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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 �' tttSLtp '. '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. "l A IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, V ��/1- New Jersey the day and year first above written. , or`�d \OTa : g ��� � ops 079 , •.� ��� ' ti ••••........ • i ., W Shirelle A. Outley a Notary Public of New Jersey '11JE110% 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