HomeMy WebLinkAboutOpening of Bids - 2022-2023 Water Treatment Chemicals - Shannon Chemical CorporationBID BOND HARCO NATIONAL INSURANCE COMPANY
4200 SIX FORKS ROAD, SUITE 1400, RALEIGH, NC 27609
KNOWN ALL BY THESE PRESENTS, That we, Shannon Chemical Corporation ,
as Principal, and HARCO NATIONAL INSURANCE COMPANY , as Surety, are
held and firmly bound unto Citv ofSouth Bend , as
Obligee, in the SUM Of Ten Percent of the total amount bid and all add alternates
Dollars ( 10% ) for the payment of which we bind ourselves, and our
successors and assigns, jointly and severally, as provided herein.
WHEREAS, Principal has submitted or is about to submit a bid to the Obligee on a
contract for Water Treatment Chemicals
("Project").
NOW, THEREFORE, the condition of this bond is that if Obligee accepts Principal's bid,
and Principal enters into a contract with Obligee in conformance with the terms of the
bid and provides such bond or bonds as may be specified in the bidding or contract
documents, then this obligation shall be void; otherwise Principal and Surety will pay to
Obligee the difference between the amount of Principal's bid and the amount for which
Obligee shall in good faith contract with another person or entity to perform the work
covered by Principal's bid, but in no event shall Surety's and Principal's liability exceed
the penal sum of this bond.
Signed this 12th day of Apra , 2022
Shannon Chemical Corporation
(Principal)
By: C 1' J
HARCO NATIONAL INSURANCE COMPANY
f F'
By: y -- -
Jeffrey B. Cummings , Attorney -in -Fact
POWER OF ATTORNEY Bond # BB
HARCO NATIONAL INSURANCE COMPANY
INTERNATIONAL FIDELITY INSURANCE COMPANY
Member companies of IAT Insurance Group, Headquartered: 4200 Six Forks Rd, Suite 1400, Raleigh, NC 27609
KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of
the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New
Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and
appoint
SARAH E. JORDAN, MATTHEW J. SWANICK, MORGAN S. ELLIS, BENJAMIN R. PINKERTON, JEFFREY B. CUMMINGS,
VALERIE A. SASSAMAN, ASTRA M. MARX, ROBERT J. MILLER
Lancaster, PA
their true and lawful attorneys) -in -fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract
or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL
INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had
been duly executed and acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY
and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of
Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of
Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018.
"RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the
Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited
in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings,
recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation
may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute
waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed
by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written
obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the
Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same
force and effect as though manually affixed."
IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL
FIDELITY INSURANCE COMPANY have each executed and attested these presents
on this 31st day of December, 2021 got°.••.r.,°
CY 1 �'
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'SSG STATE OF NEW JERSEY STATE OF ILLINOIS
�qQ EACounty of Essex County of Cook = =EAI
�.- ''�� d 1904
Kenneth Chapman 01 �
H� t` Executive Vice President, Harco National Insurance Company
and International Fidelity Insurance Company
On this 31st day of December, 2021 , before me came the individual who executed the preceding instrument, to me personally known, and,
being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and
INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the
said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies.
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IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark,
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New Jersey the day and year first above written.
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Shirelle A. Outley a Notary Public of New Jersey
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My Commission Expires April 4, 2023
CERTIFICATION
I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify
that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set
forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the
whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect.
IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, April 12, 2022
A00015
a ��_
Irene Martins, Assistant Secretary
CER TIFICA TE F
Indianapolis, Indiana December 31 } 19 94
Whereas, The Harco National Insurance Con-aany
Of
Rolling Meadows, Illinois
the requirements of the laws regulating
Multi—Line
Insurance Companies doing business in the Stale of Indiana,
having complied with all
Therefore, aslnsurance Commissioner of the State of Indiana, by virtue of authority vested in me by law,
Ido hereby authorize, empower and license the above named company to transact its appropriate business
Of.,
Class II (b)(c)(d)(e)(f)(g)(h)(i)(k excluding bailbonds)(1)
Class III (a)(c)(d)
through its duly authorized agents in the State of Indiana, in accordance with the laws thereof which are
applicable to said Company.
Stats Form 4340R
IN TESTIMONY WHEREOF I hereunto
subscribe my name and affix the seal of my office
the date written above.
INSURANCE CO;vI MSIONER
HARCO NATIONAL INSURANCE COMPANY
1701 GOLF ROAD, SUITE 1-600, ROLLING MEADOWS, IL 60008
STATEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS
AT DECEMBER 31, 2020
ASSETS
Bonds (Amortized Value) ......................... . ......... $97,647,952
Stocks (Preferred Stocks) ................................... 4,687,175
Stocks (Common Stocks) ................................... 817,906,534
Cash, Bank Deposits & Short Term Investments .................. 47,123,738
Other Invested Assets ..................................... 15,101,626
Unpaid Premiums & Assumed Balances ........................ 175,152,948
Deferred Premiums, Agents Balances & Installments booked ......... 30,894,886
Reinsurance Recoverable from Reinsurers ....................... 45,151,643
Reinsurance - Funds Held by or deposited with reinsured companies .. 6,874,534
Current Federal & Foreign Income Tax Recoverable & Interest ....... 0
Investment Income Due and Accrued .......................... 1,137,118
Receivables from Parent Subsidiaries & Affiliates ................. 9,477,956
Other Assets ............................................ 3,203,261
TOTAL ASSETS................................_51,254,359 371
T.TABI_I_,TTTES, SURPLUS & OTHER FUNDS
Losses (Reported Losses Net as to Reinsurance Ceded and
Incurred But Not Reported Losses) ............................
$143,768,470
Reinsurance payable on paid losses & loss adjustment expense .......
13,625,897
Loss Adjustment Expenses ..................................
33,948,777
Commissions Payable, Contingent Commissions & Other Similar Charges
8,362,981
Other Expenses (Excluding Taxes, Licenses and Fees) ..............
615,501
Taxes, Licenses & Fees (Excluding Federal Income Tax) .............
2,999,990
Current federal and foreign income taxes ..................... . .
625,084
Net Deferred Tax Liability .................. I ...............
9,247,541
Unearned Premiums ......................................
115,882,069
AdvancePremium ............................ . ...........
296,536
Ceded Reinsurance Prenuums Payable .........................
88,051,007
Funds held by Company under reinsurance treaties .............. . .
13,600,566
Amounts Withheld by Company for Account of Others .............
45,835,854
Payable to Parent Subsidiaries & Affiliates ......................
4,231,049
Other Liabilities ..........................................
77,841
TOTAL LIABILITIES ..........................
X451,169.164
Common Capital Stock ....................................
$3,500,004
Gross Paid -in & Contributed Surplus ..........................
670,781,834
Unassigned Funds (Surplus) ................................
92537,882
Surplus as Regards Policyholders .................
$766,819,720
TOTAL LIABILITIES, SURPLUS & OTHER FUNDS ....
S1.247,988,884
I, John Mruk, Treasp141afWRC0 NATIONAL INSURANCE COMPANY, certify that the foregoing is a fair statement
of Assets, Liab' ® �uglq00f%Other Funds of this Company, at the close of business, December 31, 2020, as reflected
° 41 1
by its books A rted in its statement on file with the Insurance Department of the State of Illinois.
V o,. `y'" ,T/,,:•7 to
• ►
• My Comm, Exp. _
=January 15, 2025r
00
SIGNED AND SWdf JV% b fore me on this
IN TESTIMONY WHEREOF, I have set my hand and affixed the
seal of the Company, this 26(h day of February, 2021.
HARCO NATIONAL INSURANCE COMPANY
In
'-'] day of A y IJ &h'f 1, 20 1 .
NOTARY PUBLIC, STATE OF 4aAilnrulwA
NOTICE TO BIDDERS
rd of Public Works will
Water Treatment Chemicals 2022-2023
Specifications are available for download by visiting the City of South Bend's web page at
www.southbendin.gov:
X Click on "I'm Looking For"
X Click on "Doing Business in South Bend"
X Click on "City Contracts — Invitations to Bid"
X Click on the "Required Link" 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 render your bid non-responsive to the specifications.
There is no charge for the specifications. The specifications are also available for review only during
regular working hours in the Department of Public Works, Ste. 1316, County -City Building, 227 W.
Jefferson Blvd., South Bend, Indiana 46601.
Bids received after 9:OOAM, Local Time, on April 12, 2022, will be returned unopened
Bids must be on the City of South Bend Bid/Proposal form provided, which includes a Non -Debarment
Affidavit, Non -Discrimination Commitment form, and a Non -Collusion Affidavit Form. Certified Check or Bid
Bond in the amount of not less than 10% must be submitted with the bid. A refund of the bid security will
be issued upon satisfaction of Bid Award.
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 an alternate(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.
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 interest of the City of South Bend.
BOARD OF PUBLIC WORKS
Theresa M. Heffner, Clerk
Publish two times:
March 25, 2022
April 1, 2022
07/24/2018
CITY OF SOUTH BEND, INDIANA
SELLER'S BID FOR SALE OR LEASE OF MATERIALS
BID NAME Water Treatment Chemicals 2022-2023
FOR BIDS DUE April 12, 2022; 9:00 AM, Local Time
Date:
Address:
City/State/Zip:
04/04/22
P.O. Box 376
Malvern, PA 19355
Agent of Bidder (if Applicable): n/a
Bidder
(Firm):
Shannon Chemical Corporation
Telephone Number: ( 610) 363-9090
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT
ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY
PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Pennsylvania )
SS:
Chester COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to induce anyone to refrain from
bidding, and that this bid is made without reference to any other bid and without any
agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have
or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on
account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any
of its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended fi•om time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor
retain any employee or contract with a person that the Contractor subsequently learns is an
unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work
eligibility status of all of Contractor's newly hired employees through the E -Verify
Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and
participation in the E -Verify Program is included and attached as part of this bid/quote;
and
5. Contractor shall require his/her/its subcontractors performing work under this
public contract to certify that the subcontractors do not knowingly employ or contract with
an unauthorized alien, nor retain any employee or contract with a person that the
subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has
enrolled in and is participating in the E -Verify Program. The Contractor agrees to maintain
this certification throughout the term of the contract with the City of South Bend, and
understands that the City may terminate the contract for default if the Contractor fails to
cure a breach of this provision no later than thirty (30) days after being notified by the
City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a
City contract with respect to hire, tenure, terms, conditions, or privileges of employment,
or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age, gender expression, gender identity, sexual orientation
or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment,
materials, or any combination of the foregoing including, but not limited to, public works
contracts awarded under public bidding laws or other contracts in which public bids are
not required by law, the City, its agencies, boards, or commissions may consider the
Contractor's good faith efforts to obtain participation by those Contractors certified by the
State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to
award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against
said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE
Utilization Board shall prohibit that person or entity from being awarded a City contract
for a period of one (1) year from the date of such determination, and such determination
may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination
commitment shall be made a part of any contract which it may henceforth enter into with
the City of South Bend, Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any
matter directly or indirectly related to employment, because of race, religion, color, sex,
gender expression, gender identity, sexual orientation, handicap, national origin or
ancestry. Breach of this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my
statutory obligations to the use of steel products or foundry products made in the United
States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for
this project will use steel products or foundry products made in the United States on this
project if awarded. I understand I have an affirmative duty to notify the City in my bid that
my proposal does not include the use of steel products or foundry products made in the
United States. I understand it is my sole obligation and responsibility to provide a
justification to the City, subject to review and approval, why the cost of United States made
steel or foundry products is unreasonable. Prior to award and upon submission of bid
which does not use steel products or foundry products made in the United States, the City,
through its director of public works, shall make a determination if the price of United States
made steel or foundry is unreasonable. I understand that violations hereunder may result
in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 4th day of April , 20 22
Shannon Chemical Corporation
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Daniel C. Flynn, V.P.-Operations
Printed Name and Title
Subscribed and sworn to before me this 4 th day of April '2022
My Commission Expires
County of Residence
Chester
Notary Public
Commonwealth of Pennsylvania - Notary Seal
KIMBERLY WAMBROSIO - Notary Public
Chester County
My Commission Expires Apr 7, 2023
commission Number 1260997
(To be completed only by Contractors/Bidders claiming to be a "local Indiana business" pursuant to /. C. 36-1-12-22)
INDIANA LOCAL BUSINESS PREFERENCE CLAIM
A "local Indiana business" refers to any of the following:
(1) A business whose principal place of business is located in an affected county.
(2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties.
(3) A business that employs residents of affected counties as a majority of its employees.
(4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the
political subdivision.
(5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules
adopted by the political subdivision.
An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph
County: Elkhart County, Marshall County, Starke County and LaPorte County
There are the following price preferences for supplies purchased from a local Indiana business:
• 5% for a purchase expected by the purchasing agency to be less than $50,000
• 3% for a purchase expected by the purchasing agency to beat least $50,000 but less than $100,000.
• 1% for a purchase expected by the purchasing agency to beat least $100,000.
Date:
Pursuant to I.C. 36-1-12-22, NOTAPPLICABLE
preference for Project
South Bend, St. Joseph County, Indiana.
claims a local Indiana business
(Project # ) located within the City of
❑ The location of the principal place of business is
(Address)
❑ St. Joseph County, Indiana
❑ The following county located adjacent to St. Joseph County, Indiana:
❑ The majority of the 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.
❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St.
Joseph County, Indiana, or the adjacent county noted above.
If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide
supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount
paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents
of St. Joseph County and the adjacent county noted above.
WHEN SUPPLYING SUPPORTING PAYROLL RECORDS,
BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS.
Dated this day of 20_.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
SPECIFICATIONS
CITY OF SOUTH BEND
BID NAME Water Treatment Chemicals 2022-2023
FOR BIDS DUE April 12, 2022; 9:00 AM, Local Time
Pursuant to notices given, the undersigned offers bid(s) to the City of South Bend in accordance with the
following attachment(s) which specify the class or item number or description, quantity, unit, unit price
CHLORINE150# AND TON CONTAINERS.......................................................................................................................... 1,2
FERRICCHLORIDE.................................................................................................................................................................... 3
FLUORISILICICACID................................................................................................................................................................ 4
PYROPHOSPHATE SEQUESTRANT AGENT........................................................................................................................ 5
SULFURDIOXIDE........................................................................................................................................................................ 6
DRYPOLYMER FLOCCULENT................................................................................................................................................ 7
LIQUIDCALCIUM NITRATE 66%........................................................................................................................................... 8
SODIUMHYPOCHLORITE 12.5%............................................................................................................................................ 9
STRUVITEREMOVER/PREVENTATIVE.............................................................................................................................. 10
FOR ALL CHEMICALS
For security purposes vendors shall confirm via fax a copy of the delivery driver's license, truck and trailer
information along with the anticipated time of arrival not later than 24 hours prior to arrival. Failure to do
so will be cause for resection of material, no billable time will be accepted.
Water i1'orks facility deliveries are to be made on normal work days behveen 7:00 a.m. and 11:00 a.m. ivith unloading to be
completed before 1:00 p.m, TVasteivaterr facility deliveries are to be made behveen the hours of 6:00 AAI and 4:00 PAI Aforrday
through Friday.
No stop -off or fuel surcharges allowed; however, demurrage charges will be allowed after 2 hours
per stop. All deliveries are F.O.B. Delivery Point.
Awards of this bid will be divisible by product. Awards will be based on the lowest responsive
and responsible bidder per unit prices on the attached schedule.
All prices quoted are to be effective May 1, 2021 through April 30, 2022 (One Year). Prices are
to be firm throughout that period without increases.
Quantities are estimated and not guaranteed. The City reserves the right to exceed the estimate at
the price quoted here in.
5. PYROPHOSPHATE SEQUESTRANT AGENT
A. STANDARDS
Product shall be a minimum of 93% sodium pyrophosphate.
ii. The remaining ingredient(s) shall also be sodium phosphate material(s).
Product must already be listed in the latest National Sanitation Foundation
(NSF) Standard 60 directory.
iii. The percent phosphate as PO4 must be disclosed and by Indiana law, be
marked on the outside of the container.
B. TECHNICAL ASSISTANCE
The successful vendor giving a quote must also provide on-site technical
assistance to the Authority for an eight hour day per month for the first six
months of product usage.
ii. After the first 6 months of on-site technical assistance, the Authority will
request further on-site technical assistance on an as needed basis.
iii. The vendor shall provide a per visit cost in their quote for the additional site
visits.
iv. Each visit will be one workday (Monday through Friday only), from 7:00 a.m.
to 3:30 p.m. EST.
V. Vendor must submit the name(s) and resume(s) of the technical representative
that will perform the on-site assistance with your quote submittal.
vi. The technical representative shall be an employee or certified representative
of the vendor and have a minimum of three years of experience in the
application of pyrophosphate sequestering products in municipal water supply
and be available Monday through Friday from 7:00 a.m. to 3:30 p.m. EST to
answer questions which may arise in applying their product.
C. REQUIREMENTS
i. A list of two municipal references within a one hundred mile radius of South
Bend using the product for a minimum of one year.
ii. Each reference must include the name of the municipality, the
superintendent's name, and phone number.
W. A one pint sample must be submitted for analysis to 830 N. Michigan St.
South Bend IN 46601. (Recipient Control Room)
iv. During the contract period, additional sampling and analysis will be made.
V. Contract can be nullified if testing indicates unauthorized changes have been
made to product.
vi. Samples of product being used by references may also be sampled.
vii. Evaluation
viii. Testing
1. Sample product analysis
2. Reference interview and possible sample analysis
3. Verification of ingredients.
1. The City reserves the right to submit samples of the polyphosphate
product to an independent laboratory of the City's choice for chemical,
biological, and physical analysis and testing.
2. Any product which, in the City's opinion, contains hazardous or
deleterious substance or fails to comply with these specifications will be
disqualified.
3. The cost of this analysis and testing will be incurred by the vendor with
the understanding that a maxinzurn of ten samples per year will be
submitted.
4. Guaranteed rninin2urn available phosphate percentage as PO4 is to be
Nighty Three Percent (93016).
ix. Other evaluation;
1. List of data that confirms products effect on (a) copper, (b)
sequestration
2. List of data that confrr•rrrs company' experience in other cities and
technical support.
X. Certified Analysis
1. The supplier shall provide a certified chemical analysis of a
pyrophosphate product sample taken from the production facility from
which he proposes to supply the City of South Bend.
2. He shall fi rther certify analysis to be representative of the product he
proposes to provide the City.
xi. Performance Requirements
1. When applied at a rate yielding not more than four (4) parts of
pyrophosphate as PO4 to each part of iron and manganese, the product
shall be capable of holding iron and manganese in solution for no fewer
than five (S) days at seventy (70) degrees Fahrenheit in the presence of
one-half milligram per liter (0.5 mg/1) free chlorine residual and for no
less than ttiventy four (24) hours at 140 degree F.
2. The City reserves the right to 7-1171 performance tests once a month.
3. Any product which, in the City's opinion, does not meet the specified
performance requirewnents or fails to comply with the specifications will
be disqualified
D. COVERAGE
i. These specifications cover pyrophosphate compounds used to stabilize or
sequester soluble iron and manganese in potable water.
E. PHYSICAL FORM
i. Product shall be a granular form. Powdered material will not be accepted.
F. PHYSICAL STANDARDS
i. Phosphate blend shall comply with the following physical requirements:
1. Color: White
2. Solubility: Completely miscible in water
3. Percent Phosphate as PO4 Minimum of 93%
4. Physical Forrn: Granular
G. CHEMICAL STANDARDS
i. Phosphate blend shall contain only NSP approved phosphorous ingredients.
ii. No amines or other chelating agents shall be used.
iii. Blended phosphate product formulation shall be only sodium salts of
phosphate compounds.
iv. No potassium salts shall be used.
V. Impurities in pyrophosphate products shall not exceed the following
concentrations:
Arsenic as AS
0.001 mg/1
Copper as CU
0.2 mg/1
Heavy Metals total as Pb
0.001 mg/1
Iron FE
0.1 m /I
Manganese as MN
<.05 m /I
Organics as C
None
Silica as SI02
1.0
Zinc as ZN
0.01 mg/1
vi. In addition to the above standards, pyrophosphate products shall contain no
substance, for which the Indiana Pollution Control Board has established a
limit in potable water, in a concentration exceeding the limit established for
potable water.
H. PACKAGING & DELIVERY
i. Product shall be shipped in 50 pound bags and stored locally.
ii. Deliveries are to be made within two to three days of notice.
iii. Vender will be required to deliver product weekly or as needed to each well
field in order to maintain specified stock levels.
iv. Weekly delivery receipts will be issued.
V. Delivery sites are as follows:
Location
Address
Carriage Hills
52290 Shenandoah Drive
Erskine
4116 South Fellows Street
South
3600 South Main Street
Cleveland South
4900 Cleveland Road
Cleveland North
4949 Cleveland Road
BID/PROPOSAL
CITY OF SOUTH BEND
BID NAME Water Treatment Chemicals 2022-2023
FOR BIDS DUE April 12,2022; 9:00 a.m., Local Time
Bidder (Firm): Shannon Chemical Corporation
Address: P.O. Box 376
City/State/Zip
Telephone Number:
Malvern, PA 19355
610-363-9090
Fax Number:
r ,
610-524-6050
(Signature)
Item
Est. Qty.
Item
Units
Unit Price
Total
No.
Per Year
1
150
Chlorine — 1 Ton Cylinders
Ton
$
$ no bid
2
140
Chlorine — 150 Lb. Cylinder
Cyl
$
$ no bid
3
90,0000
Ferric Chloride
Gal.
$
$ no bid
Fluorisilicic Acid — 23%
Gal.
4
13,000
Price Below 1943 gallons
Price Above 1943 gallons
$
$ no bid
5
11,250
Pyrophosphate Sequestrant Agent
Lbs.
$ 2.87/#
$ 32,287.50
6
100
Sulfur Dioxide — 1 Ton Cylinders
Ton
$
$ no bid
7
40,000
Dty Polymer Flocculent — 50 / 55 Lb.
Lbs.
Polyethylene Bag
$
$ no bid
Liquid Calcium Nitrate
Gal.
8
25,000
$
$ no bid
Sodium Hypochlorite — 12.5%
Gal.
9
62,000
Price Below 1800 gallons
Price Above 1800 gallons
$
$ no bid
10
1100
Struvite Remover 275 Gallon Totes
Gal.
$
$ no bid
TOTAL
$ 32, 287.50
Bidder (Firm): Shannon Chemical Corporation
Address: P.O. Box 376
City/State/Zip
Telephone Number:
Malvern, PA 19355
610-363-9090
Fax Number:
r ,
610-524-6050
(Signature)
Daniel C. Flynn
(Printed Name)
V.P.-Operations
T (Title)
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President Joseph R. Molnar, Member
Gary A. Gilot, Member
Jordan V. Gathers
Attest: Theresa M. Heffner, Clerk
CITY OF SOUTH BEND
INSTRUCTIONS TO BIDDERS
BID FORMS AND EXECUTION
A. Bidders are expected to examine the Drawings, Specifications, Proposal and all Instructions.
Failure to do so will be at the Bidder's risk.
B. Each Bidder shall furnish all information required by the Notice, Instructions to Bidders and
Specifications. Bids must be made on the form provided. The Bidder shall sign the Proposal
and Non -Collusion Affidavit, which is a part of the provided form, where indicated, provide a
notary signature and provide all other information required.
C. The Bidder shall sign the Proposal in the following manner: If the Proposal is made by an
individual, his/her name and post office address must be shown. If made by a partnership or
joint venture, the name and post office address of each member of the partnership or joint
venture must be shown. If made by a corporation, the Proposal must be signed by an officer
of the corporation or by a representative duly authorized by the corporation to execute the
Proposal in its behalf.
SEALED BIDS ONLY
A. The City of South Bend, Indiana, Board of Public Works will receive sealed electronic Responses at
bpwbids ,_ ,soathbendin.gov.
B. "Bid for Computer Equipment," "Bid for Front End Loader," or "Bid for Office Supplies."
C. When samples are required, such samples shall be delivered or shipped at the bidder's
expense to the address specified in the Invitation to Bid. Samples must be shipped
separately from bid documents and labeled clearly with the Bidder's name, address and the
commodity or equipment classifications and documents, the item (and item number, if any),
and Material Safety Data Sheets (if applicable). All samples must be representative of the
commodities or equipment which will be supplied by the successful Bidder. All samples will
become the property of the City of South Bend and none will be returned, unless otherwise
stated in the Specifications.
D. In the event of an inconsistency between provisions of the contract documents, the
inconsistency shall be resolved by giving precedence in the following order:
ORDER OF PRECEDENCE
A. Bid Form attached Proposal
B. Amendments to Specifications
C. Specifications
D. Special Provision
E. Instructions to Bidders
F. Notice to Bidders
4. DELIVERY OF BIDS
The City of South Bend, Indiana, Board of Public Works will receive sealed electronic
Responses at bpwbidspsouthbendin.gov.
ADDENDA — NO VERBAL INTERPRETATIONS
A. No inquiries by Bidders relative to interpretation of Plans, Specifications, Special Provisions,
or other Bidding Documents will be answered verbally. If any prospective Bidder is unable or
unwilling to comply with one or more requirements of the bidding document, such Bidder
should so inform the Board of Public Works in writing. Upon receipt of such information,
consideration will be given to the advisability of issuing an Addendum which would thereupon
become applicable to all Bidders. Any such inquiry must be submitted at least seven (7) days
prior to the bid opening date in order to give the Board sufficient time to consider any
necessary Addendum. All answers to such inquiries, in the form of Addenda, will be furnished
to all prospective Bidders who have registered with the City. All Bidders are required to
acknowledge receipt of any Addenda by inserting the Addendum number and the issuing date
on executed Proposals.
6. REJECTION OF PROPOSALS CONTAINING ALTERATION ERASURES INCOMPLETE
BIDS AND ETC.
A. Proposals shall be rejected if they show any alteration of form, additions not called for,
conditional or alternate bids (except when and insofar as are invited), incomplete bids,
erasures or irregularities of any kinds.
B. All blank spaces for bid prices must be filled in, in ink, with the unit price and total price for
each item (This does not apply to divisible bids). In case of incorrect totaling of amounts and
where the unit price and the extension thereof do not agree, the unit price for each item shall
govern, and the City is authorized to correct all erroneous extension and totals for the purpose
of comparing bids.
7. TRADE DISCOUNTS
A. Trade discounts shall not be shown separately, but shall be incorporated in the Bidder's unit
price, unless otherwise specified.
8. VEHICLE BIDS
A. Bidders may bid on one (1) or more vehicles, provided however, that the bid submitted for
each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly
labeled on Bidders may bid on one (1) or more vehicles, provided however, that the bid
submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the
envelope clearly labeled on the outside as to the specific vehicle for which the bid is being
submitted. Bidders may submit separate bid bonds for each vehicle being bid upon OR may
submit one (1) bid bond equal to 10% of the combined total of all vehicle bids submitted.
9. The Board may reject any bid that does not conform to these requirements as non-
responsive.
10. TAX EXEMPTIONS
A. The City of South Bend is exempt from the payment of federal excise and transportation taxes
levied under the provision of the Internal Revenue Code. It is also exempt from the Indiana
State Gross Retail Tax (sales tax). The City will furnish the successful Bidder with any
certificate of exemption required.
11. WITHDRAWAL OF BIDS
A. Withdrawal of bids will be allowed only in those cases in which a written request to withdraw a
bid is received by the Board of Public Works prior to the date and hour for receiving and
opening bids. In such cases, the same will be returned to Bidder unopened.
12. ESCALATOR OR CONTINGENT CLAUSES
A. The use of escalator clauses or other contingent clauses by the Bidder is prohibited, unless
requested or permitted by the Invitation to Bid. No Proposal shall contain nor be
accompanied by any writing purporting to limit or qualify the City's right to accept such
Proposal or purporting to alter such Proposal or any Contract which may be executed
pursuant thereto.
13. PRICES MUST BE DELIVERED PRICES
A. The bid price shall be a delivered price. All materials shall be shipped F.O.B. destination as
specified in the Invitation to Bid. No fuel surcharges accepted.
14. AWARD — WAIVER OF TECHNICALITIES
A. The Award of Bid, if any award be made, will be made within sixty (60) calendar days after the
opening of Proposals to the lowest responsible and responsive Bidder who's Proposal
complies with all the requirements prescribed, exclusive of technicalities waived. Until the
final award of the Bid, however, the right is reserved by the City to reject any and all
Proposals and to waive technical errors.
15. SPLITTING OF AWARDS/DIVISIBLE BIDS
A. Bids will be awarded on the basis of the total dollar amount for all items in the Proposal unless
the bid is described by the City as a Divisible Bid. The City may award a Divisible Bid to the
lowest responsible and responsive Bidder for each item or class of items as indicated in the
bid documents.
16. BIDDER QUALIFICATION
A. The City may require any Bidder to submit evidence of qualifications, and may consider any
evidence of the financial, technical, and other qualifications and abilities of the Bidder. The
City will not award a Contract to a Bidder who, in its opinion, is not fully qualified on the basis
of financial resources and responsibility, possession of adequate equipment, personnel,
experience, and past record of performance to perform the obligations to be undertaken
competently and without delay.
17. PURCHASE ORDERS
A. A Purchase Order will be issued to the successful Bidder after formal acceptance of the bid is
made by the City.
18. NEW MANUFACTURE
A. Unless otherwise specified in the Invitation to Bid, the items offered shall all be new and the
latest model of manufacture.
19. SOURCE OF SUPPLY
A. If the Bidder is not a manufacturer, the source of supply must be shown and all sub-
contractors must be identified.
20. PACKAGING
A. All items shall be delivered strongly packed and marked according to accepted commercial
practice unless otherwise directed in the Specifications. No charge shall be made for
containers and the City shall have no obligation to return containers unless otherwise
provided by the Specifications or Special Provisions. Any items not received in good
condition will be rejected.
21. INSPECTION OF GOODS
A. The City of South Bend reserves the right to inspect and have any goods tested after delivery
for compliance with the specifications. Notice of latent defects, which would make the item
unfit for the purposes for which they are required, may be given at any time within one year
after discovery of the defects.
B. All items rejected must be removed immediately by the Contractor at the expense of the
Contractor. If the Contractor fails or refuses to remove the rejected items, they may be sold
by the City of South Bend.
C. The above provision shall not be construed in limitations of any rights the City may have
under any laws including the Uniform Commercial Code.
22. ASSIGNMENTS
A. No person to whom a Contract has been awarded may assign his interest in the Contract
without the consent, in writing, of the City.
23. CANCELLATION
A. The City of South Bend reserves the right to cancel any Contract for failure or refusal of
performance, fraud, deceit, misrepresentation, collusion, conspiracy, or any other misconduct
on the part of the Contractor.
24. DEDUCTION OF DAMAGES
A. If the City cancels the contract for any cause, it shall deduct from whatever is owed the
Contractor on the Contract or any other Contract, any amount sufficient to compensate the
City for any damages suffered by it because of the Contractor's wrongdoing.
25. METHOD OF INVOICING FOR PAYMENT
A. Contractor shall bill the City of South Bend
1. On regular invoice form giving a complete and detailed description of the goods delivered,
including purchase order number.
2. If the Contractor allows a discount, the period of time in which the City must make
payment to qualify for the discounts shall be computed from the date the City received the
invoice (completely filled out), or the date the goods are delivered and accepted,
whichever may be later, and shall not be less than twenty (20) days.
3. If more than one shipment is made under the Contract and on the same purchase order,
the City will make partial payments on a basis that is agreeable to both parties.
26. OWNERSHIP OF GOODS
A. The goods which are the subject of the Contract shall remain property of the Contractor until
delivered to and accepted by the City of South Bend.
27. ESTIMATED QUANTITIES
A. If the quantity set forth in the Notice to Bidders and Proposal is approximate and represents
the estimated requirements of the City for a specified period of time, the unit price and the
extended total price thereof shall be used only as a basis for the evaluation of bids. The
actual quantities necessary may be more or less than the estimate, but the City shall neither
be obligated nor limited to any specific amount. The City will, if at all possible, restrict
increases to twenty percent (20%) of the estimated quantity and will, if at all possible, restrict
decreases to twenty percent (20%) of the estimated quantity.
28. TERM "OR EQUAL"
A. Where the term "OR EQUAL" is used in these Specifications, the Bidder deviating from
specified item shall file with his/her bid a letter fully explaining and justifying his/her proposed
article or equal. The City of South Bend shall be the sole judge in determining if the "OR
EQUAL" offered meets the Specifications.
29. INDEMNIFICATION CLAUSE
A. The Contractor agrees to indemnify, defend, and hold harmless the City of South Bend, its
agents, officers, and employees from all costs, losses, claims and suits, including court costs,
attorney fees, and other expenses, arising from or out of the negligent performance of this
Contract by the Bidder or because or arising out of any defect in the goods, materials or
equipment supplied by the Bidder.
Mannon Chemical Corporation
Specializing in LEAD and COPPER Corrosion Control
Corporate Resolution
At the meeting of directors of SHANNON CHEMICAL CORPORATION, duly noticed and
held on March 24, 2022 a quorum being there present, on motion duly made and seconded.
It was:
Resolved that Daniel C. Flynn, be and is hereby appointed, constituted and designated as
agent and Attorney -in -Fact of the corporation with full power and authority to act on behalf
of this corporation in all negotiations; bidding, concerns and transaction, including but not
limited to the execution of all bids, papers, documents, affidavits, bonds, sureties, contracts
and acts and to receive and receipt therefore all purchase orders and notices issued pursuant
to the provisions of any such bid or contract. This corporation hereby ratifying, approving,
confirming and accepting each and every such act performed by said agent and Attorney -in -
Fact.
I hereby certify the foregoing to be a true and correct copy of an excerpt of the minutes of
the above dated meeting of the board of directors of said corporation, and the same has not
been revoked or rescinded.
Kevin Flynn, Secretary
04/04/22
Date
Seal:
Post Office Box 376 ® Malvern, Pennsylvania 19355 ® (610) 363-9090 9 Fax: (610) 524-6050
DANIEL C. FLYNN
Phone #:.(610) 363-9090 email: dcflynn@shannonchem.com
SUMMARY
• More than 30 years experience in water treatment.
Experience 10.01.03- Present Shannon Chemical Corporation
President
01/99-9/30/03
Vice President -Operations
1990-1999
Chemical Operations Manager
1989-1990
Chemical Sales Engineer
1982-1986 Hercules, Inc. Detroit, MI
Industrial Water Treatment Specialist
• Specialized in selling and servicing the automotive industry (Ford & GM).
Responsibilities included all industrial water applications, boilers, cooling
towers and paint booths.
Education 1978-1982 Villanova University Pennsylvania
• B.S: Chemical Engineering
E-Verffy-.......*r
.
is ifA
Company ID Number: 342560
THE E -VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION
MEMORANDUM OF UNDERSTANDING
ARTICLE I
PURPOSE AND AUTHORITY
This Memorandum of Understanding (MOU) sets forth the points of agreement between the
Department of Homeland- Security (DHS) and Sliapuon Cli+in0al Corpoyaun (Employer)
regarding the Employer's participation in the Employment Eligibility Verification Program (E -
Verify). This MOIL explains certain features of the E -Verify program and enumerates specific
respansibiilties of DHS, the Social-Security-Adm.inistration•.(SSA); -and the Employer. E-Verify-rs ----
a program that electronically confirms an employee's eligibility to work In the United States after
completion of the Employment Eligibility Verification Form (Form 1-9). For covered government
contractors, E -Verify is used to verify the employment eliglbility 'of all newly hired employees and
all existing employees assigned to Federal contracts or to verify the entire workforce if the
contractor so chooses.
Authority for the E -Verify program is found in Title IV, Subtitle A, of the illegal Immigration
Reform and Immigrant Responsibility Act of 1996 (11RIRA), Pub. L. 104-208, 110 Stat. 3009, as
amended (8 U.S.C. § 1324a note). Authority for use of the E -Verify program by Federal
contractors and subcontractors covered by the terms of. Subpart 22.18, "Employment Eligibility
Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as
a "Federal contractor with the FAR E -Verify clause") to verify the employment eligibility of
certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive
order 12989, as amended. ' '
ARTICLE iI
FUNCTIONS TO BE PERFORMED
A. RESPONSIBILITIES OF SSA
1. SSA agrees to provide the Employer with available information that allows the Employer to
confirm the accuracy of Social Security Numbers provided by all employees verified under this
MOU and the employment authorization of U.S. citizens,
2. SSA agrees to provide to the Employer appropriate assistapce with operational problems that
may arise during the Employer's participation In the E -Verify program. SSA agrees to provide
the Employer with names,.titles,.addresses,..and.telephone. numbers of SSA representatives -to
be contacted during the E Verify process.
3. SSA agrees to safeguard the information provided by the Employer through the E -Verify
prog-ram procedures, and to limit access to such information, as is appropriate by law, to
individuals responsible for the verification of Social Security Numbers and for evaluation of the
E. -Verify program or such other persons or entities who may be authorized by SSA as governed
Page 1 o(131 E Verify hiQU for Employer I Revision Date 09/01/09 www.dhs.gov/E-Verily
60,)4 Eli
Company ID Number: 342560
To he accepted as a participant in EVerify, you should only sign the Employer's Section
of the signature page. If you have any questions, contact E -Verify at 888-464-4218.
Employer Shannon Chemical Corporation
r
Daniel Flynn me
ki— (Piaase Tvoe or Print)
212010
--` Deparfinent of Homeland SecurTtY--�Terlflc�- anion Division
SCIS Verification Division lae
Name (Please Type or Print)
Gtor-frnniraliv 5iuned 07112/2010
Information Required for the E -Verify Program
nformation relating to your Company:
Company Name;Shannon chemical Corporation
Company FacilityAddress; 602 Jeffers Circle
Exton. PA '19341
Company Alternate
Address:
P,o, Box 376
Malvern, PA 19356
County or Parish:
CHESTER
Employer Identification
Number:
231856793
Page 12 of 13 I E -Verify moU for Employer I Revision Date 09/01/09 WWW.dhs.gov/E-Vei-ify
}-� fit•+seroan,
F:> a c.rnm+ronc:o�.n>raw area vt
Ven
Company ID Number: 342660
Information relating to the Program Administrator(s) for your Company on policy
questions -or operational problems:
Name:
Ann Arrell
Telephone Number:
(610) 363 - 9090
E-mallAddress:
ann@shannonchem,com
Name:
Daniel C Flynn
Telephone Number:
(610) 363-9090
E-mail Address:
deflynn@shannonchem,com
Fax Number: (610) 524 -6050
Fax Number: (610) 524 - 6050
Page 13 of 13 1 E -Verify MOU for Employer I Revision Dale 09/01/09 www.dhs.gov/E-Verify
LETTER OF CERTIFICATION
SNC -5185
Water Treatment Compound
SHANNON CHEMICAL CORPORATION certifies that SNC -5185 is approved for use by
the National Sanitation Foundation and meets with all of their requirements
under Standard 60. SNC -5185 has the following Chemical and Physical
Properties:
Color:
Odor:
Taste:
Solubility (gr/ml H20):
pH:
Sodium Pyrophosphate:
Phosphate as PO4 (Wht%):
White, granular powder
None
None
11-12
4.3
1000
830 - 85%
The raw materials used in the formulation of SNC -5185 meet or exceed the
specifications for additives to potable water as stated in the Water
Chemicals Codex and the Water Chemicals Codex: Supplementary
RPr-nmmPnH;:&inna Fnr ThirPr.t- mditivPs.
Daniel C. Flynn
Vice President -Operations
SHANNON CHEMICAL CORPORATION
NSF,
OFFICIAL LISTING
NSF certifies that the products appearing on this Listing conform to
the requirements of
NSF/ANSI/CAN 60 - Drinking
Water Treatment Chemicals - Health
Effects
This is the Official
Listing recorded on December 29, 2020,
Shannon Chemical Corp.
P.O. Box 376
Malvern, PA 19355
610-363-9090
Facility: Exton, PA
chemical/
Trade Designation
Function
Max
Use
Blended Corrosion Inhibitor
SHAN-NO-CORR Lead Free [ZN1
Corrosion & Scale
Control
15
mq/L
SNC -4442
Corrosion & Scale
Control
13
mq/L
Sequestering
SNC -Lead Free (ZN1
Corrosion & Scale
Control
15
mq/L
SNC -N2
Corrosion & Scale
Control
10
mq/L
SNC -NO LEAD [ZN1
Corrosion & Scale
Control
15
mq/L
Blended Phosphates
SLI -1226
Corrosion & Scale
Control
27
mq/L
SLI -5215
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5225
Corrosion & Scale
Control
26
mq/L
Sequestering
SLI -5230
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5240
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5250
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5260
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5270
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5275
Corrosion & Scale
Control
30
mq/L
Sequestering
SLI -5285
Corrosion & Scale
Control
28
mq/L
Sequestering
SLI -5370
Corrosion & Scale
Control
28
mq/L
Sequestering
Note: Additions shall not be made to this document without prior evaluation and acceptance by NSF.
1 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
xv%v%v.nsf.org
rNSF!.
SLI -5305
Corrosion & Scale Control
20
mq/L
Sequestering
SLI -7150
Corrosion & Scale Control
30
mq/L
Corrosion & Scale Control
30
mq/L
SLI -7275
Sequestering
SLI -7425
Corrosion & Scale Control
20
mq/L
Sequestering
Corrosion & Scale Control
28
mq/L
SLI -7450
Sequestering
Corrosion & Scale Control
36
mq/L
SLI -7575
Sequestering
Corrosion & Scale Control
27
mq/L
SLI -B
Corrosion & Scale Control
30
mq/L
SLI -DP
Corrosion & Scale Control
30
mq/L
SLI -HP
Sequestering
SLI -K200
Corrosion & Scale Control
36
mq/L
Sequestering
Corrosion & Scale Control
14
mq/L
SNC -1226
SNC -5210
Corrosion & Scale Control
10
mq/L
Sequestering
Corrosion & Scale Control
10
mq/L
SNC -5220
Sequestering
SNC -5225
Corrosion & Scale Control
10
mq/L
Sequestering
SNC -5230
Corrosion & Scale Control
10
mq/L
Sequestering
Corrosion & Scale Control
10
mq/L
SNC -5240
Sequestering
SNC -5250
Corrosion & Scale Control
10
mq/L
Sequestering
SNC -5270
Corrosion & Scale Control
10
mq/L
Sequestering
SNC -5275
Corrosion & Scale Control
10
mq/L
Sequestering
Corrosion & Scale Control
10
mq/L
SNC -5295
Sequestering
Corrosion & Scale Control
10
mq/L
SNC -5420
Corrosion & Scale Control
10
mq/L
SNC -5520
Sequestering
Corrosion & Scale Control
12
mq/L
SNC -7220
Sequestering
SNC -7435
Corrosion & Scale Control
10
mq/L
Corrosion & Scale Control
10
mq/L
SNC -HW
Corrosion & Scale Control
10
mq/L
SNC-RS2
SNC -TYPE B
Corrosion & Scale Control
10
mq/L
Note; Additions
shall not be made to this document without prior evaluation and
acceptance by
NSF.
2 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.nsf.org
Citric Acid [2] [3]
SE -CA -50
Membrane Cleaner
N/A
Well Cleaning Aid
Hydrofluosilicic Acid
SE -1900 L-25
Fluoridation
5
mq/L
Miscellaneous Corrosion Chemicals
SHAN-NO-CORR [ZN1
Corrosion & Scale Control
10
mq/L
SHAN-NO-CORR Plus, SNC + [ZN]
Corrosion & Scale Control
10
mq/L
SHAN-NO-CORR TYPE L [ZN1
Corrosion & Scale Control
20
mq/L
SHAN-NO-CORR TYPE N [ZN1
Corrosion & Scale Control
10
mq/L
SHAN-NO-CORK-ZOP (ZN1
Corrosion & Scale Control
10
mq/L
[ZN]
Corrosion Control
25
mq/L
SLI -333
SLI -444 S
Corrosion & Scale Control
25
mq/L
SNC -444
Corrosion & Scale Control
10
mq/L
SNC -444 S
Corrosion & Scale Control
18.6
mq/L
SNC-ZOP 123 [ZN1
Corrosion & Scale Control
11
mq/L
SNC-ZOP 321 [ZN1
Corrosion & Scale Control
11
mq/L
Miscellaneous Treatment Chemical
RSC -100X [1]
Ion Exchange Supplement
750
mq/L
Monosodium Orthophosphate
SLI -5179
Corrosion Control
25
mq/L
SLI -SE 100
Corrosion Control
25
mq/L
Corrosion & Scale Control
12.6
mq/L
SNC -5179
Sequestering
Corrosion & Scale Control
12.6
mq/L
SNC -MSP
Sequestering
Phosphoric Acid
SLI -PHOS 36
Corrosion & Scale Control
25
mq/L
Corrosion & Scale Control
20.5
mq/L
SLI -PHOS 50
Corrosion & Scale Control
12
mq/L
SLI -PHOS 75
[PO]
Potassium Permanganate
SE -3955 C
Disinfection & Oxidation
50
mq/L
Oxidant
SE -3955 F
Disinfection & oxidation
50
mq/L
Oxidant
SE -3955 N
Disinfection & Oxidation
50
mq/L
Oxidant
Sodium Acid Pyrophosphate
SNC -318
Corrosion & Scale Control
12
mq/L
SNC -5185
Corrosion & Scale Control
12
mq/L
[PO]
Sodium Permanganate
SE -2355-10
Disinfection & Oxidation
352
mq/L
Oxidant
Note: Additions shall not be made to
this document without prior evaluation and
acceptance by
NSF.
3 of 10
41630
789 N.
Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.nsf.org
SE -2355-15
Disinfection & Oxidation
234
mq/L
Oxidant
SE -2355-20
Disinfection & Oxidation
176
mq/L
Oxidant
SE -2355-25
Disinfection & Oxidation
140
mq/L
Oxidant
SE -2355-40
Disinfection & Oxidation
88
mq/L
Oxidant
Sodium Polyphosphates, Glassy
SHAH -O -PHOS
Corrosion & Scale Control
10.7
mq/L
Sequestering
SLI -5125
Corrosion & Scale Control
42.8
mq/L
Sequestering
SLI -5130
Corrosion & Scale Control
35.6
mq/L
Sequestering
SLI -5135
Corrosion & Scale Control
30.5
mq/L
Sequestering
SLI -5140
Corrosion & Scale Control
26.7
mq/L
Sequestering
SLI -Quest 25
Corrosion & Scale Control
42.8
mq/L
Sequestering
SLI -Quest 30
Corrosion & Scale Control
35.6
mq/L
Sequestering
SLI -Quest 35
Corrosion & Scale Control
30.5
mq/L
Sequestering
SLI -Quest 40
Corrosion & Scale Control
26.7
mq/L
Sequestering
SNC -5190
Corrosion & Scale Control
10.7
mq/L
Sequestering
Sodium Tripolyphosphate
SHAN-O-POLY
Corrosion & Scale Control
12
mq/L
Sequestering
SNC -5177
Corrosion & Scale Control
12
mq/L
Sequestering
Tetrapotassium Pyrophosphate
SLI -6120
Corrosion & Scale Control
30
mq/L
Sequestering
SLI -6134
Corrosion & Scale Control
22.5
mq/L
Sequestering
SLI -K100
Corrosion & Scale Control
30
mq/L
Sequestering
SLI-KPHOS
Corrosion & Scale Control
22.5
mq/L
Sequestering
SNC -6157
Corrosion & Scale Control
14
mq/L
Sequestering
Note: Additions shall not be
made to this document without prior evaluation and
acceptance by
NSF.
4 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
Nvww nsf.org
NSJ
SNC-KPHOS
Corrosion &
Scale
Control
14
mq/L
Sequestering
[ZN]
Zinc Chloride
SLI -2125
Corrosion &
Scale
Control
15
mq/L
Corrosion &
Scale
Control
8
mq/L
SLI -2150
SLI -2162
Corrosion &
Scale
Control
6
mq/L
[ZN]
Zinc Orthophosphate
SLI 3535
Corrosion &
Scale
Control
24
mq/L
SLI 4217
Corrosion &
Scale
Control
28
mq/L
Corrosion &
Scale
Control
17
mq/L
SLI 5050
SLI -1010
Corrosion &
Scale
Control
20
mq/L
SLI -1021
Corrosion &
Scale
Control
22
mq/L
SLI -1521-C
Corrosion &
Scale
Control
22
mq/L
Corrosion &
Scale
Control
10
mq/L
SLI -2020
Corrosion &
Scale
Control
10
mq/L
SLI -321
Corrosion &
Scale
Control
10
mq/L
SLI -321L
SLI -5024
Corrosion &
Scale
Control
16
mq/L
SLI -5210
Corrosion &
Scale
Control
20
mq/L
SLI -5215
Corrosion &
Scale
Control
40
mq/L
Corrosion &
Scale
Control
29
mq/L
SLI -5216
SLI -5217
Corrosion &
Scale
Control
28
mq/L
SLI -5218
Corrosion &
Scale
Control
25
mq/L
Corrosion &
Scale
Control
22
mq/L
SLI -5219
SLI -7215
Corrosion &
Scale
Control
28
mq/L
Corrosion &
Scale
Control
26
mq/L
SLI -932
Corrosion &
Scale
Control
25
mq/L
SLI -939
[1] This product is designed to be used in conjunction with ion exchange resins for
the purpose of reducing radium from drinking water.
(2] This product is designed to be used off-line and flushed out prior to using the
system for drinking water, following manufacturer's use instructions.
[3] The pH of the influent and effluent water should be monitored to ensure that all
traces of the product have been removed before placing into service.
[PO] The finished drinking water shall be monitored to ensure that levels of manganese
do not exceed 0.05 mg/L.
(ZN] Based on an evaluation of health effects data, the level of zinc in the finished
drinking water shall not exceed 2.0 mg/L.
Facility: Dallas, TX
Chemical/
Trade Designation Function Max Use
Blended Corrosion Inhibitor
SHAN-NO-CORR Lead Free (ZN] Corrosion & Scale Control 15 mq/L
SNC -4442 Corrosion & Scale Control 13 mq/L
Sequestering
SNC -Lead Free (ZN] Corrosion & Scale Control 15 mq/L
Note: Additions shall not be made to this document without prior evaluation and acceptance by NSF.
5 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.iisf.org
NSF.
SNC -N2
Corrosion & Scale Control
10
mq/L
SNC -NO LEAD [ZNJ
Corrosion & Scale Control
15
mq/L
Blended Phosphates
SLI -1226
Corrosion & Scale Control
27
mq/L
SLI -5215
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5225
Corrosion & Scale Control
26
mq/L
Sequestering
SLI -5230
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5240
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5250
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5260
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5270
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -5275
Corrosion & Scale Control
30
mq/L
Sequestering
SLI -5285
Corrosion & Scale Control
28
mq/L
Sequestering
Corrosion & Scale Control
28
mq/L
SLI -5370
Sequestering
SLI -5385
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -7150
Corrosion & Scale Control
30
mq/L
SLI -7275
Corrosion & Scale Control
30
mq/L
Sequestering
SLI -7425
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -7450
Corrosion & Scale Control
28
mq/L
Sequestering
SLI -7575
Corrosion & Scale Control
36
mq/L
Sequestering
SLI -B
Corrosion & Scale Control
27
mq/L
SLI -DP
Corrosion & Scale Control
30
mq/L
SLI -HP
Corrosion & Scale Control
30
mq/L
Sequestering
SLI -K200
Corrosion & Scale Control
36
mq/L
Sequestering
SNC -1226
Corrosion & Scale Control
14
mq/L
SNC -5210
Corrosion & Scale Control
10
mq/L
Sequestering
Note: Additions
shall not be made to this document without prior evaluation and
acceptance by
NSP,
6 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigau 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.asf.org
NSF,
SNC -5220
Corrosion & Scale
Control
10
mq/L
Well Cleaning Aid
Sequestering
Hydrofluosilicic Acid
SNC -5225
Corrosion & Scale
Control
10
mq/L
mq/L
Sequestering
SNC -5230
Corrosion & Scale
Control
10
mq/L
Corrosion *& Scale Control
Sequestering
mq/L
SHAN-NO-CORR TYPE L [ZN3
Corrosion & Scale Control
SNC -5240
Corrosion & Scale
Control
10
mq/L
mq/L
Sequestering
Corrosion & Scale Control
10
mq/L
SNC -5250
Corrosion & Scale
Control
10
mq/L
Corrosion & Scale Control
Sequestering
mq/L
SLI -444 S
SNC -5270
Corrosion & Scale
Control
10
mq/L
mq/L
Sequestering
SNC -5275
Corrosion & Scale
Control
10
mq/L
Sequestering
SNC-ZOP 123 [ZN3
Corrosion & Scale Control
SNC -5295
Corrosion & Scale
Control
10
mq/L
mq/L
Sequestering
SNC -5420
Corrosion & Scale
Control
10
mq/L
SNC -5520
Corrosion & Scale
Control
10
mq/L
Sequestering
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
SNC -7220
Corrosion & Scale
Control
12
mq/L
Sequestering
AvNvw,nsF.org
Corrosion & Scale
Control
10
mq/L
SNC -7435
SNC-RWCorrosion
& Scale
Control
10
mq/L
SNC-RS2
Corrosion & Scale
Control
10
mq/L
SNC -TYPE H
Corrosion & Scale
Control
10
mq/L
[2] (3j
Citric Acid
SN -CA -50
Membrane Cleaner
N/A
Well Cleaning Aid
Hydrofluosilicic Acid
SE -1900 L-25
Fluoridation
5
mq/L
Miscellaneous Corrosion Chemicals
SHAN-NO-CORR [ZN3,
Corrosion & Scale Control
10
mq/L
SHAN-NO-CORR Plus, SNC + [ZN3
Corrosion *& Scale Control
10
mq/L
SHAN-NO-CORR TYPE L [ZN3
Corrosion & Scale Control
20
mq/L
SHAN-NO-CORR TYPE N [ZN3
Corrosion & Scale Control
10
mq/L
SHAN-NO-CORR-ZOP [ZN]
Corrosion & Scale Control
10
mq/L
SLI -333 [ZN3
Corrosion Control
25
mq/L
Corrosion & Scale Control
25
mq/L
SLI -444 S
Corrosion & Scale Control
10
mq/L
SNC -444
Corrosion & Scale Control
18.6
mq/L
SNC -444 S
SNC-ZOP 123 [ZN3
Corrosion & Scale Control
11
mq/L
SNC-ZOP 321 [ZN3
Corrosion & Scale Control
11
mq/L
Miscellaneous Treatment Chemical
RSC -100X (1]
Ion Exchange Supplement
750
mq/L
Note: Additions shall not be made to this document without prior evaluation and acceptance by NSF.
7 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
AvNvw,nsF.org
M
Monosodium Orthophosphate
SLI -5179
SLI -SE 100
SNC -5179
SNC -MSP
Phosphoric Acid
SLI -PHOS 36
SLI -PHOS 50
SLI -PHOS 75
Potassium Permanganate [PO]
SE -3955 C
SE -3955 F
SE -3955 N
Sodium Acid Pyrophosphate
Corrosion Control
Corrosion Control
Corrosion & Scale Control
Sequestering
Corrosion & Scale Control
Sequestering
Corrosion & Scale Control
Corrosion & Scale Control
Corrosion & Scale Control
Disinfection & Oxidation
Oxidant
Disinfection & Oxidation
Oxidant
Disinfection & Oxidation
Oxidant
25
25
12.6
12.6
mq/L
mq/L
mq/L
mq/L
25 mq/L
20.5 mq/L
12 mq/L
50 mq/L
50 mq/L
50 mq/L
SLI -5140
Sequestering
Note: Additions shall not be made to this document without prior evaluation and acceptance by NSF.
8 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.nsrorg
Corrosion & Scale Control
12
mq/L
SNC -318
Corrosion & Scale Control
12
mq/L
SNC -5185
[PO]
Sodium Permanganate
Disinfection & Oxidation
352
mq/L
SE -2355-10
Oxidant
Disinfection & Oxidation
234
mq/L
SE -2355-15
Oxidant
Disinfection & Oxidation
176
mq/L
SE -2355-20
Oxidant
Disinfection & Oxidation
140
mq/L
SE -2355-25
Oxidant
SE -2355-40
Disinfection & Oxidation
88
mq/L
oxidant
Sodium Polyphosphates, Glassy
Corrosion & Scale Control
10.7
mq/L
SHAN-O-PHOS
Sequestering
Corrosion & Scale Control
42.8
mq/L
SLI -5125
Sequestering
Corrosion & Scale Control
35.6
mq/L
SLI -5130
Sequestering
Corrosion & Scale Control
30.5
mq/L
SLI -5135
Sequestering
Corrosion & Scale Control
26.7
mq/L
SLI -5140
Sequestering
Note: Additions shall not be made to this document without prior evaluation and acceptance by NSF.
8 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigan 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.nsrorg
NSF.
SLI -Quest 25
Corrosion & Scale Control
42.8
mq/L
Sequestering
SLI -Quest 30
Corrosion & Scale Control
35.6
mq/L
Sequestering
SLI -Quest 35
Corrosion & Scale Control
30.5
mq/L
Sequestering
SLI -Quest 40
Corrosion & Scale Control
26.7
mq/L
Sequestering
Corrosion & Scale Control
10.7
mq/L
SNC -5190
Sequestering
Sodium Tripolyphosphate
SHAN-O-POLY
Corrosion & Scale Control
12
mq/L
Sequestering
SNC -5177
Corrosion & Scale Control
12
mq/L
Sequestering
Tetrapotassium Pyrophosphate
Corrosion & Scale Control
30
mq/L
SLI -6120
Sequestering
Corrosion & Scale Control
22.5
mq/L
SLI -6134
Sequestering
SLI -K100
Corrosion & Scale Control
30
mq/L
Sequestering
Corrosion & Scale Control
22.5
mq/L
SLI-KPHOS
Sequestering
SNC -6157
Corrosion & Scale Control
14
mq/L
Sequestering
SNC-KPHOS
Corrosion & Scale Control
14
mq/L
Sequestering
[ZN]
Zino Chloride
Corrosion & Scale Control
15
mq/L
SLI -2125
SLI -2150
Corrosion & Scale Control
8
mq/L
SLI -2162
Corrosion & Scale Control
6
mq/L
[ZN]
Zino Orthophosphate
SLI 3535
Corrosion & Scale Control
24
mq/L
SLI 4217
Corrosion & Scale Control
28
mq/L
SLI 5050
Corrosion & Scale Control
17
mq/L
SLI -1010
Corrosion & Scale Control
20
mq/L
SLI -1021
Corrosion & Scale Control
22
mq/L
SLI -1521-C
Corrosion & Scale Control
22
mq/L
SLI -2020
Corrosion & Scale Control
10
mq/L
SLI -321
Corrosion & Scale Control
10
mq/L
SLI -321L
Corrosion & Scale Control
10
mq/L
SLI -5024
Corrosion & Scale Control
16
mq/L
SLI -5210
Corrosion & Scale Control
20
raq/L
Note: Additions shall not
be made to this document without prior evaluation and
acceptance by
NSF.
9 of 10
41630
789 N. Dixboro Road, Ami Arbor, Michigan 48105-9723 USA
1-800-NSf-MARK / 734-769-8010
Nvw%v.nsf.org
rlHSF
SLI -5215
Corrosion &
Scale
Control
40
mq/L
Corrosion &
Scale
Control
29
mq/L
SLI -5216
SLI -5217
Corrosion &
Scale
Control
28
mq/L
SLI -5218
Corrosion &
Scale
Control
25
mq/L
SLI -5219
Corrosion &
Scale
Control
22
mq/L
SLI -7215
Corrosion &
Scale
Control
28
mq/L
Corrosion &
Scale
Control
26
mq/L
SLI -932
SLI -939
Corrosion &
Scale
Control
25
mq/L
[1] This product is designed to be used in conjunction with ion exchange resins for
the purpose of reducing radium from drinking water.
[2] This product is designed to be used off-line and flushed out prior to using the
system for drinking water, following manufacturer's use instructions.
(3] The pH of the influent and effluent water should be monitored to ensure that all
traces of the product have been removed before placing into service.
[PO] The finished drinking water shall be monitored to ensure that levels of manganese
do not exceed 0.05 mg/L.
[ZN] Based on an evaluation of health effects data, the level of zinc in the finished
drinking water shall not exceed 2.0 mg/L.
Note; Additions shall not be made to this document without prior evaluation and acceptance by NSF.
10 of 10
41630
789 N. Dixboro Road, Ann Arbor, Michigae 48105-9723 USA
1 -800 -NSF -MARK / 734-769-8010
www.usf.org