HomeMy WebLinkAboutOpening of Bids - Waste Treatment Chemical Wastewater 2025-2026 - JCI JonesBID/PROPOSAL
CITY OF SOUTH BEND
BID NAME Water Treatment Chemicals Wastewater 2025-2026
FOR BIDS DUE May 13, 2025 ; 9:00 a.m., Local Time
Item Est. Qty. Item Units Unit Price Total
No. Per Year I
1
150
Chlorine —1 Ton Cylinders
Tan
$1,480.00
$ 222, 000.00
2
90,000
Ferric Chloride
Gal.
$ N/A
$
3
100
Sulfur Dioxide — 1 Ton Cylinders
Dry Polymer Flocculent — 50 / 55 Lb.
Polyethylene Bag
Ton
$ 1,200.00
$120 000.00
4
40,000
Lbs.
$ N/A
$
TOTAL
$ 342,000.00
Bidder (Firm):
Address:
City/State/Zip:
Telephone Number -
JCI Jones Chemicals, Inc.
600 Bethel Ave.
Beech Grove, IN 46107
317-787-8382 Fax Number: 31 -787-8384
By -
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Joseph R. Molnar, Vice -President
Gary A. Gilot, Member
(Signature)
Logan Halcom
(Printed Name)
Branch Managei
(Title)
Murray L. Miller, Member
Breana N. Micou, Member
Attest: Theresa M. Heffner, Clerk
4 ,ia V T If g� k
CITY OF SOUTH BEND. INDIANA °
SELLER'S BID FOR SALE OR LEASE OF MATERIALS x
Wi PEACE
BID NAME Water Treatment Chemicals Wastewater 2025-2026
FOR BIDS DUE May 13, 2024; 9:00 AM, Local Time Y ;ems
Date: 05/06/25
Address: 600 Bethel Ave.
Bidder
(Firm):
JCI Jones Chemicals, Inc.
City/State/Zip: !ech Grove. IN 46107Telephone Number: (317) 787-8382
Agent of Bidder (if Applicable): _ N/A
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 Indiana >
Johnson COUNTY )SS:
)
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to induce anyone to refrain from
bidding, and that this bid is made without reference to any other bid and without any
agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have
or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on
account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any
of its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor, or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
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 6th day of May , 2o25
Subscribed and sworn to before me this 6th
My Commission Expires
11 /02/2031
County of Residence
Johnson
JCI Jones Chemicals, Inc.
Contractor/Bid r (Firm
SignaVd a of Contractor/Bidder or Its Agent
Logan Halcomb
Printed Name and Title
day of May , 20 25
Notary ublic
Sierra Close
Notary Public Seal State of Indiana
Johnson County
Commission NumberNP0762606
My Comminion EXPlres 11/2/2031
NOTICE TO BIDDERS
Notice is hereby given that the City of South Bend, Indiana, Board of Public Works will
receive sealed electronic Responses at bpwbids a southbendin.p_o,% until 9:00 a.m., EST, on
May 13, 2025, for the following:
Water Treatment Chemicals Wastewater 2025-2026
Specifications are available for download by visiting the City of South Bend's web page at
www.south bend i n.pov:
X Click on "BUSINESS"
X Click on "Submit a City Contract Bid"
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 9:00 AM, Local Time, on May 13, 2025, 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:
April 25, 2025
May 2, 2025
0712412018
Document A310T�- — 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
{'4'attte, legal status mtd ad&=,$)
JCI Jones Chemicals, Inc.
600 Bethel Avenue
Beech Grove, IN 46107
OWNER:
Wan& legal stains and addrm)
City of South Bend
227 West Jefferson Boulevard
South Bend, IN 46601
BOND AMOUNT: $ 10%
SURETY:
(Xarne, legal statas mid priucipul place r fhrcritw-,w)
Federal Insurance Company
202B Hall's Mill Road
Whitehouse Station, NJ 08889
Mailing Address for Notices
Same as above
Ten Percent of Amount Bid
PROJECT:
0amre, locatiottorad&, = roid'Pro eettumtber, tjany)
Water Treatment Chemicals 2025-2026
This document has important
legal consequences. Consultation
with an attorney is encouraged
with respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind
themselves. their heirs, executors, administrators, successors and assigns. jointly and severally, as provided herein. The conditions of this
Bond arc such that if the Owner accepts the bid of the Contractor atilhin the time specified in the bid documents, or within such time period
as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, twith a surety admitted in
the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of
this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another
party to perform the work cuvcrcd by crud bid, then this obiigatum shall be null and void, otherwise to remain in full fine and elkcl. The
Surety hereby waives any notice of an agreement between the Owner and Cnttraclor to extend the time in which the Owner may accept the
bid. Waiver ortwtim by the Surety shall not apply to any extension exceedingsixty (60) days in the aggregate beyond the lime Gar
acceptance orbids specified in the bid documents, and the Owner and Contractor shall obtain the Surel)'s consent fir an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor. the terns Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to ccmrply with a statutory or other legal requirement in the location of the Project, any provision in
this Bond ccmllicting with said statutory or legal requirement shall be deemed deleled herefrom and pnrvisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be cmnstrued
as a statutory bond and not as a �;4 rmmon law bond.
Signed and scaled this 1' th day of May, 2025
I
1
(i'intess)
(u?1nrecq J ellers
JCI Jones Chemicals, Inc.
(Prindpal) (Seal)
By: L
yS I� �raMEI(Y��
mile) 0 ( j cc Alto vq g a r
Federal InstVance Company�C,
(Surely) (.Seal) 'aE �
u� v
By: d-
(17tle) WitArfi T. Krumm Attorney -in -Fact 'oW%"l
S-00641As 8110
State of IL
County of Cook
SURETY ACKNOWLEDGEMENT (ATTORNEY -IN -FACT)
I, Cassandra L Stone Notary Public of Cook County, in the State of IL ,
do hereby certify that William T. Krumm Attorney -in -Fact, of the Federal Insurance
Company who is personally known to me to be the same person whose
name is subscribed to the foregoing instrument, appeared before me this day in person, and
acknowledged that he signed, sealed and delivered said instrument, for and on behalf of the
Federal Insurance Company
for the uses and purposes therein set forth.
Given under my hand and notarial seal at my office in the City of Rolling Meadows in
said County, this 13th day of May 1 2025
Notary Public Cassandra L Stone
My Commission expires: December 29, 2025
I,AJ�-,H114uhA L S 1 UIVC
OFFICIAL SEAL
Notary Public, State of Illinois
<z" !
My Commission Expires
December 29, 2025
CHUBS'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know AH by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Delaware corporation WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania.
do each hereby constitute and appoint William T. Krumm
Surety Bond NO. Bid Bond
Obligee: City of South Bend
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon
or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bait bonds) given or executed in the course of business, and any instruments
amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations
In WItness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 1* day of October, 2024.
zgwrt HD SwioteRs Assistant Secre"
STATE OF NEW JERSEY
County of Huntercion SS.
11'xrttt Uhhurn.I wePrt�,tim
.else :a"``' i a'
r �
On this Is day of October, 2024 before me, a Notary Public of New Jersey, personally came Rupert HD Swindells and Warren Eichhorn, to me known to be Assistant Secretary and
Vice president, respectively, of FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY. WESTCHESTER FIRE INSURANCE COMPANY and
ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Rupert HD Swindells and Warren Eichhorn, being by me duly
sworn. severally and each for himself did depose and say that theyare Assistant Secretary and Vice President respectively. of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof, that the
seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their signatures as such officers were duly
affixed and subscribed by like authority.
Notarial Seal Albert Contu rsz
L NOTARY PUBLIC OF NEW ARSEY
No 50202369
q
'onrssission Fires August 22,2027 Llehry NriYc
�' rCtti'
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30. 2016;
WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006: and ACE AMERICAN INSURANCE COMPANY on March 20, 2009:
'RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recog zzan es contracts and other written commitments of the Company
entered into in the ordinary course of busmess (each a'Wrnteu Commitment7i
(1) Each of the Chairman. the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal
of the Company or otherwise.
(2) Each duly appointed attorney-m-fact of the Company is hereby authorized to execute any written Commitment for and on behalf of the Company, under the seal of the Company or otherwise,
to the extentthat such action is authorized by the grant of powers provided for m such persoa's written appointment as such attorney-m-fact
(3) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to appoint in writing any person the atmmey-m-
fact of the Company with full power and auth orrty to execute, for and on behalf of the Company, under the seal of the Company or otherwise. such written Comotion eats ofthe Company
as may be specified in such written appointment which specification may be by general type or class of written Comes mix or by specification of one or more particular written
Commitments.
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authormed. for and on behalf of the Company, to delegate n writing to any other otter of the
Company the authority to execute. for and on behalf of the Company. under the Compsny's seal or otherwise, such written Commitments of the Company as are specified in such written
delegation, which spenfictbon may be by general type or class of Written Commitments or by specification of out or more particular written Commitments.
(5) The sgpatum of any officer or other person executuiog any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
fanimile on such Written Commitment or wnt4n appomboent or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of often, employees and other persons to act for and an behalf of the
Company, and such Resolution "Dot limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.'
1. Rupert HD Swindells. Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the 'Companies") do hereby certify that
(1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect
(ii) the foregoing Power of Attorney is true. correct and in full force and effect
Given under my hand and seals of said Companies at Whitehouse Station. NJ, this May 13, 2025.
Rupert HD SWinddIs. Assistant Secretary
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF AW OTHER MATTER. PLEASE CONTACT US AT.
Telephone 905) 903. 3493 Paz (906) 903- 3656 a -send: svrrr ,"abb.com
CornbmW FED-VIG-Pt4'JF1C-AAIC :rev 11.19)
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
Date:
To:
From
Subject
PHONE 574/235-9251
FAx 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND TAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
05-01-2025
All Planholders
Theresa Heffner, Clerk, Board of Public Works
Addendum Number: 1
Project Name
Project No.:
Water Treatment Chemicals - Wastewater 2025-2026
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 05102/2v
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein. The updated specification is a full
replacement specification document and includes corrected Bid Dates and supply
period for the material supply contract(s).
Company: ICI Jones C mic Is Inc.
Authorized Signature.
Date: 05/02/25
(To be completed only by Contractors/Bidders claiming to be a "local Indiana business" pursuant to I.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,
preference for Project
South Bend, St. Joseph County, Indiana.
N/A
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
BID NAME
FOR BIDS DUE
tiQl'TFf g4,.
y
SPECIFICATIONS
C. 7ti y.
CITY OF SOUTH BEND
1865
Water Treatment Chemicals Wastewater 2025-2026
May 13, 2024; 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
CHLORINE TON CONTAINERS............................................................................................. 1
FERRICCHLORIDE...................................................................................................................2
SULFURDIOXIDE...................................................................................................................... 3
DRY POLYMER FLOCCULENT.............................................................................................. 4
FOR ALL CHEMICALS
For security purposes vendors shall confirm via fax a copy of the delivery driver's license,
truck and trailer information alonE with the anticipated time of arrival not later than 24
hours prior to arrival. Failure to do so will be cause for rejection of material, no billable
time will be accel}ted.
Water Works facility deliveries are to be made on normal workdays, Monday through Friday,
between 7:00 AM and 11:00 AM. with unloading to be completed before 1:00 PM.
Wastewater facility deliveries are to be made on normal workdays, Monday through Friday,
between 6:00 AM and 4:00 PM..
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 14, 2024, through May 13, 2025 (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.
1. CHLORINE SPECIFICATIONS
TON CYLINDERS
A. GENERAL
Only containers which currently are authorized by regulation for chlorine,
which have been inspected and reconditioned as described herein, and which
have been tested within the period required by regulations should be filled. It
is illegal to ship chlorine containers that have been filled by or without the
consent of the owner.
2. Due to the volatile nature of this chemical, the chlorine provider must be
able to have one (1) accredited Safety and Handling of Chlorine class per
year for South Bend Personnel.
3. Chlorine quotes should be deposit -free. No cylinder deposit should be
included in the quote.
4. All bid prices must be honored for no less than 4 months, even in force
majeure conditions.
Boiling Point
-29.29°F-34.050C
Critical DensAy
35.77 lb./cu. ft.
Critical Pressure
1118.4 psia 76.1 Atmos.
Critical Temperature
291.200 144.°C
Critical Volume
0.02796 cu. ft./lb.
Latent Heat of Vaporization
123.7 Btu./lb. a�Boiling point
Liquid Gas Relationship:
1 volume liquid chlorine = wt. at
457.6 volumes of chlorine, 825 @
standard conditions
Melting Point
-149.76°F-100.980C
Specific Gravity - Dry Gas
2.482
Specific Gravity — Liquid
1.468 ° - 40C
B. Chlorine Ton Containers
a) All ton containers must be compatible with Chlorine Institute Emergency Kit 'B ".
2. Ton Container Types
a) Chlorine ton container types must comply with DOT spec. 106A500X, DOT or
ICC 106A500, 27, BE27.
b) Ton Container Valve and Fuse Plug Opening Threads
c) The threads in new ton containers are 314-14NGT (CI).
3. Valve Protection
a) The ton container valves are protected during shipment and storage by a
removable steel valve protective housing or cap. Pressure relief devices shall
not be covered by the housing.
4. Ton Container Capacity
a) In cases where the capacity of a chlorine container is not known, it can be
determined by weighing it empty and again when completely filled with water,
and by multiplying the weight of water at 60°F by 1.25. This is the maximum
allowable weight of chlorine allowed in the cylinder or ton container.
C. STAMPING
1. Ton Container Stamping
a) When manufactured, ton containers are stamped with DOT specification number,
material, serial number, inspector's official mark, name, mark or initials of
company for whose use the tank is made, (or builder's symbol and serial
number), date of test, and water capacity [DOT Section 179.300-187. Tare
weights may be stamped by builder. Changes in stamping must be made in
compliance with DOT Section 173.31(d) or 49CFR.
2. Retest Stamping
a) Ton containers do not require the test facility's number on the container.
3. Tare -Weight Stamping
a) It is recommended that all new chlorine ton containers be stamped with the
original tare weight by the container manufacturer.
D. VALVES
1. Ton Container Valves
a) Chlorine ton containers are to have two identical Teflon style valves produced by
Sherwood or Tekno' near the center of one head. This is a must comply safety
requirement. When vertically aligned, the valve in the upper position is used for
gas withdrawal, and the lower one for liquid withdrawal. The standard ton
container valve is identical to the cylinder valve except that it has no fusible
metal type relief device, and the valve seat diameter may be larger than on most
cylinder valves. There are two sizes of ton container valves: 314 inch NGT and I
inch NGT.
2. Valve Outlet Threads
a) Outlet threads on ton containers are special straight threads (1, 030"-14NGO-
RH-EXT) which conform to connection number CGA 820 and B20C which utilize
a yoke -type connection. These threads are to accommodate the outlet cap only
and are not to be used for chlorine hose connections.
E. PRESSURE RELIEF DEVICES
1. Ton Containers
a) Ton container valves contain no fusible plugs. The container itself is equipped
with six threaded fusible plugs, three in each head, spaced approximately 1200
apart.
2. Ton Container Inspection, Cleaning, and Reconditioning
a) In addition to the required period retest, it is recommended that each ton
container be internally and externally inspected prior to each filling. This
includes all appurtenances, such as valves and fusible plugs. Criteria for such
inspection is outlined in "Cylinder and Ton container Procedure for Chlorine
Packaging, " Chlorine Institute Pamphlet 17, Sections 3, 4, and S.
F. PERIODIC RETESTING AND RE -INSPECTION
1. Ton Containers to be Tested
a) Ton containers must be retested at least once in five years (DOT Section 173.34e
and Section 1 73.31d).
b) Ton containers can be filled until the end of the calendar year during which their
five-year test is due.
c) Retests are also required after any reheat treatment. In addition, retest any
container which shows evidence of weakness at any time, or show a S percent or
more loss in weight.
2. Test Procedure
a) Ton containers are hydrostatically retested by the hydrostatic expansion method
[DOT Section 173.34 (a) and Section 173.31 (d)J. If at the time of
requalification a container shows a leak or a permanent expansion which
exceeds 10% of the total expansion, it must be condemned.
3. Container Records
a) Records must be kept showing results of the test. Each container must have the
test date plainly and permanently stamped into the metal of one head or the
chime of each task passing the hydrostatic retest.
G. CONDITIONS OF DELIVERY
1. Delivery Location:
Location
Type of Container
I Address
Wastewater
2,000 lb. Ton Container
13113 Riverside Drive
2. Vendor personnel shall conduct all activities related to the loading and
unloading of ton containers.
3. Minimum deliveries are one (8) ton containers.
4. Supplier must be able to zuarantee delivery within 3 to 4 calendar days
after order placement. Failure to meet delivery times shall result in
vendor being disqualified and award nullified.
5. Vendor personnel shall not unload any filled cylinders or ton containers prior
to live inspection by South Bend Wastewater personnel.
6. Vendor personnel shall assist South Bend personnel in the visual inspection of
each ton container for:
a) External damage or defect
b) Proper installation of valve protection housing or caps
c) Visual inspection of valves and fusible plugs
i) All old wire from previous hung tags are to be removed prior to delivery
H) All fusible plugs should be defect free (no pits or holes )
d.) Determination of markings of retest and recertification
i. Wastewater facility has overhead crane for offloading ton containers.
2. FERRIC CHLORIDE
A. GENERAL
i. Normal concentration percent by Weight; 33-35%
ii. Specific Gravity: 0.33
b. DELIVERY
i. Full truck deliveries (4,000 gallons) to the Ferric feed facility Plant
located at; 3113 Riverside Drive, South Bend, IN 46628
3. SULFUR DIOXIDE
A. GENERAL
i. Sulfur quotes should be deposit -free. No cylinder deposit should be
included in the quote.
ii. All bid prices must be honored for no less than 4 months, even in
force majeure conditions.
B. PROPERTIES
Boiling Point
-10°C
Color
Colorless
Specific Gravity
80°F
1.363
Critical Temp.
314.82°F
Critical Pressure
1141.5 PSIA
C. USAGE
i. Estimated annual usage is 100 tons, more or less, to be delivered in 2,000 lb
containers of liquid SOz in truckload lots of 10 containers.
D. DELIVERY
i. Supplier must be able to guarantee delivery of up to 8 tons (20,000 lbs) within
three (3) to five (5) calendar days from release of requirement.
ii. Material to be delivered F.O.B.
iii. No freight surcharges allowed.
iv. Billing must be submitted on a CWT unit basis.
V. Delivery Location: Wastewater Treatment Plant located at 3113 Riverside
Drive, South Bend, Indiana 46628.
4. DRY POLYMER FLOCCULENT
A. GENERAL
The purpose of this specification is to outline minimum acceptable properties
of a polymer at the Bureau of Wastewater in the treatment process.
ii. Quantity of the polymer stated in this specification is intended as an estimated
usage during a 12-month period rather than an absolute quantity.
iii. Polymer is considered a performance product and must meet certain standards
due to compliance related issues on the NPDES Permit.
iv. Any supplier that has not been previously approved must perform bench
testing on any polymer bid to prove the product will meet the standards
necessary to ensure permit compliance.
V. Following bench testing any previously untested polymer must prove its
performance over a 90-day period. If, at any time during that period, the
polymer fails to perform, or its usage creates process irregularities at the
wastewater treatment plant such polymer and supplier shall be disqualified.
vi. Any polymer previously used at the plant that begins to decline in
performance may be disqualified. Vendor will have the opportunity to
provide an alternative product, not to exceed the bid price of the original
product for testing. If a secondary product fails to perform, the vendor
will be disqualified, and polymer needs will go to the open market.
vii. When samples are required, such samples shall be delivered or shipped at the
vendor's expense to the following name and address: Nancy Clay, 3113
Riverside Drive, South Bend, IN 46628.
viii. Samples must be clearly labeled with your company's name, address, and
(item number).
ix. All samples must be representative of the item bid.
X. All samples will become the property of the City of South Bend and will not
be returned.
B. PROPERTIES
Products will be a high molecular weight cationic polyelectrolyte, supplied as
a micro -bead or in granular form.
ii. The product must be completely non -dusting, free flowing and completely
soluble in water with a very rapid dissolving rate.
iii. Typical Properties
Bulk Density
50 lbs. per cubic ft.
Particle Size
95% less than 1 mm
H of 1 % Solution
3.5 — 4.5
C. PACKAGING/DELIVERY
Packaging to be in 50 — 55 lb polyethylene bags.
ii. Must be able to guarantee delivery of 9,000 lbs within 10 calendar days after
order placement.
iii. Prices must be submitted in cost per pound with freight included.
iv. Material to be delivered F.O.B. the Wastewater Treatment plant located at
3113 Riverside Drive, South Bend, IN. 46628.
Aj
nn� ChemicAs Inc.
BID ADDENDUM
JCI's payment terms are Net 30. We must respectfully insist on including these terms as a term of
our bid and any related contract that may be issued.
Corporate Offices • 1765 Ringling Blvd. • Sarasota, Florida 34236 • telephone: 941.330.1537 • facsimile: 941.330.9657 - 800.477.1078
Branch Locations • Warwick, NY • Caledonia, NY • Barberton, OH • Riverview, MI • Merrimack, NH • Charlotte, NC
Jacksonville, FL • Beech Grove, IN • Milford, VA • Tacoma, WA • Torrance, CA
www.jcichemicals.com
4.
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 orjoint
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
B. "Bid for Water Treatment Chemicals Wastewater 2024-2025 — Bidder's Name" shall be
included in the subject line of the electronic Bid.
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. Include Bid Bond of 10% for the total Bid with the Bid Proposal.
E. 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
DELIVERY OF BIDS
The City of South Bend, Indiana, Board of Public Works will receive sealed electronic
Responses at bpwbidsti�,south bend in.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.
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 whose 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.
is. 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.
jC1
AFFIDAVIT OF COMPLIANCE
CHLORINE
JCI Jones Chemicals, Inc. hereby guarantees that the chlorine comprising each shipment or other
delivery made to the buyer complies with all applicable requirements of the AWWA Standard for
Liquefied Chlorine, AWWA B301-18.
We believe the above certification holds true until such a time as the AWWA Standard for Liquefied
Chlorine is amended or the above certification is revoked in writing.
In addition, this product is certified under the ANSI/NSF Standard 60.
Very truly yours,
Cliff .)w
JCI JONES CHEMICALS, INC.
Sierra McElfresh
Office Manager
Sales Coordinator
Beech Grove, IN 46107
(317) 787-8382
QA-11-3
i
JCI JONES CHEMICALS, INC.
Raw Material Specification
Chlorine, gaseous
I
Chlorine (gaseous) 'C12 99.8%- minimum
Color (as gas) Green -yellow
Color (as liquid) Amber
Odor Pungent, irritating
Organic Impurities
Chloroform 100 ppm maximum
Carbon Tetrachloride 100 ppm maximum
Inorganic Impurities
Nitrogen Trichloride, 10 ppm maximum
Bromine 500 ppm maximum
Non-volatile Residue 50 ppm maximum
Moisture Content 50 ppm maximum
NOTE. Always read and follow the product label and Safety Data
Sheet JSDS).
Descri Lion
- --
This raw material is manufactured resulting in a green -yellow gas
or when compressed, an amber Liquid. It has a pungent, irritating
odor and is considered toxic by inhalation. It is noncombustible
by itself, yet supports combustion through oxidation.
This specification is cited in part to conform to Environmental
Protection Agency criteria for use in the manufacture of sodium
hypochlozite.
JCI Jones Chemicals, Inc. will set specifications for raw
materials at its discretion according to a set specification
criteria and intent of use.
Rev. 7/22/2015
0
CERTIFICATE OF COMPLIANCE
CeriUicate (dumber 20140416-M1118026
ReP*d 11efem"O MH18026-20020716
Issas Bata 2014-ARRIL-16
1640edtm JCI JONES CHEMICALS.(NC
1765 RINGLING HLVD
SARASOTA FL 34236-
7bis to to certify that DRINKING WATER TREATMENT CHEMICALS
reprww tattve samples of SUtltty SoND Chlorim
Have been imcestlgated by UL in accordance with the
Stendafd(s) tndfcated'on this Certif ate.
Standard(s) for Bafesfy: NSF/ANSI 60 - Drinidng Water Treatrrterrt Cherpk*a -
Heaifh Effects
AefdtUona(Infor�: See the UL Online C(ttificstions Diretmr at
www.tf1.ao1nhWa6ase for additions( irtfarma&ffl
0* tihase Pmducts beaft the UL Classification Aftk forthe U.S. ertd Cauds WwWd be amsldsred as bft
covered by UL's CtgesfAcd6oft w d Follm-Up Bw&e sn¢ mpeft the apprWhft ITS. and Cowd1m
requtrerwrds.
The UL CN= lcafi4n Mak hwkxles. the UL in a dre ie.*mW t with the word *MA.SSRM* (as
shows}; a control number (may be atphanumm) assigned by UL; a statement to irrd)cate ttld�d6 rlt
Of UL s evaiustipn 0the product; and the product category rim*{produ g idmtM as indkded in
tho appropriate UL Dlreesmy. Thb UL Cksesf mfm Mark for CArtada fit the UL CJassiAceWn
Mark (or Cartadd: 0 with the word "CLASSIFAE" (es shaven), a control mftn pr (may ba
atphanur mic) er gWrwd by UL; a eAftVnent to Indicate the a Dden, of UL'g ev*mgon of Q Wbderot
air;( the product cetogory name (product identity} in EtVkh, French, Qr pNWVFrbncb as mead
in the tppropfiale UL nftectory.
Look fbr the UL. Ctassif>cattap W* op the product.
M)W is to certify that ►ePr wIstive sgMOM of tho product ea apeaW on ft certiTi ow wars t6dW
eceordlny to the current UL rapiremenns.
►J.ta�R.Wwry.YM..w� 11YseF RnYk."p'R"k.tlw�ry.T�
ialL
ReYRY►.wRns.RtaeR..fMCN Iw:uMOa IWa �tlneb m rw�r��rr�rttiue�t.ryNwR.�raYRmn.. i�AL.farRwWRia.Pas.
wrw.rw l4�uw.m f.nW, Rq:{ewwninr�
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4cl
Jones Chemicals Inc
AFFIDAVIT OF COMPLIANCE
SULFUR DIOXIDE
JCI Jones Chemicals, Inc. hereby guarantees that the sulfur dioxide comprising each shipment or
other delivery made to the buyer complies with all applicable requirements ofthe AWWA Standard
for Sulfur Dioxide, AWWA B512-15.
We believe the above certification holds true until such a time as the AWWA Standard for Sulfur
Dioxide is amended or the above certification is revoked in writing.
Very truly yours,
Sierra McElfresh
Office Manager
Sales Coordinator
Beech Grove, IN 46107
317-787-8382
600 Bethel Avenue • Beech Grove, Indiana 46107 • telephone: 317.787.8382 • facsimile: 317.787.8384
Corporate Offices ces + Sarasota, FL • Branch Locations • Warwick, NY • Caledonia, NY • Barberton, OH • Riverview, MI • Merrimack, NH
Charlotte, NC • Ft. Lauderdale, FL • Jacksonville, FL • Milford, VA • Tacoma, WA • Torrance, CA
www.icichemicak.com
QA-II-4
JCI JONES CHEMICALS, INC.
Raw Material Specification
Sulfur Dioxide, lid
Sulfur Dioxide (Liquid) SO2 99.9% minimum
Moisture
Residue
Acidity (as H2SO4)
Color (as liquid)
Color (as gas)
Odor
80 ppm maximum
40 ppm maximum
20 ppm maximum
Water White
Colorless
Pungent sulfur
NOTE: Always read and follow the product label and Safety Data
Sheet (SDS) .
Description
This raw material is found as a colorless gas or when compressed,
a water -white liquid. It has a sharp, pungent odor and is
considered toxic by inhalation. Sulfur dioxide is soluble in
water, alcohol and ether and forms sulfurous acid (H2SO3 ) readily.
It is noncombustible.
JCI Jones Chemicals, Inc. will set specifications for raw
materials at its discretion according to a set specification
criteria and intent of use.
Rev. 2/12/2025
State of Indiana
Office of the Secretary of State
To Whom These Presents Come, Greeting:
I, DIEGO MORALES, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
JCI JONES CHEMICALS, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on April 01, 1993, and was in existence or authorized to transact business in the State of
Indiana on March 04, 2025.
I further certify this Foreign For -Profit Corporation has filed its most recent report required by Indiana
law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, March 04, 2025
majok
DIEGO MORALES
SECRETARY OF STATE
1993040139 120254 2 707 20
All certificates should be validated here: https:J/bsd.sos.in.gov/ValidateCertificate
Expires on April 03, 2025.
To place an order with JCI Beech Grove, all orders should be sent via email to
beechfirove.,i icichem.com
Please include in your email the following:
• Product needed and amount
• Exact delivery address
• Requested delivery date
• Purchase order number (or a verbal PO)
• When ordering containers — provide number of empty containers being returned
• Contact information
If you are using a Purchase Order number, attach the PO to the email for our records.
We will not be able to process orders using a PO number unless we have a copy of the
PO on file.
A Verbal PO is fine and does not require any additional documentation.
A verbal PO does not include numbers.
Please state in the email if you are using a Verbal PO. (Verbal and your name)
If you have any questions, please call our office at 317-787-8382.
JCI Jones Chemicals, Inc
600 Bethel Avenue
Beech Grove, IN 46107
Branch Manager: Logan Halcomb
Office Manager: Sierra McElfresh