Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Opening of Bids - Sewer and Manhole Rehabilitation Project No 118-093 - Insituform Technologies USA LLC
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Sewer and Manhole Rehabilitation .. ..... ..... ... ........ _ .................... Project No. 118-093 For Bids Due .......���� December 11, 2018 ............. ..�_..._............_...a PART I (Must be completed for all bids. Please type or print) Date: December 11, 2018 m Bidder (Firm): Insituform Technologies USA, LLC Address: 17988 Edison Avenue m_ ( 636 ) 530 8000 City/State/Zip: Chesterfield, O Telephone Number: ......__„___ e IN65 Agent of Bidder (if Applicable): Not Applicable Pursuant to notices given, the undersi ned offers to furnish labor and/or material necessary to complete the public works project of: Sewer and Manhole Rehabilitation Proiect NO. 118-093 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Mark Herald of VS 1�� �rt�reerxrn �, Inc., 10305-A Daws;1; gi on's Creek Blvd, Indiana 46825 �ww_........_ �........._ , Fort Wayn......� .... Maftitm_ for tide sum (ent d t17 �`oot B'id asshown on the Proposal) ernates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. 4 B................... (Spgnature) Jai et Hass, ContracLing & Attesting„ Officer ................... Printed Name of Person ITITITITITWWWW.. ( n Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member James A. Mueller, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk 20 Version 7/20/2018 Contractor's Bid for Public Works - 2 � 1 BID/PROPOSAL^" CITY OF SOUTH BEND IS615 Project Name Sewer and Manhole Rehabilitation Project No. 118-093 For Bids Due December 111h, 2018 Manhole Lining Method: 60a16 Mainline Sewer Lining Method: Base Bid (CSO 018) Item No.1 Description Quantity Unit Unit Price AT otal New 48" Doghouse Manhole— 30' depth 1 EA $190,000.00 $ 190,00 .00 2 Manhole Rehabilitation - MH ID: 0018C00050 29 VFT $248.60 $ 7,209. 0 3 72" Pipe Rehabilitation — Pipe ID: 005172 436 LFT $1,068.30 $ 465,77 .80 4 Manhole Rehabilitation— MH ID: 0018C00045 27 VFT $248.60 $ 6,712.° 0 5 72" Pipe Rehabilitation — Pipe ID:005174 579 LFT $933.90 $ 540,72 ;10 6 Manhole Rehabilitation — MH ID: 0018C00035 26 VFT $248.60 $ 6,463. 0 7 72" Pipe Rehabilitation — Pipe ID: 005175 159 LFT $1,054.50 $ 167,66 .50 8 Manhole Rehabilitation — MH ID: 0018C00030 26 VFT $248.60 $ 6,46330 9 72" Pipe Rehabilitation — Pipe ID: 005176 268 LFT $1,054.50 $ 282,60 ,00 10 Manhole Rehabilitation — MH ID: 0018C00025 27 VFT $248.60 $ 6,712.20 11 Invert Repair, Shotcrete 20 Cy $425.00 $ 8,500. 0 12 Invert Repair, Reinforcement 10 TO $1,590.00 $ 15,90000 13 Injection Grout 100 GAL $79.50 $ 7,950. 0 14 Locating/Raising Buried manholes Unpaved Areas 2 EA $1,900.00 $ 3,800. 0 15 Locating/Raising Buried Manholes Asphalt Pavement 2 EA $3 000.00 $ s 000. 0 16 Locating/Raising Buried Manholes Concrete Pavement 4 EA $3 700.00 $ 14,81 00 17 Work Allowance - Additional Miscellaneous Work 1 LS $35,000 $35,000 18 Work Allowance — Styrene Air Testing 1 LS $50,000 $50,000 Base Bid Total 1 1,822,289.40 ADDENDUM#3 12/06/2018 Version 7/20/2018 Contractors Bid for Public Work — 8A Alternate A -CT (CSC 018 and Miscellaneous Areas) Alt. Description Quantity Unit Unit Price Total Amount A 72" Pipe Rehabilitation -Pipe ID:005177 299 LFT $ 1,315.00 $ 393,185.00 B Manhole Rehabilitation -MH ID: 0018C00020 15 VFT $ 248.60 $ 3,729.00 C 72" Pipe Rehabilitation - Pipe ID: 005178 507 LFT $ 986.80 $ 500,307.60 D Manhole Rehabilitation - MH ID: 0018C00015 7 VFT $ 264.50 $ 1,851.50 E 72" Pipe Rehabilitation -Pipe ID:005270 285 LFT $ 1,339.30 $ 381,700.50 F 72" Pipe Rehabilitation - Pipe ID: 005179 427 LFT $ 1,978.80 $ 844,947.60 G Manhole Rehabilitation -MH ID: 0018C00010 24 VFT $ 248.60 $ 5,966.40 H 72" Pipe Rehabilitation - Pipe ID: 005180 207 LFT $ 1,978.80 $ 409 611.60 1 Manhole Rehabilitation -MH ID: 0018C00005 16 VFT $ 248.60 $ 3,977.60 J 72" Pipe Rehabilitation - Pipe ID: 005181 67 LFT $ 1,978.80 $ 132 579.60 K Manhole Rehabilitation -MH ID: 0006CO5020 15 VFT $ 248.60 $ 3,729.00 L 12" Pipe Rehabilitation - Pipe ID: 008916 307 LFT $ 30.00 $ 9,210.00 M Manhole Rehabilitation -MH ID: 0006CO5015 15 VFT $ 248.60 $ 3,729.00 N 12" Pipe Rehabilitation - Pipe ID: 008915 322 LFT $ 30.00 $ 9,660.00 O Manhole Rehabilitation -MH ID0006CO4866 15 VFT $ 248.60 $ 3,729.00 P Manhole Rehabilitation - MH ID: 0003CO0900 13 VFT $ 248.60 $ 3,231.80 Q Manhole Rehabilitation - MH ID: 0003CO0945 13 VFT $ 248.60 $ 3,231.80 R 15" Pipe Rehabilitation - Pipe ID: 003337 376 LFT $ 50.50 $ 18,988.00 S Manhole Rehabilitation - MH ID: 0003CO0940 13 VFT $ 248.60 $ 3,231.80 T Manhole Rehabilitation - MH ID: 0003CO0920 19 VFT $ 248.60 $ 4,723.40 U 15" Pipe Rehabilitation - Pipe ID: 004703 324 LFT $ 59.70 $ 19,342.80 V Manhole Rehabilitation - MH ID: 0003CO0065 13 VFT $ 248.60 $ 3,231.80 W 12" Pipe Rehabilitation - Pipe ID: 003492 340 LFT $ 37.40 $ 12,716.00 X Manhole Rehabilitation - MH ID: 0006S01700 11 VFT $ 248.60 $ 2,734.60 Y Manhole Rehabilitation - MH ID: 0006SO1680 13 VFT $ 248.60 $ 3,231.80 Z Manhole Rehabilitation - MH ID: 0006CO5840 13 VFT $ 248.60 $ 3,231.80 AA Manhole Rehabilitation - MH ID: 0006CO5835 14 VFT $ 248.60 $ 3,480.40 AB Manhole Rehabilitation - MH ID: 0006CO5830 15 VFT $ 248.60 $ 3,729.00 AC 12" Pipe Rehabilitation - Pipe ID: 008851 176 LFT $ 36.20 $ 6,371.20 AD 12" Pipe Rehabilitation - Pipe ID: 008850 194 LFT $ 36.20 $ 7,022.80 AE Manhole Rehabilitation - MH ID: 0011 BC00965 13 VFT $ 248.60 $ 3,231.80 AF Manhole Rehabilitation - MH ID: 0022COl595 8 VFT $ 264.50 $ 2,116.00 AG 10" Pipe Rehabilitation - Pipe ID: 005525 236 LFT $ 43.90 $ 10,360.40 AH Manhole Rehabilitation - MH ID: 0022COl505 13 VFT $ 248.60 $ 3,231.80 Al Manhole Rehabilitation - MH ID: 0018SO1605 10 VFT $ 264.50 $ 2,645.00 AJ 12" Pipe Rehabilitation - Pipe ID: 005282 231 LFT $ 45.30 $ 10,464.30 AK Manhole Rehabilitation - MH ID: 0018SO1600 11 VFT $ 248,60 $ 2,734.60 AI DDEN: U #3 12/06/2018 Version 7/20/2018 Contractors Bid for Public Work - 8B AL Manhole Rehabilitation - MH ID: 0006CO7100 16 VFT $ 24&60 $ 3,977.60 AM 10" Pipe Rehabilitation - Pipe ID: 007632 338 LFT $ 37.40 $ 12,641.20 AN Manhole Rehabilitation - MH ID: 0006CO2125 11 VFT $ 248.60 $ 2,734.60 AO Manhole Rehabilitation - MH ID: 0003SO7090 13 VFT $ 248.60 $ 3,231.80 AP 10" Pipe Rehabilitation - Pipe ID: 007932 143 LFT $ 58.30 $ 8,336.90 AQ Manhole Rehabilitation - MH ID: 0003SO5755 13 VFT $ 248.60 $ 3,231.80 AR 12" Pipe Rehabilitation- Pipe ID: 007842 169 LFT $ 35.00 $ 5,915.00 AS 12" Pipe Rehabilitation - Pipe ID: 007841 185 LFT $ 35.00 $ 6,475.00 AT Manhole Rehabilitation - MH ID: 0003SO6370 13 VFT $ 248.60 $ 3,231.80 AU Manhole Rehabilitation - MH ID: 0003SO6365 13 VFT $ 248.60 $ 3,231.80 AV Manhole Rehabilitation - MH ID: 0003SO6360 13 VFT $ 248.60 $ 3,231.80 AW 12" Pipe Rehabilitation - Pipe ID: 007840 287 LFT $ 29.80 $ 8,552.60 AX Manhole Rehabilitation - MH ID: 0003SO6355 10 VFT $ 264.50 $ 2,645.00 AY 12" Pipe Rehabilitation - Pipe ID: 007839 257 LFT $ 29.80 $ 7,658.60 AZ Manhole Rehabilitation - MH ID: 0003S06350 10 VFT $ 264.50 $ 2,645.00 BA 12" Pipe Rehabilitation - Pipe ID: 007838 185 LFT $ 49.20 $ 9,102.00 BB Manhole Rehabilitation - MH ID: 0003SO6315 9 VFT $ 264.50 $ 2,380.50 BC 10" Pipe Rehabilitation - Pipe ID: 007831 41 LFT $ 147.20 $ 6,035.20 BD 12" Pipe Rehabilitation - Pipe ID: 007830 211 LFT $ 33.40 $ 7,047.40 BE Manhole Rehabilitation - MH ID: 0003SO6310 13 VFT $ 248,60 $ 3,231.80 BF 12" Pipe Rehabilitation - Pipe ID: 007829 193 LFT $ 33.40 $ 6,446.20 BG Manhole Rehabilitation - MH ID: 0003SO6305 9 VFT $ 264.50 $ 2,380.50 BH 12" Pipe Rehabilitation - Pipe ID: 007828 192 LFT $ 33.30 $ 6,393.60 BI Manhole Rehabilitation - MH ID: 0003SO6300 9 VFT $ 264.50 $ 2,380.50 BJ 12" Pipe Rehabilitation - Pipe ID: 007827 206 LFT $ 33.30 $ 6,859.80 BK Manhole Rehabilitation - MH ID: 0003SO6295 9 VFT $ 264.50 $ 2,380.50 BL 12" Pipe Rehabilitation - Pipe ID: 007826 195 LFT $ 33.10 $ 6,454.50 BM Manhole Rehabilitation - MH ID: 0003SO6292 13 VFT $ 248.60 $ 3,231.80 BN 12" Pipe Rehabilitation - Pipe ID: 007825 208 LFT $ 33.10 $ 6,884.80 BO Manhole Rehabilitation - MH ID: 0003SO6290 13 VFT $ 248.60 $ 3,231.80 BP 10" Pipe Rehabilitation - Pipe ID: 007776 208 LIFT $ 48.80 $ 10,150.40 BQ Manhole Rehabilitation - MH ID: 0003SO6740 8 VFT $ 264.50 $ 2,116.00 BR Manhole Rehabilitation - MH ID: 0003SO0335 12 VFT $ 248.60 $ 2,983.20 BS Manhole Rehabilitation - MH ID: 0003SO6210 13 VFT $ 248.60 $ 3,231.80 BT 12" Pipe Rehabilitation -Pipe ID: 007816 291 LFT $ 39.80 $ 11,581.80 BU Manhole Rehabilitation - MH ID: 0003SO6205 13 VFT $ 248.60 $ 3,231.80 BV Manhole Rehabilitation - MH ID: 0003SO6175 15 VFT $ 248.60 $ 3,729.00 BW 10" Pipe Rehabilitation - Pipe ID: 007812 279 LFT $ 40.60 $ 11,327.40 BX Manhole Rehabilitation - MH ID: 0003SO6170 15 VFT $ 248.60 $ 3,729.00 BY Manhole Rehabilitation - MH ID: 0003SO5035 13 VFT $ 248.60 $ 3,231.80 ADDENDUM #3 12/06/2018 Version 7/20/2018 Contractors Bid for Public Work - 8C BZ 10" Pipe Rehabilitation — Pipe ID: 009053 139 LFT $ CA — Manhole Rehabilitation— MH ID: 0003SO5010 11 VFT $ $ (06CB Manhole Rehabilitation — MH ID: 0003SO4990 9 VFT $ e CC 10" Pipe Rehabilitation — Pipe ID: 009044 201 LFT $ e $ `" CD Manhole Rehabilitation — MH ID: 0003SO4970 10 VFT_ $ ,. , d $ 4.C(S`s o L) CE Manhole Rehabilitation — MH ID 0003SO4640 13 VFT CF 12" Pipe Rehabilitation — Pipe ID: 018948 210 LFT $ s_2jq4 CG Manhole Rehabilitation — MH ID`. 13300 13 VFT $ cC =fib $ L _ ® 6 CH _w. 12" Pipe Rehabilitation — Pipe ID: 018949 322 LFT $ $ o "> Cl 12" Pipe Rehabilitation — Pipe ID: 018950 289 LFT $ ®r vc> $ -45b CJ Manhole Rehabilitation — MH ID: 13301 13 VFT $ 41 ,&6 $ u CK Manhole Rehabilitation — MH ID: 0003SO4510 1 VFT $ q & $ CL Manhole Rehabilitation — MH ID: 0006CO7295 13 VFT ,. CM Manhole Rehabilitation — MH ID: 0006CO0717 10 VFT ®5�ca $ p - 66 CN Manhole Rehabilitation — MH ID: 0006CO0695 10 VFT $ e o $ '5_10 CO _ Point Repair 1 — Figure #12 1 LS $ &)rxv cc $ Zp CP Point Repair 2 — Figure #29 1 LS $"?, e)c? $ -c� CQ Point Repair 3 — Figure #41 1 LS $ CR Invert Repair, Shotcrete 20 CYD $ CS Invert Repair, Reinforcement 10 TON $ $'zo. 06 CT I Injection Grout 1000 GAL $ $ Alternate A -CT Bid Total $ Base Bid Total Total of all Alternates Base Bid + Alternates Total Bidder: Insituform Technologies USA, LLC Address: 17988 Edison Avenue City/State/Zip-, Chesterfield, MO 63005 Telephone Number: ( 636 ) 530-8000 B (Signature) Janet Hass, Contracting 8z Attesting Officerf (Printed Name of Person Signing) AD ENI UM #3 12/06/2018 Version 7/20/2018 Contractors Bid for Public Work — 8D When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF MISSOURI ) SS: ST. LOUIS COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 7/20/2018 Contractor's Bid for Public Works - 5 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that Version 7/20/2018 Contractor's Bid for Public Works - 6 violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 11 day of Dec. , 20 18 Insituform Technologies USA, LLC Contractor/Bidder (Firm) gu're of Contractor/Bidder or Its Agent Janet Hass, Contracting & Attesting Officer Printed Name and Title Subscribed and sworn to before me this 11 day of.. DePern, )' „ 20 18 w My Commission Expires 7/8/2020 L". It ( Liare Partridge Notary Public County of Residence St Louis DIANE PARTRIDGE "1 TARP'=; My Commission Expires w S1 AN July 8, 2020 St. Louis County Commission # 125 5471 Version 7/20/2018 Contractor's Bid for Public Works - 7 CONTRACTOR: (Name, legal status and address) INSITUFORM TECHNOLOGIES USA, LLC 17988 Edison Avenue Chesterfield, MO 63005 OWNER: (Name, legal status and address) City Of South Bend, Indiana 227 West Jefferson Boulevard South Bend, IN 46601 OTM focument A31 —201 r Bond SURETY: (Name, legal status and principal place ofbusiness) This document has Travelers Casualty And Surety Company Of important legal America consequences. One Tower Square Consultation with an Hartford, CT 06183 attorney is encouraged with respect to its Mail Notices To: completion or modification. Travelers Attn: Surety Claim Dept. Any singular reference to One Tower Square 2S1A Contractor, Surety, Hartford, CT 06183 Owner, or other party shall be considered plural where applicable. BOND AMOUNT: Five Percent of the Amount Bid ----------------- dollars ($ 5% of Amount Bid) PROJECT: Sewer and Manhole Rehabilitation, Project No. 118.093 (Name, location or address, and Project number, if any) The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (I) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so famished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 11th day of December, 2018. (witness) Jana Y.ause rltmWn8 ctAttesting Offica (witn ss) And Fa rthy, witness ItiIS ((PriI n-C, 1 al) (Seal) ('Tit )Janet Pda, Contracting &Attesting Officer T ave a Casu A (Surety) -, (Seal) (Title) Andre lion e, Attorney -In -Fact Init. AIA Document A330'r"— 2010. Copyright @1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this A.IA Document. or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law, Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, rc ..ttt�9K1C ?_0prltlg. 061110 State of Missouri County of St. Louis On 12/11/2018, before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Andrew P. Thome known to me to be Attorney -in - Fact of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. ANDREA tv';CCARTHY$ Notary Public -- Noiary Seal State of Missouri, St. Louis County Commission # 15636518 My Commission Expires July 30, 2019 My Commission Expires: Travelers Casualty and Surety Company of America ASINk Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casually and Surely Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Andrew P. Thome, of Chesterfield, Missouri, their true and lawful Attomey-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February, 2017. State of Connecticut BY= ;r City of Hartford ss. Robert L. Raney, Seilbr Vice President On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casually and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. M Commission expires the 30th day of June, 2021 It w< Marie C. Tetreault, Notary Pm Y xP Y __ - ublic This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casually and Surety Company of America, Travelers Casualty and Surely Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seat shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surely Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect Dated this 11 day of December 2018 Kevin E. Hughes, Assw land Secrelary� To verify the authenticity of this Power ofAttorney, please call us at 1-800-421-3880. Please refer to the above -named Attorney -in -Pact and the details of the bond to which the power is attached. 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-I 830 PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: November 21", 2018 To: Aff..Planholders..................................._._....................�.�_ ___. �� �,A.......................����������_�_�_�.._........_ ...... _ From: Linda M. Martin, Cleric, Board of Public Works Subject: Addendum Number: 1 Project Name: Sewer and Manhole Rehabilitation Project Number: 118-093 ACKNOWLEDGEMENT OF RECEIPT OF A :)EN SUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: ! 1 Version 4/2/2015 `� chnolm� - 3 1, L LC Sewer and Manhole Rehabilitation (118-093) Addendum Number: 1 — November 21 ", 2018 1316 COUNTY -CITY BUILDING 227 w.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 3'd, 2018 _..... .. w . To: All Planholders ... _.m.._. _.._...... �_ From: Linda M. Martin, Clerk, Board of Public Works Subject: Addendum Number: 2 Project Name: Sewer and Manhole Rehabilitation_._� .............._._ Project Number: 118-093 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: l hS rm 7 Authorized Signature: Date: 12 S --1 9 )mom-d,L Q' 16 CC.) L :,' 11"Y-C11 Y M - :11,I)INO 227 W, SOUIX BDH)., I Nib; A �ik46601-1:830 Pxom: 57-4/935-92 51 FAX 574123 '5-9 17 1 TD9 174/ 2315-5567 On OF, 'Sourt. Prrp'. MAYOR BOARD OF PUBLIC WORKS Projed Number, I 18-09.3 'I .AC KNOWII.,Et�"[)(�x'W4.M,E'N'-['OF RECEIVI" O'F ADDENDUM Vale. R-ccoiV(:-,d, This addenduan is being forwarded to yui forthe above -rderemedp Ject, R�j Please sign below and acktiowledge receipt of this Addendum by faxing this sheet to the B and of Public Works at (574) 235-9171 witItin 48 hours of recelpt. A copy MUST also be included with your bid package upon submittal. TH IS ADDFNDUMMAY AFFECT YOUR BID. Notes: 'ffic attachcd docunicaits are hereby added to the Speciflufflolls and Cotitract. -Pocume-n-ts.and become. a. partflnercin, ................................ ...... . -v . .......... (.( ......... I ..... Authorized ISIgi-tature': .................... Date- Christina Koller From: faxservice@insituform.com Sent: Monday, December 03, 2018 12:41 PM To: Christina Koller Subject: Fax Sent to at 5742359171 Attachments: 78EEDEA2-OD64-4243-89IB-8D558345D9B5-3642-OF.pdf Time Sent Monday, December 3, 2018 at 12:41:11 PM Central Standard Time Pages Sent 2 Duration 73 Remote CSID City of South Bend Destination 5742359171 Subject Addendum I acknowledgement South Bend IN Sewer & Manhole Rehabilitation 1 -5011' PH m CRI) A Wd 5 dmv 3, 20M at VAIAI M410 elty lif k";Ulh hams 71 2 660 GOM d W EPA mamp, TWO Kwer FIbmw I, I=? Not -mv, J'm� ME not 12AIa, 2 — RPRIJRI- - I sm-1111 M., W-n 17 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Project Number: 118-093 ACKNOWLEDGEMENT OF RECEIprr OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy US',1` also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes:.. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: _hS C Ni `'�_ }'1n _ .... .................... Authorized Signature: Date: 1 Z —6 ~ 1 0 Version 4/2/2015 Sewer and Manhole Rehabilitation (118-093) Addendum Number: 1 —November 2151, 2018 Christina Koller From: faxservice@insituform.com Sent: Wednesday, December 05, 2018 11:18 AM To: Christina Koller Subject: Fax Sent to Linda Martin at 5742359171 Attachments: 78EEDEA2-OD64-4243-89IB-8D558345D9B5-4377-OF.pdf Time Sent Wednesday, December 5, 2018 at 11:17:27 AM Central Standard Time Pages Sent 2 Duration 69 Remote CSID City of South Bend Destination 5742359171 Subject Addendum 2 acknowledgement South Bend IN Sewer & Manhole Rehabilitation 1 REHM CSID IWHATi011 PAGIVS , 5TATUS 1AA7.,77 41 r,�l Okv n( "Oulis Atmil im "l 941'1 L Nam.6 SUM and IN goaldtif PDbIlAorks -(s) (in.ludin a �!!Iflll! 11111 11131111 ligill Ir lj� :111�11111111��Illlljj �111 1111,0111111, DM=H 1316 COUNTY -CITY BUILDING 227 w,JEFFERSON BOULEVARD SOUTii BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TAD 574/ 235-5567 CITY OF SOUTH BEND PFTF BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: _ December 6 1h, 2018 To: All Planholders From: Linda M. Martin Cleric Board of Public Works Subject: Addendum Number: 3.w___ Project Name: Sewer and Manhole Rehabilitation Project Number: 118-093 ACKNOWLEDGEMENT OF RECE PT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. T11IS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company; �'TU� V1U1 v Authorized Signature:. Date: 12-6 -[�- Version 4/2/2015 Sewer and Manhole Rehabilitation (118-093) Addendum Number: 3 — December 6th, 2018 Christina Koller From: Sent: To: Subject: Attachments: Time Sent Pages Sent Duration Remote CSiD Destination Subject faxservice@insituform.com Thursday, December 06, 2018 8.47 AM Christina Koller Fax Sent to Linda Martin at 5742359171 78EEDEA2-OD64-4243-891B-8D558345D9B5-4656-OF.pdf Thursday, December 6, 2018 at 8:46:59 AM Central Standard Time 2 73 City of South Bend 5742359171 1 wo � �sW AlfbtE "OX6 , JXMATiw Add—, n iAlk �,9, r-aneid 4u AL4 , I�Li. IF &—t .73 sobloo Comments; CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Sewer and Manhole Rehabilitation Project No. 118-093 For Bids Due December 11, 2018 Contractor Name: Insituform Technologies USA, LLC The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31't for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 7/20/2018 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 7/20/2018 General Conditions - 7 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) List of at least three (3) projects involving CIPP pipe lining of pipes with a diameter of 36 inches or greater, within the state of Indiana in the last three (3) years. Version 7/20/2018 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) x By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) x By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) X By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, acknowledge my understanding that it is my responsibility to ensure that all sub- contractors have the necessary licenses to undertake the work called for in this bid. If a sub -contractor loses their license at any point, it is the responsibility of that sub -contractor to notify the City. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) x List identifying all former business names. (iii) x Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) X Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) X Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) x Evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) X Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) x Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 7/20/2018 General Conditions - 9 (ix) X Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) X.___ List of at least three (3) projects involving CIPP pipe lining of pipes with a diameter of 36 inches or greater, within the state of Indiana in the last three (3) years. Date: December 11, 2018 e ig Here) anet Hass, Contracting & Attesting Officer (Print Name Here) Insituform Technologies USA, LLC (Name of Company) 17988 Edison Avenue (Address of Company) Chesterfield (City) Missouri (State) 636-530-8000 (Telephone Number) Version 7/20/2018 General Conditions - 10 (b) Attachments (iv) Insituform is fully staffed and capable of meeting all of the project requirements to complete this job for the City of South Bend. Bidder pulls trained labor from Locals 120 and 103. Bidder does not have apprenticeships due to the specific skill set required for our services. (v) Individuals who perform work on the public work project of behalf of Bidder will be properly classified as either an employee or an independent contractor under all applicable state and federal laws and local ordinances. (vi) Bidder's services do not require professional or trade licenses. Individuals who perform work on the public work project of behalf of Bidder will be properly classified as either an employee or an independent contractor under all applicable state and federal laws and local ordinances. Bidder pulls trained labor from Locals 120 and 103. Bidder does not have apprenticeships due to the specific skill set required for our services. CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Sewer and Manhole Rehabilitation Project No, 118-093 For Bids Due December 11, 2018 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check x or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely x executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and x Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted x Form [MWBE-2.1]. x Acknowledge Receipt of * Addendum(s) included with the bid. *1, 2 & 3 x All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either x printed or typed underneath signature. x This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Insituform Technologies USA, LLC Date: December 11, 2018 By Authorized Representative: Signature: Print Name & Title: � ja c,t Hass, C o ntracling & AtfestinOfficer Version 7/20/2018 Contractor's Bid for Public Works - 1 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 5 CC - Attach " an explanation of your an or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. lk 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or r ceived offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 7/20/2018 Contractor's Bid for Public Works - 3 Attachment - SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) Perform inspection services and develop SSES report. Set up traffic control and bypass pumping as required, clean and televise pipeline to prepare for installation. If any point repairs are required, notify the Owner or Engineer. Wet -out the Insitutube with resin, set up equipment at site, install the Insitutube and cure. Restore services and flow. Complete additional project work as identified in the scope. Clean-up site. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. Listed below are a number of the subcontractors that Insituform Technologies has worked with in the past five years. It should be noted that we are an international corporation and Insituform Technologies has worked with numerous Contractors on varying types of projects. If the list included below is not sufficient, please contact our corporate offices for a full listing. Video Job Site Control 1609 Southdale Avenue Ft. Wayne, IN 46816 Shoot On Site Video Services 4101 Wyandotte Drive Ft. Wayne, IN 46815 PipeView 203 Farmwood Ln. La Porte, IN 46350 Sewer Optical Services, Inc. (WBE) 1334 W. Main Street Lebanon, IN 46052 Scott Engineering LLC PO Box 100, 419 New Jersey Street Shirley, Indiana 47384 Atlas Daylighting 4740 Swisher Road West Lafayette, IN 47906 Accurate Bore Company 4937 Fieldstone Drive Whitestown, IN 46075 F.M. Shelton (MBE) 972 Donnelly Avenue, Suite #2 Atlanta, GA 30310 Blaylock Chemical P.O. Box 248 Stillwell, KS 64085 Culy Contracting 5 Industrial Park Drive Winchester, IN 47394 Construction Video Construction Video Cleaning and CCTV Cleaning and CCTV Cleaning and CCTV Cleaning and CCTV Cleaning, CCTV and Directional Boring Resin Supplier Resin Supplier MH Lining, Excavation, Cleaning and Televising Alex Metz Sewers, Inc. 1601 Louisiana Street Gary, IN 46407 Trotter Construction Co., Inc. (MBE) 4165 Millersville Road Indianapolis, IN 46201 SpectraTech, LLC 10340 Pleasant Street Noblesville, IN 46060 Young's Environmental G-5305 North Dort Highway Flint, MI 48505 Municipal & Contractor Sealing Products 7740 Reinhold Drive Cincinnati, OH 45237 Mitchell & Stark Construction Co., Inc. P.O. Box 219 Medora, IN 47260 Atlas Excavating 4740 Swisher Road West Lafayette, IN 47906 Kreager Brothers Excavating Inc. P.O. Box 80187 Ft. Wayne, IN 46898 Excel Excavating 5710 Utica Sellersburg Road Sellersburg, IN 47172 812-246-0857 Accu-Dig 4844 East 150 S. Monticello, IN 47960 Dave O'Mara Construction 1100 E 0 & M Avenue P.O. Box 1139 North Vernon, IN 47265 Aqua Utility Services, LLC. 6200 E Highway 62 BLDG. 2501, Suite 250 Jeffersonville, Indiana 47130 Commercial Sewer Cleaning 5338 S. Harding Street Indianapolis, IN 46217 Tele Scan, Inc 6275 East Route 36 Decatur, IL 62521 Cleaning and Televising, Excavation Manhole Lining, rehabilitation and Excavation Manhole Lining, Excavation Lateral Lining Chemical Grouting and Manhole Lining Excavation Excavation Excavation Excavation and MH Installation Cleaning and Televising Excavation Cleaning and Televising i Cleaning and Televising Cleaning and CCTV If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you expect to require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. David Mason & Associates 800 S Vandeventer Avenue St. Louis, MO 63110 Barber Contracting 810 N. MLK Blvd. Muncie, IN 47303 Advanced Rehabilitation Technologies 8849, 1116 Co Rd 17 Bryan, OH 43506 Xylem 9661 1941h Place Mokena, IL 60448 Cleaning and Televising No Bond Excavation No Bond MH Rehab No Bond Bypass Pumping No Bond What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Support Truck Pumps with hoses Pick-up Truck(s) Compressor(s) Reefer Truck Boiler TV Truck Jet Truck and/or Vactor rn Cf) c 0 3 NCD Q N � O OD z N (D U) 0 N ((DD MA gon z r� 3 N 9. !� Q Q m 0 i m W m z3 m � 3,< CD rn � CD CD p �E O 7 Cll 0 V! 0 _0co CD 0 �m CD 0- CD o =;; `<o o 0 CD (D m m CD m a� m o a 3 r: m s Q- v 0 mD 00 -� O O CD o_ o 0 O v v o m rn .. a o (D (D0 Z c CY (D O v LP a D 0 W m m G) O N 77 cn a O CD X CD o N OM. C.O �G O O ct O O ' CD rt Q O ,� O 0 0 3 z N O. (D = c N Q N Q O O (D N (D N (OB 3 M IF O Q < N CD 3 13 � rt (D rt � � n O O Q. -,, 3 cn 3' O O rt S O W a 0 c 3 6 Q0 (n G O CD (NH N NO.CD N c c 0 C C9 to 01 O 7 N m 09 h 00 0)m 03 m W 0 m� 3 0 m D o 0 Z 9 Z TOT N D Z v n Pm Z co 0 cn -,a)C Acnx C) -1 z �mv i� m v m CITY OF SOUTH BENDyraao°rr MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAMS FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 118-093 Date: December 11, 2018 Project Name, Sewer and Manhole Rehabilitation Bidder: Insituform Technologies USA, LLC Contact Person: Janet Hass Telephone: 636-530-8000 ........ .................. p Address: 17988 Edison Avenue City: Chesterfield State: Missouri Zip: 63005 Email: jhass@aegion.com To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: .. -._........................................................ EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). �._. _ ....................�.............................................� ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. 4. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) ...... _ ........-..-........ . �. CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE/WBE was unqualified to perform the job. .._ ............ .. *Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. * sa_-: )p�� �, Version 7/20/2018 Contractor's Bid for Public Works - 10 lnwtuform Worldwide Pipeline Rehabilitation 2130 Stout Field West Drive Tel: (317) 489-3863 Indianapolis, IN 46241 Fax: (317) 489-3872 www.insituform.com Good Faith Efforts to Meet MBE/WBE Goals MBE/WBE LIST(S) Lists utilized to identify possible sub -contractors include the City of South Bend and the IDOA websites. ACTION (ADVERTISE/CONTACT) 1. We were in attendance at the first advertised pre -bid meeting. 2. Based on more than 15 years of experience working in North Central Indiana, we've found advertising to provide no additional quotes from M/WBE Vendors. We are constantly identifying and increasing our sub list to gain as much involvement from qualified M/WBE firms. The limited number of contractors able to provide services required for this specialized work also reduces the need to advertise, as we maintain regular communication with all M/WBE firms who are able to work with us. 3. MBE/WBE Firms were contacted via email as shown on our included spreadsheet. Plans and Specifications were made available for review on our online planroom and all subcontractors contacted received a link to this site. ITUSA works regularly with M/WBE firms and they were contacted to increase interest in this project. GOOD FAITH NEGOTIATIONS We select our sub -contractors based solely on the price of their quote. As we are expected to provide the lowest bid to win a project, we require the same from our sub -contractors. SMALL CONTRACTS We broke the work up into the standard divisions utilized on all CIPP projects. The scope of the work reduces the opportunity for MBE/WBE utilization as we are able to self perform work for less cost than most sub- contractors. CONTRACT RECORDS 1. All MBE/WBE information requested in this section has been provided on the included spreadsheet. CITY OF SOUTH BEND! MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY d: DEVELOPMENT PROGRAM c' FORM MWBE-2.1 MBE/WBE CONTACTED wa This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. * rl;W-61e� PAGE OF Project Number: 118-093 MBE/WBE Participation Goal Project Name: Sewer and Manhole Rehabilitation Bidder: Insituform Technologies USA, LLC Janet Hass, Contra( ignature) (Title) MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: & Attestin,,,r Officer December 11, 2018 (Date) Email: Emaik Version 7/20/2018 Contractor's Bid for Public Works - 11 v v E v m O _m C C O1 C_ Y N N Y a wa 'a,a as Oaa. a a a Y (V > a0+ N I O W W w N N yam„' a0+ a N a O Y -W y Ol O) a)v- v c c c c c w o w w v 3m3 w v av 2 ro LOG0dGaQ Q o 0Q2mw `cN ° d c yu 0 z oy 0 0 0 0 00 0 0 0 0 0 o 0 0 0 0 0 0 z z zz zrz o1n zzzzzzJzzianzOzzzznvHzzz �istnczio v o }'z,Za-Z >-ZZZZZ; zzzzzz>. zz}>-ZZ}zzz>ZZZZ }}}z} O O O O O O O O O O b tD 4!H lD lD lD lD lD lD wa w w lD lD lD w w lD lD 1D w W lD +D lD 00 1D 1D W \\\\\\\\ \\ N N M1rr N N N N N N N N N N N N N N N N N N N N N N.. N N N N 7 -I N w-N '-i ''i ei 7i ••I ei '-4 +'W' n•f lD lD L(M. lD ID lD lLl lD 10 D P% 0N'l>0i' 0Nr0l 0N'0i ON'pi 0N•0i 0NN0 0N'0i 0NN0 0Ne0i 0Ne0i N�•-•1I Nae-iI e+•^MV N'c-i1 Nc'i-I Nceii N•r-1l N•ti-1 Nr'-lI N*wYM NeNi Neril Ne'O--II Ne'-iI N''O-iI N'c-iI N'rOil a�O-I e••iI e'i•1 �>••I e--11 �->i e>Di Vyy0 P..�vMH '. l N N NNN N > > > > > > > > > > > > > > > > > > > > > N�>•�•1 lN'e> >•0-i1 lN.> cy O O p0 O p 0 0 00 O ON OOOO 0 00000000 OO O OOOp O z Z z z Z z z z z z z z Z z z z Z z z 0 l0 lD lO tO l0 lD O lb O O 0 O t0 lD 0 D lD 0 Z Z Z lD l0 w 0 6 l0 6 6 6 atb Mt N N N N N N N N N NNNN2N N NNNNN-.N N N-D--II N N ry Iqu{ W W i tom W W 00 m m m � 3 3 3 � 3 3 � 00 Iz zN z zv z z o N O ai0 Z N V C � z A N N r U —ON A J L c C T Z CYm mC N m - —0 c !z oo'vzN LLo2 v1 CCCO voU n EO^ 'D &� m C. {/% KA �� tiY �y � GJ 0 5 l V �' Po ¢r fa S') b 0..% e Y"7 vY �A Y �. rc: 0.N rA �r r �. cb &.. ai 6 Ei az �'. 0.2 w 11 � a rnA ob v Atl . �" f az r a'I '0 �-. cM .u* .„PI Qi r7 t aaru a d ree awa nA �. rr7 rnr 4"p'r1r rm,,: r: a,u r e� � r r b a r �= " r ¢ W Q k r /0_' V rr P'Me "5 es' r u �IU ri Pf L. r rYd r� ? 41' ra n l Y P" ; P'' n r a, r �" n C) r P# �a � f I aA Fc a !�, i y rKl u r LL r ',. 'y O w 0.,''�v f y'�d na ''� iA P �u ay w qe1 vvY I'a v, ,. ' r A o lar r; uk' r ti r" a a ,A Vr"u n ` tiY kg wA ra bf al f;a oa4 �.. �..� v'Y r'a r5 PU r{ 0 �I~k 'R rp tlM p. au rJ F a r, W r m,M �N e P) r ^' u+Y r. 4X1 P riY k•, ^a, l P: A. t 4 e I P Y:A <+M rpY 63 ex. W 1. 4Yd rb ' a ?eD ce ftV (4i J J P7 fl .IG �V„M r, L A r l fM rd mu l fdk r' t 7 ;b PA mra ib P7 pW a; ah8 C7 PX r� w a: ;.. e rtiu rwb fu .a' e� r"s if `f} tl(I ¢ti r,, ui a A ma ma mr aro ti cz n7f � ,m r� tl x ro-r p, ar" uar ra w �" rr '~w ;"' ed." " r rr v°. ay r ar ar. ,'„ in ` ai r,3 :r nrd Y) ., r� .. R7 G1 ,.,. I o, om n a'-� MA..i .1 ,fl,k ., MS r%I ':, 4s r' a p., m O lD O N O tO O O 10 m m ID O a .-I m V1 O O n n N m 'i m O V1 m 1, .-I 10 O O n O W an n N V O ul LO m N 00 P N rl ci O V to O 01 w V m m .-1 ap O O. 00 o0 10 r Ol N m N 01 .-7 O m n Vl m m a N Vl al w m In n O O m e•I O1 �-1 m N 1- Ll O O w m N m N m O tO '''-I m m M \ qry C l 1� N R 00 � n w In OO m m ul M 10 � m m w 00 m rl N m V1 O0 1- In N lD l0 In P� N of 1D m V '-I t` N m m I� w m 00 1- N V m O1 1I1 N I" m N V7 V a e-1 O w 00 m m m OO m w w m V 1� 'i V N I� 00 m Cr a m 01 l0 I� N 01 1A 7 N m 1n Il 1l N O1 O 00 I� In rl m Lq In N 01 cN-I n n n Q cf N m 1l n a O .•i .-" rl M ei P, e•1 O n n b 01 V O lD N .i .-I a -I r m 1, 01 01 In � n V1 1, 00pp m 01 N ai ID 10 w r, 'i 10 a-i O a -I .� m e-1 n pp ai O e-f n m m N r, m lfl m N m m In m N m m w N In en m N N 1, to m m m � In of 1l m m r, N m cu C y "^ t W W m N O E C_ a O N c a Y fa O 10 N Q �O C N d O 0 L y O �ff i.y >. } O E h L C d Y� J Qu C Y O N ',, Y Q E u ._ E N 3 C O A O C m Y a 2 O C i=Y O a c O N L } ip O 01 to Q j W } d 0 lL Z J •� C m u Q J F O) Q¢ �>> >, 2 N L m 10 V to U G^ V1 D y o_ y m L O Q fccO } O C X O) u Y O v1 O C C C> �+ > aa-j L m L W N N Q �• W ''... O x > C N L U N O) N IO �« Y to Y 9 W X C C >i > C C N 2> O m Y a O1 a O O O in K O 0 i- m �' O � V1 Y 1Li1 � I- U _W U � � ¢p � ¢ m � m O Y V1 F- ¢ � _ gO 6 � � H > 0) U bo C U C Y1 E C y O C Am U C C y U C N Y N` _> C In C O OY! C L V 01 O O C "O C ate+ O O a O! a N m u o M C C N U m m Q v H W E ` 1p m a s N m Q O�. C 0D Y :e O O N O m 2 C >+ i+ a` 3 up C O .yp m A m Yi C O O] O) .+-' L 1f O O C C C L a C U J m c u a O w. O J u j Vl m C O N W VI O m > o_ g m 10 c m O m y C W > m¢ '� V C Y C m? Y V O O N c m F o m — v a l7 E v C w v CO 0 m v °�° w O u o m w u L o a z m c E m U o u c E c V01 c 1OQ m o !n m 0 3 E? v >> 'u v n 3 m w v O> m m d y m o u c u �° i o En c °1 w m vOi v01i U u° u' F� Q C¢¢ z 'a l7 vOi 0 a F l7 in H Q 2 v�i m 2 H u u ie Q Q z aTQa i'n X Jay Fer uson From: Mark Warner Sent: Monday, November 26, 2018 1:40 PM To: Jay Ferguson Subject: South Bend IN 12 11 2018 RFQ Due Slam 12/5 Attachments: South Bend IN 12 11 2018 RFQ.xls Importance: High Hello, Please see attached South Bend IN RFQ Due 9am 12/5. Please let us know if you have any questions. Thank You l' air k Warureu^ I Estimator 1 III:°°ui^situfor m ""II""echii,iologles USA, IIIILLC 12820 Pennridge Dr I Bridgeton, MO 63044 Ph: 636.530.87821 Cell: 314.315.2817 1 Fax: 314.291.0668tS::tiS..S°:°: FM1 A E G lI096 0 N C6, insituform, Stronger. Safer. Infrastructure: cg,II,on Disd�airn, C'r.. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the named addressee you should not disseminate, distribute, retain, or copy this e-mail or any attachments. If you have received this email in error please delete and notify the sender. At Aegion, we care about your privacy and have taken appropriate measures to ensure that the data you have provided to us is secure. To learn more about how we comply with privacy laws and, as a result, care for the security and privacy of personal data we collect from you, visit luq k ggt to view our privacy policies and notices. 12820 Pennridge Dr. Bridgeton, MO 63044 Direct Phone 314-315-2817 insituform Fax 314-291-0668 Mwhtioloyies USA, LLC Email: mwarner@aegion.com Quotes Due by 9:00 AM Wednesday, December 5, 2018 To: Contractors Owner: South Bend IN Re: 118-093 REQUEST FOR QUOTE Insituform Technologies USA, Inc. is requesting quotes for any or all of the following items per the specifications on the above referenced project: Item No. Unit Est 0 Unit Price -- JVii-o-unt 1 New Precast Manhole - 20' depth EA 00 $ 2 Manhole Rehabilitation - M FI ID: 00 1 8CO0050 VFT 9`-6-6 $ 3 72" Pie Rehabilitation - Pipe, ID: 5172 (Clean Televise and Measure LIFT 436.00 $ 4 Manhole Rehabilitation - MH ID: 001 8CO0045 VFT 27.00 $ 5 72" Pipe Rehabilitation - Pipe ID: 5174 (Clean Televise and Measure) LIFT 579.00 $ 6 Manhole Rehabilitation MHID: 0018CO0035 VFT 26.00 $ 7 72" Pipe Rehabilitation - Pipe ID: 5175 (Clean Televise and Measure j LFT 159.00 $ 8, Manhole Rehabilitation MH lD: 0018CO0030 VFT 26.00 $ 9 72" Mee Rehabilitation - Pipe ID,, 5176 (Clean Televise and Measure) LFT 244.00 $ 10 Manhole Rehabilitation MH ID: 0018C00025 VFT 27.00 $ 11 Invert Re dir, Shotcrete CYD 20.00 $ 12 Invert Repair, Reinforcement TON 10.00 $ 13 Injection Grout GAL 100.00 $ 14 Work Allowance LS 1.00 $ A 72" Pipe Rehabilitation - Pipe ID: 5177 (Clean Televise and Measure) LIFT 464.00 $ B Manhole Rehabilitation - MHID: 0018C00020 VFT 15-00 $ C. 72" Pipe Rehabilitation - Pipe ID: 5178 jClean Televise and Measure) LFT 344.00 $ _ D Manhole Rehabilitation - MH ID: 0018C000,1 5 VFT- 7.00 $ E 72" Pipe Rehabilitation - Pipe ID: 5270 (Clean Televise and Measure L- LIFT 285.00 $ _ F 172" Pipe Rehabilitation - Pi ID: 5179 (glean Televise and Measure) LFT 427.00 $ G (Manhole Rehabilitation - MHID: 0018C00010 VFT 24.00 $ H 72"Poe.Rehabilitation - Pipe ID: 5180 Clean Televise and Measure) LFT 227.00 $ _ I Manhole Rehabilitation - MHID- 001 8C00005 VFT 16.00 $ J 72" Pipe Rehabilitation - Pipe lb: 5181 (Clean Televise and Measure) LFT 94.00 $ K Invert Repair', Shotcrete CYD 20.00 $ L Invert Repair, Reinforcement TON 10.00 $ M Injection Grout GAL 1,000.00 $ N Manhole Rehabilitation - MH ID: 0006CO5055 VFT 15.00 $ 0 12" Pi e_Rehabilitation - Pipe ID: 8923 (Clean Televise and Measure) LFT 144.00 $ P Manhole Rehabilitation - MH ID: 0006CO5050 VFT 15.00 $ Q 12" Pipe Rehabilitation - Pipe ID: 8922 Clean Televise and Measure) LFT 60.00 $ Manhole Rehabilitation - MH ID: 0006CO5045 VFT 15.00 $ 12' Pipe Rehabilitation - Pipe ID: 8921 (Clean Televise and Measure ) LFT 232.00 $ Manhole Rehabilitation - MH ID: 0006CO5040 VFT 15.00 $ 12" Pipe Rehabilitation - Pipe ID: 8920 (Clean Tefevise and Measure) LFT 171.00 $ V Manhole Rehabilitation - MH ID, 0006C05,035 VFT 16.00 $ W 12" Pipe Rehabilitation - Pipe ID: 8919 Clean Televise and Measure) LIFT 50,00 $ X Manhole Rehabilitation - MH ID' 0006CO5030 VFT 15.00 $ Y 12" Pipe Rehabilitation - Pipe ID. 8918 (Clean Televise and Measure) ... . . ........... . ........... . . LFT 304.00 $ z Manhole Rehabilitation - MH ID: 0006CO5025 VFT 15.00 $ AA 12" Pipe Rehabilitation - Pipe ID: 8917 (Clean Televise and Measure� LFT 27.00 $ AB Manhole Rehabilitation -MH ID: 0006CO5,020 VFT ................ .... 15.00 $ AC 12" Pipe Rehabilitation - Pipe ID: 8916 (Clean Televise and Measure) LFT 296.00 $ I AD Manhole Rehabilitation - MH ID: 0006CO5015 VFT 15.00 $ !AE 12" Pipe Rehabilitation - Pipe ID: 8915 (Clean Televise and Measure LFT 327.00 $ WF- Manhole Rehabilitation - MH ID: 0006CO4865 VFT 15.00 $ !AG Invert Repair, Shotcrete CYD 20.00 $ AH Invert Re air, Reinforcement TON 10.00 $ Al Injection Grout GAL 1,000,00 $ AJ 12' Pipe Rehabilitation - Pipe ID: 7980.1 Clean. Televise and Measure LIFT 308.00 $ AK 12" Pipe, Rehabilitation - Pi ID: 7980-2 (Clean Televise and Measure ) LIFT 319.00 $ AL 12" Pipe Rehabilitation - Pipe ID: 7980.3 (Clean Tetevise, and Measure LFT 145.00 $ AM Manhole Rehabilitation - MH ID: 0003SO4935 'VFT 12.00 $ AN 10"' Pipe Rehabilitation - Pi ID: 9034 (Clean Televise and Measure) LFT 234.00 $ AO Manhole Rehabilitation - MH ID: 0003SO4930 VFT 12.00 $ JAP 10" Pipe Rehabilitation - Pipe ID: Clean Televise and Measure) LFT 233.00 $ [AQ _9033 Manhole Rehabilitation - MH ID: 0003SO4190 VFT 12.00 $ AR 12" Pipe Rehabilitation - Pi e 1D, 9020 Clean Televise and Measaare LFT 339.00 ............ . . . $ AS Manhole Rehabilitation - MH ID: 0003SO4185 VFT 12.00 $ AT 12" Pipe Rehabilitation - Pipe ID: 201ECIean Televise and Measure) LFT 347.00 $ AU Manhole Rehabilitation - MH ID: 0003SO4180 VFT 1:13.00 $ AV 12" Pipe, Rehabilitation - Pipe ID: 9018 (Clean Televise and Measure) LFT 340.00 $ AW Manhole Rehabilitation - MH ID: 0003SO4170 VFT 11.00 $ AX Manhole Rehabilitation - MH ID: 0003CO4940 VFT 13.00 $ AY 10" Pipe Rehabilitation - Pie ID: 9035 (Dean Televise and Measure) ILFT 229.00 $ AZ Manhole Rehabilitation - MH 113: 0006CO5840 VFT 13.00 $ SA Manhole Rehabilitation - MH ID: 0006CO5835 VFT 14.00 $ BB Manhole Rehabilitation - MH ID: 0006CO5830 VFT 15,00 $ BC 66" Pipe Rehabilitation - Pipe ID: 8851 (Clean Televise and Measure LFT 239.00 $ BD 66" Pi Rehabilitation. - Pipe ID: 8850 Clean Televise and Measure) LFT ...... . ............. 264.00 $ BE 10" Pipe Rehabilitation - Pipe ID: 7842_(Clean Televise and Measure) LFT 169.00 $ FF 1'0"..,Pipe, Rehabilitation - Pipe ID: 78,41 Clean Televise and Measure.) LFT 185.00 $ BG 12" Pie Rehabilitation - Pipe ID: 7840 (Clean Televise and Measure) LFT 287.00 $ BH .12" Pipe Rehabilitation - Pipe ID: 7839 (Clean Televise and Measure) LFT 257.00 $ BI 12" Pipe Rehabilitation - Pipe ID: 7838 (Clean Televise and Measure) LFT 185.00 $ Bi 12' Pipe Rehabilitation - Pipe ll). 7831 (Clean Televise and Measure) LFT 41.00 $ BK M:anhote Rehabilitation - MH ID: 0003SO6370 VFT 15.00 $ BL Manhole Rehabilitation - MH ID: 0003SO6365 VFT 15.00 $ BM Manhole Rehabilitation - MH ID: 0003SO6360 VFT 11.00 $ BN Manhole Rehabilitation - MH ID: 0003SO6355 VFT 10.00 $ BO Manhole Rehabilitation - MH ID: 0003SO6350 VFT 10.00 $ BP Manhole Rehabilitation - MH ID: 00,03S063'15 VFT 9.00 $ BO - 12" Pipe Rehabilitation - Pipe ID: 7830 'Clean Televise and Measure ) LFT 211.00 $ BR Manhole Rehabilitation - MH ID: 0003SO631 0 'VFT 15.00 $ BS - 12" Pipe Rehabilitation - Pipe ID-, 7829 Clean Televise and Measure) LFT 191100 $ BT Manhole Rehabilitation - MH ID: 0003SO6305 VFT 9.00 $ BU 112" Pipe Rehabilitation - Pipe U 7828 (Clean Televise and Measure) LFT 192.00 $ BV Manhole Rehabilitation - MH ID: 000,3S06300 VFT 9.00 $ BW 12" Pipe Rehabilitation - Pipe ID: 7827 Clean Televise and Measure) LFT 206.00 $ - BX Manhole Rehabilitation - MH ID: 0003SO6295 VFT 9.00 $ BY - 12" Pipe Rehabilitation - Mpe ID: 7826 (Clean Televise and Measure) LFT 195.00 $ BZ Manhole Rehabilitation - MH ID, 0003SO6292 VFT 13.00 $ CA 12" Pi Rehabilitation - Pipe ID: 7825 'Clean Televise and Measure) LFT 208.00 ..... ..... - $ CB Manhole Rehabilitation - MH ID: 0003SO6290 VFT 1100 $ CC Manhole Rehabilitation - MH ID: 0006C071 00 VFT 16.00 $ co 10" Pipe Rehabilitation - Pipe ID. 7632 (Clean Televise and Measure) LFT 335.00 $ CE Manhole Rehabilitation - MH ID� 0006CO2126 VFT 11.00 $ CF Manhole Rehabilitation - MH ID: 0003SO5035 IVFT 15.00 $ CG 10" Pipe Rehabilitation - Pipe ID: 9053 Clean Televise and Measure). ILFT 134,00 $ CH . .... Manhole Rehabilitation - MH ID: 0003SO501 0 VFT 11.00 $ cl Manhole Rehabilitation - MH ID: 0003SO4990 . . . . . . ........... - VFT 9.00 $ ci - 10" Poe Rehabilitation - Pipe ID: 9044 Clean Televise and Measure )_ LFT '197.00 $ CK Manhole Rehabilitation - MH ID: 0003SO4970 VFT 10.00 $ CL Manhole Rehabilitation - MH ID: 0003SO7090 VFT 15.00 $ CM - 10" Pipe Rehabilitation - Mee ID: 7932 (Clean Televise and Measure) LFT 143.00 $ CN Manhole Rehabilitation - MH ID: 0003SO5755 VFT 15-00 $ co Manhole Rehabilitation - MH 0: 0003CO0920 VFT 19.00 $ CP - 15" Pipe Rehabilitation - Pipe ID: 4703 Clean Televise and Measure) LFT 324.00 $ CQ Manhole Rehabilitation - MH ID: 0003CO0065 VFT 15,00 $ CR Manhole Rehabilitation - MH ID: 0006SO1 700 VFT 11.00 $ CS 112" Pipe Rehabilitation - Pipe 0: 3492 (Clean Televise and Measurej LFT 339.00 $ CT !'Manhole Rehabilitation - MH ID: 0006SO1680 VFT 13.00 $ cu Manhole Rehabilitation - MH ID: 0003CO0945 VFT 13.00 $ cv 15" Pipe Rehabilitation- Pipe ll): 3337 Clean Televise and Measure j ILFT 373.00 cw Manhole Rehabilitation - MH ID: 0003CO0940 VFT 13.00 -$ $ cx Manhote Rehabilitation - MH 0 0003$06210 VFT 15.00 $ CY 12"Pipe Rehabilitation - Pipe ID: 7816 'Clean Televise and Measure) LFT 291.00 $ cz Manhole Rehabilitation - MH ID: 0003SO6205 VFT 13.00 $ DA Manhole Rehabilitation - MH IU 0003SO6175 VFT 15.00 $ DB 10" Pipe Rehabilitation - Pipe 0 7812,'Clean Televise and Measure) LFT 279.00 $ DC Manhole Rehabilitation - MH ID: 0003SO6170 VFT 15,00 $ DD Manhole Rehabilitation - MH ID: 0003SO6740 VFT 8.00 $ DE 10" Pipe Rehabilitation - Pipe ID: 7776 (Clean Televise and Measure) LFT 202.00 $ DF Manhole Rehabilitation! - MH ID: 0003SO0335 VFT 12.00 $ DG Manhole Rehabilitation - MH 113: 0022CO1595 VFT 8.00 $ DH 110" Pi Rehabilitation - Pipe ID: 6525 Clean Televise and Measure) LFT 236.00 $ DI Manhole Rehabilitation - MH ID: 0022CO1505 VFT 13.00 $ JDJ Manhole Rehabilitation - MH ID: 00181301605 ILFT VFT 10.00 JDK 12" Pipe Rehabilitation - Pipe Ift: 5282 (Clean Televise and Measure) 224.00 OL Manhole Rehabilitation — MH ID: 0018C01600 VFT 11.00 $ DM Manhole Rehabilitation — MH ID: 0006CO7295 VFT 11.00 $ DN Manhole Rehabilitation — MH ID: 0006CO0717 VFT 10.00 $ - DO Manhole Rehabilitation — MH ID: 0006CO0695 VFT 10.00 $ OP Manhole Rehabilitation — MH ID: 0003CO0900 VFT 8.00 $ DO Manhole Rehabilitation — MH ID: 0011 BC00965 VFT 10.00 $ DR Point Repair 2 LS 1.00 $ - DS Point Repair 3 LS 1.00 $ DT Point Repair 4 LS 1.00 $ - DU Invert Re air, Shotcrete CYD 20.00 $ DV Invert Repair, Reinforcement TON 10.00 $ DW nlection rout GAL 1,000.00 $ Total Note the following: • 11/27 • Conditions for this proposal are listed on the tab labeled "Conditions" • Plans and specifications Avalable from 0,Vner/F in r. !%ti? :/hlra„C0i13 jR..i.rprnitlda.4l¢tN&AP% • Project Completion date: • Liquidated Damages: Per Day September 1, 2019 1,500.00 MBE/WBE participation is requested for this project. If you are an MBE/WBE, please submit evidence of your certification along with an executed copy of the EPA form 6100-3 • Only one mobilization will be paid • For all quotes, unless otherwise specified, your proposal unit prices should include: Mobilization, acquisition of water meters, water usage fees, bypass pumping as necessary, traffic control, permits, restoration of grounds and structures disturbed by your work, performance bond, maintenace bond per specifications for your work, general and sppecial insurance required per the specifications and cost of getting plans. For sewer cleaning quotes, please note conditions on Conditions Tab. • Local prevailing wage rates apply. • Payment terms per specification Quotations received will be evaluated with importance placed in the following sequence: 1-Qualification; 2-Past Performance; 3-Financial Background; 4-Price. We are an EOE. • Any information from the Specifications or Plans that we send to you regarding this project is as a courtesy only. You will still be responsible for evaluating, all work that you quote based on the full plans„specificat'ions and addenda as issued by: Owner Please fax your quote by 9 AM of the above referenced due date to (314) 291-0668, Attn: Mark Warner. Email responses may be sent to mwarner@aegion.com Thank You. INSITUFORM TECHNOLOGIES USA, INC. Mark Warner, Estimator BY: Signed: Date: Jai Fer uson From: Mark Warner Sent: Monday, November 26, 2018 3:15 PM To: Jay Ferguson Subject: South Bend IN 12 11 2018 RFQ Due 9am 12/5 UPDATED TO REFLECT ADDENDUM #1 CHANGES Attachments: South Bend IN 12 11 2018 RFQ Updated.xls Importance: High Please see updated RFQ to reflect the changes in Addendum #1. Thank You Link To Project Files: i!Ln ./ di4x E a ?_,f ,u )J -` J7fM Mark Warneir I Estimator I Insitufornrn Techr:6llogies USA, LLC 12820 Pennridge Dr I Bridgeton, MO 63044 Ph: 636.530.87821 Cell: 314.315.2817 1 Fax: 314.291.0668 e A gi n coo � ......g "` nTn F A MA' A E 0- 10 N'luwwmmww �°w�wu0000 insituform Stronger. Safer. Infrastructure: From: Mark Warner Sent: Monday, November 26, 2018 12:40 PM To: Jay Ferguson <JFerguson @aegion.com> Subject: South Bend IN 12 112018 RFQ Due 9am 12/5 Importance: High Hello, Please see attached South Bend IN RFQ Due 9am 12/5. Please let us know if you have any questions. Thank You Marlin Warineir I Estimator I Ins6rturtouriin Techiirmolllogiles LIS A , LLC 12820 Pennridge Dr I Bridgeton, MO 63044 Ph: 636.530.87821 Cell: 314.315.2817 1 Fax: 314.291.0668 ;n n.com m w....... ww.. F A A E G 10 N inatuform. Stronger. Safer. Infrastructure: I O(G& insituform 7` chrioloyi s US'/ , t.LC To: Contractors Owner: South Bend IN 12820 Pennridge Dr. Bridgeton, MO 63044 Direct Phone 314-315-2817 Fax 314-291-0668 Email: mwarner@aegion.com Quotes Due by 9:00 AM Wednesday, December 5, 2018 Re: 118-093 REQUEST FOR QUOTE Insituform Technolo ies USA, Inc. is requesting quotes for any or all of the following items per the specifications on the above referenced pro Item No: n' st Qty jUnitPrice 1 New Precast Manhole - 20'deeth EA 1.00 2 Manhole Rehabilitation - MH ID: 0018C00050 VFT 29.00 3 72" Pipe Rehabilitation - Pipe ID: 005172 jClean, Televise, and Measure LFT 436.00 4 Manhole Rehabilitation - MH ID: 0018C00045 VFT 27.00 5 72" Pie Rehabilitation - Pi a ID:005174 Clean, Televise, and Measure LFT 579.00 6 Manhole Rehabilitation - MH ID: 0018C00035 JVFT 26.00 7 72" Pie Rehabilitation - Pipe ID: 005175 Clean, Televise, and Measure LFT 159.00 8 Manhole Rehabilitation MH ID; 001BC00030 VFT 26.00 9 72" Pie Rehabilitation - PiRe ID: 005176 Clean, Televise, and Measure LFT 268.00 10 Manhole Rehabilitation - MH ID: 0018CO0025 VFT 27.00 11 Invert Repair, Shotcrete CYD 20.00 12 Invert Repair, Reinforcement TON 10.00 13 In ection Grout GAL 100.00 14 Work Allowance LS 1.00 A 72" Pie Rehabilitation - Pie ID: 005177 Clean, Televise, and Measure LFT 299.00 B Manhole Rehabilitation - MHID: 0018GO0020 VFT 15.00 C 72" Pie Rehabilitation - Pipe ID: 005178 Clean, Televise, and Measure LFT 507.00 D Manhole Rehabilitation - MH ID: 0018C00015 VFT 7.00 E 72" PIP2 Rehabilitation - Pipe ID: 005270 Clean, Televise, and Measure LFT 285.00 F 72" Pie Rehabilitation - Pipe ID: 005179 Clean, Televise, and Measure LFT 427.00 G Manhole Rehabilitation - MHID: 0018CO0010 'VFT 24.00 H 72" Pipe Rehabilitation - Pipe ID: 005180 Clean, Televise, and Measure ILFT 207.00 l Manhole Rehabilitation - MHID: 0018C00005 VFT 16.00 J 72" Pipe Rehabilitation - Pie ID: 005181 Clean, Televise, and Measure ,LFT 67.00 K Invert -Repair, Shotcrete ICYD 20.00 L Invert Repair, Reinforcement TON 10.00 M Injection Grout GAL 1,000.00 N Manhole Rehabilitation - MH ID: 0006CO5055 VFT 15,00 O 12" Pie Rehabilitation - Pipe ID: 008923 Clean, Televise, and Measure LFT 144.00 P Manhole Rehabilitation - MH ID: 0006CO5050 VFT 15.00 Q 12" Pie Rehabilitation - Pipe ID: 008922 Clean, Televise, and Measure LFT 59.00 R Manhole Rehabilitation - MH ID: 0006CO5045 VFT 15.00 S 12" Pie Rehabilitation - Pi a ID: 008921 Clean, Televise, and Measure LFT 234.00 T IManhole Rehabilitation - MH ID: 0006CO5040 VFT 15.00 U 12" Pi a Rehabilitation - Pipe ID: 008920 Clean, Televise, and Measure LFT 190.00 V iManhole Rehabilitation - MH ID: 0006CO5035 VFT 15.00 W I12" Pie Rehabilitation - Pie ID: 008919 Clean, Televise, and Measure LFT 135.00 X Manhole Rehabilitation - MH ID: 0006CO5030 VFT 15.00 Y 12" Pipe Rehabilitation - Pipe ID: 008918 Clean, Televise, and Measure LFT 199.00 z Manhole Rehabilitation - MHID: 0006CO5025 VFT 15.00 AA 12" Pie Rehabilitation - Pipe ID: 008917 Clean, Televise, and Measure LFT 31.00 AB Manhole Rehabilitation -MH ID: 0006CO5020 VFT 15.00 AC 12" Pie Rehabilitation - Pipe ID: 008916 Clean, Televise,. and_Measurel ILFT 307.00 AD Manhole Rehabilitation - MHID: 0006CO5015 VFT 15.00 AE 12" Pi a Rehabilitation - Pi a ID: 008915 Clean, Televise, and Measure LFT 322.00 AF Manhole Rehabilitation - MHID: 0006CO4865 VFT 15.00 AG Invert Repair, Shotcrete CYD 5.00 AH Invert Repair, Reinforcement TON 2.00 At injection Grout GAL 200.00 AJ Manhole Rehabilitation - MH ID: 0003SO4935 VFT 12.00 AK 10" Pie Rehabilitation - Pie ID: 009034 Clean, Televise, and Measure LFT 231.00 AL Manhole Rehabilitation - MH ID: 0003SO4930 VFT 12.00 AM 10" Pie Rehabilitation - Pipe ID: 009033 (Clean, Televise, and Measure LFT 239.00 AN Manhole Rehabilitation - MH ID: 0003SO4190 VFT 12.00 AO 12" Pi a Rehabilitation - Pipe ID: 009020 Clean, Televise, and Measure LFT 339.00 AP Manhole Rehabilitation - MH ID: 0003SO4185 JVFT 12.00 AQ Pi a Rehabilitation - Pipe ID: 009019 Clean, Televise, and Measure LFT 1 349.00 AR Manhole Rehabilitation - MH ID: 0003SO418G VFT 13.00 AS - 12" Pipe Rehabilitation - Pipe ID. 009018 LFT 340.00 AT Manhole Rehabilitation - MH ID: 0003SO4170 VFT _11.00 AU Manhole Rehabilitation - MH ID: 0003CO4940 VFT 12.00 AV - 10" Pipe Rehabilitation - Pipe ID: 009035 (Clean, Televise, and Measure) LIFT 233.00 AW Manhole Rehabilitation - MH ID: 0006CO5840 VFT 13,00 AX Manhole Rehabilitation - MH ID: 0006CO5835 VFT 14.00 AY Manhole Rehabilitation - M11 ID, 0006CO5830 VFT 15.00 AZ 12" Pipe Rehabilitation - Pipe 0: 008851 (Clean, Televise, and Measure) LFT 176.00 - BA 12" Pipe Rehabilitation - Pi ID: 008850 (Clean, Tetevise, and Measure) LIFT 194.00 - BB 12" Pipe Rehabilitation - PiID. 0,07842 (Cfean, Televise, and Measure) LIFT 169.00 - BC 12" Pipe Rehabilitation - Pipe ID: 007841 (Clean, Televise, and Measure) LIFT 185.00 BD - 12" Pipe Rehabilitation - Pipe ID: 007840 (Clean, Televise, and Measure) LIFT 287.00 1 BE .12' Pipe Rehabilitation - Pipe ID: 007839 Clean, Televise, and Measure) LFT 257.00 - BF 12" Pipe Rehabilitation - Pipe ID: 007838 Clean, Televise, and Measure) LFT 185.00 BG 10" Pie Rehabilitation - Pipe ID: 007831 (Clean, Televise, and Measure) LFT 4100 - BH Manhole Rehabilitation - MH ID: 0003SO6370 VFT 13.00 BI Manhole Rehabilitation - MH ID: 0003SO6365 VFT 13.00 BJ Manhole Rehabilitation - MH $D: 0003SO6360 VFT 13.00 BK Manhole Rehabilitation - MH ID: 0003SO6355 VFT 10-00 BIL Manhole Rehabilitation - MH ID: 0003SO6350 VFT 10.00 BM Manhole Rehabilitation - MH ID: 0003SO6315 VFT 9.00 BN 12' Pipe Rehabilitation - Pipe ID: 007830 (Clean, Televise, and Measure) LFT 211.00 BO Manhole Rehabilitation - MH ID: 0003SO631 0 VFT 13.00 BP 12" Pipe Rehabilitation - Pipe ID: 007829 (Clean, Televise, and Measure � LIFT 193.00 - so Manhole Rehabilitation - MH ID: 0003SO6305 VFT 9.00 BR - 12" Pipe Rehabilitation - Pipe ID: 007828 (Clean, Televise, and Measure LIFT 192.00 BS Manhole Rehabilitation - MH ID: 0003SO6300 VFT 9.00 BT 12" Pipe Rehabilitation - Pipe ID: 007827 (Clean, Televise, and Measure) LFT 206.00 BU Manhole Rehabilitation - MH ID: 0003SO6295 VFT 9.00 BV 12" Pipe Rehabilitation - Pipe 10,. 007826 (Clean, Televise, and Measure) LFT 195.00 BW Manhole Rehabilitation - MH ID: 0003SO6292 VFT 13.00 BY 12" Pipe Rehabilitation - Pipe ID:Televise, and Measure) LIFT 208.00 BX Manhole Rehabilitation - MH IID! 0003SO6290 VFT 13.00 BZ IManhole, Rehabilitation-MH ID: 0006CO71 00 VFT 16.00 CA 10" Pipe Rehabilitation - Pipe ID: 007632 LClean, Televise, and Measure. LIFT 338.00 CB Manhole Rehabilitation - MH ID: 0006CO2125 VFT 11.00 CC Manhole Rehabilitation - MH 10: 0003SO5035 VFT 13.00 CID 10"' Pi a Rehabilitation - Pie ID: 009053 (Clean, Televise, and Measure) LFT 139.00 CE Manhole Rehabilitation - MH ID: 0003SO5010 VFT 11.00 CF Manhole Rehabilitation - MH ID: 0003SO4990 VFT 9.00 CG 10" Pipe Rehabilitation - Pipe ID: 009044 (Clean, Televise, and Measure) LIFT 201.00 CH Manhole Rehabilitation - MH ID: 0003SO4970 VFT 10.00 cl Manhole Rehabilitation - MH ID: 0003SO7090 VFT 13.00 ci 10" Pipe Rehabilitation - Pipe ID: 007932 (Clean, Televise, and Measure LIFT 143.00 CK Manhole Rehabilitation - MH ID: 0003SO5755 VFT 13.00 CL Manhole Rehabilitation - MH ID: 0003CO0920'VFT 19.00 CM 15" qII F I e Rehabilitation - Pipe ID: 004703 (Clean, Televise, and Measure) LFT 324.00 CN Manhole Rehabilitation - MH ID: 0003CO0065 VFT 13.00 co Manhole Rehabilitation - MH ID: 0003CO0945 VFT 13.00 CP 15P Pipe Rehabilitation - PI ID: 003337 (Clean, Televise, and Measure) LFT 376.00 CQ Manhole Rehabilitation - MH ID: 0003CO0940 VFT 1100 CR Manhole Rehabilitation - MH ID: 0003SO621 0 VFT 13.00 CS 112" Pipe Rehabilitation - Pipe ID: 007816 (Clean, Televise, and Measure) LIFT 291.00 CT ,Manhole Rehabilitation - MH ID: 0003SO6205 VFT 13,00 cu Rehabilitation - MH ID: 0003SO6175 VFT 15.00 -'Manhole cv - 110" Pipe Rehabilitation - Pipe 10: 007812 (Clean, Televise, and Measure) LIFT 279.00 cw Rehabilitation - MH ID: 0003SO6170 VFT 15.00 -'Manhole cx Manhole Rehabilitation - MH ID: 0022COl 595 VFT 8.00 CY jq:fje!jRehabilitation - Pipe ID: 005525 Cleary„ Televise, and Measure) LFT 236.061 cz Manhole Rehabilitation - MH ID: 0022COI 505 VFT 13.00 1 DA Manhole Rehabilitation - MH ID: 0006C07295 VFT 13.00 DB Manhole Rehabilitation - MH ID: 0006CO0717 VFT 10.00 1 DC Manhole Rehabilitation - MH ID: 0006CO0695 VFT 10-00 DID Manhole Rehabilitation - MH ID: 0003CO0900 VFT 13.00 DE Point Repair 2 LS 1.00 DF Point Re air 3 LS 1.00 DG Point Repair 4 LS 1.00 DH Invert Repair, Shotcrete CYD 20,00 DI Invert Re air', Reinforcement TON 10.00 Di Injection Grout ... ............. .. IGAL 1,000.001 Total Note the following: • I1/27 • Conditions for this proposal are listed on the tab labeled "Conditions" • Plans and specifications Avglable from OwneLffingLnger tlp4�ll��:,i111�Cltdtfa ctu�yb� a�r�r?rnii�1d�R�l�z�a�7�l�i, • Project Completion date: • Liquidated Damages: Per Day MBE/WBE participation is requested for this project. If you are an MBE/WBE, please submit evidence of your certific� with an executed copy of the EPA form 6100-3 • Only one mobilization will be paid • For all quotes, unless otherwise specified, your proposal unit prices should include: Mobilization, acquisition of water meters, fees, bypass pumping as necessary, traffic control, permits, restoration of grounds and structures disturbed by your work, performa maintenace bond per specifications for your work, general and sppecial insurance required per the specifications and cost of gettin; sewer cleaning quotes, please note conditions on Conditions Tab. • Local prevailing wage rates apply. • Payment terms per specification Quotations received will be evaluated with importance placed in the following sequence: 1-Qualification; 2-Past Performance; ? Background; 4-Price. We are an EOE. • Any information from the Specifications or Plans that we send to you regarding this project is as a courtesy only. You will stil for evaluating all work that you quote based on the full plans„specifications and addenda as issued by: Please fax your quote by 9 AM of the above referenced due date to (314) 291-0668, Attn: Mark Warner. Email responses may be mwamer@aegion.com Thank You. INSITUFORM TECHNOLOGIES USA, INC. Mark Warner, Estimator BY: Signed: Date: Aegion Disclaimer This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the named addressee you should not disseminate, distribute, retain, or copy this e-mail or any attachments. If you have received this email in error please delete and notify the sender. At Aegion, we care about your privacy and have taken appropriate measures to ensure that the data you have provided to us is secure. To learn more about how we comply with privacy laws and, as a result, care for the security and privacy of personal data we collect from you, visit to view our privacy policies and notices. Astg, ,a'_)!x Ja Fer uson From: Mark Warner Sent: Thursday, December 6, 2018 2:08 PM To: bkuhns@selgeconstruction.com Cc: Jay Ferguson Subject: South Bend RFQ Due As Soon As Possible Attachments: South Bend IN 12 11 2018 RFQ For Our Installs.xls; South Bend IN 12 11 2018 RFQ Updated.xls Please see attached for two RFQs on the South Bend Project, Please send us your proposals as soon as possible for the work you are interested in. Thank You mruiHk Waiir'rii er I Estimator 1 1111°msli[ft i'11171 Ill echin(:lo,gies L)SA, LII.. ` 12820 Pennridge Dr I Bridgeton, MO 63044 Ph: 636.530.87821 Cell: 314.315.2817 1 Fax: 314.291.0668 1 WMEWAMigin.com m"yVgL ar w. i g uob q,;a r i"u;k F A AM AEGION Stronger. Safer. Infrastructure: A ,p;11ori ll)is,c,' �atixi�a!er, This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the named addressee you should not disseminate, distribute, retain, or copy this e-mail or any attachments. If you have received this email in error please delete and notify the sender. At Aegion, we care about your privacy and have taken appropriate measures to ensure that the data you have provided to us is secure. To learn more about how we comply with privacy laws and, as a result, care for the security and privacy of personal data we collect from you, visit iu� s p,. gi, , to view our privacy policies and notices. Aggiiigiin�. b b 0 0 �n W- 69 w .�y XX rn D C m m H 0� Do O� H m 0 01 Cf) n m °1 D o a N z A 0 0 CD d C CD �C C O C R. Q+ d CD O 9 O' N O o~o 3 -npm� C.'• insituform Tachnologies USA, LLC To: Contractors Owner: South Bend IN 12820 Pennridge Dr. Bridgeton, MO 63044 Direct Phone 314-315-2817 Fax 314-291-0668 Email: mwarner@aegion.com Quotes Due by 9:00 AM Wednesday, December 5, 2018 Re: 118-093 REQUEST FOR QUOTE Insituform Technologies USA, Inc. is requesting quiotes for any or all of the following items per the specifications on the above referenced project: 11tem No. unit U-nit Price Amount New Precast Manhole - ffaeplR EA 1.00 $ 2 _3 Manhole Rehabilitation - MH ID: 0018C00050 VFT 29.00 $ 72" Pipe Rehabilitation - Pipe ID: 005172 (Clean„ TaNevise, and Measure LFT 436.00 4 Manhole Rehabilitation - MH ID: 001 8CG0045, VFT 27.00 $ 5 72" Pipe Rehabilitation - Pipe ID:0051174 (Clean, Televise, and Measure) LFT 579.00 $ 6 Manhole Rehabilitation - MH ID: 001 BC00035 VFT 26.00 $ 7 72" Pipe Rehabilitation - Pipe ID: 005175 (Clean, etevise, and Measure) LIFT 159.00 $ 8 Manhole Rehabilitation - MH ID: 001 8CO0030 VFT 26.00 $ 9 72' Pipe Rehabilitation - Pie ID: 005176 Clean, Televise, and Measure) LFT 268.00 $ 10 Manhole Rehabilitation - MH ID: 001 8GO0025 VFT 27.00 $ 11 rmert Repair, Shoacrefie CYD 20.00 $ 12 Invert Repair, Reinforcement TON 10.00 $ 13 Injection Grout GAL 100.00 $ 14 Work Allowance LS 1.00 $ A 72" Pipe Rehabilitation - Pipe ID: 005177 (Clean, Televise, and Measure LFT 299.00 $ B Manhole Rehabilitation - MHID: 0018CO0020 VFT 15.00 $ C 72" Pipa Rehabilitation - Pipe ID 005178 Ctean, Televise, and Measure) LIFT 507.00 $ D Manhole Rehabilitation - MH ID: 0018C00015 IVFT 7.00 $ E 72" Pi e Rehabilitation - Pipe ID: 005270 Clean, Televise, and Measure. LIFT 285.00 $ F 72' Pipe Re a flitation - Pipe ID: 005179 (Clean, Televise, and Measure LFT 427.00 $ G Manhole Rehabilitation - MHID: 001 8CO001 0 VFT 24.00 H 72" Pipe Rehabilitation - Pipe ID: 005180 Clean, Televise, and Measure) LFT 207.00 $ I Manhole Rehabilitation - MHID: 0018CO0005 VFT 16.00 $ J 72' Pipe Rehabilitation - Pipe ID: 005181 'Clean, Televise, and Measure) LFT 67.00 $ K Invert Repair, Shotcrete CYD 20.00 $ L Invert Repair, Reinforcement TON 10.00 $ M Injection Grout GAL 1,000.00 $ N Manhole Rehabilitation - MH ID: 0006CO5055 VFT 15.00 $ 0 12' Pipe Rehabilitation - Pipe ID: 008923 (Clean, Televise, and Measure) LIFT 144 144.00 0 $ P Manhole Rehabilitation - MH ID: 0006CO5050 VFT 1 15.00 5 0 $ Q 12" Pipe Rehabilitation -_Pipe ID: 008922 (Clean, Televise, and Measure) LFT 5 0 59.00 $ R �Manhole Rehabilitation - MH ID: 0006CO5045 VFT 15.00 1 5 0 $ S 12" Pipe Rehabilitation - Pipe ID: 008921 (Clean, Televise, and Measure� LFT $ T Manhole Rehabilitation - MH ID: 0006CO5040 VFT L234.00 15.00 $ U 12" Pipe Rehabilitation - Pipe ID: 008920 (Clean, Tetevise, and Measure) LFT 190.00 $ - Manhole Rehabilitation - MH ID: 0006CO5035 VFT 15.00 $ 12" Pipe Rehabilitation - Pipe ID: 008919 (Clean, Televise, and Measure) LFT 135.00 $ ry X Manhole Rehabilitation - MH ID: 0006CO5030 VFT 15.00 $ Y 12" Pi Rehabilitation - Pipe ID: 008918 (Clean, Televise, and Measure) LIFT 199.00 $ z Manhole Rehabilitation - MHID: 0006CO5025 VFT 15.00 $ AA 12" Pipe Rehabilitation - Pipe ID: 008917 (Clean, Televise, and Measure) LIFT 31.00 $ AB Manhole Rehabilitation -MH ID: 0006CO5020 VFT 15.00 $ AC 12" Pipe Rehabilitation - Pipe ID: 008916 (Clean, Televise, and Measure), LIFT 307.00 $ AD Manhole Rehabilitation - MHID: 0006CO5015 VFT 15.00 $ AE 12' Pipe Rehabilitation - Pipe ID: 008915 (Clean, Televise, and Measure) LFT 322.00 $ AF Manhole Rehabilitation - MHID: 0006CO4865 VFT 15.00 $ AG Invert Repair,, Shoterete CYD 5.00 AH Invert Rgair, Reinforcement TON 2.00 $ Al Injection Grout GAL 200.00 ................ - $ AJ Manhole Rehabilitation - MH ID: 0003SO4935 VFT 12.00 $ AK 10" Pipe Rehabilitation -Pipe ID: 009034 (Clean, Televise, and Measure) LIFT 231.00 $ AL Manhole Rehabilitation - MH ID: 0003SO4930 VFT 12.00 $ AM loll Pipe Rehabilitation - Pipe ID: 009033 (Clean. Televise, and Measure) LIFT 239.00 $ - AN Manhole Rehabilitation - MH ID: 0003SO4190 VFT 12.00 $ AO 12" Pipe Rehabilitation - Pipe ID: 009020 (Clean, Televise, and Measure LFT 339.00 $ AP Manhole Rehabilitation - MH ID: 0003SO4185 VFT 12.00 $ AQ 12" Pipe Rehabilitation - Pipe ID: 009019 (Clean, Televise, and Measure) LFT 349.00 $ AIR Manhole Rehabilitation - MH ID: 0003SO4180 VFT 13.00 $ AS 12" Pipe Rehabilitation - Pipe ID: 009018 (Clean, Televise, and Measure) LFT 340.00 $ AT Manhole Rehabilitation - MH ID: 0003S04170 VFT 11.00 $ AU Manhole Rehabilitation - MH ID: 0003C04940 VFT 12.00 $ AV Pi a Rehabilitation - Pi e ID: 009035 (Clean, Televise, and Measure) LFT 233.00 $ AW M Rehabilitation - MH ID: 0006CO5840 VFT 13.00 $ AX Manhole Rehabilitation - MH ]D- 0006C05835 VFT 14.00 $ AY Manhole Rehabilitation -MH ID: 0006CO5830 VFT 15.00 $ AZ 12' Pipe Rehabilitation - Pipe ID:: 008851 Clean, Televise,, and Measure) LFT 176.00,. $ BA 12" PiLe Rehabilitation - Pipe ID: 008850 Clean, Televise, and Measure j LFT 194.00 $ BB 12" Pipe Rehabilitation - Pipe ID: 007842 Clean„ Televise and Measure� LFT 169.00 $ BC 12" Pipe Rehabilitation - Pipe ID: 0071341 (Clean, Televise, and Measure) LIFT 185.00 $ BD 12" Pipe Rehabilitation - Pipe ID: 007840 Clean, Televise, and Measure), LFT 287.00 $ BE 12" Pipe Rehabilitation - Pipe ID: 007839 Clean, Televise, and Measure) LFT 257.00 $ BF - ------- . 12' Pipe Reh I _nTWe_asure) LIFT 185.00 $ !BG 10" Pipe Rehabilitation - Pipe ID: 007831 (Clean, Televise, and Measure) LFT 41.00 $ JBH Manhole Rehabilitation - MH ID: 0003306370 VFT 13-00 $ BI Manhole Rehabilitation - MH ID: 0003SO6365 VFT 13-00 $ 'di- Manhole Rehabilitation - MH ID: 0003SO6360 VFT 13.00 $ BK Manhole Rehabilitation - MH ID: 0003SO6355 IVFT 10.00 $ BL Manhole Rehabilitation - MH ID: 0003SO6350 VFT 10.00 $ BM Manhole Rehabilitation - MH ID: 0003SO6315 VFT 9.00 $ BN 12" Pipe Rehabilitation -.Pipe U: 007830 (Clean, Televise, and Measure ) LFT 211.001 $ BO Manhole Rehabilitation - MH ID: 0003S0631 0 VFT 13.00 $ BP 12" Pipe Rehabilitation - Pipe ID: 007829 (Clean, Televise, and Measure) LFT 193.00 $ BCC Manhole Rehabilitation - MH ID: 0003S06305 VFT 9.00 $ BR 12" Pipe Rehabilitation - Pipe ID: 007828 (Clean, Televise, and Measure) LFT 192.00 $ 8113 Manhole Rehabilitation - MH 1 ID: 0003SO6300 VFT 9.00 $ BT 12" Pipe Rehabilitation - Pipe ID: 007827 (Clean, Televise, and Measure LFT 206.00 $ BU Manhole Rehabilitation - M , H ID: 0003SO6295 VFT 9.00 $ BV 12* Pipe Rehabilitation - Pipe ID: 007826 (Clean, Televise, and Measure) LFT 195.00 $ BW Manhole Rehabilitation - MH ID: 0003SO6292 VFT 13.00 $ BY 12" Pipe Rehabilitation - Pipe ID: 007825 Clean, Televise, and Measure) LIFT 208.00 $ iBx Manhole Rehabilitation - MH ID: 0003SO6 290 VFT 13.00 $ �BZ Manhole Rehabilitation - MH ID: 0006CO71 00 VFT 16.00. $ CA 10' Pipe Rehabilitation - Pi ID: 007632 (Clean, Televise, and Measure) LFT 338.001 $ CB Manhole Rehabilitation - MH ID: 0006CO2125 VFT 11.00 $ CC Manhole Rehabilitation - MH ID: 0003SO5035 VFT 13.00 $ CID Pipe Rehabilitation - Pipe ID: 009053 (Dean, Televise, and Measure ) LIFT 139.00 $ -.101 CE Manhole Rehabilitation - MH ID: 0003SO501 0 VFT 11.00 $ CIF Manhole Rehabilitation - MH ID: 0003SO4990 VFT 9.00 $ CG 10" Pipe Rehabilitation - Pipe ID: 009044 Clean, Televise, and Measure) LFT 201.00 $ CH Manhole Rehabilitation - MH ID: 0003SO4970 VFT 10.00 $ Cl Manhole Rehabilitation - MH ID: 0003SO7090 VFT 13.00 $ Ci 10" Pipe Rehabilitation - Pipe ID: 007932 (Clean, Televise, and Measure) ILFT 143.00 $ CK Manhole Rehabilitation - MH ID: 0003SO5755 VFT 13.00 $ CL Manhole Rehabilitation - MH ID: 0003CO0920 VFT 19.00 $ CM 15" Pipe Rehabilitation - Pipe 10: 004703 (Clean, Televise, and Measure) LFT 324.00 $ CN Manhole Rehabilitation - MH ID: 0003C00065 VFT 13.00 $ CO Manhole Rehabilitation - MH ID: 0003CO0945 VFT 13.00 $ CP 15' Pipe Rehabilitation - Pipe ID: 003337 Clean, Televise, and Measure LFT 376.00 $ CQ Manhole Rehabilitation - MH ID: 0003CO0940 I'VFT 13.00 $ CR Manhole Rehabilitation - MH ID: 0003SO6210 VFT 13.00 . .............. ............... $ CS 12' Pipe Rehabilitation - Pipe ID: 007816 jClean, Televise, and Measure) LFT 291.00 $ CT Manhole Rehabilitation - MH ID: 0003SO6205 IVFT 13-00 $ CLI Manhole Rehabilitation - MH ID: 0003SO6175 VFT 15.00 $ CV 10" Pipe Rehabilitation - Pipe ID: 007812 Clean, Televise, and Measure) LFT 279.00 $ Cw Manhole Rehabilitation - MH ID: 0003SO6170 VFT 15.00 $ Cx Manfiole Refia6ilitation - MR Iff 6622C61595 VFT 8.00 $ CY 10" Pipe Rehabilitation - Pipe ID: 005525 (Clean, Televise, and Measure) LIFT 236.00 $ Cz Manhole Rehabilitation - MH ID: 0022CO1505 VFT 13.00 $ DA Manhole Rehabilitation - MH ID: 0006CO7295 VFT 13.00 $ DB Manhole Rehabilitation- MH ID: 0006CO0717 VFT 10.00 $ DC Manhole Rehabilitation - MH ID: 0006CO0695 VFT 10.00 $ DID Manhole Rehabilitation - MH ID: 0003CO0900 VFT 13.00 $ DE Point Repair 2 LS 1.00 $ DF APoint Repair 3 LS 1.00 $ DG Point Repair, 4 LS 1.00 $ DH Invert Repair, Shotcrete CYD 20.00 $ DI Invert Repair, Reinforcement TON 10.00 DJ Injection Grout DJ GAL 1,000.00 $ Total Note the fol IoNvi ng: * 11/27 * Conditions for this proposal are listed on the tab labeled "Conditions" Plans and specifications Avala4le from 0_ ne En in r Rrlitr m.�liga� qu,u0a utrwlu_', 1g11 r if"rzr Rtfm • Project Completion date: September 1, 2019 • Liquidated Damages: Per Day $ 1,500.00 MBE/WBE participation is requested for this project. If you are an MBE/WBE, please submit evidence of your certification along with an executed copy of the EPA form 6100-3 • Only one mobilization will be paid • For all quotes, unless otherwise specified, your proposal unit prices should include: Mobilization, acquisition of water meters, water usage fees, bypass pumping as necessary, traffic control, permits, restoration of grounds and structures disturbed by your work, performance bond, maintenace bond per specifications for your work, general and sppecial insurance required per the specifications and cost of getting plans. For sewer cleaning quotes, please note conditions on Conditions Tab. • Local prevailing wage rates apply. • Payment terms per specification Quotations received will be evaluated with importance placed in the following sequence: 1-Qualification; 2-Past Performance; 3-Financial Background; 4-Price. We are an EOE. • Any information from the Specifications or Plans that we send to you regarding this project is as a courtesy only. You will still be responsible for evaluating all work that you quote based on the full plans,speeliications and addenda as issued by: E D i Cer Please fax your quote by 9 AM of the above referenced due date to (314) 291-0668, Attn: Mark Warner. Email responses may be sent to mwamer@aegion.com Thank You. INSITUFORM TECHNOLOGIES USA, INC. Mark Warner, Estimator BY: Signed: Date: General Conditions — 9 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (b) Attachments (ii) List identifying all former business names: Insituform Technologies, Inc. M O N �a co rn 0 LL M LO E 0 LL m 0 ca IL O O cn 110 •ti CIO N N U D i O W 00 00 rn 0 LL LL 0 00 r-I O N M � O 00 u Q ; c 0 0 as LL 4 0 v 0 0 m rn 0 Z 0' O LL z 0 Z N V' CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 State Form 52414 (R212-13)1 Form 96 (Revised 2013) W. Prescribed by State Board of Accounts PART I (To be completed for al! bids. Phase type or print) Date (month, day, year): Deem er° 11., 2018 1. Governmental Unit (Owner): Ci of South Send, Indiana 2. County: St. Joseph 3. Bidder (Firm): Insituform Technologies USA, LLC Address: 17988 Edison Avenue City/State/ IPcode: Chesterfield, MO 63005 4. Telephone Number: 636-530-8000 5. Agent of Bidder (if applicable). Cor orate Service Com an�� Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Sewer and Manhole Rehabilitation (Governmental Unit) in accordance with plans and specifications prepared by VS Engineering, Inc. not specified for the sum of The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. 4621 INDIANA FORM NO. 96 004110-2 The above bid is accepted this following conditions: Contracting Authority Members: ACCEPTANCE day of , subject to the PART II (For projects of $15 0, 000 or more — !C 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) Insituform Technologies USA, LLC Date (month, day, year), December 11, 2018 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. 1. 2. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount $724,063.20 Class of Work Insituform Completion Date 05-25-17 Name and Address of Owner City of Fort Wane, IN $2,851,903.60 Insituform 12-12-17 Citizens (fka Cty of Indianapolis $1,239,382.70 Insituform 08-04-17 Town of Highland, IN $ 81,074.50---J Insituform 01-08-18 Town of Brownsburg, IN What public works projects are now in process of construction by your organization? Expected Contract Amount Class of Work Completion Name and Address of Owner Date $365,148.00 Insituform30J-1 INDOT,Marion Cnty, IN $325 000 Insituform 08/15/18 INDOT, Hagerstown, IN $471,530.35 Insituform 08/30/18 Columbus City Utilities, Columbus, IN $554,592.25 Insituform Town of Redke , IN 4621 INDIANA FORM NO. 96 004110-3 3. 4. Have you ever failed to complete any work awarded to you? No If so, where and why? List references from private firms for which you have performed work. Abbott Laboratories / Wade Osborne / 847-935-5598 Connoco Phillips / Clair Budhal / 618-255-2951 Olin Corporation / Kelly Rich / 618-258-5475 SECTION II ILA AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for pe ormiing proposed work. (Exafnples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 4621 INDIANA FORM NO. 96 004110-4 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. support truck, pick-up trucks, reefer truck, TV truck, pumps with hoses, compressors, boiler, et truck and/or vactor 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. See attached financial statement. 4621 INDIANA FORM NO. 96 004110-5 Attachment - SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) Perform inspection services and develop SSES report. Set up traffic control and bypass pumping as required, clean and televise pipeline to prepare for installation. If any point repairs are required, notify the Owner or Engineer. Wet -out the Insitutube with resin, set up equipment at site, install the Insitutube and cure. Restore services and flow. Complete additional project work as identified in the scope. Clean-up site. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. Listed below are a number of the subcontractors that Insituform Technologies has worked with in the past five years. It should be noted that we are an international corporation and Insituform Technologies has worked with numerous Contractors on varying types of projects. If the list included below is not sufficient, please contact our corporate offices for a full listing. Video Job Site Control 1609 Southdale Avenue Ft. Wayne, IN 46816 Shoot On Site Video Services 4101 Wyandotte Drive Ft. Wayne, IN 46815 PipeView 203 Farmwood Ln. La Porte, IN 46350 Sewer Optical Services, Inc. (WBE) 1334 W. Main Street Lebanon, IN 46052 Scott Engineering LLC PO Box 100, 419 New Jersey Street Shirley, Indiana 47384 Atlas Daylighting 4740 Swisher Road West Lafayette, IN 47906 Accurate Bore Company 4937 Fieldstone Drive Whitestown, IN 46075 F.M. Shelton (MBE) 972 Donnelly Avenue, Suite #2 Atlanta, GA 30310 Blaylock Chemical P.O. Box 248 Stillwell, KS 64085 Culy Contracting 5 Industrial Park Drive Winchester, IN 47394 Construction Video Construction Video Cleaning and CCTV Cleaning and CCTV Cleaning and CCTV Cleaning and CCTV Cleaning, CCTV and Directional Boring Resin Supplier Resin Supplier MH Lining, Excavation, Cleaning and Televising Alex Metz Sewers, Inc. 1601 Louisiana Street Gary, IN 46407 Trotter Construction Co., Inc. (MBE) 4165 Millersville Road Indianapolis, IN 46201 SpectraTech, LLC 10340 Pleasant Street Noblesville, IN 46060 Young's Environmental G-5305 North Dort Highway Flint, MI 48505 Municipal & Contractor Sealing Products 7740 Reinhold Drive Cincinnati, OH 45237 Mitchell & Stark Construction Co., Inc. P.O. Box 219 Medora, IN 47260 Atlas Excavating 4740 Swisher Road West Lafayette, IN 47906 Kreager Brothers Excavating Inc. P.O. Box 80187 Ft. Wayne, IN 46898 Excel Excavating 5710 Utica Sellersburg Road Sellersburg, IN 47172 812-246-0857 Accu-Dig 4844 East 150 S. Monticello, IN 47960 Dave O'Mara Construction 1100 E O & M Avenue P.O. Box 1139 North Vernon, IN 47265 Aqua Utility Services, LLC. 6200 E Highway 62 BLDG. 2501, Suite 250 Jeffersonville, Indiana 47130 Commercial Sewer Cleaning 5338 S. Harding Street Indianapolis, IN 46217 Tele Scan, -Inc 6275 East Route 36 Decatur, IL 62521 Cleaning and Televising, Excavation Manhole Lining, rehabilitation and Excavation Manhole Lining, Excavation Lateral Lining Chemical Grouting and Manhole Lining Excavation Excavation Excavation Excavation and MH Installation Cleaning and Televising Excavation Cleaning and Televising Cleaning and Televising Cleaning and CCTV 0 If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you expect to require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. David Mason & Associates 800 S Vandeventer Avenue St. Louis, MO 63110 Barber Contracting 810 N. MILK Blvd. Muncie, IN 47303 Advanced Rehabilitation Technologies 8849, 1116 Co Rd 17 Bryan, OH 43506 Xylem 9661 1901 Place Mokena, IL 60448 Cleaning and Televising No Bond Excavation No Bond MH Rehab No Bond Bypass Pumping No Bond 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Support Truck Pumps with hoses Pick-up Truck(s) Compressor(s) Reefer Truck Boiler TV Truck Jet Truck and/or Vactor SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at 17988 Edison Avenue this I I day of December 2018 Chesterfield, MO 63005 Insituform Technologies USA, LLC r (Name of Organization) Hass, Contracting and Attesting Officer (Title of Person Signing) ACKNOWLEDGEMENT STATE OF MISSOURI } ss COUNTY OF ST. LOUIS } Before me, a Notary Public, personally appeared the above -named ContLactim gad Attest:i � t 11'icer and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this I I day of _ December 2018 Diane Partridge tart'` PUWf o My Commission Expires: 7/8/2020 DIANE PARTRIDGE ." DTARY - My Commission Expires Count of Residence: St. Louis July 8, 2020 Y ` St, Louis County Commission # 1295471 4621 INDIANA FORM NO. 96 004110-6 STATE Ol' Iv1ISSOURI ) SS COUNTY OF ST. LOUIS AI IIDDAV�IT () ' DANI L P. aCI HEN CASE I, Daniel. P. Schoenekase, do hereby state under oath that: 1. I am over the age of eighteen (18) and have personal knowledge of the matters set forth herein. 2. I am Vice President, General Counsel and Assistant Secretary of Insitu form 'Technologies USA, L11C. 3. Insituform Technologies USA, LLC is not subject to any tax Liens or tax delinquencies for any taxing authority (federal, state or local) within the State of Indiana and has not been for the last five (5) years. Further Af iaw sayeth naught. Daniel P. Schoenekase STATE OF MISSOURI ) ) SS COUNTY OF ST'. LOUIS ) Before me personally appeared Daniel P. Schocnekase, known to me, who did state under oath that he personally prepared tivs Affidavit and that the facts and opinions set forth in this Affidavit are true and correct to the best of his knowledge and information. No ry Puri c�' PO'. JANA LAUSE lvfy commission expires: :NOTARY My Commission Expires December 5, 2021 W SEA L, ,*' St. Louisouitty � , 1 Commission 1 % INSITUFORM TECHNOLOGIES USA, LLC PRESIDENT APPOINTMENT OF CONTRA TING AND ATTESTING OFFICERS Pursuant to the authority set forth in the Limited Liability Company Agreement of Insituform Technologies USA, LLC (the "Company"), I hereby determine that: Christlanda Adkins, Laura M. Andreski, Janet Hass, Jana Lause, Diane Partridge, Whittney Schulte, and Ursula Youngblood are appointed as Contracting and Attesting Officers of the Company, each with the authority, individually and in the absence of the others, subject to the control of the Board of Managers of the Company, to: (i) certify and attest to the signature of any officer of the Company; (ii) enter into and bind the Company to perform pipeline rehabilitation activities of the Company and all matters related thereto, including the maintenance of one or more offices and facilities of the Company; (iii) execute and to deliver documents on behalf of the Company; and (iv) take such other action as is or may be necessary and appropriate to carry out the project, activities and work of the Company. 2. Any person previously appointed or serving as a Contracting and Attesting Officer of the Company prior to the date hereof and who is not named above is hereby removed from any such appointment. Dated: June 29, 2018 Frank R. Firsching President 0 0 3 n rr A C C?. 0 0� 7 n O N (D Q O. 0 0 CD N O j W 1T N O r+ ; C ti co I% • III %/ i'Rti,. Q g D/ /g p i ffi1 IJff� cn m v 0 ON .j W V O O N) N N b 07 O n N V N O V N W O SO W c)) W fD W Ut W W 0) c V �i O A W Z11 N (D J,N C cod N cn N CD < Q OD O Z W + M 3 O : C A S y w O N (Dv G CA V Z, 7 fD C dOD N vCO rn a 9D m z w cn 60 A OD V m W to O to CD W V7 W N W O O I�l m 0. m 0 co 0) l �""/ % ✓ /% r 17) r o a/ ggg, fj r % � vDu ;�/ // /' / IR MK /ir % o % I/j Gyp/�/ � c � %%%/�P. � - • ��/i%/� II A1,111 la /gg m//i,/iii/%/ f V ml i//%%ing,a / j% lf�%/// i � f/ /i/r�/ %� ////�i N • f% IT-T , �a 1!° i/ Ii IN ROME /Ell mum, (%/i '//,W% Fv, l i 69 m W co W W 00 9 , �, �, %% i i/% 1'WSJ/ F %r - 100111- lr„ o 1 Is �f �f J% j m O J W W O rn% to o %i CD j f% CD l,Q ' Z um lj ,r %JME O O go r O n 0 rn rn D 0 0 J J J J co co (7 S9 W OD W PD O iA W N_ co N W A Cl) / �D ON 3/ /�1 / '///// PA / U �f f MEN o/ l I/// /' // // /i%/ /r, / r /i/ %i J`I FORlWO f 10 J�f f/1 l j is p� go, /// /// // � JJ' g (7 = w n SD Sll A o < V (D C n O U G Cn Ci i Z jn � ? 0),�.. 61 N 0 CD(D o co N Z N fD 00 P CD W / %CD co WIN O I'(TD, lY co //' If C=lh�%%00%1 CL / > 7 [ L February 2018 Insituform Technologies RE: Documentation — OSHA Citations Explanation November 2015 #1107489.015 — Greely, Colorado • Jobsite — Subcontractor s Other Than Serious • Citation Amount $6,800.00 Conditions that caused the hazards m Crew could not provide safety training records of hazards recognition and unsafe conditions training • Confined Space corral did not have both chains connected to prevent unauthorized entry into the confined space Corrective Actions Taken • Provided OSHA with supporting documentation of the employees hazard recognition and unsafe conditions training record • Retrained the employees on confined space entry and confined space equipment January 2016 #1119106.015 — Washington Township, Michigan • MIOSHA • Other Than Serious o No Monetary Citation Issued Conditions that caused the hazards • Failure to have Accident Prevention Program Onsite • Failure to have the appropriate sized fire extinguisher for vehicle external fuel tank • Had the incorrect dispensing nozzle device for flammable liquids (class 1,2, &3) Corrective Actions Taken • Retrained the employees on accident prevention and provided the Crew with updated Accident Prevention Program (Has to be onsite at all times) • Retrained the employees on fire extinguishers and provided the Crew with the appropriate size fire extinguisher for external fuel tanks. • Purchased the correct type of nozzle for flammable liquids (class 1, 2, & 3) and sent out a Safety Alert to inform the entire business of this issue. Cornelius Morgan, MS, CSP, ASP, OHST, CHST, ASHM, LSP Insituform Technologies Infrastructure Solutions 17999 Edison Avenue Chesterfield, MO 63005 Cell: (314) 412-9859 Insituform Technologies, LLC is a subsidiary of Aegion Corporation Technologies; LLC Insituform 17988 Edison Avenue Chesterfield, MO 63005 www.insituform.com Insituform does not formally maintain litigation data. The following information is provided on a "to the best of our knowledge" basis for the past five years. At any given time, in the ordinary course of national business, Insituform is involved in various civil claims and suits relating to vehicle accidents, other property damage or personal injury matters, commercial disputes (including subcontractor disputes and customer payment disputes), employee litigation and other matters. Insituform's parent company, Aegion, which is publicly traded is required to report material litigation involving Insituform in its SEC filings. If the City has specific requests, Insituform will do its best to provide supplemental information. (a) Deowdhat, et al. v. Insituform Technologies, Inc., et al., 2011. Superior Court of New Jersey, Morris County. MRS-2978-11. Plaintiff alleges property damage arising out of backup of sewer laterals. Tort claim. Amounts are not liquidated. Claims are also made against Owner by residents. Settled. (b) Moseley, et al. v. Metra, Inc., et al. 2016. Circuit Court of Maryland for Baltimore City. Case No. 24-C- 16-003332. Plaintiff claims that subcontractor of Insituform failed to properly connect service connection which resulted in property damage. Tort claim. Owner was a co-defendant. Amounts are not liquidated. Settled. (c) People's Trust Insurance Company v. Proline Vactor Services, Inc., et al. 2016. Circuit Court of the 1811` Judicial Circuit in and for Brevard County, Florida. Case No. 05-2016-CA-050060. Plaintiff claims property damage from a backup through a service connection. Owner is a co-defendant Tort claim. Amounts are not liquidated. Settled. (d) MAYOR AND CITY COUNCIL OF BALTIMORE, Plaintiff, v. INSITUFORM TECHNOLOGIES, LLC, Defendant. 2015. DISTRICT COURT OF MARYLAND FOR BALTIMORE CITY, Case No.: 0101-0026227-2015, Case No.: 0101-0025623-2015, Case No.: 0101-0025641-2015, Case No.: 0101- 0026441-2015, and Case No.: 0101-00279822-2015. Plaintiff claims Insituform is liable for fines related to delayed street repairs. Dismissed with prejudice. (e) SHANNON STEWART, KYLA HAMLIN, INDIVIDUALLY AND AS GUARDIAN AD LITEM FOR IVAN STEWART, Plaintiffs, v. INSITUFORM TECHNOLOGIES INC. STEWART ENGINEERING AND CALIFORNIA DEPARTMENT OF TRANSPORTATION, Defendants. SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF NEVADA. 2014. Case No. CU14-080204. Plaintiffs allege personal injuries from exposure to styrene. Owner was a co-defendant. Dismissed with prejudice. (f) City of Atlanta v. Insituform Technologies, LLC, Superior Court of Fulton County, Georgia. 2011. Case No. 2011CV204217. Plaintiff City alleged defective work and late completion. Defendant Insituform counterclaimed for payments due. Dismissed with prejudice. (g) Insituform Technologies, LLC v. Metals & Materials Engineers, LLC. 2016. Superior Court of Fulton County, Georgia. Case No. 01-16-0003-7598. Plaintiff Insituform claims amounts owed on a project for City of East Point, GA. Settled. (h) Insituform Technologies, LLC v. City of Deer Lodge. 2017. Montana. Plaintiff Insituform is owed retainage, trade and claims for delay. Settled. (i) Insituform Technologies, LLC v. Eadie's Construction Company, Inc. and Selective Insurance Company of America. 2017. First Judicial Circuit of Dorcester County, South Carolina. Case No. 2017-CP-18-1315. Plaintiff claims amounts owed for project in Docester County, South Carolina. Ongoing. (j) Insituform Technologies, LLC v. Samcon, Inc. 2017. New Mexico. Plaintiff Insituform is owed retainage from general contractor. $28,000. Won arbitration against general contractor. (k) Insituform Technologies, LLC v. CSI Engineering and Quality Pipeline Services. 2018. California. Dispute regarding defective work and delays by subcontractors to Insituform.. Litigation and arbitration pending. ***Minor collection matters and matters where Insituform may be listed as a class member or creditor are not shown. INSITUFORM TECHNOLOGIES USA, LLC Bonding Company: Travelers Casualty & Surety Company of America One TovWer Square, 13CZ Hartford, CT 06183 Diane Deldrick (314) 579-8302 Agent: JW Terrill 825 Maryville Centre Drive, Suite 20.0 Chesterfield, MO 63017 Dana Dragoy (314) 594-2700 Bonding Capacity: $500,000,000 Insurance Company: XL Insurance Company of America[Greenwich Insurance Co. 200 Liberty St., One Worfd Financial Center New York, NY 10281 Nancy Rummel, (317) 374-0657 Agent: I.ockton Companies / St, Louis 41 C-ityplace Drive, Suite 160 St. Louis, MO 63141 Carol Henzler, (314) 432"0500 x3285 Banking: Bank of America Attn: Kevin Knopf 800 Market St, St. Louis, MO 63101 314-466-7726 Trade Reference. AAC 1-9991 Seaton Avenue Perris; CA 92570 Joe Simpson 901-864-2846 Email jsimpson@aoc-resins.com Ashland Todd Hritz 614-7904631 tshritz@ashland.com Interplastic Corp Steve Wetzel 651-481-6582 email swetze1@1nterp1ast1c.com J'.W.TERRILL a Marsh & McLennan Agency LLC company August 3, 2018 Re: Insituform Technologies USA, LLC To Whom It May Concern: Insurance, Benefits & Risk Management Suitc 200 825 Maryville Cenn•c Drive St. Louis, MO 6.3017 314-594-2700 www.jwterrill.com Insituform Technologies USA, LLC is a valued Travelers Casualty and Surety Company of America surety customer. Travelers Casualty and Surety Company of America is one of the most financially sound insurance companies in the United States and enjoys a Best Rating of A++ with financial strength category of XV. Due to Insituform Technologies USA, LLC's reputation, technical expertise, financial strength, quality equipment and experienced labor force, J.W. Terrill is prepared to consider performance and payment bonds for single jobs in the $200,000,000 range with an aggregate work program of $500,000,000. Should a project be awarded to and accepted by Insituform Technologies USA, LLC, we are prepared to consider providing the required bonds on their behalf. Any bonds are subject to acceptable review of the contract terms and conditions, bond forms, confirmation of financing, and any other underwriting considerations at the time of the request. It should be understood that any arrangement for bonds is strictly a matter between Insituform Technologies USA, LLC and Travelers Casualty and Surety Company of America. We assume no liability to third parties or to you if for any reason we do not execute said bonds. Please feel free to contact me if you have any specific questions regarding Insituform Technologies USA, LLC or their surety bond program. Sincerely, Andrew P. Thome President State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting; I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that INSITUFORM TECHNOLOGIES USA, LLC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on August 18, 1998, and was in existence or authorized to transact business in the State of Indiana on December 06, 2018. I further certifiy this Foreign Limited Liability Company has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State have been paid. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, December 06, 2018 CONNIE LAWSON SECRETARY OF STATE 1998081113/2018810909 All certificates should be validated here: https://bsd.sos.in.gov/VaIidateCertificate Expires on January 05, 2019. CERTM.CATE OF QUALOWATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS -PROJECTS to the STATE QF MIANA This Certification Board, leaving dhly.-donsideted nppTibodou fbr palfficaffon In terms of apparent experience and firyodal rasoarcew; and usidtr the 4 plionbl0fidiana Coda 4-116-4 anii g6opted iule.5 ofthig.Board hereby issues R� -to pri,)YIdoGo,nstwcf.1 . oastMca foglaMe oflndi.atiafQrP6blioWoYkg*PfO!Cotto- INSITIJIFORM TECHNOLOGIES USA L1,G 17989 EDISON AVE GHE6�TERFIFLD MO 62005 Phone 636-680-8000 FAX 036-630-8701 companyofficM JANALAUS8 for the twenty seven Abnth perlod stated Web, wildss revoked iry thfs Board for cause, 0fservMos state0plow. This, coltIffeato supercedes aixyprpviow cerdfinate. IG23.03 Sawars andlor Waf6t Lines 1623.04 Sewee Maintenance and 116habl Illation OERTWICATION DATE 2[1612017 EXPIRATION DATE 511812019 TEUSt;;E1,rrIFICKI'TITSSTJEDB-Y.THF STATE OFINDIANA, PUBLIMMORKS'DIVIVON (AIRTIFICATION BOARD. 4M WEST WAXHINGTON STREET, ROOM W467, TMIXANAPOLLS, JNDIA'14A 4 6=4, ALSO ACTS AS THE 01FIJIUALNUMS OF BXPIRAT101q. I'May L. Crosd, E�ftve,Seoratary Goraffostlon Board DAPW P02BI-abs Farm 8983R Rev. 07108' n APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY State Form 30034 (R012-1I) Corporate Forrn No.115 Approved by the state Board of Accounts, 2007 NOTn An Originaf Certificate of &Isience dulyauthenlicaled by the pmperaufhonfyfrom the corporation's dibinkillary °gate Wthin the last sixty (60) days must be submitied With this opplicaffon. INSTRUo77oNS: f. Use a7/2"x111wlritspaper for attachments, 2. Prasentodgilral and one copy toaddress inuppernghtcomer ofthlsiomt. 3. PleaseTYPEorPRWT 4, Please Visit our otfica on the web of wit r,+,. p t,tia. et,y APPLICATION FOR AMENDED GERTIFICCATE OF AUTHORITY iNStTIJFORM TECHNOLOGIES USA, INC. ......_._-___.__.._. ..w......_._ .a.,a�. ..�� Afams rat Forpasr�rticar A FOREIGN CORPORATION ADMITTED T€3 TRANSACT BUSINESS IN II~ DIANA The undersigned officers of insitul'brm Techno€ogies USA, Inc. c4ARr.ES P. WHrM . SECRETARY OF STATE SUSINESS Sa: IlMs DIVISION 302 W. Washington Sheet. Room E01a indianapolls, Indiana 45209 Telephone: (317)232-6577 Indiana Code 23-1-49-4; 23-17-2G 4 Filing Fee: $30.90 make cha &k, orrcor'roy Order payable to $0crelwy ur taie t s,, ve :.p (hereinafterrarorred to as the "Corporation'), which exists pursuant to the provisions of the laws of Delaware •- ` s ,' ` , ' '' as amended, desire to obtain an Amended Certificate ofAuthoriiy. r: 1. The above Corporation received a Certificate of to transact business in the State of Indiana on the 13tdT rpo hr day of 20 August P 199H g �.. A..� 2. The Corporation desires to change its corporate name in Indiana as follows: insituform Technologies USA, LLC 3. The Corporation has changed the period of Its duration from z 4. The Corporation has changed the state or country of Its incorporation from [M 5. The Corporation has converted the entity type to a Limited Liability Company In Witness Whereof, the undersigned, being the,. Senior ice President of said Corporation executes this Application for Amended Certlfcate of Authority and verifies, subject to penalties of perjury; that the - statements contained herein are true, this q t"1__ day of January 20 12 '_____ `-A� Signature Pdnted name ra David F. Morris LE De(a�ware AGE I q& First State I., JEFFREY W . BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE DO HEREBY CERTIFY THAT THE CERTIFICATE OF CONVERSION OF .A DELAWARE CORPORATION "IM5XTUFORM TECHNOLOGIES USA, .ANC_ " TO A DELAWARE LIMITED ,LIABILITY CONPANY OF "INSI'TUFORM TECHNOLOGIES USA, LLC", WAS FILED IN THIS OFFICE ON THE THIRTIETH DAY OF DEcEMBER, A.D. 2011, AT 11 : 35 O'CLOCK A _ M. AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF !uRM AFORESAID CERTIFICATE OF CONVERSION IS THE THIRTY-FXRST DAY OF DECK ER, A.D. 2011, AT 11: 58 O ' CLOCK€ F . M, 2024080 6317 120074038 You inay> vexify this cexlaacate online atcrr.aolasffare.v/au]ac.shi�l Jeff W, owack, Secretary o(State A�TTHE.dw� C . T;6 : 9313330 DATE: 01-23-12 I, JE.FFREY W_ BULLOCK, SECRETARY OF STATE OF THE SPATE OF DRLAWARS, DO HEREBY CERTIFY "INSITUrORS T9CRN0L0GXZS USA, LLC" XS DULY FORMUID,UNDER THE LAWS OF THS STATE OF .DELAWARE AND IS .Its GOOK STANDING AND HAS A LEGAL EXISTENCE SO PAR AS THE RECORDS OF THIS OFFICE SHOW, AS OF THE EIGHTEENTH DAY OF JAUVARY, A.D. 2012. AND I DO HEREBY FURTHER CERTXFY WHAT THE SAID "INSITUFORM TECHX0ZOGIES USA, LLC" WAS FORDED ON THE TWENTY-SECOND DAY OF DECEMB.ER, A.D. 1983 AND I DO HERESY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE SEEN PAID TO DATE. 2024080 8300 120059761 you array v° xit this coxti,tue ate online at carp, r�eYaar a a�. c�ovr'a�aathvra�« sh 1aZ Jeffrey 1^1 Bullock, Secretary of State A'UTHENC TXON": 9304231 DATE: 01-18-12 INDIANAPOLIS, IN June 12, 2017 TO INSITUFORM TECHNOLOGIES USA LLC CHESTERFIELD, MO who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify,such revision or revocation. Valid June 12, 2017 Thru April 30, 2018 AGGREGATE... . ...... . ... ....... ,.,.,..,,......,.. ............. .. ,............. 0290 SEWER AND PIPE CLEANING AND LINING ............................... ....................... ..................... I.............. 0292 SEWER TELEVISING L 4rJ PREQUALIFICATION ENGINEER State Form 20508 (R315.05) $71,554,000 $71,554,000 $71,554,000 o COMMISSIONER (61 Insituform- AaAergion Company May 4, 2017 RE: Installer Certification Ladies and/or Gentlemen: Insituform Technologles, LLC 17988 Edison Avenue Chesterfield, MO 63005 Tel: 636.530.8000 Fax: 636.530.8744 www.insituform.com Please be advised that Insituform Technologies, LLC is vertically integrated pipeline Rehabilitation Company. As such, Insituform is not only the manufacturer of the cured - in -place pipeline rehabilitation system of the same name, but also offers the benefits of the full research and development department, engineers on staff for design of products to suit each individual situation, and regional contracting offices that perform all field services including installation This letter shall serve to certify that Insituform Technologies, LLC is authorized to install Insituform products supplied by Insituform Technologies, LLC Sincerely, INSITUFORM TECHNOLOGIES, LLC I E4ygepZaItsmariSrplications Engineer I An Aegion Company CERTIFICATE OF COMPLIANCE Date: May 9, 2017 Re: INSITUFORM TUBE MANUFACTURING To Whom It May Concern Insituform Technologies, LLC 17988 Edison Avenue Chesterfield, MO 63005 Tel: 636.530.8000 Fax: 636.630.8744 www.insituform.com This letter certifies that the Insituform tube for the above referenced project is manufactured in the United States of America by Insituform Technologies, LLC. and meets all relevant specifications for a cured -in -place pipe product: ASTM D 5813, ASTM F 1216, and ASTM F 1743. The Insituform tube has been manufactured in USA since 1981. In addition, the quality system used by Insituform Technologies, LLC. is ISO 9001 certified. Please contact us directly with any questions you may have. Sincerely, INSITUFORM TECHNOLOGIES, LLC ------------------------ 4'icattions sman Engineer INNOVATIVE METHODS OF TESTING the long-term structural behavior of Cured -In -Place Pipe (CIPP) demonstrates that the Insituform product design life exceeds 50 years and that ASTM F-1216 design recommendations for physical properties are conservative for the Insituform product. The research was conducted by the Trenchiess Technology Center (TTC) at Louisiana Tech University and funded by the U.S. Army Corps of Engineers. The purpose was to provide, for the first time, an independent assessment of manufacturer's claims regarding long-term buckling behavior of their pipeline rehabilitation products. Research conducted by the Penehless Technolo fy Venter at Louisiana Tech University confirms Insituform's 50-year design life. The expected design life and long-term behavior of trenchiess pipeline rehabilitation products is important to owners and engineers in evaluating the various systems available in the marketplace, especially since none of these systems have been in actual service for the design lives claimed. This becomes even more critical considering the recent growth of the trenchless pipeline rehabilitation industry and that many products have less than five years of experience. Product tested' Cured -in -Place Pipe Insituform® Process Test: Design Life Conducted by: Trenchless Technology Center at Louisiana Tech University; funded by U.S. Army Corps of Engineers Report Date: August 1994 The research included both experimental and analytical studies related to the application of CIPP and Fold -and -Formed Pipe (FFP) technologies In partially deteriorated, gravity pipeline applications where bonding did not exist between the plastic pipe and the host pipe. Five manufacturers participated in the test program. seven different products, including six CIPP products and one FFP product, were evaluated in approximately 200 tests. Insituform products that were tested included Insituform Standard, which is a widely used polyester resin Insitupipe° material, and Insituform Enhanced, which contains an additive to the polyester resin to Increase the flexural properties of the finished Insituform product. The plastic pipes were encased in steel pipes, with hydrostatic pressure applied between the two pipes. To measure long-term performance, each test remained under constant pressures for up to 10,000 hours or until failure, whichever occurred first. The test results were plotted and extrapolated beyond the test period to estimate behavior up to 50 years. Standardized material tests (flexure, tensile and pipe stiffness tests) were also conducted to characterize the fundamental properties of the product materials. Figure i Figure 2 PUTTING CLAIMS TO THE TEST The installation of all products used in the test was performed by the manufacturers on the Louisiana Tech University campus under close monitoring by TTC personnel. Forty specimens each of Insituform Standard and Insituform Enhanced were tested. Each test specimen was installed to fit snugly inside a 1.83 m (6 ft.) long, 305 mm (12 in.) internal diameter, schedule 40 steel casing pipe. Each casing pipe was fitted with short, bolted pipe segments (clamshells) at each end. (See Figure 1). Preparing the specimens for testing involved trim- ming the ends flush with the clamshells, removing the clamshells, and cleaning the ends of the speci- mens. This resulted in the plastic pipe extending beyond the ends of the steel casing pipes. The specimens were then fitted with end seals applied externally, span- ning the casing pipe and plastic pipe. (See Figure 2). The end seals contained the water at the prescribed pressure, which was Table 1 Material Characterization Tests (Short-term) supplied between the plastic and casing pipes from a pressurized water distribution system. At least three specimens of each product were used for short-term buckling tests to determine the upper pressure limit for the long-term tests. A regulator was used to raise the pressure on the specimen, and the rate of load application was kept constant until failure occurred. For the long-term tests, each specimen was pressurized at a controlled rate of 10 psi/minute (69 kPa/minute) until a selected pressure was reached. A minimum of five pressure levels were selected for each product to cause the specimens to fail at various times over a 10,000-hour test period. Specimens were monitored at least once a day for evidence of buckling. Failures that occurred during normal work hours were monitored manually. After normal work hours, failures were detected electronically. V064 1?r1 cPed_Z r _T Numerous tests, including flexural modulus, flexural strength and tensile strength, were conducted on each product according to ASTM standards. On each of these tests, the results found that both Insituform products far surpassed the design values. (See Table f). jFiY'iCi " �'iNSi'rrtieP ASTM " ": fi�ANUFACTdREA`5. TrC TEST PriUr°ETY : '"' i'ti0bi}CT "TEST DESIGN YAtUE, rtESULTS TNGG psi (MPa) psi ma) Flexural Modulus Stan dard D790- _..W448,63 gigl�lp-_ ( ) (3090) Enhanced . D790 100,000 , � 538,620 (2760�) .. (3710) . Flexural Strength Standard D790 4,500 9,310 (31) (64) Enhanced D790 A )09 (58) SHORT-TERM TEST RESULTS Short-term buckling tests demonstrate that lnsituform design is conservative In terms of both the enhancement factor, K, and the predicted buckling pressures using the following ASTM F-1216 design model: where, P = Buckling pressure, psi (MPa) K = Enhancement factor EL = Long-term (time -corrected) modulus of elasticity, psi (MPa) ,f = Poisson's ratio RR= Dimension ratio (outside diameter divided by thickness) C = Ovality factor =1 (for test program) N = Safety factor =1 (for analysis of test data) The enhancement factor, K, is a measure of the restraining action of the host pipe that encases the lnsituform product and greatly increases the allowable external buckling pressure. A conservative enhancement factor of 7 Is typically recommended for design. The tests measured the average enhancement factor, K, of the lnsituform Standard at 9.8 and the lnsituform Enhanced product at 10.5. GREET' FACTOR Creep factor reflects the reduction in buckling resistance of a plastic pipe over time, typically 50 years. The creep factor, CL, is the ratio of Experimental ELto the measured flexural modulus reported in Table 1 and represents the retention of buckling resistance at 50 years (Le., EL = CL E). A value of CL greater than the manufacturer's recommended value is desirable. As shown in Table 2, the reported creep factor confirms the conservative nature of the 50% creep reduction factor applied to flexural modulus in the lnsituform product design, Table 2 Creep Factor LONG-TERM TEST RESULTS Regression analysis was used to extrapolate long-term buckling pressures beyond the 10,000-hour test period to 50 years. (See Figure 3, next page). �fp�l Test results supported the flexural modulus reduced to account for long-term effects, Er, used In the lnsituform product design, by comparing it to the experimentally derived apparent long-term flexural modulus for a 50-year design life. The tested value greatly exceeded the conservative value used in the lnsituform product design. (See Table 3). Table 3 Flexural Modulus (tong -term) Tic Ex0etimuntal EL : M, nulaclerer°s psl (MPe) i, aecommenalad Design PL PSI (MPa) lnsituform Standard 259,990 150,000 (1:7 4)� . (1030). lnsituform Enhanced 393,265 200,000 (2720) (1330) From TMeOnleal Report 43R, Tablo 9•8 LUNG -TERM BUCKLING BEHAVIOR It Is Important that the design procedures used for a rehabilitation product accurately predict . the long-term structural behavior of the product. The TTC data analysis compared the long-term buckling test data to that predicted by Equation 1. This comparison indicated that Equation 1 conser- vatively predicts long-term hydrostatic buckling behavior of both Insituform products. .. Reg ession esolts, P d iE5l54 p o u n a 0 YEl l u — � v AB124B 7/01 © 2001 tnshfUrn Technotogles, Inc. 50 - PLUS YEARS RESIGN LIFE One of the primary goals of the TTC test program was to evaluate the design lives of various reha- , bilitation products. This was accomplished by comparing the 50-year extrapolated test pressure to the design 50-year buckling pressure calculated using Equation 1 with manufacturer's recommended design values for EL. An Insituform design life in excess of 50 years was confirmed. WITHSTANDING THE TESTS OF TIME The most rigorous, innovative and independent tests ever conducted on pipeline rehabilitation products clearly demonstrates that service life beyond 50 years can be expected with property designed and installed Insituform products. A copy of "Long -Term Structural Behavior of Pipeline Rehabilitation Systems" (TTC Technical Report #302) may be obtained by writing: Trenchless Technology Center Louisiana Tech University P.O. Box 10348 Ruston, Louisiana 71272 or by calling (318) 257-4079. Insituform Wbildylft l peffitft fie ik8la IM110n 702 Spirit 40 Park Drive Chesterfield, MC163005 Toll Free: 800-234-2992 Phone: 636-530-8000 Fax: 636-519-8010 An Insiiu� form° cured-indaee pipe (C-WP) continues to exceed industry per ormance standards of ler 30 years in service. SUMMARY OF RESULTS After 30 years of service in a London sewer carrying both domestic and industrial effluent, an Insituform° CIPP was found to have a flexural modulus exceeding the nearest contemporary UK Water Industry Specification by 50%, and the current US standard by more than 90%. • The 30-year-old pipe's flexural modulus was an improvement over test data obtained after 20 years in service. There was no apparent deterioration in the overall performance of the Insituform° CIPP between its 20th and 30th year in service. INTRODUCTION In October 2001, tests were conducted by Bodycote Materials Testing Ltd. to determine the flexural properties of the samples taken from an Insituform° CIPP that had been in service for 30 years. The pipe samples were taken from a 1,170 mm X 600 mm (46 in. X 24 in.) egg -shaped sewer at Riverside Close in hackney, London. This is the same InsituformO CIPP that was sampled and tested in 1991, after 20 years in service, by Bodycote's predecessor MTS Pendar Ltd. I���i-. �.�... ........... ...,_�.._. Product tested: Insituform° Cured -In -Place Pipe (CIPP) Test: .Flexural Properties Conducted by: Bodycote Materials Testing Ltd. Report Date; November 2001 Supervising removal of the samples were representatives from both Bodycote and the sewer Owner, Thames Water Utilities Limited. PROCEDURE Two panels, approximately 300 mm (12 in.) square, were taken from a side wall of the sewer, approximately four meters downstream from a manhole. Three test pieces were cut from each panel as shown in the diagram below. The flexural properties of each test piece were determined by the method of BS EN ISO 178, in accordance with current UK Water Industry Specification (WIS) 4-34-04. Vie vl o f inside face of sample panel and a test piece cut from it. Eu ABIS07 5102 0 2002 Insituform TechnologlesO,Inc. RESULTS AND CONCLUSIONS After 30 years in service, the Insituforme CIPP continues to exceed industry performance Table 1 30-Year Test Results standards, and further, the pipe showed no significant deterioration in overall performance between its 20th and 30th years of service. Sarrtlrle Flexural Modulus Flexural Strength Panel A 3,100 MPa 39 MPa 450,000 psi 5,700 psi Panel 8 3,500 MPa 47 MPa 500,000 psi 6,8.00 psi Mean. 3,300 MPa 43 MPa 480,000 psi 6,200 psi Table 2 Comparison of Mean Flexural Properties After 30 and 20 Years of Service Flexural Samples Industry Standards Property 30-year 20-year WIS 4-34-04 ASTM F 1216 Modulus MPa 3,300 2,900 2,200* -- psi 480,000 420,000 — 250,000 Strength MPa 43 46 25 — psi 6,200 6,700 ---- 4,500 As specified in Issue i of the YJIS. Issue ?refers to declared-valuesbut does notspecifya minimum flexural modulus. 11_0401-1-W[�1 �+ 1. WIS 4-34-04 April 1986: Issue 1, "Specification for Polyester Inslluform Sewer Linings." 2. WIS 4-34-04 March 1995: Issue 2, "Speciflcation for Renovation of Gravity Severs by Lining N,4% Cured -in -Place Pipes." 3, BS EN 180178:1996, "Plastics -Determination of Flexural Properties' 4. ASTM F 1216, "Standard Practice for Rehabilitation of Existing Pipelines and Conduits by the Inversion and Curing of a Resin -Impregnated Tube," 5. MTS Ponder Report 46204, September 19,1991 (20-year test) B. Bodycote Report B110254, November 15, 2001 (30-year test) hi &hrw1)�' eAs,, Ina Cf'p ld,wlec Pipeline flshallilltallon 702 Spirit 40 Park Drive Chesterfield, MO 63005 Toll Free: 800-234-2992 Phone: 636-530-8000 Fax: 636-519-8010 r Gam/ i ` r , This is to certify that i sittio` Technologies, LLC Headquarters 17999 Edison Avenue Chesterfield, Missouri 63005 USA Refer to Attachment to Certificate of Registration dated March 8, 2018 for additional certified sites operates a ualty Management yste which complies with the requirements of ISO 9001:201 for the following scope of certification Design, development, manufacturing and installation of products for the rehabilitation of pipelines using trenchless technology. Certification of installation services is non- transferrable and applies only when performed directly by Insituform Technologies, LLC. Certificate No.: CERT-0101077 Original Certification Date: February 11, 2014 File No.: 1650845 Certification Effective Date: March 15, 2017 Issue Date: March 8, 2018 Certification Expiry Date: March 14, 2020 0-�� Nicole Grantham General Nlanaaer SAI Global Gemtit'icatioS rvlc s Mister" by. +r �i Court, Sdte200, Tomb, Ontario IMW 7156 Canach. This aeghtraGon Is subject tothe SAI Global -Rs a Canada limited (SAI Global), l Carlson C GLOBAL SAI "dusaxtgi and �C�atriil�,ins ddrW.7u�dlPralJfln, V�'rPoe at a Gan7i aid sk'il Wass ewycurfseduim a;�naryt¢agea¢ Ra1��asaGcysrabKPud„ kG gfeYw9lar�afrds n"rgarrar7aiRy only br p1Pmo negOgp co Tlia a: ffl4.ala uaff"irs� d7a In'nVni9'yy of SAI Globe anadYppl6t lSdq ¢ lmudW tf64pp1 pold+&i tlRNG�,46TSn*' ro%eAfy that Chi a corlftabIs cauna^u� pbrttsa ra�iv 9e Zm SAI Global On-Irrp Cooll adlm hte�patlac .9',L'U71„A:UUL143FMAl INFORM. INSPIRE. IMPROVE. ATTACHMENT TO CERTIFICATE OF REGISTRATION These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 File No. Effective Date 1650845 Insituform Technologies, LLC March 15, 2017 Headquarters 17999 Edison Avenue Chesterfield , Missouri 63005 USA Design, development, manufacturing and installation of products for the rehabilitation of pipelines using trenchless technology 1650848 Insituform Technologies, LLC March 15, 2017 Wetout 7605 18th Street Edmonton , Alberta T6P 1N9 Canada Manufacturing 1650849 Insituform Technologies, LLC March 15, 2017 Wetout 912 Stanton Road Olyphant , Pennsylvania 18447 USA Manufacturing 1650850 Insituform Technologies, LLC March 15, 2017 Wetout 468 Cypress Road Ocala , Florida 34472 USA Manufacturing 1650851 Insituform Technologies, LLC March 15, 2017 Wetout 2255 West 85th North Cedar City , Utah 84721 USA Manufacturing 1650852 Insituform Technologies, LLC March 15, 2017 Installation East 20 Fox Chase, Ste B Cartersville , Georgia 30126 USA Preparation and Installation 1650853 Insituform Technologies, LLC March 15, 2017 Installation West 9654 Titan Court Littleton , Colorado 80125 USA Preparation and Installation These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650845) maintaining their scope of registration to ISO 9001:2015 I.VFnldM. INSPIRE. JNPROVF. ATTACHMENT TO CERTIFICATE OF REGISTRATION These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 1650854 Insituform Technologies, LLC Manufacturing 160 Corporate Drive Batesville , Mississippi 38606 USA Manufacturing 1650855 Insituform Technologies, LLC Wetout 2130 Stout Field West Drve Indianapolis , Indiana 46241 USA Manufacturing 1650856 Insituform Technologies, LLC Wetout 3061 Dublin Circle Bessemer , Alabama 35022 USA Manufacturing 1650857 Insituform Technologies, LLC Wetout 6526 Bluebonnet Parkway McGregor , Texas 76657 USA Manufacturing 1650858 Insituform Technologies, LLC Wetout 91-255 Kalaeloa Boulevard Kapolei , Hawaii 96707 USA Manufacturing 1650859 Insituform Technologies, LLC Installation Central 580 Goddard Avenue Chesterfield , Missouri 63005 USA Preparation and Installation 1650860 Insituform Technologies, LLC Installation Canada 5743 - 68 Avenue NW Edmonton , Alberta T613 3P8 Canada Preparation and Installation 1650863 Insituform Technologies, LLC Installation - Eastern Region 709 E. Ordinance Road Baltimore , Maryland 21226 USA These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650845) maintaining their scope of registration to ISO 9001:2015 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 SAI GOAL INFORM. IMSPIRE. IMPROVE. ATTACHMENT TO These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 Preparation and Installation. 1650864 Insituform Technologies, LLC Installation - Eastern Region 253 B Worcester Road Charlton , Massachusetts USA Preparation and Installation. 1650865 Insituform Technologies, LLC Installation -Eastern Region 3898 Welden Drive Lebanon , Ohio USA Preparation and Installation. 1650866 Insituform Technologies, LLC Installation - Eastern Region 6972 Business Park Blvd. Jacksonville , Florida USA Preparation and Installation. 1650867 Insituform Technologies, LLC Installation - Eastern Region 9001 NW 97 Terrace Suite F Medley , Florida 33178 USA Preparation and Installation. 1650868 Insituform Technologies, LLC Installation - Eastern Region 1819 John Moore Rd. Monroe , North Carolina 28110 USA Preparation and Installation. 1650869 Insituform Technologies, LLC Installation - Eastern Region 3016 U.S Highway 301 N. Suite 900 Tampa , Florida USA Preparation and Installation. 1650870 Insituform Technologies, LLC Installation - Eastern Region 3061 Dublin Circle Bessemer , Alabama 35022 USA Preparation and Installation, 1650872 Insituform Technologies, LLC installation - Eastern Region These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650846) maintaining their scope of registration to ISO 9001:2015 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 SA I GLOBAL raarraarms raasrnraar: MrrcOM ATTACHMENT TO CERTIFICATE OF REGISTRATION These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 5033 Mosson Rd. Fort Worth , Texas 76119 USA Preparation and Installation. 1650873 Insituform Technologies, LLC Installation - Eastern Region 18378 Tom Dr. Hammond , Louisiana USA Preparation and Installation. 1650874 Insituform Technologies, LLC Installation - Eastern Region 13502 Almeda School Road Houston , Texas 77047 USA Preparation and Installation. 1650876 Insituform Technologies, LLC Installation - Eastern Region 1410 Gould Blvd Lavergne , Tennessee USA Preparation and Installation. 1650877 Insituform Technologies, LLC Installation -Western Region 19000 MacArthur Blvd, Ste 800 Irvine , California 92831 USA Preparation and Installation. 1650878 Insituform Technologies, LLC Installation -Western Region 8620 Antelope N. Rd. - Ste 1 Antelope , California USA Preparation and Installation. 1650879 Insituform Technologies, LLC Installation -Western Region 645 W. 24th St., Ste 102 Tempe , Arizona USA Preparation and Installation. 1650880 Insituform Technologies, LLC Installation -Western Region 91-255 Kalaeloa Blvd. Kapolei , Hawaii USA Preparation and Installation. These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650845) maintaining their scope of registration to ISO 9001:2015 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 ,' A ATTACHMENT TO These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 1650881 Insituform Technologies, LLC Installation -Western Region 17220 Bel Ray Place Belton , Missouri USA Preparation and Installation. 1650882 Insituform Technologies, LLC Installation -Western Region 1088 Victory Drive Howell , Michigan USA Preparation and Installation. 1650883 Insituform Technologies, LLC Installation -Western Region 11351 W. 183rd Orland Park , Illinois USA Preparation and Installation. 1650884 Insituform Technologies, LLC Installation -Western Region 1177 Birch Lake Blvd. N. White Bear Lake , Minnesota USA Preparation and Installation. 1650885 Insituform Technologies, LLC Installation -Western Region 2130 Stout Field West Drive Indianapolis , Indiana USA Preparation and Installation. 1650886 Insituform Technologies, LLC Installation - Canadian Region 8009 57th Street SE Unit 4 Calgary , Alberta Canada Preparation and Installation. 1650887 Insituform Technologies, LLC Installation - Canadian Region 139 rue Barr Montreal , Qu6bec Canada Preparation and Installation. 1650888 Insituform Technologies, LLC Installation - Canadian Region 3 Burford Rd. Hamilton , Ontario L8E 3C6 Canada These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650845) maintaining their scope of registration to ISO 9001:2015 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 March 15, 2017 AI GLOBAL INFORM. INSPIRE, IMPROVE. ATTACHMENT TO CERTIFICATE: OF REGISTRATION These sites are registered under Certificate No: CERT-0101077 issued on March 8, 2018 Preparation and Installation. 1680743 Insituform Technologies, LLC 19165 SW 119th Street Tualatin , Oregon 97062-7384 USA Preparation and Installation March 15, 2017 Y These registrations are dependent on Insituform Technologies, LLC Headquarters (File No. 1650845) maintaining their scope of registration to SAI GLOBAL ISO 9001:2015 INFORM. INSPIRE. IMPROVE. Aegion provides occupational medical services, either on site or through referral, for the treatment of an occupational injury and illness. Employees are responsible for handling non -occupational injuries or illnesses through their family physician. Treatment of job -related illnesses or injuries is covered by Workers' Compensation Insurance, provided the proper procedure for reporting and treatment is followed. It is important that all occupational illnesses or injuries, however minor, be reported immediately to your supervisor. If you are unable to report for work, you must notify your supervisor prior to your absence regarding the anticipated length of absence. If you are out of work for an extended time, your Human Resource representative will coordinate with you or your physician to establish a return - to -work date and an evaluation of any possible workplace limitations. In certain instances, an independent medical examiner will be used to evaluate your condition on an extended absence. Medical Examinations As part of Aegion's employment procedures, an applicant may be required to undergo a post - offer, pre -employment fitness -for -duty examination and drug screening that are conducted by a physician designated by Aegion. Any offer of employment that an applicant receives from Aegion is contingent upon, among other things, satisfactory completion of this examination and screening and a determination by Aegion and its examining physicians that the applicant is capable of performing the essential functions of the position that has been offered, with or without a reasonable accommodation. As a condition of continued employment and as allowed by law, you may also be required to undergo periodic fitness -for -duty examinations, and alcohol and drug screenings, specified by Aegion. You are required to provide the Company access to the medical records associated with this examination. All Company -required medical examinations and alcohol and drug screenings are paid for in full by Aegion. Questions about medical examinations or alcohol and drug screenings should be directed to your supervisor, the Safety Department or Human Resources. . w N Aegion has a vital interest in maintaining a safe, healthy, and efficient working environment for you. Employees under the influence of drugs or alcohol present safety and health risks to themselves and their fellow employees and have a detrimental effect upon high standards of performance and conduct. It is the policy of Aegion to maintain a safe and healthy working environment for all employees, free from the influence of drugs and alcohol, in order to ensure that the excellent reputation of the Company, its employees, and its products and services is maintained in all its marketplaces with all its customers, clients, and colleagues. Employees suspected of being under the influence of drugs or alcohol may be required to undergo drug or alcohol testing. Any employee found to be working under the influence of drugs or alcohol will be subject to discipline, up to and including termination. 30 Revised January 2018 Aegion requires a pre -employment drug screen. In addition, Aegion conducts random drug tests except where prohibited by law, reasonable suspicion drug/alcohol tests, and post -accident drug/alcohol tests in accordance with federal and state law. In addition, we will provide assistance to employees who seek help in overcoming dependency upon, or problems with, drugs or alcohol through referrals to various services if they come forward before Aegion requests that they be tested. You will be placed on applicable leave of absence during this time, which mayor may not include job protected leave. Keep in mind that any violation of Company policy is not excused by admission of taking drugs or alcohol. Legally -prescribed medications are excluded from this policy and permitted to the extent that the use of such medications does not adversely affect the employee's work ability, job performance, or the workplace safety. Alcohol may be consumed at Company -sponsored activities only with management's prior approval. Employees must report any conviction under a criminal drug statute for violations occurring on or off Company premises while conducting Company business. The Drug -Free Work Place Act requires that you report a conviction to the Company within five (5) days after the conviction. This is a brief summary of our drug/alcohol policy. If you have questions, your location management or the Safety Department can provide additional details and procedures. FO-IMMAW This section of the Handbook highlights some features of some of our benefits plans applicable to employees in the United States. All welfare and retirement benefit plans are described more fully in summary plan description booklets, which are provided to you once you are eligible to participate in these plans. Complete descriptions of the insured welfare benefit plans are also in master insurance contracts with insurance carriers, which are 'maintained in the Human Resources Department. Complete descriptions of retirement -related plans are in the appropriate master plan documents, which are likewise maintained in Human Resources. If information in this Handbook or Summary Plan Descriptions ("SPDs") contradicts information in the master contracts or master plan documents, the master contracts/documents shall govern in all cases. Employees of Aegion may participate in a variety of benefit plans. The specific plans that apply to you may vary; therefore, please refer to separate and more detailed information applicable to our benefit plans for further information. Human Resources representatives are available to answer any questions that you may have concerning our benefits plans. For union employees, benefits are outlined in the applicable collective bargaining agreement. In general, non -union employees who work at least 30 hours per week are eligible to participate in the Company's health and welfare benefits plans. Certain waiting periods may apply. In general, non -union employees are eligible to participate in the before -tax and matching contribution features of the 401(k) Profit Sharing Plan and the Employee Stock Purchase Plan. 401(k) Profit Sharing Plan — provides you the opportunity to save for retirement on a tax -deferred basis. The employer also provides a generous matching contribution. 31 Revised January 2018 AEGION' Stranger, Safer, Infrastructure: CL BRINDERS011 SCHULTZ AEG�ION MTC' SUBSTANCE ABUSE POLICY & PROCEDURES (NON -DOT) Effective January 1, 1997 Revised January 29, 2016 Aegion - Substance Abuse Policy & Procedures 1 TABLE OF CONTENTS PAGE 1VUL DISCIPLINE I A. Pre -employment 17 B. Reasonable Cause 17 C. Post -Accident 17 D. Random 17 E. Return -to -Duty and Follow up 18 F. Refusal to Submit/Insubordination 18 G. Nature of Discipline, Factors Considered 18 Ix, EMPLOYEE ASSISTANCE, T AJ" T (3, AM) EDUCATION `B`IO _ 1 A. Employee Assistance Program 18 B. Education 19 C. Training 19 D. Insurance Benefits 19 I_XL It ECORDK EI-:DING 19.:. IIu ` AL MIIS"1 RA°1'I,ON tl APPENDICES A. Definitions B. Employee Policy Acknowledgement C. Program Specific Information i. Random Percentages ii. DER Information iii. NMO Information iv. Collection Sites v. Reasonable Suspicion vi. Return Policy Aegion - Substance Abuse Policy & Procedures for a job which may require being a driver of a Company Commercial Motor vehicle are required to adhere to the Company's DOT Drug and Alcohol Policy. A copy of the DOT Drug & Alcohol Policy is available on the intranet. In the case of employees who are subject to a collective bargaining agreement, the terms, policies and procedures contained in the applicable collective bargaining agreement shall control if they are different than the scope of this Policy. The presence in the body, possession, use, distribution, dispensing, and/or unlawful manufacture of prohibited drugs is not condoned while conducting company business, or while in work areas, or while in the company vehicles on or off company property. No employee will work under the influence of prohibited drugs. The wearing, possessing or carrying of drug paraphernalia items on company premises or while conducting company business is prohibited. These items can include, but not limited to, roach clips, pipes designed for smoking illicit drugs, cigarette rolling papers used to roll illicit drugs or injection needles used for nonmedical reasons. Prohibited drugs mean any of the following substances in Schedule 1 or Schedule 2 of the Controlled Substance Act: Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Methadone, Opiates, Cannabinoids, PCP, Propoxyphene, Methaqualone Any person discovered to be in violation of these prohibitions is required to cease conducting company business, refrain from operating any vehicle on behalf of the Company, and to leave work areas immediately. . An employee in violation of these prohibitions will be subject to appropriate disciplinary action in accordance with Section VIII entitled "Discipline". C. Prescribed Medication The Company will not require an employee to reveal any medication that he/she may be taking or may have recently taken; however, the employee may provide that information to the Medical Review Officer ("MRO") as part of the medical interview following a positive report from the laboratory. Prior to making a final decision to verify a positive test result, the employee will have the opportunity to discuss the use of the medication with the company's MRO. In the event it is determined by the MRO that an employee is taking or is under the influence of a prescribed medication that will reasonably impair the employee's ability to safely and adequately perform his/her job, the employee will Aegion - Substance Abuse Policy & Procedures 5 Any employee or applicant who tests positive or refuses to submit to any drug and/or alcohol test required under this Plan is subject to disciplinary action up to and including termination. C. Alcohol The use and/or possession of alcohol on Company premises, while conducting Company business, while operating any vehicle on behalf of the company, or reporting to work while under the influence will not be tolerated. Additionally, for employees in jobs which affect the public's sense of confidence in the Company, excessive use of alcohol in public or inappropriate conduct in public due to the influence of alcohol is prohibited. Violations of the Company's policies concerning alcohol may result in discipline up to and including discharge. Any employee whose actions, appearance, or conduct while in the performance of job duties, including the operation of a vehicle, are indicative of the use of alcohol may be relieved of their duties immediately. As a protection to the employee, it is the responsibility of each employee who is called back to work during an unscheduled call-back to notify the Supervisor at the time of the call if he/she has consumed alcohol. Employees called back may refuse, without discipline, to report for work if they believe their abilities are sufficiently impaired by the use of alcohol that working is inadvisable. Employees reporting for an unscheduled call-back may be sent home, without discipline, if it is determined before the employee begins to work (by the employee's admission or in the judgment of the Supervisor) that the employee's abilities are so impaired. Once the employee begins working, however, the employee is subject to discipline up to and including discharge for working under the influence of alcohol if he/she did not report the use of alcohol to the Supervisor. If an employee reports to work under the influence of alcohol (by the employee's admission or in the judgment of the Supervisor), the employee should be transported home. In the event no one is available to transport the employee, then alternate transportation, such as a taxi, shall be arranged. If the employee refuses to agree to any of these procedures and attempts to operate his/her own vehicle, the Supervisor will make appropriate efforts to discourage the employee from doing so, up to and including contacting local law enforcement officials. D. Searches and lnvestigjtj�gjj. In order to accomplish the purpose of this policy, the Company reserves the right to carry out searches of individual employees and their personal effects when Aegion - Substance Abuse Policy & Procedures 7 must successfully pass a pre -employment drug and alcohol test prior to working in a position for the company and are covered by this Policy. All applicants will be notified, at the time they complete a job application, that they will be required to submit to a drug and alcohol test if they are considered otherwise qualified for employment and that they will be subject to the terms and conditions of this Policy if they are ultimately hired. No applicant will be hired into a position unless he/she passes a pre -employment drug and alcohol test (see Section VIII., A. entitled "Pre -employment"). In the event of a Positive Pre -Employment Test Result the applicant will not be considered for employment presently or for a period of one year following the confirmed positive. Re -testing for pre -employment due to a Positive Result is prohibited. B. Post -Accident All reasonable steps will be taken to obtain a urine and/or breath specimen from an employee after an accident. A drug test must be administered within 32 hours and an alcohol test must be administered within 8 hours. In the case of a conscious but hospitalized employee, the Company will request that the hospital or medical facility perform a post -accident test, following proper chain -of - custody. Employees must refrain from using alcohol for eight hours following an accident unless the employee has already been alcohol tested. If an employee who is subject to post -accident testing is conscious, able to urinate normally (in the opinion of a medical professional) and refuses to be tested, that employee shall be removed from his/her position and shall be subject to discipline according to Section VIII. C. entitled "Post -Accident". Typically, while waiting for an employee's drug and/or alcohol test results, that employee will be removed from all safety sensitive functions, until the drug and/or alcohol test results are confirmed negative for prohibited drugs or alcohol. If the employee's test result is negative, the employee may return to work at the discretion of the Company. "Post -Accident Test" means a test for banned, illegal, unauthorized, illicit Drugs, Controlled Substances and/or Alcohol administered to a Company employee following a work injury or vehicular incident. For purposes of this Policy, an accident is defined as: i. Any accident which causes bodily injury to himself or others. Aegion - Substance Abuse Policy & Procedures 9 Third party reports that an employee is impaired in his duties due to the use of prohibited drugs and/or alcohol shall not constitute reasonable cause, but may be cause for the observation of the employee. In any reasonable cause circumstance, the employee to be tested will be transported to an appropriate collection site facility. The employee will then be transported back to the company premises, where a spouse, family member or other individual will be contacted to transport the employee to his/her home. In the event no such individual is available, the company will contact a taxi to transport the employee home or be transported by a company supervisor. If the employee refuses to agree to any of these procedures and attempts to operate his/her own vehicle, the company will make appropriate efforts to discourage the employee from doing so, up to and including contacting local law enforcement officials. Any employee failing to cooperate with any of these procedures described above will be subject to disciplinary action, up to and including termination of employment. While waiting for an employee's drug and/or alcohol test results, that employee must be removed from his/her position until the drug and/or alcohol test results are confirmed negative for prohibited drugs. If the employee tests positive, his/her discipline will be handled according to Section VIII.B. Entitled "Reasonable Cause". If the employee tests negative, the employee may return to work at the company's discretion. E. Return -to -Du Testing An employee who refuses to take a drug and/or alcohol test (considered as a positive test result) or who does not pass a drug and/or alcohol test may not return to duty until he/she passes a return to duty drug and/or alcohol test. An employee who returns to duty after a positive test will be subject to a reasonable program of follow-up drug and/or alcohol testing without prior notice for up to 60 months. See Section VIII. E. entitled "Return to Duty and Follow -Up". F. Refusal to Submit/Insubordination Any employee who refuses to submit to any drug and/or alcohol test required under this Plan will be treated as if he/she had tested positive in any such test. The employee's discipline will be handled according to Section VIII.F entitled "Refusal to Submit/Insubordination". Refusal to submit shall include: 1) failure of employee to report to collection site Aegion - Substance Abuse Policy & Procedures 11 Collection Site Facility If the employee fails to provide a sufficient quantity of urine, at least 30 milliliters, the following procedures shall apply. a. The employee shall remain at the collection site and be given a reasonable period of time to provide a specimen. As a general rule, the employee will be allowed up to three (3) hours. b. Employees shall be asked to drink fluids (up to 40 ounces) to facilitate urination. During the waiting period, the employee will remain at the collection site under supervision at all times. C. If at the end of the waiting period the employee still cannot provide a specimen of sufficient quantity, this inability shall be recorded by the collection site personnel on the Chain -of -Custody Form as failure to provide a specimen. d. The MRO, upon receipt of his/her copy of the Chain -of -Custody Form, shall contact the employee for any medical justification that may exist to explain why the employee failed to provide a specimen. If the MRO believes the employee's justification is medically acceptable, no further action shall be taken against the employee. If the MRO believes there is no medical basis for the failure to provide a specimen, the MRO shall so notify DESIGNATED EMPLOYER REPRESENTATIVE. e. The DESIGNATED EMPLOYER REPRESENTATIVE shall contact the employee's supervisor and Human Resources representative. The Human Resources representative shall initiate appropriate disciplinary action in accordance with Section VIII.F. Entitled "Refusal to Submit/Insubordination". If the employee arrives at the collection site and fails to provide a sufficient quantity of urine, or without a medical reason prior to supplying the requisite sample leaves the collection site, the following procedures shall apply. a. The clinic will contact the DESIGNATED EMPLOYER REPRESENTATIVE and inform them that the employee failed to remain at the collection site will be reported to the MRO has a refusal to submit. Refusal to Submit carries the same ramifications as a positive result. Aegion - Substance Abuse Policy & Procedures 13 1. Designated Collection Sites The company will utilize an approved collection site which will have the personnel, materials, equipment, facilities and supervision necessary to provide for the collection, security, temporary storage and shipping of urine specimens to a DHHS-certified laboratory for testing. D s�itlgpated Collcctioii Sites for this 1)larr are: SEE APPENDIX C 2. SuLyisory 'ollectjorrs Unless it is impractical for any other individual to perform this function, a direct supervisor of an employee shall not serve as the collection site person for a test of the employee. 3. Individual ['V ya Y Collection procedures allow urine specimens to be provided by the individual in private, unless there is reason to believe that the individual may alter or substitute the specimen, as set forth below. a. C irwCunnsttlpces REQUIRING Direct Observation A second specimen of urine will be obtained as soon as possible under the direct observation of a same gender collection site person whenever there is reason to believe that a particular donor has altered or substituted the specimen under the following circumstances. (1) The donor has presented a specimen which falls outside the allowable temperature ranges (32 degrees - 38 degrees C/90 degrees - 100 degrees F.), and (a) The donor declines to provide a measurement of oral body temperature, or (b) The donor's oral body temperature varies by more than 1 degree C/1.8 degrees F from the temperature of the specimen. (2) The collection site person observes donor conduct clearly and unequivocally indicating an attempt to substitute or adulterate the specimen. Aegion - Substance Abuse Policy & Procedures 15 The collection site person shall keep the individual's specimen bottle within sight both before and after the individual has urinated. After the specimen is collected, it shall be properly sealed and labeled. The Chain of Custody Form shall be used for maintaining control and accountability of each specimen from the point of collection to final disposition of the specimen. The date and purpose shall be documented on an approved Chain of Custody Form each time a specimen is handled or transferred and every individual in the chain shall be identified. Every effort shall be made to minimize the number of persons handling specimens. 6. 'Frwis ortation to Laborato1 Collection site personnel shall arrange to ship the collected specimens to the drug testing laboratory. The specimens shall be placed in a container designed to minimize the possibility of damage during shipment (e.g., specimen boxes and/or padded mailers), and those containers shall be securely sealed to eliminate the possibility of undetected tampering. On the tape sealing the container, the collection site person shall sign and enter the date the specimens were sealed in the containers for shipment. The collection site person shall ensure that the Chain of Custody documentation is attached to each container sealed for shipment to the drug testing laboratory. 7. Failure to Cooperate If the employee refuses to cooperate during the collection process (e.g., refusal to provide a complete specimen, complete paperwork, initial specimen) the collection site person shall inform the company and shall document the non- cooperation on the Chain of Custody Form. Employees are expected to exercise good faith and cooperate during the collection process and failure to do so will be treated the same as a positive test, the employee will be removed from his/her position, and will be subject to disciplinary action up to an including termination. Any employee required to provide a urine specimen will be expected to complete any necessary forms required by the collection site or the company, including those authorizing the disclosure of test results to the company. Failure or refusal to do so will result in disciplinary action up to and including termination as set forth in Section VIII.F entitled "Refusal to Submit/Insubordination". 8. Employees Requiring Medical Attention If the specimen is being collected from an employee in need of medical attention (e.g., as part of a post -accident test given in an emergency facility), necessary medical attention shall not be delayed in order to collect the specimen. For additional information on collection procedures for injured employees see Section Aegion - Substance Abuse Policy & Procedures 17 Labcorp Pacific Toxicology (Energy Services Only) 1904 Alexander Drive 9348 De Soto Ave. Research Triangle Park, NC 27709 Chatsworth, CA 91311 B. Initial Test All urine specimens will be initially tested for the use of prohibited drugs by an immunoassay test, which will eliminate negative urine specimens from further consideration. Any positive test results in an initial test will be subject to confirmation through an additional, more precise and accurate testing methodology. The cut-off levels set forth below will be used for the initial testing of specimens to determine whether they are negative for the following drugs: REFERENCE APPENDIX F FOR CUT-OFF LEVELS C. Confirmatory 1 ests Any urine specimen identified as positive on the initial test will be confirmed by a second analytical procedure independent from the initial test and which uses a different chemical technique and procedure. The Company will use gas chromatography/mass spectrometry to confirm initial positive test results. The cut-off levels set forth above will be used to establish the existence of a "confirmed positive" test result. Any initial positive result which is not confirmed as positive under the above cut-off levels will be deemed negative. D.170%l�tLdu Before the laboratory reports any test result, it will first review the results of the initial test, confirmatory test or any relevant quality control data to certify that the test result is accurate. The laboratory will then report the test results to the Company's Medical Review Officer ("MRO") within five (5) working days after the receipt of the specimen and will also forward the original Urine Custody and Control Forms to the MRO. Any specimen which was negative on an initial or confirmatory test will be reported as negative. The only specimens reported as positive will be those which have been confirmed as positive through gas chromatography/mass spectrometry. Test results may not be reported verbally by telephone by the lab to the MRO. Additionally, the laboratory will not report any test results to the Company, but only to its MRO. The laboratory and the Company will ensure that the data transmission is confidential and will secure and limit access to its data transmission storage and retrieval system. The MRO may request from the laboratory and the laboratory will provide quantization of test results. The MRO will then report to the Company's DESIGNATED EMPLOYER REPRESENTATIVE whether the test is positive or Aegion - Substance Abuse Policy & Procedures 19 tested to determine if a confirmed positive test resulted from legally prescribed medication; once the employee has been contacted and the MRO requests a copy of the prescription claimed by the employee for the reason of the positive test. The employee has 72 hours to get the current prescription to the MRO. d. Requiring, if necessary, that the original specimen be reanalyzed to determine the accuracy of the reported test results; and e. Verifying that the laboratory report and assessment are correct. 3. Determine whether and when an employee who did not pass a drug test administered under these procedures may be returned to duty. 4. Determine a schedule of unannounced follow-up testing, in consultation with the company, for an employee who has returned to duty. 5. Ensure that an employee has been drug tested in accordance with the procedures before the employee returns to duty. C. Action on Positive Test Results Prior to making a final decision to verify a positive test result for an individual, the MRO will give the individual an opportunity to discuss the test result. When the MRO has verified a result as positive, adulterated, or substituted, the MRO will notify the employee of their right to have the split specimen tested. The employee must notify the MRO within 72 hours of the result being verified in order to have this testing conducted. If the employee requests that the split specimen be tested within the 72-hour period, the MRO will ensure that the split specimen is tested. Testing of the split specimen is only conducted at the request of the employee, and then only after using the MRO as the requesting agent for the employee. If, after making and documenting all reasonable efforts to contact the individual, the MRO is unable to reach the individual directly, the MRO will contact the Company's DESIGNATED EMPLOYER REPRESENTATIVE, who will direct the individual to contact the MRO as soon as possible. If, after making all reasonable efforts, the Company is unable to contact the employee. The Company will place the employee on temporary unpaid suspension until the investigation is completed. If it is determined that the test was a false positive then the employee will receive their lost wages. The MRO may verify a test as positive without having communicated directly Aegion - Substance Abuse Policy & Procedures 21 individual to the MRO as a part of the testing verification process, except as provided below: 1. The MRO may disclose such information to the company or a physician responsible for determining the medical qualification of the employee, only if: a. In the MRO's reasonable medical judgment, the information could result in the employee being determined to be medically unqualified; or b. In the MRO's reasonable medical judgment, the information indicates that continued performance by the employee of his/her position could pose a significant safety risk. 2. Before obtaining medical information from the employee as part of the verification process, the MRO will advise the employee that the information may be disclosed to third parties as provided above and of the identity of any parties to whom the information may be disclosed. F. Self Disclosure If an employee self indentifies as suffering from alcohol or drug dependency, he /she may return to work if certain conditions are met. These conditions may include successful completion of any recommended aftercare program determined by the MRO, EAP or Company, passing an alcohol test before returning to work, and participating in a program of follow-up testing for a period of up to 60 months after returning to duty. VIIL DISCIPLINE The following discipline will be taken in the event of a positive test result under any of the following circumstances. A. Pre-eniplo meat Any applicant who tests positive as a result of a pre -employment drug and/or alcohol test or refuses to submit to a pre -employment drug and/or alcohol test will be disqualified from further consideration for employment and may not reapply for a period of one (1) year. B. Reasonable Cause Any employee who tests positive as a result of a reasonable cause drug and/or alcohol test will be suspended without pay and will be subject to disciplinary Aegion - Substance Abuse Policy & Procedures 23 Professional (SAP). In most cases the employee will not be eligible for consideration of rehire until at least one year has passed. Any such employee is required, as a condition of being rehired, to consent to unannounced Alcohol, Drug, and/or Controlled Substance Tests for a period of, up to sixty (60) months after rehire to the Company. Any such employee is required, as a condition of being rehired, to consent to unannounced Alcohol, Drug, and/or Controlled Substance Tests for a period of, up to sixty (60) months after rehire to the Company. A. Employee Assistance Pro ram In addition to the education and training program described below, the company also has available a designated vendor to which employees may refer for additional consultation and referral. The Company recognizes Alcohol, Drug, and Controlled Substance use and abuse on or off premises as a potential health, safety, security and performance problem. If you wish information on where to seek help for any type of substance abuse, contact the Human Resources Department or Safety Department. Failure to comply with any set forth requirements by a Substance Abuse Professional or failure to comply and remain in compliance with any and all prescribed or recommended rehabilitation and/or treatment programs shall establish just cause for discipline and the individual shall be terminated. B. Education The company will provide an education program for its employees, which will include the following: 1. Display and distribution of informational material; 2, Display and distribution of a community service hot-line telephone number for employee assistance; and 3. Display and distribution of the company's Policy regarding the use of prohibited drugs and alcohol misuse. C. Irrainili Any supervisory personnel responsible for determining whether an employee must Aegion - Substance Abuse Policy & Procedures 25 3. The disposition of employees who failed the drug and/or alcohol test (e.g., termination, leave without pay). B. Records of employee drug test results that show employees passed a drug and/or alcohol test will be kept for at least one (1) year. C. A record of the number of employees tested, by type of test (e.g., post -accident), will be kept for at least five (5) years. D. Records confirming that supervisors and employees have been trained as required under this Plan will be kept for at least three (3) years. D. Records under A. through D. above will be maintained by the Third Party Administrator and Company. XII. ADMINISTRATION OF THE POLICY Administration of the policy will be performed under the guidance of the Corporate Environmental, Health & Safety Department. Nothing in this policy shall be construed as creating an express or implied contract or promise concerning the policies that the Company has implemented or will implement in the future. This policy may be changed by the Company without prior notice to the employee. Aegion - Substance Abuse Policy & Procedures 27 H. is a Company leased vehicle of any kind and made available for personal and business use by an employee. I. CONFIRMATION TEST: For the Alcohol Test, a "Confirmation Test" means a second test following a Screening Test with a result of 0.02 or greater that provides quantitative data of Alcohol Concentration. Confirmation of the Screening Test must be by an Evidential Breath Testing (EBT) device listed on the National Highway Traffic Safety Administration (NHTSA) Conforming Products List (CPL), and must be capable of printing out each test result and air blank, and must sequentially number each test. 2. For the Drug Test or Controlled Substances Test or an Alcohol test (in the event that an EBT was not able to be used), a "Confirmation Test" means a second analytical procedure to identify the presence of a specific Drug or Drug metabolite which is independent of the screen test and which uses a different technique and chemical principle from that of the screen test in order to ensure reliability and accuracy. Gas Chromatography/Mass Spectrometry (GC/MS) is the authorized confirmation method for cocaine, marijuana, opiates, amphetamines, and phencyclidine. J. CONTROLLED SUBSTANCE: "Controlled Substances" means Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine, Methadone, Methaqualone, Opiates, Phencyclidine and Propoxyphene. K. CONTROLLED SUBSTANCE TEST or DRUG TEST: "Controlled Substance Test" or "Drug Test" means a method for determining the presence of Controlled Substances or Drugs in a urine or blood sample using a scientifically reliable method performed in accordance with procedures specified in 49 CFR 40. L. DESIGNATED EMPLOYER REPRESENTATIVE: "Designated Employer Representative" or "DER" means the primary contact person(s) designated by the Company to receive all information and/or reports from the Medical Review Officer, the Breath Alcohol Technician, the Substance Abuse Professional and the laboratories. The DER is also the designated contact person for Driver inquiries regarding this Policy and/or the Federal Highway Administration (FHWA) regulations. M. DRUG: "Drug" means any drug or substance which is indicated as banned, illegal, unauthorized, illicit or controlled by any lawful authority such as the DOT, or any other federal, state, or local government entity. This can also include any Drug or Substance an owner of a project may indicate as illegal, banned, unauthorized and use of which is prohibited to those who enter the owner's facility or property. Aegion - Substance Abuse Policy & Procedures 29 Company paid counseling secession are available. This program is totally confidential to only the employee and his/her counselor and can be entered into by the employee's direct contact with PAS-EAP or by recommendation of a Supervisor or others within the company. For more information or for confidential professional assistance for personal concerns call 1-800-356-0845. U. POSITIVE RESULT: "Positive Result" means any confirmed result under an Alcohol, Drug, and/or Controlled Substance Test received from the MRO. A "first" positive is the first Positive Result on record with the Company. A "first" Positive Result will not be expunged or removed from the employee's personnel drug file; it will always remain on record. A "second" Positive Result is any Positive Result after the "first" which is received by the MRO under any Drug, Controlled Substance or Alcohol Test administered pursuant to the Policy and filed on record with the Company. A "second" Positive Result prohibits an individual from continuing employment, being hired presently or at anytime in the future. V. SCREENING TEST: "Screening Test" means each of the following as well as i. initial test: ii. For an Alcohol Test, a "Screening Test" means an analytical procedure to determine whether a Driver may have a prohibited concentration of Alcohol in his or her system; iii. For the Drug, or Controlled Substances Test, a "Screening Test" means an immunoassay screen (or other DHHS-approved test) to eliminate "negative" urine specimens from further consideration. W. SUBSTANCE ABUSE PROFESSIONAL or SAP: "Substance Abuse Professional" or "SAP" means a licensed physician (Medical Doctor or Doctor of Osteopathy), or a licensed or certified psychologist, social worker, employee assistance professional, or addiction counselor (certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission or by the International Certification Reciprocity Consortium/Alcohol & Other Drug Abuse). All must have knowledge of and clinical experience in the diagnosis and treatment of disorders related to Alcohol, Drug, and/or Controlled Substance use and abuse. X. LJI)ERV1SOR: "Supervisor" means a management or supervisory employee. Y. TERMINATION: "Termination" means the termination of employment for cause as a result of Positive Results under this Policy which is a serious violation of Company safety rules. Aegion - Substance Abuse Policy & Procedures 31 APPENDIX C PROGRAM SPECIRC INFORMATION RandomPeeswwreenta .__W....._ All Infrastructure Group Platform employees in the NON DOT Substance Abuse Policy will be subject to random drug and alcohol testing at an annual rate of 10%. All Energy Services Platform employees in the NON DOT Substance Abuse Policy will be subject to random drug and alcohol testing at an annual rate of 25%. All Corrosion Protection Platform employees in the NON DOT Substance Abuse Policy will be subject to random drug and alcohol testing at an annual rate of 50%. DER Information Aegion's Designated Employer Representatives: Corrosion Protection Platform Wendy Stapleton 1055 W. Smith Road Medina, OH 44256 (330) 241-6628 (216) 855-6553 (cell) Energy Services 1101atforin John Swartz 3330 Harbor Blvd. Costa Mesa, CA 92626 714-466-7125 Infrastructure Solution Platform Jason Stegall 19788 Edison Avenue Chesterfield, MO (636) 530-8014 (314) 541-7269 (cell) MRO Information The company's Medical Review Officer is: Infrastructure & Corrosion Protection Platform Michael Saddleton, M.D. Vertical Screen, Inc. 1105 Industrial HWY, Suite 300 Southhampton, PA 18966 (800) 799-0945 Energy Services Platform Helen Tang, M.D. / C. Brian Tang M.D. 455 E. Carson Plaza Drive Carson, CA 90746 ii. Collection Sites SEVERAL COLLECTION SITES UTILIZED SEE THE DER Aegion - Substance Abuse Policy & Procedures 33 y Services Platform Class of Drug Initial Test Cutoff (ng/ml) Confirmation (ng/ml) I. Amphetamines 500 ng/ml 250 ng/ml 2. Barbiturates 300 ng/ml 200 ng/ml 3. Benzodiazepines 300 ng/ml 300 ng/ml 4. Cocaine 150 ng/ml 100 ng/ml 5. Methadone 300 ng/ml 300 ng/ml 6. Opiates 2000 ng/ml 2000 ng/ml ......... 7. Cannabinoids 50 ng/ml 15 ng/ml 8. PCP 25 ng/ml 25 ng/ml 9. Propoxyphene 300 ng/ml ..... .................. 200 ng/ml 10. Methaqualone 300 ng/ml 200 ng/ml 11. Alcohol 0.02% (BAC)* 0.02% (BAC)* *When the results of an alcohol (screen/confirmation) test indicate an alcohol concentration of 0.04 or greater, the employee will be terminated. Aegion - Substance Abuse Policy & Procedures 35