RES 2012-0546 - Bid from Thatcher Company of Omntana for sodium bisulfite ,
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`�� , 's Public Works Department
, R�'l.PP. t� Omaha/Douglas Civic Center
x�` � t� i 2 i I ii W 1819 Farnam Street,Suite 601
r.. � ..O`W April 24, 2012
o�Ary Omaha,Nebraska 68183-0601
o (402)444-5220
�'TEa xeaR`�*4CLERKFax(402)444-5248
City of Omaha O M A H A, NEB t A S K k Robert G.Stubbe,P.E.
Jim Suttle,Mayor Public Works Director
Honorable President
and Members of the City Council,
Transmitted herewith is a bid Tabulation and Resolution approving a contract with Thatcher
Company of Montana for an open order for the purchase of sodium bisulfite to be utilized by the
Missouri River Wastewater and Papillion Creek Wastewater Treatment Plants. This is a one
year contact with the option to extend the price for two additional one-year periods if mutually
agreed by the City and the supplier as detailed in the bid specifications.
The following bids were received on March 28, 2012. A detailed bid tabulation is attached.
Contractor Total Bid
THATCHER COMPANY OF MONTANA $350,075.00 (LOW BID)
Univar $367,125.00
PVS $429,000.00
Southern Ionics $473,000.00
A copy of the bid documents is on file and available for inspection and review in the City Clerk's
office. The contractor has a current Contract Compliance Report Form (CC-1) on file. As is
City policy, the Human Rights and Relations Department will review the contractor to ensure
compliance with the Contract Compliance Ordinance.
The Finance Department is authorized to pay the cost for this open order from the Sewer
Revenue Fund 21121, Missouri River Wastewater Treatment Plant Organization 116612 in the
amount of$127,300.00 and from the Papillion Creek Wastewater Treatment Plant Organization
116611 in the amount of$222,775.00, year 2012 expenditures.
The Public Works Department requests your consideration and acceptance of the attached bid
and requests your approval of this Resolution.
Respectfully submitted, Referred to City Council for Consideration:
,� LOun,. L„ILriD 01 1Qz
Ro ert G. Stubbe, P.E. Date Mayor's Office Date
Public Works Director
Approved as to Funding: Ap roved:
62-4----5---' X-/.1--/O- bliCtat
Pam Spa carotella Date Human Rights an Relations Date
4 /4:'
�� Finance Director Department
188512scp
electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship,the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form,available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien,the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm nP['_ Tndust'ri pc, I `
By Rnn RArh .r.�^^� Rs,
52
Title ni Qfr.irt calac Mg,CONTINUATION SHEET
State zip
Email Address: rrPor@d crjrnr1p rnm
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Inter-Office Communication
To: Heather Tippey-Pierce, Public Works
From: Michael Arends, Missouri River WWTP Manager
Date: April 4, 2012
Subject: Wastewater Treatment Plants Sodium Bisulfite Bid Acceptance
The low price agreement of$350,075.00 for Sodium Bisulfite to the Missouri River
Wastewater Treatment Plant and to the Papillion Creek Wastewater Treatment Plant by
Thatcher Company of Montana is acceptable. This is a one-year contract with the option
to extend the price for two additional one-year periods if mutually agreed by the City and
supplier and therefore is subject to approval via resolution by the City Council. Since
two facilities will receive the chemical deliveries, $127,300 in funds for this contract
should come from cost center 21121-116612-43235 and $222,775 in funds for this
contract should come from cost center 21121-116611-43235.
Please prepare the appropriate paperwork to award this contract as soon as possible.
If you have any questions,please contact me at 444-3915 x203.
Cc: Joe Dabbs
The following bids were received on March 28, 2012. A detailed bid tabulation is attached.
Contractor Total Bid
THATCHER COMPANY OF MONTANA $350,075.00 (LOW BID)
Univar $367,125.00
PVS $429,000.00
Southern Ionics $473,000.00
A copy of the bid documents is on file and available for inspection and review in the City Clerk's
office. The contractor has a current Contract Compliance Report Form (CC-1) on file. As is
City policy, the Human Rights and Relations Department will review the contractor to ensure
compliance with the Contract Compliance Ordinance.
The Finance Department is authorized to pay the cost for this open order from the Sewer
Revenue Fund 21121, Missouri River Wastewater Treatment Plant Organization 116612 in the
amount of$127,300.00 and from the Papillion Creek Wastewater Treatment Plant Organization
116611 in the amount of$222,775.00, year 2012 expenditures.
The Public Works Department requests your consideration and acceptance of the attached bid
and requests your approval of this Resolution.
Respectfully submitted, Referred to City Council for Consideration:
,� LOun,. L„ILriD 01 1Qz
Ro ert G. Stubbe, P.E. Date Mayor's Office Date
Public Works Director
Approved as to Funding: Ap roved:
62-4----5---' X-/.1--/O- bliCtat
Pam Spa carotella Date Human Rights an Relations Date
4 /4:'
�� Finance Director Department
188512scp
electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship,the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form,available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien,the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm nP['_ Tndust'ri pc, I `
By Rnn RArh .r.�^^� Rs,
52
Title ni Qfr.irt calac Mg,CONTINUATION SHEET
State zip
Email Address: rrPor@d crjrnr1p rnm
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ts and Relations Department will review the contractor to ensure
compliance with the Contract Compliance Ordinance.
The Finance Department is authorized to pay the cost for this open order from the Sewer
Revenue Fund 21121, Missouri River Wastewater Treatment Plant Organization 116612 in the
amount of$127,300.00 and from the Papillion Creek Wastewater Treatment Plant Organization
116611 in the amount of$222,775.00, year 2012 expenditures.
The Public Works Department requests your consideration and acceptance of the attached bid
and requests your approval of this Resolution.
Respectfully submitted, Referred to City Council for Consideration:
,� LOun,. L„ILriD 01 1Qz
Ro ert G. Stubbe, P.E. Date Mayor's Office Date
Public Works Director
Approved as to Funding: Ap roved:
62-4----5---' X-/.1--/O- bliCtat
Pam Spa carotella Date Human Rights an Relations Date
4 /4:'
�� Finance Director Department
188512scp
electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship,the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form,available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien,the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm nP['_ Tndust'ri pc, I `
By Rnn RArh .r.�^^� Rs,
52
Title ni Qfr.irt calac Mg,CONTINUATION SHEET
State zip
Email Address: rrPor@d crjrnr1p rnm
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DOUGLAS COUNTY J.T.L.
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA Sodium Bisulfite
RETURN BIDS TO: Published: March 14,2012 Page 1
CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC CENTER
1819 Farnam Street BID BOND OR CERTIFIED CHECK REQUIRED IN THE AMOUNT 5%
Omaha,Nebraska 68183-0011 IF THE TOTAL AMOUNT FOR THE ITEM OFFERED IS$20,000 OR MORE.
BID BOND OR CERTIFIED CHECK SHALL BE MADE PAYABLE TO
"CITY OF OMAHA"
NOT AN ORDER Bid Opening Time&Date: 11:00 a.m.CST on Wednesday,March 28,2012
IMPORTANT
1. Bid must be in the office of the CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC CENTER, 4. If Federal Excise Tax applies,show amount of same and deduct.
1819 Farnam Street Omaha,NE 68183-0011 by the closing date and time indicated Exemption certificates will be furnished. Do not include tax in bid.
in a sealed envelope marked:
BID ON:CITY OF OMAHA Sodium Bisulfite 5. BID MUST INCLUDE ANY DELIVERY OR SHIPPING CHARGES. •
2. As evidence of good faith a bid bond or certified check must be submitted with bid. 6. When submitting bid on items listed,bidder may on a separate sheet,make
Bid bond or certified check shall be made payable to"City of Omaha" suggestions covering reduction in costs wherever this is possible through
FAILURE TO DO SO IS CAUSE FOR REJECTION. redesign,change of material or utilization of standard items or quantity change.
3. Right is reserved to accept or reject any or all bids in their entirety and the bidders shall 7. If you do not bid,return sheets with reason for declining. Failure to do so will indicate
have the right to appeal any decision to the City Council. Right is also reserved to your desire to be removed from our mailing list.TABULATION SHEETS FOR THE BIDS
accept or reject any part of your bid unless otherwise Indicated by you. SUBMITTED ARE AVAILABLE ON THE DOUGLAS COUNTY WEBSITE AT
www.douglascounlvpurchasing.org. DO NOT CALL FOR THIS INFORMATION.
Quote your lowest price,best delivery and terms,F.O.B.delivery point on the Item(s)listed below:
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
It is the intent of this Request for Bid that the City of Omaha
enter into a 12 month price agreement for sodium bisulfite in
accorance with the attached specification(2 pages)and'Spill
•
Control Requirements for Chemical Delivery by Truck to Omaha
Wastewater Treatment Plants". Price agreement may be
extended for two(2)additional one year periods at the same
Estimated price with approval of both parties.
100,000 Sodium Bisulfite in accordance with specifications,
gallons delivered to Missouri River Wastewater Treatment Plant.
BID/GALLON: $ 1.273/gallon $ 197.300 00
175,000 Sodium Bisulfite in accordance with specifications,
gallons delivered to Papio Creek Wastewater Treatment Plant.
BID/GALLON: $ 1.273/gallon $ 222,775.00
ALL OR NONE BID: $ 350,075.00
(5%Bid Bond is to be based
Questions regarding this bid should be directed to: upon this amount)
Mike Arends at(402)444-3915 ext. 203
All bidders awarded a contract In the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights&
Relations Department the Contract Compliance Report(Form CC-1). This report shall be in effect for 24 months from the date received by the Human Rights&
Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444-
5055.
(PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms 0 % Net 30 Firm: Thatcher Company of Montana Incorporated In: Montana
Delivery(or completion) Name: Lawrence E. Thatcher Signature: • 9�
2 calendar days following Title: Chief Executive Officer Phone: (801) 924-1430• Fax: (801) 972-4606
award Address: P.O. Box 27407 Salt Lake City UT 84127-0407
Street/P.O.Box City State Zip
Email Address: wendy.richmond@tchem.com
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DOUGLAS COUNTY
REQUEST FOR BID
ON: CITY OF OMAHA Sodium Bisulfite
NOT AN ORDER Page 2
DESCRIPTION
REQUIREMENTS FOR BID BOND
The surety company issuing the bid bond or the performance bond should be licensed by the State of Nebraska and
listed on the current edition of Circular 570 of the United States Department of the Treasury. A certified check, an
official bank check, or cashiers check drawn on a national bank or a bank chartered under the laws of the state,
payable to the city, or lawful money of the United States,or a United States Governement Bond(negotiable)are
acceptable substitutes for bond requirements.
INSURANCE: For City projects where the scope of work will be less than$200,000.00, the following levels of
insurance will be required: The successful contractor shall provide a certificate of insurance indicating(1)adequate
workers'compensation; (2)public liability in an amount not less than$250,000 for injuries including accidental death
to any person and subject to the same limit to each person in an amount of not less than$500,000 where more than
one person is involved in any one accident;and(3)property damage insurance in an amount not less than
$500,000;and naming the City of Omaha an additional insured.
For City projects where the scope of work will exceed$200,000.00,the following levels of insurance will be
required: The successful contractor shall provide a certificate of insurance indicating(1)adequate workers'
compensation; (2)public liability in an amount not less than$1,000,000 for injuries including accidental death to any
person and subject to the same limit to each person in an amount of not less than$5,000,000 where more than one
person is involved in any one accident; and(3)property damage insurance in an amount not less than$500,000;
and naming the City of Omaha an additional insured.
You are hereby on notice that as of October 1, 2009, Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev. Stat. §4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a,known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE)Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm Thatcher Company of Montan
By Lawrence E. Thatcher 74 Wzie-f-dzi.--
Title Cheif Executive Officer
CONTINUATION SHEET
Delivery(or completion) Name: Lawrence E. Thatcher Signature: • 9�
2 calendar days following Title: Chief Executive Officer Phone: (801) 924-1430• Fax: (801) 972-4606
award Address: P.O. Box 27407 Salt Lake City UT 84127-0407
Street/P.O.Box City State Zip
Email Address: wendy.richmond@tchem.com
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January 6,2012
SPECIFICATIONS FOR
SODIUM BISULFITE CHEMICAL SUPPLY
At the City of Omaha,Nebraska
Missouri River and Papillion Creek Wastewater Treatment Plants
5600 South 10th Street
Omaha,Nebraska 68107
Attn: Michael Arends,Missouri River Plant Manager
Telephone: (402) 444-3915 x203; Fax: (402)444-3904
E-mail: marendsPci.omaha,ne.us
I) GENERAL
1) Bids will be awarded on the basis of lowest total cost.
2) Base bid is for 38%-42%by weight available sulfur in the form of sodium bisulfate
(NaHS03)to be purchased in 2,500- 5,000 gallon bulk shipments.
3) Total iron content must be less than 0.003%,sodium sulfite content must be less
than 3.0%and total sodium sulfate content must be less than 3.0%. Quantities are
estimates and constitute no commitment on the part of the City. The solution
should be of a grade suitable for municipal wastewater treatment de-chlorination
applications.
4) The estimated required volume for the bid is 275,000 gallons.
5) Variations on quantity ordered may occur based on plant equipment and
disinfection system modifications at each wastewater treatment facility.
6) The chemical is to be delivered to the City of Omaha at the following locations and
estimated quantities:
Missouri River Wastewater Treatment Plant
(100,000 gallons)
5600 South 10th Street
Omaha,Nebraska 68107
lic liability in an amount not less than$1,000,000 for injuries including accidental death to any
person and subject to the same limit to each person in an amount of not less than$5,000,000 where more than one
person is involved in any one accident; and(3)property damage insurance in an amount not less than$500,000;
and naming the City of Omaha an additional insured.
You are hereby on notice that as of October 1, 2009, Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev. Stat. §4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a,known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE)Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm Thatcher Company of Montan
By Lawrence E. Thatcher 74 Wzie-f-dzi.--
Title Cheif Executive Officer
CONTINUATION SHEET
Delivery(or completion) Name: Lawrence E. Thatcher Signature: • 9�
2 calendar days following Title: Chief Executive Officer Phone: (801) 924-1430• Fax: (801) 972-4606
award Address: P.O. Box 27407 Salt Lake City UT 84127-0407
Street/P.O.Box City State Zip
Email Address: wendy.richmond@tchem.com
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Papillion Creek Wastewater Treatment Plant
(175,000 gallons)
15705 Harlan Lewis Road
Bellevue, Nebraska 68123
7) The bidder will be notified a minimum of two working days prior to the next
required delivery date and must make delivery during the two-day period.
8) The contract shall be set up as an open order for a time period of one(1) calendar
year from the date of award. The City may,at its own option,renew terms of this
contract for two additional one-year periods with an annual price modification in
the second and third year justified by reports from the Chemical Market Analysis
Institute.
II) SPECIAL CONDITIONS
1) The bidder must supply a minimum of 40 feet of 2 inch hose with a 2 inch male cam
and groove connection for offloading. The bidder shall be responsible for the
personal safety of their employees during chemical unloading. The bidder shall
comply with all Federal and State regulations concerning transport of the chemical.
2) Each invoice is to be accompanied by a certified analysis of the product delivered.
3) The bidder will comply with the City of Omaha Spill Control Requirements for
Chemical Deliveries(attached).
III) BID INFORMATION
Bid evaluation will be based on total estimated volume requirements for both
treatment facilities.
• Delivery of 100,000 Gallons 35%-40%by weight available sulfur,Sodium
Bisulfite Solution to the Missouri River Wastewater Treatment Plant
100,000 Gallons x per Gallon =
• Delivery of 175,000 Gallons 35%-40%by weight available sulfur,Sodium
Bisulfite Solution to the Papillion Creek Wastewater-Treatment Plant
175,000 Gallons x per Gallon =
Delivery of 275,000 Gallons 35%-40%by weight available sulfur,Sodium Bisulfite
Solution to the City of Omaha.
Missouri River WWTP+ Papillion Creek WWTP Cost=
2
to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev. Stat. §4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a,known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE)Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm Thatcher Company of Montan
By Lawrence E. Thatcher 74 Wzie-f-dzi.--
Title Cheif Executive Officer
CONTINUATION SHEET
Delivery(or completion) Name: Lawrence E. Thatcher Signature: • 9�
2 calendar days following Title: Chief Executive Officer Phone: (801) 924-1430• Fax: (801) 972-4606
award Address: P.O. Box 27407 Salt Lake City UT 84127-0407
Street/P.O.Box City State Zip
Email Address: wendy.richmond@tchem.com
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March 2,2012
SPECIFICATIONS FOR
SPILL CONTROL REQUIREMENTS
FOR CHEMICAL DELIVERY BY TRUCK TO THE OMAHA
WASTEWATER TREATMENT PLANTS
The purpose of the following requirements is to control chemical spills from delivery
vehicles that could possibly flow through the plant storm water system into a receiving
stream. The City is required by its NPDES (National Pollutant Discharge Elimination
System) permit to prevent such spills. The spill control material (spill material) referred to
below is designed to contain and absorb chemical spills such as sodium hydroxide,sodium
hypochlorite,sodium bisulfite,hydrogen peroxide,ferrous chloride,and ferric chloride.
A) The driver for the contractor is required to stay with the vehicle during any time
that off-loading is occurring. This is to ensure that any spills are caught as soon as
possible.
B) The City and the contractor will review each delivery site at the plant to agree upon
a method of off-loading spill control.
C) The proper spill material has been obtained by the City and has been placed at each
off-loading site.
D) The contractor personnel will be responsible for inspecting the spill material at
each site before off-loading can begin for each load. If spill material is missing from
a site, the contractor personnel must contact the City for replacement spill material
before off-loading.
E) The contractor is responsible for training their employees in proper use of the spill
material.
F) The contractor will be responsible for the disposal of any spill material used for a
spill from their vehicles,off-loading hoses,or any other part of their equipment.
G) The contractor is responsible for reimbursing the City for the cost of replacing spill
material that is used to control a spill from their vehicle or equipment.
3
st=
2
to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev. Stat. §4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a,known as the E-Verify Program,or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements(SAVE)Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm Thatcher Company of Montan
By Lawrence E. Thatcher 74 Wzie-f-dzi.--
Title Cheif Executive Officer
CONTINUATION SHEET
Delivery(or completion) Name: Lawrence E. Thatcher Signature: • 9�
2 calendar days following Title: Chief Executive Officer Phone: (801) 924-1430• Fax: (801) 972-4606
award Address: P.O. Box 27407 Salt Lake City UT 84127-0407
Street/P.O.Box City State Zip
Email Address: wendy.richmond@tchem.com
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DOUGLAS COUNTY J.T.L.
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA Sodium Bisulfite
RETURN BIDS TO: Published: March 14,2012 Page 1
CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC CENTER
1819 Farnam Street BID BOND OR CERTIFIED CHECK REQUIRED IN THE AMOUNT 5%
Omaha,Nebraska 681 93-0011 IF THE TOTAL AMOUNT FOR THE ITEM OFFERED IS$20,000 OR MORE.
BID BOND OR CERTIFIED CHECK SHALL BE MADE PAYABLE TO
"CITY OF OMAHA"
NOT AN ORDER Bid Opening Time&Date: 11:00 a.m.CST cn Wednesday,March 28,2012
IMPORTANT
1. Bid must be in the office of the CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC CENTER, 4. If Federal Excise Tax applies,show amount of sane and deduct.
1819 Faman Street,Omaha,NE 68183-0011 by the closing date and time indicated Exemption certificates will be furnished. Do not include tax in bid.
in a sealed envelope marked:
BID ON:CITY OF OMAHA Sodium Bisulfite 5. BID MUST INCLUDE ANY DELIVERY OR SHIPPING CHARGES.
2. As evidence of good faith a bid bond or certified check must be submitted with bid. 6. When submitting bid on items listed,bidder may on a separate sheet,make
Bid bond or certified check shal be made payable to'City of Omaha' suggestions covering reduction in costs wherever this is possible through
FAILURE TO DO SO IS CAUSE FOR REJECTION. redesign,change of material or utilization of standard items or quantity change.
3. Right is reserved to accept or reject any or all bids in their entirety and the bidders shall 7. If you do not bid,return sheets with reason for decining. Failure to do so will indicate
have the right to appeal any decision to the City Council. Right is also reserved to your desire to be removed from our mailing list.TABULATION SHEETS FOR THE BIDS
accept or reject any pad of your bid unless otherwise indicated by you. SUBMITTED ARE AVAILABLE ON THE DOUGLAS COUNTY WEBSITE AT
www.doualascountyaurchasina.org. DO NOT CALL FOR THIS INFORMATION.
Quote your lowest price,best delivery and terms,F O.B.delivery point on the Items)listed below.
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
It is the intent of this Request for Bid that the City of Omaha
enter into a 12 month price agreement for sodium bisulfite in
accorance with the attached specification(2 pages)and"Spill
Control Requirements for Chemical Delivery by Truck to Omaha
Wastewater Treatment Plants". Price agreement may be
extended for two(2) additional one year periods at the same
Estimated price with approval of both parties.
100,000 Sodium Bisulfite in accordance with specifications,
gallons delivered to Missouri River Wastewater Treatment Plant.
BID/GALLON: $ 1.335 $ 133,500
175,000 Sodium Bisulfite in accordance with specifications,
gallons delivered to Papio Creek Wastewater Treatment Plant.
BID/GALLON: $ 1.335 $ 233,625
ALL OR NONE BID: $ 367,125
(5%Bid Bond is to be based
Questions regarding this bid should be directed to: upon thisemounp
Mike Arends at (402)444-3915 ext. 203
All bidders awarded a contract In the amount d$5,000 cr more must comply with the Contract Compliance Ordinance and have on file with the Human Rights&
Relations Department the Contract Compliance Report(Form CC-1). This report shall be In effect for 24 months from the date received by the Human Rights&
Relations Department. Any questions regarding the Contract Compliance Ordnance should be directed to the Human Rights&Relations Department at(402)444-
5055.
(PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms %NET 30 Firm: Univar USA, Inc a In: WA
. /Jf
Delivery(a completion) Name: Phil Parker/Sandy McDaniel ISlgnatur �:%
calendar days fdlowing Title: Muni Specialist/Sales Mgr 'Rome: 708-325-2484 Fax: 708-325-25 5
award Address: 7050 W 71st Street Bedford Park IL 60638
Street/P.O.Box City State Zip
Email Address: PHIL.PARKERQUNIVARUSA.COM
l Address: wendy.richmond@tchem.com
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DOUGLAS COUNTY
REQUEST FOR BID
ON: CITY OF OMAHA Sodium Bisulfite
NOT AN ORDER Page 2
DESCRIPTION
REQUIREMENTS FOR BID BOND
The surety company issuing the bid bond or the performance bond should be licensed by the State of Nebraska and
listed on the current edition of Circular 570 of the United States Department of the Treasury. A certified check, an
official bank check, or cashiers check drawn on a national bank or a bank chartered under the laws of the state,
payable to the city, or lawful money of the United States, or a United States Governement Bond(negotiable)are
acceptable substitutes for bond requirements.
INSURANCE: For City projects where the scope of work will be less than$200,000.00, the following levels of
insurance will be required: The successful contractor shall provide a certificate of insurance indicating(1)adequate
workers'compensation; (2) public liability in an amount not less than$250,000 for injuries including accidental death
to any person and subject to the same limit to each person in an amount of not less than$500,000 where more than
one person is involved In any one accident; and(3) property damage insurance in an amount not less than
$500,000; and naming the City of Omaha an additional insured.
For City projects where the scope of work will exceed$200,000.00,the following levels of insurance will be
required: The successful contractor shall provide a certificate of insurance indicating(1)adequate workers'
compensation; (2) public liability in an amount not less than$1,000,000 for injuries including accidental death to any
person and subject to the same limit to each person in an amount of not less than$5,000,000 where more than one
person is involved in any one accident; and(3) property damage insurance in an amount not less than$500,000;
and naming the City of Omaha an additional insured.
You are hereby on notice that as of October 1,2009,Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev.Stat.§4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements (SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm 11(aivar-1)
By
Title Munidpal Specialist/Sales M
CONTINUATION SHEET
list/Sales Mgr 'Rome: 708-325-2484 Fax: 708-325-25 5
award Address: 7050 W 71st Street Bedford Park IL 60638
Street/P.O.Box City State Zip
Email Address: PHIL.PARKERQUNIVARUSA.COM
l Address: wendy.richmond@tchem.com
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January 6, 2012
SPECIFICATIONS FOR
SODIUM BISULFITE CHEMICAL SUPPLY '
At the City of Omaha,Nebraska
Missouri River and Papillion Creek Wastewater Treatment Plants
5600 South 10th Street
Omaha, Nebraska 68107
Attn: Michael Mends,Missouri River Plant Manager
Telephone: (402)444-3915 x203; Fax: (402)444-3904
E-mail: marendsOci.omaha.ne.us
I) GENERAL
1) Bids will be awarded on the basis of lowest total cost.
2) Base bid is for 38%-42%by weight available sulfur in the form of sodium bisulfite
(NaHS03)to be purchased in 2,500-5,000 gallon bulk shipments.
3) Total iron content must be less than 0.003%,sodium sulfite content must be less
than 3.0%and total sodium sulfate content must be less than 3.0%. Quantities are
estimates and constitute no commitment on the part of the City. The solution
should be of a grade suitable for municipal wastewater treatment de-chlorination
applications.
4) The estimated required volume for the bid is 275,000 gallons.
5) Variations on quantity ordered may occur based on plant equipment and
disinfection system modifications at each wastewater treatment facility.
6) The chemical is to be delivered to the City of Omaha at the following locations and
estimated quantities:
Missouri River Wastewater Treatment Plant
(100,000 gallons)
5600 South 10th Street
Omaha,Nebraska 68107
1
ce indicating(1)adequate workers'
compensation; (2) public liability in an amount not less than$1,000,000 for injuries including accidental death to any
person and subject to the same limit to each person in an amount of not less than$5,000,000 where more than one
person is involved in any one accident; and(3) property damage insurance in an amount not less than$500,000;
and naming the City of Omaha an additional insured.
You are hereby on notice that as of October 1,2009,Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev.Stat.§4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements (SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm 11(aivar-1)
By
Title Munidpal Specialist/Sales M
CONTINUATION SHEET
list/Sales Mgr 'Rome: 708-325-2484 Fax: 708-325-25 5
award Address: 7050 W 71st Street Bedford Park IL 60638
Street/P.O.Box City State Zip
Email Address: PHIL.PARKERQUNIVARUSA.COM
l Address: wendy.richmond@tchem.com
1/4._. .....-1 1 .-'—'7- -: .. ji-T= 151,1iu,-
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Papillion Creek Wastewater Treatment Plant
(175,000 gallons)
15705 Harlan Lewis Road
Bellevue,Nebraska 68123
7) The bidder will be notified a minimum of two working days prior to the next
required delivery date and must make delivery during the two-day period.
8) The contract shall be set up as an open order for a time period of one(1) calendar
year from the date of award. The City may,at its own option,renew terms of this
contract for two additional one-year periods with an annual price modification in
the second and third year justified by reports from the Chemical Market Analysis
Institute.
II) SPECIAL CONDITIONS
1) The bidder must supply a minimum of 40 feet of 2 inch hose with a 2 inch male cam
and groove connection for offloading. The bidder shall be responsible for the
personal safety of their employees during chemical unloading. The bidder shall
comply with all Federal and State regulations concerning transport of the chemical.
2) Each invoice is to be accompanied by a certified analysis of the product delivered.
3) The bidder will comply with the City of Omaha Spill Control Requirements for
Chemical Deliveries(attached).
III) BID INFORMATION
Bid evaluation will be based on total estimated volume requirements for both
treatment facilities.
• Delivery of 100,000 Gallons 35%-40%by weight available sulfur,Sodium.
Bisulfite Solution to the Missouri River Wastewater Treatment Plant
100,000 Gallons x 1.335 per Gallon = 133,500
• Delivery of 175,000 Gallons 35%-40%by weight available sulfur,Sodium
Bisulfite Solution to the Papillion Creek Wastewater Treatment Plant
175,000 Gallons x 1.335 per Gallon = 233,625
Delivery of 275,000 Gallons 35%-40%by weight available sulfur,Sodium Bisulfite
Solution to the City of Omaha.
Missouri River WWTP+ Papillion Creek WWTP Cost= 367,125 •
2
n notice that as of October 1,2009,Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev.Stat.§4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements (SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm 11(aivar-1)
By
Title Munidpal Specialist/Sales M
CONTINUATION SHEET
list/Sales Mgr 'Rome: 708-325-2484 Fax: 708-325-25 5
award Address: 7050 W 71st Street Bedford Park IL 60638
Street/P.O.Box City State Zip
Email Address: PHIL.PARKERQUNIVARUSA.COM
l Address: wendy.richmond@tchem.com
1/4._. .....-1 1 .-'—'7- -: .. ji-T= 151,1iu,-
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March 2, 2012
SPECIFICATIONS FOR
SPILL CONTROL REQUIREMENTS
FOR CHEMICAL DELIVERY BY TRUCK TO THE OMAHA
WASTEWATER TREATMENT PLANTS
The purpose of the following requirements is to control chemical spills from delivery
vehicles that could possibly flow through the plant storm water system into a receiving
stream. The City is required by its NPDES (National Pollutant Discharge Elimination
System) permit to prevent such spills. The spill control material (spill material)referred to
below is designed to contain and absorb chemical spills such as sodium hydroxide,sodium
hypochlorite,sodium bisulfate,hydrogen peroxide,ferrous chloride,and ferric chloride.
A) The driver for the contractor is required to stay with the vehicle during any time
that off-loading is occurring. This is to ensure that any spills are caught as soon as
possible.
B) The City and the contractor will review each delivery site at the plant to agree upon
a method of off-loading spill control.
C) The proper spill material has been obtained by the City and has been placed at each
off-loading site.
D) The contractor personnel will be responsible for inspecting the spill material at
each site before off-loading can begin for each load. If spill material is missing from
a site, the contractor personnel must contact the City for replacement spill material
before off-loading.
E) The contractor is responsible for training their employees in proper use of the spill
material.
F) The contractor will be responsible for the disposal of any spill material used for a
spill from their vehicles,off-loading hoses,or any other part of their equipment.
G) The contractor is responsible for reimbursing the City for the cost of replacing spill
material that is used to control a spill from their vehicle or equipment.
3
Missouri River WWTP+ Papillion Creek WWTP Cost= 367,125 •
2
n notice that as of October 1,2009,Contractors are required to use E-Verify to determine
work eligibility of new employees who are physically performing services within the State of Nebraska.
If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us
New Employee Work Eligibility Status(Neb. Rev.Stat.§4-108-114)
The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work
eligibility status of new employees physically performing services within Douglas County. A federal immigration
verification system means the electronic verification of the work authorization program authorized by the Illegal
Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or
an equivalent federal program designated by the United States Department of Homeland Security or other federal
agency authorized to verify the work eligibility status of a newly hired employee.
If the Contractor is an individual or sole proprietorship, the following applies:
1. The Contractor must complete the United States Citizenship Attestation Form, available on the
Department of Administrative Services website at www.das.state.ne.us
2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor
agrees to provide the US Citizenship and Immigration Services documentation required to verify the
Contractor's lawful presence in the United States using the Systematic Alien Verification for
Entitlements (SAVE) Program.
3. The Contractor understands and agrees that lawful presence in the United States is required and the
Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as
required by Neb. Rev. Stat. §4-108.
SIGN ALL COPIES Firm 11(aivar-1)
By
Title Munidpal Specialist/Sales M
CONTINUATION SHEET
list/Sales Mgr 'Rome: 708-325-2484 Fax: 708-325-25 5
award Address: 7050 W 71st Street Bedford Park IL 60638
Street/P.O.Box City State Zip
Email Address: PHIL.PARKERQUNIVARUSA.COM
l Address: wendy.richmond@tchem.com
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A� OAT 0(M IDO)YYYY)
`..� CERTIFICATE OF LIABILITY INSURANCE
• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to m
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the a
certificate holder In lieu of such endorsement(s). m
PRODUCER CONTACT 19
Aon Risk Services central, Inc. PHONE FAX
Philadelphia PA Office (NC.N.,FA: (866) 283-7122 (NC ): (847) 953-5390 b
one Liberty Place ADDRESS:L _
1650 Market Street
Suite 1000
Philadelphia PA 19103 USA INSURER(S)AFFORDINGCOVERAGE NAIC•
INSURED INSURER A:. National union Fire Ins Co of Pittsburgh 19445
UNIVAR USA INC INSURER8: ACE Property & Casualty Insurance Co. 20699
17425 NE Union Hill Road
Redmond WA 98052-3375 USA INSURER C: Insurance Company of the State of PA 19429
INSURERD: Illinois National Insurance Co 23817
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:570045411015 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
MISR- ADDL WW1 POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR,VJVD, POLICY NUMBER L(IAWBVgry��rryy1 WWBBrI7y0 LIMITS
GENERAL LIABILITYA GL2802979 03/01/Z012 03/01/20.3 EACH OCCURRENCE 33,000,000
SIR applies per policy terms & conditions DAMAGE TO RENTED 3300 000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea commence)
CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) S10,000
X SIR:S2,000,000 PERSONAL&ADV INJURY S3,000,000 In
GENERAL AGGREGATE 33,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S3,000,000 g
1 POLICY ElJEC I 'LOC g
A AUTOMOBILE LIABILITY CA 4806890 '03/01/2012 03/01/2013 COMBINED SINGLE LIMIT S5,000,000
Truckers Liability (AOS) (Eaacdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
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Attachment to ACORD Certificate for UNIVAR USA INC
The terms,conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s).This attachment does not contain all terms,conditions,coverages or exclusions contained in the policy.
INSURER
INSURED
UNIVAR USA INC INSURER
1742S NE Union Hill Road
Redmond WA 98052-3375 USA INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR ADDL SUBR POLICY NUMBER/ POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY DESCRIPTION (MM/DDIYYYY) (MM/DD/YYYY) LIMITS
AUTOMOBILE LIABILITY
A CA 4806893 03/01/2012 03/01/2013 combined 55,000,000
commercial Auto (Aos) Single Limi
A cA 4806894 \03/01/201203/01/2013
Commercial Auto (MA)
A CA 4806895 03/01/2012 03/01/2013
commercial Auto (VA)
WORKERS COMPENSATION
A N/A wc1591222 03/01/2012 03/01/2013
CA, OH, OR & WA
SIR applies per policy terms & condit ons
p N/A wc001591223 03/01/2012 03/01/2013
WI
SIR applies per policy terms & condit ons
C N/A wc001591221 03/01/2012 03/01/2013'
Ft.
SIR applies per policy terms & condit ons
Certificate No: 570045411015
COVERAGES CERTIFICATE NUMBER:570045411015 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
MISR- ADDL WW1 POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR,VJVD, POLICY NUMBER L(IAWBVgry��rryy1 WWBBrI7y0 LIMITS
GENERAL LIABILITYA GL2802979 03/01/Z012 03/01/20.3 EACH OCCURRENCE 33,000,000
SIR applies per policy terms & conditions DAMAGE TO RENTED 3300 000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea commence)
CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) S10,000
X SIR:S2,000,000 PERSONAL&ADV INJURY S3,000,000 In
GENERAL AGGREGATE 33,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S3,000,000 g
1 POLICY ElJEC I 'LOC g
A AUTOMOBILE LIABILITY CA 4806890 '03/01/2012 03/01/2013 COMBINED SINGLE LIMIT S5,000,000
Truckers Liability (AOS) (Eaacdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
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(q (HEM TRADE
, ' LOGISTICS
5201 West 21`i Street,Tulsa, OK 74107 Phone: (918)587-7613 Fax: (918) 587-7594
Sodium Bisulfite (NaHSO3) Solution
38% Technical Grade
Technical Data Sheet
November 2002
Specification
Typical Minimum Maximum
Nal IS03 38.50% 38.0% 42.0%
SO2 19.0% 23.4% 25.9%
Na2SO4 3.0%
pH 4.45 3.60 4.60
Sp. Gravity 1.375 1.290 1.400
COLOR Straw Yellow
APPEARANCE SO2 Smell, Sediment Free
Revision: 6
November I,2002
nd any future development would need to include
ingress and egress.
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Mayor
4 CHEM TRADE
LOGISTICS
5201 West 21st Street ■ Tulsa,OK 74107 ■ (918)587-7613 ■ FAX(918)587.7594
CERTIFICATE OF ANALYSIS
PRODUCT: SODIUM BISULFITE SOLUTION
LOT NO.: 1 2301 1-03 •
CUSTOMER: Univar Inc.
Phoenix, AZ.
BILL OF LADING NO.: 80578008
CUSTOMER P.O. NO.: PS598298
SPECIFICATION ANALYSIS
ASSAY (SBS): >20% 38.12%
pH @ 25°C: 4.56
SPECIFIC GRAVITY @ 25°C: 1.353
(1.310-1.370)
APPROVED BY: Jack Cummins
Quality Chemist.
DATE: January 19, 2012
de
ingress and egress.
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•
MATERIAL SAFETY DATA SHEET
"�-4 CNEN1 TRADE Lasrsrres
Sodium Bisulfite, Solution
1. PRODUCT AND COMPANY IDENTIFICATION
Product Name: Sodium Bisulfite Solution Formula: NaHSO3 Molecular Weight: 104.06
Chemical Name: Sodium Bisulfite Chemical Family: Bisulfite,sodium salt
Synonyms:Sodium Bisulphite,Aqueous Solution;Sodium Hydrogen Sulfite;Sodium disulfite;Sulfurous acid,
monosodium salt;Sodium acid sulfite
Product Use:For the manufacture of perfume,pharmaceuticals,photochemicals,bleaching agent,and papermaking.
Chemtrade Logistics Chemtrade Logistics
111 Gordon Baker Road 11450 Cherrier Street Emergency Telephone Number
Suite 301 Montreal East,PQ
North York,ONT H1B 1A6 Chemtrec 1-800-424-9300
M2H 3R1 1-888-840-4720
(416)496-5856 Canutec (613) 996-6666
1-866-887-8805
2. COMPOSITION/INFORMATION ON INGREDIENTS
%
Hazardous In�tredients by Wt. CAS Number
Sodium Bisulfite 35-44% 7631-90-5
Non-Hazardous Ingredients
Water 56—65% 7732-18-5
3. HAZARD INFORMATION
EMERGENCY OVERVIEW:
A Dangerl Contains material, which causes damage to the following organs: mucous membranes, respiratory
tract, skin, eye, tens or cornea. Incompatible with acids and oxidizers (acidification will liberate sulfur dioxide
gas).Thermal decomposition products are corrosive and/or toxic and include oxides of sulfur.
Sodium Bisulfite Is a clear,colorless to light yellow liquid with distinctive odor. Pungent odor of Sulfur Dioxide.
Hazardous Material .`1''"'`,•;_; . * .;' " i 2 : National Fire Protection . 6). Fire Hazard
Information System FIre+fa,ar 1 0 Association(U.S.A.) Radt.tty
(U.S.A.) atectNMy 0 \ specific Timm'
Prrionil Profaner° C
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 1 of 10
DUCED BY PAID CLAIMS. Limits shown are as requested
MISR- ADDL WW1 POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR,VJVD, POLICY NUMBER L(IAWBVgry��rryy1 WWBBrI7y0 LIMITS
GENERAL LIABILITYA GL2802979 03/01/Z012 03/01/20.3 EACH OCCURRENCE 33,000,000
SIR applies per policy terms & conditions DAMAGE TO RENTED 3300 000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea commence)
CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) S10,000
X SIR:S2,000,000 PERSONAL&ADV INJURY S3,000,000 In
GENERAL AGGREGATE 33,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S3,000,000 g
1 POLICY ElJEC I 'LOC g
A AUTOMOBILE LIABILITY CA 4806890 '03/01/2012 03/01/2013 COMBINED SINGLE LIMIT S5,000,000
Truckers Liability (AOS) (Eaacdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
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•
MATERIAL SAFETY DATA SHEET
CHEM TRADE
• �` LOGISTICS
Sodium Bisulfite, Solution
3. HAZARD INFORMATION (continued)
POTENTIAL HEALTH EFFECTS:
ACGIH(TLV)(2003) NIOSH REL(2001) OSHA PEL(1989)
Sodium Bisulfite 5 mg/rn3(TWA) 5 mg/m3(TWA-10 hrs) Q 5 mg/m3(TWA)
In contact with the skin:Sodium Bisulfite may cause symptoms of skin irritation such as reddening, swelling,rash,scaling
or blistering.
In contact with the eyes: Vapors from this product are irritating to the eyes. This product causes irritation, redness, and
pain. May cause burns if left untreated.
inhaled:Product is irritating to the nose,throat and respiratory tract.
Ingested:May cause allergic reaction in some asthmatics. Ingestion of large amounts may cause nausea,
gastrointestinal upset and abdominal pain. May cause central nervous system(CNS)depression, nausea and vomiting,
diarrhea,violent colic and death.
Long Term Exposure:
Existing Medical Conditions Possibly Aggravated By Exposure: Breathing of fumes may aggravate acute or chronic
asthma and chronic pulmonary disease such as emphysema and bronchitis. May cause allergic reactions in sulfide
sensitive individuals.
Carcinogenicity Data:
Sodium bisulfite is not classified by NTP (National Toxicology Program), not regulated as carcinogenic by OSHA
(Occupational Safety and Health Administration), and has been evaluated by IARC (International Agency for Research on
Cancer) as a Group 3 (are not classifiable as to their carcinogenicity to humans). ACGIH (American Conference of
Governmental Industrial Hygienists)classifies it as an A4=Not classifiable as a human carcinogen.
4. FIRST AID MEASURES
Precaution: Effects of exposure(inhalation,ingestion or skin contact)to substance may be delayed.
Skin contact: Flush skin with running water for a minimum of 20 minutes. Start flushing while removing contaminated
clothing. If irritation persists, repeat flushing. Obtain medical attention IMMEDIATELY. Do not transport victim unless the
recommended flushing period is completed or flushing can be continued during transport.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 2 of 10
1/Z012 03/01/20.3 EACH OCCURRENCE 33,000,000
SIR applies per policy terms & conditions DAMAGE TO RENTED 3300 000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea commence)
CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) S10,000
X SIR:S2,000,000 PERSONAL&ADV INJURY S3,000,000 In
GENERAL AGGREGATE 33,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S3,000,000 g
1 POLICY ElJEC I 'LOC g
A AUTOMOBILE LIABILITY CA 4806890 '03/01/2012 03/01/2013 COMBINED SINGLE LIMIT S5,000,000
Truckers Liability (AOS) (Eaacdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
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riT\ CHEM TRADE MATERIAL SAFETY DATA SHEET -
• �= LOGISTICS Sodium Bisulfite, Solution
4. FIRST AID MEASURES (continued)
For minor skin contact,avoid spreading material on unaffected skin. Discard heavily contaminated clothing and shoes in a
manner which limits further exposure.Otherwise,wash clothing separately before reuse.
Eye contact: Immediately flush eyes with running water for a minimum of 20 minutes. Hold eyelids open during flushing. If
irritation persists, repeat flushing. Obtain medical attention IMMEDIATELY. Do not transport victim until the recommended
flushing period is completed unless flushing can be continued during transport.
Inhalation: Move victim to fresh air. Give artificial respiration ONLY if breathing has stopped. Give Cardiopulmonary
Resuscitation(CPR)if there is no breathing AND no pulse.Obtain medical attention IMMEDIATELY.
Ingestion:DO NOT INDUCE VOMITING. If victim is alert and not convulsing,rinse mouth and give'h to 1 glass of water to
dilute material. If spontaneous vomiting occurs, have victim lean forward with head down to avoid breathing in of vomitus,
rinse mouth and administer more water. IMMEDIATELY contact local poison control centre. Vomiting may need to be
induced but should be directed by a physician or a poison control centre. IMMEDIATELY transport victim to an emergency
facility.
5. FIRE FIGHTING MEASURES
Flash Point(method): Not applicable,product is non-flammable
Autoignition Temperature: Not combustible
Flammability Limits in air(%): UEL: Not applicable LEL:Not applicable
Fire Extinguishing Media: For small fires use dry chemical, carbon dioxide or water spray. For large fires, use dry
chemical, carbon dioxide, alcohol-resistant foam or flood fire area with water. Do not get solid stream of water on spilled
material.
Special Fire Fighting Procedures: Oxides of Sulfur may be present during a fire. Use self-contained breathing apparatus
and full protective clothing are recommended. Gas tight suits are required in extreme(>1000 ppm)concentrations of Sulfur
dioxide. Evacuate residents who are downwind of fire. Prevent unauthorized entry to fire area. Dike area to contain runoff
and prevent contamination of water sources. Neutralize runoff with lime,soda ash or other suitable neutralizing agents(see
Deactivating Chemicals,Section 6).Cool containers that are exposed to flame with streams of water until fire is out.
Other Fire or Explosion Hazards:Thermal decomposition products are toxic and include oxides of Sulfur. Sodium sulfide
may be formed after dried solution residues are heated. This is an explosive hazard and strongly alkaline in contact with
water.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 3 of 10
1 POLICY ElJEC I 'LOC g
A AUTOMOBILE LIABILITY CA 4806890 '03/01/2012 03/01/2013 COMBINED SINGLE LIMIT S5,000,000
Truckers Liability (AOS) (Eaacdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
MATERIAL SAFETY DATA SHEET
( (HEM TRADE
�.: LOGISTICS Sodium Bisulfite, Solution
6. ACCIDENTAL RELEASE MEASURES
Steps to be taken in the event of a spill or leak: Remove all ignition sources.Ventilate area. Use appropriate Personal
Protection Equipment. Prevent liquid from entering sewers or waterways. Dike with inert material(sand,earth,etc.).Stop or
reduce leak if safe to do so. Collect into containers for reclamation or disposal only if container is suitable to withstand the
material. Consider insitu neutralization and disposal. Ensure adequate decontamination of tools and equipment following
clean up.Comply with Federal,Provincial/State and local regulations on reporting releases.
Deactivating Chemicals: Alkali materials such as dilute sodium hydroxide, Lime,limestone,sodium carbonate(soda ash),
sodium bicarbonate,dilute aqua ammonia.Sulfur dioxide may be released during neutralization.
Waste Disposal Methods: Dispose of waste material at an approved waste treatment/disposal facility, in accordance with
applicable regulations.Do not dispose of waste with normal garbage or to sewer systems.
Note-Clean-up material may be a RCRA Hazardous Waste on disposal.
-Spills are subject to CERCLA reporting requirements:RQ=5000 lbs(2270 kg)
7. HANDLING AND STORAGE
Precautions: Wear appropriate Personal Protection Equipment. Keep ignition sources away from Sodium Bisulfite
storage, handling and transportation equipment.Keep containers closed when not in use. Have emergency equipment(for
fires,spills, leaks,etc.)readily available. Ensure all containers are labeled. Do not expose to strong acids as this will
liberate sulfur dioxide gas.
Handling Procedures and Equipment: Rubber lined carbon steel or certain stainless steel materials are suitable for use.
Contact CHEMTRADE LOGISTICS for specific recommendations when handling Sodium Bisulfite.
Storage Temperature: Store above freezing point(Section 9). Ideal storage temperatures are between and 20 and 27
degrees Centigrade.
Storage Requirements: Store in corrosion-proof area away from incompatible substances. Store in tightly closed
container, preferably the supplier container. Store in a cool,well, ventilated location away from heat, sparks and flames.
Storage tanks should be constructed from polyethylene, polypropylene, fiberglass-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
MATERIAL SAFETY DATA SHEET
(t 2' (HEM TRADE
LOGISTICS Sodium Bisulfite, Solution
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Recommendations listed in this section Indicate the type of equipment which will provide protection against over exposure to
this product. Conditions of use, adequacy of engineering or other control measures, and actual exposures will dictate the
need for specific protective devices at your workplace.
A Engineering Controls: Provide exhaust ventilation or other controls to keep the airborne concentrations of vapors below
their respective occupational exposure limits. Ensure the eyewash stations and safety showers are proximal to the
workstation location.
Respiratory Protection: A NIOSH/MSHA approved air-purifying respirator equipped with acid gas/fume, dust, mist
cartridges for concentrations up to 50mg/m' or 20 ppm as sulfur dioxide. A powered air-purifying respirator with acid gas
cartridges for up to 50 ppm sulfur dioxide.A full-facepiece air-supplied respirator if concentrations are for up to and higher
than 100 ppm sulfur dioxide.
Skin Protection: Impervious (i.e., neoprene, PVC, rubber) gloves, coveralls, boots and/or other acid resistant protective
clothing.
Eye Protection: Tight-fitting chemical goggles and face shield.
Other Personal Protective Equipment: Where there is a danger of spilling or splashing, acid resistant aprons or suits
should be worn. Trouser legs should be worn outside(not tucked in)rubber boots. Safety showers and eyewash fountains
should be installed in storage and handling areas.
9. PHYSICAL AND CHEMICAL PROPERTIES
Physical State: Liquid
Appearance and Odour: Clear,colourless to light yellow liquid with distinctive odour. Pungent odour of Sulfur dioxide.
Odour Threshold: No data
Boiling Point: 104°C(220°F)
Melting/Freezing Point: Approximately 6°C(43°F)
Vapour Pressure: 32 mmHg at 20°C,78 mm Hg(10.4 kPA)at 37.7°C
Specific Gravity at 25°C(77°F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
•
• MATERIAL SAFETY DATA SHEET
CHEM TRADE
�--`` LOGISTICS Sodium Bisulfite, Solution
10. STABILITY AND REACTIVITY
•
Stability: Under Normal Conditions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to
sulfate. Under Fire Conditions:Decomposes to form oxides of sulfur.
Conditions to Avoid: High temperatures, sparks, open flames and all other sources of ignition. Temperatures at or near
boiling point causes evolution of Sulfur dioxide.
Materials to Avoid: Strong oxidizers, may cause strong exothermic reaction. Lewis or mineral acids (acidification will
liberate sulfur dioxide gas).
Hazardous Decomposition or Combustion Products: Thermal decomposition products are toxic and include oxides of
Sulfur.
Hazardous Polymerization: Will not occur
11. TOXICOLOGICAL INFORMATION
Ingredient Name Test Result Route Species
e Sodium Bisulfite Solution LD50 2000 mg/kg Oral Rat
Carcinogenicity Data: Sodium bisulfite is not classified by NTP (National Toxicology Program), not regulated as
carcinogenic by OSHA (Occupational Safety and Health Administration), and has been evaluated by IARC (International
Agency for Research on Cancer) as a Group 3 (are not classifiable as to their carcinogenicity to humans). ACGIH
(American Conference of Governmental Industrial Hygienists) classifies it as an A4 = Not classifiable es a human
carcinogen.
Reproductive Effects: Not available
Mutagenicity Data: Evidence of mutagenic activity In bacteria,microorganisms,and DNA.
Teratogenicity Data: Not available
Synergistic Materials: None known
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 6 of 10
Boiling Point: 104°C(220°F)
Melting/Freezing Point: Approximately 6°C(43°F)
Vapour Pressure: 32 mmHg at 20°C,78 mm Hg(10.4 kPA)at 37.7°C
Specific Gravity at 25°C(77°F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
•
MATERIAL SAFETY DATA SHEET
try1\ CHEM TRADE
LOGISTICS Sodium Bisulfite, Solution
12. ECOLOGICAL INFORMATION
Ingredient Name Species Period Result
Sodium Bisulfite Solution Mosquito fish. (LC50) 96 hour(s) 240 ppm
Products of : These products are sulfur oxides(SO2, S03). Some metallic oxides.
Toxicity of the Products: The products of degradation are toxic.
of Biodegradation
13. DISPOSAL CONSIDERATIONS
• Responsibility for proper waste disposal is with the owner of the waste. Work with the appropriate regulatory bodies to
ensure compliance with regulations.
• Consider the collection of residual Sodium Bisulfite into containers for reclamation or disposal only if the container is
suitable to withstand the material.
• Consider insitu neutralization and disposal.
• Clean-up material may be a RCRA Hazardous Waste on disposal.
• Provincial/State or local regulations or restrictions are complex and may differ from Federal regulations.
• The information applies to the material as manufactured;processing, neutralizing, use or contamination may make the
information inappropriate,inaccurate or incomplete.
14.TRANSPORT INFORMATION
U.S.(Under DOT) Canada(Under TC)
Shipping Name:RQ,Bisulfites,aqueous Shipping Name:Bisulfite,aqueous
solutions,n.o.s. solution,n.o.s. (sodium blsulfite)
Hazard Class or Division: 8 ClassificatIon(s): 8
Product Identification No.(PIN):UN 2693 Product Identification No.(PIN):UN 2693
Packing Group: Ill Packing Group: Ill
Reportable Quantity(RQ)=5000 lbs(2270kg)
n ERG 154
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 7 of 10
age 6 of 10
Boiling Point: 104°C(220°F)
Melting/Freezing Point: Approximately 6°C(43°F)
Vapour Pressure: 32 mmHg at 20°C,78 mm Hg(10.4 kPA)at 37.7°C
Specific Gravity at 25°C(77°F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
=�..� MATERIAL SAFETY DATA SHEET
(: CHEMTRADE
• ��� LOGISTICS Sodium Bisulfite, Solution
15. REGULATORY INFORMATION
U.S.A..
SARA Title III HAZARD CATEGORIES AND LISTS
Product Hazard Categories IALs
Acute(Immediate)Health: Yes Extremely Hazardous Substance nia
Chronic(Delayed)Health: No (40 CFR 355,SARA Title Ill Section 302)
Fire: No CERCLA Hazardous Substance Yes
Reactivity: No (40 CFR 302.4)
Sudden Release of Pressure: No Toxic Chemical Yes
(40 CFR 372.65,SARA Title Ili Section 313)
Reportable Quantity(RQ)under U.S.EPA CERCLA: RQ=5000 lb
TSCA Inventory Status: Reported/Included
Right-To-Know: Illinois, Massachusetts, New Jersey,Pennsylvania
A California prop.65: No products were found.
CANADA
Workplace Hazardous Materials Information System(WHMIS)
A WHMIS Classification(s): Class D-2B Material causing other toxic effects(TOXIC)
Class E—Corrosive
CEPA DSL: All components listed.
A WHMIS Health Effects Index: Corrosive Material
Sensitizing Material
WHMIS Ingredient Disclosure Ust: Confirmed A;Meets criteria for disclosure at 1%or greater.
EINECS Number:231-548-0
Effective Dale: January 2005
CHEMTRAOE LOGISTICS MSDS
Supercedes:August 2004 Page 8 of 10
ite)
Hazard Class or Division: 8 ClassificatIon(s): 8
Product Identification No.(PIN):UN 2693 Product Identification No.(PIN):UN 2693
Packing Group: Ill Packing Group: Ill
Reportable Quantity(RQ)=5000 lbs(2270kg)
n ERG 154
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 7 of 10
age 6 of 10
Boiling Point: 104°C(220°F)
Melting/Freezing Point: Approximately 6°C(43°F)
Vapour Pressure: 32 mmHg at 20°C,78 mm Hg(10.4 kPA)at 37.7°C
Specific Gravity at 25°C(77°F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
MATERIAL SAFETY DATA SHEET
CHEMTRADE
0,\
LOGISTICS
Sodium Bisulfite, Solution
16. OTHER INFORMATION
Additional Information and References
1. "CHEMINFO'through"CCINFOdisc', Canadian Centre for Occupational Health and Safely,Hamilton,Ontario,Canada,
Aug 1999.
2. CHEMLIST,American Chemical Society,Nov 1999.
3. DOSE, Royal Society of Chemistry,Aug 1999
4. HSDB-Hazardous Substances Data Bank, through'CCINFO disc',Canadian Centre for Occupational Health
and Safety, Hamilton,Ontario,Canada,(November, 1999).
5. RTECS-Registry of Toxic Effects of Chemical Substances,On-line search, Canadian Centre for Occupational Health
and Safety RTECS database,Aug 1999.
6. Transportation of Dangerous Goods Act and Regulations, Canadian Centre for Occupational Health and Safety, Aug
1999.
7. Threshold Limit Values for Chemical Substances and Physical Agents, Biological Exposure indices, American
Conference of Governmental Industrial Hygienists,1999.
Revision Indicators:
A in the left margin indicates a revision or addition of information since the previous issue.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 9 of 10
or greater.
EINECS Number:231-548-0
Effective Dale: January 2005
CHEMTRAOE LOGISTICS MSDS
Supercedes:August 2004 Page 8 of 10
ite)
Hazard Class or Division: 8 ClassificatIon(s): 8
Product Identification No.(PIN):UN 2693 Product Identification No.(PIN):UN 2693
Packing Group: Ill Packing Group: Ill
Reportable Quantity(RQ)=5000 lbs(2270kg)
n ERG 154
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 7 of 10
age 6 of 10
Boiling Point: 104°C(220°F)
Melting/Freezing Point: Approximately 6°C(43°F)
Vapour Pressure: 32 mmHg at 20°C,78 mm Hg(10.4 kPA)at 37.7°C
Specific Gravity at 25°C(77°F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
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. nM 26,---
-
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MATERIAL SAFETY DATA SHEET
(6) (HEM TRADE
LOGISTICS
Sodium Bisulfite, Solution
16. OTHER INFORMATION (continued)
Legend:
CAS# -Chemical Abstracts Service Registry Number
CERCLA -Comprehensive Environmental Response,Compensation,and Liability Act
CFR -Code of Federal Regulations
DOT -Department of Transportation
EPA -Environmental Protection Agency
LC50 -The concentration of material in air expected to kill 50%of a group of test animals
LDS -Lethal Dose expected to kill 50%of a group of test animals
LEL -Lower Explosive Limit
MSHA -Mine Safety and Health Administration
NIOSH -National Institute for Occupational Safety and Health
PEL -Permissible Exposure Limit
PVC -Polyvinyl chloride
RCRA -Resource Conservation and Recovery Act
SARA -Superfund Amendments and Reauthorization Act of the U.S.EPA
STEL -Short Term Exposure Limit
TC -Transport Canada
TOG -Transportation of Dangerous Goods Act/Regulations
TLV -Threshold Limit Value
TSCA -Toxic Substances Control Act
TWA -Time-Weighted Average
UEL -Upper Explosive Limit
Prepared by Chemtrade Logistics 1-866-887-8805
The information contained herein has been prepared by CHEMTRADE LOGISTICS Inc.and is offered only as a guide to the
handling of this specific material and has been prepared in good faith by technically knowledgeable personnel. It is not
intended to be all-inclusive and the manner and conditions of use and handling may involve other and additional
considerations. No warranty of any kind is given or implied and CHEMTRADE LOGISTICS Inc. will not be liable for any
damages, losses,injuries or consequential damages that may result from the use or reliance of any information contained
herein.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supersedes:August 2004 Page 10 of 10
F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
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. nM 26,---
-
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• PhII Parker w
Municipal Bid Specialist
Central Region w
Unlvar U1'1 IV, `Ra
7050 West 71st Street
Bedford Park,IL 60638
USA
7 708-325-2484
F 708-325-2585
phil.parker@u nivarusa.com
March 27, 2012
City Clerk
City of Omaha •
Omaha, NE 68183
Dear City Clerk,
I have sent in a second bid envelope for Sodium Bisulfate because there has been a significant change in
logistics as it pertains to this bid. As a result of this change,we are able to submit a significantly lower bid to
the City of Omaha. Please open both envelopes together and accept our bid of$1.335 per gallon(Total Bid
of$367,125)as the OFFICIAL BID for Univar USA, Inc.
Please disregard and dispose of all documents indicating a bid of$1.6154er gallon(Total Bid of
$444,125).
Regards,
Phil Parker
Municipal Bid Specialist
STEL -Short Term Exposure Limit
TC -Transport Canada
TOG -Transportation of Dangerous Goods Act/Regulations
TLV -Threshold Limit Value
TSCA -Toxic Substances Control Act
TWA -Time-Weighted Average
UEL -Upper Explosive Limit
Prepared by Chemtrade Logistics 1-866-887-8805
The information contained herein has been prepared by CHEMTRADE LOGISTICS Inc.and is offered only as a guide to the
handling of this specific material and has been prepared in good faith by technically knowledgeable personnel. It is not
intended to be all-inclusive and the manner and conditions of use and handling may involve other and additional
considerations. No warranty of any kind is given or implied and CHEMTRADE LOGISTICS Inc. will not be liable for any
damages, losses,injuries or consequential damages that may result from the use or reliance of any information contained
herein.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supersedes:August 2004 Page 10 of 10
F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
,..F.-
C-25A CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebraska
-RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: cr-
r•ei
WHEREAS, bids were received on March 28, 2012 for an open order for the-purchase of
sodium bisulfite to be utilized by the Missouri River Wastewater and Papillion Creek
Wastewater Treatment Plants; and,
WHEREAS, Thatcher Company of Montana submitted a bid of $350,075.00, being the
lowest and best bid received, for the purchase of sodium bisulfite to be utilized by the Missouri
River Wastewater and Papillion Creek Wastewater Treatment Plants.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF OMAHA:
THAT, as recommended by the Mayor, the bid from Thatcher Company of Montana for
an open order for the purchase of sodium bisulfite to be utilized by the Missouri River
Wastewater and Papillion Creek Wastewater Treatment Plants in the amount of$350,075.00 is
hereby approved; and, that the Finance Department is authorized to pay this cost from the Sewer
Revenue Fund 21121, Missouri River Wastewater Treatment Plant Organization 116612 in the amount of
$127,300.00 and from the Papillion Creek Wastewater Treatment Plant Organization in the amount of
$222,775.00, year 2012 expenditures.
188612scp APPROVED AS TO FORM:
-TY ATTORNEY DATE
J/1.4772a4
By
C un ilmember
Adopted IPR..2:.4...2Q12.
of. z/ ps /
e
ity Cie / /
Approved
007
Mayor
1
dling may involve other and additional
considerations. No warranty of any kind is given or implied and CHEMTRADE LOGISTICS Inc. will not be liable for any
damages, losses,injuries or consequential damages that may result from the use or reliance of any information contained
herein.
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supersedes:August 2004 Page 10 of 10
F) 1.33 for 38%
Vapour Density:(Air1): Highest known value is 0.62(Air=1)(Water)
Bulk Density: Not applicable(see specific gravity)
Evaporation Rate: Not applicable
Solubility: Miscible in all proportions in water.
pH: 3.8 to 5.2
Effective Date: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:August 2004 Page 5 of 10
-reinforced plastic (FRP), cross-linked
polyethylene (XLPE), or 316 stainless steel to avoid corrosion problems. Tanks should be vented into an alkaline fume
recovery system or scrubber. Storage tanks should be protected from water ingress,and maintained structurally in a safe
and reliable condition.
Other Precautions: On exposure to air the product will lose some sulfur dioxide and gradually oxidize to sulfate. Both
acidification and heating accelerate the release of sulfur dioxide fumes.
Effective Dale: January 2005 CHEMTRADE LOGISTICS MSDS
Supercedes:AuguSt 2004 Page 4 of 10
acdden0 „
A X ANYAUTO CA 4806891 03/01/2012 03/01/2013 BODILY INJURY(Per person) 0
Z
ALL OWNEO —SCHEDULED Truckers Liability (MA) BODILY INJURY(Peracddent) Sp
A _ AUTOS —AUTOS CA 4806892 03/01/2012 03/01/2013 PROPERTY DAMAGE i3e
HIRED AUTOS NON-OWNED Truckers Liability (VA) (Per accident)
—AUTOS
B X UMBRELLA LIAR 'X OCCUR ' x00025914922 . 03/01/2012 03/01/2013 EACH OCCURRENCE 34,000,000 8
SIR applies per policy terms & condi-ions AGGREGATE 34,000,000
EXCESS UM CLAIMS-MADE
DED I X'RETENTION$100,000
C WORKERS COMPENSATIONANO wC001591220 —53/01/2012 03/0172013 X I TWC ORV STALIMIB I ER
NY
EMPLOYERS'LIABILITY
A PROPRIETOR PARTNER!EXECUTIVE YEi N!A SIR applies per policy terns & Conditions E.L EACH ACCIDENT S1,000,000
OFFICEPoMI3,IBER EXCLUDED?
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S1,000,000
DESG dIePaON OnFd OP ERATIONS below E.L DISEASE-POLICY LIMIT S1,000,000.�
2
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required)
Evidence of Coverage.
rati
2
CERTIFICATE HOLDER CANCELLATION
„rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE •
POLICY PROVISIONS.
Univar USA Inc. AUTHORIZED REPRESENTATIVE 4
17425 NE Union Hill Road
Redmond WA 98052-3375 USA a " r_ ��1* �
:mac a
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD
E.„'1.:
runali ui.li.
. nM 26,---
-
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