HomeMy WebLinkAboutOpening of Bids - Water Treatment Chemicals 2020-2024 - Polydyne Inc.1116,01LI1191, � . 1 11 11. , I �
MORG-111 . I IIKIM�IFLW.11=12
Bidder,
Dke.'. 04108120 (Firm)try Inc,
Ad&essrue Chem a] P'l rut Ned_
GitylState/Zip' l'eborrjGAj132,3..—. TeMphone Number., (�,912)880,-m2!03,5
_Rc
Agent of Bidder (ifApplicable),, _N/A . . .......... ..........
Pffien the Plivapeedve Contntrfor is, 110'adliple 10 kvOff flrfflvft
j�, so any of be/v Ps� irstj W/ (ottireh, an, explan adon to th k 4f
CON1RACTOR"S TUHN-COLLUS10N AND NON-DEBAIkNIENT AFFIDAVIT',
CERTHA.CATION RECARDING [WESTME N'l''WITH IRAN, EMPLOYNI EN'T
ELIGIBJUTY NIEWFICATION, NOPOMSCRINUNAPON (,`0MM1TNWWNTAND
CER.7171FICATION 0F USE OF UN117ED STATFS S'I'EEL PRODUC-17S O.'R FOUNDRY
PRODUCTS
Qdmsi be mupicte,,d fkwull quotesand bids, Please type or prit"01
STATE OF APH P
)SS.'
Ij!?prty __COUNTY
The undersigned CoMman, haiing dkol. P sWorn upon lWaKs nab. affirtAIS onder the ponallics, 4:47 t,)e1jury
that::
L CoWractor has not, nor has airy Other member,, represeujtafi ve, or agent oftbe
C(rn r pany, CorP01,114% or partnership re,selite(j, by him., cnl,,�ered ivilo any caj.,nbinaticio,
Mission or aptonent with any pentm reladve to the 1wice to be bid by anyotic at SuS
Ming nor W"Mmit any JICI'son from, laidding not to induce, anyone [c) refirain, ftoni
bidding; aml Wat this bid i,, irimdc "rithout relrcnc-- to any wber bild and ivilh(wl any
agrccnici,,it, undersuand,ing,� or Qorrihinntlon milb arly other Person, i!rr reference to, stwh
biddiing. Clontnictor 00her says that mi person or pursonq Onns. ar corporation has, IlavL
or w-01 reocive directly or itidirectly, any rehate, fee, gill, co tn in iss ion or thing of vakic on
account oF such sak; and
2. contractor ce-i,(ifics by submi,,,sioti of this, propwal that neifli,�r contVICCtorilr0l" fluly
of its principals are, Pyesently debarred, �:uspended, proposed for debarinent, declaveO
inefigible:, or vol'untaxily excluded fi-on, jja.jrticipa&n in Ods transactioii. by any Federal
CIPMUmm (w aguwy; and
3, c,oirtrirctur Ws nm; nudws any successor to, an affifiaw of, Cootractor, en,agL:d in
inventirmul antivhIs in Iran.
at For puqmw nf ddY Claincattoll, aNrnd, -any,11z �Jwy
m inshinnewUlty of Inut or no Wavise defined al: fird. C,ode, § 5-22-16.5•-5, as
anrended fiv-jni
BIDNAME Water'Treatment Chemical.s 2:02R720'
April 14,2020; 9:30 AM, Local Time,
:FOR BIDS DUE �—I
Pursuant to notices given, the undersigned, offers Wd(s) to the CAv of South Bend in accordance with tho
followill g attach men t(s) whir, 1) specifv tine class or it n umber or des ri t api, q ua nfity:, u nit, unfit prie
B 1, E N L) E D, PHOSPT I ATE S VQ1 � LS'I" RANTC0RR()SI()N INHIBITOR ...... ...... ... ........ I .... 11-1111 -11- ..... . .. ........... .... e':5
C'H)GRI N VKPIPA"J tel CA TIONS, - - I e I I I", I ---- .............. . 11- "1 111111111-1111-11 I'll ............... ................... ...... —I
DIR, V P0 LY'NI ER FLOC CILI I , EXF.—.. .......... ---111-1111111— ..... I .. ... .. ......... .. .......... - . -.1-1--l-111-1-1 .............. . . 8
FERRI C CH LOR 1111) V.- ............. ........ .. ...... - I "I'll,", ... ................. I� � � I d . I e , , 2
......... .. 1-1111-1-11-111-11 "1. - ....... .. ......... 3
1,1QUID CALCIUMINITRATE 64%6-- .1-1-1 1-- ...... ...... ........ I ................ ......... ....... ....... .. ...... 1-111-11.111-11-11111 .........
POTASSIUMPERM ANGANA,'rE ...... --- .................. ............ ........ ....................... -1 ....... r ...... -.-. 1.11111-1 11-1 e "I
........ .. ........ -.-I.-I.-IIIIII ................... ......
SO! WNI HYPOCIII-01111'E 12.5% .............. d—--.-1---- ........ ... ........ .. ......... .....
SMUM PF 11 NI A N( A N AT ....... 11---- .................... ................. .. .... I I
STRINITE....... ........ ..... .. ................. . - ... ............... 12
.. ............ ...... -- ......... ... ......... ....... --- ............ -- ....... .......... ...... .. -,
FOR ALL CHEMICALS
For seegrity purposes vendors shall cu,iffirm via fax 21 cupy tit, 0 e c dfivery dviver",,; fiqqL-e
L —live truck —mid trlifl&r
hifornmfian atong,'Nvith 111canticipated,finit of RT-1-M1,11 m;Pt Myer than 24 houP's priairup arriyal. Faflure to dap so
%vill be cgu%e I'urre Mimi Hof nulterial" no [Allable fine wi���
fi'x y 7 a rc xi be' fry(xh' R) I I I I 0e"Trj I AILP id' AJGy.5 b.`° � W('(1�(rcr.o'; w'wrh i'niscadmg to t
-C�Ik5 TIPWd 1pefixe wrliyo Vv'OrTF ffj6ftly dehvukm7,r nn, ro be n;�rxqe �br birnors c( 6Ld) 470 cmo ILOO PM 10olduy
No Slop -off Or fuel Su'chW'9CS allowf-d; I'll "Vcl-� o's NY i I I be a lowed a fle r 2 hoi I I.-S
perstopAll dclhrerit�s are F.G.B. Delivery Point.
Awards of diis bld will be divisible by mduct. Axvavds %N'31 I')'e based On tilt 1mvest r.CSponsive
aJ.nd, responsible bidder, Per unit p-rieeswi theattachcd scht!dAde,
All price,-s quoled are to be eflfAive May 1, 2020, Ihi,,-ough April 30,2021 (One, Year), PriQeN al-e�
to be chin thl"�(.)ughouf that period, wichout increasts.
Quailitifies Lire estil-nated and rloiguarantet�d Thic City eeservts (be right to exceed the es611"late at,
the price quoted hei-e in.
11 IF 6, S,
BID, NAME Water Treatment Chem, icals 2020-2021
'FORBIDSDUE, Aaril 14,2020,9:31O are., Local
flim
. ..... .
....
Item
. . . . . . . . . .
ty"
t' Oty" Item
.
Units
. ...... ..
Unit Price
Total
No,,
Per Year
Chlorine I 'Yon Cyfindei-s
7_� 150 1r
150
Ton
No Bid
2
150 ChluviiiL 15,C) Lb. Cylinder,
CO
$ No Bid
3
90,0000 1 C11 11 cle
Gal.
$ No Bid
4.
260, 1 11uorisificie, Acid - 23%
T 1,
$ No Bid
Potassium Pertrianganate: - 55 Lb. Pails
. . ....... . - —
Lbs,
— ---------- --- - - -
. ......
F5
7:,5010
No Bid
6
22,5010 Pyrophosphalle. Sequesu'ant Agent
Lbs-
$ No Bid
7
100 SLR fdr, Dioxide - I Ton, Cyl inders
Ton
$ NO Bid
1)ry Polymer ROCCUILIlt - - 50 55 Lb,
Lbs,,
8
4,0 ,,000, Polyethylene Bag Ctarffl,oc C'E"-1463, C
3,291 or C-"32'76,
$ 11,84011-b,
$73,600-00
Licluid Oilciu,m Nitrate
Gal.
9
2:5,0010
$
S, o I iurn Hypoichlod t c 125%
Gat.
10,
72,000
$
Gal,
1100,
275 Ga I I un 11'otes,
.1 pmafe
Sadium,Pen' uing
Gal,
12
11010
500-5,00 Gallon Bulk
13
1100, SAI, le, Remover �275 (bllon'l'otcs,
GW.
- - - —
$
— - - - -------- -
TOTAL,
$73,600.00,
... . ......
Bidder (Firm)' ine I'm.
Vci-sion, V2,12019
Address- One Chemical Plant R.d.
City/StatelZip, , 'Riceboro, GA, 31323
Te le Phone N wn bier (912)
E
M
Ganj A, ilot, President
,fflfia-bket,h� A. M, a rad ik, Member
R- Molnar, Member
A
Vice-Presidetit
(Printed Name),
(Titlie),
I do-rdanV, Gkh'ers, Member
Therese J, DoraLil, Member
Attest: Linda M. Martin, Clerk
V ersion, 4122 Of) 19
M6COUNTY-C"HY BULDINO
�227 W, JEFFERSON, BOULEVARD
SOUTii Bv4r), I KDEANA 4 660 1, - T 83 0
NwNE 5741235-915 1I
FAx 5'741235-9171
IDD 570 215-5567
CITY OFSOU'ri'l BEND PF-,,"FE. BUTTIGHiC., MAYOR
BOARD OF PUBLIC'WORKS,
1111�11� J�JIIIII Jill 111111�
Date Received- 04A],7120
This addendum is hicing funvarded to,Y()u fier, the abovie referencQd pro.ject,
Please sign below, and acknowledge receipt of this Addendum
by fax�ing this sheet to, the Board of Public Works at (574),235-9171,
w "'thin 4�8 hours of receipt. A copy MUST also be included with your
I
bid. package. upon submittal.
THIS ADDENDUM MAY.AFFECT YOUR BID.
Note;�
attached documents are hereby added to tie Specifications and Contract
Docunients; and become a part ofherein.
Company :
Ine,
Authorizeipmature: B yut 9
Date: 04/07/20,
Version 4/2/2015
I t j Carpimun,j LAI ion, Resq'A I 'Report AT,,r, T 2020 4-.,29PM
2
F i 1� P
No, Ma, d e DeO ioat ion,
melmoty TX 9 3159 ?
- - - - - - - - - - - -----
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nu
T$nA,,R,n uirtusLICI NYORKS
15*44
A,CKjN(yWLUi D(x�EMT.NT ()FRECE11TOF ADDENDUM
Thii sA&w6mix br4m NwudW ft ym fix Oft 0 -Tdwffx*d WAWO
JAIL41me, *IWa below mcd reccipi 4 dOAddemilum
'by FAmingijag j]jIqet, to thz Duayd of Filihile Wau kj Al (5574) 235-9171
Tdihin 48 ikelirm of ruciptA. coloy M" shubc
bid package upon ntmithaL
THLS ADDEWIM: MAY APYKI YClURBID.
Now;
1116aw bmdl &xAlummim to truft S,ddg,4 W =d, C.wiInct
Dmvm�n,Ai md btmmc a PHI Of
"M�Tr
WATER TREATMENT CHEMICALS 2020-2024,
ADDENDUMNO. I
Date. April 7,2"020
Tw All Plan Holders,
From: Byadley Opei-ations Manager
The k)llowijag inforniation is to be changod/added to, the conn-act docuprents.
Reptacenfire Notice to Biddor with ffie attached Notice tt)Biker.
R,t,pla,Qe the below Slaternen't of Polir'y atang M(I'l Other immior of bid submittal in an sualed
ellvelope.
All scaled bids submitted to the Buaid of"Public �Alcjrkq mwa be received in lhe Board of Public
Wojrk,Wfice, 1316 Coonty-City Building, Simall Bend, Indiana, no, lavv tban; the adverfised fin,)e an
theadvertised date of the bid opening.
Willi flue elute pic bid sulm-nittal, directions in the r�-,vised, Notice to Bidder and at
Attmchirrw�nt-,�,'
Notice to llliddeT
']'his addlendum consists of a toud 3 pages 'll'I'Clusive of "Acknowledgenic'n't of Rcceipt of
Addendiun" shj�et-
Ve rsilan 4/2/2(.), 19
N01.110E TO BIDDE RTS
Nofi,,x is hereby given, that City of'Sauth BerW,, InclianaP v6fi t.ectj�ve clectronic sealed bids at
11,nJil the hou,rof 930AM. Lucal Time,, on Aprit 14, 2020, Cox, the
foflowh,lg:
Water Treatment Clietnicals 2020-27024
The "fifie ol'the Bid arid 1-1roJect Nut'n,ber (where applicobte) a5 describcdabivvc aimst be included
iii the subject, line of the entail to Whiell you have attached your bid. The name of the
conapany/vendor, address, cantact enlai I aiddrts,� and phon!e rjumber niust be iDQILAded in the body
of the emaiJ. Detailed, instructilolivs and i4il'armattion, inclading the fink to
('ra clectrunic bid submitlals,, is uvailable a.t',OLit'li.b�eiitli,n,govibitis,
Spcciflteafions are available ffirviewitig and download, by visitifig tj-,e City afSouth Bend's, web,
page at ,,fi,q,0ab-.a-4d
Click an the ",,Required Link" to register youj, wrnpany,, You must regisler to receive a(Menda
and, up -dates to the'vPeeffic hid'you are interested in. Failure to do, so couid remlev,your hiel
tion-iv,sponsive to the specificallons.
Bids rcecived after rye Local Time, on Apru 14,, 20,20, will be rctilaqied unopt-iaed.
Electrunie bids must be on, the City Of SOUth Bei,,,id Bid/Proposal Rim, provided, which includes a
Non-Debarni,ent Affidavit, Non-Disicrimiration Commitinent (brm, anda Non7 C 0111 USion, Affidavit
'ForrnAn electronic copy of a Bid Bond or Certified Cha',k inib:e ajnokjn I j of not I os t ian. '10%
must, bt- subafitted with the bid.1'he, uwarded bidder -will be required to, send, tile originul check 01
bid bond via USPS.
The Board reserves the right'LO t°qjcct any, or all bids or9 to acceptg, f,jn oi- partial an aixt cif thou; bid
or bids which, in its judginent, %vill, be to the best interests o�i l lb,e City ol'South Bend. If the
Board elects k;k) avvind the base bid plus an alternaM'5), the, 3,;.)ard ",611 look at the totality ofthe
cost rAIicn determining thtc lowest, MOSt 1'eS1p()T1qib1e blid,�
17he Boad may reject any bid, that does, not con(6rin to these requireiments as non -re; P onsive.
,
BOARD OF PUBLIC WORKS
jjj:,daj, Cjrk:
Ptiblish ma (hiles:
March 13, 2020
March 20, 2020
ears kgt 4/V20 19
1110 BOND
13,ofid No. BB01063
KN0W AI yI - RY PA ESE RR ESE N't S, Nve, Polydylle 111C,
(7),ne (AlutrNical Plant Road, Riceburo, GA 3 1323
............
PiweinaRer called the P6ndpall as Principal, ind, Liberly Mutkmll Insurance CornIIX
([liel-eiv , el Pubfic WaNs,
,initer cialtc(f the SwoWj as Sumq mv hdd and Gnnly bmmd won (N q cj Sout fi, Bej id, Office of � he Boam d
. . ... . .. ..
227'Nkst Jeflbrwmi BWd, Me L316, Counly-City Bk1fldk1L,,, Soutil Bend, IN 16,60.1
(herAn Her en Had the Obligue) hi the penal quin (if Ton Purcent (1011) o1'1he arnaunt
cum 00 — — — — — — --- T)0fljjyq
for the P"'.ipurnt ol, Mkich OW Pduyatand he Smoy bind OmmmNeq Omit htjr3, execuml.", 'and assifn'lis,
jointly and suverally, fitrutfly'l)y tbicsL preseigs.
'1W CONDITION OF THIS 0013GATION is sucn, That WEREAS, Me PdndpMAmR mOnlittul or is, abom tosublo-Of a pupust'd
ki tbe obfiguc un R C01,111,flet FKA, WaMjtCjd'j"fC�fl:fijj;ejj:j Cheyli, ical-, 2020-2024
NO& 111ER11111itl If Ow s6d ContrIVA be tifflel" Y , 41"varktad In Ifie P1111"doal and the prinuip,a] S1,110, Within Such time, kis niqy he
sWAWL ava it the Cmumd in wthk& atkd give band, d'hund is required, with %urcLy Accepuible to flm,,0hfi[,,cc, Iur IL e Wilifill
purl'brnumve of he snkI CantraO, thol this obligatio"ll sh"91t Void; othetwise W, remain in Full fureo and effect,
SWwd and smkd his I I st day 0 f 'March 2020
............
PRO RraffCqty, As -To -Surety
Myrlyne Inc. . ...... . . (Seal)
Principal
tfinr:A VAE—Presidert�
U. ..... ..... 1,111, 1--
0" We
Liberty MIALtal Insuraii,ce Counpainy
n,
Idedsol Ad0jka.
Lms imox wmmA
ACKNOWLEDGEME,'N'T
NUFE7 Per mmis sigoing, m umm thach unu vapricity �(1-c. prcshI,evi,k ond as individital) rtowl, he ackno%wiedgud fiw va"ch imp-16CY.
is le of I u wv I t. r
C'onnh,, q1'
BE
On. flie 311st day of Ntavch 2020 Belk) i e in 0,, —Vit—loth ' L, �pxncs t, , perm mm I ly .,ippeared
NtnvisgLm igg as Ago U Fact. of the I'M ja
±!L -M Jcr . . . ..... . ... _gy 1:] Pusonally known lo niv OR- ved
tui 11,110 OF1 thQ busis the persull(s) whow jj�krjjc(s) jVal-c sulyscribed to thie Nvillhin inmi,11111CRIA Lind
acknowledgCO to ITIC ffiat 11,0slivAlicy executed the Onle in lfl[��Owl I'll 161- anthorized cupacky(ies), and Mal by
sipaturc(s) on the instfulwalt 1111c persorl(s):, or the enAily uj.-ion b,10Vu1j'o(kivIdell flit JI'mmon(s) acted, executcd thlu
I
MY I
A(IGIUSI (10, ZO,� I
. .... . . ......
Nolein, Public (seul),
—OPTIONAL
E], nvd,F1 cot'nwtafflccr ,0-Aflorngyd h1E]sF:lim-ncy Ldnfted Puffler 4unualIdiiurd rponawO9sovatrrr -. ..... .
On the day of punitnuffly appe4yred,
po'.90flully known to nic OR -El proWd irisIne On OW'
.. .............. . .....
bas:i,,, of satisfactory evid,crice to be the perm),n(s) whose -nainc(s) Islam e subsoiluA to the wWiin instrument asid, acknowledgud to
ine that h,09,11c/they ex(,Culkcd the: saniv, iin Ids/her/their "Aw,hroOzed; capacity(ics), and fluit by hisliler/t,'11eir SiV12WIT(s) OTI the
the perso'n'(s), or 1.110 entity upooll bel,'ialf of whicb (fiv person(s) aicted, executed tlie imsfitortent.
Nolevy
Individui-sl , Ej colporate, Officer Attomey-im-Faut [] Paritler — Limited �E] P;M-Imcr - Cj'emeral
Sufle qf ... . ....... - Iss
0,171 the day of" 20 R c IFcprc urn perminal ly iqp pm-ed
Personally known, to me -011- El proved to rne Ou file basis of "fisfROUTY
IlettlNeY
cvidicnc-iTcbc fl-me person(s) 1010se 00,11c(s) ishavc subs,�,flbed to the within insliuvoent and acknowhAged to me Hiatt WA
excicutell flic satne" in, hisfher/thuir authorized capae-fty(ies), and Ihot [uy hWher/IfNr,;4,- rignaturc(s) on I.fic instrumient tho person(s), or
the'uhty upoll 11,10person(s) actcd, uxecuted the inµ;[Irunlcnt.
. ..... . .......
Noluoy) Public
(sual)
F1, IndivkhO IF] coijilormc,011-1cer Pnrinc,�r - Lim,ited OPmincr �Gcnenal
El . . . ..... ..
Mr, Pow-ir Of Money Undts Ow aints Of Wore Ammed heroin, and ttlay lim. as aolhorily h)
WrIA ilko collipany except; ill 1110 atgnnur, and lIo ihowiticil leer em qUted,
M.to ujal.
..... . ...... ...
'Sp 1� J1 Ft E I Y
1,jimi,q, Motual lnsuraiwe coi n�pany
The, 011io Ciiauallly Ilisurimce Compatly
West Arne6ciat'll tri Compa iny
POWER OF ATTORNEY
CarrikAPINa B19701FA) - 91,1050
KNOWN ALL PE.11901130Y THE,"SE, PRESENTS! ThU 11m (Atto C,11YRIly Insuranm Company is I cI 60V w9anized under lbe lam (01I lhe Stoffi of New F12mpshim, 1lwPAI
Ubei-if Um ilual Immance CAmpolly IS .1 capar;mfon MY aganizeJ undo" Ille, Ims 01 Ole state m llommiI miW WerAl Amarican 'Inguragm- Cviltpamy 1t, a, awfmr,14m, duly GtOWN4
under (he laws of itie Vale ill'Indimila, pimpki ("dHatiVII ceded Oe, �WTqi0qkG')l, fA1w&U2M lea and by judjbtdy hw,4yro "fj, joiti, wIcm hereby IizI or.9150"itip AYI(.1 Q$VdA1, It'hLTXA--
Yj J, T,'§qikn5lI.Kcnrw.iI[t (" Ifit'gWI, ic4i, NmFp6m Whilchm),
-... .111, - 1-1111" .... --. , - - -11,11, . . ... .. ...... . . ........... . .......... . ..
all crt1l'o, vily ol jcincy (7111 51111 Ut I eki Inigiddually if Mole W moti Ifion, �me rimmd., jL�.5 jjjm(w dQ. i4rofidatlornay fa JarA, il) m4jp,�
ma.1k se, -A, ;6'iiowlW�o avil delim V and cn AS tmbaull uL, 6wlr6t'j and as its acland dev], wyaml all bonds, gwjW aihm quiety abllig@Sons, �w pmt*-4,,ia#icQ
m lbese 01"A W as; hkiding krilam 1he cwpelks a if (limy have becol buly 5"jlmr*Il lyf jljipfoskf(wm and w4asledl by.60 5evelaiy of thi) CompaRIT ill their wil 101"Upor
W'Salls,
NO WITNIESS WMPE10F, W5 Poger of hitcllmey, kpm; lxom subsuked by an ft"Awmiled, fifilo-rof vffifdal wall the compailles arld (,4 copomo seals of tie cornpmies h lvm W-ol 601W.,NJ
&A!5(Aa l(ha 911u dayo'l, Kc, rm1wr , Nits
I I Pwly Mutual Insurarcr conipany
Oil S'POI �Jq J�JI 'r"t4e Coda Cajubfty InsiffaRce CamiNtly
N,
P Wrstl AI Inswrance CaRpany
[:tavid M, Um-1, AssKlam 11ocmary
County ol' MONT('01VERY
balme DaM M. Gwil Nw%1A0,1WAI hiwmj�� lo,ballie P-I Wool Jm5momm
ThusRiocktio Casualty Cam1my, 4'j�qtr Aig)(Acan Insurarqce Copipfly, wift Iffial trim, as Such, Ong mflam�ml 5xi to do, execulle the f0eggilg iiksomimlA, k1w the par
>
Im
OTNEWWHIERFOIF, 11 h1weh w mtmitri with lrihmamrl iny namewd alfixedmy 11CAmi"A soal al Kim 4 PI 0 kho dwj and yew lirsIt above wfltlmrl�
r,,0m ,a0?JWFAj,-jn1 rp- FALWAUVANIA
(YAI,-t4 OJOWN) PINT, m,�, XW�-ry cual"* EA Y .la Ix ,
rch 216 Tfmi-s a PIK, 09, 04A my Fl Me
AP, h1v 00"AW14YI'M rNpWM;, III K.2021
10,
Pmer al Aftm(j K- uma rJrwaid executed puesuant la and imy x1fimily cif the lot aydrig Bpfms arld A4*91�-Ilians, of 73te C141ja Cmkrolly linsuramI Company, Libeati 1ANOW
an Cmwlwq, and WHS1 Amwiimn Inwante I Wfii(A, tal:00m,,ate naw in fuji krqceaojd II rpgliriq as WI
ARTICILE IV - OIIICC-98: Sel*,xm U, PoI of Altguv;,,I�
Any ofter or olkier 0#1vuW of than (XWPrffa6w, mr.,horized fvy that poposo In w0fing by 1he GbalrTion rw 0 ke kesident, am sftyt to Such kJamoll ass. IM ch*113"'i or tho,
PfiefideAt May PCESCFItW5, 101811, 01)pimfilj, sir.h Waqlers,in,kwt a5 m- ay be, ow-'slary to al in beliall ot jile,Gortalli(Nin III n�g)e,, Lygcu te, seefM and ddivu m owAy
any and all undertakings, bw&,� ro,;Wj i,,4anims and lathusurOIV 001�Mkxls, DIWN allvnevs,lntart, 9,UtJIMA to OlIa flmilagm, s set. Fzrth In their, r emliva pcws or adamey, I
have kiN Pow& to bold flim CwPof".39 ei by b%ff s4palum &M exam odko LA ally such iffshroerits alrd K) atlach, 11WD10 Rif' 'sealof Ott When SO eXECOIltd, 001
ims1ruirmls shell br as b4mMig W,; UsIgned bWtha Prejs4ml arid mue-Mod to by Amy , powov lk, w(bildlyIpfanted to alwy, represc-54AIWO w ollmley-in fact uridet 0*
pfaIAsiom of, thm arlide may. be Pe*Aod P4 aiy Upfiz by lhe 8YI te. Peesidmit or by lltenlfw it,wo4ows 1lil infirg Duch efor PA111IIltriky.
ARTICLE YOU - Executim of Corilirafts! Sixtion 5, SuretyBmi d15 Slid 0miloilaklils,
Ajiy offacei of Me Company aw0mized I'm tWil Ilawrryao2em wriRn, g by Ole c4ioll1wiap) ar the pre sklIefo, aM jvbjml UP Hoch limikOmm as Lke ftimart of ON-, Piesiffeml! may prescrNN"
shall appoint Such as may, be, aKemary tot ad wail WlA of Illra Compmy, to PIIOP,, exjrAllfj, ssal„ mkowmdedga and deliver as �wwoly 1,114° and all umdectakings�
bmdi , recogoazinces, and odwm, stli,oly tM*plllioq& `&10 altmilp"P in 1,Kj, sulk1w4 to 1he firkahumset frAth hi 036 wSper.live pwas of alkluay, Shall holm fim pCom lo"tAm 918
Coo mp m,y by their stnalure ai id wfi),6%)Wm of any surh insliumvds Owl 1,0, *10fAt thereto the sed of Me Moult wily. When go axwneli stic"fi, i1WIumem& �km duo as bVicilig V5. if
alma by The pmWent, said 80kSlod tYJ $11 mcrctmy,
- Pie Na WmA l)f O*Cmmpaly, acirg of (be corripmy, autworiz.ps Digod A cafvj, B1011'apo1-
fict as may be imcmgry 10, act On toMgij of Rio CopriNny to make, KmImYmDdp ard IdHim hos gorty airjy ond ad undmtaNAN&N, bil"II romp4anceg and I)IIII Aloil'y
compolly, volerem appearing I acerthad civ, V of any prwa ak-AkrmeV f-Awed, by the Compaq In camI With lorety bw*, skill be wabd and binding liq rw the, Comparly W101
Vie lAms fwm. an d dmt as, Pwuph martmlly40ftell,
1, kfmA [',, Howellypi, ft undurstglledwlssrst mtf iwarwlwaay, Thn 011ja casugily tworanop, CAmRjwmy,, 1-feeity III jnwai"m Cwnpavy, and WaFt Amnon, Imsor-arwe Cowpafv do,
rwify that bre original; pm u of f0mrivy 0105141 Me fmqcitag is a III 01se and Exiff a[ 1110 PmeT of Akkmijoy omwiled by ;&aid Cwnpai4lHs, 14 ru) flit f4re 201d 41*0 00,111,
hkos mo bmi rew*ad.
IN TESITIVOINY WHERE -OF, 11me hwwrilo wt any limd ands affiKed idle -seals,oh4aill COMPOnles 1113 1 W clay 61' WITI) , 20120f ,
, stoI; I ,'z�
E3 n
L ' Ral4ee:l lf-*0 A on, Asslsta%l 1SRWiy'
-11-
�6 Jug
t E:
LMS42073 LMA'1
I:M] M#j an IMITMIMU11,11
water"Irreatment Chemicals 2020-2024
Specifications are available fbr down1bad by, vilsitingthe It of Siouth Send's web page a$
www,s,outhb@n "Jim, gLy.
�X Clich an "'I'm Looking For"
x Click on,, `Dallqg Business, in South Bend"
x Clioli on 4CVty Contracts — I n(Wtations to Bid"
x Click on the"Required Unk," to register your company , Ybu irrust mgisfer to receive,
addendaead updates to Ote spectfic bid you am in teres led in. Faflifte to do so
could render yaut bid rion-responsive to the specifications.
There, is no charge for the, specifications. The specif [cations, are also available, for EgAk&g±y during
regiular, working hnurs [n the, Department of PublitWorks, Ste, 1316, Counly-City Eu4ding, 227 VVI
Jefferson Blvd, South Beirid, Indiana 46601,
Ids received after 9-30AM, Local Time, on April 14, 2020, will: be iteturned unopened,
Bids must be on the City of Sauth: Send BldlProposalfofm provided,, which Indudes a Non -Debarment
Affidavit, Non-DiscTimInatlan Qaminibnent form, and a Non-Colluslon Affidavll. Form., Cerfified, Cher* or Bid
Bond' lrn the anvont of not Ifts than '10% must be subrTillied; wIlh Ore, bid. A refund of the b1i'd 5ecurity will
be issu8d upon satisfaction of Bid Award,
The Board reserves, the ri,,g l�jt to reject any or all tads or to accept a hill or pertial award of the bid or buds,
whrithIn Its Judgment, will be to, the best Inter` estsof the City,of Siouib Bend'. tf the Board elects t,o, aw"Irld
the bag e bid plus an 41ternale(s), the Board will look at the totality of the cmt when deterrnining the
lowest, m-ostr8sponstble b[d.
The Board; may reject any bid that does not conform to these requiremenLa as non-respunsive,
The Board reserves Lfie right to reject any or all bids or to, woept a full or partial award -of the hid or W5
wNch,, In fits judgment, *H be to the best Interest of the City of South Bend,
0712412018
,;kjU T
4# ,
CITY OF S,0(UTii,,t-BEND INDIA A
SELLER'S B10FOR SALE OR LE��,—E, OF MATERle�L C,
4,1D NAME Water, Treatmevik Ch,emicalsi 2:1020-2,0214--- . . . . . ............ ................. -1--
FOR..... . .... . . ......
04/06/20 Blddr aPolydyne Inc.
Date. (Rrm)'
dresChernicalplant Rd..
Ad;&: . ......... .. ............... . .. .............. ..... ---- ... . ...... ..... . . .............................................
cltylstart e,/.Zlp�' Riceboro, GA 31,323 Telephone Number, -20,35 . ....
,Agent of Bidder (if Appi[cable): "",N/A . . ................
. . ..... . ..............
Whem theprospective Comfildefor, is unable to etarfifP to any of dur slaremeno, heloov, It shallastoehan explanodam to this Affidalok.
CONTRACTOWS NON -COLLUSION AND NON. DEHARMENTAFFIDAVIT,
CERTIFICAT10N REGARDINC INVFSTM ENT14 111AN, EMPLOYMENT
ELIGIBILITY VERIFICATION NON-DISCRIMINATION COMMITMEN r T AND
CEWFIFICATION OF USE OFUNITED STATES STEIEL PRODUCT'S OR FOUNDRY
PRODUCTS
(Must be airnpleted for all quotes, and, bids,. Please type or pfint)
STATE ()F, Georgia
........ ......... --- . .. ...
), S's:
L-iberlY COUNTY
'rho undersigned Contractorl being duly swom upon lus/herhtg oath, affirms underthe penalties, of'perjury
thdt:
I . Contractor has not, nor has any other member, representative, or agent of the fim,
company, corporation or paitiership represented by him, entered into any combination,
Collusion or, agreement with any person, mlative to, the pr�ice to lie bid by anyone at such
lotting not to Prratany person firom bidding nor to induce anyone to refrain frorn
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 farther says, that no person, or persons, firms,, or co,iVoration has,, have
oir will receive directi: or indirectly, any rebate, fee, gib, commission or thue
ing ofvalon
y
account of such sale; and
2. Contractor eertifies by suhaxis sion of this proposal, that neither contrac'tor nor all
ofits p6ricipals are presently debarred, seas ptildedproposed for debarment, declared
ineligible, or voluntarily excluded from participation in'this transaction by any Federal
department or agtmcy; and
3 Contractor has not, nor has any, successor to, nor an a,11iffiate of*, Contractuir, engagiW ift
investincrit activities in kan.
a� For purposes of this !fie ltification, "Irai.P,,imearrs tile govemment oftrait and, arty apilcy
or instrutnentality of Iran,, or as othawise, defined, at Ind, Code § 5-22:-16.5-5, as
amended from Berne -to -time.
is engaged 1, f, ilivestpletit ,ac.tj vi tie:s j 11 trap if citkr:
milliori dt)llars ($20,00101,000) ot, rnore, in vailue in the energy sector of Ingn;
or
ji, con tractor, its w,5ov or its af filiatt, i�6 � financial insfitutiondrv�v exlends
twienty nifllion dollars (,$,20,0,00,000) or lxlor� in credit to another person, fbt
fov;y -five (45) days or More, if that Viemonr mill (i) 'usc, the crWA t to prod
goods and seivices in the energy sectoiin Ism; and (it) at the time 1he
financial, inst4ution extend's eredit, k a 3MC)II. id'Qntjf'jcjj011 list published by
the Indiami. Du 'I patiment of Adrilinistratiev.
4. Contractor dom not knowingly employ or contiact with an unamthorizcd afien, nor
relain any ernployee or contract with a person that, the Contractor subsevently learns', isan
unauthorizcd, alien., Contractoy agrees, tha
t fic/sI.It/it, shall enroll in and verify the work
eligibility Status of all Of Contractor's newly hired einploy,ocs thi,°ough the E,Vatff�
Progm1m as diefined by I C. 22-5-1.7-1 Contractor"s documentation, of enroffinent and
participation in the F.-Wrify Prue grom is in(curd ed and attached as part of this b0quote;
and
51. Contractor shall require; his/her/its, subcontractors performing work und" this
public contract to c,erti fy that the subcontractors do not knowi ngly arnploy or contract w i th
4", unauthorized alien, nor retaili any emPloyee or m;ojjtrac�t w`ith a penson that the
,e Subcotitractor has
subcontractor aubseqpendy learns is itntinauthorized, and that th
cnrolled in and isparticipating in the S. Verify Prograrn. The, Contractor agrees to maintain
this ecTfification flu-oughout the terni rut" the contract with the City of Sotith Beml, and
undensUnds that, the City may larminate the, contract for defocult if the C'OntractOrfailS tO
cure a, birmeh ofthis provisjol, nolater than thirty (30) daysafter being notified by the
01 (Y.
6. Persons, partnerships, corporations, associations, or Joint venturers awarded a
contract'by the City, of South Bend through its, agenoies, boards,or cornmissions, shall not
dise6m. inate against any enP1(),yQe OT Rpjnlli=lt fOT WnOoyrnent in the perl'onnanu: e of a,
C,j.lny co;iitractl with respect to Wre,, teaurc, term&, condi dons, or privileges of CMPIOY'nent,
or, any matter dal" ectly or indirectly related, to empl(YrIlent because of race, sex, religion,
color, nafional origin, ancestry, age., gender expression, gender identity, Sexual orientation,
or disability, that does not aff&t that Pcrsods ability to perfortu the work.
141 awarding etititracts for the Plurchase of work, labor, services, supplies,., equipilnesit,
niatefl,alg. or any coinbhi,aticm on the lbregoing, including, but not Urn ited to, public works
contracts awarded', under public bidding Jawsor other contracts in which public bids, ara.
not reqoircd by Law, the, CitY, its aigencies, boards, or conimissions rnkky consider tbe
Contractor's, good ffith efflarts to obtain partilcipaliOn'ny th,os,e Co(ntractors certified b,y the
State of tndfitna as a Minority Business ("MSE") or as a, Wornon's Business Enterprise
("WBE"") as as factor in datemining the lowest, respmsible, resN,nsivc birdder.
In no even.t shaU persons err entities seeking the awmA, of ia City contract be required to
award a n;ubcorttjlacl to, an,MBE/WBE; however, it tmay 1,104, unlawhilly discritninate against
said WBE)MRIE, A finding of Es disvi-iminatory practice by the, Citys M,BE/WBE
Utib-zation Board shalll. prolidbit that person or entity ftom being awarded a City, contruct
fin a, periti,d ofane (1) year from the date, of such deteminalion, and such detenniftiltioll
may also be grotinds fbr terminating the contact for, wbich ffiv discrinfinatory practice or
noncompliance pertaills,
T T'he undersigned contractor agriees fliat thc following
corninitment Aall be made a part, ofany contract whicli it many henceforth enter into with
the it;, of South Bend, Indiana or any ofits agencies, boards or, coyninissions.
Contractor agrees not to discriminate aWifivt or intimidatc any employee orapplicont for
e,rnplo,yTnent itt the perfomiance of this, contract with Privileges ofemployment, or any
matter directly or indirectly, r6lated, to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestl"Y. Breach ofthis provision may be regarded amat erialbreach of ontract.
I, the undersigned, bidder or agent as contractor on a Public works Project, understand my
statutory obligations to the use of steel products or R-undry products rnade in the UnitJW
States (L,C, 5-16-8-1). 1 hereby certify fliat J and, all, subcontractors employed by use for
'this project will use stcel products orfoutuity products niade in the United. States on this,
project if awarded. 1, undr-rstarid I have on, affirniative duty to notify, the City in my bid that
my proposal does not includo, the U-9v of st�ect prodiicts, or to ondry products made in the
Ulnited States. 1, 'understand it is my sole obligation and itsponsibility to provide a,
Justification to the City, subject U) review, and, approval, why the cost of United tat s.in. a;e
steels or f6undty 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 ofpublic works, shall make a determinationif the price of"United States
mad c steel or fbundry is unreasonable. I understand that violations hercunder may rcquh
in fixt-Ceiture of contractual payrnents,,
I hcrdby affimn under the penalties, of'Perimy that the facts and information contained in the Foregoing bid
for publlac. works artrue and corm.
Dated this ... 6th day of, April 2020
Polydpic Inc.
Contractor/Bidder inn),
f -d&r
Of I
t CoA ot Its Ap�at
S jn�)tuo ntracto�
Boyd SWAICY, Vice-Pre&irdent
Pfirded Narne Hi;di.Tt—le
Subscribed and sworn to btfore me this, 6th day of Apri�ll 202 1
.... ....... . .
f 12 -b
My Commission Expires . .....
Notary PuWic
County of Residence Liberty
...........
RLYZICURNOMMI" MI
(To be completed only by Conlractour slBdders claiming to be a "local IpOana busfnass" plursuant to 1� C 36- 1 - 12-22)
A "local Indiana business " refers to any of the f6ficiwing:
(1) A businesswhose principal pface ol"husiness is )dcated In an affactedcounty.
business, that pays a mainfity ofils payrafl (in dollar volurne) to residents of affktad counfies'.
(3), A business that employs rest rout of Offeclad counlies as a majprify of ils efROOYee's,'
(4), A business that makes significant capital investments In, the affected coundes as, defhled in rules adopted by the,
polifical subdivisl6n.
(5), A hosiness that has a substantial positive aconomk impact on the affected counties, as deffnedtry offteda in rules
adopted by the pohlical subdivision.
1* a 47 110, 1 .0 i WT"f I , R
CoPorte Counly
rhen are the foll6wing price, prefere,�ncos for supplies purchased from a local Indiana buslness:
* 5% for a purchase, expected by the, purchasing agency to, be &j5j-LIvn $50,000
* 3% for a purchase expe�cted by the, purchasing agenoy to, be at least $50,000 but lass than $100,000.
* 1 % kr a pqThq atected b , the q.a',,,least $100,000,
........ . . . ...... . ..........
Pursuant to, LC �, 36-1 Al 22 claims, a local Indjana busInjess
prefere=,e for Project 1 11 —.- . ........... . ....... (Project # —,,_) located within the City of
South Rend, St Joseph County, Indiana
0 The location of the principal, place of'busibess is — . . . ............ ..
fAd[*@9S)
St, J'cvs,eph County, Indiana
0 The fb[lowing county losaph County, lndlana�
U the majoirity ofthe business's payroll for the 12 months prior to the date of this Bid is to residents of St,
Joseph County, Indiana or the adjacent county noted above'r
ID The maj,041ty of the bu al ness's employes for the 112 months, prior to the dale of this Bid are residents of St,
Joseph, County,, I rj(djana, or the adjacent counly noted above..
If the bualness is deerned to be the apparent lowest, responsible. responsi've bidder, then fit sheik provicle
supporting diocumentation for the 12 month perlod, prior to the date of the Bid opt' (1), the: total payroll amount
paid to all employees of the Ibusines,5, and (11) the total payroll airviouinit paid, to employees who are residents
of S,L Joseph County and the adjacent county noted above.
MIEN SUPPLYING SUPPORTMG PAYROLL RECORDS,
Dated this, day of , 20�--
ContractOTIBiddoer (Firm
-do-n- -t-ra. 6 t o.—H El Id de rj a r I ts Age nt
Printed Name and Title
SPECIFICATIONS
CITY OF SOUTH SEND
BID NAME Water'Treatment Chemicats 2,020-2024
..........................
........ .. .
FOR BIDS DUE ApAl 14�, 2020Local'Time
..........
Pursuant to not[ces given, the undersigned offers bid(s) to the Qlity, pf S a n e outh B nd j accordance with the
following attachment(s) which specify the class or item number or description,, quantity, unit, unit p6ce
HLEN D ED PH OS PHA S EQ V FSTR ANT CORROS I ON IN H I BITOR 5
CHLORINE, SPECIFICATIO INNS-, -- � 111.11 ". - ........... ............... ............... 1 ...... .d'-' ... 1.11- ...... 11
FERRICCULOR] Df&- �....... ...... -- ........ ......... ---2'
V LVOR 184 LICIC ACICI .............. ...... - ... ........... 3
LIQ(111) CALCIUM NITRATE 66% ........... ......... 9
POTASSIUM PERM ANGANATE-
SALT SPECIFICATION-- ........
SODIUM EINPOCHLORI.TE
SODIUM PERMANGANATE.- ..........
STRUV ITE R tMOVEWPREVENTATIVE. - � � " , , 1 1. � I . I I .. 1 11 1 , ...... ........... ..............- 12
SULFUR DIOXIDE.......... ...I - .. -.1. ............ ...... 7
ITORK11" Mai 1111,
For 5Vgij1j,(y' 'Vill Vilk f1k M, 101 ygy's Ily
-PurL)ys jidors stigil go,"th xAswy-lilf Jk* 4SAW-V Orl rmje, truck atLd Lrgijvr.
Nn'1L1Eh !flle 1jJ M r 0(."
Lag Algd, fljn�' j!kjyaj 1191.1"Iff, gill 14 Itours prior la arrival., Faittire to (to.
eactegled"
Water Works fixfifty elelo`veola are m be, made owj, norenal w,rk days, hetwair 7.100 aen. and I 1.-017a. on. ivirit, oulloading ia be
are tobe enade &tjveen theirours of6:00 A&faird 4.V0 PAIA46wItky,
through Friday.
No s tiop-olff or, fuel surcharges allowed; however, demurrage charges wi [I be allowed after 2-hours
per stop. All defivciics are F.O.B. Delivery Point.
Awards ofthis bid will be divisible by product, Awards, will be based on, thic lowest responsive
and responsible bidder per unit prices on the attached schedule,
A 11 prices quoted are to be effecti ve May 1, 2020 tbrough April 3 0, 2024 (Four ears). Prices
are to be finn throu&out that petiodwithout increases,.
Quantities are estimated and not guaranteed.The City reserves the fight to exceed the estimate at
the prLce quoted, here in.
CIR"ORINE'SPECIFICATIONS
IF aul'I'MMI
A®, GENFRAL
L Only coot, ainers which, cuirrently are authorized buy regulationfil)v chlorine,
which have been inspected. and, reconditioneA as described herein, and which
have b eentestal, within the period requi red by mplations shoul d'he fil I ed It
& Illegal to ship chlorine ropstaitzers that hambeewfilled by ine witholitille
coment of the ownen
2. Due to the volatile nature of th is chern ical," the chl orine, provider m ust be able
to have 0(ne (1) accredited Safety and Handling of Chlorine class per year f6r
South Rend Persoruiel.
3, Chlorine quotcs,should. be deposit- free, No cyfindei- deposit should be,
included in the qttote.
MMEEROMIM
1, Comtructioti
q) A U cyUnders ow.51 bet:mllpaflhle with, Chorine Insfiltae, ErejergencyKil `A'� A 11
it devices musl be useable on (ply cyli'lldea" in cj;l0ine. sarpice, The maximum
neck ring dianyeler Mal will ac"canunmigIf! too' "A " hood is 4-314 inches.
2, Cylinder Types
orMI800,
11we lopfir the srallpg cohner'dolz
3. CYlinder Styles
a, - fibolring, hu?.qped bott(par, 01' double bwtom,
,) C)dinders wity �ieqf three s�yles,
4. Cylindef 71ireads
5. Chloritie'ron Cointainers
as All ion containo-s nju-v be cornpatible willt Eumugency'Kit
6. Ton Confainer Types
a) Chlorine ton containertylies, tig ust ccfnq4a vilh DO Tspec. 106A 500X, DO T or
ICC 106,4500, 27, RE27.
h) Ton Cunlefiner Valve and Ftese Phig Openipig, Tha ekd'i'
7he threads in newton. ca. nlainers tv,e 314 -1 4NGT (CI),
7a Valve Prolection
as The cylinder and lon container valves are pvvicculd diorin . xhipnzent an e0tv e , d s g shallnof be covered 1)), Me haim, s'iqg
8. Cyl.i.iid,eraalai 'I"o.n,Cont aiiicrCapacity
U) In vases imhere the capacily of a chlorike confainer is Pol, known, r, 1, ceases be
d'etermined Ov weighing, it enrld', � and cigain. when completely.filled Tvilh w, iter,
allffwable weigAr ofthlorine tollo wed in the cylinder or ton container,
CSTAMPING
I , Cylinder Stamping
fl) When olanvii4clored, 4;ylin4ers, arestan,oped ivi#i DOP,specj,ficraion nurxlbcr
serial nuin&,rand owners andlor builders ideraj&ing sionbols as well aF
insjxanra v qfficial rnark and initial osvtha le IDan' S&-tion, 173', 34(c)] f?f'49Cf,)?,,,
2. Ton, Ct.)ntaincr S tamping
as Tflivrn nianufacluecd, 47),estaniped with DOT spec�flcal n number,
fpx'aterial, serial number, ikspector's offIc-lid mark, nantell mark or inn' cols, of
coinpany,fbo- iWtostl 14SC the N'nk, is owde, (ar huflde6rsynybal and'.serial
nwnher), date oj
%peights, mw heslafilled by builder.. Ch'anges in stenuping niust betnade hi,
c,ipppliance vvith DOITSection 173. 31(d),or 49CFR
I Ret'c8t Stwitping
q) Relavled'eylinders IDOT49 CFR, Seclian 173.34 (e)(6).1 and Ion contailleu,
fD07'49 CFR,, Section 173.31(`a1)(�)] mul fie stasnped toshow we of rete-vt,
For cylifiders, the stamp onust hwhafe the cea,d lcatibi nuni1xi,r in as
Ton conlainersdo not require.the
lite coviainer,
4. Tarc-,Wei�ht,Starnping
a) 11, is revonunended fluil all new chlorine, cylindens andlon containers be jearya;ped
ildtly the orighu,'d lare %vaigfil kv the conlainer numuffactu.rer,
I �IMOIINFJW
Cyl hiders
a) Cj?jOot'O?,C Cylinders are 10, haVe asingle chAm"ine Teflon, Vyk vakeproducad his
Sherwood or Tekho xxhlch fs, relid-,71'
device.
2. Ton Container Valves
a) Chloeine On containey,.s' are fohame two kknfical Tdlun styla valves produmiky,
tvquirremenj. ", en wirer lica)aligned, the mi've in Iko, upperposition is used for
gas wifhdra%�'a), and th,e lower one fir figIdd wilhdrawvL Thestapukrid to
container valve iv idemical ro tho eyfindee wdve exeept thn't it Ifus nafimible
ryletal type relie'.1"device, and the wive Lveoldhimetermay be larger thailon most
cylinder valves. Tkere are towsizes, of to cruitainer valves: 314 inch NGT and I
Inch NGT.
I Valve Outlet Tfireads
as Outlet titre add on cylbukr and ton, conizoiners doreads
(1,,030 " - I VVW-a ".y�°T) which u,'mfi,)rmtw connection number CG'.A 820 and,
B20C wh Ich utilize a, yoke -type" con mlla"'flon,
the trials eqp oj,,j�ly und are not ea be usedfiar chforine hose c6mections,
end PRESSURE RELIEF DEVICES
I Cylinders,
A floy 'A " holder, mdwieh is, saesved into a mpped hie in, the valve IMdY- The
fitsible, plug.� are degigned to melt betweet� 158,*grecs, F rand 165 degrees.F.'
2. Ton Containers
with six threats edfiaible plugs, three in e�"ch head, spiwed qpproxinzatelp 12 0"
qXul,
3. '11"on, Container and Cylinder Inspection,Cleaning, andl Reconditio.ning,
a) In addifion to, the requit- ed period retest, i.P is recoppitended Ilia teach tow
Container and eylinder be haerenally and, twernally huperfed prior to each
filling. 71iis indudes all appurtenances, gu0i as valvels andfusible pligm
Cliferiafijr Such ins than isaudined hi "C'ylinder and Ton container
Procedturefi.w Chlarhwe Packaging " Cidary'ne ligsligute Paollphlef 17, Seefinny 3,
4" arjfj'5.
.F'. PERIODIC RETESTING AND RE -INSPECTION
1. Cylinder asidTo.n Calltainers to be Tested
q) QpIr I �iders,,,(�,xcepl DOT 3 F 180(�) as tram containea autsl be red ijxted a Heast
owe" infiveycars ('),OTS&Iiow ) 73,34e, an Section 173.31d)',
b) (�vhinders cannot ikfilled qfler thefiveyear anniversary
the calendaryear during which lheh-five r t -sl i
)Aca E 8 0e,
e) RvIesis, are also required after any, 1,-eheal treatfnew, In addition, retesteat y
conAdner which sho mv cvideocepf weakness atalv time, op-shoul a 5 prereent fir,
wore Joss in, weight,
2, TestPreceduce
ej) CPfinders a0d ton containers (,zre 4
ydrosjcjj.;ca,jjy, �,etest ed by dje,kydrustrata
expansio n method [DOT Section 1733 4 (a) and Section 173.31 (tp& Ifa,f file
Unte of reqptal�fication a container sho ww, a Ilea* or a permanant e.vpansion which,
ktveteds 10% of 11te totalexpansionf U nuut heeo,?,Ueonwd-
1, Containner Recorn s,
a) I?ecordN oiuist die kept,sho,vioing reqdrs qj'lhe lev'. Each contabi�rmusthaw the
test dale plabdY andperonaneittly stapywil into the ngetalofone hei4d rM Me
chione of each lask, passing dre hydrostatic retest
CONDMONS OF DELIVERY
1, A South Bend Water, Works represerttative shallspecif)r the location for
dhiorine cylinder and, ton container deliveries.
2. Defivi��ry Locations:
3. Vendor persorintil shal I conduct a] 1. activities relented, to the I oading ntnd
utdoadling, of cyfindm,
4,, I'on ,wntainers will need to, be delivered with a, cherry picker.
,5, Mirrnum deLiver ies are one (1), ton ,,containers and tw elve (12) 1,50#
cylinders
6,Slipplier must be able tin guaranteo delivery wit�hin 3 to 4 catendur days, after
order Placement
T. Vendor personnel 91wil, 110t uIlload any filled cylinders orton, containers prior
to, live inuspection by, South'Berid Water Works Peisonne'l.
8Vendoy persomi&I shall assist South Bend personnc] in the visual his.pection of'
each cylinder or °ton container f6r:
b), Proper htstafladonQf wM-, pray' ection housing or cal)x
c) pquaj jjjspec,,jj()jj "a aIves wg4fissible piugp
All c4d Mrs from praWav'S hung MIgs are 10, befe'noved Prior 10 Mivee'
R) All fusfble plugs should be dofibd free (no pits or holes
d,) Determination of marUng-T qf�,eiest and reverUJIcation
Motor vehicles used to AV ton, container; ishall. be property equipped, with lift
epipmeait suitabl c for hundl ing containers to auy, poi.nt where the co ntai wr �i s
to be loaded upon or unloaded ftom the vehicle.
I . C�fiyrdersr containing chlorine shallbes'ecumly IaNhe-din
an j4prtght pofifioa, loaded into rackv secumly alfarlivi
tv, Memolor lfide, orpacked in boar es'of' Crams Qf
mich dionensions as to prevent their OWTIU17IM&
E.) FE RRIC CHLORIDE
A oj?AL GENL
h. DELIVA"Iff
i, Nminalconcentration puctnt by Weig)it; 33-35%
ii- Specific Gravity: 033
FLAI t ck dcliveries (00 gallons) to the Ferric, deed
facillity Plant located. at; 311.3 Riverside Dtive, Sou(h, Bend,
.IN 4,61628
�F.) FLUORISILICIC Af,—[D,
A., GENER-All
�i The Fluodsilicic Ac:id supplied under tbesc speci fications shall bcclean, and
flee of visible suspended matter and shall rot wmain more than 0,020, percent
of the "heavy meMs", mercut-y, lead, bismuth and capper c'rcsscd as Icad
(Pb), and shall Qontafii, no soluible mineral or, organic substances in quantifies
capable of a deleterious or injaricnis effe#'A upon the beallb offliose consurning
water that has bmi ti-exited properly with fluor'sflicic acid.
jj. Product to meet flit latest AWWA standard, fnr Fluodsiticic.Acid f :B703).
iii, Pnee, is to bebased ona, 23% solutiun,,
iv, Bidders shall quote pnce, per pound,
B DEUVERY
i. The vendor shall deliver bulk.fluciiide to, the followling well locations in the
quiltifie-9 as specified by a represeutative of tine SOLIth Bend Water Works,.
iL 23% Fluonsilicic Acid delivered in tanktruckloads.
D eji ver jes a,re rsitimatcd at thirteen (13) tank trucks with two to four Stop-Offis
,Per 20,0010 1b., load.
iv, No stop-off'or Pei 911=11argP3 allowed hawever, dem, wTitgecharges will be
allowed after 2 buirs per stop,,
V, SLippliers must fumishown unbad'ing 'hose ktt least 01 feet in. Length WAII
pr -ust bilow off hose to,
oper couplingi to hook, (into two male N.T.T,,, and in
bulk tank at, each stop.
vi. Cj ty will not 4 ecept delivery of more than 10% over, the order quatiti ty.
vii. DeliverY Locatic)115';
IMMIR91
X MATERIAL
i, Free Flowing Grade Potassium, Permanganate.qhall meet Lit repair enients of
AWWA Specification 603-9,8 and shall be manufactured domesfieafl. and
ceftified suitable fdr uin public water supply by appropriate state and
fedlerap a.gvncjo.-.
B, DELIVERY
i, The potosqi-um pen-nanganate, shall. be delivercd in, 515 pound pails in reef
ate steel aT plastic and sh,r 11 be quip wit a handle.
I. The pads sliall rLinainthe property (if die. Som1h Bend
Waler,Rbrks,
2. The pails shall be vnloaded and ready stacke"apt the
PumpiRgslafion't
ii,, Deliveries will he ordered urn an, as needed ribs with each delivery consisting.
CIf ttpptoximately 8 lo 16 (55 Lb,) pails.
ifi, Deliveries must be made within 5 days (47place mei,'A of(he order.
iv', Vendor shal-l. defiver, pails to the fiAlo%vviqg site:,
'I
II,)PVR.OP'IIOs'IPH,AATjLEjSi ��RANTAGE2[1'
A_ STANDARDS
i. Ploiduct sball bt, a minimum of 85% sodiuiv pyrophosphate„
ji. Thc renlaining ingredient(s), shall also, be sadium phosphate mart efurl (s).
Product must already be fisted in 'the latest National, Sanitation Foundation
Standard 60 direc-tory.
di. The Percent phosphate as PO4 must be disclosed, and by Indiana law,, be,
marked on. the outside of the container.
B, TECHNICAL ASSISTANCE
The. suoCeSSI-111 vendor giv i ng, a, quote m, wit also provi de on -site, I echni cal
assistance to, the Authority for an eight hjuum day per month for tire' ,first six
montlis fproduct usage.
fl,,, Afte'r the rkst 6 rnonths, ofou-site techm.coal assistance, the Aothority will
request further our -site technical assistanec on un ;is nzeded bagis.
iii. The vendor shall provide wp,cr visit cost in their q:u, (Aefor tine and di(ional site
Visit&
iv, Eiach visit will, be one workday (Monday through Frida Y o,111y), from TOO, am.
to,3,30p.rn. EST'.
Y. Vendur must suInAtthe cram ) and resurne(s) of the, technical, reprmntative
that will Pertimn tht un-site assistancc with, your, qpote stibmittal,
I ied rqpresentative
vi, The technical represeiitativshall he
y e an employee or r cetif
of the vendor and havc a minimum of three, years of expetience in the,
applicatitm of pyn.)'Phospliate sequest eringpmductsin inunicipal want ersupply
and be asildble Monday thou, ;li Ffiday. frorn 7:00 a.m. to 3.30 P.m. EST to
answer qtiestions which may allso in UPPlYingtbeir PrOdui ct.
C RFQUIREMENTS
L A I ist of two municipal ref erences'within,a one hundred mile radius of South
Bend using the product for a min-huum of me year.
Eachref6rence must include the name of the municipality,, the
superinwident's name, and phone number.
iii,r A one pint sampl enw, A be submitted, with bid for analysis.
iv. Durhig the contrad period, atidi tional say mp] j 119 and anulYsis Will be iylade.
V, Contract can he nultified, if testing indicates unaufficyrized Chaliges have buell
made to product.
Samples of'product being used lay ref trences may also be sampled,.
vfiEvaluation
viii . Tesfing
ix., Other evaluatiow
X. Certified AnAysis
1, Sample product aludysis
Z erance inlerview andpossible sconple amarrppsis
3. VerVication qffroar edi'mi'.
L Via C�"I'ty rese,e.i, th,e right to StflUnit Sionplesq'I'the
polypho.�phate. produvt to an indelk-wden't lalwrafoo),, of
the Citys choice fov,-cheoficul, Nological, and pkys',ical
emalysis and,resting.,
2, Any peoduct whick in the Ci�y's alyin ion, cantaths
hazardous ar oefiz1h; to, Comply
wigs geese sped fircatiom willbe disqualijied
3, 71c cost t?flhis andysis and testing will be incurred jo
Me venclor with, the anderstanding that as maximum Of
ten sarmplesper year will be vabnduad'
4,, Gufj ranteed mi'nimutn a vaild, ble phospha le peret-mage
as PO4 A, so W Eighty Plercent (80%),
I, Lisi. q o dam Matcoqfirms prndiacfv L4 co N
p
f
(h) SequiWeation
2, List, ofdataihal centfirms company'experience in other
cifi,e!s and lech Wca s supjjort
1, 7lie sup pliershaff pro -vide acerlijied cherofical analysis
qfu pyrophosphate productsample fa ken ftoon the
produetfon, f4cf1fo;,frorn which roposew to vupply ihe
Ciry of&uth Bend
2, He sliallfurths�r cerhA analysis to be representative 04,
the produce h8, proposes to p,ro vide Me City,
xi, Performance RequhTments
1„ When applial at as raleyielding nol. znom thanfour (4)
parts qfpyrqpho,.5pAaft' as PO4 to each PCar' l Ofironand
onanj,pnese, the product shall lie capuble, of'holding Or?;
and am ngamxe in, w1utionfor nu ji*w,,e Man five (5)
dekp, atveventy (76) degmes, FWirenheiflay the presence
,of or, fe4alf Inilligram Per firor (0,5 mgl.)) fi-ee chlorine
residual and ' lijo, nei, (24) 1pot(rx id
140 degree P"
2.
as nlurrth'
3. AAy pros ucl is -hick, in the 01y's opinion, does not Ineet
the sppx,��fiad pe�forjnanee reqj timnents orfifils to
awn ply vvilh, the, 51keffications 1,011, he'distpolified"
D, COVER -AGE
i. These specifications cover, pytophospbate com ounds used, to stabilize or
p
sequester, soluble ironand manganese in. patable water.
E. PHYSICAL FORM
i. Product shall be a, granular form. Powdered niaterialwill iot be accepted.
E PHYSICAL STANDARDS
L Phosphate blend shall comply with the fbItowing physical req�uitvrnents,:
1. Cabe: White
2. Sbh4bilily: Coonpletely inisdhie inwvler
3. PercenrPhosphate, as P'04 Mini"llon of 80ye'll
Physical Ff?"n.- Grantskir
GCHEMICALSTANDARDS
L Phosphate blend, shall u-intain only NSP approved phosphorous ingredients.
ii. No arnines or offier chelating agents shall be used.
HL Blended pliosphate product f6rinulation shall be only sodium salts of
phos,phate compounds.
iv. No potassjuni salts sliall be used.,
V. Impwities in pyropliosphate products, shall not exceed the rollowirig
concentrations;
vi, In addition to the above stand,,,irds,,,pyroplio-.;:Phate products khall contain no
suhstance,fimr which the hidiana Pollution Control Boar(l has, eskabfissheAl a
limit in potable water, in, a concentration exceeding the limit eslabli Shed ftyr
potable waten
H, PACKAGING & DELIVERY
h Product shall beshipped in 50 po-und. lags and star 10,cally.
ii� Deliveries are, to be made w, ithin. two to three days of notice
ifl, Veii,der will be required tdefiveT product weekly or as needed to each well
field in order to maintaim speced stotk levels.
s.
iv� Weekly dellivcry receipts will be isaued,,
V. Delivery Sites ar,e as pillow's:
1.) SuIxtIR DIOXIDE
A. PROPERTIES
i, Estimated annual usage is 100 t,()ns, more, or less, to be delivered, in 2,000 Ib
containers of liquid SO,2 in tnickload lots of 10 contminers.
C DELIVERY
i,.applier must be able to guaratitze delivery of 111 Ums (20,000 lbs) within five
(5) calend at days from, release of req�oirernenl,,
iL Material to be del ivered F.O.R.
all. No fmightsurchar9cs all0w'ed,
iv. 13 Ming rnust be submitted on a CWT unit hasis,
VDelivery.Location: Waste Water Tmatment Plant located at 3113, Miverside
.Dn."ve, South, Bend, Indiana 461( )2&
11.), LIQULENT
Au GENERAL
L The Purpose of this specification is to outhae 111i'llilliwn, acceptable propel tics
ofa Polymer at the Bureau of Waste Water In (hetreatment pracess.
ii., Quwitity of tile Polymer, stated in this sped tion isunite ndad as an estimated
usage duringa 12 month pericyd rather than an absolute quantity.
Jj,L polymet- is considered, a perfonnance product andinust let certain standards,
due ((,,)i compliawx related issues on the NPD,E,13 Pertnit.
iv. Any, soup plier 1hat has not been pre viously;Approved imst perfornli band,I
tes,ffi�g on, any Volyrner bid, to prove- tfiie prod"A will rneet the standards
nece ssary, to ensure perrn it conipt iance.
V. Mien samples are required, such sainplos shall be d I clivemd or -shipped at the
vendor's expense to the followinggain e Wid address.-. Nancy Clay, 3113
Riverside Dn, South Bend, IN 46628.
vi, SjjmpTcs inxist be Clearly labeled with yo,tg coinpajiy's name, add,rcqs,, and
(item mttnber)M
vii, All samples, must bit -representative. of the itern bid.
viii., All samples will become the property of the City of Soutfi, Bend, anid will not
be rettumed,
B, PROPERTFES
i, Products, will be a.hilu molecular weiglit o; .1tionic polyelcetrolyte, supplied as
a micro -head or in granular f6n-n.
ii, nw product must be completely 13011-dusting, Kee flowing and coni.pletely
st)], ulile in, w ater with a verry rapi d d issotvirig -rate
iii. Typical Propcifies
Bulk Density 50 lt�-�et qubic fl.
Particle Size 95% less Olan I Inm
L_pH of I % Solution, - 15 -4.5
L Packagmg to be: in 50, - 55 Jb polyethylene bags.
ii. Must be able, toguarantee delivery 00,000leas , Within 14 calendar days fifter
order placernerit
fiL Prices must be sUbi7nitted in cost pc., pound. with Erlejg�ut inctude(l.
iv. MatzAial to ble delivered, F.O.,B, the, Waste Wattr Treatment plant locuted at,
31,13 Riverside Drive, South Bend,, IN, 46628.
IQ LIQUID CALCM LM NITRATE 66%
A, GENERAL
i. The estimated annual usage of Liquid Q116tan Nitrate (66%) is "OOK)
gallons, mart or less.
ij- S4pplier mast be abIc to, gm,rantee delivery of 4,0010 to 5,200 &Ilons within
five (5) calendar days after rder placement.
B,TYPICAL PROPERn'Es
C DELIVERY
L Full truck koad quantifics, are to be: approximately 3,500 gallons,
ii, Delivill be to two sepa Mte remote locatkms- eYer Dlitefi� GP, location
41,69565, -86.40,614, Sage Road OPS, location 41.71,024, -86.41629-
iii, ReInote locations are accessed, viaa combination lock. Delivery requests will
include the, combination lock if City personnel will not be on -site dun"ng
deliveries. it, city per soruiel. will, be on -site the combination will be ornitted
floe the manifest.
iv. Prices must be submitted in, cost per gallon w it' freiglit inctudcd .
L.)SOMUM HYPO'CHLORITUI !U5.2he
A. GENERAL
L The estfinuted annual usage, (,.)f SodiuM. Hypochlonite is 72,000 gollons more or less.
i'L 'The City owns multiple 2,55,(.)+ gglion tanks f-br, the storagDf Sodium, Hylwchlorite 12.5%,
ifi. These tanks come equipped, with all necessary fittings and outlets,, a,s well as secolldary,
containment fdr increased safely.
ivl. $upplier must have necessary hoses and connectors to connect to a 2 inch quick disconncctt
fifitting.
V. Product delivered to, a Water Filtration Facility inust meet the required ANSINSF Standard
60.
,v,i. N, o stop -off fees or surcharges allowed however, demurrage charges wil,l, be allowed after 2
h(mm per stup
L Supplier must be able if.) guarantee delivery of'1,800 to, 4,500, gallons within, 3 to 4 calend'ar
days after, order placement.
d. Full truck load q u anti ties of approximately 1,800 to 4,5100 gwalk'nis are to be delivered, F.D.B.
to.
a.) Waste Water Treatment. P lantli 3113 Riveiside Drive, South Bend, K 40,628.
b.) Pinhook. Filtration Plant,, 280 1 Riverside'Drive, Soutil Bend, IN 4662&
C") Hison, Filtration Plant, 2708 Rotkne, Drive, South Bend, IN 46615"
d.) Olive ,GAC.Building, 915& Olive: Street, South Bend,,'[.N 46613.
1) Prices must be submitted in costper, gallon with ftfight included.
4) Midtipte stops per load are to be expected.
m.) SODIUM FIERMAANNgifie '
MINWAM/Arilcm
L T"he bid, will be for two separate line Re= forthe same product (20%
Liquid Sodium,Pennanger natq)
ii. one line itern will be for deliveHes of 275-gallon, totes.
iii, The other will be for delivedoi hetween 500 and 550 gallon increments.
L Product shall be bulk 20% (by weight,) 0.5% liquid sodiurn,
penvanganate, (Na'Mn04),.
i1i 20% Liqttid Sodium Permamiganate shall be produced domestically with in
the United Staut
iii, Product shall inect or exceed ANSI/AWWA standard, B6103-03 or,
sub. "-- pent revislons.
iv. Product shall be listed by thNSF as being in, bull compliance with NSF
Standard, o., 60 forDrinking Water Treafinent Chernicals — Health,
Effeds�
C. DELIVERV
L All del iveries shiall bernade within 48 hours of [he request to th,e foillowing addrem, 2801
Riverside Drivt-;,,Svut:h, Bend IN 46,628.
2. 'Tlie product is to be delivered in clean, containers/tanks and is trec; of contamination,
Contamination of stock shaill teinder the contractor liable for disposal of conjaminatedniatcrial,
cl e-oump of storage foci H ti es and full, rep I acement of stock attho Stipp] iers expaense,
,3. All deliveries shallbe, madn, weekdams (excluding holidays) betweui the hours, 7:00 AM
and 11.00 AM
4. The off-loading of the 275-9pilon totes, containing, sodium pennanganzte from, the defivery
vehicle to the City's storage locutioll will be perftynnM ley pi-essuri zing the contafner fro our point
of delivery or by trunsfier pump.
5,. Delliveries must be coordinated with the City-. The Identity of the driver must be made known
by faxor inail 24, hT,, prior to delivery,, The, delivery vehicle operator must call the City, contact
no less than one hour prior to delivery,
6. 'I'lic Cionrft4dor and, sb ipiper shal I be respons i bl e fi-.)- all health, safety, and costs associated with
dw transportation of the product to the Pinhook WTP. 2801 Riverside Drive 46,628.
'® 'nie City reserves the, nght to 'reject any dc."i'very which. does not confoml to these
specifications or which, has been contaminated.
N,) sTRuwrr& REMOVER AND P&E, _wcNTATIVE,
A. GENERAL
i The purpose of this specificatio n is t�o out] ine tni nimurn. aect�pf A I e properti e4 of a Struvitt
rernovcr�prevent atiyc at the Bureau of Waste Wa,tes, in'the treatnien't process.
fi. Quantity of the producl: stated in this gPecification is; intended as, an, estimated usagedunlkg a
12 month, period, rather than, an absohAt quantity.
BPROPERTIES
L The prod Liet in�ust, be non-tox ic, and require no add i tional PPE to b and) eand/or inai ntain,
R. Vendor &hall supply (at no charge) 4nd inaintuin, (,at no charge), all chemical. fipumps,
spraybarsi,spra nozzles and injection equiprnent(wliel,»,eap,-p.lica�bi,'C),-
Y
ii. Product mu st, have a n.ijni mum di I tj fi on rate of 40,000,;J,
Vendor must have a mininium, of five (5) installations wifli five (5) years of proven process
appli cation ostru vite removal, and, preventio a.
V1. Product must be manuflictured anddistributed solz[y fironi,thc U.S.A.
v, Typical Prope rtics
. . . . ......
Flaniolability None,
l _. Neutral
Solubility_ Miszible
C. PACKAGING/DFLIVERY
11
, Packaging, to be in 275 gallon totes.
iL Must be able to gutee delivery of 275 gxallons within 1, 0, calendat, 4aysi after order
pla,cement�.
j,ji Material to be, delivered F,O,,B. tjjWaste Water, Treant plant, locaud at 3113 Rivaside,
Dive, South Bend, IN. 46628„
017,11! ftk
"Al
BIDIPRHO. OSAL
CITY OF SOUTH SEND
BID, NAME
Water Treatment, Chemicals 2020-2024
.......... ..........
FORBIDSDUE -#004�-�9:30
Itern
Est.
Es Tear
Item
Un its
Unit I
Total
No.
Per Y
T
. . . .....
150
"Mori - I Ton QyJ inders
To
No 134d
$
2,
150
Chlorine - 1, 50 Lb. Cylinder
Cyl
$ No, Bid
$
3
90,,'0,000
Ferric Chloride
Gal,
$ No Bid,
4
2,60
Flucwisilicic Acid - 23%
Ton
$ No Bid
$
Potassium Pen-nanganate - 55 Lb. Rails
L,bs.
5
7,500
6
22,500
Pyrophosphate Sequestrant Agent
Lbs.
$ No Bid
$
7
100,
ioxide - I Ton Cylinders
Ton
$ No Bid
$
81
40,000
My Polymer Flocculent - 50/55 Lbi.
Cbri0ocCE 1461,
Lbs,.
s I MO&b.
s 73,6011,40
Polyethylene Bag &,321,)j, or C'-3276
Liqtdd Calciutn Nitrate
Gal,
9
25,0100
$ No Bid
$
Sodium Hypochlorite - 115%
Gal.
'110
72,1000
$ NoBid
$
Sodium, Penmianganate
Gat'
11
1100
2:75 Gallon Totes
s No, Bid
s
Sodium Permanganatc
Gal.
12
1100,
500-500-GallonBusulk
oBid
$
13
1100
Struvite Rt=over 275 Gallon Totes
Gal.
$ No Bid
$
TOTAL
73,600AM,
Telephone Nuiniben
Polydytie In.c,
One Chemical Plant Rd.
Riceboro, GA 31323
(912) 8810-2035 Fax Number (912) 8,80-2078,
:14 DAIII&I.11
Elizabeth A. Maradlik, Member
By (tZ`
....... . ....
qnatuiq
Boyd Stanley
. . . . ........... . ..
(Printed Name)
Vice -President
Ho
Genevieve E. Miller, Member
-Th—tires i"i D"—,or-a"-u,,—Me—m—b—er
�aura L� ik6if Aftest. Unda M., Martin, Clark
9
91
4DEL1V_ERYQFRM
A, Bids mus 1: be id elivered to the Ofte of the Eloard of Public Works, I Sh FIOW. County -city
Bull6ng, Room 1316.227 WeSt Jeftson Boulevard, South Bead, Indiana 4BOD1 (574) 235-
9251,, by the t1me spefO ed (locali flme) in th,e Nofice to Bidders. It not clelivered personally,
the sealed envelope, containing the Sid must ba, malled tothe follMing address:
City of South Berid
11 The Pa,srofficeDepartment W1,111be Oallsiderecof the Bidder In 064[Ming
tagent, the bid. The
City will not be responsible for deliveries, - Any Bids received after the Ome apecMed, will
be returned umpapaid.
C. Bids, will ba open and read: publicly at the time and, place designated in the Notice to
Bidders, Bidders, Their authorized, agents, and ffie pubko are invited to be presenil�.
D S,fddeT,.s m,a,,y bid on one (1) or mora, Item, provided however, that the bid submitted, for eadl is
delivered In a seRa, ate, sew , anyetione, With the envalone, raAear V labeled on the outside
as to t,,he specific itern for which the bid is, being subm [tted. Bidders may submit separate bid
b,ands for each item belnp W upon OR mray submit one (1) bld bond equal to 10% of, the
combined total of all bids, submi,tted. A Didder who wishes to bid on, njultiole chem[cal s may
submit one (1) total bird with PTk'ing listed for each chemical which the Bidder Intend a to bid
on, There is, no need: for a Ridder to submil a soparate alicl unique bid for each chemical
E. The Board may roject any bid that does not conform to these requirements, as nort-
responsive.
3, 6paENIIA -- VE RRAL AITO NO —
A. No inquiries 'by Bidders relative to Interpretation of Plans, Specificalb,ris, Special Provisions,
or other SWdilig Documents will be answered verbally. If -any, prospective Mulder !is unab4e or
unwilling to, comply with one or more requirernentsof the bidding document, such Bidder
should,so inform the Board -of Public Works in wr[fing, Upoorocelpt of suzh information,
con,-qideiration wilt be, giVen to the advise bility of issuing an,Addendij mi vojjchwou Id there u pon
become appilcable to all Bidders,., Any, such inquiry must be submittedat least seven (7) days
prior to the bid opening date in order to give the Board suffic[ent time to consider any
necessary Addendum. Alit answers to such Inquiries,, in tbeform of AdIdenda,Will be furnished
to all prospective Bidders who have regWered willi the City. All Bidders are required to
acknowledge receipt of any, Addlendaby inserting ft Addandurn, numberand the hauling date
on executed PrDPOSWS,
RE
,A. Proposals sholl be, rejected If the eyshow any, alteration of, formdditlains, not called for,
conditional or aftef nate bids (except when iend insofar as are Inv lled), Incomplete bids,
erasures or i iregularftleq of any kinds,
B. All bliank spaces for bid, prices must be fiflied in, in I nit, v�sjth, the unit, pr[ce and total price for
each itern (This does not apply to divisible bids). In case of incorrect totating of amounts and
where the unit priceand the extension thereof do not, agree, the unit, price for each horn sha,11
govern, and the City is authorized to Correct all err oneojus extenslon and totals for tha, purpu5e
of comparing bids.
7, IF-BA29-Q-1SCO-0—TS
X Trade discounts shall not be, shown separotelY, but shall be incoTporated,in the Bidder's unit
price, unless otherwise specified,
8. YE—HI�P-LE—BMQ
A, Bidders,may, bid ain one (1), or More vehicles, proVided'tiowavnor, that the bid submitted for
each vehicle is, delivered in a separate, sealed envelope, by veNtle, with the envelope Clearly
labeled an Bidtlers may bid on a nie (1) or more: vehlefes, provided how -ever, that the bid
submitted f0f each vehicle is delivered In a selparate,sated envelope, by vehicle, with the
envelope claarly labeled ern the outside as to the specific vehicle, fair which the bid 1(s being
submitted. ElIdders, may siubm it separate bid bonds fur each vehicle being bid u pain, OR may
submit one (1), bid, bond equal to 1110% ofthe combined total of all vehicle bids sub�rnittedi,
4, The'Board, may reject any bid that does ,not conform, it, Ifiese, requirements as non-
responsive,
jAXjAF---MPT1ON 5
k The, City of South 5andis exempt from the payment V federal excise and trallsportation taxes,
11,evled under the per ovistan. of tho Internal, Revenue Code. it is also exampt, from the Indiana
State Gross Retail Tax (sales tax),, The, City, will furn[sh the successful Bidder wilh, any,
certificate of exemption required.
Withdrawal ofbid's will be aflawed only.in lijose cases in which a, written request to withdraW 0
bid Is received tag y the Board 01 Public Works prior to the date and hour, for receiving and
pen, inbids . iron such cases, w, e same will,be returned to Bidder unopened.
12., gSC6LKLQB OJ3 CQN-TR40 NT CL x ii m�r-d�
A- The use of escalator clauses or other con flngent, clauses by the Bidder is prohiblted� unlress,
requested or perrnifted by the Invitation to Bid. No Proposal shall contain nor he
accompainied by any writing purporting i to 11mit or quality the CHY's eight to accapt such
Proposal or purponlhg to alter such Proposal or any C in ntract vvbidh may be ,:XecLfteci
pursuant,therelo.
C
tea PRICiE�SIA"U�i"'T,BE,DELI VER,ED,PR;I E
,f-1-1111— I
A, The bid price, shaft be a dalWered price. 041 inaterials shall be shipped F.0.11 destina"on as,
specified In the Invitation to Bl& No fuelaurcharges accepted,,
14- 8 gLL 11TI E5 11 e, made vvithin sr xty J60) calendar days after, the
A. The Award of Rid, ffanyaward be made, wi b
opening of piroposals to the lowest responsible and re pooh Sidder who's Proposal
c,omplies, with all the requiremenis, prescribed, e asiesi of tachnicalifles waived,, Until the
final award of, the Bid, however, the right is reserved by the City to reject any and all
Proposals and towaive tachnic-al errors.
SRL NIG 0EMARP8jfQ1Vj&B1_E BIDS
A, Bids will be awarded on the basisof the total dollar au count for all ftem,51lri the Proposal unless
the bid is described the City as a Dimlisible Did.. The. Cityrnay award a Djvisjb[e Bid to the
lowest responsible and resporlsive Skidder for each Itern or class Of Items as, IndlGated, in the
bid dQtumienls,
16. BIDE) gUN �In �,ADQM
A, The City, may require any, Bidder to submit evildenca, of qualfficatioin's, and tney consider any
evidence of he financial, technicali, and other qualificalloris and abililles of the Sidder,. The,
City will not award a Con,tracf to a Sidder who, inits opinion,j is moil fully qualified an the basis
of financial resources and. responsibility, pos,se%jon of adeqUate, equipment, personnel,
experienoe, and past record of performanc�e to perform the obligallops to, be undertaken
cornpetently, andwithaut delay.
RIJEgMSE QB2EM
AA Purchase Order wilt be issued to the successful Bldderaliter formal acceptance of the bid, Is
made by the Glty.
NEW M,,6—NUFAQTU—RE
A. Unless otharMse Ppetified in the Invitation to Sid, the liters offered, shag all be new and the
latest model almanuiacture.
A, If the Bidder is not a manufaclkjrer� the SOUTce Of SUPPIY Mu�St be Shown and all sub-
contraCtOTS must be ideotified.
20. EAQKAQM All items shall be delis strongly packed and marked acwtdIng to accepted coin' mefcj'01
practice upliess, otherwise directed in the Speciffeafions., No charge shall be rriade for
containers and the City shall have no obligation to returt'i containers unlass Otherwise
provided by the Spedifit�ations or Special Provisions. Any items not recelved in good
cofldition, Wil be rejected
21.
AThe City of South, Bafld reserves the right to inspect: and have any goods tested after, delivery
for compliance with the, specifications. Notice of, later.,t defects, which would r1rgive then Item
unfit for the, purposes for which they are required, ma/ be given, at aRy time within one year
after discovery of the defects,,-
8, A111 items rejected must, be removed Immediately by anew Gontrattor at the expense Of file
Contractor. K the Contractorfalfs OT'refuse!sto remove true rejected [terns, they niay besold
by the City Qf South Bead.
C
l. The above proyi'sionshall not be construed in limitations of any riglits the City maY have,
under a,,ny, laws including the Uniform r,,ommerciial Code.
21 ALSIGNMtN ffiS-,
A Na person to whom a. Contract has, been awarded mayassign hIs interest in the Contract
without. the consenl,, in wrlitinq, of the City.
23" PAN ELLA
A The Cry of South Bend reserveis the right to cancel any Contract for fakire or refusal of
PerformanoeJ,raud, deceit, misrepresentation, collusion,. con sr,.)[wy, orany other misconduct
on the part of the GontraGlor,
2A. EDU 10,NOFQLqAGE
A If the Clily carlicelis the contract for, any cause,, it sha,[t deduct from whatever is owed the
Contractor on, the Co,nitratt or, any other Conittaict, aily arnount suffitlent, to oofinpiensate the
City foT, any damages svIfered by it, becaLlse of the Contractor's virongdojing,
k
M�ETHi-O-D11 -O-F--NV-O—[C-IyMEli%
-N-G-E-QLR—P8�y _Jlf
,A, Contractor shall bill the City of Snath Bend,
li, On regular I nvoioe form giving a Wmiplete and delafled.deschip1b on of (tie gloodt del iviored,
including purchase order number,
2. if the Contractar, a I'lows a disicounit, [lie, periad of tier I n which the, City Mu St miake
pay Ment to qU Stify'JOT (Vie d iscou nits shall be computed from thed ate the City received the
invoice (cornplalely fillied, out), or, the date the goods are d4IIIVeTed and acoapted,
yvhibheajer may be later, and shall not be l8ss than wenty, (20) days.
3. If more than one shipment '19 Made under the Contract apd, on the Berne purohasie order.,
the City 'wal make partial payments on a basis that s agreeable In, both parties..
26, f�tN (l�l" E _GOQDq
A The goodswhich are the subject of the Contract shall remain property,of the Contractor Mritil
,delivered to, and accepted by the City of South 8 end
27, EST fMAT —ED GIONT, 171 ES
A., If the quanfity set forth in the Notice to Bidders andproposalis approxirnate and represerits
the estimated requirements of the, City for aapetillied perlold of dime,. the unit price and the
extended total pdra thereof shall, be used only as a basJ's, for the evaluation cvf bids, The
actual, quanfities necessary lrnaY be more or less than ti estimate, bi-tl the City shall Riefthet
be obligated nor limited to any, specificarr,,,iount, The City wil, ff at, aR possible, restrict
increases to twenty p8rcent (20%) of the estimated quanflity and will, if at all, possible, restr[Ot
deureases; lotwenty percent (20%) of -true estimated q,u antity
28 LF
A, Where the teml 'OR EQUAL' is used in these Spe6fication8, the Bidder devibiting from
speti,fied, ftem shell file wlth his her bid a let fully explaining and justifying, hisilhar proposed
artkie or, eqwal, The City of South Bend shall be the sate judge In determining if the'OR
EQUAL" offeredrineets the Specificallons
29, less theCity of �S,oiuth Bend, its
X arrin,
Maims and suits,ii, includingcourt. costs,
Rhe nagfigent performanca of this
defeat efefA In time foods, materials of
ecpApr-nent, suppilled by the Bidder,
NOTE: incoming mail does not reach theBoard of Pub0c; Works uhtll after 9:30 am. If
you are seindIng your "n via Federalor „o.,
please Iunfirm thatyour packagai will arrivo before opening aind
date.
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Company IVY N later be v. 1, 151171
INFORM.AMON REQUIRED
FOR THE E-VF,;RJFY PROGRAM
I rtfuripat io, n re Wing to youf Compan:Y7
compally Name-, SNF Nordin g Co
Compally F"adlity Aididmss: Que Cluefflical Phmid Road
Rjeebo ro, GA � 1,323
Coinpany Allernatc, Addrem
Counly 'or PuiO�',
Emp4oyer fdon,fifivalion Number
North A Me5,ican Industry
C'%'LqqirlcalJ0rl Systcms code.
Parant. Cotnpony:
],�Ivribcr of [':Ifylploytms:
P'0 Box 2:56
Weebaro, GA 31323,,.
3ummu
315
SNF
I'(wo to
2,499 Number fir, Situ Vori ried fbT; 7
Are you, verdykig fm m0fe 6&11 1 mte!'? jfTs' rp'loase PFOvide fll�', jjnrjjjbcj- (nJ'sitcs wrilled ftw an ci3O Statc,
MBISISSIPPI
I site(%)
GEORGIA
1 sitc(s)
MICEEGAN
l kc()'
WASHINGUM
1 site(s)
PENNSYLVANIA
1 site(q)
ILUNOIS
CAMFORNIA
I rdbri-nuflort ire I afing 10 tbC, Progr4mu Admiplsomtor(s) Foryour CurnpAllY on pwi acy qucsl imis 0 1" opera,OWN-M proble ims:
Nunw, Unda Adams 0-8034
'I'dephom Nurmbcr� (9 1 �2) 884 -3366 .eft 410410 Fox Nulubcni-, (91'2)88
[�,-nvail Addien:: LImInA(4)SN
Namc:- Jane Frost
Telephone N (imber: (9 1 �,) N84 - 8712, Fox Ntmlh:r: (911 Vt 990 - 8034
E-mail Ad&e8v Ja n0r,§S NFHC�o ryk
Company ID Number. 11,5171
ThQ f6regoing co list i (ules the J�tjjj agrceqjent on, this, Subject bows m the SM, DES, and the
Eniployer.
The individuals whose signaturc�q appear below represeat that they arse authorized to enter irito
this MOU on behalf of the Employer and DiHS respectivelY.
To be accepted os a participa!Ut irl E-Verify, you, should 01LAY'sig" the Emptayer's Section Of
the Signature I , ),q gvM If Voll jlavv, u,11Y q"e8,tj(')jjs, cotttact V,,-Vcl.ify (Velati,ons at 888464-
4218.
Emplayer SNFI[aldingCo
james carlsoll
Nirne (Pleas� type or jmint)
mecironical�y Signed 04/21/2009
Date
Departmellt of lioniclandSecuri(y — Ver-HICatiOu DIvIsion
USCIS Verification ffivi.4on
Natne (Please, type Or Print)
EledranicaUjI Signed
Signauve
04MIZOOR
Date
Registration
Eligbil "Iy' Verifica tion
n
Your company Is niowregls'gared for E-Verlly. All Usors wd] recaive their Usor name said Plasswwds via, emad, if the emaH Is
not rocelved witl1#1 443 Ij,ouis, please contact Office of Verification at M-464-4218, Kease DO NOT REGISTER AGAIW
IMPORTANT- Yoo shou[d print thoMOLI, and sharo, it Mth your Roman ResoLuces Manager, legal rmwjnsew,,And 0,01(or
appimpriate staff.
-U—S.-P-epa"rtment of Homvla,nd SLcuidty N lea —CidlenaK rajtq erykq�s,
. I" qd JjL—Rlla— � -4-j—
i.i,tt,r)s://www., vis-dhs. comfE m d oveirReds wati on/Revi s trali an asnx',`J S--y ES 4/2 P2G08
PRINCIPA L USES
CLARIF"'LOC CU-14,03 is aj bigli, ehargc a.tgtirnrliic polyawylatmide
Wak, is Llscd; as at. Ocieculaniisj t) wvjijc varjei:y of inunwilml and
illdw,40ai wastuwawr Veatnimit mpjWC2601131A buns 1)een sucoessfw�y
M.13(phed im apt liquiWsOlids clarificalion,
anddawatering.
TYPICAL PROPERTIES
111'lysiud vowin White G ro'n1flax, Powder
("atiouic"i ty 8"D %,
p 11 (02 5% Sol'[0 31-5
PR'EPARA TION AND FEEDING
CLARI F I -OC C F-11463 is water sOMIe7 but cefflaill,
premutJons Should broftowcd kp o,'btain W(M dissoMkin, with
1'niifinuml kyrs of aufivj,My. CumpWe wetting of the hi(kvi,dimal
j)ojy,rircT pajrliele% is dull qing1c jimmi impurwog factur w the
preparation (A' jvv%ndcrcd lyolymer so] Litiolls. One method to ddll�ievia
goof,l wetting is to use an MPfirator type disperser ihat draws 0a�.
sulid pnlynvu particles igill.) 11le Water "Irearn, using 'a VaCtILIF 1)
eycm Y gis,,tell 1,,) watcr pressure. A wmeir pressure l) psig 0,1 reater ,
rquixoA W inijAurmni t11iq 111OL11O& j,he wetl,vd polymim- ('ramp the
ajgyjratorshoiAtd lie dimhurgil. illtoo wee equippod with a high Weed
mixcr capablc wrl NrriNs [he uutiretaiik, Ttw polyincr si,,Aadon Should
be sfiwted for 15-6J7 minutcs, 10 amfil dissoludon i8 Thr.
CLARIFLOCCE-1463 is
j). 1 0 5 %, by weiplq. Coj)ptete,[y qw(loiated cqpipinera Is
cari,mim-cialty availablu,
MATERIALS OF CON�VIRUCTION
POLYDYNE
ATANUFACTUJUNG SPE"CMCATION.5'
% I'Voistilre
UL Visicasiry 2,6 - �3.2 elps
% [itsohlbles < 2,0
HANDLING ANDSTORAGE
siliggested, iin-'PlRnl sl(wage of C1,,AMFLtD,C C,11-1463 is kvite year
in unoptned bags, 91106, ill a V001, drY Marc L F'nl' 'Tills awl dry
CLAJUFL0(7 C'E-1463„ sweep up the 1-nateriml and muse, if
pvs&ible, Du ivol spray w8lier kill spililm(l illry producl because tire.
rusill(Ang gel is vevy glippery as difficub, 10 cleazi UPK`cwr Ti"11-b
rif CLARIFLOC CE-1463 %olufiow-, sprinkle sowdust 031
WE'riniculkv, ovef the spill area ari'd swe"all, into mpprovcd chmilical
iiisjumal cui iwi ritrs. Rout saft Cuts, sli pperi -nes:s"
S,1j,pj,,'TY LYFORMAHON
(.,'LNRFFLD,C C& H63 c1,11 poWoltWly iufiKfl,L, the Skin, VYeS 20d
Juligs,si) glows, gugi�teq and, type respillijor should be Worn
while hAnd I ill g this piw5duct. CLA P. E LOC CF� 1463 is nN readily
iphed, 11,11t 14 will support all cxjs[jr.%g fire. Foeirl, C.0, or dFy idlemical
jalcillucls iarrurgd be jj�s)c�j I)Lcaiise pcAymcr-u;M4�r mixtures gre Very
%lippory, Anyonc, respoiaMble P)t thr prockly'C'Mcni, 433,e Or
digposal, of CLARIFLOC CF-146hhocild farmharize
t4eingei'ves with flic alul, hooldling precautimis
()Urdirwed in IN: POLVDYNT Malcfi4i] Safety Dato Sheet. ptti 1he
evt�jjt of ,ill ellIelirgency witb CLAR1111,0C C17-146.1, milact
Chall1ree iinytiiii!edayori�ii&!I,[1at(900)424-9'100,
S111PPING
c,t,A1dFL()V CE-1,463 a
qhippediii, 55 pound bap and
s ersaeks, BtRlb quilitilius fle� Msollv'461:013e-
cyosi-litikO fiburghls-%, stlinlcss st�ml or fiwjgtd,steal aru ADDITIONAL 1Nr'ORMA TI
wlnolON
the 1�,Nved, jual , crulls for dissohifion mnk;s. lJolimed miki sieeL ' black
i roil, ga Nanj Zed sm.01, CoppC1. or tyvass shm1d gint, be aw. 0 i vi an-V piurl To placc orvorder orcibutin cechnical iilftiffivali:00 Roin anywlw-re 1.n 11C
of flj.j Uw, ett SyMerli, SWAACSS, Slu'o or 11V9, atro reeolunleililed fol. Pun i p confincrilml United Staks, call tollfreO."
kcads onct feed I ines.
(8001) 848-7659
DS )
For additiotial iflN'1111116011, Please, refei- to tile SillifetY llata Sheet (S '
A 11 st"Arellicat 5, il I ronuar ion alit], Lhla''Ovaj htreilfl� are, bdicVed to be acul(tate, limuffm pftseatcd W, R lit.,mir warrmnty, rp�.t)MSSCd OF iffil) SWtInClUs Coll' unli"ng
use mim made wifli ill 0 repi-cmaRl kim, tar' warml y fliat may gilzim i 1w is free of paUnt inftirlsvwwlll . wid i* MA IL mm"neurbibm to it rir%c: Oil qTly I )Wtull.
, qjj&Dsurc,3 , u
'C , mmy ji urbe rvqvjTv.)1 Any dckrm ki i nXion (if Oat sifitabH ily tif a particu 1,
The uscir :41 ould 11 at M..'argle Ulm A mir .1y 1111caqjr n. sre indicm,&[ or thal oqj,p
pmdcm, for ally ttsie codnleal phill n.1, by ul 0 ua i� the so[c responsibil 5ty or lhe um V 10 L 6 SNV RoMing, Cm,ipany
71W . .............
/,/ ////////// . . . AW ........ !x . . ..... .... .. -,�
01 ... .... ...
q... ..... ...
w,),,w,A`1' 41,1,88M
n
Actord1bg to U.S. Code of Federal Rep lations 2-9, C FR, I 10 �l 200, Haza rd Com municatio m
SECTION.L' —Idenfificati-Q-0of thu ad
ubstancohnIx—fure ar of th@ pamaare lwideLrIta—kang
vv Prodwl identifier
Producl name.
Type olprodud: Mixture.
vz Relevant idenlified (jS(,,s of 117p subs or migtuf-e and uses advise ,against
Iclonfifie(I us : p'roc ess.iitg aid foy
Uses advised against Nulv-
13. 0cfails of thesuppher of th& sat6ty d9la sh(-,10
Polydytie Ine,
Company.� I Cleniical Mum Road
p0 BOX 279, Riceht)ro, GA, 3 132,3
Ulliftotortes,
TWephone: 1-800-848-7659
Telefax: �912')-884-8770
E-md addres's,:
1A. Eniffgme, IpIpphone number
'Y
24-hour amergency nwber, 11 -800-424-9300
SECTIONI:
2j
01mificabon accardfng to, paragraph (d) of 29 CFib 1910,1200:
Not da,.;,�,dficd,
22 Labd 010,81OWS'
Labeffing according to, p6,ragraph ffl of 29 CFR '19 1 .1200
Pflnt Data. MOM Revision date.03M712020 Page: 1 ('15
SAFETY DATA SHEET
Hazard symbol(q):
NonE.,
Si�jnal word.- Nont,
Hazardsfatomord�s)Norllo
Precauftonary stafemenl(s),� Nmle,.,
21 Other hazards
Aqjlcouq sniulions or lhal becotne ��,u ronclei, soilkcs extremely slippery,
For cxplatta I iufl, of abbrevia ( inns, 5,t:e Section 1, 6,,
S-E-C-110 C ormosiffonAnformation on ingt9diepts
33,
Not applicable, this product is a mixtuve,
3.2. Mixtul-es
Ha, , us, comm"fleills"
ALIiLli-c —Clclul
Concenlrationl -range:
CAS Number:
Ctassificalim accordingto paragraph (d)
of 29, CFR 19M,1200,
ulfiilmir clv.d
Concen'tralionl -ranga-
Classificationaccording b paragraph 1d),
of 29 CFR 1910.12'00.,
I- or explanal, ion ol"abbreviations �,eu sceficm 1 6
MON 4: Fist gilts "leas"tu'v.s.,
4,T
'n—
, 25%
124-04-9,
I i -, r i t. 2 A, 1113 19
<= 2,5%
5329-14-6
S in Irvill. 2;14 3 15, Rye 1,, n, it. 2 A , 1A 119
D 0 M-11 I w X4 M, m
Print Date- 05MM2020 Ravisloo date. Q31171, 020 Page, 2115
SAFETY DATA SHEET CLARIFLOC CE-1463
Inhalatio'-
Move (n fresh air. GO mudieal altontion iff �;yEnpl.onls occall"
Skin cuillacl.,
Wash, off Nvilh soap and. plunty (let medical aticohon if irritatiun dvwcicq),s, and pER'Sists—
Eyacontacl:
Rriji.,.ie inl(r.mAiMely with pletity of walor, Rlso undet° the cyclicls, Get tuedical i0l,cnfiull.
Rinse mmflli. If emscibus, give tho victiw awlenty of watcy to ch"JnV I 11,duce vomilin: ,lam only if victmi is fully co4,1scious.,
4,2, Most important sflnploms and effecls, both iicufc and dellayed
Pow dee can cause locafisechakin irritaticyn in fulds offlic skin or under t,igljl clothing, Conmcl witbdust canvause
inoehwiical irritation or drying of the skin.
4.3. lndlcafOnofany Immedlatemedica) altLlnNon and special frealment npe&d
Nolle.
)ltier ipfoanalion:
SECTION 5,,, ff,efighfing rzteag4gj
5,7, F,.'xVngWShirr q media
Suitable extinguishm,91 modia:
Water Watex spl'ay, Fomm, Carbon (11joxide (C'02)., Dpow&r.
Warning! Aqtv.-ous solutionsor pt�wders, that bcomiewet rendex surfaces extreimly slippcq
Wsintable exOnguishing media,',
No,ne known,
lil F 3portalhazards arisiq, r0n the subs Onceor nr) ,xluf a
Ha,zardoij),s decop?position producls;
decomposition nlay producc�� hydrogen chloride go, , nitrogcn oxides (N(.)x),, carbon,oxidc% (CCA). Hydropn
(11 drocyallic 21.64) may be produced, in flic cwiit of conibustion iru an ox en, kleficient at"'Osplierc.
5.,3,, Advico for firefghTers;
Wcar sel f contained brea, th ing, a p para d us r6c, fire fight Eng il'nOQeq,9,a I y,
darer" n,b"u.?Mlorr
Aquccxs 90"Wholls, fluil 17coolne wet rendtr milaces extremely slippolly.
S-E-CTIONO; AuldentalrpiRMS,10,.Measure
63,
Print DaW,. ON10412M Revisibn dato, 03117=20, Paq,, 3 t15
Persona; precautions:
Aqueous sulutious or povvdurs that bccoime wet ren&r quirfaces extr�nidy slippery,
Prot ecfi've equipment:
Wear adexjua,te personut protedive equipincul, (sec' cc is 8F"'x'posurc Prf,.)tectim
Emergency procedorn:
Keep, pca oplm~ away frolnSIAUleak, I' 11-eVeIll flUAKI 1Ua1,UAgU Ul" SpiMig'C M �"O do sn'
As with call cliernical prodw;ts,, do ou.a flush intosurf-ke water.
6,3, Mrarhods andma terial for con tainnwnf arid c-Oan#?g up
small spols:
'Dn not flush with waterklezinup prompfly by swcqpiing or, vacuum,
Large spills:
Do not flugh with Water.11'revent unatd,hurizod acccss. Sweep -ap and sfiovel into udtablc cuntairiurs fcr disposal,
Residues�:
�SWCCp t1j) tin p1l.MA, Slip 11117ard, After cleaning, f1jush, away traaccs with wateir.
6 4- Reference to, other secflons
Npos�ue ',om i I protec I ion,,, SECTION t 3 : D, isposa I
SECTION'T. I landfing and swi7age,, SECTION'& E� contro[slpers
con,sideratimas;
SECTIOW7.' Hand,11,ng and-vto.iM,
7. 1. Precaullons forsafe hanoting
Avoid contact with skin Lind qcs, Avoid dust formation, Avoid btcathiag dust. Wasb hanids bef6rebreaks and' a the end of
Nvorkday.
7,7 Con,ditionsforsafe storage, including an, , incompallbifilies
Kccp in a dry pl-ace.
I nQnnipafib le with oxicbzing ag�i i Is
7.3. Specific ond usp(s)
This infutirv-0joti, is not available.
SECT11111110N 5 -osure control
At PrOadlon
Be, L Control paramplers,
Occupational expwvre tarn ils:'
Print Datc. 00*2020 Revisioni daftw QVI 7020 Page: 4115,
SAFETY DATA SHEET
A&L_ f.�Jdl
AGGft 51 rngli-n3 (9 h(AuN)
8,2. Exposuro ronlrols,
ARRN—riale erlg, 9,41dk'
tj�C' local exhaust Nalural veiililation j!,,- adequalc
indlviduall pml-edbn r a rr u''
q) Eye/face prolection.,
Safdy g1is sses with side -shields, DO U(,Il wem col Mct lenses, whcre this pi'odtxt is
lose ci
b) Skip proteclion., I la'slic matchal gloves,
i),Hand prolection," PVC 01' Other P
jv) Other, Cllcrllka� lresistMt apron Orpl'OteGfivCraft if sPiAsbing (�r rupcated" colllact with Sulutintl �% lid cly
c) RespkplorY protection:
T-)ust safelt' aw9k� rcxfowalendrd here workiog po"'c[cr coac'entrafilon is 111,01-C that's 10 111)"IrIJ13.
go(i(,j jpd-ustrfid bygiene and safety
Waslihands, befort, brcaks gj� fh,e end o,f workday', I landlc�, �i,accurdmkcx�
pructlice.
Env Lronme -niall —rumo—swemi Llfo—hs'
L)u 1101 ojlom, uncontrollud discliarge, ofproduut 4xv) the cnviroluue"L
SE—utog;T-hysica!
9j,,
4) �Ppqaraace_
b), Odour.-
c) Odour Threshold"'.
d) pH:
0), molfing, poinOreezing point
lailial boffing pohil and bOA19 rM96
Ftash poiot
h) Ev4poration rate:,
f) FlammaKly (SOW, 90:
G ranu k,.o,"sol id, White
None.
Not applicable.
2-5 - 4.51 @,'� 5 p,"L (,S,Lu Technical Bulletin or Producl
Specirm"ifiom; for a ware, pyccjs� vahic, lf"a,vailable)
> IOWC
Not applicabic.
Nos appficmUk
Not apiplicable.
Not cu1rubim6b4c,
Print D'We' O5M412020 Review dole., 0317121,20, Page- 5 1 IS
SAFETY DATA SHEE,T C�LARIF'LOC CE-14,63,
P Ubjoerfiower flammabifitv or eMosive #Ols: Nua expmlcd to excate expkYsivc
k), Vapourpressure:
1) Vapaur donsity:
n?) Relative density:
Q� Sdubifily(ios),-
,o) Faddim coeffident.,
p) Atficipffion parr peraiure:
q),Dacompo,vV6n, lemperalure.-
r) Viscosity:
i) ExpOsive propeffies,
1), Oxidizing prope4lies.,
91,
N011C.,
SlIECTION 10, $tablIlly and.r.-oa-clMly.
10, 1, RoaclMly
Hazardous polyinu-isafion docs tacd, occur.
70,,2 Chmirall.,Vabflily
Stablo.
10,,3, PossIbUllY ot hazarclous reactions
ChJkliziqg agents may co,tvsc CXOINrelic reactjoins,
WA, Condlitions, foavoid'
Noix lu-inva
10.5, IncompalVematerials
Oxidi"zing Rgerut%-
Not appHcable.
Nut kipplicable.
0,6, - W), (See Fechnical Bulletin ur Prodlild specificacions
fo.r as ma rc precisc vidau, if avaih,b1c)
Soluble i"l-I %witler
Noti-ipplicable.
> 20W(l
See "Teclumc-al aulld.m.
N(,uexpccted to be exploive based. an the chernical struciuru,
NO cxpccled W be mlidisiing based on tN. chemical structure.
M6, Hazatdous
Thernmil decomposition, Rmy prodt2m 'hydrogen cliloride ps, nitro gen mides (Nox), carbon oxkls (C , 'Ox), I lydrngeii,
cyanide (thydrocyanic acid) maybe proclucedhithe. evcal i'll �rjji oxygen defilcitiat atmosphere.
Print Data- GROM2,020 REvision dMa: 031171020 Paga115
1 1, o7formation on fork-ologicat ffacts,
Infolmom —On 140PMAI—d as Im L100,
Acute OrM tOMOY"
Acide, det toxidly."
Acule inn alafion taxidly"
Serpos eye, dqumage/sye irrilolion:
Respwaforylsidn sensifisahm,
mulagondly.,
Carcinoge*Iy."
RqproductiVe WiGdY
S TO�T - ha le eyposura:
S TO T- Repeated exposure:
AspIrdon hazard.'
LI)50/orallrat ��%- 5000, mg/k.g
LD5Oidcrn,'i,Wj-at > 50DO wg/kg
The prodtjct is not, expected to h,e to'miby ixiluilaliom
Nol. irritating.
Tesfing conducted according to the Draize, ti;chnkjuc Akowed (he nmittzrial pro-d1we's 11,L)
corjje�j,j Qriridial effcas and oil y sfigl.-ti transitory conimeli'val effce(-, skfflil- t tl'OL
Mitch all granuilar ilaWerials 131�3ve 013 O(MIJUdivae,
Tht results dtend ing (-M gklillel' pigs gh.3wed 014s, 11,1',,iterind to, I)e non-5�c.rvsdfizing,
Not ni,utagouc,
Not carchiogenkz-
Not toxic°fov reptodudiml,,
No known effef tN,
No kmwn effecL.
No Jgtzpudsresiilfing, rron, ttIc o,ssupphed
aelo, Ve rMflLjGfT on jbLL?aprAL)us c)fjWanglft
�jLdj add
LDSO/oraltrat 5560 m g 40 1)
Acute OralloxickY.'
Acute dermal lombly: j
Acute inhalation foxkity., LCO/inhalation/4, ho,ars/rElt > T7 nig/L (Oh",('D 4,0)
Skin cofrosionfirritaffon: Slightly irfliating.
Somas eYI9 damage/BYO irfitalibrl.' N01, irritating. (OECD 4,051) (SNF)
Respiralofy1skin settsifisafion' Not 'sevisil i7ing.
Mutagenicity" Nt.-pire : hi the Ames Test (OECD,410, Negative in the Irl vitro Mjq,rInIMJ8II Cull
(()hCI) 476).
paqe�. 7 115
pflot Revi,slei) date: GA MON
CLARIFLOC CE-1463
CarOwgonicilY: Based on. availahte datoi, pr(rdjict js not cxpeaed in be carrinagurtic.
Carcinogpkity NIUdy in ratNOAEL >750 nIgAg/day
Reproductive loxd(y., Rawun a,vailable ala, product is nol, cxpected llo bQ,: toxic, fut rQpllOdtl:cli()IL
N (MET./M aterna I lox ic i ty/rat >-- 2 88. mgft/day
tuKiAAYh.-ar,,— 288 mg�kghkty
S TOT - Sing�c exposare., No known cfFects.
STOT - Repealeo expasureo known et '. fect
Aspiration hazard: Nu halowl't effeds.
Acide oral lo*,ftT JID-50/ondlral - 20,65 - 2140 il:ig/kg
Acute deanW loxicify: NOAEL/dermal/val =: 2000, laigp (OFCD 4,02)
Acule inhMalibri, Wicilf, fry prul,.1tict is nut cxpcct,�cdto bu lox iz by inlyalat inn,
Skin corrosionfirfilation, Not ilrilating. (OECD 404), (SNF)
Serious ems, dasaye irritator Modell'ately irrilating to fl-ic (,,.yes,. (HIA OPPTS 870140,0),
Respkalava y/ako sensiffsalian' Thc product Is not ex[)cxAcd to bcSMSUIZ'mg
Mvtagenicjfy.Nqgafive in (INe area Tet (()ECl) 4 7V y, Ncgiij,'Ape, in the hi, vitro Mainmal ian C".df
Gene, (0,FCD 476). Not rnutagpoic, (OECD 472,487)
Cardnagenidfy,, Based an the iabsrnce of jjjtjjtagpicitY, il is LioRdy tlbat subslaoce is carcitlogellic.
Reproductive loxkf` &j&Qd f)n available, data, Iwoduct is noL cxpected W be toxic: R)""el)"OdUction,
Pre,natal Develolunciii, Tn,,K�a,diy Stt.idy (t)ECD 4 14),
- NOAEL/Materual toxicitypawl — 200 mg/kg/day,
- NOAFLIDevuloPmental jokicity/ral =: 200 mg/kg/dRy
STO T - Single eVos vra:
STOT - R'epealed expasura.'
Aspiration hazard'
No, known dleW.
No Vtown ffret.
No knowri, eMcts,
print Date:! Q5104J24)20 Ravj�sion dalc 03117020, page' a 115
RPTIM-12L,
VA. TOXO(y
Aude lak,,ily to fish"
Acute fomeily 10, iavertebrat0s,-
Acule loxidty to afgae:
Chronic, toxicifY ID Ash'
Ch?'oWr,.fOx,jc,#y to, inyedebrafes.,
LC,501L)milo iwkV96 bours, = 5 - 1() I-rI&A (OECT) 203)
EC5011F)aphma magna/48 hnurs.:= 20 - 50 mg/L (OECD 202)
Algal jill),O)i6on lestsare nut approptiate-I'llu flocculaliotl clun-acterimics of the
product inter fen; directi: , in tht tum, tnedijun grevelli,illp, lionio conus dist6hution wl"Ich
Y 9
invalidates lbe test.
No da(a available.
Nodafiit available.
Toxicity to microorganisms", No dala avalhible,
Effects on, toffesiba"Vorganims., No data hwailable. Readily bicdegradable, cxpqquj°v, 14-) s,()il 'us tinlikely.
Sediment toxidly", No daW -'iv-efilable Ruadfly biudepmdabk, expustire to sedinient 6 unfideal Y.,
AL]ip.ic arid
Acute 1,0xicitY f0ffsk' LCO/Daniu ITriol96 botus = I GOO
Acute lo,.xicity,to invedebrates'.' FC50/.Daphn ia inagnail*S 1ycuuurs — 46 loiwL F, C'D 2 02)
5oiselenastrum capricomutunV72, Lours 5119 ingIL (O'ECT) 200,
Acule 1061Y to l(l
afgiw
Chronic foxicity toft-sh., No alarm amailable,
Chronic toxidy 10 irev Olf0brales,," NORC/Daplulia rmgnz/21 days= 6.3 nlgL, (011,7CD 211),
5,01aowa ted sludS03, biyu rs = 4747 ung/L (0 ECD 2,09)
rmir*y to, microorgantsms.-
F aadablc,
.,ffecjs an, terfestrial orgam�ms' Not dal, v
Se&ient (oxidly. No daug, available -
Sr i ljLLl-o 11 C acid
LC50/Pimeplialles promeias/96 hours = 703 ing/L (OF,,(7,T), 203)
Acute 10*4 10 fish:
Print Date' 05104P)OZO, Revislon date'. 0311T020 ppgo: 9 116
A rulaw foxicily lo, eo mlebrales:
Alin toxicity to algae:
chrok foxicdy to, fish.
Chronic luicay to invetlebrates:
Toxf,efty,to ml'croorgwiisms-,
Effe0s on terrestfial aganr rs,
sediment lrx�dly."
72.2, Persislence and'd'egradabffi�y
In,formogon 00-1oo
CLARIFLOC CE-1463,
ECSOMapluuiainagna/48 hottrs — 71.6 mig/L (0,ECD 202)
IC50,VS-cenedusmus subspicatus/72 hours —48 mgIL, ('0,ECAlly 201),
NOEIC/Danio yeri(V34 days,-,— 60 mg/L ((')l-',CD 2 10)
NOEC/Dap'liana tnagwt/21 day19 ing/L (OECD 211)
F(,'50/aQ,tiva,tcd, sJuAgU3 lair urs > 2100, nV/T, (OPCIT) 20,9)
No duta available.
No ditto availabte.
Degradation: Based, on kiegradation data of componerts, thi% product is expected ta, he readfly
(bio)idegraAatale.
Hydrotysis: Al inattsrRl pHs, (>6,) Ihe polynicr to hydrolysis, to more tlul-n 710% in 28
chay,� Tfit hydrolysis products are not harmful to aquatic organimus.
Photoiyssis: No data avaflablc
Relevant information on ihe hazardaus =Uponents
Degradation: Readily biodegnidable. >'70%1 28 days (OKI),301 D)
Hy,dfolsis: Does- not hydiul
ph,ut*sis. Ha I i R, i(i rwi i rA r.Qt plijololp is) 2 � 9 d'a ys
1131,01filmic art ifl
Degradefion, Not relevatil: (inorginic).
Hy dr(Vysis: D(Yes n(A hydrolyse
Pholr rfys, s,," No claw uvaildbL
Print Date., Q151041,020 R.iovislon dale: QW1712120 page. 0,11
I
?2.3. BloacminlubliVe PW011iAl
ip,foa �tion polhtpLmd—ud as.-mak—A,
T lie, ppi-odu ct i �, not, cxpected, I u bioaccu rnu ha t,
'O
parjjjjor� co-effirient (Lod 'Pow) " <
Sioconcefffralbn factor (BCF): No daw avaitabic,
gpjeg� fiagon t1le �?azg —irdaus co,,mgQnenfs.,
L4& �w avid
Paffil,Ybv co-effidenl (Log Pow)
&=ncenlrafion Awfor (BC'F):
Partffbn co-efficiehl (Log PM)�
aloconcenf,ralion, factor (BCF),-
124, Mobffity In SOP
Llifornigtio ILoLn the produ—cbs s�QpLe�d,,
No data avaNiable,
A it! vid
Koc�
Suffill'i"qiC ach.1
'I 2-S, Other adverse effacts
Nopw known,
0,093( 25"C,pliMi
No data availabic,
No data available.
No d,m.-a availlablu.
No data z,,tvuilable,
SECTIO�_taL Disp a--lcOflSALra—l—JOnS
13J,
ROM Date, 05,104,12020 RevIslon dM6.03,11712,020 Page° 11 d 15
W -u- s
aste from, y P, jdue-,%�Ynqsmd Prod ml, '
Disp(mic in accordancf-witb, local -and national Can be hindfilled ar iryin,m�rated, whui in comp'l ja lice Ivii 11 loco
rephilions,
jq.imilTat8d p k
I Cable
'R i n,su emp I y cmilainci,s wi th watur and use the n n�s,e- w".1 ter to preparc 1, )�z wu-1king sol utim. If,'cy recling i S P10"t Pritc i ,
disposal gel' Hum conTpliam�e With lucal regula I ions,. Can be I a ndfi I led Or, il"Chien.Rcd, wh,en, in comphanec, with kwal N-�piladons.
ReLyd—InT,
In accurdanee with kuW and uational rGLR,flations,
...........
Land I(-,'NlspOf I �00 T)
Not classified
S�fwq, trinspof fffMDQ�
Not classif"i0d,
Air Irainsportf/Ar/V
No( chassified'L
Elm T,IQR15.R'O! &tOry1,OfQjMafi1Dn
,1,5, 1� Safely, heallh and'environmonlal regiulationsfiegisbHon, spedfic rw- the sobstonre f)f' mixture'
Lafamrofiba-ml, Athe pradmd—as,,suPu Lfed'
TSCAL—heniiul —SAb —sla nc eLl— ry.
All curnp,onents of 11wk PPL)duo: are cflh�!!r lkted as mmc,tivc,�.mmmthe j,jjy[m�,,'u ory (jr mjru cx,enipt fion) listing.
US.3�AR,A
SARAfSecdol 311131'�) hazard class,.,
Nod COjjCCrjj.C(j,.
SARA,TWO —flLSeCkMs-,'
Sa,Oon 302'(TPQ) - F?oportable Quantity
Ni�wt c on, c(vie&
seebon 3,0,4 - Repodable Quantity,
Not concurmd,
Print Date: OWN2020 Rbvislon datu: 030712,020 page'.. 12115
rffla���
Seclibn 313pa, njjnjrn.,�� coareWralion):
Nul"concern"I.,
C Lean ft tqLA c
Sprfion 311 Hazardous Substances' (40 CFR 117 - RlepolflaNle Quatilfily
C", ofltEkil,18' URIC 01' 111011, (A" tile, listc<l subs 1.,�i necs,
Cisms :CAM -
Near conem,'ne4l,
Hazardous Substances Usl (40 CFI' 302A) - RepailaMeQuant#y
r)lle or.lirlo1v of the l4sted
Not RCRA hHardous.,
cakfon7i P-b
WARN, I N G d This is prod ac t cuW zi jills a cht-ni ilea I kjiowa to I hl� �S tato Of C2 1 ifuyl 0 a to ca iise cancer arld birth defcc, t s or al hCr
reproductive hania, Aciylarnidc
Rek�opnt infamm—
,44 eid
Clean Waler, Act 500,0 lbs
Section,311
cERr,LA
Hanfdous SUbStances, Lisf (40 CFR 302.4) - RepoffabW QuanNy: 5000 lbs,
50,001b's
DOT RQ, (bs).,
SECT N, 1,6. othe i Lnformation
zm
Print Date 00412020 Revislon data:,GWIMM Pagc, 13 119,
I
Hc,altiv°
Flammability
instabifity,
Ulm
Hc1q1th-
Flamnlability.
Physical Hazard:
pp F, COde:
rppmfflj,��f
OaflLfams changmfmom
SECTION 3, iqgrP,&enN,, SECTION 9, F:Kposurc prowetion, SECTION 16.
Othm haformation.
,Kqy otlaae-a-0o, abbure—viabons-&W agorlyfflaigg—fl in, 1,h fely Me sJ_,,d,
Acronym,q
STUT � Specific tavWt OTLMIA toxicity
AbbrewaUws
Eye fail. '2A = SLrious eye dinnaw-jeye il-ritatian Catcgory Codc 2.A
Sknhlit. 2 - Skit, corrosiurl/ ill"ri tilt iuFl Category Code 2
Hazard'sWoments
1-1315, - Causes skin initation
H319 - Causes sericms qc, i rri tal km)
Trab2#w,adj&c_e:
I)o �,nt handic until allsafety prccaulionq, havibeen read and, unidefsWOd'
Tarr s-SOILwasrep Ared -,in—acc,oLda—nceWll'hJLB MOROM, a,
jjoS, (.'oje 29 CFR 19, � 0. 1200
ve'r'sioir 119-01'a
Pri ra nste:� 0544;2021� Revision date", 0111712,020 Pap!, 14 � 'IS
The information provided: in, this Safely, Lhfl,a S'lleet is correct to, the best t,)Cour knowkdW, infbrmatk*nand befiefal the
date Dui" its publication, Tbe inforniWioo given is dusigned only as it, guidance fair siif:° handling use procussing, staragu,�
Walls,11,011.1fion. dispoal and releasc ari(d is ncy[ to is considericki a warranty of qwdity specifica(jon I'he ii1flOrmati oil, rclates
only to, the spucilic 11,1'aterial &Ognated.,ankl in not bc valid Rw such niaiwria) used in cuiVII,°)ination wii.b any other -materials,
or in any process, unles's spccified in the text,
Print 'Date: Revision datw 03117020
zmm
A
PRINCIA4L USES
CLA RIFL(W C - 3 29, i L; a hig, h chargecationic Imly-acrylmnidle thar
is used as a ftocculall,r ill, an wld,,e variely of" niumcipal wastewater
Ireatnient applikatiomis. It, has been surcmhAly appfied fit all fiqlakly,
soli sseparation sy.qeinq irwlvding clm-Wwadon, Ihickeamg, flotation,
arid rfeima , kerirjg.
TYPICIL PROPEA TIES
P'lly-Sical Forrni wb4e Girmw1m, Powder
Cmiollicifly 7Q9,6
p1l (0,25% SiWn) 3-5
PREPA RATION A A7D F LIEDING
("TART17113V C-.3291 is water solable, Imicertain precautions
Shoold be foll'oNved tan, obtain total dissolatinq with minfinum loss of
wtivil,,y, Colflolete weai,ng of"the illdividnal polymer partAcles, is (11"C
6 i og [0 moil i all)MUml 1'0,Q1rw i o t1le prepam, t!4:)n of powdered polymel
Sohl'Ition's. 0M)e to'et kid to acli ieve,,.good welti al; is to use zli aspi ratow
type di8perkx tll,v.11 i:Jqjws ffke �olli(j pr)lymjaer particles into Ilia watcT
AwaterpFessureof
30 Psig or gmmej, is reclil ired to iaj[pleme ol this n leihod, 'I he wetted.
poly mcr frorn die nspira lor shwAd ble (fischar ged 6ila -a%,,eqs&l equipped
,ithihiplwsprcrlartixcrcaprabkd ufsl in i jig, ifile a lire ta tak, Thie poly i mie r
solmi'm should. be stirred , for H'-60 rninules or until (fissulkilimt jN;
oioiplete, The suggeqteid make, down conceri tFation. for CLARTLOC
-3291 is V1 - 05 % hY ureight. ColmlActely antematcd uquipm,C111,
is rurmantran�r-a:inllylatwaillt„lylie.
UATERIALS OF C.'ONSMUCTION
filter lass, slainless steel or finedstrel arc
iron, gMwkmiwv<l steel, copper ar brass Mmuld ilot be 1.t.9,Cd in any part
recomincnded for pump
heads allo'l ktkj I i nes.
Pc?tYDVNF
MANUTA,CT'LlKING SPEC1140111ONS
UL ViscusiAy 12 - 3,9 v Ps
% Insol ubks < 2,0
HANDLING AND STOIL4GE
m5openied bags. S IoTe ill a cooll, (I ry AreaI �°(,jr spi Its ardly C, VA R 111
C-3 29 t, SN%'CCP %'V., 11,10 mzMerial 'itml rcuw, oil"po,,i5ilile, D(j wi(q spray
watal- Gn spil I udl dry producl becausu jbic re stl h iog g0 is V o'y 8 tilqlery
anvil difficall to cluan up. For spi 11 s if C 1, AR I F 11)(7 C-329'
sicd atiom, sprinklu so wdtBl or venni culi je ove r I'lle slpi I I m rtm o rl,d swtop
into jipproved rimmical disposal cowitainers, Rock -salt c-uts sbppe:6
nass..
SAFE IT INFORAIA TION
(.1MUFLOC C4291
so glows, gog&s and filtvr t,ypo mspimlor slli)tfld be, worn while
handfing thisproduct. CLARIFLOC C-3291 aS rural fe,)44[y i&114ed,
sholold be Lmcd hecausc polynicr-wYater toixiares, are: vety slijyery,
Anyonu msPon-gible for 11ir- pirmurvirwril, usr. Or doiwps'411 of
CL,ARIFLOC C-3291 shoulif familiarjwx t 1MR1130 Ives N00) Ole
appropri,wesafrAy inlk POINDNAL
Material Safety Data Shed. 111 1111C evonk of all mlk:rg�elwy wklt
C-3291, contact Chrmtrcc anyfitne clay" or night at
(8(W) 424-9-100.
CLARUFLOC G3291 -is shippled in 55 pairndhikp ond
skipiersacks.,
ADDIMON.4L INFORMA TION'
'Co pl ace an ofdzy or oblai n tcclmiuql hN lbrtuafiun frimllmi ywl)ere im I I la
continental United States, call toll froc:
�1800) 0484659
For additional iniftwinatian, pi arse refe,r t1g) the Safety Data Sheet (SDS)
All, Amentems, infonnqtjon and data gim ficicin arc Uclicycd to be kucrwrrarl > 114, Kle'twowlt(I wirlliolli wilirmay., exprmod or inipfied. SLACMcMs concommig
possible use, am imadt-wiffiqui mprescildalkin kw warrudy Ili mt. say saidl flsa isffee of Pal mt in firinge4inenq , and is not ar-tvainnicadflikin In imrr�Wgz, uni mil'y pabeld.
The uscr Oimoihl rito m.,Anme I'litt mH qaklynlcamires we indicmc(l or that o1her mcasurts may not ho rcipiml Ariy detent:611416m, arilie, suilability,of a particilay
p1pbduct fay rd ly Use contealplated by I'll c uscr is dic w I c rcImmsi"I'Vil il'y clf Ose liiqtc
CD 2016 SNT 11olding (7mnpwTiy
.... ............ . ....... ..... . . /,;j
pw /5
A/m, ON", WN,
00 Z
F./Iffiffi/P v//wwmm�
/
.. ..........
SN F
JR �� r,_ I
Ni
SE QN 1: Idenfificatio," ot thg substire, ;'Q)mj,,xt.u.mAud of thg..q -qMpaR
� 1, produd I'den'til , kw'
ftducl nw?ye.
Type of producl: mimure,
L2,
denfiffad uses: P roccss i ng aid, f"br kidust (d a I a pp fica ( ioa
Uses advised against: Niuiw,
Polydylic Inc.,
Company, I Chemiieal Plaiit kua)d
PO BOX 279, Ricobm-'o, GA 3,1323
lh'ilitc,d States
Telephor?,e: 1-900-8,48-7659
Tetehk (912)-884-8770
E-ma#addres&
1, 41, Ejy),prp �17,cy tplephotv number
24-hour emofgency ournber: 1 -800-4.24-9300
SECT LML-2.'Hazords, Ido—fifficati0l,
21 ot the subsIance or fnixture
Classification according to paragraph (d) 029, CFR 19,10.1200.,
Nast classified.
2.2. Label Pipments
Labafling accnrding to ParagraPh (0 d29 CFI '1910.12M,
Print Dge : 06U2020 Pjavisjol� date:, 03M712020 Page; 1115
SAFETY DATA, SHEET
hazard symbol(8):
CLARIFL0,CTM C_3291
Nat'le,
Signa4ord,' None.
Hazard sfatpemenl(s).' None.
Precat#i6nary 4�tatemeol(s)" N
23, Olhff ha2Wds
Aqueous SOILIfiOnS or pclwdel-s tjj.,!jt, I)ccon-je wet vcn,de� slippely
For exp4malion of abbrevialions see Section 16.
SEGIMON-3. InW—dlents
3, 1, Substinces
Not applicabte, this product is a
3,2'. Whims
Hazard 0 —sc mot 1-1p w I ents
CAS Number
Cla,s,sification according to paragraph A
of 29 CFR 19 10'. 1200'
Coy?cenlradonl -range.'
CAS',Numb er:
classification according to paragraph (d),
,of 29' CFR 19 10, 12010.,
For i�xplanalicjn ofabbaviations, sce'section,16
SECTION, 4LF—irst aid-MU—s—UrOs
4, 1, De crib ot fli7sl a fd rhea pure
<-- 2-5%
124-04-9
Eye li-ril, 2A.,H.31.9
= 2.55"u
5329.,1,4r-(,l
Skin Irrit, 2',R315_Eye LA10", 2,kJA319
PrIlM Date: 05104,02,0 Revisim data: OVUM Page. 2 l IS
SAFETY DATA, SHEET CLARIFLOIC"' C-3291,
hihabkoa:
Move to fresh oir, Get mulic,'M attention
Skin confacl.,
Wasbofy with sulipand Plenty of water, GO. i,nedical attoltiol, if i1rij;rttion clevelops, and perst"As,'
Eye, contact,
kiilbC itlllllfAffiltCly With pAcnty ol'water, aIso tinder the cycli&,. Get tnl�dical iffluntiorl,
Ingeston.,
R inse mouth,- If,conscious, give Ilic victirn plufty, of waics 10 drink. but only if vjfirms i's fiffly consciu'Lls.,
42, Mos,t imporlant �ymplums rjjjd, erfects, both aude -,,w7d de-,bypd
Powder Can Cause sUi irritation in rolds, of the *in ur undcr tigjj;t cjotljjng. c'unumci with dus,i, can cause
mcc.1tanical in-il-afioll Or dvYing of Ihe s1n.1,
4,3 IndicaPon, of anylrnmodiatO jjon,,r�I fr-catmept mode
nd specii.1
None -
Other infbrm8ltiwr.
No inforn,11,601, av-,Iilable,
agjt,QN-5L.-FIrefiIghtJn,g manums.
5- 1. ExIingufshing madia
Subble extinguishing meffix
Water. WaWr spray, Foami. Cm-boti dioxide �,CO,2),. Dicy powc1m.
Warning! Aqueous, s.olucar:tions " jmwders ffiat becuEn c wet tuidc� s,urfaces extrenlely Sfipj,,�Qry,
Unsuitable exiinguishing Medix
None knowil,
-5,2, special hazards arising from IhP substaflce,, 0i'mixidle
Haz,a(do,us decomposifian prodocls:
"flictrial decorlipositio,11 1,11,9y pruducc- hydroga) chloyidc ps:, nitrogun oxides (NOx), carburl, oxides I-lydrokpi
cyanide (hydrocyanic a6d) may lje producco in the uvoif of cuirbostion in rtti oxygen, deficient jinlosphere.
5113, Advice forfirafk)hIers
pr6fective MOWN" itrra us for, firc, fighlingIf necussary.
Wc�w 9,clf comailned
Other informabon,",
Aquoous Nolt] d icill"; or powders t1lat becol1w, wa rcndei,,7 s,urfacesextmnely slippery,
S,EC —
I&N 6,,,, m idqpjalmke—m M.U-5—I"Effs
6,1, pprsor)cj)prccauIIon-s, proleclivp eqajppj�ent and error gencYprocedures
PrOt Date.' ON,0*2020 Revision date:, OVOID Pasc 3, 115
I
PersonM precaubons -
A,clucoos, solutions or powders fltial 1=,Owe %vct reader surfaces extreinclyslippeiT
Prolactive equipment,
Wear adcqtoalc persional Prolvelivc, equipflwnt (sce Section 9 Exposure Coni rofs1personal, flrcllcction)
Etnergencyprocedures:
'Keep people, away froni, spill/leak, Preve,rit ffirther lc,rIkagc- or SPH [,,age irsafic to. (10 SO.
62,
As withall chen(uca� piudu,O�S, djo not flush 111LO Sur6ce waler.
61,1 Methods and maforhi,l for- containmenf and cleaning tip
Small spills -
DO not flush Willi up proinPly hysweeping or vac-ulim,
RWEXRSr ��
Large spills.,
Do not flush with w1cr.Prevent unaufliuriecd acc&ss- S,wccp up ar.i.d shovel into suitable contairicts flar disl3osal.
ResWum:
Swcep, up to pi-tvew slip Tizzard. After ckan-i!m, fliush away'Araces will, wd(O",
6A., Retaleilro to other sec tions
S, EC VION 7 ;; a PO I a nd slora gc,,, IP 11 0
, S ECTION & Ex i sure ccinlrois/j?,Qrscma� 13: Disp sal
corLsiderations;
)'J. Ptecaution.,5forsafphat�d�'ing
Avoid ccxilacl wifli gkin and eyes., Avoid dus'i forination. Avoid brtalli,ing dust, Wash hands befor-c breaks and Lit the Cod of
workday.
7.2, Conditions lor safe storage, Including any incornpahblPties
Kwip k i a, dry p lace,
Inconipatibic wivith Oxidizing agcnts.
71 Specific OfIld U,-W-�)
Tins j n thrinat ion, is, not availablo.
Rmconfrolpararfloters
Occupationalexposure, limits,"
Prilat Date; 051,04M20 Riewlsim da1w 01712020 Pagc 015
CLARIFLOCIII C-3291
11 If �)ic a�ad
ACGH: 5 mg/ml (8 hours)
8.2. Exposure conlrok�
Atli roaruts engineMou con Lrols-
1. fs� localcAii,luisA if du isting luccurs., Natural vendlatiori, is adecluate in al sencz of dusa,.~,
Individual pratection measumis, suQh as Danwal Prolective equipment'.
a), Eya#ace protector
Salbty glasscswith slide-shicids., Du nol ww"ir, conlaw, lunws where, this pm-oduct is used,
b), Skin protecftba,:
i), Hand prolectim: PVC Or cit1wr Plastic 111aterial glovus.
j!) lother. Clicinical rusistani aprun or prolcutive suit if splashing or repeuted, uontact wvhla solution is, likel,y.
c) Resph,41ory prolection.,
I)rllg,t S afety
nnn , k,; I-CC�(Dtnl I Ii*l 5ded wticre work irg powdcr oorwi•,nl ra t Ion is i i wre t ba n 10 rnn ran 3,
d) Additional advice:
W;-Lishbaixis befuru breaks. -aud at thu end of'workday. Handle inaucurchincu with guod industritil Iiygjciw atid sndJcty
I'vactice,
Enivironmentaf exposvie, confrok
Do not allow xinaontrolled dis0iarge of product 40 (beenvirotumn't,
QJ.
Odom:
c) Odbur Threshold:
d) pff
0,) M0,079, Poion Oreezing Point-,
�, ffiffiai buding pouf and boiling range:
9) ftish Point
h,) Evaporation rale.,
9 Flamimbfifty (sofid, gas),
Grallular solid. White.
Not appikaiblu,
2-5 - 4.5 @, 5, g1L (Se Tecimica 1, B ulle',th.i ur P toduct
a lllor(prcdsc valuo, if available)
I 00111c,
Not a [ppli cfflle,,
Nast alrylificable-
Not appl,llc�ablv-
Not cumbustiblc.
PON Date: ONN2020 Revisimi, datc 0311712,020 Paqa,: 5 1' 'lit
)) Upperholder' ffagnnabAffy or explasIve fin7its
k,) Vapow pressure,
1) Vapour deaMy.-
aj,� Relative densily,
q), Solubdily(ies):
0) padylion coefficionl"
p) Aubfgnilion lemperature:
q) Decomposition lerape fflturo,"
r), Viscosity:
s) Exp)osim, propedf��S,�
I) Oxidizing properties",
92. Offierinforalafloln
Nolic.
UCT]DAj 0 - _StabUft an roacam- Lity
la ?,, l?eactivity
I i a zatdous polyincri sa t ilon does wt occur
102 ChemicadstabMt.y
Suablc,,,
101 Flos�s,!,bi��lyolfhazai'dou,sreacl,�of�s
Oxi&oing ageams slay caust; cxaffiermic reacfioll�,
10, 4, Conditions to avoid
None knowia,
j'O.5., Ipcompatible matarials
Oxidizing agellts.
Nut expected tO etcate explosive aalfnasplleres.
Not appficable:
'Nut applicable.
06 - 0.9, (See -'ecimical Bulletin ur Product Spcci ("Icaliall'i
for a rncwe precisc walue, if available)
Soluble in water,
< Ol
Notapplicable
> 2000C
S'ec'I'Muliefli Bulklin,
Ncwt expected to be explosive based all ille cllemic2i I sln.icturc.
Not expec,,ted to bc, oxidkiiig based on, the aloe-mical struclure.
"10, 6, Rward'OUS d0,1,'c)IT]POSMOfl PrOdUc ts
Therill'al decomposition may praducc.- hydrogen chlori'de gas, aitl'ogeja OXidQs i(NO.x), cal'bori Okidcs (('Ox),, FJYIIFOgell
cym,fide (hydrocyariic acid),,may be producedin the everil of uninbustion, in Rnoxygen daficiel:lt atMOSPlIffe,
Prid Data: OSMQ020 Revision date; DWIV'2020 Pop: 6 t 15
$EIGILON-11 1 .501ko—kogilual Infarmallon
VIA, h1foral"alion on foxicologicaffecls
LybyrIaLmyLon #ip p(admi wpp �� OLeA
Acute OrM'1040Y: LD50/ovaUrat 1 5,00'0I'TIgt1ug
Acute darmai foxicity'
Acole inhalatioll toxidV,'
Skin corrosionkrYOUDIr
Swious eye dajuage'eye im—talb(T..
Respirafor ylskin sensilisahba'
mutagepicily:
Cminagenicily
Reproductive foxkily:
S,TOT - Singleexposure:
STOT - Repeated exposure
Aspirafion hazardt.'
CLARIFLOCtm'C-3291
LD501dei-maYrat > 500,0 trig/kg.
Tlie. piv,duct is not rzxpected dub , Iv toxic "+-)Y 411halatiOM
No t ii, r r i t a 1. i n g, �
Testilig., conducled according to tbe! Dru,'IzctQC1111i(I'm showed the 111aterial produces nu
Corrical Or iridial afects 1,1,114, Only slighl liran"itury conJuctivid Qffect� si.rnflar, tua duosQ
uvjrj,ph all ptuiular maturial's have on CORjudivac,,
The rcsa,Ot's of lesting Oil gumea pig� shuwcd this mate'rial .to bu, nan-serishizing.
Not
NO cas'cJnngLA&.
Not toxiG,fbr, reprodiwfion.
No known,. effopts
No, Imown effuCL
No hazards resuffing , fi,-olli, the inataial as, supplied,
4d id
Acute o4 toxicdy' 11 D50/ond/fat = 556'0 iris gjkg (OECF) 401)
LT)Wderm,aVrabbit >= �3 176 nig/kg
Ausle darma� 10*41'
LCO/fiflialatiorI14 hours/rat::�l 7,7rngd., (OECD 403),
A C010 h1hah1fi0fl, Wfdl'Y"'
Skin corrosion,*61'afionl' s'ligiltly i1ritating.
Serious eye dam4gelbye. irdatim; Not irritaling, (qECD 4,05) (SNIF),
Respi'ralerylskin sensifisaVan" MA
Mutagenicity: N'egT;jjjvc in the Anies Test (0,17.CD 471)1 4gtltive it, (line 11,1 ijtro Maulmakau C(.111
Gune Mtitatiuil Test (OECT) 476)
Page: 7
Print DOW OSMV2020 Rovis[on date: OVIV20120
SAFETY DATA SHEET CLARIFLOGIm G-32,411
Ca,r6nogenb(V,, Ba,,ied, on available data,, prodinct is notexpecicd to be earcinog;cnilc,
Caruh-loguni city sttody in rat: NOAEL > 750 my/kgMay
Reprodurltv& toxicily: Ba.ekl onavadable dnta, product i,; not expected to be toxic f6r.as tar'cartaaa,t�rrat..
M.)AELIMaternal, toxicityhal >= 288 11&, kg/day
loxicitylral >— 298 mg/kg/day
S TOT - Single exposure: No knwwii effeds.
STO,T - Repeate,d expasurel-I Nnl.mown effect.
Aspiration hazard,° No known e%,Qts,
Spliffinpic ac-h,
Acute orat loxidty LD501orallrat — 2,065 - 2140 tqkg,
Acute, dera?W toxicity., N 0,kEL/derma Yta 1, = 20,00 tng/kg (OT--,,('D 4 02),
Acult e inn -ration toxicily: Thcpro,chid is not expected to tie toxic by inhalatiun.
Skin vorrosionA."(filalion: Not irritating, (OECD 404) (SNIF ),
Serious eye damageleye kdtallon: Moderatel,3irritating, to dile eyes, (EPA OPPTS 970.2400),
Respkatorylskin seasilisation: I'lic product Is tioll expeacd, to be sensitizing.
Motagenicily: Negativu in (he I 47 1). Negafivc in flic In vitro MarnnWiarli t I
Gene Mts(MianJeO (OH(I D, 476), Not nautagalic. (C)ECD 472, 4P)
cardmigotilody � Bascd an the ahsence of ilultilgellicilty, it is Imaxly that 01c'subst"ance is Carc-irlogellic
Reproductive toxicity: Rased on, available diatax, prodow is not cxpec(cil to, be toxic fear reprodtiefion'
Prenatal Dcvcloprni;tl To Study (OECD, 414)
NOAFTIJMaternal toxicity/rat = 20,0 mig/kglolay
NOAELIDevelopnciltal toxicity1ral - 200,,mpjk.gl&Y,
S TOT - Single exposure: No known cjffi�ds,
STOT -Repearedl exposure: No lutown effect.
Aspit" aUbn hazard,-, No, known effects,
pritird Dates 05MV2020 RiMslon date: OWIV202D Page- 6 t 15
Rlm;�Mdm:1:41:11
S E Q I TION 12 Ea koaic�—alkfforl'ftako—n
lz'l, T6xidly
fidr2mdkonl On the Prodt-1—clas &uppliect
Acide foxidly to fish -
Acute toxicity to inverfebrates:
Acole foxicilY to algae:
Chromr, INkitY to fish,"°
Chronic, toxic#y to invartebrafes.
CLARIFLOVI C-3291
LC501nanio houn = 5 - 10, mg/L (0ECTJ 203)
EC,5 O/Daphi i ia ma DuY4 8 I'mIN- = 20 - 50 mW L (0,EC D 202)
Algal inhi,Wlion teMs are not apprnpriat�:. ',rjjc l:jocculafion ch-aracterhifics of the
t,m"aduct, intof6,e directly in, tfie� t6t. muldium prnrentntg' bonlqgenous' (fistributioll wbich
invandatc.-q the lust
No, data avaflab1c.
No data available,
Toxicity to, microorganisms,' No, data avadable,
FE ffeds on terrestrial arganiMs: No data available. R.,cj&,l,y tn-).gojj is, Ltlljikcly.
Sedmenf foxitity: No data jj,,vd.-jijabte. Readdy biodegi,ad-able, expasurc 110 sedhile"A is OjllikelY,
Acute laxicitY 10 rich:
A col e toxicity to Ovedebraf6s-','
Acute toxicity to alpe.,
Chronic iaxicdy to fish,"
Clyonic foxidly to mertebraies",
Toxidly to 1T#CroOrgMhSMS'
Acute toxicifyto Ffsh.'
LCOIDaniQ reriu/96'hmirs .z— 1000 oig/L
hours, — 46 mg-/L (OPCID 202)
capricorim),(VnV72 houss — 59 mWL (OFCD 201)
No data awailabl(;
NOECID-aphnia wagna/21 (hriys' = 63 tn,01 - (..)ECD 2 11),
Ec 5 ()J11clivated slud,gc:13 I'murs = 474 7 nig/L (017V, D 209)
No data availabl�,
No, data avaflabte'
LC50[Pimephales proiriclasM6 hours = 703 mp'L (OLCE), 203)
PrIpt Date'. W04�2020 Revision date:A31171202B Page.: 9 115
I
Acide bxicky b WeOebrates:
Avule, taxi cily 10 algae"
Chronic try icdy to fish.'
Chrom fo*O to WeHebrates,,
ToxiAy to microorpnisms:
Effects on terrestrial orgamsms:
IMEMMEM
hours, 71.6 mg (OF("D 202)
IC SOTS ounedestimis mibNpic�i I us,/72 hours, - 48 mg/ L (0 ECD 20 V)
IN OEC/,T),a i Nin, rer iu1 34 days >= 60 rn O-A, �Of' , CD 2 1 O,),
N 0 F, C I /Daphmiamagrliki/21 days := 19,ing/ L (OECD 2 11
FC50/acfiVa(cd:s,IudF/3 hours > 200 n-t-g/L (OFKD 209)
No data avallable,
No, da I a a va i lable.
JnfoLin,ajParr on Me prQdV-gt —Yes suppUO..d.--
ftradaljorr Bilsed a dcgradation afiita ofcomPonents, [his product is uxpwed to bu vo, dity
(trio)degradable,
qYd1-O)j8iS: Ai namral l),Hs (>6) tine polymcr dcgrades due u'), hydrolysis ti:) tmwe thaii'7Min 28
day,.;. Thu, hydi-olysis p,mducts, are riot hannfiil to aquatic organisul-,iss-
Ph, 0101y"w1s., No data xvailabic,
R,e ,jevjnLL]qfbrryOfon m the hazer dm mormpPflentl-
Readily biodcgradable,> 70% / 2,8 dayN (OFCD 301 D)
Does, inuf hydrf)�Yw.
phototysis: 11a9f-fifc ("indired, phololysis), - 2.9 days
(L
Degradation: Not rckvant (inorganiz),,
Hydro)ysi&Doc� not hydrolyse,
phut oiysis: No data avaihable.
Pr art Dale:5MV2020 Revision dato.- 0311712UG pagw, 10 115
&IM: 14A I
721 Rloaccunlufaflve polenlial
Informakon, on Me act as:.
7) I 't roclucl nol (xpected to bimcunamlate,
p8d.1fibil, ro-efficlent ('Log Pow) < 0
Blocancentralion factor (BGF),.' No dala avallvible,
va,,n J�fi ..i2n the hazardous con1ponents:
Adrpic eiclet
Pedifion co -efficient (Log PoW),-
Sioconceii,tration,f,d,c,lor,(BCF)-
Sulfilmir
Parlition ca-efrycieiO (Log Pow):
Bio,concentration faUor(BCF),,
0-093 (ai). 251"C, jill -1-3
No dafia available,
-4-34 Cqt 20-C
N,,o do.la available.
12A Mobfilty in sol)
Informalion on IhQ
No, dal a av" filabl,e.
Releva,nt hiformation obi the h3z..aLkvq rflffigollents..
A it uc-*l
..�p � iq
Koo.-
s2dfivnie acid
725, Other advcrse effecls
None knowo,
SE TIM 13- Dils C
131
No data available,
No dilm availzible.
ISAWNSOM
Print Date. 0%0412020 Revision date: 01712020 Pagpl.I I � 15,
CILA RW LOC "I C-329 1,
Dispose 'm accol-CIA110c, With luc!'[SrVd naficuval ru.Elations, (",an he lamifilled or hicirvcj'ated, whi,n in comPHSOice withlocal
regul"I"0011s,
Co n fam kv LP d—ac—k o ging:
Rinse enipty containers witja �vatct, and use the riusc-watertry pvq,1a1'e, (he wcm U19 solution" i'F� nut PracticalAc,
digwsc ol"jin compliaMe With lucal repplations. Can be tandfilled ug- irwinouted, wkp im coripliance with R.1cal ]-Cgrull-'.IARAIS.
'I I I "accol'(1a lice, with local kind na t lov,a I regu la 1i OIRS-
UNCTION-A.' —TEMAPPAin—f—OPPIMI-On
Land lran-sj)ort (DOI),
Sea 11"qnsporl (IMOG)"
Not classified,
Air fraflSpOrl (1A TA)
No dassifickL
SECTQft I S.' IR get jatomy-111f 0 rM610-0
Satety, health ijind en viromnental reguiationlslleghq 1,31ion, SPRcific r I'M ubslarxe Or mix turf
TSCA ChoLical Sp janceInv 'lam' ,bs
All aagiranaa. arts of dais product im.-c cithe,17 fisted ws active oil the in,V040"Y 01111� exemPt fl'(,"n listing
Us, SARA—R,-e p—
SARA fSedkm 3111312) hazard dess,
Not conuct'ned.
-SAaA THO 11.3—a—chons,'
Section 302 (TPQ) - Rep,01M, We; QWqnfiV'
Not micerned.
Section 3,04 - Reportable 006061Y.'
NoconcLwncd',
Print Date: OW044200 Revision dale: OVIV2020 Page. 12 V1 5
CLARIFLOGIm G-3291
Seclion 3 13'�De ininimis, concenfratim
Nalconc-cmud.
Clean Mier Ac
Sedion 311 Hazardous Subsiancas (40 CFRI 17A) - Repartable Qjantky-
C onta i rps cine or aiorc of clic I istiA, substa nces..
CleAnAr A -- , Cl
Section,112(i) Accidental rele. ase, prevention requHements �48) - Repodabb Quanfily.,
N, tit, cancerned..
CERM
Hazardous SubsiaricesLiq (40 CFR 3024) - Reportabfe QuarigRy:
(-'on[dins uno, or nioiv offlw IiMcO silbsialic'es,
RC'RA stalus.
Noi RCILk ha-z.,ardous.
California PrDposiftba 65hi,formation:
WARNING! This, peciduct contairis, a che't'nical known to thE State of Califo(rma to catisc., canar and, birth defcts or then
reproduclivelmac ma„ Acrylamide,
Relevani info at' a on Me.
019-9,
Clean water''Arl
Section 311 HazardousSubsiances (40CFI 'll 7.3), - Repodable., Quanfi, 5,000 lbs
CERC,LA,
Hazardous Substances LMsl (40, CFR, 302.4) - Reportabe Quailhfy-,
DOTRQ,flbs),, 50(-)0 lbs
NFFAa HMIS Ralinas...
mm
ptint Dale� WON2020 Revision date: 01712020 Page: 13) 16
CLARIFLOC"m C-329,1
histability:
m
B�alth,
F himmabilil y
PhysicktlHazard,
1111E Cade,
This in socfiOR4�
SECTION I 4mi ingredient�, SFCTION 8., Exposure con irc�j s/persmuN I prolwfion, SECTION
tta
Othcr hiformitiun.
X lio %Via"-y �eVffLdtoabiandacronyms -jed in lta shq�,qt
Acronyms
S" 1 "0' = S peci tic targd oargan tcyxicity
AbbreWalbas
Eye, Irrit, 2A = Serious cyc (WmigeJeye irritation Category Code 2A
Skin Skin 11 Catestmy Codc 2
Ha,zard slatements
T-13,15 - Cara sos skim irritation
I 111, 9 - C"i use's serious cyc i rritit ion
Do not handlQ untif all saf�ty premadoins have bce.zi read, and undei-slaod,
Th,Ls —SDS wa; pre4am—din qgcordern- —cewild , Me lb—fim—ina:
U d S,,. (,!'We ofTedura 1, R egil hations 2 9 Cf; R 191 O'w, 1I 2 00
Version: 19.0 [,a,
Print Date: 0,5MQ020 Revision date. 03MT2020 Page: 141 1S
��§, MMMIA4
C LAR I FLOC Tm C-3,29 I
The infarnmi lion PlIvVidIM, In Safely Data Sbca is cnn,ecto the bcsA ofowknowltd,gp, inf4anation and befiefal Ala:
datc. of'its public atic4a, The infurnatoio'n giv(�,n is designed, only ais as guidame far safe hajadjing� wjs, pr-ocessing, sta'age,
Ivansportatian, disposal and release atO is not u-i tie consickeW as wari-anty cm, quality specification. The inf6rniation relates
am ly to the s pecific II'm � eri a 1. designa wd and nuty nw, bc, va I i d f'or -, uch ma t ai"I I us'al in combi nat ion wi I., h, any 6A ber i nateri a Is
or in ally Raman css, unlcss specified in, flic (IcM.
PrInt DaIr., 0544020 Ruvislon date: OWIP2020 Fade'. I'S � 115
PRINCIPAL USES
C'LAMFLOC C-3276 isa high cI;1ar9C CaGorvk� poly'acrylanPi(Le that
if, used as A I'loccillant in a Wide )"Ar-icty Uf municipal wa;slemllar
Ireatiment apv'katiorls- It has, b"n incoessfill.ly applied ill All Jjq4Al&
solids wpamfioii sysivilis 'fqlanding clarif-fication, thickeoilig,
t liolafiian, and dv WMeli°ing -
TYPICAL PROPERTIES,
PhysJO."al 1"Onn WIaige4 rauuA.mlaarPomNiLl,
Cstionl(Afy 80,1%
Pf'l(025%, Sol'n') 3-5
PREPAI"TION AND FEEDING'
CLARIVLOC C-3Z'76 is Nmaw qolriblc, Pearl C(,-rtaiii plccautfans
sljoijilki be foflo�ved Lo obtain tolml dig3olation vvilh ni,inhuml lim of
aoivity� Caimplete werAiing of tho in4vidiral polyotel, partkle�� ih 111,ff
sirup r
,! e most [111portmt OWMT hi thc preparafion ofp(Iwdei-cdpolyme
qa1lutio,ps, One method 1a) achievc goi�,d vvetting is to we L911 aspinit("'
ty jiL d(ispersim' 111-11 draws die, sk,) , jd pu)j�rjietr particlus irak), the mil it
. I
mveam using nz a0lu ill =8,ieit lyy waler pm.smu c. A wMv, pres sain 0 f
30 psi g ol- genivi, is requind Vi, im,p1mcni; I h i.s imelhod. The, welicd
Poly I mr frolil Ow fispik avw slum lit Im d i scbaugcd iii to 9'vasscl equ 1plwl d,
wilh a hig'll, speed, stj rring the entire t�ank.. Thupolyiner
solution Aietuld bc stincd ror 15-60 t,mlrtauataus ol tilial disrculurlirwra k
for CLARTLOC,
C-1276 is 0,J -0J% by kweight.
MATERIALS OF CONSIRUCTION
�'
POLYD"YNE
MANUFACTURING SPECIPICATIONS
0 '4 moisn.liv <
UL vi.myrily 2.19 - 3.6, cPs
11X. 11n,,siAmbles < 2.(J,
HANDLING ANDSTORAGE
'Su glgv'fled J11-PL.,1111 Sturnge of CLARUFLOC' C-3276 its one yczir irf
11,114all'aned bags. �torcin ki coal, dry amm, Fo� spiftsof dry (.',LARJFLC C
C-3276:, smw,17'a .1p Ille lmatc;&O and rcinc, ffqimsiblc, Do n(vt qPray
wmier on spillud (try product licoµ�oii'qe' flmix"511hing gell is wry Sliptlemy,
al'i'd &I'llcult to ck'as) u.1). For spills of CLARUPLOC' C-3276
gpdIA10 Sawil�mst orverlinimilvit" over the spW area and mvez'.'rP
ii)to.a,ppuovvd. c,,Ncinical diq'Wisal mnlainvil's. Rtwk gall, eases slippicri-
mess.
SA.r, E Ty INFORAIA TION
("INUFLOC C-3271 can
rr &V'T."S, gqqgles 'and Cilia lype respirator should bu worn while
CLARIFLOC C-,1276 is not ruwfil,y ignifed,
but it wi 11 Soppol't all rXisfing five.
Ocyriid k, umNl becausc polymer -water ad;xtUres RM, VvWY SHPI)MY,
Anyone m'spo'nOble for the pracurerli,eot, use or Jisposal of
CLARIFLOC 6 should faliqdilarin themselves Will) dic
M,atelial Safety Data Shud, In the cvervi, of an cinorgenicy lNith,
CJA[1ffLOC (7-3216, coill,act miyfintc day ix nigl'll al
(8,00), 414-930(%
SJUPPIN r'
Cl
RJAIK 3TC fLISO AY-Wable,
ADDITIONAL INIPORMA TIO-N
iron, go Ivanized Meet, re pper Of i1imss shfjuk] niat be Lisud b) any part 1" Ile
of the feed sysbfvi,i, Stainless, 5leel or PVC rare reconirriaided for punw- cominrni ml I I rifted Suatcs, Cal I toll frw..'
hcads and, fecd fikle%
(8001 848-76'ar-9
For additional, infarnmiation,please refur to the Safety DaAra Nheel (S]I)S)
All ARUMICRIS, chijj.agj;,v.jN litreiiji are Wiz vO tia be aixuralo, Ind. expressedw hup3mcd, Simlevilents Canctrilifig,'
widis net wwalli,,11cridatim to i"Iftilige 0,1114,11Y PfvullRi.
l5rodua forams vust milaupkii,eil byfficum iSlha SoirmpimsdAI'lly of thicilser. t, -104 6 SNF Hol,dirig Com Inatl y
7"1
7W N/
"M
R,
... ..... .. AM/ ®R
F
A/
""NF,
According to U.S. Code of Federaf Regulations 29 CFR 1910.1200, Hazard, Comm unica tion,
3ECTION -, Identification of the substancelmixtute
I. I. ProclurridanTifirr
Type of product: M ixture,
12. Rplavant idoniffloduses of the substance orm!xlul'eand use
WenOfteduses.-. Process ing aid fir indus rria I api) I ication F,
Uses advjed'agmbsf: None,
1, 3', Vp Wits of the -suppUer of the safel.y dala sheel
Company.,
'`el ephone.-,-
Metax:
E-mO, I a ddress:
LA Efpe�qency jelophone, nurnber
24-hour emergaricy number.,
SECTION 2- Hazards Identification
. ... . . ...... . ...... ..
Polydynclnc.
I Cbeniical Plant Roadf
POBOX 279,.Ricebovo, GA. 3 1323,
United Siales
I -8100-R48-7659
(912)484-9770
1-800-424-9300,
2. 7, Classification of I he subs lance or rn �x fure
Cfas8ificafion according to pargraph(0),of 29 CFR 1910420001`
Not clussified,
22 Label eleinents
L abefling accurding 16 paragtaphfflof 29 CF'R 1910. 1200;
Print Dific 05104,1020, Revisibn date.: 1011412D'M Pa 1112
Hazardsymbol(s):
Signal word- NonQ�
Hazard slatement(s)" N cxne.
Precautimmy slatenivif (3) one,.
21 01her ha7ards
Aqi=u SC) lut ica Is or Puwdcrs drat bwon ic wet rendel' Su irfaces W I-CP IlelY slipperY
For a�xp lana fi ono f a I�ibrev ia t i o n s see S cclioil 16
S.E,C,ION 3. qmpasihon& form.&tjon, on. Ij IgL,;�djents
3J. Substances
Not al:)pheable, this pvc1duct k a WiXAUV'e.
12, Mixtures
This producl j'.jL a mixWre,,
Hamd-a—us qvwma-erg -Ls
LgLI—fivnic add
ConcentratioW -mngo-
CM Number,
Classiftal& according lo paragraph (,d),
cd 29 CFR, 19 1. IWO:
For explaoaticin of ahhreviatjorissee Sediot'l 16
43, De,,;cFiptionof' fif-staldimeasx)re,-s
P*Mafion:
Move to fresh, air. Get i ned ica I a flention i I'vimPtollIs OCf U F.
5329- 14-6
Skin IryiL 2;1 1315,Eye Irrit. 2A;H.319
SWo confact
Wash, off %Nrith s,ukip and plelity cq'%vatun Get nw6al attenfim if in-itation Lkwcjops and persists,
Eye Conlad"
Rinse iitimedi,w,oly vvith plcntyof water, undei, ihe eyetids, Ga medicid altention.
Ingesfion:
Rilm�c! 1114:g it'll, di -ink, lnduee,aorniting,, but ooly jifviefiln is fiNJIY 00,11561OUS.
give tile v!jc� hj � p jenty ofivater v
Print Date-, 05104020 Revision, date: 1,0114019 Page. 2 112
42 Mo,,q jrr�porta r) t �py)p l,oms and offe,c-ts, both acute and dokyou'
Powder can cause k:wahsed qkin irriuition in, fiolds of (lie s
skin' or (111der fightdoth,ing. Contact with dumcan cau c
mochaftical irritation or drying of I'he skim
41
None reasonably fbt-fseeable.
Other infoorefibn:
Norte.
SEQ—TION-5 . .. .... F hfig—bling, 141�ufeE
5� 1, ExNRqoh5h!ng niodW
&ioble exiinguishIng media:
water, Wida .1"'pray, Foarti, Cat -bon dioxide (CO2,), Dry powdA;t,
Warn.higl! Aqueous-w1u,001m (yr P,o%Vde'N dint b000me wet ruitkr, gurfacus, exirernely slippery '.
extihPishihg media:
Nun,c knuwn,
5112, Special hazards,on"sing Fri IN Own or mIxture
Hazardous do'CURIPOISition, produrts,° 91 -ogm ox idei (NO,x),, carbon, o% ides (COX,), I I ydrogtox
,�: y p
Thernud dQccmipos,ifion 1 , jiydrogcn, chloride, gas, nity
cyardde (hydrocyaniQ a6d) imy be prodUccd in the event of oumbu-stioti in m oxygen deficient atrnosplle're,,
5.31, Advice, for fir0fighfor'S
Profec,five moostwes-'
No spcgJaf protledive equipment requircd., Weal- scif cootained bncathing apparatus foi fin,, figjiting lfn�cemary.
01har infonnation:
Aque,,ous, soy lut ions or powders (h�a become wet rendo- su r 6o ce% exi nu-nlely S hwurY
SEll N
Personal precautions:
Aqueou s, RMtifion s, cm,- powdus i hat becoinc wet render su r f"a mi uxt rekmel y S"Ippery,
Proter,five pquipmen't Wear adequate persoll"101, protective equipillien't (see, sucli(ui, 9 Expcpsu;ore Controls[Pers,0',nrki Protection).
Emp,pgency procedures.
Keel) the opleaway ffi)m spi'1111cak, Prevow ffirtherteakage im, spifiage if9afi-, to do .90.
62 Environmortral precaulions
A's, with all chernical produucvs, do not 11imh into surface Nmfler,,
Print Doti; DSMM2020 Rovision data %14012 Page: 3112
CLARIFLOC'm C'32'76
SAFETY DATA SHEET
,6.3. Whorls and inaterial for confainment and cleaning up
Siiiallspi1W
Do nul fluslawith water,clean tijiproniptly by swcoping or vacuum.
LaTe
Do iaot flue with water.PreNrunt unvvlhori7ed access. Swcqi u'p a,nd shuNitt, J4110 ;Iili,,t�i,].)Iecc)nlaitiQis for dispomil.
lie es-'
After cle�Lai_ng, flush raw ,ay (,races with wa(rm,
6.4, Reterance W offier secUans
SECTION T 1 landling aad:smrage; SECTION 8: Expostwc p-owai,ori; `, ECITDN' i 3 Dispus-A
wasiderations;
, E.CTION 7: HqqdIj,jjn,,,a-njnd'stprggq
73 PrL,raufions tot, safehanding
Avoid cot Aact with, skitji and, i�yes, Avoid dust forill,atioxi. Avoild bl'Cathin0 dd,'.M. Wa.0m handN bdicire bm.iks anil al, the erd of
WOrILd' 8y,
7.. Con,rjjjjotj,3, for safes lorage, including any 01compalibiIIII&S
Keep inii dry placi�,
Incon,i1xi'lible with Ox . I Idly -mg, O'gwnts-
T,I Sporifir,eat d use(s)
TWs i0brmatioi'i is not available.
SECIIWO, Exposure PrGtedLon-
fl,'I Confrol paraitteler-s
Occupalbaglexposure k0ts:
Noric lulown,
82 Exposvc, controks
q OnIMli 0
UL�C' 10�10 exl4aust if dlIMing occurs. Nalui�al ventflation is adcquate in, absemt of"dusts
hidividua)'PrOlLckon- Pea$,UM. sUch as =,t
afYeANCO I profection,
I ety glasscs with sidfu-shkAds�.
Skin protection
,) Hand pmfecUda" PVC Of 01110° ptast ic ii'la I crial g 11five's
if) gj?er,,° Workelothes protechng arms,legs "'In'd hotly,
Print Date'. 0510412020 Rovision datc 101141201,9 Pap, 4 r 112
6M, :14VANTACMINAZI
CLARIFLOVI C-3276
c) Respiraiwy protechm.'
No pulsonid rfr,Spij1.A4jry VI'MC61ve, equ ip.r.nent. norintfly re(Vi'vrcd, Thjstsafitr masks recorruncin ed whore working Pow&
concuni ra I I (in j s, i'norc, flea n 10 mg/m
d) Additional advice:
Wasb bards before breaks and at the crid of'workday, Handle hi, accurdanue will't [y:tod iadugtri,,fl, hygiene, and safbly
prntiu,-,
fn vir"Mmental Q81ge cantrols:
Do trot allow uncontrollut diNdtar� �c (if prciduct: hitc) the environn-ta'A, Tyra not flush hillo surfiacc waler.
TjQN.9,, Physigal and: chemilgaiggpedIn
9t womation on wsle physica) md chomicalprope0les
iq) Appearance:
b) Gdour.,
r,)( Odour Threshold.,
d), pH;
0) Melting painfAreezbg POMI:
1) Initial boWng poll and boffing range;
g), Rash point:
h),Evaporefibr? rate:
i),Ffammabddy (solid', gas)-
)) UpperlTowar flarnmabdity for expbsi've fimits;
k) Vapour pressure -
)), Vapour densfly:
m) ReiaUve den.vIy
n) SolabdUY06s):
p), Paddion coWiont:
p) A01olignition temperature:
q) Decomposilifon fempeiature.'
r) Viscosity"
,,$) Explosive propeHias,'
Gramalarsolid, White.
Nmie.
Not q)�phcable,
2-5 - 4@,5glL (See 'Technival Bulletin ur RE'gAud
Spccific,gionq tbrprecke valule'),
Not applic,,Ok.
Not a lipfieziblL
Not
Not curnbuslible,
Nrut explected w, create cxplo,N,ive amiusphorcs.
NO
Not nj3pheitb1c.
0.6 .- 0.9
Sotuble inweal er,
Not applicabIt
> 200"C"
Sc,t� Tochoical Bulletin.
Not expcocd io, bc� cx PION i:Ve,1bmu1 on (be, c-hemical S1rLb-'1UWC%
Pri'M Date., 05,10412,1020, Revision date: 10114RO19 Page- 5 � 12,
t) Oxidxzingpropedies,
91 01her informallon
Nono.
SECTIONI(t,", Stabi
I 0o 1'. Real"HIMY
Hazmbus polymDisation does noltnccui,...
10,2, ChOO)k-,ailsfabffily
Stable.
Oxidizing agents t-noy came, exothernik i°eiicflom,.
?0,4', C(xid'Moas Wavoid
Nuitc kiiown.
10.5. Incompviblo n)alerials
Oxidizing apnfs
CLARIFLOC'm C-3276
N'Oexpleow to be Ox idising bas;Oj nu the chenlic4l st'Imerilifel.
10. 6. Hazardous decomposition, pruduc.Js
Thermal decot'nposifion juay pi-oducc. hydrqgen, chloidt gmiahmgen oxides, QN0x), uai�boii oXidos (COx), Hyd7ow
cyanide (hydrocyardc acid) may be produccd in. (hceverjiA of cpart bustion ui, apt oxypn deficient atmosphere,
mmm"It M-E M.
hithrmalimcol (hop pQ&�t as supplied:
Acute ioral foxidly LD50,/oralhat > 5000 mgft
Acute dermal loxi'My"
Aculeinhahation loxico.-
Skin cc
Serious eye dafrageleye in-itation:
Raspkaloqflskin sensftj�ahom,
mufag"OfTi0fly..
L D 5 Mtrma I/rat > 5000 jaig/kg,
-Fhe product is, not cxpetwd to be, loxiby inImlidion.
'ot initating,
I ,cstfiigcondtteIcd, accordliiig to the Draiz(; techiklueshove d, the rTlateriat pmduces no,
uumcid or hridial effbels wid only .9fight transitory con.juctival effects similar lo [huse
wh�,ch, all granu[ar iivaeiials, haye on cmijuctivae.
The I.,usullb, of(Osving ong ,ui1 i;
i,iea p gvq, Oiowed di i,r7 nxi ter ki If to be non-masit Lcing
NO mutagetlic.
Print Date: OSM02020 Revition daW10MOD19 Page,. 6112
Gvdnogpnicily
Reproductive foxkfty:
STO T - Single axposurel
STOT - Repeated'exposure,
Aspiration haz&d-
Not cardnoggin ic.,
MA toxic for rcIprijductiort.
No ktna�ms, dibcts,
No known effect.,.
No Iwards resulnn,g from the ramerial As mipplied,
Relevant infarmation on the hazardoys LmjM)pnenfv
SEI&O—weacid
Acute o(al lomcify., LID,501unallrat — 206.5 - 2140 mWkg
Acute dermal toxici(y' 20,00 ix7,07 kg,(0ECD 402),
Acule fnhakafba toxidly: Tlic product is nO ex pMe4 to Sri;, to ic by 41 hal at ior i,
Skits cerr asfanfirdtafi on,, Not irritating. (OHM 404) (SNF)
Serious eye' damagelbye irfilafion: Moderately irritafilig to die eyes. (FP A C)PPTS 870.240,0)
Reapiralorylskin sensitisaffola- The product is na expected to lac sensk_,zing.
mrub a Y., t I I po
genicil N egya I ive in the Anae/s Test, ( OECD 47 1, N ega live, in I hf� 11, 'vi Cell
Gcae Mu i a fiap't Test (OECD 4761. No,( rau tagen ic, (0 FCD 4 72, d 8 7)
Carrinogmid�v, Based on, die, absence ofiinutap,'enicky, [Eis unlikely that ,the substance is, caru I i I nogunic.
Reproduclive, fwld�y" Prenatal Development Toxicity Study (OECI) 414)
= 200 Tnglkg/day
fioxid(y/ral — 200 rng/kp/day
STOT -Single exposure.-
STOT- Re ealed'ex,
p piosuw
Aspiral,foo hazatd�
61*ul#J Aw I it 11 11
QJ, Toxicify
Information On Me produdas aupp C1.1
No known effects.
No luvown effect.,
No known effects,
NINE Dat&' OWN2020 OSion date; 101142019 Page., 7 t12
C LAR I FL,OC Im' C-327'6,
Acute tbxki�y lo fthl: LCSO/Dania, ruio/96 hotu's =: 5 - �10 irl,gOT, (O,hCD 2,03)
Aade toxid�y to invedebrales.' EC"150IDaphinii amgn.t/49 hours - 20 - 50 ITig/L (014,CD 2CU)
Acule loxidly b alp'90", Algal filibition tests are ttot appraprkae. The floc cultitian characterisfies of the,
product interfere dirMly in they, tusl ttled4ili'll PrvVenfing hmuogmuus distribution vvhich
itivailidates flic test.
Chronic Wid(Y to fish" as daul, avaflable,
Chronic loxidly lo irivedebrules" No dater available,
Tb*fty to nurroorganisn7s: No, da I a ava ilab le,
Efferls on terrestfial arganisms: No dataavailabh'.
Sediment loxicity- No data availabk.
,Q.Lnponenls:'
Acute foxicity to fish: JC5,0111'imuphahl promekts/96 hourg = 70-1 nig/L (OEC'D 203)
Aade toxidy to invertebrates,.' EC.5 G/Daphilia rragn;a/48 = 7 L 6 rat g/l . (0 ECI) 202)
subs pica(ps172 hmws - 49 mg/L (OF("D 20T)
Acute loxicity to, algae.,
Chronic loxdfo fish' N OLCIDia n iareria34 days ;—, 60 tilgl � (0 EC D 2 10)
ChroM6 IDAcily to invertebrales," NOEDDapimia ova gna12l days - 19 iTg/L (04,7ED 211),
Taxibilyto microorganisMs" EC. W-acthratud sludge/3 llours,> 200 trig/T.- (OFCD 209)
il or No data, availahle.
Effods on lerrestrk .9mlisins:
Sediment foxicky." No data -availlable,
,?2,,2,
InOrro J�jo,n on the prOJILd —as slippliOL
Degradation,: Based on degra&lion data cil" componcaits, tjjjs product js expected to be readily
(bia)dqgradable..
HydrMy�sis, At trattaral, pHs (>6), fbe polyllla�x rades (Itso to hydroly4s to, rnore Illan 70% ir 28
days, "I'hu hydrOlysis prudoets are mt harmfild tO it(ILlatiC org-anisins.
Print Date: 05MV2020 Revision date'. W'14120lq Page,:: B 112
SAFETY DATA MEET CLARIFWCTM C-3276
photD�Ysfs,: No daia available.
ak,gnt jWfomalian, on the hazardouLggwpQgffltE
suffivnie ach"t
Deq,tadafon: Not relevant
Hydroiysis: Does, not hydrolyse,
plhofalysls: No dit.ta available..
'W. Bioaccumulativepolenha!
11j&mfign on Ilia grodent as Easp
I'lic prodtiol. is, not ex, cot to bioacurninlate.
p
Padition co -efficient (fob r POW):
(8,CF) - No dma
f madon, g,� the hazardous qpenj�,s,
or Con
Sufficunic avid
partition co-effi,'66nt (Log, Pa in 4.34 @ 20PC
fBCF)., Nu data awfloble,
12,4, Mobility In soll
&malfon on theprode ct assupph"ed.:
No daiha avaijlablc,
al ant -inkimp(ion.art Ule-hazardous comammins."
Koc. No data avaflktb�c.
126, Otheradverse etfp(-,Is
on known.
print Date: 0510412,10,20, Rewision data:: 1011412019 Page: 91 t2
61-22 A IVA 07-11 fm:I AIA I
Fgaim?"AMMI 11 � -, AT 0 1
73. t Wasto froatmentmothods
products
CLARIFLOCT" C-3276
DNpose in accordance Nvith [oval and ruttional. rcglikilions. Can be landtPled or incilaef"ated, when ill CcImphancu Willi, local
I-egulations'.
Colarninated packaging
Rinse, empty cuntailacys wiIII,waler Rnd ilse tk! rimqe-water to prepare the woflcing scolution. 11 rucyc1ing is wt pradicable,
di,qiosc ofin can(iphance with" 11000 regutations. Can he landfifled ur, incincraled, wbcr�. ija con'iffliance with local rcguhitions
ReqLrfin
hi witli local and natibnal i-egullations.
SECTION 14: TransR
tand'transpoa (DOT)
NcA clasqijfi.
Sea IrAnspurf 0MUG)
Not Q11,assified,
Air franisporl (IATA)
]NotcWsified,
$ECTIORIERegulato[y information,
Informa'Pon on. -PLe
tpn 0 lomm, let as �cdflj d:
MCA Cha7?fcal Subsio, (alnvenla-,%
AU corl4loactIN af this product tire either lisIcd as active mi tile ifaventor ilyc' uxeiript fium l-tis"filig,
'Y Or
US'SARA
SARA (Sedon 31113,12) hazard dam'
Not concernW,
SARA Title i Y- U S cligas�
,, a
Saction 302 (TPQ) - ReporfAe Guantfty,'
Not concerned.
PrIlIt UP. Reuislon dala: 101144010 Page 10 112
THOTIC10,M, ylv
Section 304 -Rapartable Quenl#y.,
WA concerned,
Section 313'(De minimis conconfration):
Not cuncerned,
Clean Water Act
Sedion 311 HazardNis Subslancvs (40 CFI' 117.3) - Reportable Q ianfil.y"
NO concerned
glee A fr Ad
Section 112(!) Accidental feleaseprevention requkements (40 CFR 68) - Reportabfp Qwr?#4r
Not concurned.
CaR,CLA
Hazardbus Subslances Ljt (40 CF1 .4j,- Reportable Quantd.
Not. concerned,
RCHAL—mus "
Nul RCRA lw.ardous,
,C B&rnja Proposdion 65 &,r
WARNIN("'i [I Thh; product contains a chmucal known (c) (Ile is of California to cause, uancerand bit-th deflMs or Whur
rep oductive hat m, Acrylamide
)EPA and HMS &Lbg$,"
N;FPA,-
Hca I i h,.
F1a,njn,mbih1y:, 0
Insubility" 01
mm
Print Date: MUNN Revision date: 104019 Page: H 1,12
ve vww,'po lydy, ie i ccwro
To: CjtX_q���ll
Froni.Poildne Inc.
y
,Opcjicd: 04/1.4/20
TARUI,ATIONS FOR BID
Statv; I.
SubJect- Bid for W40gr Trcatinent Chemicals 2021) - 2024
Please provide as with.tabulations on t1w bid byfilling out th,is form orat(AcIling
YO LO' 411)Uladons form to it. Asell"-addressled stamped crivelope is ilicladcd lbl'YOUr USC.
li'possible, please fiix us flues Wbulatio.ns to the above- relbren,otd nt,tmber.
Awamled;: ESAO (Circle One)
If Y Lea.
, indicate awar(led ven&r with an
If No, indicate expected date, of award.
Calcyhat,i9n. bsod ow
Pa!�lts Product Code Pijcell,b
Polydyiw finc. CE- 1,463, $1.840
Polydy'ne Inc, S1.840
Polvdync Ine, C-3276 $1.,840
Tluv* You for''Your assistance.
Randal Vickery
Bids & Ccj�n'tracts Department
(912) 8,810-2035
Database ll)® 120-079,
I Chr-Trilcull NaMkd 'D RkeLjnrc.�, GA 31323, LISA
Date- April 9:, 2020
To All Phiiihoklers
Froni I J ndn M. Martin, Clerk, Boaird of' Rublic Works
........ ...... .
SU.1�1�ecl Addendum Number: 2
ProJect Mairic: Water Treatment Chemicals 2020-2024* (dates are being adjusted)
Pro.ject Nuumbtr� WA
ACKNOWLEDGEMENT OF RECEUP,"'r OF ADDENDUM
Date R ece i ve,,d,,, April 8, 2020
T bi!i addendum is being f6mardled to you Rm- 1he above refictrenced pro.ject.
Please si I gn below an.d acknowledge receipt of this Addendum
by fining this sheet to theBoard of Public Worlis at (.574) 235-9171
1
u
'thin 48 hours of reccipt. A copy MUST also be included, with yo,r
w
bid pack age Submittal.
THIS ADDENDUM MAY AFFE(""T'YOUR BID.
Notes:
The attached docunients are her added to the, Spucifications, and Contract
Docunviils and becorne as part of herch-i.
C'mnpany Polyclyn.c, line.
Authm'ized Signature:
I
Daie04/0,WO
Boyd St,,,uiley, Vk-Prr�sidcni
......... .
Verskm 412/20, 15
Date- April 9:, 2020
To All Phiiihoklers
Froni I J ndn M. Martin, Clerk, Boaird of' Rublic Works
........ ...... .
SU.1�1�ecl Addendum Number: 2
ProJect Mairic: Water Treatment Chemicals 2020-2024* (dates are being adjusted)
Pro.ject Nuumbtr� WA
ACKNOWLEDGEMENT OF RECEUP,"'r OF ADDENDUM
Date R ece i ve,,d,,, April 8, 2020
T bi!i addendum is being f6mardled to you Rm- 1he above refictrenced pro.ject.
Please si I gn below an.d acknowledge receipt of this Addendum
by fining this sheet to theBoard of Public Worlis at (.574) 235-9171
1
u
'thin 48 hours of reccipt. A copy MUST also be included, with yo,r
w
bid pack age Submittal.
THIS ADDENDUM MAY AFFE(""T'YOUR BID.
Notes:
The attached docunients are her added to the, Spucifications, and Contract
Docunviils and becorne as part of herch-i.
C'mnpany Polyclyn.c, line.
Authm'ized Signature:
I
Daie04/0,WO
Boyd St,,,uiley, Vk-Prr�sidcni
......... .
Verskm 412/20, 15
f
alr-17i ipp ot. 9. 20H NON QA
FmIP p ge
Nomode N
a 'S v n � l"a 1 A f W' !b P
F. linnp, up ut f �n Iarl E� 2 �m¢�'�
E.i N,a now%0 1`.,,4 N faKSNI W raonluamFann
IF„!5 fxce:ad'ed E,—w6N ai a E.,'6) EaeNfd",-N,6ur,n �r,nrs nn10 5 U v 0 ba-'f MP —FaK
lFwkt� A Atn I ,toads
To- AtigLF°t�Fina� .., , ..,,
F`lum fl mm. ..,
aifaal MPa �4u ak' .. _
widEtTIMI&WINd cmatr �n a 2022•;,2 mr Meemum1111im beft aarqamamaff�
........
d'harweaaa, JIMizibm:. IIVA
ACKNOWLEDGEMENT OF RENIE11"I'OF ADDENDUM
THE bmlowumb �I AMA* AWWA Nf,C ftlb m PuAM F'
Phtow Agn below mnd acl aoNMge rerdid of hi's Addindurn
by Fixing l t w Am luw Eht !awl O Nlal.le Worlo mi (574) ,�-9171
within 49 hamn of rruccipf.. Jig a ogy NUff x1fio be ludoidO ardlllu pa ur
bid paurkuuge upon tlmbmiltal.
'l'7E1MdDENDsI M MAY AlTA .t YOUR BID.
arm
INir.susu,bod &wmwna boydoSpexAfralalarugrunudC6.ntroct
Eancrummft ranmf M Pr Vnyr R ie l mTlr :in.
DOE
vvirm rpumo
Apr, 7, 2020 4:28PM
No, 2565 P. 1
1316 CouNTY-Crry BurL.nrNo
227 W. JE=soN BouLE'vARD
SOUTH BFN1D, INDIANA 46601-1930
PHONE 574/ 235-9251
FAX 574/ 235-9171
TDD 574/ 235-5567
CITY OF SouTx BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORDS
Date: April 72020
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works --- -
Subject Addendum Number: I
Project Name:
Water Treatment Chernicals 2020-2024
Project Number: NIA
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 04/07/20
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 DID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Polydyne Inc.
Authorized Signature: Boyd Stanley, Vice -President
Date: 04/07/20
Version 4/2/2015
Apr, 7, 2020 4:28PM
No, 2565 P. 2
WATER TREATMENT CHEMICALS 2020-2024
ADDENDUM NO. 1
Date: April 7, 2020
To: All Plan Holders
From: Bradley VanOosterum, Operations Manager
The following information is to be changed/added to the contract documents:
Replace entire Notice to Bidder with the attached Notice to Bidder.
Replace the below Statement of Policy along with other mention of bid submittal in a sealed
envelope:
All sealed bids submitted to the Board of Public Works must be received in the Board of Public
Works Office, 1316 County -City Building, South Bend, Indiana, no later than the advertised time on
the advertised date of the bid opening.
With the electronic bid submittal directions in the revised Notice to Bidder and at
south bendin.gov/bids.
Attachments:
Notice to Bidder
-This addendum consists of a total 3 pages inclusive of "Acknowledgement of Receipt of
Addendum" sheet -
Version 4/2/2019
Apr. 7 2020 4:28PM
No 2565 P. 3
NOTJCE TO BIDDERS
Notice is hereby given that the City of South Bend, Indiana, will receive electronic sealed bids at
southhendin.gowbids, until the hour of 9:30AM. Local Time, on April 14, 2020, for the
following:
Water Treatment Chemicals 2020-2024
The Title of the Bid aad Project Number (where applicable) as described above must be included
in the subject line of the email to which you have attached your bid. The name of the
company/vendor, address, contact email address and phone number must be included in the body
of the email. Detailed instructions and informatioa, including the link to the Reserved Mailbox
for electronic bid submittals, is available at southbendin.gov/bids.
Specifications are available for viewing and download by visiting the City of South Bend's web
page at southbendin_ ov/bids.
Click on the "Required LinV to register your company. You must register to receive addenda
and updates to the specific bid you are interested in. Failure to do so could reader your hid
non -responsive to the specifications.
Bids received after 9.30AM, Local Time, on April 14, 2020, will be returned unopened.
Electronic bids must be on the City of South Bend Bid/Proposal form provided, which includes a
Nan -Debarment Affidavit, Mon-Discrirrunation Commitment form, and allon-Collusion Affidavit
Form_ An electronic copy of a Bid Bond or Certified Check in the amount of not less than 10%
must be submitted with the bid. The awarded bidder will be required to send the original check or
bid bond via LISPS.
The Board reserves the right to reject any or all bids or to accept a full or partial award of the bid
or bids which, in its judgment, will be to the best interests of the City of South Bend. If the
Board elects to award the base bid plus au alteruate(s), the Board will look at the totality of the
cost when determining the lowest, most responsible bid.
The Board may reject any bid that does not conform to these requirements as non -responsive.
BOARD OF PUBLIC WORDS
Linda M. Markin, Clerk
Publish two times:
March 13, 2020March 20, 2020
Version 4/2/2019
f
alr-17i ipp ot. 9. 20H NON QA
FmIP p ge
Nomode N
a 'S v n � l"a 1 A f W' !b P
F. linnp, up ut f �n Iarl E� 2 �m¢�'�
E.i N,a now%0 1`.,,4 N faKSNI W raonluamFann
IF„!5 fxce:ad'ed E,—w6N ai a E.,'6) EaeNfd",-N,6ur,n �r,nrs nn10 5 U v 0 ba-'f MP —FaK
lFwkt� A Atn I ,toads
To- AtigLF°t�Fina� .., , ..,,
F`lum fl mm. ..,
aifaal MPa �4u ak' .. _
widEtTIMI&WINd cmatr �n a 2022•;,2 mr Meemum1111im beft aarqamamaff�
........
d'harweaaa, JIMizibm:. IIVA
ACKNOWLEDGEMENT OF RENIE11"I'OF ADDENDUM
THE bmlowumb �I AMA* AWWA Nf,C ftlb m PuAM F'
Phtow Agn below mnd acl aoNMge rerdid of hi's Addindurn
by Fixing l t w Am luw Eht !awl O Nlal.le Worlo mi (574) ,�-9171
within 49 hamn of rruccipf.. Jig a ogy NUff x1fio be ludoidO ardlllu pa ur
bid paurkuuge upon tlmbmiltal.
'l'7E1MdDENDsI M MAY AlTA .t YOUR BID.
arm
INir.susu,bod &wmwna boydoSpexAfralalarugrunudC6.ntroct
Eancrummft ranmf M Pr Vnyr R ie l mTlr :in.
DOE
vvirm rpumo
PROJ EC'F' NAME. WATER TREATMENT CHEMICALS, 202C-2024t (DATES BEfN,G ADJUSTED)
AIM FN D I J N1 N 0 - 2,
Date: April 9,2020,
To: All Plan ffifldets
1'.ilnda M1,. Mwiin, Clerk of flic Board W'Pubfic, Work's
following RID/PROPOSAL'pages are to be add�-,d/cliatigcd to tht� contract
ck),cumcnis.,
The attached 131 DWROPOSAL pages replaces 111e, original Pages,
A FULL AND COMPLETE COPY OF EA.C11 CORRE"CFED PAGF, IS
A I -F A,C 1-ILL) R) TH I S A DD L—NDUM',
You j,�iiuist ackno-wledge rt.Qejpt of flus, addeindutn by sig[,iing [he first page,
rel-amaing it via facsknilO to (574)2235-9171, anda colly of flic first Page n'lust bc
i i tcl tided with yo w hid.
'liddendui ansi I'k, anmis of as lotal oT4 pag;;s
Apr 9 2020 10:12AM
No 2566 P. 1/1
Date:
April 9, 2020
To:
All Planholders
From
Linda M. Martini
Subject
Acl64:d i Nuraber:
Project Name
Project Number.
Board of Public Works
2
Water Treatment Chemicals 2020-20241(dates are being adjusted)
NIA
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: _ April S, 2020
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) 235-9I7I
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Dotes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Polydyne Inc.
Authorized Signature: Boyd Stanley, Vice -President
Date: 04/09/20
Version 4/2/2015