present In the fInlshed water. Chemicals covered by this Standard Include, but are not limited to, coagulation and flocculation chemicals, softening, precipitation, sequestering, pH adjustment, and corroslon/scale control chemicals, disinfection and oxidation chemicals, miscellaneous treatment chemicals, and miscellaneous water supply chemicals. The testing performed to this standard is done to estimate the level of contaminants or Impurities added to drinking water when the chemical is used at the "Maximum Use Level' under attestment. Prior to testing, Information Is obtained on the formulation and sources of supply used to manufacture the chemical. This Information is then reviewed along with the minimum requirements of the standard to establish the potential contaminants of concern. A representative sample of chemical Is obtained for testing. The chemical sample Is prepared for analysis through specific methods established in the standard based on the We of chemical and then Is analyzed for potential contaminants determined during.the formulation review. The laboratory results are normalized to represent potential at -the -tap values and then compared to the "single product allowable concentration' (SPAC) established by the standard. The product Is found In compliance with the standard If the normalized value Is less than or equal to the allowable concentration. F120090422142052 Flna! Sh 60Norrn A-00036884 Page 8 of 8 This report shall not be reproduced, except in its entirety, without the written approval of NSF. This report does not represent NSF Certification or authorization to use the NSF Mark. Authorization to use the NSF Mark is limited to products appearing In the Company's Official NSF Listing (www.nsf.org). The resulls relate to those items lasted, o �` LV �s 3901 A[W 115 Avenue Florida 33178 ARMiami, 305-888-2623 office 305-463-8369 fax ALLIED UNIVERSAL CORPORATION Established 1954 July 2012 The following bleach bids were cancelled early, in the past 5 years: City of Stuart (September 2010) Catherine Guillarmod Executive Administrator Icg 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W. Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 City of Stuart Chain of Events After Allied Universal was awarded this bid in September 2009, many orders were placed and delivered with no problems. The requirements of the bid were for full tanker loads of 5,000 gallons but the city of Stuart was only taking 3,000 gallons or less. When Allied reviewed this issue with the city, all the problems with our product started to happen. Jim Parks, from the City of Stuart, started advising his superiors that our product was clogging his filter. After reviewing the unloading, Allied was able to demonstrate that the City of Stuart was using the wrong filter. After the right filters were used, the problem went away. The City of Stuart renewed their contract with Allied on August 251h- 2010 but on the first delivery, under the renewed contract on September the 10'h., they claim having received a load that clogged their filter. They never called to advise any one at Allied of the problem. On September 9a' Mr. Parks told the dispatcher to send another load on the 23 of September, but on the night of the 22" , Mr. Parks left a voice message to cancel the delivery since they had switch the business to Odyssey. If Allied was not performing, why was the bid renewed on August 25'h 2010? If in fact they had a problem on the load September 10a' why, not call and advise us? Allied feels that there are other reasons involved that we're not aware of them to make this hasty decision CLASS SE o3901 NW 115th Avenue Miami, Florida 33178 AALLIED 305-888-2623 office305-885-4671fax VERSAL CORPORATION Established 1954 NATIONAL RESPONSE CENTER NOTIFICATIONS FOR SIX U.S. OPEARTING PLANTS AND ONE U.S. TERMINAL 2008 THRU 2012 DATE LOCATION RQ DESCRIPTION 07/21/2008 Public Road NO Sodium Hypochlorite cargo tanker, operated by Transportation Services Unlimited Inc., Georgia relief valve failed while transporting Allied sodium hypochlorite product. Sodium hypochlorite released to the road. Notification made to NRC for precautionary reasons. 08/07/2008 Public Road NO Tractor trailer, operated by Transportation Services Unlimited Inc., motor vehicle accident, Mississippi diesel fuel released to the road. Notification made to NRC for precautionary reasons. 08/20/2008 Facility NO Tropical Storm Fay caused significant rainfall and windy conditions at the Allied facility. Ft. Pierce, Inclement weather conditions resulted in a hydrochloric acid tank failure due to tank FL movement/containment breach. Notification made to NRC for precautionary reasons. 12/27/2008 Public Area NO Possible ethylene glycol (antifreeze) spill near storm drain, unknown person made Tampa; FL notification to NRC in reference to seeing what was thought to be antifreeze near a storm drain. Company name provided was Chemical Formulators Inc. 02/13/2009 ,Public Road -YES Sodium Hydroxide cargo tanker, operated by Transportation Services Unlimited Inc., r = Georgia motor vehicle accident. Operator lost control of tractor -cargo tanker during normal driving •., - conditions, tractor -cargo tanker flipped/rolled causing the cargo tanker to fail. Allied's sodium hydroxide product released to the groundwater from the cargo tanker. 07/08/2009 Facility_ - YES Sodium Hydroxide railcar unloading hose/coupling failure at the Allied facility during the Ranger, GA unloading of the sodium hydroxide railcar. . 09/27/2009 Facility NO Unknown person reported to the NRC an odor in the area of the Allied Universal Ramer, GA Corporation Ranger, GA facility. No odor. No release of any chemical found. 08/02/2010,- -Retail Store YES Retail store sodium hypochlorite aboveground storage tank valve/hose ose for loading storage - Florida tank w/sodium hypochlorite failed. Retail store customer reported Allied Universal Corporation as the owner/operator instead of themselves. 03/16/2011 Chemical YES Sodium Hypochlorite cargo tanker, operated by Transportation Services Unlimited Inc., Distributor catastrophic unloading hose failure The hose cracked/split, while delivering Allied sodium Tennessee hypochlorite product at a customer chemical distribution facility. 08/11/2011 Facility NO Allied operator error while blowing down chlorine pipelines/hoses at the Allied facility. Medley, FL Local fire department notified and fire department representative, not Allied, incorrectly notified the NRC. 12/01/2011 WTP NO WTP operator directed cargo tanker, operated by Transportation Services Unlimited Inc., Florida delivery of Allied's sodium hypochlorite product to the wrong aboveground storage tank resulting in the accidental mixing of sodium hypochlorite with acid (and a release of an unknown quantity of acid gas from the WTP's tank). WTP customer reported Allied as the owner/operator instead of themselves. Transportation Service Unlimited made notification to NRC do to hospitalization of its employee, as required by US DOT regulations. 2012 Year -to -Date, no NRC notifications. 3901 NW 115 Avenue 9501 Rangeline Road 30 Neil Gunn Drive 5215 W. Tyson Avenue Miami, Florida 33178 Ft. Pierce, Florida 34987 Ellisville, MS 39437 Tampa, Florida 33611 305-888-2623 772-464-6195 601-477-2550 813-832-4868 8350 NW 93rd Slreel 204 SCM Road 1405 Possum Hollow Road 7160 Philips Highway Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 Jacksonville, FL 32256 305-888-2623 912-267-9470 706-334-7377 904-439-4976 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 office ALLIED UNIVERSAL CORPORATION 305-463-8369 fax CHEMICAL ENGINEERS PETE BRUNETTE (800) 648-3293 —Work (800) 999-671019989274 -- Pager Education: B.S. Chemical Engineering — University of Alabama Graduated 1992 Experience: Ten years in the chlorine and sodium hypochlorite production PRAKASH LODHA, P.E. (305) 888-26231Ext, 123 — Work (954) 270-2177 - Cell Education: M.S. I.E. — University of Texas Experience: Twenty Five years in the chlorine and sodium hypochlorite production 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464.6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W.Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 93`' Street 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334.7377 2100 Port Road West Memphis, AR 72301 870-732-3107 EMERGENCY CONTACT NUMBERS CORPORATE: WORKING HOURS: (305) 888 - 2623 EMERGENCY CONTACTS (OTHER PHONE NUMBERS): 1. TODD TUCKER (VP OF OPERATIONS) WORK (305) 888-2623, X.122, CELL (903) 987-3248 2. DAVID OSTRANDER (RISK MGMT. SPECIALIST) WORK (305) 888-2623, X.137, CELL (954) 261-7730 3. RON ZEIGLER (S. REGIONAL OPERATIONS MANAGER) HOME (772) 878-4573, CELL (772) 342-1872 4. Jim NOVAK (N. REGIONAL OPERATIONS MANAGER) CELL (423) 367-0125 5. MIKE HARRIS (FLEET MAINTENANCE MANAGER) HOME (912) 638-5498, CELL (912) 571 0704 TRANSPORTATION SECURITY ADMINISTRATION (TSA): 866 289-9673 OR 703 563-3240 BRANCHES: HOME OR CELL PHONE NO. JAMIE JOHNSON CELL # (305) 216-4612 LEO DELEON CELL # (305) 310-0762 JOE ISLA CELL # (305) 525-1917 EVELIO TORRES I CELL # (772) 201-5960 TOM STRICKLAND CELL # (772) 919-7023 KEN COLE CELL # (813) 210-2327 VAL BOLBIRER CELL # (917) 709-4363 SKIP IVINS CELL # (727) 514-2452 KAREN GARILLI CELL #. (813) 966-3635 DAVID SCHULTZ I CELL # (912) 222-9487 RANDY BUNKLEY CELL # (912) 571-1697 MIKE LEBEN CELL # (772) 528-5436 KEN GANDY CELL # (912) 571-2645 Jim NOVAK CELL # (423) 367-0125 NICK RAINEY CELL # (706) 280-0048 DONNA GRAVES CELL # (770) 606-7141 JEFF SANCHEZ CELL # (813) 263-4191 MARK PUGH CELL # (601) 323-0166 SB/2072 ■r ARAWO July, 2005 Dear Allied Customer: 3901 NW 1151n Avenue Miami, Florida 33178 305-888-2623 office 305-885-4671 fax As a member of the National Association of Chemical Distributors, Allied Universal Corporation strongly encourages all of its customers to formulate, periodically review and update their procedures for the proper handling and use of Allied's chemical products. Customer procedures should, of course, include emergency preparedness and plans for handling potential chemical spills and releases. It is the responsibility of each customer to develop its own individual, site -specific emergency procedures. The attached "Spill Contingency" pamphlet contains examples of some of the types of procedures customers may wish to consider when formulating, reviewing or updating their respective emergency procedures. Customers should NOT rely upon these examples, as they are not intended to be comprehensive, nor will they be appropriate for every customer, since our customers' business operations, personnel, physical facilities and locations are diverse, and customer practices and procedures will, by necessity, vary accordingly. Customers may, however, find these examples useful in formulating, reviewing or updating their own individualized, site -specific practices and procedures. Allied strongly recommends that each customer consult with a qualified and licensed environmental cleanup service in formulating emergency procedures for handling chemical spills or releases. As part of these procedures, each customer should have available for immediate use the contact information for local environmental cleanup services. All customers must ensure that their employees are trained in the proper and safe handling and use of all chemical products, and that their employees are familiar with all applicable labels and Material Safety Data Sheets. This employee training must be documented and maintained on file at all times, in accordance with applicable government regulations. It is the responsibility of every customer to familiarize themselves and to comply with all applicable federal, state and local laws and regulations pertaining to chemicals utilized in the customer's business operations, including, but not limited to, title 29 of the Code of Federal Regulations, section 1910.38. Customers should not rely upon the attached exemplar procedures. Customers should consult with and rely only upon the advice of licensed legal and environmental professionals. Allied will not be responsible for any incidental, consequential, special or other damages arising from or relating to the attached exemplar procedures, or its customers formulation and implementation of emergency preparedness and chemical cleanup procedures. If Allied can assist your efforts in the proper handling of our products, please contact your Sales Representative. WARNING; CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMERS FORMULATION AND IMPLEMENTATION OF EMERGENCYPREPARFONESSlCHEMICAL CLEANUP PROCEDURES Page 1 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 CONTENTS SPILL CONTINGENCY PAGE 3 REPORTABLE QUANTITY REPORTING PAGE 4 NOTIFICATION PROCEDURES PAGE 5 WRITTEN FOLLOW UP PAGE 6 REPORTABLE QUANTITY LIST PAGE 8 SODIUMHYPOCHLORITE SPILLS PAGE 9 SODIUM HYDROXIDE SPILLS PAGE 11 ACID SPILLS PAGE 13 CHLORINE/SULFUR DIOXIDE RELEASES PAGE 15 WARNING. CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE ASA STARTING POINT IN FORMULATING EACH CUSTOMER'S fNOfVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITESPECIFfC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPARFONFWCHEMICAL CLEANUP PROCEDURES. Page 2 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 SPILL CONTINGENCY In the event of a spill or leak, the employee discovering the spill or leak should immediately notify the site supervisor or manager. The site supervisor or manager should direct the employee to determine the source or cause of the leak and provide the employee with instructions on how to control or contain the incident, if possible. If containment and control is not possible, the facility owner or authorized site manager manager/supervisor should call the local public agency and first responders as well as their supplier. Please insert anolicable phone numbers and names for vour location. EMERGENCY RESPONSE PHONE NUMBERS FIRE DEPARTMENT 911 ALLIED 24HR CHEMICAL SPILL 1-305-483-7732 EMERGENCY PAGER ALLIED BRANCH SUPPLIER NUMBER: Miami, FL 305-888-2623, x 139 OR 103 Ft. Pierce, FL 561-464-6195 CFl - Tampa, FL 813-832-4868 Jacksonville, FL 904-438-4976 Brunswick, GA 912-267-9470 Ranger, GA 706-334-7377 Ellisville, MS 601-477-2550 ALLIED SALES REPRESENTATIVE Insert name & number) LOCAL HOSPITAL NAME & PHONE NUMBER OTHER APPLICABLE EMERGENCY NUMBER FACILITY NEIGHBOR FACILITY NEIGHBOR WARNINO: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNFSS/CHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDMOUAL, SITE -SPECIFIC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INGIOENTAL, CONSFOUFNTfAt AND SPECfAL DAMAGES, ARISING FROM THE CUSTOMERS FORMULATION AND IMPLEMENTAIYON OF EMERGENCYPREPAREONESMHFMICAL CLEANUP PROCEDURES Page 3 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 Hazardous Materials such as Sodium Hypochlorite Solution (Bleach), Sodium Hydroxide Solution (Caustic) and Acids have different properties and as such have different Reportable Quantities (RQ) dealing with notification. Reportable Quantity (RQ) as defined by the USEPA, means that quantity (as set forth by regulation), the release of which requires notification to the National Response Center at 1-800-424-8802. Both the USEPA and USDOT have published tables on Reportable Quantities for Hazardous Substances in the United States Code of Federal Regulations: EPA 40 CFR § 302.4 and DOT at 49 CFR § 172.101 APPENDIX A, Table 1. It should be understood that the RQ's as listed by both USEPA & USDOT are for pure substances. The chart on page 8 can be used to determine whether a RQ leak or spill has occurred. If a spill, leak or release to the environment, has occurred over the RQ amount, and material has not been contained by a containment device (e.g. scrubber, building, dike, etc.), notification to Federal, State and local authorities must and may have to be made. Federal notification is required, State and Local notification will vary from State -to -State and locality -to -locality. You must check with your State and Local applicable authorities to determine notification requirements. The Federal and some State numbers are listed below: US NATIONAL RESPONSE CENTER 800-424-8802 FL STATE WARNING POINT 800-320-0519 GA OFFICE OF EMERGENCY SERVICES 800-241-4113 AR CHEMICAL EMERGENCY HOTLINE 800-332-4012 MS STATE WARNING POINT 800-222-6362 WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEYARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSMHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONL Y UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMfTED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLFMFNTATION OF EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. Page 4of19 Allied Universal Corp. Customer Spill Contingency - 07/05 If it has been determined that a release in excess of the Reportable Quantity (RQ) has occurred (see listings on page 8) to the air, grounds or waters of the State, notification must be made within 15 minutes from the time the release was discovered in accordance with the United States Code of Federal Regulations 40CFR §302.6 and §355.40(b) to: 1. National Response Center 800-424-8802 And to the following agencies per State applicable laws: 2. The State Warning Point/State Emergency Response Hotline When notification is required to the Federal government and State government via the National Response Center and State Emergency Response Center require specific information as per 40CFR §355.40(b)(2)(i - vii)..This information includes but will not be limited to: 1. Chemical Name - Specify whether an extremely hazardous substance. Also, the UN (i.e. UN 1791 for bleach, UN 1824 for caustic, etc). 2. Location, time and duration of release. 3. Medium or Media into which the release occurred. 4. Estimate of quantity of product released. 5. Known or anticipated acute or chronic health risks associated with the emergency and where appropriate, advice regarding medical attention necessary for exposed individuals. (Use Material Safety Data Sheet - MSDS). 6. Proper precautions to be taken as a result of the release, including evacuation if necessary, and 7. Name and telephone number of Emergency Coordinator. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURE$ AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDNIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMERS FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURE& Page 5 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 Within seven (7) days after a release which requires verbal notification to the Federal and State governments, the owner or operator of the facility shall provide a written follow up emergency notice to the State Emergency Response Center and Local Emergency Planning Council (LEPC). The letter should contain, at a minimum, the following information: 1. Chemical Name - Include whether an extremely hazardous substance. Also, the UN (i.e. UN 1791for bleach, UN 1824 for caustic, etc). 2. Location, time and duration of release. 3. Medium or Media into which the release occurred. 4. Estimate of quantity of product released. 5. Known or anticipated acute or chronic health risks associated with the emergency and where appropriate, advice regarding medical attention necessary for exposed individuals. (Use Material Safety Data Sheet - MSDS). 6. Actions that were taken as a result of the release, including evacuation and hospitalizations, and 7. Name and telephone number of Emergency Coordinator. The following table lists the name and addresses of a few of these agencies: WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE •SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES, CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUTNOTLIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCYPREPAREDNESSICHEMICAL CLEANUP PROCEDURES. Page 6 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 WRITTEN FOLLOW-UP NOTIFICATION ADDRESSES FL STATE EMERGENCY RESPONSE FL State Emerg. Response COMMISSION Commission 2555 Shumard Oak Boulevard Tallahassee, FL 32399 800-320-0519 850-413-9911 GA DEPARTMENT OF NATURAL Department of Natural Resources RESOURCES Environmental Protection Division 7 Martin Luther King Drive, Room 643 Atlanta, Georgia 30334 800-241-4113 AR DEPARTMENT OF ADEQ ENVIRONMENTAL QUALITY PO Box 8913 Little Rock, AR 72219-8913 Attn: Emergency Response Section 800-322-4012 MS EMERGENCY MANAGEMENT MEMA AGENCY PO Box 4501 Jackson, MS 39296-4501 800-222-6362 601-352-9100 OTHER STATE EMERGENCY INSERT ADDRESS HERE AGENCY LOCAL EMERGENCY PLANNING CHECK WITH YOUR LEPC TO COMMISSIONS DETERMINE WHERE YOUR LETTER MUST BE SENT. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESSA:HEMICAL CLEANUP PROCEDURES Page 7 of 19 Allied Universal Corp. Customer Spill Contingency - 07/05 REPORTABLE QUANTITY CHEMICAL LIST PRODUCT RQ - IN GALLONS RQ - IN POUNDS ANHYDROUS AMMONIA 20 Gallons 100 Pounds AQUA AMMONIA (29% 1-) 455 Gallons 1000 Pounds CHLORINE GAS 0.86 Gallons 10 Pounds MURIATIC ACID 20 B6 1,639 Gallons 5000 Pounds (Hydrochloric Acid) MURIATIC ACID 22 B6 1,449 Gallons 5000 Pounds (Hydrochloric Acid) SODIUM BISULFITE 1,170 Gallons 5000 Pounds SOLUTION - 38% SODIUM HYPOCHLORITE 98 Gallons 100 Pounds SOLUTION - 10.5% SODIUM HYPOCHLORITE 80 Gallons 100 Pounds SOLUTION - 12.5% SODIUM HYPOCHLORITE 64 Gallons 100 Pounds SOLUTION - 15% SODIUM HYDROXIDE 156 Gallons 1000 Pounds SOLUTION - 50% SODIUM HYDROXIDE 374 Gallons 1000 Pounds SOLUTION - 25% SULFUR DIOXIDE 44 Gallons 500 Pounds SULFURIC ACID - 28 Be 296 Gallons 1000 Pounds WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES, CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCYPREPAREDNESSICHEMICAL CLEANUP PROCEDURES - Page 8 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 I, PROCEDURES FOR SODIUM HYPOCHLORITE SOLUTION DO NOT REFER TO SODIUM HYPOCHLORITE AS CHLORINE OR LIQUID CHLORINE. DO NOT USE CHLORINE IN THE DESCRIPTION AS IT IS CONFUSING (THEY ASSUME IT TO BE CHLORINE GAS) TO PUBLIC RESPONDERS. DESCRIBE PRODUCT SPILLED AS SODIUM HYPOCHLORITE, BLEACH, OR LIQUID BLEACH. 1. Spill or Leak in Bulk Storage Tank a. Containment drain valve (if available) must be closed. Valve should only be opened to drain rainwater from containment and closed afterward. Verify State and local regulations for discharging rainwater prior to discharging. Chlorine levels and pH must not exceed State and local requirements before discharging. b. Determine the source of the actual leak. C. If the storage tank system is not damaged, pump only good Sodium Hypochlorite back into the storage tank for re -use. d. Spilled or released Sodium Hypochlorite that cannot be recovered or reused must be neutralized and properly disposed of in accordance with applicable Federal, State and Local regulations. e. Notify your supplier. 2. Discharges to Ground or Pavement a. Determine the source of the Sodium Hypochlorite leak. b. Stop the leak and contain the spilled product. G. If the personal safety of facility individuals is in danger, site supervision should evacuate the facility. d. Notify the local Fire Department. e. Spilledireleased Sodium Hypochlorite that cannot be recovered/reused must be neutralized and properly disposed of in accordance with applicable regulations. f. Notify your supplier. WARNING., CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESMHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND F14WRONMFNTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE SPECIFIC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES Page 9 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 3. Treatment, Neutralization, Clean Up Procedures a. Spills of Sodium Hypochlorite solution should never be rinsed or flushed to drains or sewers. Suitable absorbent materials such as sand, vermiculite or clay should be used to absorb the material. Contaminated absorbents and soils should be scraped up using shovels and placed in suitable hazardous material containers and disposed of in accordance with all Federal, State and Local regulations. b. Neutralization of Sodium Hypochlorite may be accomplished using Sodium Sulfite, Sodium Bisulfite or Sodium Thiosulfate. Ratio is approximately one (1) pound for each gallon of spilled material. Material should be dissolved in a bucket of clean, clear water and applied to the residue area. Caution should be used as some heat may be generated during this process. By-products of this neutralization are water, salts and liberation of oxygen to the atmosphere. C. After neutralization has been conducted, the remaining residue is generally considered safe for rinsing to local sewer systems connected to Waste Water Treatment Stations. Permission must be obtained throw h the local treatment facility and local environmental agencies before any rinsing of residue is started. WARNING. CUSTOMERS SHOULD NOT RFLY UPON THFSF EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT W FORMULATING EACH CUSTOMERS INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNES&CHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIEO IS NOT RFSPONSIRLF FOR ANY DAMAGES, INCLUDING, BUT NOTLIMITED TO, INCIDENTAL, CONSEOUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESSCHEMICAL CLEANUP PROCEDURES Page 10 of 19 Allied Universal Corp. Customer Spill Contingency - 07/05 II. PROCEDURES FOR SODIUM HYDROXIDE SOLUTION 1. Spill or Leak in Bulk Storage Tank a. Containment drain valve (if available) must be closed. Valve should only be opened to drain rainwater from containment and closed afterward. Verify State and local regulations for discharging rainwater prior to discharging. Chlorine levels and pH must not exceed State and local requirements before discharging. b. Determine the source of the actual leak. C. If the storage tank system is not damaged, pump only good Sodium Hydroxide back into the storage tank for re -use. d. Spilled or released Sodium Hydroxide that cannot be recovered or reused must be neutralized and properly disposed of in accordance with applicable Federal, State and Local regulations e. Notify your supplier. 2. Discharges to Ground or Pavement a. Determine the source of the Sodium Hydroxide leak. b. Stop the leak and contain the spilled product. C. If the personal safety of facility individuals is in danger, site .supervision should evacuate the facility. d. Notify the local Fire Department. e. Notify your supplier. 3. Treatment, Neutralization, Clean Up Procedures a. Spills of Sodium Hydroxide solution must never be rinsed or flushed to drains or sewers. Suitable absorbent materials such as sand, vermiculite or clay should be used to absorb the material. Contaminated absorbents and soils should be WARNING.' CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE SPECIFIC EMERGENCY PREPAREONESS(CHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCYPREPAREDNESSICHEMICAL CLEANUP PROCEDURES. Page 11 of 19 Allied Universal Corp. Customer Spill Contingency - 07/05 scraped up using shovels and placed in suitable hazardous material containers and disposed of in accordance with all applicable regulations. b. After removing absorbents from ground, neutralization of remaining residue may be accomplished using a weak acid solution such as 5% acetic acid (vinegar). Neutralization will occur rapidly and should be checked with pH paper. Caution should be used as some heat may be generated during this process. Byproducts of this neutralization are water and salt. C. After neutralization has been conducted, the remaining residue is generally considered safe for rinsing to local sewer systems connected to Waste Water Treatment Stations. Permission must be obtained through the local treatment facility and local environmental agencies before rinsing of residue is started. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMFNTATIONOF EMERGENCY PRFPARFDNESS(CHEMICAL CLEANUP PROCEDURES. Page 12 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 III. PROCEDURES FOR ACID SPILLS/RELEASES MURIATIC ACID, POOL ACID, HFS 1. Spill or Leak in Bulk Storage Tank a. Containment drain valve (if available) must be closed. Valve should only be opened to drain rainwater from containment and closed afterward. Verify State and local regulations for discharging rainwater prior to discharging. pH levels must not exceed State and local requirements before discharging. b. Determine the source of the actual leak. C. If the storage tank system is not damaged, pump only good material back into the storage tank for re -use. d. Spilled or released Acid that cannot be recovered or reused must be neutralized and properly disposed of in accordance with applicable Federal, State and Local regulations. e. Notify your supplier. 2. Discharges to Ground or Pavement - Drums, Totes, Bottles, etc. a. Determine the source of the acid leak. b. Stop the leak and contain the spilled product. C. If the personal safety of facility individuals is in danger, site supervision should evacuate the facility. d. Notify the local Fire Department. e. Spilled or released Acid that cannot be recovered or reused must be neutralized and properly disposed of in accordance with applicable regulations. f. Notify your supplier. 3. Treatment, Neutralization, Clean Up Procedures a. Acid spills must never be rinsed or flushed to drains or sewers. Suitable absorbent materials such as sand, WARNING., CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMERS INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. AWED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUTNOT LIMITED TO, INCIDENTAL, CONSEOUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESWHEMICAL CLEANUP PROCEDURES. Page 13 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 vermiculite or clay should be used to absorb the material. Contaminated absorbents and soils should be scraped up using non -reactive shovels, placed in suitable hazardous material containers and disposed of in accordance with all Federal, State and Local regulations. b. After .removing absorbents from ground, neutralization of remaining residue may be accomplished using a weak alkalinity increaser such as sodium bicarbonate or soda ash. C. Use approximately 4.5 pounds of soda ash or 6.5 pounds of sodium bicarbonate mixed in a bucket of clear clean water and apply to the residue area. Neutralization will occur rapidly and should be checked with pH paper. Caution should be used as some heat may be generated during this process. By-products of this neutralization are water and salt. d. After neutralization has been conducted, the remaining residue is generally considered safe for rinsing to local sewer systems connected to Waste Water Treatment Stations. Permission must be obtained through the local treatment facility and environmental agencies before rinsing of residue is started. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATIONOF EMERGENCYPREPAREDNESSCHEMICAL CLEANUP PROCEDURES. Page 14 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 IV. PROCEDURES FOR CHLORINE OR SULFUR DIOXIDE RELEASES The following functions comprise an emergency response concept of operations: • assessment, classification, and response to any emergency condition; • timely and effective mitigation of the emergency condition; • site security and control of emergency response activities; • emergency alerting of all personnel, including the activation of all necessary emergency response personnel, emergency evacuation routes and procedures; • notification and coordination of response activities with appropriate Federal, state and local emergency response agencies; and • rescue, recovery and decontamination procedures for an emergency condition. An Emergency Response Team or Teams should be established to ensure the capability exists, 24-hours a day, to manage and coordinate all emergency response functions necessary to protect Facility employees and the public. Facility operations and the associated hazard potentials vary throughout any 24 hour period; taking this into account, your emergency response team(s) should consist of those positions necessary to respond to conditions that may arise as a result of facility operations or emergencies. It must be noted at this time that in any release of either chlorine or sulfur dioxide, it is essential that the shipping container be positioned so that a gas release occurs. Both chlorine and sulfur dioxide are gases that have been refrigerated and compressed into a liquid state. Each of these materials has a very low boiling (vaporization) point, chlorine being -291 F. and sulfur dioxide being -14° F. The warmer the ambient temperature, the more rapidly the liquid will vaporize. Each will vaporize to over 400 times the liquid amount. Releases of both chlorine and sulfur dioxide are easily detectable with a strong solution of aqua ammonia. It is recommended that a strength of 26 Be aqua ammonia be used. In the absence of this strength, regular strength house hold ammonia may be used. Leaks should be detected with the vapor of the aqua ammonia, as applying a liquid solution to the area of a leak may contribute to a more rapid failure of the equipment. As lower concentrations of both chlorine and sulfur dioxide are not visible, the use of a rag soaked in ammonia tied to the end of a stick may be helpful in determining where the vapor cloud is. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. COSTUMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMERS FORMULATION AND IMPLEMENTATION OFFMFRGFNCYPREPARFDNFS=HFMfCAL CLFANUPPROCFDURFS Page 15 of 19 Allied Universal Corp. Customer Spill Contingency - 07/05 Cylinders - Chlorine Chlorine cylinders are United States Department Of Transportation (USDOT) approved shipping containers and come in two (2) common sizes. One hundred (100#) pound and one hundred -fifty pound (150#). Approved cylinders include: • DOT-3A480 DOT-3AA480 • DOT-25 DOT-3 • DOT-313N480 DOT-3E1800 Allied Universal Corporation's fleet of chlorine cylinders is comprised only of DOT- 3A480 & DOT-3AA480 cylinders. SIZE AVERAGE AVERAGE AVERAGE AVERAGE LIQUID WEIGHT WEIGHT HEIGHT TO DIAMETER CONTENTS EMPTY FULL VALVE 100 POUNDS 85 POUNDS 185 POUNDS 50 inches 8.5 inches 8.5 gallons 150 POUNDS 125 POUNDS 275 POUNDS 50 inches 10.5 inches 12.8 gallons Chlorine cylinders in Allied Universal Corp. service are normally painted silver with the protective valve cover (bonnet) painted red. There are however several other colors that may be used such as yellow or brown as required under contractual agreements. Chlorine cylinders will NEVER be green in color. While uncommon, leaks may develop in the following areas: • Valve area • Cylinder Wall • Cylinder Bottom Historically, leaks of this nature are minimal and are normally dealt with by tightening down on the packing gland. Leaks which are unstoppable by either tightening down on either the valve itself or the packing gland nut are easily mitigated by the installation of the Chlorine Institute Emergency Kit "A". All emergency response personnel at this location have been trained in the correct installation of this device. For those situations which may be inappropriate for the "A" Kit, an alternate device, Chlorine Institute approved device, "Chlor-Safe" is readily available for use. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE SPECIFIC EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. GUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INOIVIDUAL, SITE -SPECIFIC PROCEDURES ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUTNOTLIMITED TO, INCIDENTAL, CONSEOUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PRFPARFONES&CHEMICAL CLEANUP PROCEDURES. Page 16 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 Cylinders - Sulfur Dioxide Sulfur Dioxide cylinders are United States Department Of Transportation (USDOT) approved shipping containers and come in two (2) common sizes. One hundred (100#) pound and one hundred - fifty pound (150#). Approved cylinders include but are not limited to the following: • DOT-3A225 DOT-3AA225 DOT-313225 • DOT-4A225 DOT-413225 DOT-46A225 • DOT-413W225 DOT-413240BT DOT-3 • DOT-25 DOT-26-150 DOT-38 • DOT-3E1800 DOT-3T1800 Under USDOT regulations, cylinders of the same type with a higher service pressure may be used. Sulfur Dioxide cylinders in Allied Universal Corp. service are painted GREEN with the protective valve cover (bonnet) painted GREEN. Allied Universal Corporation's fleet of sulfur dioxide cylinders is comprised of several styles of the above cylinders. The majority of cylinders in use at this time are of the 3A480 & 3AA480 service type. As stated previously, the occurrence of leaks in this style of shipping container is rare. Both the Chlorine Institute Emergency Kit "A" and the "Chlor-Safe" can be used for mitigation of leaks in exactly the same manner as that used in mitigating a chlorine leak. NOTE: For sulfur dioxide service, the vitono gasket/0-ring that would normally be used in chlorine service must be changed and an EPDM gasket/0-ring used. The EPDM gasket/0-ring is readily identifiable as it is gray and marked with red lettering indicating S02 service only. Facility personnel should be trained and understand the use of proper gaskets/0-rings. WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE •SPECIFIC EMERGENCY PREPAREDNESSICHEMICAL CLEANUP PROCEDURES. CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITF-SPFCIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOTLIMITED T0, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES. Page 17 of 99 Allied Universal Corp. Customer Spill Contingency - 07/05 TON CONTAINERS - CHLORINE One ton containers in chlorine service are USDOT Specification 106 and known as "multi -unit -tank -car -tanks". They are approximately 30 inches in diameter and 82 inches in length. Depending on the manufacturer, they may have either concave or convex heads. One end contains 3 plugs containing a fusible metal that will melt at approximately 1581 F. and a plate containing information pertaining to that particular container. The opposite end also contains 3 fusible plugs and two (2) valves. The valves are situated at the center of the container and connected to eductor pipes. The eductor pipes are designed so that when the valves are aligned vertically, the top valve will dispense gas and the bottom valve will dispense liquid. Ton containers of chlorine in Allied Universal Corp. service are normally painted silver with the protective valve cover (bonnet) painted red. There are however several other colors that may be used such as yellow or brown as required under contractual agreements. Chlorine containers will NEVER be green in color. Ton containers weigh approximately 1,500 pounds when empty and 3,500 pounds when filled. Liquid content when full (2000#) is about 170 gallons. Historical data on ton container leaks has shown that a majority of the leaks has been due to human error and not equipment failure. Leaks which have a potential to occur on a ton container include but may not be limited to the following: • Valve threads at container body • Valve packing • Fusible plug threads at container body • Fusible plug metal • Holes in container wall Each of the above leaks is easily mitigated by the installation of the Chlorine Institute Emergency Kit "B". Facility personnel responsible for handling emergency situations should be trained in the use of all devices in the Emergency Kit "B". WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMERS USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESS(CHEMICAL CLEANUP PROCEDURES CUSTOMERS SHOULD CONSULT WITH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS 1N FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLfED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, RUT NOTLIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECIAL DAMAGES, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESVCHEMICAL CLEANUP PROCEDURES, Page 18 of 19 Allied Universal Corp. Customer Spill Contingency - 07105 TON CONTAINER - SULFUR DIOXIDE Sulfur Dioxide one ton containers are also USDOT Specification 106. They are identical to the containers used to ship chlorine. Sulfur Dioxide one ton containers in Allied Universal Corp. service are painted GREEN with the protective valve cover (bonnet) also painted GREEN. The same leaks that occur in chlorine containers may occur in sulfur dioxide containers and are handled in the exact same manner. NOTE: For sulfur dioxide service, the vitone gasket that would normally be used in chlorine service must be changed and an EPDM gasket used. The EPDM gasket is readily identifiable as it is gray and marked with red lettering indicating S02 service only. CHLORINE INSTITUE PAMPHLETS For additional information for planning for emergencies related to cylinders and tons, please refer to Chlorine Institute Pamphlet 64, 65 and 151 (Emergency Response Plans, Personal Protective Equipment and Guide for End- Users/Distributors). WARNING: CUSTOMERS SHOULD NOT RELY UPON THESE EXEMPLAR PROCEDURES, AS THEY ARE INTENDED SOLELY FOR THE CUSTOMER'S USE AS A STARTING POINT IN FORMULATING EACH CUSTOMER'S INDIVIDUAL, SITE -SPECIFIC EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES CUSTOMERS SHOULD CONSULT tMTH AND RELY ONLY UPON THE ADVICE OF LICENSED LEGAL AND ENVIRONMENTAL PROFESSIONALS IN FORMULATING THEIR INDIVIDUAL, SITE -SPECIFIC PROCEDURES. ALLIED IS NOT RESPONSIBLE FOR ANY DAMAGES, INCLUDING, BUT NOT LIMITED TO, INCIDENTAL, CONSEQUENTIAL AND SPECfAt DAMAGFS, ARISING FROM THE CUSTOMER'S FORMULATION AND IMPLEMENTATION OF EMERGENCY PREPAREDNESS/CHEMICAL CLEANUP PROCEDURES, Page 19 of 19 Allied Universal Corp. Customer Spill Contingency - 07/05 `3901 NW 115 Avenue Miami, Florida 33178 AALLIED 305-888-2623 office 305-463-8369 fax VERSAL CORPORATION Established 1954 September 2012 The following is a list of 5 EmeraencYService Calls Company Name Phone Address Date Problem Contact Number Davis Supply 09-18-12 Forgot to place order Jim Ft. Myers, FL Davis 239-931-6700 City of Titusville 09-07-12 Needed emergency Carol Titusville, FL Delivery on Saturday Iseman 321-383-5642 Sunbelt Corporation 09-06-12 Needed 3 TIL for that Palm Coast, FL day, due to heavy Stephan 386-446-4595 order volume City of Ormond Beach 07-12-12 Forgot to place order Richard Ormond Beach, FL And needed emergency Peterson 386-676-3568 Delivery Jacksonville Electric 09-20-12 Needed emergency Mike Authority. Delivery with small Richards 904-665-6819 Jacksonville, FL Truck. 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W.Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 AALLIcLAss s6q�. ED VE�MdRSAL CORPORATION Esechlfshed 1954 July 2012 3901 NW 115 avenue Miami, Florida 33178 305-888-2623 office 305-463-8369 fax The following is a list of all environmental penalties levied against Allied Universal Corporation in the past five (5) years, including how Allied has resolved the matter with the noted government entity:' 1) Fort Pierce & Doral, Florida, Ranger, Georgia (December 2011) — US Environmental Protection Agency (EPA) Consent Order and Final Agreement (CAFO), Toxic Substances Control Act (TSCA). Allied failed to submit the 2006 IUR for sodium bisulfite manufacturing (previously excluded from reporting requirements, but due to a revision in the TSCA regulation in 2005, included as of 2006). For importing of a specific chemical, Allied, as well as the Allied chemical supplier, did not make a positive or negative TSCA certification statement to US Customs on the import paperwork. Allied corrected both over sites, submitting the 2006 IUR data for sodium bisulfate and demanding in purchasing agreements that any TSCA listed chemical supplied from outside of the United States, the Allied supplier is required to make the TSCA certification statement. EPA accepted both corrective actions, and Allied paid of $40,230 fine. 2) Fort Pierce, Florida (June 2010) — Florida Department of Environmental Protection (DEP) Settlement Agreement, Hazardous Waste. Due to corrosive spills and releases to the land due to more than two decades of facility operations, the groundwater at the facility was impacted. As part of the settlement agreement, Allied paid a $22,500 fine, is paying an ongoing annual DEP maintenance fee of $2000, has performed extensive groundwater assessment/remediation and has proposed/implementing a significant pollution prevention project approved by DEP at the facility. This is in addition to other actions/upgrades taken by Allied over the past five years to improve equipment and containments to prevent/mitigate accidental spills and releases of any corrosive material. Catherine Guillarmod Executive Administrator /cg 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 RangelineRoad Ft. Pierce, Florida 34987 772-464.6195 30 Neil Gunn Drive Fllisville, MS 39437 601-477-2550 5215 W. 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I I a o a N W y N F 0 £ C X N 6 m m N o O N v 3 r � v m � m N m N 4 n rn m g O 0 � y N o O >D y ' ; ` m G N D N n O O 3 h W Q CD0 D 1F/ Q N o r� v Q C (DM 91) CL m N N m N O v v .a-' 60 a ° m 'N m. o LL ro m� m� m' cn � .. �. 3 0 N� o ti m Hm� y m a "�- am^ c a y Ao3 m a w ] 4 4 m 3 m m p o cr m m y a y m A m C) b a 6 a: - r�i O m 2 c m m EP ny d a y m c ® m m L0 'I '' a O' C N V! m. 91 _ o m O O a N I N 4 a ® o ti I m m Q N {D N T m O m cc3 0 A � m o_ � O z fa- _O 0 o R `5. m S m ® C m m w y 'w m y m a 3 m A fl n 7 m c 0 tit:t V m = m w p m ry N nd to !A n E m 3 3 F 0 i � O n m y ? 6 m � w ry m � Cf m _ C = ro - a 3 r � _N — j N N n m m � N C N N Id ' g O � m O � w - a r O 1 I � _ n O Un s � 3 C iL Z x 3 a (n 3 emn s � 3. a � a n a � N N p� R A GVERSAL CORPORATION Esto6iished 1954 July 2012 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 office 305-463-8369 fax The following is a list of all environmental penalties levied against Allied Universal Corporation in the past five (5) years, including how Allied has resolved the matter with the noted government entity: 1) Fort Pierce & Doral, Florida, Ranger, Georgia (December 2011) — US Environmental Protection Agency (EPA) Consent Order and Final Agreement (CAFO), Toxic Substances Control Act (TSCA). Allied failed to submit the 2006 JUR for sodium bisulfite manufacturing (previously excluded from reporting requirements, but due to a revision in the TSCA regulation in 2005, included as of 2006). For importing of a specific chemical, Allied, as well as the Allied chemical supplier, did not make a positive or negative TSCA certification statement to US Customs on the import paperwork. Allied corrected both over sites, submitting the 2006 IUR data for sodium bisulfite and demanding in purchasing agreements that any TSCA listed chemical supplied from outside of the United States, the Allied supplier is required to make the TSCA certification statement. EPA accepted both corrective actions, and Allied paid of $40,230 fine. 2) Fort Pierce, Florida (violation issued 2008; settlement agreement entered June, 2010, subject to DOAH review/approval) — Florida Department of Environmental Protection (DEP) Settlement Agreement, Hazardous Waste. Due to corrosive spills and releases to the land due to more than two decades of facility operations, the groundwater at the facility was impacted. As part of the settlement agreement, Allied paid a $22,500 fine, is paying an ongoing annual DEP maintenance fee of $2000, has performed extensive groundwater assessment/remediation and has proposed/implementing a significant pollution prevention project approved by DEP at the facility. This is in addition to other actions/upgrades taken by Allied over the past five years to improve equipment and containments to prevent/mitigate accidental spills and releases of any corrosive material. 3) West Memphis, Arkansas (November 2010) — US Environmental Protection Agency (EPA) Notice of Violation, Risk Management Program. Population estimate determined by contractor for worst case release scenario in Risk Management Plan was incorrect. Process Hazard Analysis and Maintenance documentation missing during audit. Allied corporate provided missing documentation to the facility during the inspection, and conducted another population estimate using Landview. EPA accepted the corrective actions, and Allied paid a $450 fine. Allied has now terminated the West Memphis operation, plant closed during the first quarter 2012 and delisted from the Risk Management Program. Catherine Guillarmod Executive Administrator 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601-477-2550 5215 W. Tyson Avenue Tampa, Florida 33611 813-832-4868 9350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2100 Port Road West Memphis, AR 72301 870-732-3107 Ito sIq UNITED STATES ENVIRONMENTAL PROTECTION AGENCY RE4 ATLANTA FEDERAL CENTER �fitir G�`0a 61 f=ORSYTH STREET {� nR�'e A i"LANTA, GEORGIA 30303-8960 MAR 14 2012 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. James Palmer President - Chief Executive Officer Allied Universal Corporation 3901 N.W. l I5"' Avenue Miami, Florida 33178 Re: Allied Universal Corporation Consent Agreement and Final Order Docket No. TSCA-04-2011-2541(b) Dear Mr. Palmer: Enclosed is a copy of the ratified Consent Agreement and Final Order (CAFO) in the above -referenced matter. The original CAFO has been filed with the Regional Hearing Clerk and served on the parties as directed in Section 22.6 of the Consolidated Rules of Practice, 40 C.F.R. Part 22. Please refer to Section V of the CAFO for penalty information and payment requirements. To ensure proper processing, the Respondent's name and Docket Number for this case, identified above and in the CAFO, should be noted on any cashier's or certified check submitted in payment of the penalty. Also enclosed is a copy of a document entitled "Notice of Securities and Exchange Commission Registrants' Duty to Disclose Environmental Legal Proceedings." This document puts you on notice of your potential duty to disclose to the Securities and Exchange Commission any environmental enforcement actions taken by the U. S. Environmental Protection Agency. Where used in the document "SEC" refers to the Securities and Exchange Commission. Should you have any Questions about this matter or your compliance status in the future, please contact Mr. Tony Spann of the EPA Region 4 staff at (404) 562-8971. Enclosures S inc�m y, t r An ny G. Toney Acting Branch Chief Pesticides and Toxic Substances Branch Internet Address (URL) . http://www.spa.gov Recycled/Recyclable • Primed wdh Vegelabla Oil Based Inks on ReWdOd Paper (Mlnimurn 30% Poslconsumer) a K UNITED STATES ENVIRONMENTAL PROTECTION AGENCY REGION 4 ATLANTA, GEORGIA In the Matter of: Allied Universal Corporation Respondent. rn Docket No.: TSCA-04-2011-254p} CONSENT AGREEMENT AND FINAL ORDER I. Nature of the Action This is a civil penalty proceeding pursuant to Section 16(a) of the Toxic Substances x� Fm —ca N Ul Control Act (TSCA), 15 U.S.C. § 2615(a), and pursuant to the Consolidated Rules of Practice Governing Administrative Assessment of Civil Penalties and the Revocation/Termination or Suspension of Permits (Consolidated Rules), 40 C.F.R. Part 22. Complainant is the Director of the Air, Pesticides and Toxics Management Division, U.S. Environmental Protection Agency, Region 4. Respondent is Allied Universal Corporation. Complainant and Respondent have conferred for the purpose of settlement pursuant to 40 C.F.R. § 22.18 and desire to resolve this matter and settle the allegations described herein without a formal hearing. Therefore, without the taking of any evidence or testimony; the making of any argument; or the adjudication of any issue in this matter, and in accordance with 40 C.F.R. § 22.13(b), this Consent Agreement and Final Order (CAFO) will simultaneously commence and conclude this matter. m r� 1-yl rTJ tD M CD a H. Preliminary Statements 3. The authority to take action under Section 16(a) of TSCA, 15 U.S.C. § 2615(a), is vested in the Administrator of the EPA. The Administrator of the EPA has delegated this authority under TSCA to the EPA Region 4 by EPA Delegation I2-2-A, dated May 11, 1994. 4. Pursuant to Section 15 of TSCA, 15 U.S.C. § 2614, it is unlawful for any person to: (1) fail or refuse to comply with any rule or order promulgated pursuant to Sections 4, 5, 8, 12 or 13 of TSCA, 15 U.S.C. § 2603, § 2604, § 2607, § 2611 or § 2612; (2) use for commercial purposes a chemical substance or mixture that the person knew or had reason to know was manufactured, imported, processed, or distributed in commerce in violation of TSCA Section 5, 15 U.S.C. § 2604; (3) fail to maintain records, submit reports or information, or permit access to or allow copying of records as required by TSCA; and (4) refuse to permit entry or inspection as authorized by Section l I of TSCA, 15 U.S.C. § 2610. 5. Any person who violates a provision of Section 15 of TSCA shall be liable for a civil penalty in an amount not to exceed $25,000 for each such violation, in accordance with Section 16(a) of TSCA. The Debt Collection Improvement Act of 1996 requires the EPA to review and adjust penalties, as necessary, for inflation at least once every four years. As such, pursuant to the Adjustment of Civil Monetary Penalties for Inflation Rule, 40 C.F.R. Part 19, the revised maximum penalty for each violation occurring after January 30, 1997, through March 15, 2004, is $27,500; for each violation occurring after March 15, 2004, through January 12, 2009, the maximum penalty for each violation is $32,500; and for each violation occurring after January 12, 2009, the maximum penalty Allied Universal Corporation 2 CAFO: TSCA-04-201 1-2541(b) for each violation is $37,500. Each day a violation continues may constitute a separate violation. 6. All Confidential Business Information (CBI) in this CAFO has been redacted. To determine the identity of the chemical substance referenced in this CAFO or the CBI that was deleted (CBI deleted), Complainant and/or Respondent should refer to the letter, dated February 15, 2011, sent to the Respondent identifying the potential violations of TSCA and notifying the Respondent of the opportunity to show cause why the EPA should not proceed with an enforcement action. 111. Specific Allegations 7. Respondent owns and operates a chemical manufacturing business headquartered at 3901 N.W. 1151h Avenue, Miami, Florida 33178. 8. Respondent is a manufacturer as the term is defined in 40 C.F.R. § 704.3. 9. On April 14, 2010, an authorized agent of EPA Region 4 sent an Informiation Request Letter to the Respondent's office pursuant to Section I I (a) of TSCA, 15 U.S.C. § 2610(a). 10. Respondent manufactured a reportable quantity of (CBI deleted) hereinafter referred to as Chemical A in 2005 at the Fort Pierce, Florida manufacturing facility. 11. Respondent manufactured a reportable quantity of Chemical A in 2005 at the Ranger, Georgia manufacturing facility. 12. Chemical A was subject to the 2006 Inventory Update Reporting (IUR) as described in 40 C.F.R. § 710, Subpart C. 13. As described in 40 C.F.R. § 710.53, the 2006 IUR reporting period for Chemical A was August 23, 2006, through March 23, 2007. Allied Universal Corporation 3 CAFO; TSCA-04-2011-2541(b) 14, Respondent failed to submit the 2006 IUR Report to the EPA for Chemical A, which was manufactured at two facilities, during the reporting period as described in 40 C.F.R. § 710.53. 15. Pursuant to 40 C.F.R. § 710.1(c) and Section 15(3) of TSCA, it is unlawful for any person to fail or refuse to submit information required under the IUR Regulations. 16. Respondent imported (CBI deleted) hereinafter referred to as Chemical B from (CBI deleted) in 2007, 2008, and 2009. IT Respondent violated Section 13 of TSCA, 15 U.S.C. § 2612 and the regulations promulgated at 40 C.F.R. § 707.20(b)(2) by failing to provide a positive or negative TSCA Certify Statement to the U.S. Customs for the importation of Chemical B in 2007, 2008 and 2009, IV. Consent Agreement 18. For the purposes of this CAFO, Respondent admits the jurisdictional allegations set forth above and neither admits nor denies the factual allegations set forth above. 19. Respondent waives its right to a hearing on the allegations contained herein and its right to appeal the proposed Final Order accompanying the Consent Agreement. 20. Respondent consents to the assessment of the penalty proposed by the EPA and agrees to pay the civil penalty as set forth in this CAFO. 21. Respondent certifies that as of the date of its execution of this CAFO, it is in compliance with the TSCA regulations referenced in this CAFO. 22. Compliance with this CAFO shall resolve the allegations of the violations contained herein. This CAFO shall not otherwise affect any liability of Respondent to the United States. Other than as expressed herein, neither the EPA nor Complainant waives any right Allied Universal Corporation 4 CAFO: TSCA-04-201 1-254 I (b) to bring an enforcement action against Respondent for violation of any federal or state statute, regulation or permit, to initiate an action for imminent and substantial endangerment, or to pursue criminal enforcement. 23. Complainant and Respondent agree to settle this matter by their execution of this CAFO. The parties agree that the settlement of this matter is in the public's interest and that this CAFO is consistent with the applicable requirements of TSCA. 24. Pursuant to 40 C.F.R. § 22.5(c)(4), the following individual is authorized to receive service for the EPA in this proceeding: Mr. Tony Spann Chemical Products and Asbestos Section U.S. EPA Region 4 61 Forsyth Street Atlanta, Georgia 30303-8960 (404) 562-8971. V. Final Order 25. Respondent is assessed a civil penalty of FORTY THOUSAND TWO HUNDRED THIRTY DOLLARS ($40,230) which shall be paid within thirty (30) days of the effective date. 26. Respondent shall remit the penalty payment by either a cashier's or certified check made payable to the "Treasurer, United States of America." The Respondent shall note on the face of the check the Respondent's name and the Docket Number associated with this CAM The penalty payment shall be sent by one of the following methods to the address indentified for the methods below. Allied Universal Corporation CAM TSCA-04-2011-2541(b) Address for payment submittal using the United States Postal Service: U.S. Environmental Protection Agency Fines and Penalties Cincinnati Finance Center F.O. Box 979077 St. Louis, Missouri 63197-9000. Address for payment submittal using other delivery service (e.g., Federal Express, United Parcel Service, DHL, etc.): U.S. Bank 1005 Convention Plaza Mail Station SL-MO-C2GL St. Louis, Missouri 63101 Contact Person: Natalie Pearson - (314) 418-4087 27. At the time of payment, Respondent shall send a separate copy of the check and a written statement that the payment is being made in accordance with this CAFO, to the following persons at the following addresses: Regional Hearing Clerk U.S. EPA Region 4 61 Forsyth Street Atlanta, Georgia 30303-8960; Tony Spann Chemical Products and Asbestos Section U.S. EPA Region 4 61 Forsyth Street Atlanta, Georgia 30303-8960; and Saundi J. Wilson Office of Environmental Accountability U.S. EPA Region 4 61 Forsyth Street Atlanta, Georgia 30303-8960. 28. For the purposes of state and federal income taxation, Respondent shall not be entitled, and agrees not to attempt, to claim a deduction for any civil penalty payment made Allied Universal Corporation 6 CAFO: TSCA-04-2011-2541(b) pursuant to this CAFO, Any attempt by Respondent to deduct any such payments shall constitute a violation of this CAFO. 29. Pursuant to 31 U.S.C. § 3717, the EPA is entitled to assess interest and penalties on debta owed to the United States and a charge to cover the cost of processing and handling a delinquent claim. Interest will therefore begin to accrue on the civil penalty from the date of entry of this CAFO, if the penalty is not paid by the date required. A charge will also be assessed to cover the administrative costs, both direct and indirect, of overdue debts. In addition, a Iate payment penalty charge shall be applied on any principal amount not paid within 90 days of the due date. 30. Complainant and Respondent shall bear their own costs and attorney fees in this matter. 31. This CAFO shall be binding upon the Respondent and its successors and assigns. 32. Each undersigned representative of the parties to this CAFO certifies that he or she is fully authorized by the party represented to enter into this CAFO and hereby legally binds that party to this CAFO. The remainder of this page is intentionally blank. Allied Universal Corporation 7 CAFO: TSCA-04-2011-2541(b) VI. Effective Date 33. The effective date of this CAFO shall be the date on which the CAFO is tiled with the Regional Hearing Clerk. AGREED AND CONSENTED TO: Respondent: Allied Universal Corporation Docket No.: TSCA-04-2411-2541(b) By: Name: ,Jim P lmer Title: President - CEo Complainant: U.S. Environmental Protection Agency By: Beverly H. Banister, Director Air, Pesticides and Toxics Management Division APPROVED AND SO ORDERED this 1 day of By:—� Susan B. Schub Regional Judicial Officer Allied Universal Corporation S CAFO! TSCA-04-201 1-2541(b) Date: February 27, 2012 Date: 3 � CERTIFICATE OF SERVICE I hereby certify that on the date set out below, I tiled the original and one copy of the foregoing Consent Agreement and Final Order and served a true and correct copy of the foregoing Consent Agreement and Final Order, in the Matter of Allied Universal Corporation, Docket Number: TSCA-04-201 1-2541(b), to the addressees listed below. Mr. James Palmer President - Chief Executive Officer Allied Universal Corporation . 3901 N.W. 115`h Avenue Miami, Florida 33178 Tony Spann Chemical Products and Asbestos Section U.S. EPA Region 4 6 t Forsyth Street, S.W. Atlanta, Georgia 30303 Lucia Mendez Office of Environmental Accountability U.S. EPA Region 4 61 For Street, S.W. Atlanta, Georgia 30303 Robert Caplan Office of Environmental Accountability U.S. EPA Region 4 61 Forsyth Street, S.W. Atlanta, Georgia 30303 B Y= 1( 4 Patricia A. Bullock Regional Hearing Clerk U.S. EPA Region 4 61 Forsyth St., S.W. Atlanta, GA 30303 (404) 562-9511 (via Certified Mail, Return Receipt Requested) (via EPA's internal mail) (via EPA's internal mail) (via EPA's internal mail) Date: I — / q—jG� Rev cuss s�q4 3901 NW 115 Avenue Miami, Florida 33178 AALLIEDUNIVERSAL 305-888-2623 office 305-463-8369 fax CORPORATION Established 1954 September 2012 Company Ownership Allied Universal Corporation is a Florida Corporation, originally established in 1955. Its officers and directors are: Robert Namoff, Chairman/Director James Palmer, President/Director Michael Koven, Treasurer Ronald Rubin, Vice President/Director Allied Universal Corporation is owned (100% of all shares) by Allied Universal Holding Corporation, located at 3901 NW 115 Avenue, Miami, FL 33178. Catherine Guillarmod Executive Administrator /cg 3901 NW 115 Avenue Miami, Florida 33178 305-888-2623 9501 Rangeline Road Ft. Pierce, Florida 34987 772-464-6195 30 Neil Gunn Drive Ellisville, MS 39437 601 A77-2550 5215 W.Tyson Avenue Tampa, Florida 33611 813-832-4868 8350 NW 115 Avenue 204 SCM Road 1405 Possum Hollow Roac Miami, Florida 33166 Brunswick, GA 31525 Ranger, GA 30734 305-888-2623 912-267-9470 706-334-7377 2I00 Port Road West Memphis, AR 72301 870-732-3107 www.sunbiz.org - Department of State Page 1 of 2 !-tome Contact Us E-Filing Services Previous on List Next on List Return To List Events Name History Detail by Entity Name Florida Profit Corporation ALLIED UNIVERSAL CORP. Filing Information Document Number 183054 FEIIEIN Number 590776285 Date Filed 01/3111955 State FL Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 06/28/1977 Event Effective Date NONE Principal Address 3901 NW 115 AVENUE MIAMI FL 33178 US Changed 04/27/2001 Mailing Address 3901 NW 115 AVENUE MIAMI FL 33178 US Changed 04/27/2001 Registered Agent Name & Address NAMOFF, ROBERT 3901 NW 115 AVENUE MIAMI FL 33178 Name Changed: 04/27/2001 Address Changed: 04/27/2001 OfficerlD!rector Detail Name & Address Title CD NAMOFF,ROBERT 3901 NW 115 AVENUE MIAMI FL 33178 Title PD PALMER, JAMES 3901 NW 115 AVE. MIAMI FL 33178 Title T KOVEN, MICHAEL 3901 NW 115 AVE. MIAMI FL 33178 Title VPD Document Searches Forms Help Entity Name Search j Submit,'i http://Www.sunbiz.org/scripts/cordet.exc?action—DETFIL&inq_doc number=183054&inq... 7/27/2012 State of Florida Department of State I certify from the records of this office" that ALLIED UNIVERSAL CORP. is a corporation organized under the laws of the State of Florida, filed on January 31, 1955. The document number of this corporation is 183054. I further certify that said corporation has paid all fees due this office through December 31, 2012, that its most recent annual report was filed on April 2, 2012, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Twenty Seventh day of July, 2012 Secretary of State Authentication ID: 000237912700-072712-183054 To authenticate this certificate,visit the following site, enter this ID, and then follow the instructions displayed. https.-//efile.sunbiz.org/certauthver.html Maven. S. Scott Vandergrift City Manager Robert Frank Centel of Goo(% ,,- C Commissioners Gary Hood, District 1 Rosemary Wilsen, District 2 Rusty Johnson, District 3 Joel Keller, District 4 CITY OF OCOEE INVITATION TO BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT City of Ocoee - 150 N Lakeshore Drive • Ocoee, Florida 34761 phone: (407) 905-3100 • fax: (407) 905-3194• Nvww.ocoee.org Mayor S. Scott Vandergrift City Manager Robert. Frank September 19, 2012 Center of Good Llvl�g Y: N; Commissioners Gary Hood, District 1 Rosemary Wilsen,District2 Rusty Johnson, District 3 Joel Feller, District 4 ADDENDUM NO: ONE (1) CITY OF OCOEE BID #B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT This addendum shall modify and become a part of the original bid documents for the liquid sodium hypochlorite term contract. This addendum consists of one 1 page. Bidders shall aclaiowledge receipt of Addendum One (1) in the space provided on page 17 of the bid documents. Failure to do so may subject the bidder to disqualification. The bid date remains the same. Answers to questions received and/or amendments to the bid documents are as follows: Questions: Q1. Are there previous bid tabulations available for this project? A 1. 'There are no previous bid tabulations as this is the first time the City has bid out liquid sodium hypochlorite. The City has always "piggybacked" other agencies' contracts that have been bid out. In the past, the City has piggybacked the City of Oviedo's contract; and is currently piggybacking Sarasota County's contract #111333HR; Sarasota's contact number is 941.650.9162. The amount the City is currently paying is $.70 per gallon. Q2. On page 4, under INTENT, and on page 18, under GENERAL REQUIREMENT, you specify liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine. On page 22, item 6.3, you specify 12.0 Trade Percent Available Chlorine. Please note that 12.0 % equates to 120 grams per liter and 12.5% equates to 125 grams per liter. We are not clear as to what your exact spec should be. A2. The specification is for a minimum of 12.0 Trade Percent Available Chlorine. Revise all references of 12.5% to a minimum of 12.0%. 1 yce Ib1111 CPPB Purchasing Agent cc: Tom King, Utilities Facility Manager Charles Smith, RE, Utilities Director City of Ocoee • 150 N Lakeshore Drive • Ocoee, Florida 34761 phone: (407) 905-3100 • fax: (407) 905-3194 • wwNv.ocoee.org TABLE OF CONTENTS FOR BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT BID DOCUMENTS Section Page Legal Advertisement 3 Bid Instructions General Terms & Conditions List of Subcontractors *, p. 16 Equipment Listing*, p. 16 References/Experience *, p. 16 Stanmary of Litigation*, p. 17 Acknowledgement ofAddenda*, p.17 "Bidder's Checklist " *, pp. 25-26 SCOPE OF WORK/SPECIFICATIONS, BID FORM e 7-17 Section Palle Exhibit A — Scope of Work/Specifications 18-26 Exhibit B — Bid Form* Exhibit C — Bid Bond Form* Company Information and Signature Sheet*, p. 35 *Submit with Bid End Table of Contents 27 28-34 B 13-01 Liquid Sodium Hypochlorite Invitation to Bid The City of Ocoee, Florida, (the "City") is soliciting sealed bids for the following project: Bid #B13-01 Liquid Sodium Hypochlorite Term Contract. Bids will be received at the office of Joyce Tolbert, CPPB Purchasing Agent, Finance/Purchasing Department, Second Floor, 150 North Lakeshore Drive, Ocoee, Florida 34761 until 2:00 pm, local time, on October 2, 2012. Bids received after that time will not be accepted under any circumstances. Sealed Bids that have been timely received will be publicly opened and read aloud at that time. No Pre -bid conference is scheduled at this time. Prospective bidders may secure a copy of the documents required for submitting a bid through Onvia/Demandstar by accessing the City's website at littp://www.ocoee.or�,l under Finance/Purchasing. Partial sets of the documents required for submitting a bid will not be issued. By using Onvia/Demandstar, prospective bidders will be provided with all addendums and changes to the project requirements. Membership with Onvia/Demandstar is not required to submit a bid; fees may apply for non-members. Persons other than prospective bidders may inspect the documents required for submitting a bid at the Ocoee City Hall City Clerk's Office, 150 N. Lakeshore Drive, Ocoee, FL 34761. Persons inspecting the documents at the City Clerk's office that request copies will be required to pay a fee as prescribed by statute. Beth Eikenberry, City Clerk, September 2, 2012. B13-01 Liquid Sodium Hypochlorite 3 CITY OF OCOEE INVITATION TO BID #1313-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT INTENT: Sealed bids for Bid #B 13-01 will be received by the City of Ocoee, hereinafter called "City" or "Owner," by any person, firm, corporation or agency submitting a bid for the work proposed, hereinafter called "Bidder or "Respondent". The proposed Contract will be for furnishing and delivering liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine) to meet the water production demands of the City, in accordance to the "Scope of Work/Specifications/Bid Form" sections of this Invitation to Bid. BIDDING INSTRUCTIONS: A. Each Bidder shall furnish the information required on the bid form supplied and each accompanying sheet thereof on which an entry is made. Bids submitted on any other format shall be disqualified. Please check your prices before submission of bid, as no changes will be allowed after bid opening. Bids must be typewritten or handwritten using ink. Do not use pencil. No erasures are permitted. Mistakes may be crossed out and the correction typed adjacent and must be initialed and dated by the person signing the bid. Bid documents must be signed by a legally responsible representative, officer, or employee and should be properly witnessed and attested. All bids should also include the name and business address of any person, firm, or corporation interested in the bid, either as a principal, member of a firm, or general partner. If the Bidder is a corporation, the bid should include the name and business address of each officer, director, and holder of 10% or more of the stock of such corporation. B. Any questions or concerns regarding this bid should be addressed in writing to the Finance Department. City of Ocoee, FL, Attention: Joyce Tolbert, CPPB, Purchasing Agent (407) 905-3100, extension 1516, fax (407)905-3194, or email preferred jtolbertLi�,ci.ocoee.il.us , and must be received not later than 2:00 P.M. on September 25, 2012. Any clarifications/changes will be made by way of written addenda only, issued by the Finance Department. Bidders should not contact other City staff or other City consultants for information before the bid award date. Any contact with any other member of the City Staff, City Commission, or its agents during this time period may be grounds for disqualification. C. This bid must be received as one (1) original and one (1) copy, of the required submittals only, by the Finance Department not later than 2:00 P.M., local time, on October 2, 2012. Bids received by the Finance Department after the time and date specified will not be considered, but will be returned unopened. "Postage Due" items will not be accepted. Bids transmitted by fax or e-mail will not be accepted. Bids shall be delivered in a sealed envelope, clearly marked with the bid number, title, and opening date and time to: City of Ocoee Finance Department Attention: Joyce Tolbert, CPPB, Purchasing Agent 150 N Lakeshore Drive Ocoee, FL 34761-2258 D. Bids will be publicly opened and read aloud in the Ocoee City Hall Conference Room, 150 N. Lakeshore Drive, Ocoee, Florida 34761-2258 at 2:01 P.M., or as soon thereafter as possible, on the above -appointed date. Bidders or their authorized agents are invited to be present. The actual contract award will be made by the Ocoee City Commission at a later date. Please be aware that all City Commission meetings are duly noticed public meetings and all documents submitted to the City as a part of a bid constitute public records under Florida law. B 13-01 Liquid Sodium Hypochlorite 4 E. All Bidders shall thoroughly examine and become familiar with the bid package and carefully note the items which must be submitted with the bid, such as: a) Bid Security in the form of a Cashier's or Certified check or Bid Bond; b) List of References/Experience; c) List of Subcontractors/Temporary Worker Agencies; d) Equipment Listing; e) Summary of Litigation; f) Bid Form g) Items listed under the "Bidder Checklist" in the Scope of Work/Specifications Section. h) Any other information specifically called for in these Bid Documents. F. Submission of a bid shall constitute an acknowledgment that the Bidder has complied with Paragraph E. The failure or neglect of a Bidder to receive or examine a bid document shall in no way relieve it from any obligations under its bid or the contract. No claim for additional compensation that is based upon a lack of knowledge or understanding of any of the Contract Documents or the scope of work will be allowed. All items quoted shall be in compliance with the bid documents/scope of work. G. No Pre -Bid Conference has been scheduled for this project. H. Any response by the City to a request by a prospective Bidder for clarification or correction will be made in the form of a written addendum communicated through Onvia/Demandstar issued not later than twenty-four (24) hours before bid opening. It shall be the responsibility of each prospective Bidder to obtain a copy of all issued Addenda. The City reserves the right to issue Addenda concerning date and time of bid opening, at any time up to the date and time set for bid opening. In this case, bids that have been received by the City prior to such an addendum being issued will be returned to the Bidder unopened. In case any Bidder fails to acknowledge receipt of any such Addendum in the space provided in the bid documents, its bid will nevertheless be construed as though the Addendum had been received and acknowledged. Submission of a bid will constitute acknowledgment of the receipt of the Bid Documents and all Addenda. Only interpretations or corrections provided by written Addenda shall be binding on the City. Bidders are cautioned that any other source by which a Bidder receives information concerning, explaining, or interpreting the Bid Documents shall not bind the City. Any of the following causes may be considered as sufficient for the disqualification of a Bidder and the rejection of its bid: a) Submission of more than one (1) bid for the same work by an individual, firm, partnership or corporation under the same or different name. For purposes of this subparagraph, firms, partnerships or corporations under common control may be considered to be the same entity; b) Evidence of collusion between or among Bidders; c) Being in arrears on any of its existing contracts with the City or in litigation with the City or having defaulted on a previous contract with the City; d) Poor, defective, or otherwise unsatisfactory performance of work for the City or any other party on prior projects that, in the City's judgment and sole discretion, raises doubts as to Bidder's ability to properly perform the work; or e) Any other cause which, in the City's judgment and sole discretion, is sufficient to justify disqualification of Bidder or the rejection of its bid. J. CONVICTED VENDOR LIST (PUBLIC ENTITY CRIME). A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on an award to provide any goods or services to a public entity, may not submit a bid on an award with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of B13-01 Liquid Sodium Hypochlorite real property to a public entity, may not be awarded or perform work as a Contractor, Supplier, Subcontractor, or Consultant under a award with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in section 287.017 for Category Two for a period of 36 months from the date of being placed on the convicted vendor list. [See s. 287.133(2)(a), Florida Statutes.] K. FLORIDA PUBLIC RECORDS LAW. In accordance with Chapter 119, Florida Statutes, and, except as may be provided by Chapter 119, Florida Statutes, and other applicable State and Federal Laws, all Bidders should be aware that the Bid and the responses thereto are in the public domain and are available for public inspection. Bidders are requested, however, to identify specifically any information contained in their bids that they consider confidential and/or proprietary and that they believe to be exempt from disclosure, citing specifically the applicable exempting law. All bids received in response to this Invitation to Bid become the property of the City and will not be returned. In the event of an award, all documentation produced as part of the contract will become the exclusive property of the City. L. No bid may be withdrawn for a period of ninety (90) days after the time and date scheduled for the bid opening. A request for withdrawal or a modification of a bid may be submitted to the Purchasing Agent, in writing, at any time prior to the deadline for submitting bids. After expiration of the deadline for receiving bids, no bid may be withdrawn or modified. M. The City reserves the right to accept or reject any or all bids, to waive formalities, technicalities or irregularities, to request clarification of information submitted in any bid, or to re -advertise for new bids. The City may accept any item or group of items of any bid, unless the Bidder qualifies its bid by specific limitations. The City may accept one or more bids if, in the City's discretion, the City determines that it is in the City's best interest to do so. The City reserves the right to award the contract to the Bidder which, in the City's sole discretion, is the most responsive and responsible Bidder. The City reserves the right, as an aid in determining which bid is responsible, to require a bidder to submit such additional evidence of Bidder's qualifications as the City may deem necessary, and may consider any evidence available to the City of the financial, technical, and other qualifications and abilities of a Bidder, including past performance (experience) with the City and others. The City Commission shall be the final authority in the selection of any and all bids. (Remainder of page left blank intentionally). B 13-01 Liquid Sodium Hypochlorite 6 GENERAL TERMS & CONDITIONS: 1. BID SECURITY: a) Each Bid must be accompanied by a Cashier's/Certified Check upon an incorporated bank or trust company or a Bid Bond in an amount equal to ONE THOUSAND DOLLARS ($1,000.00) (see paragraph L below). A combination of any of the former is not acceptable. Cash or company check will not be accepted as Bid Security. The cashier's check or Bid Bond is submitted as a guarantee that the respondent, if awarded the Contract, will after written notice of such award, enter into a written Contract with the City and as a guarantee that the respondent will not withdraw its bid for a period of ninety (90) days after the scheduled closing time for the receipt of bids, in accordance with the accepted bid and bid documents. Please note that Cashier's/Certified Checks will be deposited. b) In the event of withdrawal of said bid within ninety (90) days following the opening of bids, or respondent's failure to enter into said contract with the City or failure to provide the City with other requirements of the contract documents or the bid invitation after issuance of Notice of Intent to Award by the City, then such respondent shall be liable to the City in the full amount of the check or bid bond and the City shall be entitled to retain the full amount of the check or to demand from the Surety the penal sum of the bid bond as liquidated damages and not a penalty. c) Surety companies executing bonds shall be duly insured by an insurer or corporate surety and signed by a licensed agent who holds a current Power of Attorney from the surety company issuing the bond. d) The cost of the required bond and required insurance coverage is to be included in the respondent's overhead and is not eligible for reimbursement as a separate cost by the City. e) The checks of the three (3) most favorable respondents will be returned within three (3) days after the City and the successful respondent have executed the contract for work or until the 91" day after bid opening, whichever is earlier. The remaining checks will be returned within thirty (30) days after the opening of bids. Bid Bonds will be returned upon request following the same criteria as a check. f) In lieu of providing a bid security, the Respondent may provide documentation that their business has been active with the Secretary of the State of Florida for a minimum of three (3) years. Respondent warrants by virtue of bidding the prices in his bid response will be good for an evaluation period of ninety (90) days from the date of bid opening. 2. PERFORMANCE AND PAYMENT BONDS Not Required. 3. DEFAULT: As a result of bids received under this Invitation, the award of the contract may be based, in whole or in part, on delivery and specification factors. Accordingly, should the Contractor not meet the delivery deadline(s) set forth in the specifications or should the Contractor fail to perform any of the other provisions of the specifications and/or other contract documents, the City may declare the Contractor in default and terminate the whole or any part of the contract. Upon declaring the Contractor in default and the contract in whole or in part, the City may procure and/or cause to be delivered the equipment, supplies, or materials specified, or any substitutions thereof and the Contractor shall be liable to the City for any excess costs resulting therefrom. In the event the Contractor has been declared in default of a portion of the contract, the Contractor shall continue the performance of the contract to the extent not terminated under the provisions of this paragraph. Where the Contractor fails to comply with any of the specifications, except for delivery deadline(s), the City may, in its discretion, provide the Contractor with written notification of its intention to terminate for default unless prescribed deficiencies are B13-01 Liquid Sodium Hypochlorite 7 corrected within a specified period of time. Such notification shall not constitute a waiver of any of the City's rights and remedies hereunder. 4. PATENT INDEMNITY: Except as otherwise provided, the successful Bidder agrees to indemnify the City and its officers, agents, and employees against liability, including costs and expenses for infringement upon any letters patent of the United States arising out of the performance of this Contract or out of the use or disposal by or for the account of the City or supplies furnished or construction work performed hereunder. 5. PRICING: Pricing should be provided as indicated on the Scope of Work/Bid Sheet attached. Please note that alternate bids will not be accepted unless specifically called for on the Scope of Work/Bid Sheet. In case of a discrepancy between the unit price and extended price, the unit price will be presumed to be correct. Cost of preparation of a response to this bid is solely that of the bidder and the City assumes no responsibility for such costs incurred by the bidder. The minimum and maximum quantity of annual purchases is unknown. The numbers shown on the Bid Form are approximate for estimating purposes only and are not a guarantee of quantities that will be purchased by the City. The Bid form may not be completed in pencil. All entries on the Bid form shall be legible. The City reserves the right, but does not assume the obligation, to ask a Bidder to clarify an illegible entry on the Bid form. If the Bid form requires that the Bid price, or constituent portions of the Bid price, be stated in unit prices and total price; the unit prices and the total price for the stated number of units identified on the Bid form should be provided by the Bidder and be correctly computed. If there is an arithmetical conflict, between the unit price stated by the Bidder on the Bid form and the total price stated by the Bidder on the Bid form, the unit price stated by the Bidder on the Bid form shall take precedence. The City may unilaterally correct such arithmetical conflict on the Bid form to calculate the total price, utilizing the unit prices that have been identified by the Bidder. The taking of such action by the City shall not constitute grounds for the Bidder to withdraw its bid nor shall it provide a defense constituting discharge of the bid bond. The City reserves the right, but does not assume the obligation, to waive any mistake, omission, error or other irregularity that may appear on the Bid form. However, the City reserves the right to reject as non -responsive Bid forms that are incomplete or contain information that is not required. a) The Bidder represents that the article(s) to be furnished under this Invitation to Bid is (are) new and unused (unless specifically so stated) and that the quality has not deteriorated so as to impair its usefulness. b) The prices in this bid have been arrived at independently, without consultation, communication, or agreement for the purpose of restriction competition, as to any matter relating to such prices with any other Bidder or with any competitor; c) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the Bidder and will not knowingly be disclosed by the Bidder prior to opening, directly or indirectly to any other Bidder or to any competitor; d) No attempt has been made or will be made by the Bidder to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition. Every contract, combination or conspiracy in restraint of trade or commerce in this State is unlawful (s. 542.18, Florida Statutes, and all applicable federal regulations); e) Bidder warrants the prices set forth herein do not exceed the prices charged by the Bidder under a contract with the State of Florida Purchasing Division; and B13-01 Liquid Sodium Hypochlorite 8 f) Bidder agrees that supplies/services furnished under this quotation, if awarded, shall be covered by the most favorable commercial warranties the Bidder gives to any customer for such supplies/services and that rights and remedies provided herein are in addition to and do not limit any rights offered to the City by any other provision of the bid award. 6. DISCOUNTS: a) Trade and time payment discounts will be considered in arriving at new prices and in making awards, except that discounts for payments within less than 30 days will not be considered in evaluation of bids. However, offered discounts will be taken for less than 30 days if payment is made within discount period. b) In connections with any discount offered, time will be computed from date of delivery and acceptance at destination, or from the date correct invoice is received in the office of Finance, whichever is later. Payment is deemed to be made, for the purpose of earning the discount, on the date of City Check. 7. SAMPLES: See Scope of Work/Specifications section of this Invitation to Bid. Samples of items, when required, must be furnished free of expense to the City and, if not called for within fifteen days from date of bid opening, same will be disposed of in the best interest of the City. 8. AWARD CRITERIA/USE BY OTHER GOVERNMENTAL AGENCIES: Award will be made to the lowest responsible and responsive Bidder meeting the Specification; with price, product quality, safety record, previous performance, reliability, and a successful reference check, among the factors to be considered. City of Ocoee invites other utilities in the State of Florida to "piggyback" this Bid; however, City of Ocoee will not be responsible for any transactions between the successful Bidder(s) and any public entity that may elect to utilize this Bid. 9. LITERATURE: If required by the scope of work, or the specifications, descriptive literature/brochures shall be included with this bid in order to properly evaluate make/model offered. Bids submitted without same may be considered non -responsive and disqualified. 10. BID PROTESTS: All Bid Protests shall be submitted to the Purchasing Agent in the following manner: l . A Bidder shall file a written bid protest under this Article or be barred any relief; oral protests shall not be acknowledged. 2. A bid protest shall be limited to the following grounds: (a) issues arising from the procurement provisions of the Project Manual, its addenda, and other bidding documents; and/or (b) applicable federal, state, or local law. No bid protest may be based upon questions concerning the design documents (drawings and specifications). The Bidder shall clarify all questions concerning the design documents of the project prior to submitting its bid. 3. The content of the bid protest shall fully state the factual and legal grounds for the protest and the legal basis for the relief requested. B13-01 Liquid Sodium Hypochlorite 9 4. The bid protest shall be filed with the Purchasing Agent not later than three (3) calendar days after the posting of the notice of intent to award or recommendation of award by staff, whichever is earlier. 5. The Purchasing Agent, on behalf of the Owner, shall make a determination of the merits of the protest not later than five (5) business days after receipt of the protest. If Owner denies the protest, Owner may proceed with award of the contract unless enjoined by order of a court of competent jurisdiction. 11. PAYMENT TERMS: The City shall issue an official City Purchase Order for products based on the terms of the contract. Upon delivery and acceptance by the City, vendor shall submit an official invoice for payment. Payment for work completed will be made within (30) days of approved invoice. No payment will be made for products ordered without proper purchase order authorization. Payment cannot be made until materials, goods or services, have been received and accepted by the City in the quality and quantity ordered. The City of Ocoee, Florida has Florida Sales & Use Tax Exemption Certificate No. 85-8013779974C-0; and, pursuant to Chapter 212, Florida Statutes, is exempt from federal excise, state, and local sales taxes. 12. CONTRACT: a) The successful Bidder, hereinafter referred to as "Contractor," will be required to enter into a contract with the City. Any contract resulting from this solicitation is deemed effective only to the extent of appropriations available. This Agreement shall consist of one (1) three (3)-year initial term, and two (2) separate one (1)-year renewal terms, each of which shall automatically commence on the anniversary of the Effective Date unless the City or Contractor exercises its option not to proceed with the renewal term. The City or Contractor may refuse to exercise the renewal options by providing written notice of same not later than six (6) months before the expiration of a term. The effective date of service under this supply agreement shall be approximately November 1, 2012. b) The City may in its sole discretion award any additional work, whether in the existing area, or in any additional area, to any third party, or such work may be performed by the City's employees. Contractor will be expected to cooperate with any or all other Contractors who may be performing work for the City. 13. SAFETY REQUIREMENTS: The Bidder guarantees that the services to be performed and the goods to be provided herein, shall comply with all applicable federal, state and local laws, ordinances, regulations, orders and decrees, including without limitation such of the following acts as may be applicable: Federal Consumer Product Safety Act, Federal Fair Labor Standards Act, Occupational Safety and Health Act, Federal Hazardous Substances Labeling Act, Federal Flammable Fabrics Act, and any applicable environmental regulations. a) All contractors are required to comply with the Congressional Federal Register (CFR) of the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) Construction Industry, Part 1926, and CFR 1910, General Industry Standards, that are applicable in construction work. B13-01 Liquid Sodium Hypochlorite 10 b) The prime contractor is not only responsible for the safety aspects of his operation and employees, but also that of all subcontractors on the job site. c) Assure that a certified first aid person is designated, phone numbers of physicians, hospital and ambulance services are posted (copy to Personnel Director, City of Ocoee) and that a first aid kit is available. d) All individuals are required to wear hard hats on all construction sites. e) Provide personal protective equipment that may be required for jobs in progress (e.g.: hard hats, safety glasses, respirators, ear protection, long pants and shirts, etc.). f) Observe the speed limit on City property. g) Construction areas cleaned daily; excavations must be barricaded or flagged until backfilled. In some cases, bracing, shoring and sloping may be required. h) Scaffolds shall have guard rails on all open sides and secured to prevent displacement. i) Powder actuated stud guns or low velocity and/or similar powder actuated tools require eye and ear protection as well as to ensure that all unauthorized personnel are well clear. j) Welding and cutting - a fire watch and appropriate fire extinguisher shall be provided and combustible materials cleaned up. k) All heavy equipment must have, where applicable, (a) back-up alarms, (b) boom angle indicator, ( c ) load chart, (d) reeving, (3) fire extinguisher, (f) condition of hook and other items in accordance with OSHA 1926.550 and ANSI B30.5. 1) Construction material shall not be stored so as to block exits. m) Ground fault circuit interrupters are required on all electrical circuits not part of the permanent wiring of the building. n) Personal fall protection must be provided at elevations exceeding ten (10) feet. o) Per City Ordinance, any Contractor using construction dumpsters within the City of Ocoee must obtain these services through Superior Waste Services of Florida, Inc. 14. DRUG -FREE WORKPLACE: If applicable, provide a statement concerning the Bidder's status as a Drug -Free Work Place or evidence of an implemented drug -free workplace program. 15. CERTIFICATION OF NON -SEGREGATED FACILITIES The Bidder certifies that the Bidder does not and will not maintain or provide for the Bidder's employees any segregated facilities at any of the Bidder's establishments and that the Bidder does not permit the Bidder's employees to perform their services at any location, under the Bidder's control, where segregated facilities are maintained. The Bidder agrees that a breach of this certification will be a violation of the Equal Opportunity clause in any contract resulting from acceptance of this Bid. As used in this certification, the term "segregated facilities" means any waiting room, work areas, time clocks, locker rooms and other storage and dressing areas, parking lots, drinking facilities provided for employees which are segregated on the basis of race, color, religion, national origin, habit, local custom, or otherwise. The Bidder agrees that (except where the Bidder has obtained identical certification from proposed contractors for specific time periods) the Bidder will obtain identical certifications from proposed subcontractors prior to the award of such contracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that the Bidder will retain such certifications in the Bidder's files. The non-discriminatory guidelines as promulgated in Section 202, Executive Order 11246, and as amended by Executive Order 11375 and as amended, relative to Equal Opportunity for all persons and implementations of rules and regulations prescribed by the U.S. Secretary of labor, are incorporated herein. B 13-01 Liquid Sodium Hypochlorite 16. STATEMENT OF AFFIRMATION AND INTENT: The Bidder declares that the only persons, or parties interested in their bid are those named herein, that this bid is, in all respects, fair and without fraud and that it is made without collusion with any other vendor or official of the City of Ocoee. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in connection with the entity's submittal for the above project. This statement restricts the discussion of pricing data until the completion of negotiations and execution of the Agreement for this project. The Bidder certifies that no City Commissioner, other City Official or City employee directly or indirectly owns assets or capital stock of the bidding entity, nor will directly or indirectly benefit by the profits or emoluments of this Bid. (For purposes of this paragraph, indirect ownership or benefit does not include ownership or benefit by a spouse or minor child.) The Bidder certifies that no member of the entity's ownership or management is presently applying for an employee position or actively seeking an elected position with the City. In the event that a conflict of interest is identified in the provision of services, the Bidder agrees to immediately notify the City in writing. The Bidder further declares that a careful examination of the scope of services, instructions, and terms and conditions of this bid has occurred, and that the bid is made according to the provisions of the bid documents, and will meet or exceed the scope of services, requirements, and standards contained in the Bid documents. Bidder agrees to abide by all conditions of the negotiation process. In conducting negotiations with the City, Bidder offers and agrees that if this negotiation is accepted, the Bidder will convey, sell, assign, or transfer to the City all rights, title, and interest in and to all causes of action it may now or hereafter acquire under the Anti-trust laws of the United States and the State of Florida for price fixing relating to the particular commodities or services purchased or acquired by the City. At the City's discretion, such assignment shall be made and become effective at the time the City tenders final payment to the Bidder. The bid constitutes a firm and binding offer by the Bidder to perform the services as stated. 17. PUBLIC ENTITY CRIME STATEMENT: All invitations to bid as defined by Section 287.012(11), Florida Statutes, requests for Bids as defined by Section 287.012(16), Florida Statutes, and any contract document described by Section 287.058, Florida Statutes, shall contain a statement informing persons of the provisions of paragraph (2)(a) of Section 287.133, Florida Statutes, which reads as follows: "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." B13-01 Liquid Sodium Hypochlorite 12 All Bidders who submit a Bid or Request for Bid to the City of Ocoee are guaranteeing that they have read the previous statement and by signing the bid documents are qualified to submit a bid under Section 287.133, (2)(a), Florida Statutes. 18. PERMITS/LICENSES/FEES: a) Any permits, licenses or fees required will be the responsibility of the contractor; no separate payments will be made. Permit fees are waived for any City of Ocoee permits required. b) The City requires a City of Ocoee registration if permitting is required. Please contact the City's Building Department at (407)905-3100 extension 1000, directly for information concerning this requirement. c) Adherence to all applicable code regulations (Federal, State, County, and City) is the responsibility of the contractor. 19. INSURANCE REQUIREMENTS: The Contractor shall not commence any work in connection with an Agreement until all of the following types of insurance have been obtained and such insurance has been approved by the City, nor shall the Contractor allow any Subcontractor to commence work on a subcontract until all similar insurance required of the subcontractor has been so obtained and approved. Policies other than Workers' Compensation shall be issued only by companies authorized by subsisting certificates of authority issued to the companies by the Department of Insurance of Florida which maintain a Best's Rating of "A" or better and a Financial Size Category of "VII" or better according to the A.M. Best Company. Policies for Workers' Compensation may be issued by companies authorized as a group self -insurer by F.S. 440.57, Florida Statutes. a) Loss Deductible Clause: The City shall be exempt from, and in no way liable for, any sums of money which may represent a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the General Contractor and/or subcontractor providing such insurance. b) Workers' Compensation Insurance: The Contractor shall obtain during the life of this Agreement, Worker's Compensation Insurance with Employer's Liability Limits of $500,000/$500,000/$500,000 for all the Contractor's employees connected with the work of this project and, in the event any work is sublet, the Contractor shall require the subcontractor similarly to provide Workers' Compensation Insurance for all of the latter's employees unless such employees are covered by the protection afforded by the Contractor. Such insurance shall comply fully with the Florida Workers' Compensation Law. In case any class of employees engaged in hazardous work under this contract for the City is not protected under the Workers' Compensation statute, the Contractor shall provide, and cause each subcontractor to provide adequate insurance, satisfactory to the City, for the protection of the Contractor's employees not otherwise protected. ■ Include Waiver of Subrogation in favor of the City of Ocoee c) Contractor's Public Liability and Property Damage Insurance: The Contractor shall obtain during the life of this Agreement COMMERCIAL AUTOMOBILE COVERAGE, this policy should name the City of Ocoee as an additional insured, and shall protect the Contractor and the City from claims for damage for personal injury, including accidental death, as well as claims for property damages which may arise from operations under this Agreement whether such operations be by the Contractor or by anyone directly or indirectly employed by the Contractor, and the amounts of such insurance shall be the minimum limits as follows: 1) Automobile Bodily Injury Liability & Property Damage Liability ■ $1,000,000 Combined single limit per occurrence (each person, each accident) ■ All covered automobile will be covered via symbol 1 ■ Liability coverage will include hired & non -owned automobile liability ■ Include Waiver of Subrogation in favor of The City of Ocoee 2) Comprehensive General Liability (Occurrence Form) - this policy should name the City of Ocoee as an additional insured and should indicate that the insurance of the Contractor is primary and non-contributory. B13-01 Liquid Sodium Hypochlorite 13 ■ $2,000,000 GENERAL AGGREGATE ■ $2,000,000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE ■ $1,000,000 PER OCCURRENCE ■ $1,000,000 PERSONAL & ADVERTISING INJURY ■ Include Waiver of Subrogation in favor of the City of Ocoee 3) Subcontractor's Comprehensive General Liability, Automobile Liability and Worker's Compensation Insurance: The Contractor shall require each subcontractor to procure and maintain during the life of this subcontract, insurance of the type specified above or insure the activities of these subcontractors in the Contractor's policy, as specified above. 4) Owner's Protective Liability Insurance: n/a for this project. 5) Contractual Liability: If the project is not bonded, the Contractor's insurance shall also include contractual liability coverage to insure the fulfillment of the contract. NOTE: PUBLIC LIABILITY INSURANCE AND AUTOMOBILE LIABILITY INSURANCE, THE CITY SHALL BE NAMED AS ADDITIONAL INSURED. ■ $1,000,000 PER OCCURRENCE ■ $2,000,000 AGGREGATE 6) Commercial Umbrella: ■ $1,000,000 PER OCCURRENCE ■ $2,000,000 Aggregate ■ Including Employer's Liability and Contractual Liability 7) Builders Risk: n/a for this project 8) Certificates of Insurance: Certificate of Insurance Form (see sample attached), naming the City of Ocoee as an additional insured will be furnished by the Contractor upon notice of award. These shall be completed by the authorized Resident Agent and returned to the Office of the Purchasing Agent. This certificate shall be dated and show: 9) The name of the Insured contractor, the specific job by name and job number, the name of the insurer, the number of the policy, its effective date, its termination date. 10) Statement that the Insurer shall mail notice to the Owner at least thirty (30) days prior to any material changes in provisions or cancellation of the policy, except ten (10) days written notice of cancellation for non-payment of premium. (remainder of page left blank intentionally) B 13-01 Liquid Sodium Hypochlorite 14 ACORD CERTIFICATE OF LIABILITY INSURANCE GP ID JCd, DATE1M14,00TYYYY) FRAZE-1 ( 11/04/ 4 EHODVCEF THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ENSURERS AFFORDING COVERAGE — — NAICS _ Y 1NSL'RED INSURER A. AN {Art A�tlnq A. or {�et,r Contractor's Name IEuuREHc Address q SURER D COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MOWATEO NOTWITHSTANDII,G ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIE3 DESCRIBED HEREIN IS SUBJFCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL0ES ACf DATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAMS POLICY NUMBER DOCi149EFPEL`TTJE �iDUCVEX11fICd7gif LTR NSRG 7Y►B OF INSURANCE OA a WODIY DATE MMIDOtYY LIMITS — —. -- GENERAL LABILITY I EAACCHH OCCURRENCE S1,000,000 X I X ( COMMERCALGENFRALL:ABILIN I �I I pgEjllgEOE j CLAIMS MADE bCCUR T fMEOEXPIA,,yoneDert,�.n) 3S,0_00�.__ _ + i %PE—RSONALdADVIW'.IPV 31,000,000� IGEN'LAGGREGATELIMITAPPLIESPFR ( DENERALAGGPEGATE $2, 000, 000 iPRODUCTS-COMPIOPAGG $2,000,000 C—, POLICY X, i VECT �A , LCC . AUTOMOBILE LiARIL1 I � ANY 4UTO I COMBINED SINGLE L MIT IF(E..-d-1-S 1,000000 �ALL OWNFDAUTO$ (BODILY WJURY S ` I '` SCHEDULED AUTOS +I (P. P—) HIRED AUTOS II 1 BODILY NUURY 3 X NON-0W NED AUTOS lPtl iCtldRNJ DAMAGE 3 +PRIPbOFERTY CgdMi) LIABIUTY I AUTOONLY-EAACCIDENT S OTHER THAN EA ACC 3 _GARAGE ANY AUTO ! i AUTO ONLY AGO 3 -- EXCfS5NM5RtLLA LIABILITY EACHOCCUPRENCE 3S�0001 000 X X OCCUR -7 CLAIMS MADE ! AGGREGATE 3 2,000,000 3 _ I � 8L DEOUCT1E BL ! .RETENTION 3 WORKERS COMPENSATION ANDVX i TORV tIM Itg� ' ER 1 EMPLOYERS' LUIMLRY J I E L EACH ACCIDENT 3 500, 000_�� AN V PROPRIETO"ARTNERIEAECUTIVE I OFF,CER,MEMBEREXCLUDEOT -- - - - - - ---- EL DISEASE -EA EMPLOYEE SSOO,000 �---- rcyyee''ff a•Amw uoaa SPECALPROVtSWN$btlM - —-- E.lDISEASE-ML-CYLIK14 3500,OO❑ OTHER !--- �Builders R1ek I Any 1 Loc 100,000 ! Any 1 Occ 1,000,000 DESCRIPTION OF OPERATIONS ILOCATION31 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRONI&ONS The inaurance evidenced by this certificate shall name the certificate holders as an additional insured on the General Liability & Umbrella Liability. Workers' Compensation, Employers' Liability & General Liability shall contain a Waiver of Subrogation in favor of the certificate holder, The certificate holder is added as a rEFlBd irru mj Rr Rd]�3., Ri--k OCOSE01 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES SECANCELLED BEFORE THE EXPINATtOA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TD THE LEFT, BUT FAILURE TO DO SO SHALL City of Ocoee IMPOSE NO ORUCATIONOR LIABILITY OF ANY r4hD UPON THE INSURER, ITS AGENTS OR 150 N. Lakeshore Drive Ocoee FL 34761-2259 REPRESENTATIVES.______ ACDRD 25 (2001108} IEIN B 13-01 Liquid Sodium Hypochlorite 15 20. LIST OF SUBCONTRACTORS: SUBCONTRACTOR and/or TEMPORARY WORKER AGENCY NAME/ADDRESS/FEDERAL I.D. NO./CONTACT PERSON/PHONE #: (If none, please so state, and attach additional sheets if necessary) The Bidder certifies that the Bidder has investigated each subcontractor/temporary worker agency listed and has received and has in the Bidder's files evidence that each subcontractor/temporary worker agency maintains a fully -equipped organization capable, technically and financially, of performing the pertinent work and that the subcontractor/temporary agency has done similar work in a satisfactory manner. It is further acknowledged by the contractor that any CHANGE or OMISSIONS in the subcontractors listed above shall require the City of Ocoee's approval before any work shall commence by the additional subcontractor on this project. 21. EQUIPMENT LISTING: Please list year, make & model of all equipment that will be used on City of Ocoee properties, including whether owned or leased. If leased please provide name of lessor. 22. REFERENCES/EXPERIENCE OF RESPONDENT WITH SIMILAR WORK The Bidder shall complete the following blanks regarding experience with similar type of work for the past five (5) years. Bidder must demonstrate ability to perform services of similar complexity, nature, and size of this project within past five (5) years. (See Scope of Work/Specifications Section for requirements). DATE OF CONTRACT/AMOUNT OF PROJECT/CLIENT'S NAME AND ADDRESS/ TELPHONE NUMBER/EMAIL ADDRESS/NAME OF CONTACT Have you any similar work in progress at this time? Yes_ No Length of time in business B13-01 Liquid Sodium Hypochlorite 16 Bank or other financial references: (Attach additional sheets if necessary) 23. SUMMARY OF LITIGATION: Provide a summary of any litigation, claim(s), bid or contract dispute(s) filed by or against the Bidder in the past five (5) years which is related to the services that the Bidder provides in the regular course of business. The summary shall state the nature of the litigation, claim, or contact dispute, a brief description of the case, the outcome or projected outcome, and the monetary amounts involved. If none, please so state, attach additional sheets if necessary. 24. ACKNOWLEDGEMENT OF ADDENDA: Bidder acknowledges receipt of the following addenda: No. Dated No. Dated No. Dated No. Dated No. Dated (Remainder of page left blank intentionally) B13-01 Liquid Sodium Hypochlorite 17 CITY OF OCOEE BID #B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT EXHIBIT A SCOPE OF WORK/SPECIFICATIONS Liquid Sodium Hypochlorite Specification GENERAL REQUIREMENT 1.1 General: The intent and purpose of this specification document (the "Specification") is for the Contractor to furnish and deliver liquid sodium hypochlorite (12.5 Trade Percent Available Chlorine) FOB destination in accordance with the American Water Works Association's (AWWA's) Standard B300-10 for hypochlorite, except as modified or supplemented herein, to the City of Ocoee Utility Department. 1.2 Award: Award will be made to the lowest responsible and responsive Bidder meeting the Specification; with price, product quality, safety record, previous performance, reliability, and a successful reference check, among the factors to be considered. City of Ocoee invites other utilities in the State of Florida to "piggyback" this Bid; however, City of Ocoee will not be responsible for any transactions between the successful Bidder(s) and any public entity that may elect to utilize this Bid. 2. BIDDER QUALIFICATION / SUBMITTALS 2.1 Definition: For purposes of this Bid, the term "Bidder" shall be defined as the company submitting a Bid to City of Ocoee and shall include all subsidiaries, affiliates, and subcontractors. As such, any requested documentation shall apply to all subsidiaries and affiliated companies as well as any subcontractors. In the event that the Bidder is using a subcontractor (a subsidiary or affiliated company would be considered a subcontractor) to either manufacture or deliver the product, the requested items (e.g., samples results, references, terminations, emergency response, regulatory actions, OSHA 300 logs and safety incidents) shall apply to these entities as well. 2.2 Bid Sample: Each prospective Bidder shall submit a 1500 ml "chilled" sample of their product representative of their manufacturing process from Bidder's manufacturing facility which would serve the customer to one of the approved testing laboratories listed in this Specification for analysis within the past ninety (90) days. The laboratory shall ascertain whether the Bidder's product is in compliance with this Specification for available chlorine, % sodium hypochlorite, excess caustic, iron, copper, nickel, lead, arsenic, chlorate, bromate, perchlorate and suspended solids (based on Filter Test time). The manufacturer's location shall be annotated on the sample results. The cost of the analysis shall be borne by Bidder. The results of the analysis shall be submitted with the Bidder's Bid. 2.3 NSF Sample Results: Each prospective Bidder shall submit a copy of the three most recent years of complete NSF sample results of their product from the manufacturing facility supplying their product which would serve the customer. City of Ocoee shall use these results to ensure compliance with the Specification. The results of the NSF sample analysis shall be submitted with the Bidder's Bid. Failure to submit this information or meet the requirements of the Specification may result in Bidder being disqualified. B13-01 Liquid Sodium Hypochlorite 18 2.4 Other Samples: Further, City of Ocoee reserves the right to take samples from Bidder's other customers to ensure that the Bidder's sample and delivery equipment is in compliance with all the requirements of this Specification and such a sample shall be judged representative of the Bidder's quality. City of Ocoee may choose to obtain a sample from any of Bidder's customers to ensure compliance with the Specification. In such event, City of Ocoee shall bear the cost of any analysis. Based on this compliance check, failure to meet the requirements of this Specification may result in Bidder being disqualified. 2.5 References and Past Performance: Each prospective Bidder shall submit a list of at least five (5) references to include phone numbers that use or have used its sodium hypochlorite at both water and wastewater treatment plants in the past five (5) years. The Reference List shall list actual users at the water and wastewater plants and not purchasing agents. Additionally, each Bidder shall provide the names of any customers where its contract was terminated early (e.g., debarred) for safety, quality, or service issues for any product it supplies over the past five (5) years. Failure to supply these lists may result in Bidder being disqualified. 2.6 Emergency Response: As part of its Emergency Preparedness Planning and Spill Response Plan, each prospective Bidder shall submit a list with 24-hour access phone numbers of at least two degreed engineers (preferably Chemical Engineers) listing their degree, college or university and year of graduation, experienced in sodium hypochlorite operations to provide emergency support services on a 24/7 basis in the event of a spill, equipment failure or other emergency. In addition, each Bidder shall furnish a list of five (5) emergency service calls they made to a customer outlining the details of the emergency and the Bidder's emergency response with a point of contact and phone number to verify the details. Failure to submit either list including its specific requirements may result in Bidder being disqualified. 2.7 Safety and Reliability: As part of assessing the Bidder's reliability and safety record, the prospective Bidder shall include all regulatory actions including but not limited to, copies of any fines, correspondence and consent orders relating to the operation of ALL of its manufacturing and distribution facilities that serve the Florida market (this does not pertain to FDOT fines or fees) for the past five (5) years. Additionally, the Bidder shall submit a copy of its OSHA Form 300A/300 logs for the past five (5) years (if the Bidder utilizes a third party driving company or affiliated company, then they shall submit the OSHA 300 logs for that company as well). Logs shall be submitted for the entire company in addition to any subsidiaries or subcontractors who will serve the Contractor. The Bidder shall also provide a detailed listing of all accidents, incidents, releases, spills, vehicle accidents involving death or injury and National Response Center Notifications ("Safety Incidents") for all chemicals it delivers or manufacturers for the past five (5) years. Failure to disclose the Regulatory Actions, OSHA 300 logs or Safety Incidents may result in Bidder being disqualified from bidding on this product. 2.8 Company Ownership: As part of assessing the Bidder's ability to serve, Bidder shall provide a listing of all its officers AND owners. Failure to list all owners and their percentage of ownership may result in Bidder being disqualified from bidding on this product. 3. COMMERCIAL CONDITIONS 3.1 Term: This Agreement shall consist of one (1) three (3)-year initial term, and two (2) separate one (I) -year renewal terms, each of which shall automatically commence on the anniversary of the Effective Date unless the City or Contractor exercises its option not to proceed with the renewal term. The City or Contractor may refuse to exercise the renewal options by providing written notice of same B 13-01 Liquid Sodium Hypochlorite 19 not later than six (6) months before the expiration of a term. The effective date of service under this supply agreement shall be approximately November 1, 2012. 3.2 Pricing: All pricing shall be in terms of a price per gallon (freight prepaid FOB Destination to each City of Ocoee facility). The price of the sodium hypochlorite shall be fixed for the Initial Term of this agreement and shall not be subject to any price escalation or fuel surcharges (the "Base Price"). City of Ocoee agrees to consider price increases for each renewal year. 3.3 Payment Terms: NET 30 days. 4. DELIVERY REQUIREMENTS 4.1 Contractor shall make "normal" deliveries within two (2) calendar (i.e., not "working" days) days after receipt of order and must make "emergency" deliveries within 24 hours. An emergency delivery is defined as a delivery which is necessary in order to prevent City of Ocoee from running out of sodium hypochlorite in less than 24 hours. City of Ocoee shall endeavor to minimize the number of "emergency" deliveries. 4.2 All deliveries of liquid sodium hypochlorite shall be freight prepaid, F.O.B. Destination to each City of Ocoee facility. 4.3 Delivery time of day shall be arranged upon placement of order. Deliveries made to unmanned facilities must be coordinated with City of Ocoee so the driver can gain access to the facility. 4.4 All deliveries of liquid sodium hypochlorite shall be made by properly cleaned carrier tank truck to the locations specified in paragraph 5 below. 4.5 Packaging and shipment of liquid sodium hypochlorite shall conform to all current regulations of the State of Florida, the United States Department of Transportation and all other applicable regulatory agencies. 4.6 All delivery personnel must have company cell phones to facilitate deliveries to unmanned and manned facilities. Experience has shown this to be critical to effective coordination of deliveries to the various City of Ocoee facilities. 4.7 City of Ocoee reserves the right to change quantities and delivery dates at its discretion with a 24-hour notice. 4.8 The Contractor shall be responsible for pumping liquid sodium hypochlorite into the storage tanks at the delivery sites and shall provide all necessary hoses, fittings, air -padding, pumps, etc. required to safely and efficiently "offload" the liquid sodium hypochlorite into designated storage tanks. Contractor shall be responsible for ascertaining the correct storage tanks and fill point locations to prevent accidental discharge of the product into the wrong storage tank(s). 4.9 The Contractor shall be responsible for any spills resulting from the failure of its or its subcontractor's delivery equipment or from failure of attendant delivery personnel in the proper performance of their duties. Proper performance shall require attendant delivery personnel's constant inspection and observation of unloading operations and knowledgeable response to problems or emergencies, which would most commonly be expected to occur. City of Ocoee reserves the right to refuse any and all deliveries made with equipment that is poorly maintained and/or leaking sodium hypochlorite. B 13-01 Liquid Sodium Hypochlorite 20 4.10 The tanks or trailers shall be clean and free of residue that may contaminate the Contractor's product or impede the unloading process. It is the Contractor's responsibility to verify the cleanliness of the transporting equipment before loading. All appurtenant valves, pumps, and discharge hoses used for the delivery of sodium hypochlorite shall be supplied by the Contractor and shall be clean and free from contaminating material. City of Ocoee may reject a load if the equipment is not properly cleaned. Contractor shall furnish City of Ocoee an approved, leak -free connection device between the trailer and its intake receptacle. The Contractor shall observe the entire filling operation at each delivery site and shall immediately report any spills caused during the filling operations. The Contractor shall take immediate and appropriate actions to clean up any spilled liquid sodium hypochlorite. If the spill is not cleaned up, City of Ocoee will hire a certified hazardous material handling company to clean up the spill, and the cost of such service will be charge to the Contractor and deducted from the amount due to the Contractor. If City of Ocoee's unloading equipment such as pipe, valves or level indication and alarms should fail and the spillage is not the fault of the Contractor or its subcontractor, the Contractor shall be relieved of cleanup of the spill. 4.11 Delivery Shipments shall be rejected which fail to meet any of the requirements of the Specification. In the event a delivery shipment is rejected, upon notification to the Contractor that the shipment is rejected, Contractor shall be required to ship a replacement delivery to the affected location within four (4) hours from time of notification. Failure to provide replacement product that meets the Specification within the specified time period will constitute failure to comply with the delivery requirements set forth in this document. 5. DELIVERY LOCATIONS 5.1 Delivery sites and quantities are subject to deletions or additions as necessary to meet the water production demands of City of Ocoee. 5.2 Split deliveries to multiple locations will be coordinated and accepted by City of Ocoee to encourage economical delivery of product via bulk tankers dependent on storage capacities at time of delivery. 5.3 Liquid Sodium Hypochlorite consumption at each location is an estimate only and City of Ocoee shall not be bound by these amounts in its contract with Contractor. 5.4 Delivery Locations: LOCATION STORAGE CAPACITY ESTIMATED ANNUAL QUANTITY City of Ocoee WWTP 3 - 1,100 GALLONS 80,000 GALLONS 1800 A.D. Mims Road (-1,500 gallon Weekly Delivery) Ocoee, FL 34761 Forrest Oaks WTP 2 — 5,000 GALLONS 40,000 GALLONS 8590 Hackney Prairie Road 1,000 gallon 10-11 Day Ocoee, FL 34761 Delivery) South WTP 2 — 5,000 GALLONS 40,000 GALLONS 581 S. Maquire Road 1,000 gallon 10-11 Day Ocoee, FL 34761 Delivery) B 13-01 Liquid Sodium Hypochlorite 21 6. PRODUCT MATERIAL REQUIREMENTS 6.1 Hypochlorite supplied under this contract shall be tested and certified as meeting the Specification, the AWWA Standard B300-10 and those of the American National Standards Institute/National Sanitation Foundation Standard 60 (ANSI/NSF Standard 60), Drinking Water Treatment Chemicals Health Effects. 6.2 It is the responsibility of the Contractor to inform City of Ocoee that its NSF or UL certification has been revoked or lapsed within 24 hours of the time the supplier receives verbal or written notification. Loss of certification shall constitute sufficient grounds for immediate termination of the contract between City of Ocoee and Contractor. 6.3 Liquid sodium hypochlorite delivered under this Specification shall have a minimum of 120 Grams per Liter (GPL) available chlorine equivalent (a.k.a., 12.0 Trade Percent Available Chlorine) and shall be consistent as determined by chemical analysis. 6.4 Product shall be a clear straw colored liquid with no visible cloudiness, impurities, or sediment. It shall contain no soluble materials or organic substances in quantities capable of producing deleterious or injurious effects on the health of those consuming water treated with the liquid sodium hypochlorite. 6.5 Liquid sodium hypochlorite delivered under this Specification shall have a minimum of 0.20 percent by weight sodium hydroxide and a maximum of 0.40 weight percent sodium hydroxide. 6.6 Liquid sodium hypochlorite delivered under this contract shall meet the following containment concentration limits: Iron < 0.3 mg/L Copper < 0.03 mg/L Nickel < 0.03 mg/L Lead < 0.2 mg/L Arsenic < 0.2 mg/L Chlorate < 2,000 mg/L Bromate < 20 mg/L Perchlorate < 20 mg/L 6.7 The delivery time of the shipment shall not exceed 72 hours from the time of manufacture of the liquid sodium hypochlorite. 6.8 The suspended solids in the sodium hypochlorite delivered under this contract shall be minimized and the shipments delivered shall achieve a filtration time of less than 3 minutes for 1000 ml when applying the "Suspended Solids Quality Test for Bleach Using the Vacuum Filtration " Method co -developed by Dr. Bernard Bubms of NovaChem and previously referenced in this Specification. 7. QUALITY ASSURANCE, SAFETY AND TRAINING 7.1 Sampling and Testing 7.1.1 All Sampling and Testing shall be in accordance with EPA and AWWA B300-10 standards and in accordance with the documents titled: "The Weight Percent Determination of Sodium Hypochlorite, Sodium Hydroxide, And Sodium Chlorate in B13-01 Liquid Sodium Hypochlorite 22 Liquid Bleach" and "Suspended Solids Quality Test,for Bleach Using Vacuum Filtration ", distributed by Powell Fabrication and Manufacturing, Inc. and available at httn://www.nowellfab.com. 7.1.2 The approved laboratories are listed below for all sampling and testing whether during the Bid period or after award. No other Laboratory shall be used unless expressly authorized as an Addendum to the Bid issued by City of Ocoee amending the Specification or an amendment to the contract between City of Ocoee and Contractor. NovaChem Laboratories (formerly Novatek) Thornton Laboratories 5172 College Corner Pike 1145 East Cass Street PO Box 608 Oxford, Ohio 45056 Ph: 513-523-3605 Fax: 513-523-4025 Tampa, Florida 33602 Ph: 813-223-9702 Fax: 813-223-9332 Attn: Steve Thickett 7.1.3 Sampling and Testing Prior to Unloading: The Contractor's delivery trailer shall have a sample port to provide a sample for analysis. At the sole discretion of City of Ocoee, the Contractor's delivery personnel (driver) may be asked to provide a sample of liquid sodium hypochlorite before the shipment is unloaded. City of Ocoee will supply the sample container and the driver shall collect the sample from the tank truck and turn it over to City of Ocoee. The sample shall be considered representative of the lot. City of Ocoee reserves the right to subject samples of the liquid sodium hypochlorite to quick analyses to ensure that it meets basic conditions of the specification with respect to specific gravity, weight percent of sodium hypochlorite, sodium hydroxide, and suspended solids. Any lot tested by City of Ocoee that fails to comply with the Specification shall constitute grounds for rejection of that lot. No payment shall be made for hypochlorite that is rejected. The Contractor or its subcontractors shall allow 60 minutes for this testing to be completed. If testing can not be completed within the 60- minute period, City of Ocoee shall allow the Contractor to unload the shipment. In the event that the load is rejected, the Contractor shall have four (4) hours to supply another shipment. In the event that the Contractor is unable or unwilling to supply another shipment within this time period, City of Ocoee has the right to procure a shipment from another source and this will failure to deliver shall constitute a second rejection. Three rejections of a lot or shipment during any period of this contract shall constitute automatic termination of the Contractor's supply contract with City of Ocoee. 7.1.4 Sampling and Test of Shipment After Unloading. City of Ocoee reserves the right to subject samples of the liquid sodium hypochlorite to complete analyses to ensure that it meets EPA specifications, AWWA B300-10 specifications, and the Specification. Three failures during any period of this contract shall constitute automatic termination of the Contractor's supply contract with City of Ocoee. 7.1.5 Certified Analysis. Contractor shall supply an affidavit, signed by a corporate designated official, certifying that the liquid sodium hypochlorite furnished by the Contractor, complies with all applicable requirements of this Specification and AWWA Standard B300-10, latest revision. The affidavit shall also indicate compliance with Water Chemicals Codex directives, latest revision, for impurity limits. 7.2 Manufacturer's Laboratory Delivery Reports B13-01 Liquid Sodium Hypochlorite 23 7.2.1 A certified report from the manufacturer shall be submitted for each liquid sodium hypochlorite delivery to City of Ocoee. 7.2.2 The report shall contain the following data: • Date and Time of Manufacture • Percent by Weight Sodium Hypochlorite • Percent by Weight Excess Sodium Hydroxide • Specific Gravity (Referenced to a temperature) • Suspended Solids Test Time 7.2.3 No deliveries will be accepted by City of Ocoee unless accompanied by said certified laboratory report for the specific batch of liquid sodium hypochlorite delivered showing the above data and that it conforms to the Specification. Regardless of whether at different delivery sites, failure to comply with this provision three (3) times during the contract period shall constitute sufficient grounds for termination of the contract between City of Ocoee and Contractor. 7.3 Tank Cleanings 7.3.1 At any time during the performance of this Agreement, if City of Ocoee has any sort of sludge or other impurity buildup in any of its sodium hypochlorite tank, the Contractor shall cleanout the tank at no charge to City of Ocoee within seven (7) days, unless such timeframe is extended by City of Ocoee. The cleanout should be done in such a manner so that it is done safely with no loss of disinfection to the affected plant. The Contractor shall submit a procedure to City of Ocoee for approval prior to this work being completed. The determination of whether there is any such sludge or impurity buildup in the tanks will be at the sole discretion of City of Ocoee. Failure of the Contractor to cleanout the tank within seven (7) days after being served notice (or within any extension of this timeframe specified by City of Ocoee) shall be cause for immediate termination of the sodium hypochlorite supply between City of Ocoee and the Contractor. 8. OCCUPATIONAL HEALTH AND SAFETY 8.1 Contractor Safety Requirements 8.1.1 Contractor must ensure delivery personnel's compliance with all OSHA requirements, including personal protective equipment for Contractor delivery personnel, including without limitation chemical goggles, transparent face shield and hard hat, rubber gloves, rubber boots, and rubber or plastic -coated fabric apron or slicker suit. Contractor delivery personnel must wear at minimum, chemical goggles and rubber gloves when handling hoses and valves. 8.1.2 Contractor delivery personnel must remain within a safe proximity while the transfer is in progress and continuously monitor for leaking hoses, connections, or other problems. It is the responsibility of Contractor delivery personnel to contain leaks and to report any and all spills. Material Safety Data Sheets. In compliance with Chapter 442 Florida Statutes, any chemical delivered from a Contractor, must be accompanied by a Material Safety Data Sheet (MSDS). B 13-01 Liquid Sodium Hypochlorite 24 8.3 Technical Assistance and Safety Training 8.3.1 Safe Handling and Equipment Operation Training. The Contractor shall provide an appropriate safe handling and equipment operation training course for liquid sodium hypochlorite within the first month of the contract, to all current City of Ocoee operations personnel and shall be available to conduct "refresher" courses or new employee training at six (6) month intervals during the contract period. The Contractor shall provide this assistance at no charge to City of Ocoee. 8.3.2 Technical Assistance. The Contractor shall provide engineering and technical assistance, as needed, regarding the application of its product and disposal and handling of residues and sludge's produced by the application of liquid sodium hypochlorite in the water and wastewater treatment process. This expertise shall extend to the application of all other chemicals used by City of Ocoee in its water treatment and wastewater treatment plants. The Contractor shall provide this assistance at no charge to City of Ocoee. 9. TERMINATION In addition to the various statements in this Specification stating the grounds for automatic termination of the Contractor's contract to supply liquid sodium hypochlorite to City of Ocoee, and in addition to any other remedies, including the right to obtain cover and charge Contractor for the costs of cover, Contractor's failure to comply with this Specification three (3) times over the duration of this contract shall constitute sufficient grounds for termination of the contract by City of Ocoee. These failures any three of which can result in termination of the contract, include, but are not limited to, failure to deliver in a timely manner, failure to deliver with proper equipment, failure of the liquid sodium hypochlorite to meet the Specification at anytime, failure to provide a certificate of analysis, failure to comply with the safety and OSHA requirements of the Specification, failure to provide drivers with company cell phones, failure to provide requested technical assistance and/or training and failure to respond in a timely manner to any City of Ocoee emergency. 10. BIDDER'S CHECKLIST The Bidder shall ensure the following information is included in their Bids: • Pricing for the Sodium Hypochlorite • List of Subcontractors, Subsidiaries and Affiliates • Third Party Laboratory Analysis of Sodium Hypochlorite Sample • Last Three NSF Sample Results for Proposed Manufacturing Location • List of References (Five) • List of Terminations/Debarments (Last Five Years) • List of Safety Incidents (Last Five Years) • Engineering and Emergency Response Support • Emergency Service Calls (Five Documented Instances) • Regulatory Actions for ALL manufacturing and distribution facilities • Copy of OSHA Form 300A/300 logs (Last Five Years) • Other Information on Company B13-01 Liquid Sodium Hypochlorite 25 Copies of any fines, correspondence and consent orders relating to the operation of ALL of its manufacturing and distribution facilities (Last Five Years) Documentation of Ownership AND list of Officers Any Exceptions Taken to the Specification (Any of which may result in Bidder's disqualification) (Remainder of page left blank intentionally) B 13-01 Liquid Sodium Hypochlorite 26 EXHIBIT B BID FORM B13-01 LIQUID SODIUM HYPOCHLORITE TERM CONTRACT Estimated Item Annual Number Quantity Unit Item Description Unit Price Total Bid(Quantity x Unit Price Liquid Sodium 1 160,000 Gallons Hypochlorite The quantities shown are for estimating purposes only and do not reflect the actual order quantity. Date Company Name FL License Number Authorized Officer (print) Signature B13-01 Liquid Sodium Hypochlorite 27 EXHIBIT C BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, as Principal, and as Surety, are hereby held and firmly bound unto the City of Ocoee, Florida, as Owner, in the penal sum of, ($1,000) $ (written amount in dollars and cents) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors and assigns. Signed, this day of , 20_. The Condition of the above obligation is such that whereas the Principal has submitted to the City of Ocoee, Florida a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for the B13-01 Liquid Sodium Hypochlorite Term Contract (Project). NOW THEREFORE 1. Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to pay to Owner upon default of Bidder any damages, costs, or expenses, including attorney's fees, incurred by Owner that are proximately caused by such default. In no event shall Bidder's and Surety's obligation hereunder exceed the penal sum set forth on the face of this Bond. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents. B13-01 Liquid Sodium Hypochlorite 28 3. This obligation shall be null and void if: 3.1 Owner accepts Bidder's bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents and Contract Documents, or 3.2 All bids are rejected by Owner, or 3.3 Owner fails to issue a Notice of Intent to Award to Bidder within ninety (90) days from the time and date fixed for the opening of Bids (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default by Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of and any and all defenses based on or arising out of any time extension to issue notice of award agreed to in writing by Owner and Bidder, provided that the total time for issuing notice of award including extensions shall not in the aggregate exceed 120 days from Bid Due Date without Surety's written consent. 6. No suit or action shall be commenced under this bond prior to 30 calendar days after the notice of default required in paragraph 4 above is received by Bidder and Surety and in no case later than one year after Bid Due Date. 7. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located. 8. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond, a current and effective Power of Attorney evidencing the authority of the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length. If any provision of this Bond conflicts with any applicable provision of any applicable statute, then the provision B 13-01 Liquid Sodium Hypochlorite 29 of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term "bid" as used herein includes a bid, offer, or Bid as applicable. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. BIDDER: Strike out (X) non -applicable signature blocks and complete applicable block. All signatures must have their names printed or type below their signature. If Bidder is SOLE PROPRIETORSHIP, complete this signature block. (1) (Individual's Signature) (Witness) (2) (Individual's Signature) doing business as (Witness) (SEAL) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochlorite 30 If Bidder is PARTNERSHIP, complete this signature block. (1) (Partnership Name) (Witness) (2) (General Partner's Signature) (Witness) (SEAL) (General Partner's Name) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochlorite 31 If Bidder is CORPORATION, complete this signature block. (1) (Corporation Name) (Witness) (2) (State of Incorporation) By: (Witness) (SEAL) (Name of Person Authorized to Sign - See Note 1) (Title) (Authorized Signature) (Corporation President) (Business Address) (Telephone No.) (Florida License No.) B13-01 Liquid Sodium Hypochlorite 32 SURETY (Surety Business Name) (Principal Place of Business) By: (Surety Agent's Signature - See Note 2) (Surety Agent's Name) (Surety Agent's Title) (Business Name of Local Agent for Surety) (Business Address) (Telephone No.) (Bond No.) NOTES: Witness: (If agency is not a Corporation) (2) (Witness) (Witness) Attest: (If Agency is a Corporation) (Corporate Secretary Signature) (Corporate Secretary Name) (Corporate Seal) (1) Complete and attach "Corporate Authority to Execute Documents" if executed by any corporate employee other than president or vice-president. (2) Complete and attach a certified copy of "Power -of -Attorney" prepared by Surety appointing individual "Attorney -in -Fact" for execution of Bid Bond on behalf of Surety and corresponding notarized "Attorney -in -Fact". (3) Above addresses are to be used for giving required notice. (4) Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. (5) Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the state where the project is located. B 13-01 Liquid Sodium Hypochlorite 33 ATTORNEY -IN -FACT AFFIDAVIT STATE OR COMMONWEALTH OF COUNTY OR CITY OF Before me, a Notary Public, personally came known to be the Attorney -in -Fact of Corporation, which (Surety Company) a known to me, and (State) executed the attached bond as surety, who deposed and said that his signature and the corporate seal of said Directors, were affixed by order and authority of said Company's Board of (Surety Company) and that the execution of the attached bond is the free act and deed of Given under my hand and seal this My Commission Expires day of END OF SECTION (Surety Company) (Notary Public) 20 B 13-01 Liquid Sodium Hypochlorite 34 BID #1313-01 COMPANY INFORMATION/SIGNATURE SHEET FAILURE TO COMPLY WITH THESE BID INSTRUCTIONS WILL RESULT IN DISQUALIFICATION OF YOUR BID. PLEASE SIGN BELOW ATTESTING THAT YOU HAVE READ AND UNDERSTAND ALL BID INSTRUCTIONS AND THAT THE PRICES REFLECTED ON THE "SCOPE OF WORK/BID FORM" ARE ACCURATE AND WITHOUT COLLUSION. THE PERSON SIGNING THIS BID SHOULD HAVE THE LEGAL AUTHORITY TO BIND THE COMPANY INTO A LEGAL CONTRACT. COMPANY NAME AUTHORIZED SIGNATURE (manual) NAME/TITLE (PLEASE PRINT) STREET ADDRESS CITY STATE ZIP FEDERAL ID # Individual Corporation Sworn to and subscribed before me this Personally Known or Produced Identification (Type of Identification) TELEPHONE (INCLUDE AREA CODE) FAX (INCLUDE AREA CODE) E-MAIL ADDRESS IF REMITTANCE ADDRESS IS DIFFERENT FROM PURCHASE ORDER ADDRESS, PLEASE INDICATE BELOW: Partnership Other (Specify) day of 20 Notary Public - State of County of Signature of Notary Public Printed, typed or stamped Commissioned name of Notary Public B13-01 Liquid Sodium Hypochlorite 35